Kim,
What works for me is not limiting myself to any one food group--for example low carb diets, etc. Nothing is off limits, I just have a serving size and move on. As far as fast food, that was never really a problem for me, because I'm not a huge fan of it, so I would say maybe instead of cutting it out all together at first, take it down to maybe once a week, then once a month, that way it is not having a huge effect on your diet if its something you feel like you need to have to feel satisfied. For me, I think its more of a mental thing, if I think I can't have something, I will want it even more. But If you tell yourself, " if I go for one week without binging, I will allow myself to have a small serving of fast food", maybe that will work for you? I wouldn't normally recommend using food as a reward, but once a week to eventually once a month could be just enough motivation to get you eating healthy the rest of the time. Over time, maybe you would be more satisfied with a new outfit at the end of the month, rather than the fast food.
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