Drug Addict Status

If you are a binge eater, even if you have never seen the research, you know that there are similarities between food addiction and drug addiction. A recent study showing that you can get hooked on food the same way you can get hooked on drugs.

This study found what binge eaters sense – that in the brains of some, certain foods can “elicit cravings and trigger responses similar to those caused by addictive drugs.”

I think binge eaters sometimes find comfort in studies like these which confirm their suspicions that their behavior is indeed addictive. “It’s my crack,” I’ve often heard binge eaters and even non-binge eaters say when talking about their favorite foods; and when studies come out that prove food can really be “like crack” to the body and brain, it validates what they already suspect to be true. I know when I was a binge eater, I certainly found comfort in thinking I was “like a drug addict.”  But, why is this? Why did I find comfort in giving myself drug addict status?

I think likening myself to someone addicted to drugs made my problem more legitimate in my mind. It seemed all to weird, disgusting, and embarrassing to be hooked on enormous amounts of food; but if binge eating were indeed as addictive as shooting heroin, then maybe I wasn’t merely crazy or gluttonous after all. If I were like a drug addict, then maybe I really couldn’t control myself, I thought; and that’s precisely what the study linked above suggests.

The lead author of the study said that food addiction is “a combination of intense wanting coupled with disinhibition.” But, just because we can see “intense wanting” and “disinhibition” light up on a brain scan, does that mean the person has no control? I believe, even if there is some bungled brain circuitry causing someone to crave too much pleasurable food too intensely, and even if there is some under-activity in the executive areas of the brain that can inhibit actions; the person can still find ways to overcome those brain wiring issues. As humans, we can rise above our intense wanting for the greater good, and we can learn to inhibit.

While I think studies like the one above are useful, I think we have to be careful as a society not to give too many negative behaviors addiction status and not let differences in brain scans excuse too many actions. We could run into major problems if we eventually say that “intense wanting coupled with disinhibition” renders people helpless to control themselves. I can think of many wrong actions where this combination of intense wanting and disinhibition is present. Think of criminal offenses as extreme examples – shoplifting, robbery, rape; and moral dilemmas such as affairs, teen promiscuity, and pornography. Also, think of small children – every day they exhibit behaviors indicative of intense wanting coupled with disinhibition. If my daughter’s brain were to be scanned while she is shown a picture of a toy, I’m sure those same “intense wanting” areas would light up in her brain. Does this mean she must have the toy? It’s the same with the subjects in the study above.  It’s not a food addict’s fault they want the pleasurable food more and in greater amounts than others do; but in most cases, despite the brain processes at work, they still remain capable of learning to say no.

To recover from binge eating, I had to believe I could indeed control myself – whether I labeled my problem an “addiction” or not. I had to dismiss the belief that “intense wanting” could make me do anything. Strong desire is nothing in and of itself – it cannot make one act, and I had a choice or whether or not to let it get the best of me.  Once I stopped letting it get the best of me – in other words, once I learned to inhibit – the intense wanting subsided.

Listen to Your Body?

When my son Max (who is now 4) was about 2 years old, he began asking me during mealtime:”can I be done?” At first, I’d just asked him if he’d had enough, and if he said “yes,” I’d let him leave the table. However, he soon began asking “can I be done?” after the first or second bite; and he would get annoyed if I asked him to eat a little more. He later began asking, “how many bites do I have to take before I can be done?” Mealtimes quickly stopped being enjoyable because he only seemed to want to get back to playing instead of taking the time to eat and enjoy his food; and I didn’t feel comfortable insisting that he eat a certain number of bites or offering him more tasty (and usually more unhealthy) food choices as substitutes for what I’d prepared. It didn’t feel natural to me, and went against the philosophy I believed in before he was old enough to eat.

Before I began feeding him solids, I had a picture in my mind of how I wanted him to eat. I wanted him to be able to follow his own hunger and fullness signals, and I wanted to have a relaxed attitude around food – not forcing him to eat things he didn’t like, and also not putting any “unhealthy” foods off limits; but I also wanted to offer him healthy choices for the most part and have structure around his meal and snack times. I quickly learned that teaching a child to rely on his own hunger and fullness signals is more complex than I thought it would be.

