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In this interview, Natasha describes her experiences with anorexia. She starts o

ID: 3525138 • Letter: I

Question

In this interview, Natasha describes her experiences with anorexia. She starts off by talking about her distorted perceptions—for example, feeling that if her skin moved, it was “jiggling,” indicating that she was too fat and she shouldn’t eat for the rest of the day. She tried to control her behavior by making food items that she desired inedible. For instance, she threw out food and covered the items with cleaning products so she couldn’t possibly eat them. Natasha would only allow herself to eat food that was very low in calories, such as celery. Raisins were acceptable, but only if she had exercised, and her exercise schedule was extremely rigorous. She blamed herself for everything and desperately needed others to tell her that she was okay. Natasha’s road to recovery started with her own recognition that she needed therapy. Inpatient treatment was a highly controlled environment, but she said it was what she needed. When Natasha returned to her old environment as an outpatient, she felt disconnected and slipped back into disruptive behaviors, eventually returning to inpatient treatment.

Discussion Question:

Binge Eating Disorder

In this interview, Stacy, a nutritional health coach, describes her experiences with body image when she was an adolescent. She describes how important “diets” were in her family, and how much her family, especially her father, focused on body weight and degraded people who were overweight. She starting purging behavior in college. After attending Overeaters Anonymous, Stacy stopped purging, but the binge-eating continued. Her destructive behavior was cyclical as she would binge several times a day for three or four days in a row, then feel disgusted and deprive herself. Stacy went to great efforts to hide her behavior from family and friends She felt intense shame and personal disappointed. Stacy describes her behavior as the constant search for the perfect food—which she never found because she was really looking for something else.

Discussion Question:

Explanation / Answer

Natasha's case

Binge Eating Disorder

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