Genetic Risks for Seating Disorder For You, Alcoholism Might Be Connected

 

Dr. Cyntha Bulik: Q&A About Anorexia Nervosa Genetics Study

Video taken from the channel: UNC Health


 

Alcoholic link to eating disorders

Video taken from the channel: WCPO 9


 

Genetics of eating disorders Video abstract 55776

Video taken from the channel: Dove Medical Press


 

What Causes Eating Disorders? Part 1: Biological Causes

Video taken from the channel: BALANCE Eating Disorder Treatment Center


 

Are Bulimia and Alcoholism Linked? | Kati Morton

Video taken from the channel: Kati Morton


 

Drunkorexia: When Eating Disorders and Substance Use Disorders Collide

Video taken from the channel: TheFarleyCenter


 

Eating Disorder: Presentation & Treatment

Video taken from the channel: Psych Hub Education


Genetic Risks for Eating Disorders, Alcoholism May Be Connected Privacy & Trust Info WEDNESDAY, Aug. 21 (HealthDay News) Alcoholism and certain types of eating disorders share common genetic risk factors, according to a new study. Researchers looked at nearly 6,000 adult fraternal and identical twins in Australia. Genetic Risks for Eating Disorders, Alcoholism May Be Connected Twin study found ties between alcohol dependence and binge eating or purging Please note: This article was published more than one year ago.

The facts and conclusions presented may have since changed and may no longer be accurate. Genetic Risks for Eating Disorders, Alcoholism May Be Connected HealthyWomen Twin study found ties between alcohol dependence and binge eating or purging. WEDNESDAY, Aug.

21 (HealthDay News) Alcoholism and certain types of eating disorders share common genetic risk factors, according to a new study. Common genetic factors may be behind both alcoholism and specific symptoms of eating disorders — particularly the binge eating and purging habits of bulimia nervosa, according to new research. Alcohol use disorder (AUD) often seems to run in families, and we may hear about scientific studies of an “alcoholism gene.”. Genetics certainly influence our likelihood of developing AUD, but the story isn’t so simple. Research shows that genes are responsible for about half of the risk for AUD.

Therefore, genes alone do not determine whether someone will develop AUD. Statistically, a family history of alcoholism is linked to an increased risk of genetic predisposition to alcoholism, depending on how close the relatives are to each other. Children who have one parent who struggles with alcohol use disorder have a 3-4 times increased risk of becoming an alcoholic themselves. Genetic risk factors for eating disorders: an update and insights into pathophysiology Show all authors for example etanercept, have been used in other psychiatric disorders and may, Mazurek, U. Preliminary study of the expression of genes connected with the orexigenic and anorexigenic system using microarray technique in anorexia. Genetic connections between substance abuse and eating disorders have also been confirmed in numerous research studies, suggesting that there are at least some inherent factors that may be common to these behaviors.

Strong inherent factors may also contribute to the strong comorbidity eating disorders share with many other mental health. “During puberty, there is an increased risk for developing an eating disorder,” said Klump. “Up to 50 percent of this risk can be attributed to genetic factors that emerge during puberty.” Klump’s research looked at more than 500 female 14-year-old twins who were examined using sophisticated statistical modeling techniques. Eating disorders (EDs) occur in approximately 0.5–3.0% of the population, with more affected females than males (American Psychiatric Association [APA], 2000).The female-to-male ratio of ED diagnoses in nonclinical populations has been estimated at 10:1 ().However, recent research indicates a ratio of 4:1 for anorexia nervosa (AN; Woodside et al., 2001).

List of related literature:

Research evidence in support of a common genetic predisposition to both eating disorders and alcohol use disorders include higher rates of eating disorders in adult children of alcoholics (e.g., Jonas and Gold 1988) and high rates of family history of alcohol abuse in bulimic patients (Bulik 1987).

“Handbook of Behavior, Food and Nutrition” by Victor R. Preedy, Ronald Ross Watson, Colin R. Martin
from Handbook of Behavior, Food and Nutrition
by Victor R. Preedy, Ronald Ross Watson, Colin R. Martin
Springer New York, 2011

It seems likely that whatever its genetic basis, inherited vulnerability for alcoholism can be moderated by experiential factors (cf.

“Psychological Theories of Drinking and Alcoholism” by Kenneth E. Leonard, Howard T. Blane
from Psychological Theories of Drinking and Alcoholism
by Kenneth E. Leonard, Howard T. Blane
Guilford Publications, 1999

Further, genetic processes only account for about 50% of the risk for alcohol-use disorders.

“Interventions for Addiction: Comprehensive Addictive Behaviors and Disorders, Volume 3” by Peter M. Miller
from Interventions for Addiction: Comprehensive Addictive Behaviors and Disorders, Volume 3
by Peter M. Miller
Elsevier Science, 2013

Current evidence indicates that genetic risk for developing alcoholism is: A. Mediated by a single gene.

“Brody's Human Pharmacology E-Book” by Lynn Wecker, Lynn Crespo, George Dunaway, Carl Faingold, Stephanie Watts
from Brody’s Human Pharmacology E-Book
by Lynn Wecker, Lynn Crespo, et. al.
Elsevier Health Sciences, 2009

These include the extent of genetic predisposition to FAS, the risk of binge drinking, the role of moderate and social drinking, and the safe level of alcohol in pregnancy.

