Karen: WELCOME BACK.
SUSAN IS A NURSE WITH CNS HEALTH
CARE AND SHE'S HERE TO TALK
ABOUT WHAT WE'RE FINDING IN THE
CORRELATION BETWEEN DEPRESSION
AND BINGE EATING.
EATING TO FEEL BETTER BUT
OFTENTIMES IT HAS QUITE THE
OPPOSITE EFFECT.
THANKS AGAIN FOR COMING IN.
THANKS FOR HAVING ME.
Karen: EXPLAIN THIS PHENOMENON
TO US.
YOU THINK ABOUT DISORDERS AND
OFTENTIMES YOU HAVE DEPRESSION,
ANXIETY AND EATING DISORDERS.
BECAUSE THEY'RE ON THE BEHAVIORS
ASSOCIATE, THEY OFTEN OVERLAP.
PATIENTS WHO HAVE AN EATING
DISORDER WOULD BE SOMETHING
YOU'VE SEEN ON TV A LOT LATELY,
TALKING ABOUT THAT AND
ADVERTISING IT AND THEN ALSO, OF
COURSE, DEPRESSION.
I THINK 50% OF PATIENTS WHO
SUFFER FROM BINGE EATING
DISORDER ALSO HAVE DISORDERS
SUCH AS DEPRESSION.
SO NOT SURE, YOU KNOW, SOMETIMES
A THEORY SUGGESTS THAT BECAUSE
YOU HAVE THE BINGE EATING
DISORDER, YOU FEEL BAD ABOUT THE
EATING PATTERNS THAT YOU BECOME
DEPRESSED.
AND OTHERS WHO HAVE DEPRESSION
OFTENTIMES WILL OVEREAT.
Karen: AND OFTENTIMES
DEPRESSION AND WE TALKED ABOUT
THIS IN THE PAST, HAVING
DEPRESSION AND HAVING ANXIETY
OFTENTIMES GO HAND IN HAND.
SOMETIMES WHEN PEOPLE ARE UNDER
A HUGE AMOUNT OF ANXIETY, SOME
PEOPLE DON'T EAT AT ALL.
OTHERS GO QUITE THE OPPOSITE
DIRECTION.
AND IT SOUNDS LIKE THIS CAN BE
ALL RELATED INTO ONE PHENOMENON.
RIGHT NOW PEOPLE MISTAKE IT.
IT'S NOT JUST OVEREATING.
THERE'S ALSO A LOT OF FEELINGS
AND EMOTIONS ASSOCIATED WITH IT,
YOU KNOW, GUILT, REMORSE,
SADNESS, YOU KNOW, FEELING BAD
ABOUT THEIR BEHAVIORS AND IT CAN
INTERFERE WITH THEIR DAY-TO-DAY
ACTIVITIES.
THEY HIDE THE BEHAVIOR AND IT'S
UNCOMFORTABLE AND PEOPLE, YOU
KNOW, SPEND A GREAT DEAL OF TIME
THINKING ABOUT IT, HOW THEY
MIGHT OVERCOME IT AND, YOU KNOW,
STRATEGIES TO IMPLEMENT SO THEY
CAN PREVENT THIS FROM HAPPENING.
Karen: ARE THESE PEOPLE THAT,
FOR EXAMPLE, THEY GO HOME, JUST,
YOU KNOW, AT NIGHT, SOME WORK
AND HAVE A LOT OF STRESS AT
THEIR WORKPLACE, ARE THEY THE
ONES THEN THAT OVEREAT LIKE A
BAG OF POTATO CHIPS, NOT JUST A
PORTION?
ARE THEY JUST BINGE EAT TO GO --
EATING TO THAT EXTENT?
THEY TRY HARD THROUGHOUT THE
DAY TO MAINTAIN THE INTAKE BUT
THEN FOR WHATEVER REASON,
OFTENTIMES THE BINGE EPISODES
OCCUR OFTEN IN SECRET.
ONE LADY TOLD ME LIKE, FOR
INSTANCE, SHE WAS SO EMBARRASSED
ABOUT HER BEHAVIOR THAT SHE
WOULD MAYBE ON THE WAY HOME FROM
WORK, SHE WOULD STOP AND GET A
MEAL AND THEN GO HOME AND
PREPARE THE MEAL AND HAVE THAT
AS WELL.
ONCE SHE WOULD PUT THE CHILDREN
TO BED, SHE WOULD FIND HERSELF
GOING TO HER ROOM.
SOME OF US MIGHT HAVE A BOWL OF
ICE CREAM OR SOMETHING, THEY
MIGHT HAVE A CARTON.
Karen: IN QUANTITIES.
IT'S UNCOMFORTABLE, THEY FEEL
BADLY, THEY FEEL IT'S JUST A
VERY DIFFICULT PROCESS FOR THEM.
Karen: AND THESE ARE
OFTENTIMES PEOPLE YOU MAY HAVE
AS CO-WORKERS AND YOU SEE THEM
AROUND THAT ARE OBESE AND THEY
OFTENTIMES, YOU DON'T SEE THEM
EAT THAT MUCH.
THEY DON'T OVEREAT THEN BUT YET
WHEN YOU KNOW WHEN THEY'RE
OBESE, SOMETHING HAS TO BE GOING
ON AFTER HOURS.
