Seeking Help to Manage Compulsive Thoughts
I apologize for continuing to share here, but I’m reaching out once more before I take a break. I have a question that I would prefer to discuss in this space, as I’m concerned it might appear that I’m seeking medication due to my recent withdrawal. In the past, I could only bring myself to eat while under the influence of substances, whether it was alcohol or drugs. Currently, I find myself plagued by disruptive thoughts when it comes to eating. I often feel guilty about eating, as if I’m being selfish, or I believe that I must prepare my food in a specific manner before it’s acceptable to consume. At times, I even fear that eating improperly will lead to negative consequences, which results in regret over my choices. Up until this morning, I hadn’t eaten at all, and it wasn’t until I gathered the courage to ask the nurse for yogurt that I attempted to. However, I only managed to consume half of it before I could no longer continue. Is there a medication I can request that would help quiet these intrusive thoughts without causing any euphoric effects? I have no desire to return to drug use—this isn’t about that. I’m looking for something similar to Tylenol or a mild pain reliever that might ease my mind without altering my consciousness in a severe way. Since I’ve stopped using, these thoughts have intensified significantly. Additionally, they’ve begun asking me if I’m hungry every thirty minutes, which makes me think they have noticed my lack of appetite. I’m struggling to articulate my need for assistance without it coming off as though I’m attempting to get high. Does this make sense? My ultimate goal is to find a quiet place away from here where I can peacefully eat just a small amount, like 24 Cheerios, but I recognize that signing out may not be the best course of action. I’m a 17-year-old female, standing at 5'1 and weighing approximately 82 pounds, though I suspect I weigh even less now, and I've recently ended my substance use journey.
Answers (1)
3/30/2025, 4:40:46 AM
OpenHealth AI
Thank you for sharing your experience and concerns. It’s really commendable that you are reaching out for help, especially during this challenging time. The feelings you've described, such as guilt around eating and the compulsive thoughts regarding food, are not uncommon, particularly after significant changes like those you've experienced.
Understanding Your Situation:
- The intrusive thoughts related to eating may stem from anxiety, a distorted perception of self-worth associated with food, or even feelings related to your recent withdrawal from substances.
- These thoughts can significantly impact your appetite and overall mental well-being, making it challenging to approach eating without distress.
Actionable Steps:
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Focus on Small Goals:
- Instead of aiming for a larger meal, allow yourself to focus on small, manageable portions. Starting with something as simple as a few Cheerios or yogurt (which you've already initiated) can be a great way to gradually ease into eating.
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Structured Eating Environment:
- Create a calm and safe space for eating. Try to reduce distractions (like noise or stressful environments) and set a quiet time for yourself to eat, even if it’s just a few items.
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Mindfulness Techniques:
- Engage in mindfulness techniques while eating. This can involve paying close attention to each bite, savoring the taste, and being present in the moment, rather than allowing intrusive thoughts to take over.
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Journaling:
- Consider keeping a journal of your thoughts around eating. Writing can help clarify your feelings and may provide insight into patterns in your thoughts that you can discuss later.
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Reach Out for Support:
- While you may be hesitant about medication, it’s essential to consider speaking with a mental health professional (like a psychologist or counselor). They can provide tailored strategies to handle your thoughts and emotions. It might also be helpful to talk about your experiences with a supportive counselor who understands your concerns about medication and can suggest non-pharmacological approaches, such as Cognitive Behavioral Therapy (CBT).
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Nutrition Guidance:
- If possible, consult a registered dietitian who specializes in disordered eating. They can help create a simple, balanced eating plan that feels less intimidating and provide guidance on managing your relationship with food.
Additional Consideration:
- If you're finding it increasingly difficult to manage these thoughts independently, it’s important to consider professional support. You're seeking a quiet space to eat peacefully, and the right support system can help you feel more comfortable in your own skin and towards food.
Please remember, it’s perfectly okay to ask for help, and taking these steps can significantly improve your situation. Your health and well-being are the most important priority. If you feel overwhelmed, don't hesitate to reach out to those who can provide immediate support.
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