When mealtimes became a struggle, I decided to start talking to Max about how to “listen to his body” (my husband jokingly made fun of me for using this phrase, but I thought the phrase brought the concept down to a child’s level). “What is your body telling you, Max?” I would ask when he would ask me how many more bites he had to take. “Does your stomach feel empty, like it has a little food in it, or like it is tight and full?” I tried to teach him to notice sensations that would signal that he still needed to eat more or that he’d had enough, in hopes that he could make a wise choice about how many more bites to take. Quite frankly, this didn’t work, and it became rather comical. Max would say he was full when the foods offered were not his favorites, and he would say he was still hungry even after eating plenty of his favorite foods. A conversation could have gone something like this:

(Max eating soup and crackers)
Max: “How many bites do I have to take before I can be done?”
Me: “Well, Max, why don’t you listen to your body and see what it’s telling you.”
Max: “My body says I’m done.”
Me: “But you’ve only eaten two bites. I think you need to eat some more so that you won’t be hungry at nap time and you will have energy for the rest of the day.”
Max: “My body says ‘stop eating soup! stop eating soup!'”

(Max eating chocolate cake)
Max: “Can I have some more cake?”
Me: “Max, you’ve already had a big piece, why don’t you listen to your body and see what it’s telling you.”
Max: “My body says ‘more cake, more cake!'”

As funny as these statements are coming from a 2-year-old, it actually provides an unfiltered look at our brain’s primitive pleasure center and how it influences food intake.

Palatability usually overrides satiety, so that even if we are physically full, we still want to continue eating a highly pleasurable food (hence, “my body says ‘more cake, more cake!'”). And unless we are famished, lack of palatabilty can override hunger (hence, “my body says ‘stop eating soup!'”) A 2-year-old doesn’t have enough higher brain power to always override these primitive, pleasure-seeking brain signals. Neither does a 5-year-old, a 10-year-old, or a 15-year-old, and even adults with fully developed higher brain centers have trouble resisting tempting food (in the most extreme cases, this takes the form of binge eating).

I think it is highly unfair to kids when their parents keep the house stocked with extremely pleasurable/sugar-laden foods, and let them have free reign of it. They aren’t always going to make a choice to stop when their brains’ say “more sweets, more sweets.” My experience with Max led me to believe that childhood obesity is partially due to parents letting their kids “listen to their bodies” too much in an environment filled with sugary foods. Their bodies are very survival and pleasure oriented, and although they may not binge, they will often reach for the sweets over the healthy choices.

I still want Max to learn to listen to his body, but I also want him to know that he must think too. Now that he is a bit older, I have explained to him that when we eat desert and sugary foods, sometimes our bodies don’t tell us to stop even when we are full (and it’s possible that Max has genes like me that make him susceptible *not destined!* to overeat pleasurable foods). I sometimes set limits on how much desert he can have, and even if he says “my body says more,” I have to tell him no. I try to get him involved in something else so he stops focusing on his desire for more; and sure enough, within a couple minutes he always forgets about the food. I want to teach him that we can’t have everything we desire, and sometimes doing the right thing means temporarily feeling deprived of pleasure (we can’t mistake pleasure for happiness).

One day, when his higher brain centers are developed, I hope this lesson will stick: You don’t always have to listen to your body and brain when you know (with your higher brain centers) that what it’s telling you to do is not right or good for you. This lesson doesn’t only apply to eating pleasurable foods, but to anything that involves a healthy dose of self-control.

On the flip side, I’m also trying to teach him that just because some foods don’t taste great (like vegetables, in his opinion), he still needs to make a good effort to try them. Also, if he is not hungry at a meal, I certainly don’t force him to eat; but I do make sure he eats something to give him energy to last him until the next meal. Food is fuel and even when the appetite is low for one reason or another, that doesn’t mean we can’t put food in our mouths (except, of course, in cases of illness when eating normally would not be advised). I know I tend to lose my appetite in times of stress, but I still eat normally, even though it may not be as enjoyable to do so. Following the appetite is important, but we need to use our higher brains too when making food choices because sometimes the appetite isn’t completely reliable – especially when bombarded with sugary, highly processed, “addicting” foods.

I’m certainly not saying I’m doing everything right in fostering good eating habits in my children, but I do find it interesting how the brain of a child gives us a glimpse into the adult “animal” brain, which I believe plays a huge role in the development and maintenance of binge eating.

The Anorexic and Bulimic “Voice”

It is my belief that in bulimia/BED, the urges to binge are the one and only cause of binge eating. Most of the time, these urges have a “voice” – one that sounds like your own – which strongly encourages the destructive eating behavior. In bulimia/BED, the woman usually views the voice as her enemy; she knows (at least on some level) that the voice is not expressing what she truly wants. In Brain over Binge, I briefly talk about how this situation is sometimes different in anorexia, because many anorexics believe the voice that encourages the destructive eating behavior (restriction/starvation) is expressing what they truly want – to lose weight. I recently came across a summary of a study which aimed to systematically examine this voice in anorexia, and I wanted to share it here along with some insights for binge eaters.