“Medical Genetics E-Book” by Lynn B. Jorde, John C. Carey, Michael J. Bamshad
from Medical Genetics E-Book
by Lynn B. Jorde, John C. Carey, Michael J. Bamshad
Elsevier Health Sciences, 2009

This strong family transmission patterns for Type II alcoholism has implicated genetic factors as making a substantial contribution to this form of the disease (Cloninger et al. 1981).

“Handbook of Crime Correlates” by Lee Ellis, Kevin M. Beaver, John Wright
from Handbook of Crime Correlates
by Lee Ellis, Kevin M. Beaver, John Wright
Elsevier Science, 2009

It has also been proposed that this extreme variability in clinical liver disease between individuals would indicate the existence of other important environmental (alcohol, viral infection) or genetic disease modifiers affecting many other parts of the pathophysiological cascade.

“Textbook of Hepatology: From Basic Science to Clinical Practice” by Juan Rodés, Jean-Pierre Benhamou, Andres Blei, Juerg Reichen, Mario Rizzetto, Jean-Francois Dufour, Scott L. Friedman, Pere Ginès, Dominique-Charles Valla, Fabien Zoulim, Neil McIntyre
from Textbook of Hepatology: From Basic Science to Clinical Practice
by Juan Rodés, Jean-Pierre Benhamou, et. al.
Wiley, 2008

Therefore, both alcoholism and alcoholic cirrhosis are probably the results of genetic-environmental interactions.

“Diet and Health: Implications for Reducing Chronic Disease Risk” by National Research Council, Division on Earth and Life Studies, Commission on Life Sciences, Committee on Diet and Health
from Diet and Health: Implications for Reducing Chronic Disease Risk
by National Research Council, Division on Earth and Life Studies, et. al.
National Academies Press, 1989

It appears likely that it is the accumulation of both genetic and psychosocial risk factors that increases the risk for alcohol abuse and dependence.

“Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research” by Institute of Medicine, Committee on Prevention of Mental Disorders, Robert J. Haggerty, Patricia J. Mrazek
from Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research
by Institute of Medicine, Committee on Prevention of Mental Disorders, et. al.
National Academies Press, 1994

Twin and adoption studies have resolved the issue: they show that genetic factors play a key role in the vulnerability to alcoholism (McGue, 1999).

“Psychology: From Inquiry to Understanding” by Scott Lilienfeld, Steven Jay Lynn, Laura Namy, Nancy Woolf, Graham Jamieson, Anthony Marks, Virginia Slaughter
from Psychology: From Inquiry to Understanding
by Scott Lilienfeld, Steven Jay Lynn, et. al.
Pearson Higher Education AU, 2014

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Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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78 comments

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  • I think I have an eating disorder but I don’t know, I restrict a lot, I haven’t eaten in 2 and a half days, sometimes I binge and then purge but I’m overweight so I don’t know if it counts, I’ve also been told that guys can’t get an eating disorder

  • This is my video!! I’m so glad you addressed this. My ED starting out as restrictive/purge through exercise, but the last 4 or so years it has shifted completely to bulimia, which then merged with my addiction to alcohol. I got into a destructive drinking-binging-purging pattern, and so in essence my alcoholism and ED became one and the same. And having been in treatment for both, I can tell you that alcoholism is a very very common component of EDs, but is rarely addressed as thoroughly as it should be in ED treatment programs, because both things have to be addressed simultaneously for true recovery to be possible. I was lucky to find a PHP with an addictions group and a team who was adamant that I take steps to address my alcoholism as part of my overall treatment there. Thanks to whoever brought up this topic!

  • You do realise if you search up eating disorders the symptoms are eating too little and being sick after eating can people stop saying overweight is a part of eating disorder.I do realise that no one in the comment section are talking about being overweight but when you see people talking about eating disorder they always talk about being overweight that’s got nothing to do with eating disorder

  • I am the poster child for this behavior. When I left treatment the last time for my bulimia (that center was particularly horrific and put so much weight on me in a few short weeks), I started drinking to cope with the anxiety over my new body. That was 8 years ago, and the drinking is now my biggest problem. The two are definitely linked and impulsivity and anxiety are majors parts of both.

  • i was watching an old video of yours talking about suicide hotline. i’ve been wanting to call one but i’m in Asia but im a english speaker does suicide hotlines work international? like can i call an American hotline in asia?

  • could you make a video about depression and drug addiction? an artist called lil peep died a few days ago of a drug overdose and ive seen so many people saying drug addiction isnt an illness and that he deserved it im so sad he was an angel

  • Hi Kati, just in case you read this. I have an eating disorder and my friends don’t really know how bad it is. And I constantly see them eat even less than me. And if I see them running around half a day without even getting hungry, it really hurts because it is so easy for them to not eat, while I’m starving myself without being able to stop. Is this normal? And should I tell them how I feel? I really don’t wanna be a burdon and tell them what to do just because of my habits.

