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08 Jan 2013

Training your brain to stop thinking about food
Hi Doc

Please help!
For most of last year I was on anti depressants which made my appetite go crazy : I sometimes woke up at 2 am and 5am absolutely ravenous to the point of feeling sick. The meds also made me nauseous. I am now almost a week off them. I am still having major hunger pangs.
I obsess about food and the fear that I will get so hungry I will be sick. This morning I woke at 4h30am ravenous so I had my usual breakfast of scrambled egg and toast. I was so nauseous I eventually threw up. A bit later once the nausea stopped I had toast and marmite, beef &  veg cuppa soup and one and a half provita with marmite. All morning I am hungry, stomach feels grumbly - I am so scared to overeat. I try snack on healthy things : apples, corn/rice cakes, provita, a bit of biltong (I find I need protein to stabilise the blood sugar spike feelings) and fat free yoghurt. I avoid sweet things as much as possible. I am also trying to drink water when I feel hungry (I did not used to drink water unless I was very thirsty)
I have also started to gym but according to the kilojoules in and out I need to burn at least 2300KJ per DAY! I feel exhausted after only burning approx 400!

All I can think about is food, I am constantly hungry today and I am so scared I am going to overeat and get sick or I am going to get sick because I am too hungry! How can I train my brain to stop obsessing about food?

I have a desk job - I am overwhelmed at work : too much work to do and just cannot focus and the bosses try to act understanding but they stlll keep adding on the clients. When I was on leave I would occupy myself by doing something physical like housework or cleaning the pool or go to the gym.

PLEASE HELP! I AM BEYOND MY LIMIT HERE - Your eating disorders expert is not answering questions and I know you are very good at answering questions quite quickly so I appreciate that.
Answer 904 views

01 Jan 0001

CBT is still the currently best available way of brain re-training, and for revising unhelpful assumptions.
Discuss WHAT you eat, which is as important as how much you eat, with a dietician - sounds like a bit too much marmite, potentially.
I've said before I don't like Venlor at all, and would be very cautious about recommending it.
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