It's Time to Talk About It!

National Eating Disorders Awareness Week (NEDAw) is in full swing. In my last post, I shared about the mission and goals of NEDAw, so if you missed it, take a look! This year's theme is "It's Time to Talk About It" and the hope is for everyone to do just one thing! If we all do one thing, no matter how small, think about the attention we can bring to highlight a major psychiatric illness in our society that is often very misunderstood! One suggestion for doing one thing (compliments of NEDA- National Eating Disorders Association) is to use your social networking sites (think facebook, twitter, etc...) to post some kind of link or information about eating disorders that may serve to initiate conversations or educate people about eating disorders. Margarita Tartakovsky wrote a blog post on some myths and facts about eating disorders that might be of interest (you might learn something yourself too- this is a great list)! Below is the list that she made with the help of some eating disorder professionals (access it in full here). I would encourage you to read it, but also to pass them on to someone this week in order to raise awareness about the facts behind eating disorders!

Eating Disorder Myths

In honor of NEDA’s theme, let’s talk about eating disorder myths and facts. There are many misconceptions surrounding eating disorders. I’ve asked several clinicians to share a few myths and facts.

Myth: Media is the primary cause for the development of most eating disorders. (Julie Holland, MHS, CEDS, Eating Recovery Center)

Fact: Although recent surveys have confirmed that adolescent girls get much of their health information from the media, media messages themselves are not a primary cause of eating disorders. Messages that promote an unrealistic thin ideal can set unrealistic standards regarding body size and shape. The fact is, media messages have the ability to positively or negatively affect one’s body image and/or self-image based on the message and how it is presented. It is important that we teach individuals critical thinking when looking at media images.

Myth: Eating disorders are triggered by a desire to be thin.(Emmett R. Bishop, Jr., MD, CEDS, Eating Recovery Center)

Fact: Eating disorder behaviors do not develop merely because an individual has a longing to be thin. For instance, an individual who does not know that he or she has wheat or lactose intolerance may develop a fear of food due to the discomfort or pain it causes. Someone in chemotherapy or with a gastrointestinal disorder may stop eating to avoid nausea.

Myth: Eating disorders are a choice. (Julie Holland)

Fact: Although individuals may choose to start a diet or engage in certain behaviors, eating disorders themselves are not a choice. People do not choose to have anorexia or bulimia. These disorders develop over a period of time and require various levels of treatment to address complex symptoms including medical, psychiatric and other underlying issues.

Myth: You can tell if someone has an eating disorder just by looking at them. (Marla Scanzello, MS, RD, Eating Recovery Center)

Fact: Many people with eating disorders are of normal weight, or even overweight. Weight is not a tell-all sign of an eating disorder. Furthermore, eating disorder patients can become quite skilled at hiding their disordered eating behaviors.

Myth: People with eating disorders will eat normally / recover when they choose to do so. (Dr. Ravin)

Fact: This myth implies that EDs are willful behavior and that a patient can simply make a choice to recover. Thus, it blames people with EDs for having an illness that is not their fault. Most people with EDs are not able to eat normally on their own; they require significant outside support (nutritionist, parental support in refeeding, residential tx, etc.) in order to normalize their eating habits.

Myth: Developing a positive body image is not that important in the overall recovery from an eating disorder and should be worked on towards the end of the recovery process. (Carolyn Jones)

Fact: A continued negative body image is one of the main contributing factors to a relapse in the eating recovery process. Improving a person’s body image is one of the hardest and most time-consuming things to change in the healing process and should be undertaken early during treatment.

Myth: Eating disorders are not deadly. (Kenneth L. Weiner, MD, CEDS, Eating Recovery Center)

Fact: In all actuality, it is quite the opposite. Eating disorders are the deadliest mental illness. A woman with anorexia nervosa is 5.6 times more likely to die than another woman of her same age. The most frequent causes of death from eating disorders are suicide (32 percent), complications associated with anorexia (19 percent), and cancer (11 percent). The average age of death for an individual with anorexia is only 34 years.

Myth: You can never fully recover from an eating disorder. (Julie Holland & Sarah Ravin)

Fact: According to Holland, “Recovery takes commitment, dedication, hard work and time. However, full recovery is absolutely possible through finding the appropriate treatment professionals and program.”

According to Dr. Ravin, “The people who believe this are probably those who did not receive treatment, received inadequate or low-quality treatment, lacked the necessary social support, or were never pushed to reach and maintain an ideal body weight and stay there long enough for brain healing to occur.The underlying biological predisposition will always be there, but people can and do recover fully from EDs. I’ve seen it happen many times.”

Of course you are not limited to posting this information on your social networking sites! There is a lot of great information on NEDA's website (follow this link to access their information/resources page) as well as on many other sites. Maybe you can re-post a blog, an article, or the name of a book that you have read and enjoyed about body image, eating disorders, etc... Anything that you can do to help raise awareness is meaningful. We often hear so much in the news about schizophrenia and Alzheimer's (which are both worthy of our attention), but would you be surprised to learn that eating disorders impact five times as many people as schizophrenia? And eating disorders affect double the number of people with Alzheimer's? (These statistics were taken from John Grohol, PsyD, of PsychCentral). This information does not serve to take anything away from either of these illnesses, but rather the purpose is to illustrate the prevalence of eating disorders as psychiatric illness. If you have learned anything new from this blog post (or even if you haven't!), I would encourage you in honor of this week to share something new with your families, friends and loved ones because it's time to talk about it.

