Entries in teenagers (25)

Friday
Jan082010

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.


Tuesday
Dec152009

Kids, Mental Health and Hope

I like to think that I am a 'glass half full' kind of person. Generally, I try to see the good in people and situations, and am hopeful about change- if I weren't, I'm not so sure that counseling would be the best field for me! All that to say... I noticed the other day that while I was reading an article about young people and mental health, I found myself taking a 'glass half empty' mentality. Why??

Well, according to a survey funded by the National Institute of Mental Health (NIMH) which will soon be published in the journal Pediatrics, 13 percent of all children and young teens have at least one 'mental health disorder.' And of that 13 percent, only half have been evaluated and treated by a mental health professional. These facts indicate that while one half of young people are being treated, one half are not. This is a staggering number when considering that half of all youth with mental illness are receiving no treatment or help at all.

This survey sampled 3, 042 children between the ages of 8 and 15, and the findings were based on assessments of these children for six common mental disorders--anxiety disorder, panic disorder, eating disorders (anorexia and bulimia), depression, ADHD (attention-deficit/hyperactivity disorder) and conduct disorder. For a bit of perspective, imagine if half of young people who deal with diabetes or asthma were living without medical treatment. To think about the number of children and teens who are suffering from untreated mental health issues is alarming. And sad! Research indicates that when mental health issues are not treated, they typically persist and become more severe with age. (I wrote a blog awhile back on teens and depression that addressed this issue- follow this link to read it and to learn some of the symptoms of childhood/teenage depression.) This is concerning because young children and teens who suffer from eating disorders, for example, and are not being treated are at serious risk for many physical and psychological problems. This is a serious issue!

The article suggested that part of this problem is due to the fact that there is a shortage of mental health workers that specialize in treating children, specifically psychiatrists. So what is a parent to do?? Perhaps we need to focus on educating more parents and teachers about the symptoms of anxiety, depression, eating disorders, ADHD, etc.. in children and teens so that they are able to notice the warning signs and advocate for their treatment. While mental health professionals have the tools and knowledge to diagnose and treat, parents and teachers are able to notice patterns of behavior in children over time that a professional is not necessarily capable of seeing when sitting with them for 30 minutes. To read this article in its entirety, follow this link, as well as this one for more info!

Sunday
Dec132009

You'd Be So Pretty If....

The title of this blog post sounds a little terrible, right? I actually ripped off the title from the name of a book that I recently came across!! And for the record, the book is anything but terrible :). Dara Chadwick has written a book called You'd Be So Pretty If...: Teaching Our Daughters to Love Their Bodies--Even When We Don't Love Our Own, and she also writes a blog with the same title. She recently posted a few tips for modeling positive body image that I want to share because I think they are great. I would also like to point out that even if you are not a mother, or you are a mother and do not have daughters, this information is still really applicable. We may not have daughters (who are therefore influenced by the views we have of our own bodies), but we certainly impact the people in our lives (especially and specifically other women) based on the ways that we see ourselves. It is interesting to consider how learning to accept ourselves can actually help others to accept themselves as well.

So, while this may sound easier in theory than in practice (like a LOT of things!), here are five things that you can try (compliments of Dara Chadwick), that no matter how you feel about your body, may help you learn self-acceptance, as well as model it to others!

1: Silence the Critic. If you tend to say negative things about your body, criticize certain features you dislike or are not comfortable with, or make jokes about yourself, stop. Whenever you notice that you are doing this, stop yourself.

2: Act "as if." Imagine how you might feel or act differently if you were your ideal size or shape. Would you participate in different activities? Say hello to more people? Buy a certain style of clothing? If so, act out your feelings or engage in those activities and see if you notice a change in how you feel or how others respond to you. (Hint- you most likely will!)

3: Choose one thing. Focus on making one healthy choice each day- whether it is eating your breakfast, taking the stairs up one floor instead of the elevator, etc..

4: Be OK with change. Focus on being the healthiest, most content version of yourself that you can be. We all change as we get older, and as we go through different life experiences, our bodies change. Appreciating what our bodies do for us, considering the purposes that our arms/legs/hips/etc serve, and recognizing how functional they are can help us to accept our bodies/body parts rather than criticize them.

5: Find your own body image role models. Find women who model a healthy, positive attitude that you admire and respect. Maybe it's Scarlett Johansson, Kate Winslet, a friend who exudes confidence and charm, or a friend whose personal style you admire. By holding up a role model of unattainable perfection, we struggle to accept ourselves because we are never able to reach this ideal.

While change is often tough because it requires extra effort, energy, and a lot of extra thought, I believe it is worth it. It is worth it for us to accept ourselves, to feel good about ourselves and our bodies, and to encourage other women (friends, sisters, daughters) to accept themselves as well. For more on Dara Chadwick, follow this link.

Thursday
Nov262009

The Truth About Dieting..


