Jenni Schaefer on Recovery

It's been a busy few days for me and it's time for bed, but I read a great piece today on eating disorder recovery written by Jenni Schaefer that I want to point you all to! It is a pretty challenging read for those of you who may be contemplating giving up your eating disorder, for those of you who are in recovery, and for everyone in between. Follow this link to check it out, or see below for a copy/pasted version.

Eating Disorder Recovery: Easier On The Other Side

If you are waiting for recovery to be easy, pull up a chair. You will be waiting for a long time. Ed (aka “eating disorder”) will gladly sit by your side and wait with you. To sabotage your success, Ed will even act like he supports certain aspects of your recovery.

If you like to read, Ed will say, “Just read this book about recovery, and you will be fine.” He will let you read the book, and congratulate you on doing it, but he won’t let you follow any of the guidance inside that will actually help you.

If you enjoy being around people, Ed will say, “Go to that therapy group, and get some help there.” Ed will let you go to the group, and may even let you participate, but he won’t let you talk about what you really need to talk about in order to heal.

If you like to surf the Internet, Ed will say, “Here’s a great website for you. Go ahead and join the online recovery forum.” He will let you join the online forum, and he will convince you that logging on is more important than eating.

Books, groups, and online resources can all be very helpful tools in your recovery. Just remember that recovery takes full commitment and real action. Real action is not simply opening a book, walking into a group room, or logging onto some website.

If you read a book about recovery, fully commit to the ideas in it that will make a difference in your life, not just the things that are easy to do. If you are in group therapy, talk about the issues that, deep inside, you know you need to discuss. If you are active in an online recovery community, use the positive support from online pals to hold yourself accountable to taking real action in your recovery. It’s not enough to just look at the tools—you really do have to use them.

Real action means drastic change. It also means realizing that Ed will sit by your side and try to sabotage you every step of the way. Ed will even use content from recovery books, groups, and websites to try to fuel his cause. Be aware of this and guard against it, and do what the books, groups, and websites suggest that is pro-recovery. Now that’s action.

The Big Book of Alcoholics Anonymous says, “Half measures availed us nothing.” If you only do eating disorder recovery half way, at most, you will get a half way recovery from your eating disorder. In my experience, you won’t even get that.

During early recovery, I believed that insight would inspire change. I thought that if I just knew enough about eating disorders, and understood myself, I would get better. I learned as much as I could from all of the resources available to me, and I waited for a magical change. I waited for the urge to binge to just go away. I waited to fall in love with my body. I waited for my fear of food to simply subside. And Ed waited right along with me.

I waited. I waited, and I waited some more. I would still be waiting today if intense pain had not pushed me into taking some real action. In my personal experience, pain and discomfort have most often been the motivating factors to get me to change. (For the record, I don’t think it has to be this way. That is why I write about my experiences. I hope that other people won’t have to reach the same level of pain I did before making changes.)

In my recovery, taking action meant tackling the food directly. I stopped purging after bingeing. I also did my best to not binge, which meant tolerating uncomfortable feelings (to say the very least). I ate without restricting. My body changed accordingly, and I felt awful. I felt so bad that I told my mom many times that I would rather be dead than to live that way any longer. I hated the way my body was changing, and I hated how it made me feel inside even more. I felt like a different person entirely --- someone I didn’t know or like. I felt trapped.

When we fully commit to recovery, we are signing up for hurt. Full commitment means we no longer make decisions based on how we feel in the short run (turning to Ed for immediate gratification), but instead we make decisions based on our long-term goals of health and a full recovery. In the beginning, success can actually feel fat and miserable. So stop waiting for things to be easy and start looking for the hard part. Tackling the difficult, ironically, is when the “easy” will find you. If you push through the pain and move all the way to the other side, you won’t have to keep facing the same hurt over and over again. You will be well on your way to freedom.

Life is, in fact, much easier on the other side of the eating disorder. I am not afraid of food, I don’t get the urge to binge, and I love my body. Yes, I said “love”! Today success feels strong and joyful, no longer fat and miserable. I can’t wait for you to get to this point, too.

