A few days ago, I read this article on the Huffington Post by Kimberly Dennis, MD, entitled Eating Disorders: Be the First Line of Defense. I wanted to re-post it here because it includes a lot of educational and statistical information that serves to re-iterate what eating disorders are. It also helps to dispel myths about eating disorders. It seems to me that the goal of this article is to provide a little bit of education to readers to help us become more aware, and possibly apprehend when a friend, loved one, or acquaintance may be exhibiting concerning behaviors related to food. This article is certainly not exhaustive, but I think it provides some basic info that everyone should know! I have copied and pasted the article below.

Eating Disorders: Be The First Line Of Defense

While the majority of us may not work in the emergency room, or even work in the healthcare industry, we can still save lives.

In the United States, as many as 10 million women and one million men are fighting a life-and-death battle with anorexia or bulimia, according to the National Eating Disorders Association. More often than not, dentists can provide the gateway to critical medical treatment for these individuals.

By becoming aware of certain signs and symptoms, you can uncover illness that may otherwise go unnoticed - and untreated. With the right knowledge, you can save a life.

A deadly disease spreads - faster

Eating disorders are potentially deadly, biologically-based psychiatric illnesses. Anorexia nervosa has the highest mortality rate of any psychiatric illness, nearly 12 times greater than any other cause of death among women between the ages of 15 and 24.

What's more, eating disorders among young women are increasing at an alarming rate. Nationally, the incidence of bulimia in women ages 10 to 39 tripled between 1988 and 1993, and continues to grow.

Anorexia typically begins at the start of puberty and is more common among adolescent girls and young adult women. It affects one to two percent of the female population, and 0.1 to 0.2 percent of men. Because more than 90 percent of all those who are affected are adolescents and young women, the disorder has been characterized as primarily a young woman's illness. But it should also be noted that males and children as young as seven years old have been diagnosed with this illness, as well as middle-aged and elderly women.

Patients are diagnosed with anorexia when their body weight falls to 85 percent or less of their normal, healthy weight. Typically, these patients have an obsessive preoccupation with body weight and calories, as well as an intense fear of gaining weight or becoming fat. Their body image is grossly distorted, resulting in an unwarranted psychological impact on how they see and value themselves.

There are two types of anorexia nervosa: the restrictive eating type and the binge-eating/purging type. Binge eaters rapidly consume a large amount of high-calorie food in a very short time - perhaps 1,500 to 3,000 calories or more. Those who purge may do so with self-induced vomiting, excessive exercise or the misuse of laxatives, diuretics or enemas. Approximately 70 to 80 percent of people with bulimia purge by means of self-induced vomiting, while 30 percent use laxatives. Some who purge, however, do so without actually binge-eating first.

Recognizing the danger signs

The physical complications associated with anorexia are potentially life-threatening, since dehydration and malnutrition can damage vital organs. This can result in:

- low blood pressure

- electrolyte imbalance

- cardiac arrhythmias

- thyroid gland deficiencies, which can lead to cold intolerance and constipation

- appearance of fine, baby-like body hair

- bloating or edema

- decrease in white blood cells, leading to increased susceptibility to infection

- osteoporosis

- seizures related to fluid shifts due to excessive diarrhea or vomiting

- kidney damage or failure from chronic use of diuretics

Signs of an eating disorder are:

• Exhibits concern about her weight and attempts to control weight by diet, refusal of food, vomiting or laxative abuse.

• Prolonged exercising despite fatigue and weakness.

• Peculiar patterns regarding handling food.

• Exhibits abnormally fast weight loss, without any other known medical condition.

• Experiences depressive moods and self-deprecating behavior.

If you recognize these signs, fight the urge to remain silent. Remember, denial is a big part of eating disorders - another reason they can become fatal and a major obstacle to recovery. Act in a caring and non-judgmental way, simply stating what you see, and asking how you can help.

