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Book Review: Binge Eating Disorder: The Journey to Recovery and Beyond is a Must Read

Book Review: Binge Eating Disorder: The Journey to Recovery and Beyond is a Must Read

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Binge Eating Disorder: The Journey to Recovery and Beyond by Amy Pershing with Chevese, seamlessly blends clinical knowledge with the lived experiences of those affected by BED, making it an invaluable guide for individuals experiencing BED and their families. Divided into three parts: understanding BED, addressing its root causes, and finding sustainable recovery strategies, this book is a must read for anyone looking for an insightful and compassionate resource on binge eating disorder (BED).

Understanding Binge Eating Disorder

Binge eating disorder (BED) is the most common eating disorder, it can develop at any age, often in childhood, and can impact people across diverse identities and backgrounds. It is characterized by recurrent episodes of eating unusually large amounts of food in a short period, accompanied by feelings of loss of control. 

BED affects an estimated 2.8 million individuals, making it the most prevalent eating disorder in the United States. Despite its high prevalence, BED often goes undiagnosed or misunderstood, in part due to societal weight bias and outdated treatment paradigms. 

Understanding Binge Eating Disorder Symptoms

BED is not a one size fits all diagnosis, and can often affect people in unique ways, but there are some hallmark symptoms that are commonly observed, which include:

  1. Frequent Episodes of Binge Eating:
    • Consuming more food than most people would in a similar time frame and situation.
    • Feeling unable to stop eating during a binge episode.
  2. Emotional Distress Around Eating:
    • Intense feelings of shame, guilt, or embarrassment during or after binge episodes.
    • Experiencing disgust or self-loathing related to eating habits.
  3. Behavioral Indicators:
    • Eating rapidly or at an unusually fast pace.
    • Eating until uncomfortably full.
    • Consuming large amounts of food even when not physically hungry.
    • Preferring to eat alone to hide the behavior from others.
  4. Physical Symptoms:
    • Fluctuating weight due to consistent overeating and undereating.
    • Gastrointestinal discomfort or other health issues linked to excessive eating.

If these symptoms occur at least once a week for three months, it could indicate BED, and you should talk to a trusted care provider.

Who experiences Binge Eating Disorder?

BED doesn’t discriminate—it can affect people of any age, gender, race, or socioeconomic background. Please note that people of all body sizes can experience binge eating disorders. 

Why is Binge Eating Disorder: The Journey to Recovery and Beyond by Amy Pershing with Chevese such a powerful resource?

  1. It Addresses the Root Causes:
    Chevese and Amy Pershing provide a thorough explanation of how the diet industry, weight bias, and weight stigma all work together to contribute to the development and persistence of eating disorders. Many individuals with BED have endured significant weight stigma and bullying, which often begin in childhood. Tragically, these experiences are pervasive in peer groups, families, and even healthcare settings. In an attempt to avoid further stigma, many people turn to dieting as a way to change their bodies, but this often worsens their relationship with food and deepens the cycle of disordered eating. It is estimated that up to 70% of those experiencing binge eating pursue weight loss services often making the eating disorder worse. They also delve into systemic oppression and its role in fostering BED.

    The book also makes it clear that effective treatment for BED lies in psychological support and nutritional rehabilitation—not weight loss interventions.

  2. It Makes Sense of Binge Eating:
    Within the chapter “How BED Happens and Why It Makes Sense” Pershing and Chevese offer a groundbreaking discussion of the nervous system and its stress response. They explain how binge eating functions as a coping mechanism, helping individuals feel safe during times of stress or overwhelm, which helps to make sense of binge eating as an adaptive (though ultimately unhelpful) response, which in turn can foster self-compassion and reduce the shame often associated with this behavior.
  3. It Offers Inspiring Personal Narratives:
    Chevese Turner courageously shares her story of binge eating, starting from her childhood experiences with food. Amy Pershing complements this narrative with her years of clinical expertise, sharing lessons from her work with clients in recovery. These interwoven stories remind readers that they are not alone in their struggles. By reducing isolation and shame, the authors create a sense of solidarity and hope.
  4. It Provides A Roadmap to Recovery:

    Binge Eating Disorder: The Journey to Recovery and Beyond offers a framework for improving readers’ relationships with both food and their bodies. Rather than prescribing rigid meal plans, it focuses on reclaiming a sense of self. Chevese and Amy Pershing introduce concepts from Internal Family Systems (IFS) therapy, such as “parts work,” to help readers understand their binge eating behaviors and work toward recovery. They also address body shame and body image distress, reframing the body as a home—not an object to be judged, but a vessel for experiencing life, joy, and even pain.

