A client recently came to me having difficulties filling out the Bulimia Nervosa / Compulsive Overeating Worksheet. She queried how to fill in the ‘Incident’ column. She felt that her eating was habitual and was not triggered or related to any incident or relationship issue.
Even if eating patterns become habitual, they will wax and wane between days and over time. There are better days and worse days. It is important to notice this, and to start to pay attention to what is happening on the days when your eating habits are more healthy, and what is happening when they are less healthy. As is said many times on this website, relationship issues can have an especially strong effect on eating patterns.
Upon reflection, my client realized a number of triggers that were triggering her ‘habitual eating’ patterns. My client always had a strong urge to binge when she came home from work. At first she did not see what this could be related to as she was alone, and there was nothing she considered a ‘trigger’ at this time.
Through discussion she realized that when she came home from work each day, she would be bombarded with housework that her husband had left for her, and this made her angry.
She began to notice that the more mess that was left, the stronger her urge to binge. Furthermore, this client began to realize that her urge to binge was particularly strong when she felt that her husband undermined her, even if this was very subtle and she did not always consciously notice it.
Once these patterns were noticed, she could start to address them. By entering into conversation with her husband about needing him to support her with the housework, and how his derogatory comments affected her, her eating disorder improved (as did their relationship!)
The major objective of the Worksheet is to help sharpen your lens and to start to notice what is triggering your eating urges. Once these are identified, with support, you can start to address them and make positive progress towards overcoming your eating disorder.
The next few blogs will discuss various queries regarding the Worksheet. If you have any of your own, please let us know.