On Giving Thanks...

I can't even believe it is this time of year again... Thanksgiving!! Time flies!! In light of Thanksgiving being very much a 'food' holiday (something that can be anxiety provoking for those who struggle with food), one thing that I think can be helpful is to go back to the basics of what Thanksgiving is truly about! Soo, I asked cha cha where Thanksgiving originated (just kidding!!). No but really, Thanksgiving marks a time when the pilgrims voyaged to America. After a tough year, in which more than a third of those who had come over on the Mayflower died, there had been a very plentiful harvest and so, they commemorated their blessings with a feast. I think along the way, Thanksgiving took on some cultural adaptations- you know, Charlie Brown's Thanksgiving:), but specifically the kinds of food that we consider to be traditional Thanksgiving food (the pilgrims ate more of a traditional English meal).

Anyways, the point is that the pilgrims were celebrating their blessings after a tough year. And while all of us have had different kinds of years- some good, some tough, some both- I think that no matter what our days, weeks, months and year have been like, it is good to set aside time to be thankful!! There is always something to be thankful for : ) This year has been a year of change for me with going out on my own in private practice. And I am so thankful for all that this change and this year have brought. I am thankful for health, family, a job that I love, and people in my life that I love. I am thankful that I woke up this morning, I am thankful that there is a roof over my head, I am thankful that my body functions as it was created to. I am thankful for Peace that surpasses all understanding, I am thankful for sunshine, I am thankful for the hope that I have in days to come. : )

What are you thankful for this year??

On 'Stigmatizing Health' and Orthorexia Nervosa

The Huffington Post is great at stirring up controversy with its opinion pieces. That's partly why I love it. It's a good (and fairly benign) forum for people to engage with different thoughts and think critically. What I don't love, though, is when people write things that are not accurate or informed. Case in point- the other day, someone wrote an article on orthorexia nervosa that was very misinformed. It's okay if people have differing opinions (based on empirical evidence) regarding how to effectively treat an eating disorder, or if people disagree on how we can improve and increase accessibility of treatment. What is tough though is when someone in a public forum, who has no psychological training, refutes the validity of a mental illness.

The article is HERE if you are interested in checking it out. Or, I can save you the four minutes and give you a brief synopsis. In all honesty, you might want to read it just to get a sense of her perspective, but Christina Pirello argues that orthorexia nervosa has been made up by psychologists and health professionals in order that the status quo is maintained, which essentially fuels an industry (pharmaceutical) created to profit from our unhealthy eating. She believes that healthy eaters should not be marginalized for choosing to eat healthily and that healthy eating does not equate with being mentally unstable. While I agree with her on that last part, I think the problem with her argument is that she really doesn't get that eating disorders are not a lifestyle choice, like healthy eating is. Eating disorders are a mental illness. Someone who suffers from an orthorexia is no more choosing to eat healthy than someone who suffers from bipolar disorder chooses to have a mood disorder.

Orthorexia nervosa is not just the desire to eat healthy. Orthorexia interferes with one's ability to live a normal, high functioning life due to the pursuit of eating only pure and healthy foods. This may mean avoiding work, family and social commitments or events to avoid having to eat anything that is not pure, raw or healthy. Orthorexia is also pathological in nature. This means that the disorder goes beyond someone's desire to adhere to healthy eating; there are negative consequences that result from the behavior. If someone is just eating healthily, that is not pathological! It is pathological though when this pursuit of healthy eating interferes with one's ability to lead a normal life. The preoccupation with healthy eating can become an interference in everyday activities, relationships and life. It also becomes pathological when one's health is compromised. Often, one who is orthorexic may avoid eating anything but fruits and veggies- the way that this can affect one's body can be detrimental. Your brain needs carbs to function properly (maybe Pirello needs some carbs!) and your body needs other essential nutrients that cannot be utilized from a handful of foods. While I can appreciate a perspective that is different than my own, my fear is that Pirello's perspective serves to further perpetuate myths about eating disorders. For more information on orthorexia nervosa, follow this link.

A Diet is a Diet is a Diet

Lately I've been ragging on celebrities- Kim Kardashian, Jennifer Love Hewitt, and now... Jessica Simpson. I've written about Jessica Simpson in the past (here and here) because she has been involved in many efforts to encourage women to examine what real beauty is, both through her show, Price of Beauty, and through her work with Operation Smile. She was also on Oprah a few months ago, sharing her thoughts about beauty, body image, and her renewed sense of self. At one point, she got teary-eyed and when Oprah asked her what she was feeling, she responded that she was frustrated by the pressure put on women by the media to be thin.

