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Childhood Sexual Abuse, Emotional Eating & Weight Loss

 

Were you sexually abused as a child or teenager?

Do you struggle with your weight today?

Is food your go-to source of comfort when upset?

If so, you’re not alone.

There is a high correlation between early sexual trauma, obesity, emotional eating and body image concerns. If you can relate, you may be surprised to learn that your ongoing struggles with weight most likely have little to do with food and exercise, although these are important. The reasons behind your weight and emotional eating challenges are both neurological, rooted in your nervous system’s response to stress, and psychological, rooted in your conscious and subconscious trauma-based beliefs.

If you’re a woman with a past history of sexual abuse who’s struggling to release weight and feel good about your body today, you may have experienced the following:

  • You equate being thin with receiving unwanted sexual advances and feel vulnerable to sexual assault. These fears may be conscious or hidden in your subconscious mind, and, as you release weight and become thinner, they surface. You feel
    anxiety, experience panic attacks, or simply feel unsettled and don’t know why.

  • You feel uncomfortable being noticed, even in a positive way. After years of protecting yourself behind extra weight—your pounds of protection—you feel uneasy or self-conscious receiving compliments.

  • Because food, in fact, helped you cope, you experience a sense of loss or fear at the thought of no longer eating certain foods that have felt like your friends. Food was a source of comfort when people were either unavailable or dangerous.

  • You spent years detaching from your body to cope with the sexual abuse and have trouble creating a trusting—and loving—connection with your body today. Dissociation is a defense mechanism often used by sexual abuse survivors. They psychologically remove themselves from their bodies during the abuse and “watch” what’s happening from above. If you relate, understand that this helped you survive. But you’re safe now and can learn to reclaim your right to a positive and connected relationship with your body today.

  • When you experience trauma-based feelings such as fear, anger, helplessness, betrayal, shame, or guilt, it triggers emotional binge eating. Even minor stress can feel overwhelming because it brings to the surface those old feelings, causing an overreaction. Once those old feelings and pain are released from your mind and body, handling life’s stress becomes easier because you stop bringing trauma-based feelings from the past into today’s challenges.

  • You’re ever alert for danger. This is because childhood abuse affected your developing nervous system as a form of protection. You were in danger so, as a survival mechanism, your brain responded to help you always be on the lookout. But today it’s hard to easily distinguish manageable from unmanageable situations. Even minor stress can feel destabilizing. For example, you may experience an increased heart rate, a sinking feeling in your gut, or rapid breathing. That’s not easy to deal with, so you turn to food to ground yourself. You’ve probably discovered that certain foods—especially high fat and sugary ones—help ease the uncomfortable fear-based sensations in your body and soothe your overwhelming emotions.
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Diane:

Though it may sound a bit too cynical, I wonder whether one needs to ‘follow the money’ for such obtuse DSM omissions to make some sense.

I believe that for the DSM decision-makers to decide to include adverse childhood experiences and trauma could/would inevitably lead to mainstream-practice non-chemical-consuming proactive prevention and treatments. Unless I’m mistaken, the psychiatric profession is still essentially dealing with mental illness by chemically suppressing its symptoms rather than dealing with the root cause.  

The only two health professions’ appointments that are fully covered by Canada’s public health plan are the readily pharmaceutical-prescribing psychiatry and general practitioner health professions. Such non-drug-industry benefiting health specialists as dentists, counselors, therapists and naturopaths (etcetera) are not covered.

(Also, I really doubt it is coincidental that the absence of universal medication coverage also keeps the pharmaceutical industry’s profits soaring.)

Hi Frank... I don't think you sound cynical. I think you sound realistic. I agree with you. I'm a clinical social worker/psychotherapist and tend to agree that the DSM decision-makers are both rooted in traditional/old-school psychiatric practice and perhaps too controlled by  the pharmaceutical companies. While this isn't my area, I certainly shouldn't speculate but I do wonder...

Diane:

Though it may sound a bit too cynical, I wonder whether one needs to ‘follow the money’ for such obtuse DSM omissions to make some sense.

I believe that for the DSM decision-makers to decide to include adverse childhood experiences and trauma could/would inevitably lead to mainstream-practice non-chemical-consuming proactive prevention and treatments. Unless I’m mistaken, the psychiatric profession is still essentially dealing with mental illness by chemically suppressing its symptoms rather than dealing with the root cause.   

The only two health professions’ appointments that are fully covered by Canada’s public health plan are the readily pharmaceutical-prescribing psychiatry and general practitioner health professions. Such non-drug-industry benefiting health specialists as dentists, counselors, therapists and naturopaths (etcetera) are not covered.

(Also, I really doubt it is coincidental that the absence of universal medication coverage also keeps the pharmaceutical industry’s profits soaring.)

Last edited by Frank Sterle Jr.

Diane, I am sharing this post with the ACEs in Nourishment site on ACEs Connection.  As a survivor of childhood sexual abuse, I recognize the role that emotional eating has had in my life. Once I became aware of the impact of my ACEs on my behaviors, it helped me be mindful of my triggers. Thank you for the help you provide.

Hi Gail... thank you for sharing my post. I appreciate that. As you said, awareness of the impact of ACES and their connection with life challenges today—including emotional eating—is key to healing and self-growth.

And you're welcome. 💜

“It has been said that if child abuse and neglect were to disappear today, the Diagnostic and Statistical Manual would shrink to the size of a pamphlet in two generations, and the prisons would empty. Or, as Bernie Siegel, MD, puts it, quite simply, after half a century of practising medicine, ‘I have become convinced that our number-one public health problem is our childhood’.” (Childhood Disrupted, pg.228). 

Frank... As a psychotherapist who has to use the DSM for insurance purposes, I completely agree with you. In my opinion, it is a useless tool. My understanding is that some trauma specialists tried to advocate for changes before the DSM-5 came out to include childhood abuse and trauma and it was dismissed. I think the DSM is an archaic tool as it currently stands. Thanks for posting!

Diane, I am sharing this post with the ACEs in Nourishment site on ACEs Connection.  As a survivor of childhood sexual abuse, I recognize the role that emotional eating has had in my life. Once I became aware of the impact of my ACEs on my behaviors, it helped me be mindful of my triggers. Thank you for the help you provide.

“It has been said that if child abuse and neglect were to disappear today, the Diagnostic and Statistical Manual would shrink to the size of a pamphlet in two generations, and the prisons would empty. Or, as Bernie Siegel, MD, puts it, quite simply, after half a century of practising medicine, ‘I have become convinced that our number-one public health problem is our childhood’.” (Childhood Disrupted, pg.228).    

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