Some of you may have heard about the t- shirt that Urban Outfitters recently pulled from their online catalogue after much hate mail was received. The shirt said 'Eat Less' and was featured on a waif-y model. It is hard to believe that they actually went there! But they did, and while it may have been to generate some publicity (tacky, much?), enough people protested that they thankfully took it off of their website. I also heard that the shirt has been pulled from stores--so hopefully that is true!

A couple of my therapist friends who I got to know while doing some contract work at the Carolina House brought an awesome article to my attention that I just have to share. Below is this article that was published in Durham's Independent Weekly newspaper and written by Rebekah L. Cowell (follow this link to see the article) about some local women who are in recovery and working towards exposing myths about eating disorders that this t-shirt's message was perpetuating.

Amy Lambert used to tell herself what Urban Outfitters is telling millions of other young women: Eat Less.

It wasn't unusual for Lambert, who had an eating disorder for more than eight years, to consume little more than one container of yogurt in a day. Now recovering, Lambert led a protest last week outside of Urban Outfitters at Southpoint mall in Durham.

Last week, Urban Outfitters placed in their online catalogue a gray V-neck T-shirt worn by a rail-like young woman. On the front, in script, the words "Eat Less."

"Urban Outfitters targets a young demographic, and they are reinforcing the idea that eating disorders are a choice, not an illness," she said.

Four other women from a Durham Eating Disorder Support Group joined the peaceful protest, brandishing signs that read, "Messages Can Re-Enforce Deadly Beliefs" and distributing fliers titled "Messages in Media: 'Eat Less' is Humor That's Not Funny."

Mall security shut down the protest 30 minutes later.

"We want to make it a friendly family environment," said Public Safety Officer Sellers, who refused to disclose her first name. "We can't just have people here doing that [protesting and handing out literature]."

Urban Outfitters did not return the Indy's calls or e-mails regarding the ad campaign, but after national outcry the T-shirt was removed from the chain's website, though the shirts that have already been shipped will be in stores. When the Indy visited the store and asked for the T-shirt, it was not on the sales floor. An employee who didn't want to be named called the slogan "harsh."

At least 24 million Americans suffer from eating disorders, which have the highest mortality rate of any mental illness. Twenty percent of people with an eating disorder will die prematurely from complications related to their disease. Telling an individual with an eating disorder to "eat less" aggravates emotional, psychological and physical issues. And for those still stuck in dangerous patterns, it is a message of validation, says Chase Bannister, clinical director for Carolina House.

In fact, the T-shirt has been posted on "pro-anorexia" sites as a source of "thinspiration."

"The banner-statement 'Eat Less' can be a stinging trigger for women and men with anorexia, bulimia or binge-eating disorder," Bannister added, "ultimately providing reinforcement for the distorted belief our patients work so hard to stamp out: 'I will never be okay unless I'm thin.'

The women said by holding the protest, they sought to empower themselves and spread a message of acceptance for a healthy body. Sandy Yarnall had anorexia for more than half of her life. She finally received treatment in 2008. "I struggle every day with wanting to go back to a very unhealthy size, and where I was before recovery, and seeing that message did distress me."

Rebecca Clemins has had an eating disorder for 25 years. "Urban Outfitters put this tee on a waif-like model, which enforces the idea that being waif-like is preferred, and they are encouraging a lifestyle that is killing young women," she said.

"I can't imagine endorsing something that creates so much misery," said Carson Hadley, who developed her eating disorder in eighth grade. She had to drop out of high school during her senior year to get in-patient treatment at Carolina House. "That shirt reminded of what I can't be if I want to live."

I am so proud of the women who participated in this protest, shared their stories, fought to raise awareness and exposed myths about eating disorders. This can certainly be an inspiring act for those with eating disorders who are working towards health to see- that not only is recovery very possible, but that it can also be empowering to take a stand and work towards educating people about the truth about eating disorders.

The FREED Act

There used to be a character on Saturday Night Live named Stuart Smalley, who was the host of a fake self-help show (pictured above-haha). I never really watched it because I was young when it was on, but I have seen highlights of it on different SNL highlight shows. Anyways, the character in this sketch is obsessed with twelve-step programs, and is involved in a number of them. He isn't a trained therapist, just someone who is trying to overcome his own addictions and help others on this same journey. His famous line, as you can see from the picture above, is something that he would look in the mirror and repeat to himself as a positive affirmation: "I'm good enough, I'm smart enough and doggone it, people like me!" He had many catchphrases that poked fun at 'psychobabble' and self-help lingo. He even turned this sketch into a movie called Stuart Saves His Family--I had to watch it for a class once and write a paper on it :-).

Anyways, in an ironic twist of fate, Al Franken, who played the role of Stuart Smalley, is known also for his political work- he is currently a senator in the state of Minnesota and is advocating for eating disorders! Amy Klobuchar, also a Minnesotan senator, and Tom Harkin, a senator from Iowa, have teamed up to introduce a new bill which Franken is sponsoring. This bill is called the FREED Act (Federal Response to Eliminate Eating Disorders) and it's goal is to "allocate research money to the National Institutes of Health to better investigate the causes of eating disorders and improve treatment methods. The research would also seek to improve public data on eating disorders, including morbidity and mortality rates." This quote was taken from an article published in The Minnesota Daily and the article in its entirety can be read here. The gist though is summarized in a quote Franken gave to the paper- he said, "We don't know nearly enough about diagnosing, treating and preventing these diseases. [This] legislation is a major step forward in understanding eating disorders and how to stop them from destroying lives."