  • Hey Kati, what do you think of mental illness merch? For example there was a necklace that said, “social anxiety intensifies,” or a candy box that says, “obsessive candy disorder.” Do you think it trivialises mental illnesses, or do you think that this could be a fun way to just inform people you know about your health, or the candy box could also be intended to be a self care box if you have OCD (although it did actually have candy in it, but it would be a pretty good way to reuse it)?

  • One thing I have to add is that there is medicine for anorexia. It’s called FOOD = unrestricted eating. This disorder has to do a lot with malnutrition
    So eating without limits and rules, without compensation and without judgment will jumpstart the recovery process followed by retraining our minds (belief systems/fears) with truth and right actions

  • Great info as usual katie�� I do have a QUESTION though. My therapist says that I will be ending therapy soon because I’m doing better. But I feel like we’re breaking up. How do I deal with therapy comin to an end?

  • Hey Kati is it possible for you to turn your positive coping/distraction techniques into distraction for the wrong reasons ie drawing to distract from doing what your meant to be doing

  • also if they drink until they throw up that can be a what causes the bulimia as well especially if they had that before they were drinking

    thank you so much for this awesomely ha bisky vid i love this so much i never really thought to much about this even though there are some peoples in my family who over drink or even have alcoholism (one person in my family is stopping or at least i hope they do) i am not blood related to any of the alcoholics they are still technically part of my family though

  • I never had thought of this!! Thank you for always teaching us new things! Quick question I don’t feel like my bulimia is taken seriously. What can I do to get it taken seriously?! Thank you! ��

  • How can I contact you privately as I would like to contact you but don’t necessarily want to share it to the whole world. I love your videos so much and even when videoed relate to me can be very interesting and teaches me about how others are struggling.

  • I used to use alcohol without eating and then I’d become really sick and it felt really good because it felt like purging but I didn’t even eat

  • Hey Kati, I have a friend who thinks they are connected to some greater power so they have supernatural powers and psychic abilities. I think this a coping mechanism, but I’m not sure. What should I do? Should I support these beliefs or openly question them? Any help would be appreciated. Thanks

  • The UTTER, COMPLETE RELEASE and RELAXATION after these behaviours is intoxicating. Pun intended. I sometimes think we’re trying to revert to a childlike state by getting drunk, rid ourselves of all responsibility, stress, of perhaps even having to stand up straight. Drunk people do move like toddlers. This is one of the most important videos you’ve ever made Thank you Kati. Thank you so very much.:)

  • Kati, I need serious help. I have been sexually and physically assaulted on the road in the middle of the day. And I was in a crowded place. There were people all around me and I screamed for help but no one helped me even though they were capable of stopping him. The guy choked me because I told him to leave me alone. Even telling him that I would involve the police didn’t scare him off. I fought for myself but I wasn’t strong enough. After a while, someone came and scared him away. I don’t have a good memory so I couldn’t go to the police and even if I do, some policeman do the same thing or they just don’t care and we almost never get justice. And to be honest I was scared to defend myself in front of the police even if I knew that I was 100% right. I don’t know why. I just have a really big bias for the police because most of them use their power for themselves. Now that guy is somewhere out there and goes on with his life without thinking that what he did was wrong. He goes on with his life, but I can’t. I don’t feel safe ever since that happening. I feel like crying whenever I leave home. I just don’t feel safe at all. I still have guy friends that I trust at some degree and I still make new friendships with that gender. But instead of trying to look at a man without prejudice like I used to do, I started to build walls and take my defenses. I feel like whenever I go outside, some man will try to hurt me. I feel so weak and fragile. I had a history with anxiety and depression 2 years ago. I took my medicine and after a year, I thought I went back to normal. I stopped using my medicine after I talked to my doctor. But then this mess happened and I just feel at the bottom. I just can’t take it anymore. I feel like just medices won’t help this time. But I don’t have any money to go to a psychologist. What should I do?

  • Can someone help me please? I am trying to register with the website (Great site with lots of useful info) but I cant find a link anywhere that allows me to register. Usually pretty good with all things IT but this one has me flummoxed. Cheers

  • Can you do a video for people going to school to be therapists? Like, talking about what helps you get used to sessions and how to improve as a therapist?

  • Anorexia is a coping skill just like alcoholism or other addictions. The person suffering convinces themselves they can control it and ultimately destroy themselves. They’ve been saying for decades addiction is genetic but have failed to make inroads into this theory. Anorexia will be the same. Anorexics are just like alcoholics, they can’t be helped until they admit they have a problem.

  • Hey,
    I’ve been dealing with depression for about 4 years now.
    At the moment i’m also struggling with substance abuse.
    Do you have any advice on depression and / or substance abuse?

  • I can relate to this I was anorexic /bulimic and had alcoholism /drug addiction I would use binge drinking as a way to purge and drink on an empty stomach coming up on 4 years sober without alcohol knock on wood. I can relate to the self gratification, reward feeling because a lot of times I like to reward myself I found this video very helpful

  • Wow it sounds so cliche but honestly this is something I struggle with whether I want to admit it or not. I really needed to hear that it’s not just me struggling with the connection between both.

