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  I've Used Bulima to Ease My Pain  
     
 
Share your thoughts with Dr. Bill in 1Community
   
Question:
Hi Dr. Bill. I am almost 20 and have been bulimic and depressed since I was 15. This past year I realized this has a lot to do with my mother. As a child she was emotionally and physically abusive of me. When I think of the past it hurts so much and bulimia somehow eases my pain. I moved out when I turned 18 and started dealing with my hurts and asking God for guidance and strength and this stopped my bulimia for 5 months. But every time I come home it starts again. How do I set good boundaries with my mom? Today she is a very loving committed Christian, but is also overwhelming me. When I think of her sometimes I get so overwhelmed with fear and confusion. How do I get over this? Do I need to keep going to the past memories that cause me to hurt? Should I have a counselor to help me?
Sincerely,
Emily

Answer
Hi Emily. You've experienced a lot of hurt from the most important person in your life. This has left you deeply conflicted: you need and love your Mom and yet you have these negative feelings toward her because of the past abuse and feeling overpowered by her.
Inside you probably have a lot of anger toward her, but right now it is mostly repressed and perhaps internalized against your own self as "I shouldn't feel this way" or "I shouldn't be needy." This is why you are depressed.

Bulimia is a common coping mechanism for girls dealing with an abusive or controlling mother and all the pain and conflict that go with it. For bulimics, eating too much food (often unhealthy food) and then getting rid of it through vomiting, laxatives, or exercise seems like a way to feel in control of feelings and conflicts and needs that are out of control. But it is quite dangerous to your health and quickly becomes out of control itself, creating many more problems. So it is good that you are turning to God and trying to stay "sober" from the binge and purge cycle of bulimia.

You asked about setting boundaries. If your past hurtful memories are triggered or you feel criticized or controlled by your mom today then you need to be able to set a limit on the interaction and get some space for yourself. Go by yourself and journal or pray to work through your feelings. Or call a friend who will listen and support you. It would also help for you to learn how to tell your Mom that it's not okay for her to say or do the things that hurt you.

You asked if you need to keep going back to the painful memories of the past. Yes, but with caring professional help. If you don't deal with these hurts then they're likely to keep replaying in your life and relationships. Painful memories of being abused, depression, and a recent history of bulimia are serious issues. You have a lot going on inside emotionally and you need some help learning how to deal with these issues, how to heal and to grow as a responsible, mature Christian woman.

In addition to looking for to a Christian counselor it'd be good for you to learn more about bulimia and consider joining a support group.
May God bless your soul and your life with the healing andhelp pthat you need!
Dr. Bill

Editor's Note: William Gaultiere, Ph.D. is the Executive Director of the New Hope Crisis Counseling Center at the Crystal Cathedral and a Clinical Psychologist with a part time private practice in Irvine, California. You can read Dr. Bill's encouraging self-help articles on www.ChristianSoulCare.com.

 
     
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