Also, you can go to the Web site of the National Eating Disorders Association (www.myneda.org) or call Timberline Knolls at 877-257-9611, and we would be happy to help find a professional in your area. That referral just might save a life.

Kimberly Dennis, M.D., is the medical director at Timberline Knolls (www.timberlineknolls.com). Located in Lemont, Ill., this innovative residential treatment center is designed exclusively for women with emotional disorders, including eating disorders, addiction and self-injury behavior. Dr. Dennis is a member of the American Medical Association, the Academy of Eating Disorders, the American Academy of Addiction Psychiatry and the American Society of Addiction Medicine.

Happy Independence Day!!

July 4th is one of my favorite holidays- I LOVE summer, fireworks, watermelon, and sunny days at the beach. I fully realize, however, that today is March 13 and we are not rapidly approaching July 4th at this point. Why do I even bring up July 4th?? Well, it is the day when we typically celebrate 'independence.' But I started thinking recently that while we celebrate independence collectively as a nation, it is not as common that we individually celebrate our personal independence from struggles or things that have held us back in the past-- or perhaps even from things that we are currently struggling with still that are holding us back. I'm not necessarily talking about making a big public declaration, or throwing a big party to celebrate your independence (if that is what you want to do though, go for it! haha). But personally acknowledging and having a fixed time set aside that exists to remind you and reflect on such a decision can provide great meaning and purpose. I have heard, as I'm sure many of you have, of people marking their days of sobriety- and that is surely a form of commemorating a momentous decision to turn from alcohol or another substance. While (like I said) I am not necessarily suggesting we release fireworks to mark our independence from something, I think that acknowledging the surrender that takes place with such a decision is important and worth remembering and reflecting on.

My intention in writing this post about independence, as weird as it might sound, is to encourage you to consider having an independence day for yourself. What exactly do I mean by this? Well, I think that we all go through things in our lives. I write a lot about body image and eating disorders, but there are certainly other struggles that exist out there as well that you may face!! Whether it is an eating disorder or body image issue, an unhealthy relationship that you find yourself struggling to get out of, an unhealthy habit that seems to control you, dependence on alcohol or an illicit substance, or something else, I think it is SO important to commemorate your decision to turn from whatever it is that is holding you back and is keeping you from being FREE so that you are able to use it as a means of pushing ahead. Of course, we don't all have a specific date or a specific time to commemorate moments like these and that is okay- because turning from an unhealthy behavior or a way of thinking can be a gradual process. The point is that having a specific date isn't necessary. What seems important (to me) is the heart behind this, which is that we are acknowledging a surrender of our will and are choosing to move forward from a certain point on. Surrender does not mean that we don't slip and sometimes fall back into old ways of thinking or acting- but surrender keeps us moving forward as we look ahead to a goal or a way of life that we strive to maintain.

Do you find that you stare at yourself in every reflection, mirror, store window, etc that you walk past, obsessively checking yourself out to make sure you look ok?? Do you feel like you need someone else (a friend, a boyfriend, a husband, a parent, your child, etc) to validate your worth?? Do you feel like you need to be a certain size or weight to be happy?? Do you feel that you need a certain food/drink/drug to feel alive or satisfied?? Are you constantly doubting yourself or being critical of yourself?? Any way of thinking or acting that keeps you from being free is a way of thinking or acting that is not only not helpful for you but serves to keep you in bondage. To start by simply acknowledging and becoming aware of such captivity is the first step. Making a decision to 'be free' is not as easy as it sounds, and requires diligence, faith and hard work!! For some of us, we need more support to experience freedom- whether that is with the help of a friend, a pastor, or a counselor, to walk through that process with.

I would encourage you to consider if anything (person, place, thing) is holding you back in your life and what may be keeping you from becoming the person you were created to be. There is no better way to live than in freedom!! Walter Conkrite said that "there is no such thing as a little freedom. Either you are all free, or you are not free." Sounds pretty obvious, right? Well, if that is the case... and if there is anything that is keeping you from being 'all free' than I would challenge you to take an action step forward- no matter how big or small.