The Taco Bell Diet and Facebook

Maybe I am the only one who is a little skeptical about this (I doubt it), but ... is theTaco Bell Drive Thru Diet for real? I was eavesdropping in public the other day (haha) and I heard someone talking about it. I remembered seeing a few commercials advertising it back in January, but I tried to forget about it because it was so laughable to me. I did just google it though to make sure I wasn't making this up (and I'm not!). But it is very reminiscent of the whole Subway diet craze that was big awhile back when Jared, the Subway guy, lost a bunch of weight after eating all of his meals at Subway. It's always so interesting to see what the latest fad diet is because there is always a new one, and it always promises drastic results, and fast! It seems like we should all know by now that typically anything that requires little effort and big change equals major scam. These fad diets are silly. Why?? Because diets don't work!! Do you think it's a coincidence that there is an asterisk at the bottom of Taco Bell's website that says 'results not typical' ?? I hope you all aren't getting tired of reading about the myths of dieting, but I like to re-post on dieting about once a month, because I feel that strongly about this subject. And I think that the diet mentality is so pervasive in our culture that it is good to be reminded about the false promises that diets offer. Anyways, all that to say, diets do NOT work! Follow this link to read more on why they don't and how the diet mentality can keep us from moving forward.

On a completely unrelated note, I wanted to propose a challenge to any of you reading this who are currently active on facebook or other social networking sites. One thing I have been noticing, especially since the beginning of the New Year, is that there have been a lot of statuses/updates involving fat talk, calorie counts, reports on workouts and how many calories you burned yesterday or want to burn tomorrow, dieting reports, what you shouldn't have eaten or what you wish you could eat, etc. Please know that I am not judging and my heart about this is not one of judgment. Really! But I started thinking that maybe by decreasing some of this, we can help ourselves and each other focus on things that are more productive and that deserve our time and attention more than these things do. It is good to be healthy!!, but our health is more of a personal thing that does not necessarily need to be shared with all of our facebook friends. And some of our thoughts about food, exercise, etc, may not be healthy; our choices about food and exercise are personal ones, and by sharing calories, diet reports, etc, you may be triggering other people to think unhealthily about themselves.

One of my all time favorite quotes is something that Cynthia Bulik said in reference to the time we give to thinking about food, weight, dieting, calories, etc. She said, "Imagine what women could accomplish if they spent that time and energy on things other than body issues." When put like that, it is so encouraging to think about all of the things that we can do instead and the difference that we can make not just in our own lives but in the lives of others!! So if there is one thing you can do today, just think twice before you post a status on facebook or before you tweet about your bad body image, or how tight your jeans are, or how many calories you burned at the gym, or how you ate too much tonight, etc. I would imagine that if we all try this, we might be surprised at the positive effect it could have on how we feel about ourselves and others!

Michelle Obama's Campaign to Fight Childhood Obesity

I have seen a lot in the news this past week about Michelle Obama's campaign to fight childhood obesity. And I have really been wanting to write something about this because I have had some thoughts that I want to share-- but I think I have been slow to do so because I never want my blog to sound like a diatribe against society or pop culture or the media or different individuals or (fill-in-the-blank). Yes, I like to think critically; and yes, there are things from time to time that need to be called out. But the purpose of my blog is not to point these things out that I observe or read from day to day for the sake of being critical. I am MUCH more interested in raising peoples awareness and encouraging others to think about the ways that we view ourselves, our bodies, beauty and eating disorders- and that is why I blog! When I read statistics about women, young girls and even men- really everyone!- I am always surprised to find out just how far people will go to lose weight or to look 'good'. While I get that we all want to look and feel good, it just seems so unreal and sad that things have been taken to such extremes. The fact that more than 2/3 of women ages 18-25 would rather be labeled mean or stupid instead of fat, and over 50% would rather be hit by a truck than be labeled fat is pretty outrageous (Martin, 2007). I also want to be clear (again) about the fact that when it comes to eating disorders, they are a serious mental illness- not simply a lifestyle choice, like many people believe.

So, with that being said, I am going to go back to the First Lady's new pet project- childhood obesity. I think it is wonderful that she is targeting children's health, but when I read on CNN.com that President Obama was calling his daughter Sasha "chubby" and that Michelle had mentioned things were "off balance" with her daughters weight wise, it made me cringe on the inside. While I loudly applaud her efforts to approach this issue nationally (because it is an issue), using her daughters as an example draws unnecessary attention to their weight at an age when they are vulnerable and sensitive to developing body image issues, not to mention eating disorders. While she has been significantly criticized in the wake of her comments, I think the focus, rather than chastising her for making the comments, should be on approaching this issue from a supportive and healthy standpoint for the sake of the children involved. Dr. Albers who has written books about mindful eating, wrote a great article for the Huffington Post that you may want to check out. Her point is that weight is not always the best indicator of health, and that we need to focus on the big picture rather than on dieting (which we know does not work!). Follow this link to read her article. And follow this link to read another great article called Dads, Daughters and Diets: Obama's Mistake.