Well, this week, Simpson posted on twitter that she has started a strict vegan diet. While she later added that this diet has nothing to do with weight loss, and only has to do with being healthy, I was a little disappointed and surprised that after her campaign to focus on health, beauty and accepting her body, that she would publicly discuss her 'strict vegan diet' that she says 'shocked her system.' Because she has made body image and beauty her platform, it seems irresponsible of her to mention her latest fad restrictive vegan diet. Diets, as I have preached and preached about, are ineffective and BAD (why? find out here). If Simpson chooses to follow a vegan diet, that is her choice, but to announce that she has started a new diet puts the focus in the wrong place, whether this diet has to do with weight loss or not. Some may disagree with me, and that is ok! But I think that it would be better if she kept that information to herself, especially due to her history of engaging in fad and yo-yo diets and the ongoing scrutiny over her weight- as anyone hearing about her latest diet would naturally assume it has to do with weight loss (as all of her other diets have been in the past).

Our society is obsessed with dieting, who is eating what, losing weight fast, bodies, etc. It's tough to go onto facebook or twitter anymore without reading a status update or tweet about some kind of disordered behaviors/thoughts regarding food and exercise. I'm not calling anyone out here or thinking of certain people as I write this (well, maybe Jessica haha), but the more we call attention to these things, the more we are playing into the unhealthy dynamic created by the media. As much as Jessica Simpson has experienced criticism and pressure from the media, I would think that she would not want to perpetuate the focus and value on such things herself. I am afraid that by making a public point to share her latest diet plan, she is compromising the stance she has been trying to model with health and beauty. It's not that all of her progress and encouragement to women has been completely wasted and forgotten, but she is sending some pretty mixed messages. From here on out, it might be more helpful for her to refrain from promoting or discussing her current meal plan. And so should everyone else. We don't need a play by play via facebook or twitter about how many pounds you lost last week or how fat you feel or how intense your exercise routine is or how you can fit into your skinny jeans again. Food nourishes our bodies, it gives us energy and fuel to think well and be active. Let's keep the focus there and spend the rest of our energy, time and thoughts on things that matter more, like family, friends, our careers, and making the world a better place.

More on The Biggest Loser...

Back in April, I wrote about The Biggest Loser. Actually, I didn't really write about it so much as just post a link to a great article about it that someone else wrote! Follow this link to check out the post and article. Or if you didn't read that post (or the article) and don't feel like doing it now, I'll try to provide a quick re-cap : ).

First, I know that there are a lot of people who love watching this show (including some of my friends and family- hi guys!). This critique is not meant to encourage anyone to stop watching the show, but more so just to encourage critical thinking about what really is going on and if it is healthy! I watch a little TV that is regularly critiqued for many reasons (the bachelorette, for one- haha), so believe me, I am not throwing stones. But my overall thoughts on the show can be summarized by saying that the show seems to perpetuate some pretty unhealthy views regarding weight, body image, health, and happiness, as well as unhealthy, immoderate and unsustainable practices (exercising up to 6 hours a day?). The only reason that I bring this whole thing up again is because an article was published a few days ago by Kate Ward on Entertainment Weekly.com entitled "Former 'Biggest Loser' Contestant Claims Show is 'Dangerous'; NBC Issues Response." In light of my post a few months back, I thought that this article was an interesting follow up. Check out this link to view the article, or read the copy and pasted version for your convenience below! If you all have any thoughts or comments about this, I would love to hear them (as always)!

About twice a year, we tune into the latest season of The Biggest Loser and watch in admiration and awe as a dozen or so contestants quickly shed pound after pound from their bodies, until they’re left looking like healthy, happy individuals. But, if former contestant Kai Hibbard is to be believed, oftentimesBiggest Loser graduates are anything but.

The season 3 contestant — who lost 118 pounds on the show — appeared on CBS’ The Early Show this morning to discuss her claim that the NBC show is hurting its contestants, and promoting an unhealthy body image. (See the video embedded after the jump.) Beginning her interview by voicing appreciation for being part of something that has inspired people to lose weight, Hibbard went on to accuse Biggest Loser of supporting a “myth that’s dangerous,” and claims the show stretches the truth when it comes to its shooting schedule: “I have people that come up to me and talk to me and ask me why they can’t lose 12 pounds in a week when I did. It didn’t happen. It’s TV…a week is not a week in TV.” (Hibbard also discussed dehydration, which is used to affect the outcome on the scales, something Biggest Loser fans are already fairly knowledgeable about.)

