Be honest with yourself about your eating pattern. Continuing to engage in such habits only ensures your problems will continue; in a sense, they are all components of the engine that keeps your eating disorder going. Be aware of the excuses one gives oneself to justify these eating behaviours and try to understand them as ways of keeping oneself trapped in anorexia. It will be beneficial to establish a healthy minimum weight and weight range which can be maintained by healthy eating, not by having to deprive yourself. Seeing a dietitian experienced with eating disorders will help one to work out a healthy eating pattern. One has probably evolved a host of beliefs, rules and rituals around food that locks one in to staying anorexic. They can be about the evils of certain foods; rigid adherence to set amounts of exercising; how your body is different from any other in the way it responds to fat; the amount of food one can survive on, and so on. It will take a leap of faith for one to accept that many of these are delusions. Talking to a dietitian can also help one with this. Monitoring and charting your eating especially the bingeing and purging may initially feel like an unpleasant task, but it is a valuable way for one to get an insight into the dynamics of ones disorder. The information will also be useful for your dietitian, if one consults one. The information about what was happening, and what one is thinking and feeling, can give one notable clues about the pattern of ones disordered eating and the triggers that tend to set it off. Bulimia sufferers tend to switch to automatic pilot when they binge.
One advantage of recognising these patterns is that one can use the information. Make changes that force one to remain conscious of what one is doing. Do your bulimia differently, as it were. Make changes to components of the binge-purge pattern: change foods used, slow down your bingeing, speed it up, do it in stages, change venue. Doing something incongruent with your normal bingeing can interfere with the usual ease with wich one slides into it. Well-tried techniques include changing into ones best clothes, carrying out the binge, bingeing in the bath or sitting on the toilet. Going out to buy each binge item one by one and singing through a binge (and, if you can, through the vomiting). A persuasive tactic is to delay the binge. Even if, one is already unloading the fridge when one realises what is happening stop at that point and do something else for a few minutes-the longer the better. This can be easier to do if one has specific preplanned things to delay binges with such as phoning a friend for 10 minutes, going for a walk or having a shower. Thinking about nothing else other than the binge one is putting off is nothing less than torture. When one returns to the binge war-zone one can review whether or not one will still go ahead with it. Even if, one does; one has exercised self-control in the face of a binge which will prove to be excellent training for bigger victories later. As one identifies the situations, thoughts or self-talk and feelings which act as triggers, write them down and work out other ways one could have dealt with them than escaping into a binge. Work out ways of meeting your needs without having to use food, so that you do not have to use bingeing as a means of avoiding situations or feelings. Finally, make it a priority to stop purging. As well as being a key trigger in the bulimia cycle,purging increases the medical risks enormously.
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