Among the lesser-known and less-studied eating disorder behaviors is chew and spit (CHSP) behavior.
This behavior consists of chewing a highly palatable and energy-dense food and spitting it out instead of swallowing it.
The intent of chewing and spitting is to enjoy foods flavor without ingesting calories.
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CHSP is similar to bingeing because it involves larger than intended quantities of high-calorie foods.
It also shares elements of restrictive eating because the food is not actually consumed.
Chewing and Spitting in the DSM-V-TR
Initially, spitting was believed to be an alternative to purging.
Therefore, the behavior was primarily studied in individuals withbulimia nervosa.
Potential Causes of CHSP
Eating disorders can impact people from all different walks of life.
A preoccupation with body image and a desire for control are commonly associated with eating disorders, like CHSP.
If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor.
If you or a loved one are in immediate danger, call 911.
For more mental health resources, see ourNational Helpline Database.
Proper mental health support can help reduce further physical and emotional damage.
Diagnosis and Treatment
The shame and stigma associated with CHSP can be a barrier to seeking treatment.
As with other eating disorders, psychotherapy and nutritional counseling can help.
Speak to your loved one about your concerns and encourage them to accept help from a qualified professional.
There are ways to find peace with food and body image.
Sometimes, we just need a little extra help and support to start moving in the right direction.
2021;29(5):509-522. doi:10.1080/10640266.2019.1695449
Cleveland Clinic.Eating disorders.
Bachmann S.Epidemiology of suicide and the psychiatric perspective.Int J Environ Res Public Health.
2018;15(7).
doi:10.3390/ijerph15071425
John Hopkins Medicine.What are the health effects of chewing and spitting out food?.
National Eating Disorders Association.Other specified feeding or eating disorder.