    The authors critique diet culture and thin privilege, empowering readers to navigate these societal pressures while staying true to themselves.

  5. It Expands Perspectives:
    One of the book’s greatest strengths is its ability to broaden readers’ understanding of binge eating. Binge Eating Disorder: The Journey to Recovery and Beyond explores how societal and systemic factors influence BED, and help to shift the focus away from individual blame and toward a more compassionate, holistic view.

I wish I had discovered it earlier—it would have allowed me to recommend it to more clients sooner. Those I’ve shared it with have found it incredibly helpful and affirming. If you are experiencing binge eating please consider reaching out for support.

Whether you’re a generalist clinician seeking to understand better binge eating disorder or an experienced eating disorder specialist, this book deserves a place in your professional library. Once you read it, you’ll feel confident recommending it to clients with BED—and they’ll thank you.

2024 Eating Disorder Recovery Resource Roundup

2024 Eating Disorder Recovery Resource Roundup

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As we close the chapter on 2024, we have the opportunity to take a few moments to reflect on the last year of eating disorder recovery & treatment and make note of resources available to us for continuing care in 2025.

As awareness of eating disorders and recovery options continue to grow, families, clinicians, and communities are searching for tools and knowledge that prioritize compassion and effective care. Whether you’re considering levels of care for recovery or exploring family based therapy for eating disorder treatments, these conversations have helped shape a community of care we’re excited to take with us into 2025.

Whether you’re a parent, caregiver, or someone in recovery yourself, there’s so much to be aware of and as we learn more together, we strengthen our communities and our possibility for a thriving recovery.

As we move into 2025, these insights can guide us to approach eating disorder recovery with greater intention. They challenge us to prioritize early intervention, understand diverse diagnoses, and advocate for inclusive and accessible care. Whether you’re navigating recovery personally or supporting a loved one, the lessons of 2024 can serve as a foundation for a hopeful and informed new year.

Stay tuned as we build on this momentum in 2025, continuing to explore the complexities of eating disorders and the paths to healing. Let’s enter the new year with renewed purpose and compassion.

Here’s what I wrote about this year:

When Your Loved One Doesn’t Want to Get Better: Understanding Anosognosia in Anorexia Nervosa

“Anorexia nervosa is an eating disorder characterized by severe food restriction, an intense fear of weight gain, and body image disturbance. Anorexia nervosa affects many individuals of all genders, ages, and identities worldwide.

The consequences of anorexia nervosa can be devastating, both physically and psychologically. However, one of the most challenging aspects of this disorder, particularly for family members and caregivers (and even clinicians!), is the phenomenon known as anosognosia.

What is Anosognosia?

Anosognosia, stemming from the Greek words “nosos” (disease) and “gnosis” (knowledge), refers to a lack of awareness of one’s illness. Anosognosia often can feel and look like denial.

Denial is a defense mechanism and psychological response to avoid dealing with anxiety or other uncomfortable feelings. In contrast, anosognosia in mental health conditions is better described as a lack of awareness of their own condition.”

Understanding ARFID: More Than Picky Eating

“Avoidant/Restrictive Food Intake Disorder is not just a simple case of picky eating; it is a complex psychological condition that can cause significant nutritional and reduced quality of life, particularly if it endures into adulthood.

Unlike other eating disorders that are often driven by concerns about weight and body image, ARFID is characterized by an avoidance of food based on sensory sensitivity, lack of interest in eating, depressed appetite, and/or fear of adverse consequences such as choking, throwing-up, or an allergic reaction.

Individuals grappling with ARFID may face a persistent difficulty when it comes to eating sufficient quantities or varieties of food. This can stem from deep-seated anxiety, gastrointestinal discomfort, or past negative associations with food.”

Book Review: When Your Teen Has an Eating Disorder is a Must-Read

“If you think your child or teen has an eating disorder this is a must read.