  • #KatiFAQ
    Hey Kati I have a question that does not involve the topic of the video. It involves the act of conveying whatever to your therapist when you’re new and when you have issues sharing anything with anybody even your closest friend of say 13 yearsish (basically internalizing everything). How do you break that barrier and finally open up?
    PS: You’re videos are really intriguing!

  • thank you so so much for this video! even tough I’m not diagnosed with an ED or alcoholism, it totally describes me what you said in the video. in times when i was starving, I drank a lot. my calorie intake on weekends was mainly alcohol. I got drunk easier and cheaper, because my stomachs was empty. when I was binging I tried to cut out alcohol, afraid of the extra calories. and alcohol always makes me so hungry. it’s really like you said in the video. for me it now makes so much more sense. thank you

  • Thank you so much for this Kati! It’s a topic that is not talked about enough. I see more relations though, at least for me. I use restriction (anorectic side), bingeing and purging (bulimic side) and alcohol (plus SH), to numb my feelings. But also out of an obsession. I HAVE TO HAVE a binge a day. 
    I mostly don’t want to binge, but I HAVE TO, so I’d drink instead, because then I don’t have to binge. But then I don’t like feeling drunk or worry about what if I get too drunk so bingeing and purging would solve that problem. And I get more reckless too and order a lot of food with money that I don’t have. It’s such a vicious circle. 
    I honestly started to wonder if this can be some form of OCD. Because I feel like I absolutely HAVE to either binge and purge or drink every day, no matter how much I ate that day etc. 
    sorry this is so long!

  • For about 2 months I starved myself, going days without eating and whenever I did eat something I felt like barfing. I got so addicted to the feel of being hungry I didn’t know I was harming myself. Soon enough I stopped and then I started binge eating, I gained lots of weight and lost lots of confidence and wore hoodies and sweatpants all the time. Now I’m back to starving myself. I know it’s bad but when I do starve myself it feels like I’m in control, I only eat one meal a day and if I get hungry I chew gum. My friends are catching on, I should really stop but I can’t. I’m so obsessed with how skinny or fat I look

  • Hi Kati! I love your videos! Found them recently. I am a recovered bulimic 57 yo woman. I suffered severely in college, from bulimia and felt terrible about myself. I realize so much now, why it developed. My father was an alcoholic, recovered as I grew older. A perfectionist dentist, colonel in the air force, very hard on me. My mother was totally emotionally absent! I had no unconditional love. As the oldest of 4 children, I became a perfectionist, trying to please and my coping mechanism became eating large quantities of cookies and milk, throwing them up, in college. I was literally out of control, and no one knew. I hid it very well, while earning a biology/chemistry degree. It wasn’t until I met my husband who actually does love me, very unconditionally, that I mostly overcame the bulimia. However, I continued to suffer with bouts of it at times until about 5 yrs ago. I realized how I was mistreating my body, and it had to stop. I am very healthy now, exercise and eat normally, not obsessed. Always looking for better coping skills as I still suffer with anxiety/ depression, just my general way of living life. I probably need to talk thru these things with a therapist, will be buying the book “The Emotionally Absent Mother”.
    Interestingly, my 2nd sister had bulimia ( recovered now, but not healthy), 3rd sister committed suicide (at age 38. Was the family scapegoat and diagnosed with borderline personality), and youngest sister doing well ( she was the special, loved baby of the family).
    I see now emotional health is so dependent on the parenting we receive. We have raised 4 children emotionally strong, believe it or not, because they were our total focus. We gave them so much unconditional love I think was the key. Nevertheless, I didn’t know what a good mother was until the past 10 yrs. Just feel blessed our kids are strong and well. I’ll keep watching your videos, thanks so much! Hope you see this ❤

  • I’m 13 I started eating less when I started middle school I’m going into my last year of middle school when I was in elementary school I was chunky I Weighted 160lb now I am 121lb I like my body but I just don’t want to gain weight I don’t want to go back to my old body yesterday I only had 500 calories I tried eating this morning but after I ate I felt like puking this had happened to me before except my body wouldn’t even let me swallow my food without gagging I know I have a problem but I don’t want to tell my mom she found out about this about a year ago and then it started back up��

  • I can’t afford mental therapy. I don’t know what to do. This loneliness is killing me. Is there a a place where I can talk to people?

  • Hi Kati,

    I’m hoping you could do a video on conversion disorder at some stage. I was recently diagnosed with it and even though I’ve read a lot about it, I’m not really sure about what I should do for treatment. Most symptoms have ceased since diagnosis, but other, less debilitating ones remain and I’m not sure if it’s even worth seeing someone about it.

    Thank you for doing what you do, I’ve watched your videos for years ��

  • I have been struggling with selfharm for 8 years. I have never had problems with eating before but few months ago I started restricting my eating and I have lost 10 kg. My cutting completely stopped when I started controlling my eating. Is this normal?

  • This makes sense, and not just for alcohol. Something i never realized till watching this is I stopped drinking alcohol over a year ago after I poisoned myself and thought I was going to die, and after that my bulimia got worse and worse like a downward spiral. Maybe that was connected. Iv always had issues with substance abuse though and iv never gave up weed, it makes me feel better and doesn’t poison me like alcohol.