And you can’t afford to wait either! So, stop waiting and start changing.

Appointed to the Ambassador Council of the National Eating Disorders Association, Jenni Schaefer is a singer/songwriter, speaker, and author of Life Without Ed and Goodbye Ed, Hello Me. She is a consultant with the Center For Change in Orem, Utah. For more information, visit www.jennischaefer.com.

I read a great blog entry a few days ago on parents, adolescents and body image-- topics that have been on my mind a lot lately due to the nature of my work! For parents who are trying to navigate the rough waters of a child or teenager who is struggling with an eating disorder and poor body image, it can be daunting and difficult to know how to respond. For this reason, I often recommend a great book to parents called The Parent's Guide to Eating Disorders, written by Marcia Herrin and Nancy Matsumoto. I had a chance to ask Dr. Herrin a few questions which I will share with you below; she happened to also write the blog entry that I mentioned. Whether or not you are a parent, I think this information can be helpful because you likely have parents yourself, or parental figures in your life, or maybe you know young adults, children or teenagers that you work with, mentor, teach, volunteer with, etc.. While some of this info may not apply directly, some of it can be adapted to encourage healthy attitudes with food. To access the blog that Dr. Herrin writes with Nancy Matsumoto (who is doing some exciting work with athletes and eating disorders that I look forward to sharing with you soon), follow this link- the blog entry is copy and pasted below as well.

Watch Dieting and Bad-Body Talk in front of your Kids

In brand-new, not yet published research, my friend and colleague Dianne Neumark-Sztainer and colleagues at the University of Minnesota and the University of California, San Diego have found that messages from parents about weight and body image have a significant effect on adolescent body image. I have worked with a number of families in which a child, usually a daughter, is all of a sudden worried about her weight triggered by a parent who is dieting and/or talking a lot about how much she (or he--dads can have an affect here too) doesn’t like her body. I tell parents that if they are going to diet, DON”T TALK ABOUT IT!! in front of the kids. Dianne’s group also found that when parents when parents eat well, overweight teens tend to follow their example. Watch for this study: Family Weight Talk and Dieting: How Much Do They Matter for Body Dissatisfaction and Disordered Eating Behaviors in Adolescent Girls? in next issue of the Journal of Adolescent Health.

I think that it is important to point out that parents are not to blame for eating disorders!- however, there are ways that a parent can impact her child for the better and support the child in such a way that is effective! I had the awesome opportunity to ask Marcia Herrin, a nutritionist specializing in working with eating disorders and weight issues, a few questions, and wanted to share some of the helpful tips that she suggests for parents. Dr. Herrin is very respected in the eating disorder field- she founded the Dartmouth College Eating Disorders Prevention, Education and Treatment Program. She has a masters in public health as well as a doctorate in nutrition education. She currently runs a private practice and works with children and adults struggling with eating disorders and weight issues. For more information on Marcia, follow this link.

Me: You and Nancy have partnered together in your book The Parent's Guide to Eating Disorders. This book provides a lot of very helpful information for parents who may be worried about their children's eating attitudes and behaviors. If you could share two or three helpful tips for parents raising children, what might you say to them to help them to encourage healthy attitudes about food?

Marcia: Do not comment on your child's weight. Eat together as a family as often as possible. Do not talk about dieting or weight issues (yours or anyone else's) in front of your child. Do make sure lunch and dinner meals include protein and dessert.

Me: If you are a parent who suspects that your child is struggling with food, whether an eating disorder or disordered eating, what steps might you encourage them to take to help their child?

Marcia: First call your child's doctor or your area's most respected expert for their assessment of the situation. Then talk directly (calmly and kindly) to your child about your concerns and observations. Let them know that you are worried but not mad. In our book we say if you are "open, receptive, curious, honest, tentative, and work hard at understanding your child's point of view... no matter what words you use, your chances of success will be greater."

Me: Chapter 8 in your book is wonderful. It touches on body image and the ways that our own body image affects the body image of our children (and by extension those around us). Can you share a little bit about how a parent's negative or unhealthy view of their body or food can affect a child? Do you have any advice for parents who struggle with their body image or self-esteem?