Eating disorders can perplex many parents and clinicians alike. Your teen may not be acting like their usual self, and it’s hard to know if this is just normal teenage angst or something more serious. If your teen has an eating disorder, they may have changed greatly right before your eyes: refusing food, feeling anxious around eating, or experiencing changes in mood and energy.

You may have tried several times to talk with them about the importance of eating and try to reassure them that they are not gaining weight. (In fact, they are likely losing weight.) But, your child’s struggles seem to be getting worse not better.

If your teen has not seen a doctor yet about their eating disorder this is the first step to make sure they are medically stable.”

Levels of Care in Eating Disorder Treatment: How to Choose the Right Option

“Levels of care refer to how much support is needed to reduce eating disorder behaviors during treatment. Several levels of care may be utilized throughout treatment for an eating disorder, based on what is necessary for the person in recovery.

Treatment choices can be overwhelming if you or your teen are newly diagnosed with an eating disorder. Residential, day treatment, or outpatient care – what does this all mean?

Levels of care in eating disorder treatment are selected based on many factors including:

  • Medical: This often is the driving factor in selecting the level of care. If you or your teen are medically compromised more care may be needed.
  • Severity of malnutrition: Different levels of care offer varied amounts of support for nutrition rehabilitation.
  • Co-occurring conditions: Often those with eating disorders have other medical or psychological conditions that also need to be treated.
  • Social support: Social support improves mental and physical health. The different levels of care offer varying levels of social support.
  • “Motivation”: Most of us want to feel better and be healthy. However, change can feel scary, overwhelming and downright impossible at times. Those who feel more stuck in their eating disorder may need more support to feel like change is possible.
  • Access to care: Proximity to treatment, insurance, and specialty care are all considerations. Virtual treatment by clinicians and treatment programs are being utilized to increase access to care.”

Treating Anorexia Nervosa in Teens: The 5 Tenets of FBT

“Looking at all of the treatment options for anorexia nervosa in teens may feel daunting.

In this article, the focus is on family-based treatment (FBT), one type of treatment for eating disorders that is used for treating anorexia nervosa in teens. In particular, this article discusses the nuances of family-based treatment, which are referred to as the “Tenets of FBT”.

The focus of FBT is to empower you, the parent, to provide nutrition rehabilitation and restore your child back to health with the guidance of a treatment team. FBT is an outpatient treatment that can be used in place of residential treatment or partial hospitalization if your teen is medically stable. That means your teen can stay at home during treatment.

The tenets of Family-Based Therapy guide me as a clinician, and you as a parent, during eating disorder treatment and recovery. When working with families and teens throughout treatment I refer to these guiding principles frequently.”

Can Family-Based Treatment Help My Child Recover from an Eating Disorder?

“If you are a parent or caregiver, desperate to help your child who is struggling with an eating disorder, family-based treatment may be the solution you are searching for.

Often, families come into my office worried sick about their child.

Their child might have lost a lot of weight or been acting “sneaky” around food. Maybe their child has been over-exercising, using laxatives, or throwing up after eating.

Or, they might be worried because their child only eats a small number of foods, or eats a lot of food at once.

Or maybe your child has become an extremely “picky eater”.

On top of that, parents are often terrified because they have heard doctors mention hospitalization and many therapists have turned them away. When they do research online, things look bleak.

No matter their child’s symptoms, when families first come in they are often frantic, frustrated, and feeling powerless. They don’t know what to do.

If you find yourself in a similar boat today, you’re not alone. I have worked with countless families who walk into my office feeling this way. Sadly, there’s a lot of blame put on the parents. All they want for their child is to get better and live a happy life without the constant obsession with food.”

I’ll be back in 2025, writing more about eating disorder recovery, food peace, and weight bias. If there are any topics you want me to cover next year, let me know. You can send me a message here, and you can also follow me on Facebook. Every week, I share resources from myself + other eating disorder experts, so follow if you’re looking for more information.

2018 Year In Review

2018 Year In Review

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As we come into the end of the year, I wanted to reflect on the posts I’ve published here in the last year, so here is 2018 in review!

If you’ve read the blog before or visited my site, you’ll know that my mission is to help people make peace with food & their bodies. My goal is to help people challenged with ED and other food & weight-related concerns to move from constantly worrying about food and their weight to being free to create the lives they want.

This year, I wrote a lot about recovery, intuitive eating, and supporting loved ones with eating disorders, to name a few topics. I’ve compiled every single post from this year, so you can catch up if you missed a post or refresh your memory if you’d like!

