Is there really such a thing as food addiction?

Trust your gut on this, food addiction is real and sugar is the worst.

While I have expertise with other mental health issues and all addictions, food addiction and weight control are my specialties, so I’m going to give you a thorough answer.

Food addicts have been telling people about food addiction for years and have been largely rejected by everyone, even addiction "experts". However, the evidence is in and it is overwhelming. People get addicted to food. Brain imaging scans show that the brain activity that occurs with sugar is the same activity that occurs with cocaine and heroin. The activity that occurs with sugar thoughts and cravings is the same that occurs with cocaine thoughts and cravings. It isn't your imagination. It is real.

However, even though some people needed pictures of brain activity to be convinced, anyone paying attention to clinical diagnostics and the experience of compulsive overeaters and binge eaters should have seen the obvious ages ago: some people have the same addiction experience with food as you see with addictive drugs.

Here's the list of criteria that's used to diagnose substance dependence in the Diagnostic and Statistical Manual of Mental Disorders, the official publication of the American Psychological Association. Substance Dependence is the clinical term for addiction:

1. Tolerance, as defined by either of the following: (a) A need for markedly increased amounts of the substance to achieve intoxication or the desired effect or (b) Markedly diminished effect with continued use of the same amount of the substance.
2. Withdrawal, as manifested by either of the following: (a) The characteristic withdrawal syndrome for the substance or (b) The same (or closely related) substance is taken to relieve or avoid withdrawal symptoms.
3. The substance is often taken in larger amounts or over a longer period than intended.
4. There is a persistent desire or unsuccessful efforts to cut down or control substance use.
5. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.
6. Important social, occupational, or recreational activities are given up or reduced because of substance use.
7. The substance use is continued despite knowledge of having a persistent physical or psychological problem that is likely to have been caused or exacerbated by the substance (for example, current cocaine use despite recognition of cocaine-induced depression or continued drinking despite recognition that an ulcer was made worse by alcohol consumption).

One must have three of these things occur in a one-year period to make the diagnosis. Many "foodies" have had more than three of these things for years, continuously. Food addiction is real and it is common. The foods that are most often cited are sugar, salt, and fatty foods. We are prone to get addicted to anything highly pleasurable or palatable.

Now, to the more complex part of your question: Must one abstain totally from the addictive food to solve the problem, as one does with alcohol or cocaine in order to recover?

It's impossible. Refined sugar would be possible to avoid, but sugar is a naturally occurring nutrient that exists in many foods. You can't eliminate it completely unless you stop eating all together! Adding to the complexity is that we are hard wired to experience pleasure when we eat, regardless of the food. The pleasure centers of our brain are activated when we eat or do anything that feels good, which is why people get addicted to lots of things like gambling, sex and video games, to name a few, not just drugs. In fact, some people are addicted to food, regardless of what's in it. It's not the sugar, salt, or fat. It's the chewing and swallowing of any food that they are addicted to.

This is why overeating is the trickiest of the addictions to recover from. With drugs, we lock the beast out, but with food, we let it back in every day.

People who have a particularly difficult problem with a particular food (you know what they are) will need to eliminate them from the house and their routine, but that won't solve the food addiction problem. There will still be problems with other foods. If you eliminate refined sugar, things will be better, but the addiction will remain.

Successful therapy for food addiction targets management, not total abstinence. My successful therapy for permanent weight loss is based on the addiction model, but our goal is not abstaining. It can't be. Our goal is a managed behavior, and we are successful with a highly structured program of eclectic therapy, more than we can describe here. You can learn more about it at my website, http://www.TheAndersonMethod.com .

In Behavioral Medicine, the traditional way to extinguish addictive substance use behavior is to totally shut down the experience of reward with the substance, to totally abstain.  Then, the flame that drives the addiction dies off. Need, cravings and obsessions die away. That's why they call it extinguishing. But with food, this is not possible. So with food addiction, another solution is needed. That's what The Anderson Method is, radically different, a way to change the addiction to overeating to an addiction to healthy eating. Rather than trying to abstain, we are learning a new way to partake.

So the answer is yes, you can be addicted to food. And no, successful recovery is not a matter of abstaining completely, as it is with alcohol and cocaine. It's more complicated than that. However, you can live with your food addiction, master it, and free yourself from its grip and the weight problems it causes. I was out of control with food and an obese diet failure for 25 years until I found the answer. Then I lost 140 pounds and I've maintained my success for over 25 years. Now I teach others. You may be a food addict, but you don't have to be a slave to the addiction.