LIFE COACHING
one urge at a time.
There’s no shame here
I’ll hold the space as you . . .
LEARN WHY YOU BINGE
LEARN HOW TO STOP
TAKE BACK YOUR LIFE
MARTHA AYIM, MA
I was a secret binge eater for more than 30 years. At times, I was up to 90 pounds overweight. I used every dollar I had and borrowed every penny I could to get better. I tried every conceivable treatment and have scars to prove it. Literally. (No. The lap band didn’t do the trick.) I begged my dentist to wire my mouth shut. (Yes. I really did that.) I even went back to university to try to figure it out—only to learn that for a substantial number of people, binge eating does not resolve with first-line treatment. Though I’d worked with cognitive therapists who helped me tremendously, I was still one of those people.
In a crisis, I reached out to a life coach. It was a game-changing decision.
Life coaching taught me that I had more power than I knew—and not the teeth-gritted, eyes-squeezed-shut willpower kind of power (though I had that too and had tried to rely on that for many years). My binges ended. Now I help people like you end yours.
Eating can be joyful and nourishing. It’s possible for you. For me. For everyone.
“Martha is a damn good coach—one of the best to ever come through The Life Coach School. She is a great teacher, a great coach, and a great model.”
— BROOKE CASTILLO
MASTER COACH & INSTRUCTOR & CO-FOUNDER, THE LIFE COACH SCHOOL
CLIENT ❤s
What is binge eating disorder?
In May 2013, binge eating disorder was included as an official diagnosis in the DSM-5 (APA, 2013)—that’s the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders.
According to the DSM-5, when a person meets the criteria for binge eating disorder, they experience recurring episodes of binging. A binge episode is characterized by two things. First, a person eats more food than would be considered normal in a similar situation and in the same amount of time. (Some binges can last for hours.) Second, a person feels a loss of control over the quantity or kind of food being eaten.
Bingeing episodes are associated with at least three of five behavioural indicators:
- eating past the point of feeling comfortably full
- eating large amounts when not hungry
- eating unusually fast
- eating by oneself to avoid embarrassment
- feeling shame, depression, or guilt following a binge eating episode.
A person experiences clear distress about binge eating, and the binges occur at least once weekly for three months. A person with binge eating disorder doesn’t try to make up for the bingeing with intentional vomiting, excessive use of laxatives, or excessive exercise; these are called compensatory behaviours and they define bulimia nervosa (Herpetz et al., 2011; Tanofsky-Kraff et al., 2013). Binge eating disorder happens outside of episodes of anorexia nervosa or bulimia nervosa.
References
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: Author.
Herpetz, S., Hagenah, U., Vocks, S., von Wietersheim, J., Cuntz, U., Zeeck, A., et al. (2011). The diagnosis and treatment of eating disorders. Deutsches Arzteblatt International, 108(40), 678–685. doi:10.3238.arztebl.2011.0678
Tanofsky-Kraff, M., Bulik, C. M., Marcus, M. D., Striegel, R. H., Wilfley, D. E., Wonderlich, S. A., et al. (2013). Binge eating disorder: The next generation of research. International Journal of Eating Disorders, 46, 193–207. doi:10.1002/eat.22089
How prevalent is binge eating disorder?
Reference
Hudson, J. I., Hiripi, E., Pope Jr., H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biological Psychiatry, 61(3), 348–358. doi:10.1016/j.biopsych.2006.03.040
What options are available for binge eating disorder?
I tried CBT with a cognitive psychologist who was an eating disorder expert and it helped me a lot. But it didn’t completely resolve my binges. I binged less often and on less food for sure, but I still binged and still felt extreme distress and lack of control about my eating. And I’m not alone. Researchers (e.g., Wilson & Grilo, 2007) have puzzled over why some interventions, like CBT, that are known to be effective for binge eating disorder still fail to help many people fully or sometimes even partially recover.
References
White, M. A., & Grilo, C. M. (2013). Bupropion for overweight women with binge-eating disorder: a randomized, double-blind, placebo-controlled trial. Journal of Clinical Psychiatry, 74(4), 400–406. doi:10.4088/JCP.12m08071
Wilson, G. T., Grilo, C. M., & Vitousek, K. M. (2007). Psychological treatment of eating disorders. American Psychologist, 62(3), 199–216. doi:10.1037/0003-066X.62.3.199
When might coaching be appropriate for binge eating?
- you’re on a waiting list to get into a treatment program and could use some support while you wait
- you want additional support as you go through another program
- you’ve completed another program and want follow up
- you don’t have access to other programs in your area.
It’s up to you. Trust yourself and see what works best for you.
Can men sign up at Holding the Space?
Reference
National Eating Disorders Association. (n.d.). Binge Eating Disorder in Males. Retrieved from https://www.nationaleatingdisorders.org/binge-eating-disorder-males