The former contestant also went on to explain how Biggest Loser affected her own health:Hibbard says she suffered from an eating disorder after shooting wrapped, which only ended after her husband and friends staged an intervention when they saw her substitute coffee for meals, and began to notice her hair falling out. “I left with a very poor mental body image,” she said on the Early Show. “I found myself loathing what I looked like the more weight that I dropped because of the pressure on me.” What’s more, Hibbard claims at least six former contestants from seasons after hers have approached her to complain about their own unhealthy experiences.

When asked to comment, NBC issued the following statement to EW: “Contestants on The Biggest Loser are closely monitored and medically supervised. The consistent health transformations of over 200 contestants through nine seasons of the program speak for themselves.” Of course, Biggest Loser is not new to controversy — nearly every season, the show comes under fire from viewers and health professionals alleging the show’s lose-weight-fast format is unhealthy for its cast members, especially since the show seems intent on adding bigger and bigger cast members with each new season. (Just see the latest Biggest Loser winner, Mike Ventrella, the heaviest contestant to ever enter the ranch.) But now that a former contestant is alleging the show is dangerous, is it easier to believe?

An Open Letter to Shape Magazine

Below is the text of an email that I just sent to Shape Magazine, after seeing Kim Kardashian on its June 2010 cover. Kim Kardashian is famous for being the one time best friend of Paris Hilton and a reality TV star; she also happens to endorse QuickTrim, a diet supplement.

Dear Shape Magazine,

I may or may not have complained about your choice in cover girls prior (see here). To be honest, I don't want to dislike your magazine, but there is just no way I will ever buy it, or read it again in good conscience after seeing this month's cover featuring Kim Kardashian. I used to read your publication a lot in college, and even then, I recognized some of the mixed messages you often send to your readers. However, it's only been in the more recent past that I have seen just how crazy, blatant and dangerous some of these mixed messages are for readers.

Kim Kardashian endorses QuickTrim. QuickTrim, according to its website, "is among the best known weight loss supplements recently introduced. This line of 4 products has been created and marketed specifically by the Kardashian sisters. They claim that they will cleanse and detoxify your body, burn fat, and even reduce cellulite, working as a spot treatment for some." Just in case you were unaware, weight loss supplements are diet pills. For some reason, I thought that your magazine was trying to encourage women to be fit and healthy. But what I wonder now is that if by putting Kim on your cover, you are also condoning the use of diet pills by glorifying a celebrity who has been outspoken about her use of diet pills? Granted, if every female on every magazine cover was determined based on health, we may have a lot less cover girls (which says something), but this is the second time this year that you have chosen a cover girl who has been controversial.

I hope it doesn't seem like I am overreacting. Maybe my tirade will seem appropriate with a few facts. Diet pills lure people because they promise quick and easy weight loss, but they contain toxic ingredients and harmful substances that are seriously threatening to one's health. Most diet pills are not regulated by the FDA, which means that they may contain more of the hazardous chemicals than advertised, and the combinations that exist among the different substances may be lethal. Many diet pills have been banned after people taking them have died or have had serious complications as a result- ephedra, fen-phen, etc.. If that weren't bad news enough, diet pills can cause the following (pull up a chair- this is a long list): nervousness, restlessness, insomnia, high blood pressure, fatigue and hyperactivity, heart arrhythmias and palpitations, congestive heart failure or heart attack, stroke, headaches, dry mouth, vomitting and diarrhea or constipation, intestinal disturbances, tightness in chest, tingling in extremities, excessive persperation, dizziness, disruption in mentrual cycle, change in sex drive, hair loss, blurred vision, fever and urinary tract problems. Overdoses can cause tremors, confusion, hallucinations, shallow breathing, renal failure, heart attack and convulsions (taken from www.something-fishy.org).

It's hard to imagine (especially after reading this list of health risks) that you all would use a cover girl for your magazine who has been so open about her use of diet pills in order to achieve a body that she is comfortable with. I think it sends such a poor message to young girls and women and discredits any guise that your magazine has of health. Please consider that young girls and women read your magazine and pick up on these messages. 'Beauty' and being thin at any cost is not health.