Entries in prevention (37)

Sunday
Mar212010

Bring Change 2 Mind

I just started watching a TV show recently called Modern Family. It is hilarious. I've only seen it a few times, so I'm not sure I can do the premise justice, but it's essentially a sitcom that chronicles different members of an extended family and their interactions. (If you're curious, follow this link to check it out.) Anyways, I really do like it, but last week when I was watching, one of the characters made a joke about eating disorders. It's hard to explain what happened since I don't really know any of the characters names, but one of the children was annoyed with his mother and said- "mom, go tend to your eating disorder or something." I'm not sure if this was supposed to be funny, but after the day I had, I was NOT laughing. An eating disorder is a mental illness, and there's nothing funny about that. I didn't turn off the TV and refuse to watch the rest of the episode, but it just struck me that if you replaced 'eating disorder' with any other mental illness- say, schizophrenia- it probably wouldn't be funny either. So why did someone think making a joke about an eating disorder would be funny? This just reminded me that eating disorders aren't widely viewed as psychiatric illness yet.


I think one of the biggest myths about eating disorders is that they are a lifestyle choice- not a mental illness. Yes, there is choice involved in recovery- you have to choose to take steps to recover. But an eating disorder is a mental illness, so it's not as simple as 'just eating'. Glenn Close, the actress famously known for playing Cruella Deville in 101 Dalmatians (ha ha, just kidding- I think she is famous for her role in Fatal Attraction, which I've never seen-- and some other movies too..), started a non-profit called Bring Change 2 Mind. The mission is to raise awareness about mental illness, to work towards de-stigmatizing it while also providing support for those who deal with mental illness. Close's sister and nephew, who both suffer from different mental illnesses, were the inspiration that fueled her to initiate this endeavor. PsychCentral wrote a little article awhile back in October when it launched - to read it, click HERE.

I'd encourage you to check out her site! I'll be honest- right now, there is a slightly annoying pop-up when you access the site, but that's just because Bring Change 2 Mind recently partnered with NAMI (National Alliance on Mental Illness) for NAMIWalks Campaign (a walking campaign to raise money for and awareness of mental illness!). The pop-up is a video, and even though it's slightly annoying, it's actually worth watching :) Once you get past the video, the site is great- there are resources for those who want to learn about mental illness or find support if they are struggling with one, there are videos of people sharing their stories, and there is additional information available that serves to encourage real understanding of mental illness! Right now, eating disorders are not part of their featured mental illnesses- they feature depression, post traumatic stress disorder (PTSD), bipolar, and schizophrenia. However, there are many mental illnesses, eating disorders included, that will hopefully be added as their non-profit grows! At this point, what seems important is that this is an organization that is dedicated to promoting awareness and knowledge about mental illness to de-stigmatize... which is awesome. If you are interested in finding out how you can be involved in any capacity, you can check out the 'be involved' tab on their site!

Thursday
Mar182010

Life Lessons by Goldilocks

It's a little funny that fairy tales and stories that were read to me as a little girl have been coming to mind lately. I'm not exactly sure what that means (haha), but what I would guess is that these stories come to mind because they actually have some good morals and principles rooted in them (that are not just meant for child-sized ears and lives) and are also relevant to daily happenings.


Today, through a couple of conversations that I had, I was thinking about and reminded of the extremes that we see in our culture when it comes to almost every single arena. Whether it's food, our bodies, and weight, or money, work, love, sex, success, sports, entertainment, etc.. extremes are everywhere. Whether it is an extreme diet, an extreme sport, an extreme behavior (like plastic surgery- Heidi Montag, anyone?), it seems that our culture is not only fixated on extremes but celebrates them. People are applauded and ridiculed based on their ability to conform to extremes. The media gives so much attention to extremes- whether these extremes are weight related or not. We are simultaneously fighting obesity as a nation, as well as a culture that fuels myths about eating disorders as a lifestyle choice. We are constantly made aware of great successes and great failures (which are defined and polarized by the media) and yet we don't necessarily have many positive role models that showcase what it's like to operate in a medium of balance- where both successes and failures are part of life, and where a gray area reigns, instead of the black and white. It seems to me that in a culture of extremes, one of the toughest things to achieve is balance. Outside of appearance and weight, some common questions that deal with balance include the following-- How much time do I spend working, and how much time do I spend playing? How much time should I spend with my family? How much time do I need to invest in cultivating my marriage/relationship? How much exercise is appropriate? How much time do I invest in my spiritual life? The questions can be endless and there is no sure answer for each individual. What I am sure of though is that we probably have a thing or two to learn from Goldilocks (strangely enough).