To put things into perspective, the NIH (National Institutes of Health) allows $1.20 towards research per person with an eating disorder, contrasted with $159 towards research per person with someone who has schizophrenia (whose prevalence is significantly less). That is pretty staggering!! Last week was lobby day for the Eating Disorders Coalition, and this was an exciting day for eating disorder advocacy! I have no political agenda that I push when I write my blog- however, I think it is important for us to know the facts and to be educated, and to be able to act if we feel moved to do so! To read more on this act and what it aims to do, follow this link. If you are interested in finding out how YOU can advocate for increased eating disorder funding for research, prevention and treatment, follow this link to write to your Congressperson!

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! :)

If there was a contest that awarded a prize to the person with the most junk mail in their inbox, I might have a good shot at winning. I have no idea how I ended up on so many random listservs. I get emails announcing sales at stores that I have never heard of, announcements about travel deals (which if I'm honest, I kind of like!), stationary sales, opportunities to participate in paid surveys, home improvement tips from Home Depot and Lowe's... you name it, it's probably in my e-trash. As I was deleting all the useless emails in my junk mail account (hotmail, cough cough), I came across an email from Victoria's Secret. The subject read "New! I Love My Body Bras." I sort of laughed and wondered if perhaps Victoria's Secret was working to promote positive body image. I clicked on the email and there were three models in their bras and underwear looking a little hungry. My next move- I googled 'Victoria's Secret Love My Body' and this is what I found. Follow the link to read the article on their 'campaign.'

I don't mean to make fun of it or anything- promise! If you read my blog, you know that I am all about promoting positive body image and people loving their bodies. And for this, I think it's great that Victoria's Secret is trying to help women love their bodies. I just find it funny/ironic/unfortunate that their campaign slogan is "Body for Everybody, Love Your Body" and the picture attached to the campaign shows 7 women who all look the same. A more appropriate slogan might be "Body for Seven, Love Your Body." :) I think if the goal is to promote the idea that all bodies are beautiful, then showing women of all sizes and shapes might be more effective in communicating this message. I dislike being critical for the sake of being critical, but I think it's important to be critical about the media/images that we view and how we interpret them, as they have a significant impact on how we view ourselves and our bodies (whether we are aware of it or not). I think observing and thinking critically is important, and it's also important and okay to act and react appropriately to such things.

I don't often tell stories, but I've been thinking a lot lately (especially in honor of last week's National Eating Disorders Awareness Week) about doing 'just one thing'- and how doing one thing here or there can really make a difference. Well, when I was putting away some groceries I bought the other day, I noticed that as I was putting a particular item into my refrigerator, there was a picture of a girl's face (a cartoon) along with a website address on the outside of this item. In addition, this particular item had been 'approved' by this cartoon girl. I'm a curious person by nature and wanted to know who this girl was and why she was on my food, so I checked out her website. I refuse to share the alias of this cartoon girl or her website because when I went online to see what she was all about, all that I could found were tips on cutting calories, dieting tips, what to eat at certain restaurants, etc. This website also provides the option for people to sign up to receive daily emails sharing dieting tips, how to cut calories, and specific products to buy that help promote weight loss. I'm really not sure who created this site, but the girl behind the alias says that she is obsessed with food, counting calories, finding great diet tips.... and to me, that is one giant red flag!! If you are obsessed with numbers, weight, counting calories, dieting, etc.. it may be a good idea to talk to someone about this, especially if it is interfering with your ability to think rationally, maintain health and be yourself.

While I wouldn't necessarily call this person's site a pro-anorexia site, it is certainly not a healthy site. The information presented is likely triggering for anyone who has struggled with an eating disorder, food issues, body image struggles, etc. It made me upset to think that someone could do something as simple as buy something at the grocery store and be confronted with this little cartoon girl and her website. My reaction was so strong that I felt like I needed to take an action step. So, I sent this cartoon girl a little message on the 'contact me' section of her site. My message was not rude or judgmental, but I shared my thoughts and concerns with her. I haven't heard back from her, and I don't expect to. I didn't write to her expecting a response or even needing one. The simple act of putting that feedback out there was empowering and I think we need to be doing this kind of thing more often, myself included. It's not even about trying to change someone else, or to show someone that they are wrong about something- of course, it is helpful for people to be educated and knowledgeable and to have correct information. But I think when we take action steps, it actually frees us and empowers us in ways that help us to move one step closer to health and acceptance of ourselves. In doing that, we may actually end up facilitating change after all! Every little action helps, whether it helps us or helps others, or both! As we interact with people and media (print, TV, etc) this week, let's consider how we might take small action steps to promote positive body image in ourselves and in those around us.

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.