I do go to therapy, and I’ve been extremely lucky to continue with the therapist from the behavioral health hospital I went to for inpatient/outpatient. She not only is an excellent therapist all around, but she has lost 100 lbs herself. Also, due to my binging being directly related to how bad my stress levels are, my treatment plan focuses on using the resources I have or have the ability to access to lower that stress. For example, I hate my job and actually I binged today because I felt so awful about it, but I am also applying to jobs. She also has extensive experience with people with BPD, so I would say if you have access try that and shop around. I’ve met many therapists due to being in the hospital, and I would say only one was a good fit. I know this isn’t always feasible option, but it is something that has helped me immensely.

It’s also worth it to have a discussion with a psychiatric nurse practitioner or psychiatrist about medication options that may help curb the binging issues if you have the finances or situation to be able to do so. I’m not sure if you’re located in the US, but I am and this has been my experience (and why I also put a finance disclaimer lol). I know a few off a top of my head, like Vyvanse, Topiramate, and Wellbutrin. I was on the last two, and they had their pros and cons for each, but I felt too anxious on Wellbutrin and too mentally foggy on Topiramate. These medications did assist with weight loss efforts, but it wasn’t worth it too me because of the side effects.

I’m currently not on any medication, but I have lost 20 lbs of the 100 so far. On an individual level rather than a professional one, I have been eating 1200-1500 calories a day and walking about 5 miles everyday. I’ll play Pokémon Go, listen to audiobooks, or listen to music. It’s super peaceful. It’s been really effective, but I also encourage you to on r/loseit. They are an amazing community, and they have a FAQ with more the technical stuff with weight loss. A lot of the users have issues with emotional overeating.

I try to not make the weight loss a chore or to think in black and white terms about what success or failure means concerning losing weight , and to make it fun in a healthy way, like the walking part. I hope this helps, and I wish you the best.