This study aimed to investigate experiences of and reflections on living with an anorexic voice. Participants were invited to write about their anorexic voice in the form of a poem, reflection, letter, or descriptive narrative. The written contributions were then analyzed by researchers. The study found that anorexics bestowed both positive and negative attributes to their anorexic voice; it was found that anorexics viewed the voice more positively in the beginning stages of the disorder and more negatively over time as the disorder developed. The participants felt an affiliation toward the voice, which researchers said could explain their ambivalence to change. The researchers recommended that therapists persist in their endeavors to penetrate the tie between anorexic patients and their anorexic voices.

I think that once the anorexic patient begins to view her anorexic voice negatively in any way, that is the opportunity for the patient to penetrate the tie. Just as in bulimia, the anorexic doesn’t lose volitional control of her actions; she retains the ability to override the anorexic voice. Whereas to stop binge eating, one must not act on the urges to binge; to stop anorexia, one must act (eat) in spite of the urges to starve. She must put food in her mouth despite what that voice is telling her; but to do this, she has to believe (at least on some level) that the voice is wrong.  If she thinks that voice is right – if she has an affinity for it – she will continue following it.

Even though individuals with bulimia/BED usually don’t have much trouble viewing their destructive voice as negative, I thought this study could still be useful for binge eaters, especially those who are just learning to separate themselves from their urges to binge. Like the participants in this study, you could write a poem, a reflection, a letter, and/or a descriptive narrative that reflects on your experience with the voice that urges you to binge. Getting to know the voice is helpful in order to recognize the many ways it presents itself. You could write about what you hear (in your head) that encourages you to binge; you could list all the “reasons” the voice gives you to binge; you could describe all the sensations you experience when you hear that voice. It is my hope that in doing this, you will realize that all of this “neurological junk” is not truly you, and you do not have to follow that voice.

kathryn hansen books

My Book’s Journey: A Mission to Help Binge Eaters (Brain over Binge)

I want to introduce myself:  I’m Kathryn Hansen and I stopped binge eating in 2005. Now, I am awaiting two exciting deliveries—the delivery of the Brain over Binge books to my doorstep, and the delivery of my new baby girl. The baby should arrive in about a week (and we have yet to decide on a name!), and the shipment of newly printed books should arrive in a little more than two weeks.

Writing this book has been a long journey for me. I began taking notes and writing rudimentary chapters in early 2006, slowly documenting my experiences and ideas. Considering this was less than a year after my recovery, it may have seemed bold.  How did I know my recovery would last?

I just knew. My bulimia was over for good, and I was fully convinced that I had a powerful story to share.  Writing that story was a great challenge, and a great joy. Some months brought much productivity; but other months brought lulls, indecision, frustration, and simply a lack of time. When my son was born, I took a six-month break from writing, and I did the same when my daughter arrived. This is why, when we found out we were expecting baby #3, I knew I absolutely had to finish before my due date.

I’ve worked hard these past nine months to make this a reality, spending many weekends writing at coffee shops while my husband watched the kids, and staying up way too late most nights. The months seemed to fly by, but I’m proud to say it is finished.

My perfectionism tells me the book could be better, that there is more I can say and better ways I can say it, but it’s time to let my words stand as they are. I had a mission in mind when I set out to write Brain over Binge, and I believe I’ve fulfilled it. More importantly, I think the book holds great promise for helping others.

As for how the book will be received…Who knows?  Who cares?  It could cause only the tiniest of ripples in the field of eating disorders, or it could create a big splash. Either way, that’s not what my mission was about. It was about telling my story – embarrassing parts and all – to other bulimics/binge eaters who may want to listen and learn from my hard-learned lessons.

______________________

Update (2018):  It’s hard to believe that this post was so many years ago, and I’ve now written a second book, (The Brain over Binge Recovery Guide), created an online course, a podcast, and had a 4th child! It’s been an amazing journey and every time someone shares their story of recovery with me, it makes all of the long nights worth it, and fuels my continuing commitment to my original mission. You can read reviews on Amazon to see what others have thought about Brain over Binge since I wrote this post.

If you are looking for somewhere to begin, you can start with my free PDF, the Brain over Binge Basics. It will teach you the fundamentals of the approach that helped me and many others end the binge eating habit for good.