Grand round: mood and food

Emotion regulation and food

Obesity- chemicals rewards (serotonin)
for comfort food because humans have
evolved to eat whenever it’s available

Physical hungry affects your mood and

eating for this is a good idea. Rarely
leads to obesity.

Bringing this up with “have you noticed

a link between emotion and eating?”
“What food works for you ?” And
validate same (an effective medications
with side effects of weight gain)

Emotional eating is often a sign that

you are trying to meet a need and
TRYING to take care of yourself.

Your weight is currently is the best

weight for you based on the balance of
emotion regulation and other factors.
(It’s ok where you’re at; this is the
weight you need to be to get you
through what you’re facing)

More serotonin receptor in GI than in

the brain

Dopamine “seek and find”

Endorphins exercise high, intensify

pleasure associated with serotonin.

Eat for
Hunger

Emotional and chemical reward

Sociocultural

Medications

Activity
Sociocultural

Biomedical (OA stroke)

Mental (depression )

Metabolism
Age
 Gender

Genetic

Hormone

Muscle (Changeable)

Medical

Weight loss

(Meal restrictions- impacts

metabolism)

Mental health and obesity

increase intake
Binge eating disorder

ADHD - impulsivity and novelty

Mood and anxiety

PTSD and anxiety

MH as a barrier to obesity due to reduced

capacity to manage change

Emotional eating and binge eating disorder

are not about hunger
Common mimics is binge
Homeostatic hyperphagia (missed
meals and over eat)

Hedonic hyperphagia (Christmas and

special events)

Things that make you feel full: time, protein,

and volume

Treatment for binge eating disorder

Therapy - CBT (e.g., cci), IPT

Vyvanse

Off label: antidepressant (SSRI at

higher dosage and Wellbutrin) and
anticonvulsant (tipiramate; has
cognitive effects. Reduce iq by 10);
TMS

Dietary changes
Smaller amounts more often
 Smaller amounts more often

Eat to increase satiety (slowly, drink

water prior, higher fibre and protein)

Avoid drinking calories

Skipping meals. What’s the fuss

During starvation periods ,
neurochemical leads to body
overreaction

12 hour gas decrease metabolism by

40%

MH worsening weight loss

Increase binge eating with severe
caloric restriction (binging more after
restricting)

Replacement of addictive behaviour

(eg going to alcohol)

Increase attention from others leads to

vulnerability (eg appear invisible when
overweight and thusly not a target for
sexual abuse)

Exacerbate preexisting relationship

difficulties (eg jealous partner and
amplified tension)

Increase suicidality (eg due to

absorption of medication and not
absorption gas much med such as an
enteric delayed release med ; Effexor,
more vulnerable )

Pressure to overcome previous social

economic difficulties