Are you already feeling diet culture pressure?

Before the new year, read why you should Forget About Diets To Improve Your Health This Year. Another concept to become familiar with is how Rejecting the Diet Mentality is Key to Healing Your Relationship with Food.

How can you support the people in your life to develop positive body image and/or work through disordered eating?

Here are 5 Surprising Ways to Support Your Loved One with an Eating Disorder and a post especially for Dads: 6 tips to Help your Daughter Develop a Positive Body Image.

Recovery from an eating disorder is not an easy process.

This year I wrote about 4 Tips to Cope with Weight Gain in Recovery from Anorexia Nervosa, Tips to Support Eating Disorder Recovery this Semester, 5 Steps to Reconnect with Exercise in Eating Disorder Recovery, and How to Stay on Track with Eating Disorder Recovery during the Summer: Tips for College Students.

Are you curious about Intuitive Eating?

Here are 3 Important FAQs about Intuitive Eating that you should know.

Recognizing that it’s time to get treatment for your eating disorder is a huge step.

Here are 5 Signs That It Is Time to Get Treatment for Your Eating Disorder.

And finally, a treatment team can make all the difference.

Here are my tips on how Building a Treatment Team to Help You Conquer Your Eating Disorder, and 5 Ways a Dietitian Can Help Reduce Binge Eating.

I hope you have enjoyed all of the posts from this year! Please let me know if there are any topics you would like for me to cover in 2019. If you’re looking for even more resources, make sure you’re following me on Facebook and Pinterest – I share tons of resources from me + other experts in the field on both platforms!

2018 year in review 2018 year in review
4 tips to cope with weight gain in recovery from anorexia nervosa

4 Tips to Cope with Weight Gain in Recovery from Anorexia Nervosa

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Let’s face it – our society gives us strong messages from social media, print media, our schools, and the health care system that weight gain is bad.   Wherever we turn we are given the message that weight gain is a death sentence. (Which, by the way, is not true! If you want to learn more on this subject I highly recommend reading Health at Every Size).

Folks who are in recovery from an eating disorder have a double whammy to contend with.  One of the key features of anorexia nervosa (or really any eating disorder) is the fear of gaining weight. This fear plus societal pressure to look a certain way can make recovery from an eating disorder feel like an uphill battle.

Therefore, if you are in recovery from an eating disorder, it would make sense that you have an intense fear of gaining weight.  However, weight restoration is a must in recovery in order to maintain your physical and mental health.

Helping clients improve body image while restoring weight, nutrition, and health can be the hardest part of the recovery.  But it is possible with perseverance, patience, and hope.

I have gathered some wisdom from around the web from other treatment professionals and those in recovery to help you along with the process.

1. You are gaining weight that you shouldn’t have lost in the first place.

The weight gained in eating disorder recovery isn’t just regular weight gain–it’s weight restoration. You are healing through the weight gain – giving back what you shouldn’t have taken from your body in the first place.

Weight restoration can be complicated and difficult, and shouldn’t be a journey you embark on alone. To better understand the process, read this article on what weight restoration is, what it’s comprised of, and what you should expect when going through it.  It also includes a discussion of particulars you might not be familiar with, like refeeding syndrome (the complication of increasing food intake too quickly) and hypermetabolism (the increased rate of metabolic activity that often comes along with an eating disorder).

It also covers how difficult the process of weight restoration can be in recovery–and why it is critical to not only have a meal plan for weight restoration but a therapist to help throughout the journey.

Read the whole thing here: Working Through the Weight Restoration Phase of Anorexia Nervosa

2.  Accepting weight gain as part of recovery takes time (and lots of it!).

Accepting your body takes time.  In fact, it can be one of the slowest parts of recovery.  The author of this article provides several useful ways to cope with weight gain, including thanking your body!  It is a must read.

Some of the tips covered are:

  • remembering our bodies changes are never as visible as we fear
  • keeping perspective & remembering that the alternative is worse

Read the whole thing here:

5 Ways To Deal With Weight Gain When You Are In Recovery From An Eating Disorder

3.  Fear of weight gain usually reduces as your eating normalizes.

I have seen this in my clinical practice. As clients start to feel better physically because they are feeding themselves more regularly throughout the day, the fear of weight gain can lessen.