Goldilocks, for those of you who may need refreshing, broke into a cottage that belonged to three bears (probably not the part to emulate). She ate their porridge, sat in their chairs, and eventually fell asleep in one of their beds. The bears ended up returning home to find her asleep in one of their beds, and she ran out of the house, never to be seen again. Goldilocks is famous (to me, anyways) for the way in which she was a little picky, a little particular. When she tasted the bear's porridge, one bowl was too hot, and one bowl was too cold. But one was just right. The chairs and the beds were the same way-- not hot or cold, but too big, or too small, or too uncomfortable, etc. I guess the reason that she came to my mind today was because I think she is a good example of someone who was mindful of her surroundings and was able to make a decision based on what she felt was right in the moment. She may have been a little picky, but she noticed extremes and decided to operate in the gray area. While all of her options were benign and obviously not comparable to the kinds of things that I mentioned above regarding extremes, I think she is a good example of someone who is being mindful and balanced in her choices. I realize this is a bit of a stretch and may sound simplistic (it is), but I think being able to achieve balance is something that we really struggle with as a culture and as individuals.

This Goldilocks analogy does not apply to eating disorders (remember, EDs are a mental illness), but the analogy applies to the way that we view ourselves, perceptions of beauty, and life in general. So how do we work towards operating in the gray area so that we can live a life of balance? Being mindful, creating and maintaining boundaries, taking care of ourselves just as we take care of others, surrounding ourselves with kind and loving people, living out our values daily, and refuting and challenging irrational and negative thoughts/beliefs. Surely this list is not exhaustive. But I think by aiming to operate in this gray area and by finding a middle ground-- a balance, like Goldilocks did:)-- we might find that we are more content, that we feel better about ourselves, and that we become more accepting of ourselves and others. These are some of the things that give us character and ultimately make us beautiful.

To read about another children's story (the Velveteen Rabbit) and being real, follow this link.

Sunday
Mar142010

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

Eating Disorders: Be The First Line Of Defense

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

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

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

A deadly disease spreads - faster

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

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

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

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

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

Recognizing the danger signs

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

- low blood pressure

- electrolyte imbalance

- cardiac arrhythmias

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

- appearance of fine, baby-like body hair

- bloating or edema

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

- osteoporosis

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

- kidney damage or failure from chronic use of diuretics

Signs of an eating disorder are:

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

• Prolonged exercising despite fatigue and weakness.

• Peculiar patterns regarding handling food.

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

• Experiences depressive moods and self-deprecating behavior.

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

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

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

Monday
Jan252010

Figure Skating and Eating Disorders

There was a period of time (maybe in high school?) when I enjoyed watching figure skating. My mom has always liked watching it, so when I went to go hang out with her the other day, it didn't surprise me to find her curled up on the couch watching it. Anyways, I watched with her for awhile, but truthfully, I cringe when I watch skating because I just hate seeing the girls fall- and it seems like they all fall!! I have such a difficult time enjoying it because it seems like they work for hours and hours and years and years training, they miss their proms, and sacrifice having 'normal' lives, and one fall or misstep can dictate their futures. I know that is slightly dramatic of me to say. However, in a competitive situation like this, a tenth of a point can determine whether or not one will go to the Olympics after having trained for years. I just can't take the pressure!! Haha. Anyways, all that to say- it's been a looong time since I've watched any skating. And what I noticed as I watched was that this time around I was cringing for different reasons. If you have read my blog before, you probably know what is coming... but I was upset by how many of the skaters looked unhealthy. Because I sit with people on a daily basis who are in the middle of some pretty serious battles with eating disorders and body image issues, I see what they go through and know how difficult and distressing it can be. The fact that many competitive skaters likely struggle with eating disorders may not be a newsflash, but it is still very, very sad and concerning.

