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Wellbeing Lothian NHS Lothian | Our Services
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Eating Difficulties

Most of us over-eat or under-eat from time to time, particularly if we’re feeling stressed or emotional. Sometimes difficulties with our eating can arise as a result of other issues and sometimes they’re a difficulty in their own right. When we use the term eating problems, however, we mean eating patterns or habits that are irregular or disordered over a long period of time.

If your eating patterns or habits are causing you distress or having an impact on your life, then you may have developed an eating problem.
Eating Difficulties is associated with:
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Learn

Tell me more
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Eating Problems

Eating disorders are a group of problems that change someone’s attitude towards food and their body in a way that influences what they do and their eating habits. People with eating disorders spend a lot of time thinking about their weight and body shape, and they may do things like restrict what they eat, binge eat, or exercise more than is healthy. Extreme changes in eating habits and behaviour can negatively affect many areas of life, including a person’s physical health, mental health, and social functioning.

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VIDEO: Reframing Anxiety

This is a video from The Social by BBC Scotland. Esther De La Ford explains what anxiety is and how to manage it. She talks about ‘reframing anxiety’ to navigate it.

Self-Assess

Tools for self-assessing

Is your eating a problem?

People with eating problems worry about their weight, shape and food, to the point where it really affects their life. Here are some of the common experiences described by people who struggle with eating problems. Do you recognise any of them?

How your body might feel 

  • Tired/exhausted
  • Restless
  • Lacking in energy
  • Difficulty concentrating
  • Hungry or difficulty recognising signs of being hungry

Thoughts you might have 

  • “I know I’m a normal weight, but if I could just lose another half a stone, I’d be happy.”
  • “I can’t stop thinking about food. I even dream about it.”
  • “I’m so ashamed. I’m an ugly fat pig but food is the only thing that makes me feel better.”
  • “I don’t want to start eating because I won’t be able to stop.”

Feelings you might have 

  • Fear of gaining weight
  • Feeling low in confidence
  • Feeling depressed, guilty, or disgusted with yourself after eating
  • A tendency to feeling low in mood, or anxious
  • Finding it difficult to cope with stress
  • Finding it hard to express feelings

Things you might do 

  • Negatively compare your appearance to other people
  • Deliberately go for long periods of time without eating anything at all (4+hours)
  • Not eat regular meals (usually 3 meals a day)
  • Eat when you’re not hungry
  • Over-eat or under-eat
  • Eat until you feel uncomfortably full, with a sense of loss of control
  • Eat in secret
  • Purge, making yourself sick, using laxative or exercising excessively

If any of these sound familiar, you can find out more about eating problems in the ‘Learn’ section above. You’ll also find some helpful tips and advice on managing your eating in the ‘Manage’ section below.

Manage

Ways to manage
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Tips on Managing Change in Our Lives

We all have to cope and manage with change in our lives for lots of reasons. Here are some tips and thoughts on navigating through a period of change.

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Computerised Cognitive Behavioural Therapy

Cognitive Behavioural Therapy – CBT – is a psychological therapy based on the relationships between what we think, what we do and how we feel. CBT teaches you how to recognise and tackle problems in the here and now, rather than in the past.

Support

Local support and resources

With support from the people in your life and maybe with a little help from other sources, such as the resources on this website, you’ll most likely find ways to cope with your eating problems.  However, working through eating problems takes time. If you have concerns about your mental health more generally and think you may need further support, please get in touch with your GP in the first instance.

Here are some other sources of support you might want to consider: 

  • Computerised Cognitive Behavioural Therapy (cCBT) is a highly effective treatment for people with mild-to-moderate mental health difficulties. There are several online user-friendly programmes that NHS Lothian can provide access to. To find out more, speak with your GP, or visit the cCBT section on this website.
  • Support from the eating disorder charity, Beat, may also be helpful to you: https://www.beateatingdisorders.org.uk/
  • The relationship people have with food can be complicated. Everyone’s personal circumstances are different, and whilst focusing on a healthier lifestyle might be easy for some people, there are some situations where people may need more support first. If you’re finding that significant stressors, such as the care needs of loved ones, financial pressures, or your mental health are affecting your eating habits and lifestyle, you may wish to contact your GP, local social care service, or Citizens Advice Bureau: https://www.citizensadvice.org.uk/

The Lothian Health and Social Care Partnership websites are also a good place to look for locally available support:

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The Wellbeing Lothian website has been developed to provide information, self-help resources and links to help you manage your mental health and wellbeing.

We want to help you make changes in your own lives and point you in a direction to start doing so. This is Wellbeing Lothian’s aim.

Learn More about Wellbeing Lothian

This website is not intended in any way to replace the advice of a clinician. Specific advice should be sought in specific situations from a properly qualified health worker.

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