It is a widespread phenomenon in Western societies because food is also a pleasure. In countries where food is a need, we do not encounter eating disorders.

These are not diseases but complex problems for which quick and effective solutions must be found.

We are going to talk about anorexia, bulimia and vomiting. Each of these disorders requires a specific protocol and several therapeutic approaches.

Anorexia

It is one of the most well-known disorders. It is very scary because one of the consequences can be death. But it is decreasing. On the contrary, other pathologies develop: vomiting for example.

Pathology of adolescence and generally affecting young, beautiful, good-working women. These girls are starting to give up eating. This abstinence gradually extends to the deprivation of everything that gives pleasure.

Modality: perception/reaction to reality. Construction of an armor against the emotions. The armor protects them but also imprisons them.

These young girls see themselves as fat when they are skinny. They tend to isolate themselves.

We have to focus on the weight. We have to get them to start eating again.

How ? By creating "the little mess that maintains order". We ask them to carry out a small voluntary violation inside the meals.

During the 1st session, we ask an evocative question: "if you weren't afraid of gaining weight, what would you like to eat the most". And this to activate in the patient the sensory point of view in relation to the pleasure of food.

The objective is to lead the young girl to a little dietary transgression based on the food she likes the most, to re-educate her to the pleasure of eating.

Gaining weight is not an easy job; you have to negotiate with the patient.

We will have to help the person to imagine the food he prefers. Increase the number of daily calories. It's a very gradual journey. Change must be very slow, otherwise there is a risk of anxiety.

Bulimia

Etymologically, this word means "beef hunger".

Strategically, bulimia is not linked to vomiting; vomiting is something different.

It is an irrepressible compulsion to eat, "a hunger for beef" linked to the pleasure of gorging.

Here, the psycho trap is the diet. The need to eat is irregular and exaggerated; It occurs outside of meals and involves high calorie foods. Once they have eaten, bulimics repent and start dieting. The problem is that successive diets do not work. And the person does not have the strength to continue over time. She resumes eating as before, regains the pounds and even gains more. The paradox of the diet (80% are overweight) is that the more the bulimic diets, the more they tend to gain weight.

The paradoxical diet technique:

It consists of asking the patient to succeed in renouncing pleasure by giving himself pleasure; in the 3 main meals, she should only eat what she likes the most.

The person will thus not have the perception that this food is as desirable as that and he will succeed in giving it up. Quality will surpass quantity.

The second aspect is the regulation of the amount of food intake. In addition, she will have to eat during meals. It is also a limiting factor of the daily quantity.

The person will begin by consuming hyper calories; afterwards, she will reassume the food her body needs, which will lead to a healthier relationship with food. Of course, this technique must be practiced as part of a therapy by combining other techniques and practicing an activity not with the aim of burning calories but based on pleasure because otherwise the person will tend to abandon it. .

vomiting

Vomiting is compulsive eating and vomiting. It is a disorder which can be based on anorexia or bulimia. The fact of vomiting can seem a solution of the patient who does not want to put on weight. This disorder gradually becomes a compulsive pleasure. The affected person ends up vomiting for pleasure, very loudly. She organizes the times when she overeats so that she can then vomit. This scheme constitutes the person's pleasure.

This disorder has been around for a long time. Epicurus ate and vomited for the simple pleasure of doing so "the principle is the root of all good and the pleasure of the belly".

The psycho trap is the vomit: the secret lover. A demon from which the person cannot free themselves. It is a moment of pleasure at the same time as torture.

We will try to change the frequency by practicing the interval technique.
interval technique. We're going to tell the person "I'm not going to ask you to stop because you wouldn't be able to give up, but every time you'll do this little thing: when you eat, you want to run to the bathroom to vomit Look at your watch and wait an hour without eating or drinking anything. In an hour you'll be going to the bathroom." This technique breaks the eating-vomiting pleasure sequence:

• she will stop eating for fear of gaining weight
• it will reduce the amount of food.

In any case, the perception that eating and vomiting is a pleasure will change.
She will slowly free herself. We will increase the duration of the interval 2h, 3h if the person stops vomiting.

And we will use an aphorism: "between guilt and pleasure, always wins the pleasure.

The anoxic who escapes pleasure must be re-educated, the bulimic who forbids himself to eat completely loses control and will eat more and more and get bigger and bigger; she must learn to give herself pleasure in order to give it up. "If you give yourself pleasure, you can give it up, if you forbid yourself, you can't give it up".

The eat/vomit sequence is the ultimate pleasure sequence; it is necessary to give to the person other ways of pleasure.