[27F] Experiencing impulse control issues and binge eating
Patient Description
A 27-year-old female reports lifelong issues with poor impulse control and binge eating, occurring daily in waves. She experiences anxiety and depression, exacerbated by body image and self-esteem concerns, impacting her social life and relationships. Additionally, she has trouble explaining thoughts, memory issues, and hyperfixations on foods, along with body dysphoria. Her son has ADHD. She is currently taking Naltrexone (50mg once daily) and Bupropion (300mg once daily) for the past six months, and Loratadine (10mg once daily).
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Arora's Assessment
What might be happening
Your symptoms may be related to several conditions:
-
ADHD (Attention-Deficit/Hyperactivity Disorder):
- Poor impulse control, hyperfixations, and executive dysfunction are common in ADHD. It can also affect your ability to organize thoughts and manage tasks.
- Treatment often includes behavioral therapy and medications like stimulants or non-stimulants.
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Anxiety and Depression:
- These can contribute to binge eating, body dysphoria, and social withdrawal. They often coexist with ADHD.
- Treatment may involve therapy, lifestyle changes, and medications like antidepressants.
-
Binge Eating Disorder:
- Characterized by episodes of eating large quantities of food, often quickly and to the point of discomfort.
- Treatment includes therapy, nutritional counseling, and sometimes medication.
What you can do
Impulse Control and Binge Eating:
- Consider speaking with a mental health professional for a comprehensive evaluation and personalized treatment plan.
- Practice mindfulness and stress-reduction techniques, such as meditation or deep breathing exercises.
- Use MDandMe to journal your symptoms and track patterns or triggers.
Anxiety and Depression:
- Engage in regular physical activity, which can help improve mood and reduce anxiety.
- Maintain a balanced diet and ensure adequate sleep.
- Reach out to support groups or therapy for additional support.
Hyperfixations and Executive Dysfunction:
- Break tasks into smaller, manageable steps and use reminders or alarms to stay on track.
- Create a structured daily routine to help manage time and tasks effectively.
What you should look out for
- If you experience worsening symptoms, such as severe depression or anxiety, or if you have thoughts of self-harm, seek immediate medical attention.
- Monitor any changes in your symptoms and discuss them with your healthcare provider.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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3 mo ago