As in all sports, the body is a major instrument; a few sports in particular though (think gymnastics, running, skating) feature the body as the only instrument. In many of these sports and activities, the rates of eating disorders are soaring. The percentage of skaters with eating disorders is very high. A recent estimate stated that upwards of 85% of competitive figure skaters have eating disorders- that is a LOT. Jenny Kirk, a former competitive (and successful) figure skater, was interviewed recently by the Huffington Post and she did a great two part interview to raise awareness about eating disorders and their prevalence in skating. She shares her personal story, which involved leaving competitive skating due to the severity of her eating disorder. She is now in recovery and attending college, while also raising awareness about eating disorders. The interviews are very informative and interesting. Check them out by clicking below!


Tuesday
Jan192010

Mixed Messages and Making Moves..

This morning, I read a really thought provoking blog entry on True/Slant (which is a blogazine--kind of like a magazine, but a blog... umm, i might have made up that word!!). The author, Katie Drummond, was discussing Katherine McPhee's recent bikini cover on Shape magazine. McPhee, who gained fame after appearing on American Idol, has publicly discussed her past struggles with bulimia, and her experience of being admitted to treatment for three months prior to going on the show in order to focus on getting healthy. Ms. Drummond takes aim at Shape Magazine for putting a recovered eating disorder patient clad in a bikini (and airbrushed!) on its cover, as well as at McPhee for posing in a bikini and perpetuating unrealistic images of beauty after struggling herself with feeling pressure as a result of viewing similar unrealistic images in the media. Ms. Drummond's article is entitled A Lesson in Health Hypocrisy and she explores the hypocrisy that exists in this scenario. Her blog entry is a little angsty, but I appreciate the passion with which she writes because I think that by posing in a bikini for a magazine which happens to advertise 'drop a pound by Friday' on its cover, McPhee- and Shape- are sending some pretty mixed messages.

I wonder if McPhee, or Shape, or the media in general realize the impact that they are having on women by sending such mixed messages. I am not pointing the finger at McPhee (well, maybe I am a little), but she says in the article that doing six different 'moves' changed her body. This sets an alarm off to me. It's not that exercising is wrong, or trying to be healthy or fit is wrong, but it concerns me that her happiness and acceptance of her body are a result of the changes she has made to her body. It just sends the wrong message to women about where our happiness comes from. Again, the point is not to bash McPhee. I just think it is important to raise awareness and discuss some of these things that we become numb to, because whether we know it or not, these images impact us! While there is not one single cause of eating disorders, and while seeing unrealistic images of women's bodies do not cause eating disorders, these images can be a precipitating factor, when combined with a genetic predisposition and certain environmental factors.

A month from now, NEDA (the National Eating Disorder Association) is sponsoring National Eating Disorders Awareness Week--- February 21-27. I will be posting more information as this week draws nearer, but I wanted to mention it in light of what I read this morning on True/Slant. Rather than just venting about the media and that magazine cover, or discussing how things could or should be different, it is helpful to think forwardly and focus on what we can do to make some changes! One simple thing that I have mentioned before is using GoodSearch! This is a search engine, just like google, that donates money to nonprofits of your choice before you perform each search. You can donate to eating disorder nonprofits, as well as a bunch of other great organizations. Follow this link to find out more. The second thing that I wanted to mention is something that I read on NEDA's website the other day. Marilyn Wann, author of Fat? So!, developed an art activity for people to participate in that deals with transforming the numbers on scales to adjectives! Confused? The Boulder Youth Body Alliance (BYBA), a nonprofit that seeks to encourage teens to change the world, rather than their bodies, has encouraged teens to participate in this activity by turning scales into art. I love this idea and think it must be really empowering for women of all ages to take part in something like this! Follow this link to view pictures/examples of scales as art, and to read more about what BYBA is doing!