Drag nodes or click to inject decoupling micro-pauses into the nervous system feedback loop.
Dorsal vagal or dissociative survival state where eating proceeds mechanically without conscious taste or stomach fullness signaling. Conventional willpower advice fails here because executive control is offline.
Free, confidential Canada-wide helpline (1-866-NEDIC-20 / live chat at nedic.ca). Can pinpoint provincial public waitlists vs. subsidized community clinics.
If your family physician refuses referrals, request: "Please document in my electronic medical chart that you are declining to provide a referral to the provincial adult eating disorder assessment team despite my ongoing distress." Physicians will frequently write the referral to avoid documentation liability.
In provinces facing severe primary-care shortages (Ontario, BC, Quebec), specialized virtual NP clinics can diagnose BED and prescribe approved first-line therapies under provincial scopes of practice.
When you are already physically nauseous or distended yet cannot stop eating, guilt and panic only tighten the dissociation loop. Use this somatic script:
Whisper out loud: "My nervous system is seeking dopamine and safety right now. I am not failing; my fight-or-flight circuit has hijacked my satiety receptors."
Do not attempt to restrict or declare "I will never eat again." Simply place both palms flat against cold ceramic or run cold water over your wrists for 60 seconds.
Give your hands and mouth a different high-stimulation task: sour candy, sparkling mineral water, or a tactile sensory object to interrupt the oral autopilot loop.