Marcia: "Keep it to yourself" is the advice I give parents about their own struggles with body image or self-esteem. One of the riskiest situations is when a child observes one parent teasing the other about their weight or eating habits. Parents, even if they struggle to believe it themselves, need to preach "it is not what you look like that matters; it is who you are as a person and what you do."

Me: You write about PAMS (Parent-Assisted Meals and Snacks) and appear to have much success with this model, which has been adapted slightly from the Maudsley method. Can you share the heart behind this method and the success that you have seen with teenagers that you have worked with?

Marcia: One strength of PAMS comes from "saving face." When parents take over responsibility for the eating disordered child's food, the child has to eat even if she doesn't want to. She doesn't have to give up her eating disorder. She can relax knowing her parents aren't going to let her starve to death. She doesn't have to agree to eat, she is made to eat. PAMS helps parents know what and how much to feed their child. Some parents can figure this out on their own, but PAMS helps parents who are stressed and overwhelmed by their child's eating disorder hit the ground running with an approach to food that works. I have been in the field of eating disorders for nearly 25 years and I have never seen any other technique turn an eating disorder around as dramatically as PAMS does.

For more information on PAMS and other related topics, check out The Parent's Guide to Eating Disorders. If you are a parent who struggles with body image or food, the most important thing that you can do for your child is to work towards being healthy yourself! Whether that means seeking out a nutritionist, a therapist, or a consultation with your doctor, it is critical for you to be the very best you that you can be, for you and for your children! When Marcia says 'keep it to yourself' regarding your struggles, she means do not talk to your children about it. But it is okay and vital to talk about it with professionals, friends and family members if you are dealing with these feelings and behaviors.

Love Yourself.

I just read this opinion piece on CNN.com about dieting and wanted to highlight it because it is definitely worth the read (and it fits in especially well with all my recent posts about dieting and New Year's resolutions!!). Dr. Leo Buscaglia's quote above is also one that you may want to go back and re-read a few times after you read this article as well! Anyways, the author of this piece, Dr. Divya Kakaiya, is a psychologist who has been treating eating disorders since 1985; she is also the clinical director and founder of Healthy Within, an eating disorder treatment center in San Diego. Her main premise in this article: don't diet. While she writes from the perspective that dieting mothers do not set a good precedent for their children, whether or not you are a mother does not make this article more or less relevant. I would encourage everyone to check it out. You can follow the link above, or read it below. Enjoy! :)

Welcome to 2010. What is your New Year's resolution? Are you planning on investing more money into the annual $40 billion dieting industry? If so, please think again.

As we start our work week, many of us are looking in the mirror and saying "Yuck. I feel fat, uncomfortable and need to go on a diet."

Dieting and the language of "fat" have become so normal that we don't think twice before we say, "I have to go on a diet, I have gained so much weight."

If we are parents of teenagers, we may as well be saying to them, "Change yourself, fix your body. You're not perfect and never will be." Is this how we want to empower our youth?

You spend countless hours raising your child with the values of honesty, integrity and the importance of the work ethic. But if you are dieting and complaining about how fat you are, you could be putting your teenager at risk for an eating disorder. As a psychologist who has been treating eating disorders since 1985, I worry that there could be a connection between dieting parents and teenagers who develop anorexia or bulimia.

The 6-year-old girl who is watching her mother suck in her stomach in front of the mirror is going to look at her belly poking out and immediately think that she is fat.

How awful that we just inadvertently planted the seed of lifelong discontent with her body into the innocent mind of a 6-year-old.

We have to be mindful of what we really want to emphasize as important. In this quick-fix world of Botox, plastic surgery and fad diets, our children are not being taught how to tolerate discomfort and how to work hard and patiently.

"Now" is the demand word that parents feel compelled to cater to. We could be creating a generation of self-obsessed, narcissistic children. Do we really want them to feel that the glamour of "Gossip Girl" is the goal of their lives? We must draw the line by examining our own core values.

The majority of us know that the quick fix is not going to work, yet we feel compelled to throw ourselves into the despair of broken diets, broken resolutions, broken promises and worse, a pervasive sense of shame that attacks the core of our being.

