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3942
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Heart Mar 31, 2020 at 07:21 PM
  #1
Hello 👋,
I have Autism and anxiety. I’m also on Pregablin and Olanzapine.
I have a terrible overeating problem and cravings for sweets and chocolate, etc. I will say things like “I want some extra treats tonight”, “I feel like having a challenging day today (as my doctor said to put it)” and (especially in the past) “I feel like having a bad day today (as in a bad eating day)” and “I want to pig out today” to my mum, who really stresses and tries her hardest to stop me from overeating and putting on more and more weight. She can see the damage it’s doing to my body and can get pretty stressed about it, which has a negative effect on my emotions and mental health.
I try so, so hard to be good. I want so, so, so, so much to always look after myself as well as I can. I draw posters with the quote “Always look after yourself as well as you can” and try so, so hard to live by this, but my anxiety and cravings for the pleasure that comes with eating and the experiences that go with it come in and sabotage my efforts and will, having a very negative effect on my mental health. I so, so, so want to do much better self-care, but thoughts like “you’ve never succeeded in sticking with your better self-care permanently, so why should this work this time?”, “You never succeed, nothing’s different, so why bother?” and “It’s too hard, you can’t do it.” I try so, so, so, so, so hard and want so, so, so, so, so much to do so, so much better self-care, but my anxiety and desire for indulgence always sabotage my efforts, as does my anxiety about it being too hard on me.
I’ve heard about making smaller changes and having more manageable goals, but it washes over me as I so, so, so, so want to do better self-care all around.
I want to achieve so, so, so much more in my life. I ask for a lot of reassurance, as well as permission from my mum to indulge. Do you think I should always take the best care of myself that I can? What can you suggest to help me get past all of this and achieve the better self-care that I so desire?
Please help asap.
Thank you 😊 so much.
Best Wishes to all,
Rory.
Have the best day and night ever!
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Smile Apr 01, 2020 at 02:26 PM
  #2
Thanks for sharing your concern here on PC, Rory. I have to admit I don't know a lot about eating disorders. But I noticed you had yet to receive a reply to your post. So I thought I would at least offer what I can.

At the end of your post you wrote: "Do you think I should always take the best care of myself that I can?" Of course I think one should try to take reasonably good care of oneself. But I don't necessarily think one should always try to take the best care one can. Sometimes I think we set ourselves up for failure when we expect perfection from ourselves. No one can ever be perfect all the time. So my personal opinion is that sometimes just doing what you can to get by is sufficient, if that makes any sense. Do the best you can, when you can. But avoid becoming obsessed with always being perfect. And don't beat yourself up when you're not.

You asked what you can do to get past all of this and achieve the better self-care you desire. You didn't mention, I don't believe, if you've ever been involved with, or are in, an eating disorders program. If not, I would think that would be an important thing to do. One impression I have is that it's extremely difficult to get an eating disorder under control by yourself. It's like any other addiction. The support of professionals, as well as that of others who have faced similar challenges, is critical. I know you mentioned seeing a doctor. But personally I would question if simply seeing a doctor periodically is likely to be a successful strategy. I'm not an mental health professional though. So that's just my personal opinion.

Here's a link to DocJohn's article, from PC's archives, on the subject of eating disorders:

Eating Disorders: Symptoms, Types & Treatments | Psych Central

You mentioned struggling with negative thoughts about yourself as well as self-sabotaging. So here are links to 7 articles, also from PC's archives, on how to deal with those sorts of concerns:

When You Feel Absolutely Awful About Yourself—Regularly

How to Empower Yourself When You Feel Powerless and Helpless

Breaking Free from the Bonds of Badness

How to Stop Punishing Yourself

https://psychcentral.com/blog/self-s...o-destruction/

https://psychcentral.com/blog/why-we...dium=popular17

https://psychcentral.com/blog/breaki...self-sabotage/

My best wishes to you...

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Default Apr 13, 2020 at 09:21 PM
  #3
Hello, 3942.
I read that weight gain is reported as a side effect for both Pregablin and Olanzapine. Consider speaking with your prescribing doctor.

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