As weight gain also naturally redistributes after the initial gain, the prospect of weight gain becomes less overwhelming. Once your body has come out of life-saving mode, the weight you’ve gained back won’t just sit in one place. It will spread across your body, and will not be nearly as visible as someone in recovery might worry about when starting the process.

“Will I gain weight forever?”: What we know about weight trajectory during recovery from an eating disorder

Yes, Weight Gain Is Hard. Thankfully, We Have 8 Ways to Cope With Weight Gain For You

What this article shows us is that the odds of perpetual weight gain after the initial restoration, are actually pretty low. Your body will adjust back to a stable, healthy weight, and for the most part, stay stabilized.

4.  Weight restoration allows you to enjoy life more fully.

“Going to concerts has always been one of my favorite things to do. The atmosphere, the music — I can go on about it for hours. Ever since my eating disorder came to peak, I’d lost this love.”

Dietary restriction and malnutrition often occur pretty slowly, and sufferers from eating disorders may often not notice that their sense of joy and zest for life is blunted and dulled. Without proper nourishment, your body just isn’t able to sustain you through life as well.

With proper nutrition, you will begin to get feel more like your old self. Your body will have the nourishment it needs to keep healthy, to keep energy sustained, and you will be able to once again be an active participant in your life & hobbies.

How I’m Learning to Love Weight Gain in Eating Disorder Recovery

 

With your renewed energy, your emotions will feel full and vibrant again–allowing you to enjoy life in a way you may have not even realized you were missing out on. With weight gain comes this capacity to feel full and alert and restored.

Accepting weight gain in eating disorder recovery can be a long and difficult journey. It isn’t something that happens overnight. Work and support are necessary components to the journey. Keeping these four key things in mind can help you on your journey to recovery and weight restoration.

Please call for a free 15-minute phone consultation to learn how I work with clients with eating disorders.

4 tips to cope with weight gain in recovery from anorexia nervosa
4 tips to cope with weight gain in recovery from anorexia nervosa
5 Signs That It Is Time to Get Treatment for Your Eating Disorder

5 Signs That It Is Time to Get Treatment for Your Eating Disorder

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Anticipating getting treatment for your eating disorder can be daunting for many reasons.

Maybe your friends and family are worried about you and pushing you to get treatment, but you feel like they don’t understand.

Perhaps you have gotten treatment and feel like it hasn’t helped.

Or you may feel like you can beat the eating disorder on your own.

You are not alone.

Most clients I see are often unsure if a) they want to recover, b) they can recover, or c) Their eating disorder is “bad enough” to need treatment.

Furthermore, you may feel ambivalent about getting treatment because your eating disorder may have helped you.  What I mean by this is that your eating disorder may have stuck by your side, given you a sense of control, or provided feelings of safety.  You may even feel like it is who you are.

On the other hand, treatment can offer new ways of coping, improve your self-confidence and self-esteem, and help you achieve goals that you never thought were possible.

Eating disorders don’t go away without professional treatment.

Untreated eating disorders usually get worse and harder to treat as time goes on. They can cause serious medical problems, some of which can result in death.

Here are 5 Signs that it is time to get treatment for your eating disorder:

1.  You think about food a lot. 

If you’re planning out your day around food as soon as your feet hit the ground-what to eat (and what not to eat), when, and how much- you might have an eating disorder.   Thoughts about food take up so much head space and can be exhausting.

For example, you may have thoughts similar to these: “Did I make the right decision about what to eat?”, “She didn’t eat a snack.  Should I be eating a snack?”. Your thoughts about food can be so pervasive at times that they lead to poor concentration, feelings of worry, sadness, and/or guilt.

2. You have problems concentrating on tasks. 

Whether you are at school, work, or at home, it is hard for you to stay focused on the task at hand (or maybe hard for you to even get started).  Your brain needs adequate fuel to function properly, and if you have an eating disorder, chances are you are not properly nourished.  Poor concentration can be the result of inadequate and/or poor quality nutrition and erratic eating.

3. You feel alone.

Eating disorders can be isolating. Eating and food can be a big part of family and social engagements. You may find yourself avoiding social situations because the food associated with these engagements is too anxiety provoking. Or you may attend the social engagement, but feel distracted or not fully present because you feel worried about food or fitting in.

