Whether or not you have a specific eating disorder can only be determined by an in-person, mental health evaluation. Binging and purging is unhealthy and most often requires professional mental health treatment.
You are correct about binging and purging damaging your body. Eating disorders have the highest mortality rate of all mental health disorders. Eating disorders can cause severe malnutrition and many sufferers die from heart failure or organ damage.
You should not be ashamed to discuss these issues with your psychiatrist. Without your input and honesty, your psychiatrist cannot properly treat your condition. Your silence is severely hindering your care.
Seeing a psychiatrist might not be enough for you. The most effective treatments involve both medication and therapy. Cognitive behavioral therapy (CBT) is particularly helpful for the treatment of eating disorders. CBT can help you to identify and alter the irrational thought patterns that may be underlying your self-harm activities. Studies consistently show that therapy for eating disorders is quite effective.
I would strongly urge you to discuss these issues with your psychiatrist. Ask him or her for a referral to a therapist. Do not continue to keep this problem a secret because you may be doing irreversible damage to your body. There is no reason for you to continue to suffer with problems that are highly treatable. Please take care.
Dr. Kristina Randle