  • So powerful! Thank you for sharing about the signs many professionals may see, but not recognize at eating disorders! Creating a community of informed professionals is so important!

  • i believe this was pretty helpful. I’ve struggled with an ED for a long time and while trying to recover ive caught myself “self medicating ” in a way, with alcohol in order to sort of zone out from the thoughts. I can see how that can quickly turn from one extream to the other. While EDs are not known in my family, alcoholism and drug addiction are off the charts. I definitely saw alot of connection between those behaviours in this video. Thanks for posting it kati!

  • Thanks Kati, you are doing it all, and helping so many. I do not think there has been one viewer who has not been helped because of you. Happy Holidays to you and Sean. G.

  • When I stop with the bulimia it was hard for me to control my emotions, later on it developed to anxiety.Never liked the idea of drinking probably because of my need for control every thingthat actually a part of why I had an ED when I could not expect the body shape I was born with and wanted a different body that I couldn’t get. Hoping for girls and guys who have an ED or Alcoholism to get support and heal!

  • Great video. I struggled with depression and binge eating disorder so any video on these issues and on control and anxiety really touch on what I personally need to hear. However, I love your videos on trauma and helpful treatments and ways to get additional treatment (crisis line, etc), and self-care definitely and how to handle toxic people and making boundaries.

  • Hi Kati, about two years ago I sort of diagnosed myself with depression from what I read in articles and what I heard people saying about it and I tried reaching out early last year to my dad and my teacher but they didn’t really take it seriously. I even talked to a doctor last month but he just told me about his back story which I didn’t really find relevant to what I was trying to say so I just let it be. I told myself I could handle it on my own but I couldn’t, so I called my aunt thinking she was my last hope, if she didn’t take me seriously then what was I supposed to do? Thankfully, she listened to what I had to say and convinced my parents to make an appointment with a professional so I can talk to them. I feel like this is my chance to talk to someone who can understand me and be able to tell me if it’s something they can help me with or something I can help myself with. The thing is, I’m scared that I’ll get too anxious as I do when I’m in uncomfortable situations and end up stumbling on my words or not saying everything I feel I need to say. I want to get my thoughts across to the therapist so they can fully understand what I’m going through but I am so scared I won’t be able to do that and I’ll be taken as a joke or a waste of time. Is there any advice you can give me on how I could maybe find a way to not be so nervous around the person and actually open up?

  • Hi Kati!
    Thanks for your videos.
    I was wondering, could you make one about “casual” friendships?
    I have a great marriage, always had fulfilling “deeper” relationships be it with partners or “best friends”. But I find that I struggle with the “easier” kind of friendships, where you just hang out without expecting the relationship to evolve into anything more serious. What are the rules? The boundaries? What to tell or not? What is expected from you when you are just “one friend among many others”? I know that the general expectation is to feel good, have a good time etc… but it makes me nervous to be in this gray area with people. I feel like I can’t be myself unless they REALLY know me, and when they know me halfway it’s even worse than being around total strangers.

  • Wow! This is such an interesting question and not two I would have thought would have linked. Really cool question and very interesting findings!!

  • I’m so glad you covered this topic. This is something that I always felt no one could really understand. I would use alcohol as a way to facilitate to “purge” part of the cycle. The two worked completely in tandem with each other for the longest time, so I never really thought I had much of a problem with either bulimia or alcoholism since I didn’t exactly fit into one category or the other. Thankfully I’m in a better place now. It’s just so interesting reflecting back on those times and analyzing how and why things panned out the way they did. Love your videos as always!

  • I think it’s also important to say that this jumping from an eating disorder to alcohol doesn’t make you an alcoholic in the long run. I thought that was the case for me but I hardly drink now and have a pretty great relationship with the old bubbly fermented grape juice. What a relief!:)

  • My Dad is a recovered alcoholic (12 years) and I’m in recovery from bulimia (2.5 years). I decided when I was young that I would never drink not only because of my Dad but also because I was born with a liver disease and shouldn’t drink with an already unhealthy liver. I truly believe if I didn’t have a liver disease I would be just like my Dad. I always viewed my eating disorder as the lesser of two evils compared to my Dad’s alcoholism. I actually had a liver transplant 5 years ago but still will not drink because I’m almost positive it will end up as an addiction. Thank you for this video!

  • Kati can you please do a video explaining the relationship between shame and childhood physical abuse? Thanks for all that you do!:) #FAQ

  • ABSOLUTELY. i am a severe alcoholic and bulimic. I am 37 and have seriously been dealing with both. I find i will drink and resrict then binge and purge and then start the cycle again the next day. I am on a hell rollercoaster. �� your videos. thank you. Oh and i also think there is a correlation as when one is drunk one’s inhibitions are lowered therefore the reckless binge is even more extreme.

  • This was fascinating to me. I struggled with an alcohol dependence, I have been sober for almost 3 years but I’m now aware that I struggle a bit with binge eating. It’s hard to know how much this was present when I was drinking, because I ate so poorly in general when I was drinking heavily, and how much it has become more of an issue since I got sober?