I have noticed over the last few days that there have been a LOT of advertisements on the radio that have mentioned the so-called 'consequences' of holiday eating and the word diet has been uttered many times in this context. One of the ads that I heard yesterday went something like this: "My pants aren't fitting me.. they are too tight and I can't get them on.. must be all that extra turkey and stuffing I ate. I really need to go on a diet and lose this weight fast. At least jeans are on sale at (-----) for 15$ so I can buy some new jeans until I lose all of this weight." I left out the name of the store not because I have a problem with jeans being 15$, but because the point is not about jeans- it is about how I have been hearing a lot about dieting lately!


Continuing to hear about diets and dieting over the last few days led me to want to post some information about dieting that you may or may not know. This post may be a little long, so bear with me- I think this info will be beneficial. Let me be clear though. I am not saying it is wrong or bad to want to be healthy or to want to feel good about yourself. What I am saying is that there are healthy and appropriate ways to pursue this goal, and drastic measures, unhealthy behaviors, and diets, are not included. Typically, diets promise quick weight loss with no regards to how much weight you actually want to lose, and the end result is that you turn out looking amazing. Diets are deceptions, because they are not capable of such guarantees. Here are some diet myths that help to point out the deception (thanks to Remuda Ranch for providing some of the information below):

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.

Wednesday
Nov252009

Turkey Day Anxiety: Part 2

Thanksgiving is tomorrow- and it seems like most people are either running around, making last minute preparations to host family and friends, or making sure that all the essential ingredients are present in their kitchens for cooking, or are packing/en route to be with family and friends. As I mentioned in my previous post (scroll down, or click here to read it), this time of the year is often accompanied by a significant amount of stress. Whether the holidays are stressful due to family tension, financial strain, or other difficult circumstances, one thing is certain- Thanksgiving has become a food holiday, meaning that food has become the main event.

What do we know about stress and eating? Well, for some people, stress during the holidays can lead to emotional eating, overeating, and/or binge eating, while for others who have struggled with restrictive eating, this tension may manifest in restrictive behavior with regards to the amount of food eaten or a preoccupation with what is being consumed. In addition, the heightened awareness that the media and our culture have placed upon food, weight, and our bodies has strongly impacted our beliefs about food. Therefore, a holiday that is centered around food can be triggering for anyone, but especially for those who are currently struggling with an eating disorder or eating issue, as it is not uncommon (unfortunately) for people to observe and make comments about who is eating how much, and how much weight so-and-so gained/lost since last year. If you are reading this, I would challenge you try to make it through this Thanksgiving without making any comments about what other people are eating, or how much they are eating, or any other comments along these lines. While this may seem like a minor adjustment to make, it would probably surprise you to find what an impact such a small change can make on others around you. If you are someone who struggles with an eating disorder, have struggled with one in the past, or struggle with body image issues, OR you will be spending this Thanksgiving with someone you love who you know or suspect struggles in any way with food, here are a few helpful tips, courtesy of NEDA, that may serve to alleviate the stress of such a time.

1. Worry more about the size of your heart than the size of your (fill-in-the-blank-body part). Think about how you can serve someone or do something nice for someone else- and do it. It helps to focus on others, and it helps to consider what you are thankful for.

2. Have conversations with your loved ones about things that matter to you all--dreams, goals, faith, relationships, concerns, fears, challenges, etc-- rather than focusing your energy and thoughts on food or body concerns.

3. Designate someone to be your 'support' person who you can call if you are struggling, or who you can talk with to encourage you to get through the tough moments.

4. Make goals for the day, and try to follow through with them. If you make goals with food, make sure you also make other non-food goals as well.

For more tips, follow this link for NEDA's complete list.

Here are some suggestions for families from Marcia Herrin and Nancy Matsumoto, authors of The Parent's Guide to Eating Disorders:

Try making your family’s holiday traditions more about relationships and activities than about food.

· Don’t skip meals or plan to undereat or diet the day following a family holiday.

· Talk to other family members in advance about not pushing food or commenting on diets, calories, or weight loss. Even too much emphasis on trying to make healthy choices at holiday meals can add to the stress.

· It is particularly important if your child is recovering from a serious eating disorder to have pre-warned family members about the kind of talk and attention that is appropriate. I suggest that parents develop a kind of code or signal that tells family members or other guests, “change the subject, and fast!”

· Because meal schedules may be altered and more snack foods and desserts are served during the holidays, it’s important that parents of an eating-disordered child be extra-solicitous and vigilant. If circumstances conspire to create a level of stress that interferes with your child’s recovery, you and your child should sit down and prioritize the extras in your lives. Remember that the first item on your list of important things to accomplish – even during the holidays -- should be your child’s recovery.


I think the most important thing to remember in all of this is the real meaning of Thanksgiving! No matter what we are going through, we always have things we can be thankful for. This doesn't minimize the tough things that some of us are going through or dealing with, but practicing gratitude does wonders for your outlook. Maybe you can make a list of all the things you are thankful for, or maybe you can make a point to discuss with your friends and family what you have been thankful for as you reflect on the past year. I hope everyone has a wonderful Thanksgiving!! I am so thankful for those of you who have been reading my blog, and for those of you who have encouraged and inspired me.