In light of this recent controversy, CNN.com has listed some helpful suggestions for parents about talking to their children/teens about being healthy. Some of the suggestions that they encourage parents to consider include focusing on health and not pounds (or a number on the scale), being open to discuss any issues related to health or otherwise with their children, ending fat talk, and avoiding diet mentalities with 'good' foods and 'bad' foods. For more, follow this link. Whether you are a child or not, these tips are helpful for people of all ages to help maintain a healthy approach and attitude towards health, food and our bodies.

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.

Dieting is Dangerous?

2010 is in full force, and I have heard a LOT of people talking about wanting to 'get in shape' and start diets. Magazine covers are spilling celebrity diet secrets, and people are doing health cleanses and detox diets to start the year off healthy. (Just for the record, detox diets and cleanses- aside from being dangerous- are kind of silly; the reason that we have a liver is so that our body can naturally process and remove toxins!)

According to this article, dieting is America's most dangerous New Year's resolution. Why are diets dangerous? Well, for one, they can trigger eating disorders in some people. But diets are also ineffective- 95% of diets fail. This likely means that our bodies are not getting what they need- they either receive too little or too much, which has negative health ramifications either way. I wrote a post recently on common diet myths that I want to re-post in light of it being 'diet season'. I think it is important that people have some facts about diets before they embark on one. Below is an excerpt of the post, jumping right in with 7 myths of dieting- if you would like to read the entire post, follow this link.

Myth #1= You will lose weight. This is why most people pursue a diet in the first place, right? It may surprise you, but research shows that in the long run, 98% of dieters actually end up gaining weight. Why? Because the real issues behind food consumption and understanding metabolism are rarely addressed with a diet. And when unhealthy means are used, the weight loss is usually not maintainable.

Myth #2=You will look amazing as a result of your diet. If your goal is to look like someone else, or to look like some of the images that we regularly see on TV, in magazines, etc.. then you are chasing a goal that is not attainable. These images are altered by computers (check out this video for an example- yikes!). What is more is that a diet will not change your facial features, it will not make you taller, it will not make your legs longer, and it will not make your boobs bigger. Sorry:).

Myth #3=Diets are not dangerous. Whenever you restrict or cut out entire food groups (sugar, carbs, fat, dairy, etc..), this is dangerous-- especially for young people. Our bodies require a variety of foods in order to fuel our organs and keep us functioning effectively. Not to mention that studies show that dieting is an indicator of future eating disorders. A girl who diets before she is 14 is eight times more likely to develop an eating disorder. There are many health risks associated with dieting as well, such as weakened bones, dehydration and decreased heart rate.

Myth #4=Certain foods are bad. Often times, when we diet or approach food with a diet mentality, we label food as 'good' or 'bad.' We may even determine what food we consider to be good or bad based upon which particular diet we are on. The fact of the matter is that all foods are created equal and all foods can fit into a healthy lifestyle. There are no bad foods, only bad diets.

Myth #5= Diets give you control. Having a defined set of rules, especially when it comes to food, may convince you that you will be in control of what you put in your mouth. However, what often happens when you eat the same foods, or follow similar rituals each day with food, you begin to crave foods you have labelled 'bad' or 'outlawed.' This can lead to overeating and binges, which ultimately take you to a place you were trying to avoid to begin with. Also, diets usually make you cranky, they tend to decrease your energy, and they leave you feeling tired and pretty irritable. When you get to this point, the diet is controlling you, and you have little control.

Myth #6= Diets are safe and healthy. Maybe a little repetitive (myth #3), but if you chronically diet, you risk potentially altering the natural weight of your body. Over time, if your body weight fluctuates from higher to lower, and lower to higher, your body generally settles at a higher weight than it would have needed to be if it was not altered in the first place. Our bodies become confused, because they do not know if they will get what they need nutritionally, or if they will not receive any food at all. Our metabolisms slow down because our bodies think we are starving. The irony in this is that the exact opposite of what is intended is likely to end up happening.

Myth #7= You need to follow a diet. Here are some healthy guidelines to follow (compliments of Remuda Ranch) that are not diet-centric. Eat a variety of foods in moderation. Having variety allows for you to meet your nutritional needs; we cannot get all we need from one single food, or from a small number of foods alone. Listen to your body, and your stomach. Eat when you are hungry, stop when you are full. You don't need to eat food just because it is in front of you. Find out if you are eating because you are physically hungry or emotionally hungry (more on this to come..).

To conclude, Karen R. Koenig wrote a book called The Rules of Normal Eating. It is an extremely helpful book for anyone who has struggled with chronic dieting, overeating, undereating, emotional eating and anything in between. I wrote a post on her book awhile back and provided some suggestions that she outlines in her book as they relate to 'normal eating.'. Follow this link for more information.