**As an aside, I want to be clear that if you have an eating disorder, simply stating freedom from your ED does not usually make it go away-- and this is not what I am suggesting will happen if you declare a fight against your ED. An eating disorder is a mental illness, and as such, cannot just be wished away. However, your will in fighting your ED is soo important. Maybe your declaration of independence from your ED begins with pursuing professional help, or seeking the level of care that is appropriate and advised for you by a health professional. Or perhaps it means being committed to the recovery process. Whatever this action step may look like, I want to make sure that I am clear on this point! :)

The Price of Beauty

I have to say.. for someone who has undergone SO much public scrutiny, Jessica Simpson appears to have a pretty good head on her shoulders! While I obviously don't know her (and therefore am probably not qualified to make such a statement- ha), I did watch her recent interview with Oprah and I was really impressed by some of the things that she had to say about beauty and the ways that women think about their bodies.

Jessica Simpson went on Oprah to promote her new reality show, The Price of Beauty, that is airing on VH1 (I think it premieres Monday night, March 15th at 10pm) that she was inspired to make after being criticized by the media about her weight and her appearance. I'm sure you all remember (or at least have heard about) the 'mom jeans' incident that occurred this past fall... She was ridiculed for wearing a pair of high-waisted jeans (she described them as her 'mom jeans' haha) and people worldwide were commenting on and writing stories about a photo of her that was taken in this outfit- saying she had gained weight. It was interesting to hear her speak so openly about how this experience impacted her and the degree to which she had to fight to stay strong and confident about her body and her appearance. Her vulnerabilities were real. And to hear someone, who is deemed beautiful in the eyes of the world, share how her self-esteem had severely waivered was sad-- and yet in some ways, relatable for women all across America. It just goes to show that no one is immune to the struggle of body image and self-loathing, and that the media can have a powerful impact on how we feel about ourselves! Simpson shared that she had not spoken openly about the incident until now because she was afraid that by talking about the media calling her fat, she would impress upon other women that they too were fat if they looked anything like her, or happened to be larger than she was (which is most of society!). As she said, and as is true, beauty comes in all sizes, shapes, colors, forms and styles; this was one of the things that motivated her to produce her show.

Simpson's show examines beauty in cultures all over the world. It sounds like traveling and meeting women from different countries was a healing experience for her, and one that she is hoping will be healing for other people as they watch. The way that interacting with women from different cultures and learning about beauty in other countries helped her to gain confidence and a new awareness of the beauty that she had within. Oprah showed a clip from her show (a scene actually where Jessica met with a former French supermodel who was severely anorexic) and Simpson was crying a little bit when the clip ended. Oprah asked her why she was crying, and she said, "It makes me very emotional because the pressure that women feel to be thin or to be beautiful, the pressure that the media puts on women is so unfair and so disgusting, and if i can do something to make it better for people.. that's the reason why I did this show." While the media does not make people anorexic, the media certainly effects the way that we view our bodies and beauty- and it has taken a major toll on too many of our self-esteems and body images!!

Oprah ended the segment by asking her what she had learned about beauty through all of her experiences and how she defines it. Her words? "No one can define it [beauty] but myself. Nobody's words, nobody's compliments, nobody's love. It is all within myself." I think that her message of beauty being within us is an important one. Of course we can have fun with our clothes, our hair, our make-up if we choose to do so, but that is NOT what makes us beautiful- nor is it the size of our jeans, our thighs or our boobs. The things that cannot be seen, the traits and qualities that make us who we are are the things that make us beautiful.

Bruised Body Image??

I came across this picture today and wanted to share it- although unfortunately, I'm having trouble formatting the image so that you can see the entire quote (by Marcia Hutchinson)! Until I can fix it, it says "If you talked to your friends the way you talk to your body, you'd have no friends left." I think it speaks for itself, and I think it speaks volumes. If this quote impacts you, I would encourage you to consider how you might start thinking about your body in a way that might be more kind! Margarita Tartakovsky writes a blog on body image and eating disorders, and she wrote a great post on 'bruised' body image that I want to share with you. While I have posted the majority of it below, I would encourage you to check it out in full here. Not only does she help you to identify if you may be struggling with 'bruised' (or poor) body image, but she also provides some helpful tips for thinking more positively about your body.