AND NOT EVERYONE IS TO THAT
LEVEL.
IT AFFECTS ALL PEOPLE, MEN AND
WOMEN, USUALLY WOMEN MORE THAN
MEN.
Karen: THEY'RE MORE EMOTIONAL.
AND THE TWO HIGH HAND IN
HAND.
IT'S JUST A MATTER OF, YOU KNOW,
IDENTIFYING WHAT THE ISSUE IS
AND THEN PROVIDING APPROPRIATE
INTERVENTION.
Karen: DO THEY FEEL REMORSE,
GUILT AND SHAME WHILE THEY'RE
DOING THIS OR AFTER?
I THINK SOME PEOPLE REPORT
KNOWING GOING INTO THAT, KNOWING
THEY SHOULDN'T DO IT, ALREADY
HAVING THE NEGATIVE THOUGHTS.
THEN IT'S A SENSE OF LOSS OF
CONTROL AND OF COURSE, THEN
AFTERWARDS THERE IS THAT GUILT,
THAT REMORSE, YOU KNOW, WHAT
COULD I HAVE DONE DIFFERENTLY
AND IT'S JUST KIND OF A PATTERN
THAT, YOU KNOW, PEOPLE FEEL VERY
SHAMEFUL ABOUT AND EVENTUALLY IT
CAN AFFECT THEIR MOOD AND CAUSE
SOME ISSUES FOR THEM.
Karen: DEPRESSION GOES WITHOUT
MEDICATION AND SO FORTH, WITHOUT
SOMEONE GETTING HELP, IT CAN
ESCALATE TO A VERY DARK PLACE.
THAT'S WHAT YOU'RE DOING AT CNS,
WORKING WITH PEOPLE TO KEEP THEM
FROM GETTING AT THAT POINT.
WE'RE LOOKING AT MEDICATIONS
TO CONTROL THE SYMPTOMS.
SOME OF THE CHEMISTRY INVOLVED
WITH DEPRESSION, AIN NXIETY IS
PRESENT AS WELL.
Karen: WHAT TYPE OF MEDICATION
IS THIS?
ANTI-DEPRESS ANT TYPE OF
MEDICATION?
IT'S NOT ON THE MARKET
CURRENTLY AND RECENTLY, IT'S
BEEN APPROVED FOR BINGE EATING
AND IT'S ALSO USED FOR ADHD AND
IT'S A STIMULANT.
THIS MEDICATION IS A NON
STIMULANT.
THERE'S LESS RISK OF BECOMING
MORE HABIT FORMING OR ANY
CONCERNS THAT YOU HAVE WITH
CONTROLLED SUBSTANCES.
BUT IT TARGETS SEVERAL DIFFERENT
NEURO WOMEN -- NEURO CHEMICALS
IN THE BRAIN.
Karen: IF ANYONE IS WATCHING
AND THINK THEY MAY BE A
CANDIDATE OR WE'RE TALKING TO
SOMETHING YOU CAN RELATE TO,
WHAT SHOULD WE DO?
CALL OUR OFFICE OR VISIT OUR
WEBSITE.
WE HAVE THE ABILITY TO HAVE SAME
DAY APPOINTMENTS SO THEY CAN
MEET WITH ME, THE NURSE
PRACTITIONER, OR THE DOCTOR, OUR
PSYCHOLOGIST AND WE ALSO HAVE
OTHER NURSING STAFF ON HAND TO
BE HAPPY TO ASSESS YOUR SYMPTOMS
AND DISCUSS OPTIONS.
Karen: IT'S VERY EARLY TO
CATCH IT EARLY AND NOT FEEL
EMBARRASSED.
IF SOMEONE ALREADY HAS A PRIMARY
CARE PHYSICIAN, YOU CAN COME TO
CNS HEALTH CARE IN ADDITION TO
THE REGULAR PHYSICIAN, CORRECT?
OF COURSE AND THERE'S NO COST
TO THE PATIENT FOR COMING IN.
SO THAT'S THE OTHER THING.
YOU DON'T HAVE TO WORRY ABOUT
CO-PAYS OR ANYTHING LIKE THAT.
WE'LL BE HAPPY TO ASSESS AND
LOOK OUT FOR YOU.
Karen: I HOPE IT HELPS.
UP NEXT, HOME AND PATIO SHOW IS
JUST AROUND THE CORNER.
ONE BIG VENDOR IS THERE EACH
YEAR, GUTTER HELMET.
WE'RE GOING TO SPEAK WITH THEM
NEXT AND SEE WHAT THEY HAVE TO
OFFER.
PLUS THE NATIONAL CHAMPIONSHIP
FOR CURLING IS GOING ON THIS
WEEK AT THE JACKSONVILLE
VETERANS MEMORIAL ARENA.
IT IS THE FIRST TIME ANY VENUE
IN THE STATE OF FLORIDA HAS
HOSTED ANYTHING LIKE THIS, A
WINTER OLYMPIC SPORT WHICH TEAMS
ACTUALLY ATTEMPT TO SLIDE LARGE
STONES ACROSS THE ICE TO THE
SPECIFIC TARGET.
IT'S PRETTY UNIQUE TO SEE AND
FUN TO WATCH.