We are so inundated with messages that are constantly redefining what is healthy that in our confusion we forget what is normal eating and a healthy, balanced lifestyle.

The "diet monster" gobbles up our self-esteem and makes us return to that unfaithful lover again and again, only to drop more money into that $40 billion pot. We could use that money to educate millions of brains each year, better our schools, reduce poverty and attend to our elderly.

Of course, eating healthily and staying active are very important. But of those who lose weight through dieting, 98 percent gain it back again in two years. Diet is a four-letter word that begins with "die." Isn't that ominous enough?

This year, create an intention not to diet.

When you do this, you are consciously rejecting the appearance-obsessed, materialistic culture that inundates us. An intention to honor your soul instead of your appearance -- to choose to give back in the community, volunteer, give time to the elderly -- will make you feel stronger.

Instead of spending time counting calories or going obsessively to the gym, donate those hours to a shelter for abused women. Love your body. This year, make it your intention to teach your teenager to reject the appearance-obsessed world she lives in and have her give her heart instead of changing her body.

Caution: This approach might make you start to love your body and you may waver on your New Year's resolution to lose weight!

As January unfolds, we are going to be blasted with commercials from multiple sources, with each one touting a permanent relief. The net result of these commercials is to get us to continue to hate our bodies so that these diet companies can make money off our body hatred.

There is also a political reason for women to be held to a high "thin" standard of perfection. We are then no longer a threat to anyone who wants power. "Body Wars" keep women in their place and are economically driven.

Let us assert our power by rejecting the dieting mantra, and standing our ground.

Who Do You Want to be in 2010?

So, in my last post, I talked a little bit about behavioral change, neural pathways and New Year's resolutions (yawn- haha). I think one of the important points that I was trying to make is that change can be difficult. However, it is not impossible or too difficult to attempt! I am all for change and love when people become inspired to grow and change in any way- that is one reason I do what I do! I think it is important though to be educated about the process of change as it helps to make sense of why some changes can be more difficult to make than others (which goes back to neural pathways, the brain and emotions).

I am going to rewind for a minute and talk strictly about New Year's resolutions and the pervasive nature/themes of New Year resolutions. If you were to take an inventory of the last few days, or even the last week, how many articles, commercials, conversations or facebook statuses have you noticed or observed that have had to do with weight loss, calories, fitness regimes, detox diets, plans for getting in shape, etc... ? I know that I have seen and encountered countless. I think often times New Year's resolutions are synonymous with weight loss and fitness goals. Out of curiosity, I googled New Year's resolutions to see what would come up, and about.com's top ten list of the most common resolutions popped up first in my search. Up to this point, I had never heard of about.com, but I am a sucker for lists and couldn't pass up finding out what made their top ten. Here it is:

1. Spend more time with family and friends.
2. Fit in fitness
3. Tame the bulge
4. Quit smoking
5. Enjoy life more
6. Quit drinking
7. Get out of debt
8. Learn something new
9. Help others
10. Get organized

It didn't surprise me at all that two of the top ten resolutions involved fitness or weight (as it reflects the values and messages that our society and media hold), but what did surprise me was that helping others, learning something new and enjoying life more were all on the bottom half of the list. There is certainly value in being healthy, and I think health should be a priority. If this means that in order to be healthy, you need to gain a few pounds, or lose a few pounds, then I encourage you to pursue health. But it is important to view health not solely as a physical thing- our health is more than just a physical measure. It also includes our mental health, our spiritual health and our emotional health. I think before we make any resolutions, or goals for ourselves, we may need to step back to see if these goals are consistent with our values and who we want to be before we move forward with them!

