Los Angeles Chapter  California Association of Marriage and Family Therapists


Los Angeles Chapter — CAMFT

Member Article

08/21/2024 5:06 PM | Gina Balit (Administrator)

Member Article

Bulimia Urges Over 40: A New Challenge in Mature Years

Joanna Poppink, LMFT

At 40, many people find themselves re-evaluating their lives and wondering if they have reached the goals they once set for themselves. But for those who have struggled with bulimia in the past, this can be an especially challenging time. When eating disorder symptoms return how to overcome bulimia urges over 40 can seem like a daunting or impossible task.

After years of battling bulimia and its related guilt, shame, and fear, they found healing and freedom from the old urges to binge and purge. However, they may be unequipped to face new challenges facing them from this time in their lives. Given the violence of our times, political polarization, climate change, COVID, and economic uncertaintly, meaning and a sturdy sense of purpose seems elusive. In such uncertain and dangerous times, bulimic urges can emerge again.

It's possible to expand life, move beyond the old urges, and learn to cope with the difficult emotions associated with this new stage of life. The task is to find meaning in life as it is now and develop beyond the old need for bulimia to cope with current challenges.

Understanding Bulimia Urges Over 40

Recovery from bulimia can be a long and challenging journey, and it can become even more complex as we reach our 40s. At this stage in life, many people find themselves questioning their choices and wondering if they have truly achieved the goals they once set for themselves. Perhaps they have achieved their goals and now wonder what is next.

As we grow older, it is important to gain a deeper understanding of the urges that accompany bulimia. It is crucial to acknowledge that these urges are not a reflection of our worth or strength but rather a manifestation of the deeper emotional struggles we may be facing. This realization requires honesty and self-awareness, as we must confront the underlying reasons for the need for soothing through these urges and behaviors.

Psychotherapy can be an invaluable tool in this process. By delving into the roots of our eating disorder and exploring our emotions, we can gain insight and develop new coping mechanisms.

With therapy, we can learn to navigate the challenges that arise in our 40s and beyond with courage. We gain the resilience we need to re-evaluate our lives, release our imaginations and create a new future for ourselves.

To accomplish this, in addition to therapy, it is important to surround ourselves with a supportive network of colleagues, friends and loved ones who understand and validate our experiences. Building this support system can provide a sense of encouragement, belonging and connection, which is vital for our healing.

As we continue on our journey of recovery, we must remember to be patient with ourselves. Healing takes time, and setbacks are a natural part of the process. With each step forward, we are making progress and moving closer to a life of more healing and fulfillment.

Meaning of Bulimia Symptoms is Important in Recovery

Finding meaning is a crucial aspect of recovery from bulimia, especially after the age of 40. After years of battling the disorder, it's common to feel a sense of bewilderment and wonder what the purpose of all the recovery work was when we think we are back where we started. Of course, we are not back where we started.

We’ve created an improved life that is impossible to consider if we had continued to be mired down by our eating disorder. However, now is the time for finding new or expanded meaning in our lives. Old commitments may no longer apply or may be even more intense. A deep exploration of who we are now is called for. And that is what provides us with a sense of direction and helps us move beyond the need for bulimia symptoms.

When we find meaning in our lives, we are able to develop a new healing process that goes far beyond overcoming the disorder itself. Meaning in our lives allows us to create a sense of purpose and fulfillment that goes beyond the negative emotions associated with bulimia.

We want to rally our energies to build something. By identifying what truly matters to us and aligning our actions with those values, we can find a deeper sense of contentment and satisfaction. This is particularly important when you are over 40. Bulimia urges over 40 relate to the more challenging issues you face as a mature adult.

Finding meaning in recovery also helps us shift our focus from the past to the present and future. It allows us to let go of the shame and guilt associated with our past behaviors and embrace the growth and transformation that come with recovery. It gives us a reason to keep moving forward, even in the face of challenges and setbacks.

Bulimia Recovery involves Overcoming Shame, Fear, and Old Secrets

An obstacle to bulimia recovery, especially after the age of 40, is the weight of shame, fear, and old secrets. These emotions can be deeply ingrained and can hold us back from truly moving forward and embracing a fulfilling life.

Shame is a common feeling among individuals who have struggled with bulimia. It is often accompanied by a sense of unworthiness and self-judgment. However, it's important to remember that shame does not define us.

Shame is simply an emotional experience we can choose to let go of. By acknowledging our shame and working through it, we can start to heal and develop a healthier relationship with ourselves.

Fear is another powerful emotion that can hinder our recovery. We may fear relapse, judgment from others, or even the uncertainty of life beyond bulimia.

However, confronting and challenging our fears is an essential step in the healing process. By facing our fears head-on and learning to cope with them, we can gain the strength and resilience to move forward.

Old secrets, whether they are related to our past behaviors or the emotions we've suppressed, can also weigh heavily on us. It's important to recognize that keeping secrets can be damaging to our mental and emotional well-being.

Opening up and sharing our struggles with trusted individuals can be a cathartic experience. Through honesty and vulnerability, we can release the burden of old secrets and find the support and understanding we need to heal.

Developing a Growth Mindset for Long-term Bulimia Recovery

As we continue on our journey of recovery from bulimia after the age of 40, it's important to develop a growth mindset. A growth mindset is the belief that we can grow, learn, and change, even in the face of challenges and setbacks. It allows us to view recovery as a process of continuous improvement rather than a fixed destination.

To develop a growth mindset, it's important to cultivate self-compassion and patience with ourselves. We must acknowledge that healing takes time and that setbacks are a natural part of the recovery journey. Instead of beating ourselves up over mistakes, we can learn from them and use them as opportunities for growth.