  • i dont know how get out to this cycle:( because when i have bulimic and anorexic episodes i feel so good like my life have control and future but in sometime i feel like something missing and i drink and its so sad. I dont know how to find the way to feel ok and neutral.

  • this video came to me at a weirdly perfect time, I’m actively trying to get over severe alcoholism and just today I recognized that my ED is starting to make a comeback. hm.

  • What’s the difference between anxiety and social anxiety? Sometimes I feel like I have both, but I’m pretty sure you can only have one of them

  • Hi Kati most of the people in my life think that eating disorders are illogical and only girls that fit a certain criteria have them what can I do to explain to them that it is a serious thing? Thank you for the videos they help me a lot��

  • I used to drink to excess..I mean stomach pumping excess. But I also would drink liquor because I Knew it would make me sick, at my worst (17, 18 and 23) with the drinking and bulimia combo, i did use it for numbing and a way to inflict pain to myself.. even though I tried to tell myself in the moment “this is fun.
    I no longer drink anything..at all, ever. I learnt other coping skills. I agree 100% with this video.

    Thanks all your videos Kati. ��

  • I know while I was out of work and doing physio therapy that it was essential to mix things up with exercises and do things on the flip of a coin or roll of a dice or random multiple choice because I was feeling too shit to choose things based on how I was feeling (feeling like not doing anything) but I think my body needed the spontaneity and randomness to stop it from getting lazy and breaking down.

    I don’t know how this comment is relevant to anything but I’ll give it a shot and try and keep it short. I’ll just quickly list the influences: A PBS Idea youtube video “what is violence?” in which the host talks about ‘spontaneity’ (I was intially very offended by that video but have come around to it), emergence & complexity (how simple small things work together to create complex things that are greater than the whole), and oddly enough encryption (using a key code to increase the complexity of information being communicated so as only those with the key code can understand it this is how data is kept secure). Yeh so:P?? What am I on about? I don’t know? I’m just thinking about how maybe increasing complexity could be a good thing? the way we interact with each other ect… y’know like a dance or romance or anything really. Maybe complexity can go too far perhaps but I think simple things can be dull I’m not saying simple cute fluffy things are boring… no, that’s not what I mean at all…. But if that’s all there was all of the time it would drive someone insane probably. Like a tune do we really like ear worms that we can’t get out of our head? Or maybe something more spontaneous? You can get lost down the rabbit hole with this sort of stuff I suppose? But, I have been trying to research the brain and maybe I understand the biology. But when it comes to anxiety etc these things are related to events… our brains have evolved to respond to different kinds of patterns and streams of behaviours in the limbic system I think the amygdalae is more about things happening in the moment whereas the extended amygdalae is involves things happening over a longer period such as a few minutes (or longer?)… But, then we have our whole brains to process patterns ect… or even things that have no predictable pattern to them at all. In a way events/patterns or whatever kind of transcend biology we still respond with our biology, but (it’s confusing) it’s like going back to how we interact with each other.. we have all these informal civil codes of conduct I think it’s why we can often spot a bot in a social media comment or even someone trolling because they aren’t being spontaneous or complex enough… either in their choice of words or perhaps their emotional responses or patterns of behaviour… I dunno? I’m wondering off into the cosmos here. Thank you so much if you could be bothered with reading this one! XD I know while I was out of work and doing physio therapy that it was essential to mix things up with exercises and do things on the flip of a coin or roll of a dice or random multiple choice becuase I was feeling too shit to choose things based on how I was feeling (feeling like not doing anything) but I think my body needed the spontaneity and randomness to stop it from getting lazy and breaking down.

  • So essentially the Ed behaviours etc can also form salience? I’m currently studying mental health n addiction support and salience, dyscontrol and physical dependence were only talked about in regard to addiction. I’d been thinking the entire time that there’s a lot of parallels between addiction and Ed/s-h behaviours. Thanks for this:)

  • I just wrote in my journal to my therapist about this. I’m not an alcoholic but like you said in the vid when I’m trying to not binge and purge I sometimes drink more, etc. Thanks for the great video.

  • Thank you. I have trouble with binge drinking, why? to cope with my alcoholic husband. How silly is that? They say in Al-Anon this is common. Please help

  • Hey Kati. I’m currently studying psychology and counselling at an undergraduate level. I know I want to do something in the mental health field but i don’t know what I’ll be good at. I thought of trying to get a phd but its expensive and what if I end up failing. That’s a lot of money down the drain. What qualification do you need to become a mental health nurse or therapist.
    Love you always thanks.
    ��

  • Such an interesting video Kati, and it makes so much sense why people could struggle with both of these.

    I have a question for you, but if you don’t answer it no worries. I know you’re super busy putting out tons of awesome content. ��

    There’s been a lot of past and current gymnasts coming out saying that were sexually abused by the USA national team doctor. Could you talk more about this? Specifically sexual abuse in sports and how to keep ourselves emotionally safe (not too triggered)?

    Thanks and happy Thursday!

  • Yes, this video was helpful. I don’t struggle with bulimia or alcoholism but the in depth explanations about dual diagnosis, or as I’ve heard it called cross addictions, was very interesting and informative. So some of the same reasoning could be applied to other things such as self harm and other unhealthy coping skills?