Maybe one thing that you can do instead of making a list of New Year's resolutions is to think about the kind of person that you want to be in 2010. Take a close look at what is influencing and shaping you as a person. Is it friends? Is it the media? Is it God? Is it family? It might be helpful to consider the sources of influence in your life, and decide if they are positive and helpful in becoming the person that you were made to be! I heard someone wise say that whether we know it or not, we all worship something based on how we live our lives and what we give our time, our attention, and our thoughts to. For some of us, there are great obstacles and challenges to overcome in order to be the person that we want to be, but there is hope in pursuing a life that is filled with meaning, intention and purpose. I would encourage you, as I encourage myself as well, to examine the kind of person that you want to be, the character traits and qualities that you want to exhibit, the experiences you want to have, and the life you want to live- and move forward in a direction that is consistent with those things.

Happy New Year!!! :) :)

Happy New Year everyone! I hope that you all had a happy and safe holiday! I am so thankful for this past year of my life and for all that I learned both professionally and personally. I am really excited that 2010 is here and I am optimistic that this is going to be the best year yet. I love that a new year affords each one of us opportunities to experience new things, try things differently than we have in the past, and to make a fresh start... which brings me to the subject of ...New Year's resolutions!

I personally think New Year's resolutions are a little over-rated. And, according to a study I read recently, which stated that 92% of new years resolutions are not kept, I would say the experts probably agree with me (ha ha) :). To be fair, I found many conflicting statistics about how many people actually keep their New Year's resolutions- the general theme though is that more than half of people that make resolutions do not keep them. Why is this?? Well, I am sure there are lots of different reasons, but I would imagine that it has to do with people having unrealistic expectations and goals as well as desiring to make behavioral changes that require the brain to make actual physiological changes. This process which involves the creation of new neural pathways in the brain is probably a topic for another blog post, but I have provided some basic background information below (courtesy of a site that you can also view below) that may be helpful for conceptualizing behavioral change.

Neural Pathways

The basis for working with, and modifying, habits comes down to the creation and reinforcement of neural pathways.

Neural What?

Our brains are made of neurons. If you imagine the habit of putting on your seat belt, there is a sequence of events that occur. You sit, your arm reaches across to grab the belt, your arm pulls it across your body, and then inserts the buckle. For the sake of this example, imagine there is an individual neuron responsible for each step. All the neurons connected together to form this action, this behavior, is a neural pathway.

Once these pathways are established, and are 'triggered', they function automatically. Depending on how they were created, and what reinforcement they have had, they can be very difficult to change.

Behaviors, Habits and Beliefs

If you consider a simple habit, like locking the door or putting your seatbelt on once you get in your car, it is an automatic function. You do not consciously think about doing it. It is a dominant neural pathway generally created via repetition. Most people can change this habit given time and reason. People that have had a traumatic event around one of these functions, such as being followed to their car or experiencing an auto accident, may have a much more difficult time changing this habit. Their neural pathway was created by repetition and reinforced by strong emotion. If they were to try changing this behavior, they would be working 'against' a dominant neural pathway with a strong emotional association.

To find out more info about the brain and behavioral change, and how neural pathways are created and re-created, click here! Very interesting stuff. And on a side note, you may get where I am going with this as it relates to eating disorders and eating disorder behaviors.... but the habits and repetitious nature of particular compensatory behaviors (purging, etc) make change very difficult. More on this later, but this is an important physiological piece in eating disorder treatment/recovery and so I want to come back to this! I do want to say that this information is is no way meant to provide an out for people in that it relieves one of taking responsibility for his or her actions, but it is important for us all to be educated about the process of change and how truly difficult it is! I don't know of many who think that change is a simple process, but this provides more evidence that change is not typically an easy 'snap your fingers and voila' kind of process.

So, what does this all have to do with New Year's resolutions and more importantly, body image and weight? Great question! :) I am going to follow up with another post on this shortly. I sort of got sidetracked on the neural pathway train, but my thought process is that culturally we all tend to make various resolutions for the new year, and I wanted to examine this process.... especially since most people have resolutions that involve going to the gym more, losing weight, ... resolutions that are focused on weight and our bodies. If you are reading this, please check back in soon for more on resolutions!! And again, Happy New Year!!!!

ps- the site used in this post as a mini tutorial on neural pathways is a hypnosis site- as a disclaimer, i do not use hypnosis nor do i know much about it. i am not promoting hypnosis, i simply appreciated the clear and simple manner in which this site detailed information on neural pathways!