Another key aspect of developing a growth mindset is embracing a willingness to try new things and step outside of our comfort zones. This can include trying new coping skills, exploring new hobbies or interests, or challenging negative thoughts and beliefs. By pushing ourselves to grow and expand our horizons, we can open ourselves up to new possibilities and experiences.

Additionally, developing a growth mindset involves cultivating a sense of gratitude and appreciation for the progress we've made. It's important to celebrate small victories along the way and recognize the steps we've taken towards healing. This not only boosts our self-confidence but also reinforces the belief that we are capable of change and growth.

Identifying Triggers and Building Coping Skills

Identifying Triggers and Building Coping Skills are essential components of recovery from bulimia after the age of 40. Triggers can vary from person to person and may include certain situations, emotions, or thoughts that lead to urges to engage in disordered eating behaviors. It's crucial to identify these triggers so that we can develop effective coping skills to manage them.

One way to identify triggers is to keep a journal and track patterns in our thoughts, emotions, and behaviors surrounding food and body image. By noting down these observations, we can begin to identify common themes or triggers that precede our bulimic urges. For example, we might notice that we feel more vulnerable to urges after a stressful day at work or during times of loneliness.

Once we have identified our triggers, it's important to develop coping skills to manage them. Coping skills can include a range of strategies, such as deep breathing exercises, practicing mindfulness, engaging in physical activity, or reaching out to a support person. The key is to find what works best for us individually and incorporate these coping skills into our daily routines.

Incorporating Self-Care Practices into Daily Life

Self-care is a vital component of recovery from bulimia, especially after the age of 40. Incorporating self-care practices into our daily lives can help us prioritize our mental, emotional, and physical well-being, which is crucial for healing and finding meaning beyond the old need for bulimia.

One important self-care practice is setting boundaries. As we recover, it's essential to establish limits and communicate our needs to others. This can include saying no to activities or commitments that drain us, prioritizing alone time for self-reflection, or setting boundaries around conversations and topics that trigger negative emotions.

Another self-care practice is nurturing our body through proper nutrition and regular exercise. Eating a balanced diet and engaging in physical activity can not only support our physical health but also boost our mood and overall well-being. It's important to focus on nourishing our bodies and being kind to ourselves rather than punishing or restricting ourselves with food or excessive exercise.

Taking time for relaxation and stress reduction is also key. This can involve activities such as practicing mindfulness, taking walks in nature, or engaging in hobbies that bring us joy and peace. Prioritizing relaxation helps us recharge and rejuvenate, allowing us to better cope with the challenges of recovery.

Seeking Professional Help and Support Networks for Bulimia Recovery

Seeking professional help and support networks is an essential part of the recovery journey from bulimia, especially after the age of 40. It can be daunting to reach out for assistance, but it is a brave and necessary step towards healing and finding meaning beyond the old need for bulimia.

A therapist who specializes in eating disorders can provide valuable guidance and support. They can help us understand the underlying emotions and triggers that contribute to our bulimia urges and develop healthy coping mechanisms to manage them.

Therapy provides a safe space to explore our thoughts and feelings, gain insight, and work through any lingering shame, fear, or old secrets.

In addition to professional help, building a support network of understanding and empathetic individuals is crucial. This can include friends, family, support groups, or online communities.

Connecting with others who have experienced similar struggles can provide a sense of belonging, validation, and encouragement on our recovery journey.

Celebrating Small Victories and Progress

In our journey of recovery from bulimia after the age of 40, it's important to celebrate the small victories and progress we make along the way. Every step forward, no matter how small, is a significant achievement and deserves recognition.

Whether it's going a day without engaging in disordered eating behaviors, challenging negative thoughts and beliefs, or reaching out for support when needed, each victory is a testament to our strength and resilience. By acknowledging and celebrating these accomplishments, we reinforce our belief in ourselves and our ability to overcome the challenges of recovery.

Celebrating small victories and progress also helps us stay motivated and committed to our healing journey. It provides a sense of fulfillment and satisfaction, reminding us of how far we've come and the growth we've achieved. It's important to take a moment to reflect on our progress, whether it's keeping a journal of achievements, sharing them with a trusted support person, or simply acknowledging them to ourselves.

Embracing a Positive Relationship with Food and Your Body

Developing a positive relationship with food and your body is a crucial part of recovery from bulimia, especially after the age of 40. After years of struggling with disordered eating patterns, it's important to foster a healthy and balanced approach to nourishing yourself.

First and foremost, it's important to recognize that food is not the enemy. It is essential for fueling our bodies and providing us with the energy and nutrients we need to thrive.

Instead of viewing certain foods as "good" or "bad," try to embrace the concept of moderation and balance. Allow yourself to enjoy a variety of foods without guilt or restriction.

In addition, focusing on intuitive eating can help you develop a positive relationship with food. Tune in to your body's natural hunger and fullness cues and honor them. Trust yourself to make nourishing choices that feel good for your body and mind. Remember, every body is unique, and what works for someone else may not work for you.

Furthermore, embracing a positive relationship with your body involves cultivating self-acceptance and self-compassion. Instead of criticizing and scrutinizing your body, try to practice gratitude and appreciation for all that it does for you. Treat yourself with kindness and respect, celebrating the strengths and capabilities of your body.

Joanna Poppink, LMFT, psychotherapist, speaker, and author of Healing Your Hungry Heart: Recovering from Your Eating Disorder, is in private practice and specializes in Eating Disorder Recovery for adult women and with an emphasis on building a fulfilling life beyond recovery. She is licensed in California, Florida, Oregon, and Utah. All appointments are virtual. Website: EatingDisorderRecovery.net

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