Here’s a list of indicators that your image may be suffering more than usual (and ways to fix it below that):

1. You notice only negative things in the mirror, car windows, storefront windows, etc. Instead of seeing your positive physical traits, you’re more likely to be found bashing your body, and nitpicking at every nook and cranny.
2. You have a tough time taking compliments. It isn’t that you’re too polite to take a compliment; it’s that you truly believe you don’t deserve them.
3. You rarely think you look good. Even wearing a favorite outfit doesn’t help you to feel good in your skin. You rarely feel beautiful or even pretty.
4. You compare yourself to everyone. For many of us, comparisons are as natural as breathing. But, while you’re comparing your appearance to everyone else’s, you rarely have anything good to say about yourself. It’s always, “her thighs are so much slimmer than mine.” “Her waist is much smaller.” “I wish I had her body.”
5. It takes you forever to pick out an outfit — more often than not. Do you have a moment — more like many moments — where you’ve been cooped up in your room, trying on tons of clothes? You can’t see your floor, partially because it’s overflowing with clothing and mainly because your face is filled with tears. There’s nothing wrong with your clothes–it’s just that everything is wrong with your body.
6. You skip events because you don’t think you look good enough. How often have you declined an invite to a dinner date, party or other engagement because you felt too fat to leave the house?
7. You criticize your body regularly. “My stomach is gross.” “My thighs are enormous!” Do these phrases resemble your daily mantras?

And the following is a list of some pointers that she gives:

1. Think of the awesome things you can do thanks to your body,whether it’s lifting weights, walking several miles, playing with your child, playing an instrument, riding a bike, helping mom carry groceries, dancing with your significant other, achieving a tough yoga pose or simply wrapping your arms around a loved one.

2. What do you like about yourself, beyond your body? Create a list of your positive qualities and achievements, and if you need extra reminding, put the list on a note card and stash it in your purse.

3. Hang out with positive people, who appreciate and support you, who see beyond appearances to who you really are.

4. View exercise as fulfilling, not punishing. Instead of working out to eliminate calories or fit into some bikini (all things that, unfortunately, many magazines and some so-called experts recommend), choose ways to stay active that you enjoy and that make you feel strong and good about your body. There are tons of options for leading an active lifestyle: walking, hiking, biking, workout DVDs, gym membership, yoga, Pilates, dancing, tennis. There’s nothing wrong with you if you don’t like the latest workout craze. Pick something that resonates with you.

5. Worrying about your weight and body is exhausting and strips you of valuable time. Consider all the good things you miss out on because you’re too busy criticizing yourself. You overlook other opportunities, whether it’s the opportunity to self-reflect (instead of nit-picking at your thighs or waist, focus on being kinder to yourself and others), spend time with loved ones or read a good book.

Happy Monday to everyone and hope you all have a great week!! Think good thoughts about your body and what it can do for you. Be kind to yourselves!

Opportunity!!

I wanted to let you all know of a cool opportunity (media inquiry) that I have read about it in a few different places recently-- read below to find out about how you might help out a reporter writing a story on the link between mothers and daughters and body image/eating disorders.

The ad is posted below:

"I'm looking for women in their 20s and 30s (and hopefully some of their mothers) who have struggled with eating and body image. At this point I need women who struggled with these issues but didn't necessarily have clinically-defined eating disorders. So, women who have struggled with bingeing, purging, restricting, body-loathing, and feel like their attitudes are connected to their mothers behaviors and attitudes. If this is you, and you'd be willing to share, I'd really appreciate it. You can contact me at dekapp@mac.com.

Best, Diana Kapp"