  • I just learned something about myself I’ve been an alcoholic and bulimic on and off for over 10 years researched it endlessly and this is the FIRST time I come across this theory!!

  • Awesome video again Kati:) I have a question.. you know how sometimes it’s recommended you snap a rubber band or squeeze ice for SH urges? Well what if you use SH purely for pain? Snapping a rubber band or squeezing ice still gets you your ‘goal’. So I’m just wondering if people who use SH for pain should stay away from these kinds of strategies? I feel like maybe it could cause a relapse. I know it’s not the same as cutting but I know in my mind it makes me think ‘I’m hurting myself anyways so why not just use my usual coping skill?’ I dunno maybe it’s just me and I’m just weird ❤

  • Hey Kati, when do you really know you are being yourself? Also, how might someone become more like one’s self instead of trying to act like other people who are better off than you? Love your videos and thank you for your time.

  • Can you have bulimia without self induced vomiting? where your purging is through Exercise and Fasting? I always thought I had BED with periods of fasting and over exercising… but my therapist I see for ED says I’m Bulimic. What’s your opinion? Thank you.

  • Oh Gosh!You describe my life (with ED not alcohol so much…).
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    Possible TW
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    ‘Till recently I hated alcohol and it’s taste,but it was one night of b/p-ing that I thought I could drink to ease the feelings of guilt and the stress about weight gain.It felt good cause I kinda “got out of myself and mind” somehow and I was so drunk I couldn’t even go insane and cry about the b/p.Then I did it some more times but I’m not an alcoholic.I use it to stop the pain though.I b/p almost daily anymore and I feel stuck,on the other hand I don’t see a reason to try anymore,I’ve lost hope,I’m done!I am using restriction more and more often lately cause in this way,I don’t have that much energy to think,feel sad,stressed etc (simular result with getting drunk).I just get numb.I can’t even think/be productive,so I can’t stress and feel pain as well…Plus,weight loss is a result which makes it even more appealing to me.I don’t wanna trigger anyone,I don’t promote it,neither do I say it’s fine and safe.I’m just sharing my experience.Thanks a lot Kati!To me,this was one of the best videos you’ve ever done!Kisses!��

  • Alcohol is a depressant and it depresses sensesyou don’t feel hungry, messes up the stomach too. True it may be that alcohol gives a sense of satiety making people not seek food. alcohol is high in calories. A bottle of beer will give you a sense of fullness! Don’t drink before you eat! Plus your liver is busy processing toxins and your body will reject real food as it cannot cope with processing food. The scarred liver will decrease liver functions and body will reject the food, resulting in vomiting and Gastrointestinal problems and Bolimia. In terms this will damage the cilia and the lining of the stomack and intestines and decrese food absorbtion resulting in anorexia….a number of complications after lead to Liver diseases, Renal Disease, Cirozsis, and death! STOP alcoholism!!!

  • This was an interesting topic…..using alcohol to numb out those feelings of shame and guilt after relapse. I find alcohol can also be abused when trying to block out the urges before they happen, when all the uncomfortable feelings come up I sometimes turn to alcohol to help me numb out to avoid relapse. xox

  • My therapist is not an ED specialist or addiction specialist so we figured out together why I go between ana and cut. We’re trying to find a good coping skill for replacing both.

  • Hey Kati, love your videos! They have already helped so much!
    Q: I was wondering what you thought about learning to understand and manage emotions in a healthy way, after growing up in a family that hides everything to do with emotions behind a mask of sorts(could maybe be considered emotionally absent). Specifically, I grew up with “upset” being the blanket term for any negative emotion, and we were always just told “don’t be upset”. So I find myself naturally hiding everything behind the mask, even from myself. I also have depression and tend to separate from emotions, my surroundings and even myself at times. Thank you!

  • Always interesting to learn more about how different mental disorders are connected to each other. I was shocked to read that at least 30% of people with bulimia develop some kind of substance abuse or dependence at some point in their life. I also think that impulsivity plays a part in the connection of these disorders.

  • Thankyou Katie for everything you do and I have a question. I have been self harming but lying when asked about it. I just feel like if I talk about it my counsellor will tell my parents about it. Is this normal or at I just being a scaredy cat

  • Interesting. I never thought about this but back when I struggled with bulimia, I never drank but… during periods when I was binging and purging most, I was also having a LOT of not particularly healthy, safe, or fullfilling sex. I guess that could be similar to alcohol or substance abuse. Funny how you can have sudden insights even years afterwards.