Poor body image may also cause you to avoid social situations.  Feeling worried about how you look and what others are thinking of you may cause you to stay home. Isolation can make the eating disorder worse, increase feelings of depression and anxiety, and erode your self-confidence.

4. You find yourself being dishonest with others. 

Most of us value honesty.  Trustworthy and honest may be words that you use to describe yourself, except when it comes to your eating disorder. Often, eating disorder behaviors such as purging, binge-eating, and restriction are done in secret because you have feelings of guilt and shame around the behaviors.

5. You want to stop your eating disorders behaviors but can’t. 

It is not unusual for people with eating disorders to try to get better on their own.  You may have had success for short periods of time, maybe even months.  But then life happens and the behaviors come back.  Trust me, it is not because of lack of effort, intelligence, or motivation that you can’t stop your eating disorder on your own.  It is the nature of eating disorders.  They are complex, consisting of psychological, biological, and social factors.  Adequate treatment by experienced clinicians is needed to help support you in your recovery.

This is a very short list of signs.  Even if you experience one of them (or none of them but know that you are struggling), please talk to a professional.  I know taking that first step to seek treatment is hard and scary, but if you have any inclination to improve your situation, seek treatment.  The National Eating Disorder Association is a great resource.

Please call for a free 15-minute phone consultation to learn how I work with clients with eating disorders.

5 Signs That It Is Time to Get Treatment for Your Eating Disorder
5 Signs That It Is Time to Get Treatment for Your Eating Disorder
3 Important FAQs about Intuitive Eating

3 Important FAQs about Intuitive Eating

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Intuitive eating is a term coined by registered dietitians Evelyn Tribole and Elyse Resch.  Tribole and Resch’s book Intuitive Eating’s purpose is to help chronic dieters and people with food and body image struggles heal their relationship with food.

Unlike diets, intuitive eating sharpens our ability to listen to our bodies and to understand when we are hungry and full, what foods to eat, and when is the best time for our bodies to eat.  This results in a reduction of worry about food and guilt often associated with dieting.

In a nutshell, intuitive eating is learning to tune into your body’s signals in order to feed and nourish yourself instead of a diet or meal plan.

Question:  Is intuitive eating the same as mindful eating?

Answer: Intuitive eating and mindful eating are not synonymous.  However, they do have some overlap.  Think of mindfulness as focusing your attention on one thing.  For example,  you can practice mindfulness when you are petting your dog.  You notice how your dog looks, how it feels to pet your dog, and how your dog responds to your touch.

You can also practice mindfulness while eating.  To do this, you may notice the appearance, temperature, consistency, and smell of what you are eating, free from other distractions.

When I teach clients intuitive eating, I encourage them to practice mindful eating because it helps increase the pleasure of eating and dial into internal signals that your body is giving you in regards to food preferences, and hunger and fullness.

Question:  I want to lose weight. Is intuitive eating going to help me achieve my weight loss goals?

Answer:  No, intuitive eating is not a weight loss program.  It is a way of relating to food.  While diets tell us to look to the diet plan to know how much and what to eat, intuitive eating postulates that we have all of the knowledge within ourselves on how to feed ourselves.  Chronic dieting teaches us to ignore our internal cues.

You may be thinking, “Well, I overeat pretty regularly.  If I start listening to my body and stop overeating, it will lead to weight loss.”  This is not necessarily true because body weight and metabolism are under substantial genetic control.

However, intuitive eating will provide a relief from the vicious diet cycle which will help alleviate the feelings of shame and guilt associated with dieting.

Question:  I think I may have an eating disorder.  Will intuitive eating help me get over my eating disorder?

Answer: I am glad that you have recognized that you may have an eating disorder.  The next step is to get assessed by a treatment professional.

If you do have an eating disorder, getting adequate treatment from professional is a must for recovery.  Unfortunately, eating disorders don’t go away on their own.  Treatment is important to reduce medical risks associated with eating disorders, including death. (Anorexia nervosa has the highest mortality rate of all psychiatric conditions.)

That being said, intuitive eating could be part of your treatment process, in the later stages of treatment.  Together with your treatment team, you will be able to determine if and when intuitive eating is right for you.

Unsure if intuitive eating is right for you?  Call me for a free 15-minute phone consultation.

3 Important FAQs about Intuitive Eating
3 Important FAQs about Intuitive Eating