Binge Eating Disorder—Help!

[fusion_builder_container background_color="" background_image="" background_parallax="none" enable_mobile="no" parallax_speed="0.3" background_repeat="no-repeat" background_position="left top" video_url="" video_aspect_ratio="16:9" video_webm="" video_mp4="" video_ogv="" video_preview_image="" overlay_color="" overlay_opacity="0.5" video_mute="yes" video_loop="yes" fade="no" border_size="0px" border_color="" border_style="" padding_top="20" padding_bottom="20" padding_left="" padding_right="" hundred_percent="no" equal_height_columns="no" hide_on_mobile="no" menu_anchor="" class="" id=""][fusion_builder_row][fusion_builder_column type="1_1" background_position="left top" background_color="" border_size="" border_color="" border_style="solid" spacing="yes" background_image="" background_repeat="no-repeat" padding="" margin_top="0px" margin_bottom="0px" class="" id="" animation_type="" animation_speed="0.3" animation_direction="left" hide_on_mobile="no" center_content="no" min_height="none"][fusion_text] The following is an excerpt of an actual message I received from a patient. Of course, certain details have been omitted to preserve confidentiality: Dear Doctor, I am having trouble and am scared to death. I cannot go back - I cannot. I am having trouble, I do well for three or four days, then I am binging again. Tonight I was physically hungry and I had a granola bar and a glass of milk that started me on another. I had another glass of milk and then another granola bar, a sugar-free chocolate pudding and then all hell broke loose. [...]