  • Kati, my therapist already offered me all treatments available for my diagnosis also in combination with meds so what are other options we can try if our therapist tell us they cant treat us anymore? I cant find anything about it online and im kinda done with my therapist rn

  • I am 14 years old now i was overweight since i was 7 i have lived a lot of my life thinking about diet and not eating and i was losing weight than binging and gaining weight i was thinking about preventing food that i enjoy since i was 7 and my family even my grandparents were really encouraging me to do something like this at this young age especially my grandmother…. She litteraly know nothing about me or my mental health …. All she cares about when she sees me is my weight …. Even my dad but now it’s better ….. i am very short and overweight and let me tell you that i feel disgusted by my self … i try not to think about it but it’s hard …. I have never wear a crop top in my life …

    This was my baground story

    But lately i went on vacation with my family … the day before when i was packing my bags i tried every piece in my closet and everything looked disgusting… i cried myself until i felt a really bad headache …even my bathing suit looked more disgusting than normal … this day i didn’t eat anything and before traveling i was so hungry so i ate half a sandwich and mom was judging me …. During the trip she was judging me every minute ( she’s skinny and she doesn’t eat as much as she can as if we are in a competition) even though dad payed for only breakfast and dinner and we ate nothing in between ( nearly 12 h without eating) i didn’t even eat thet much at this two meals …. But she was judging how much i eat being proud of herself that she ate less …. I swear i know that she loves me and i don’t want to beleive that she’s toxic …. And if i said that I’m excited or that i am hungry for the next meal she say that how am i hungry and that she can’t anything ….. she’s saying that she’s joking but she’s truly hurting me since i’ve struggled with my weight for years i barely loose any weight … She’s also always comparing her weight to mine ( i am way heavier than her) ….. so at the last meal in the vacation i was thinking about ordering soda … she looked at me and said why are you drinking too much soda what’s happening to you even though she litteraly had soda an hour ago or something and she doesn’t say something for my brother who’s drinking soda 24/7 ( she’s convinced that she’s joking and i didn’t want to ruin the trip so i was responding with other jokes ) but this time i showed her my real feelings and i tried not to cry but i accidentally cried.. At first she was like sorry and i was saying that it’s okay but than without even doing anything else she started ignoring me and crying and playing the victim … all of that because i cried once in front of her … trust me i didn’t want to cry in front of her i wanted to cry silently in my bed bcause mom gets mad if she saw me cry or having any negative feelings but this time i couldn’t hold my tears until i go home … and now i don’t know how to fix the problem since she’s refusing to talk to me and she gets offended so easily.

    I was thinking of trying to become anorexic and ending up at the hospital so she can see the consequences of what she said but i am worried about that she will get mad at me if i ended up in the hospital ( iam sure she will as she got mad whenever i cry …. I never understand why but she’s playing the victim everytime and it’s me who always apologize even tho when i do nothing wrong)

    But don’t worry i will not do this because i don’t want to be the loser and this will do nothing but more drama and i believe that one day I’ll loose weight in a healthy way but i don’t feel like it at the moment …

    Now I’ll take a long nap and cry a bit so I don’t have any left emotions to show to my mom by accident and than i will think about a way to apologize and fix the problem as i always do and you can maybe suggest what should i do

    Sorry if i wrote a lot but this was very relaxing since everyone gets ofended if i said anything like that and I don’t feel comfortable sharing this kind of personal shit with my friend… please ignore my bad english … it’s not my native language …. And please tell me what to do because or leave any comment idk.. <3

  • I’m so thankful I was able to participate in this study. I know there’s still much to be discovered, but this a HUGE step! I still think more info will also be found between AN and autoimmune disorders in the future. We’re making exponential progress in all research here, compared to any time in the past. I’ve always been told my OCD and AN are inextricably linked. This makes so much sense.

  • I agree with this 100% I am severe anorexic have major ocd along with anxiety & depression. My parents are alcoholics and older sister had bulimia and alcoholic. Just a sad state of affairs

  • Oh my, this one hit home. I was overeating since the age of 18 (there’s a reason, which I don’t want to speak about in public) in my mid-forties I was “rewarded” with diabetes type 2, I had to control my food intake. Then an epsilon drinking pattern and a depression evolved. It did get out of control. I went to rehab. Now my drinking is under control, guess what… I developed an appetite for sweets, which I didn’t have in the times of severe overeating, when I preferred spicy stuff. Between the diabetes diagnosis and the worsening of my drinking I shortly lapsed into the cultural development state of “hunter-gatherer”. Mostly buying arts and crafts supplies and toys. This behavior almost got me into financial trouble. I could hit the break. I did have a relapse after I came out of rehab. Since then I seriously debate every buy of arts and crafts supplies. Yes, that’s under control, also for the reason that I am running out of storage space. What about the eating problem? It is still hanging around, swinging between restriction and getting a good fill. No recognizable pattern. I think it’s strange that I do have more appetite for sweets after having eaten. I have no “official” diagnosis of BED. When I eat, I carry food on a plate to my eating place, never eating when standing in front of the open fridge. I do return to the kitchen for seconds, though.
    From my personal experience, I definitely agree that (B)ED and alcoholism are related problem areas. In my opinion it’s a form of self-medication. And maybe, a sort of a lazy man’s way out, it is easy to obtain, no exertion necessary to get it.
    Kati, I enjoy your videos. I think they a huge value.

  • as someone with anorexia i don’t think it’s beneficial to tell us that it could be because of genetics. for me, my first thought is “well, i would have always got anorexia / i’ll always have it, it’s in my dna,” instead of, “this is a mental illness and i can recover from it, it’s not inate and not something i am born destinted to have.” essentially i don’t think it’s somethign that is benefial for recovery and can worsen people’s outlook on recovery.