Showing posts with label General ED Info. Show all posts
Showing posts with label General ED Info. Show all posts

Monday, January 5, 2009

What should I do if I think someone I know has anorexia?

Tips for talking to a friend who may be struggling with an eating disorder.

If you are worried about your friend's eating behaviors and attitudes, it is important to express your concerns in a supportive and loving way. It is also necessary to discuss your concerns early on, rather than waiting until your friend has endured many of the damaging emotional and physical effects of eating disorders.

In a private and relaxed setting, talk to your friend in a calm and caring way about the specific things you have seen or felt that have caused you to worry.

What to say step-by-step

  1. Set a time to talk. Set aside a time to talk privately with your friend. Make sure you talk in a quiet place where you won't be distracted.
  2. Tell your friend about your concerns. Be honest. Tell your friend about your worries about her or his not eating or over exercising. Tell your friend you are concerned and that you think these things may be a sign of a problem that needs professional help.
  3. Ask your friend to talk to a professional. Your friend can talk to a counselor or doctor who knows about eating issues. Offer to help your friend find a counselor or doctor and make an appointment, and offer to go with her or him to the appointment.
  4. Avoid conflicts. If your friend won't admit that she or he has a problem, don't push. Be sure to tell your friend you are always there to listen if she or he wants to talk.
  5. Don't place shame, blame, or guilt on your friend. Don't say, "You just need to eat." Instead, say things like, "I'm concerned about you because you won't eat breakfast or lunch." Or, "It makes me afraid to hear you throwing up."
  6. Don't give simple solutions. Don't say, "If you'd just stop, then things would be fine!"
  7. Let your friend know that you will always be there no matter what.

From the National Eating Disorders Association.

Katie Goode, LMFT

Wednesday, December 17, 2008

Noticing the Signs and Symptoms

More details on the signs and symptoms of eating disorders. This is from www.something-fishy.org a great resource on eating disorders.

BE AWARE: A sufferer DOES NOT need to appear underweight or even "average" to suffer ANY of these signs and symptoms. Many men and women with Eating Disorders appear NOT to be underweight... it does not mean they suffer less or are in any less danger.

Anorexia/Bulimia

1. Dramatic weight loss in a relatively short period of time.
2. Wearing big or baggy clothes or dressing in layers to hide body shape and/or weight loss.
3. Obsession with weight and complaining of weight problems (even if "average" weight or thin).
4. Obsession with calories and fat content of foods.
5. Obsession with continuous exercise.
6. Frequent trips to the bathroom immediately following meals (sometimes accompanied with water running in the bathroom for a long period of time to hide the sound of vomiting).
7. Visible food restriction and self-starvation.
8. Visible bingeing and/or purging.
9. Use or hiding use of diet pills, laxatives, ipecac syrup (can cause immediate death!) or enemas.
10. Isolation. Fear of eating around and with others.
11. Unusual Food rituals such as shifting the food around on the plate to look eaten; cutting food into tiny pieces; making sure the fork avoids contact with the lips (using teeth to scrap food off the fork or spoon); chewing food and spitting it out, but not swallowing; dropping food into napkin on lap to later throw away.
12. Hiding food in strange places (closets, cabinets, suitcases, under the bed) to avoid eating (Anorexia) or to eat at a later time (Bulimia).
13. Flushing uneaten food down the toilet (can cause sewage problems).
14. Vague or secretive eating patterns.
15. Keeping a "food diary" or lists that consists of food and/or behaviors (ie., purging, restricting, calories consumed, exercise, etc.)
16. Pre-occupied thoughts of food, weight and cooking.
17. Visiting websites that promote unhealthy ways to lose weight.
18. Reading books about weight loss and eating disorders.
19. Self-defeating statements after food consumption.
20. Hair loss. Pale or "grey" appearance to the skin.
21. Dizziness and headaches.
22. Frequent soar throats and/or swollen glands.
23. Low self-esteem. Feeling worthless. Often putting themselves down and complaining of being "too stupid" or "too fat" and saying they don't matter. Need for acceptance and approval from others.
24. Complaints of often feeling cold.
25. Low blood pressure.
26. Loss of menstrual cycle.
27. Constipation or incontinence.
28. Bruised or calluses knuckles; bloodshot or bleeding in the eyes; light bruising under the eyes and on the cheeks.
29. Perfectionistic personality.
30. Loss of sexual desire or promiscuous relations.
31. Mood swings. Depression. Fatigue.
32. Insomnia. Poor sleeping habits


Compulsive Overeating/Binge Eating Disorder

1. Fear of not being able to control eating, and while eating, not being able to stop.
2. Isolation. Fear of eating around and with others.
3. Chronic dieting on a variety of popular diet plans.
4. Holding the belief that life will be better if they can lose weight.
5. Hiding food in strange places (closets, cabinets, suitcases, under the bed) to eat at a later time.
6. Vague or secretive eating patterns.
7. Self-defeating statements after food consumption.
8. Blames failure in social and professional community on weight.
9. Holding the belief that food is their only friend.
10. Frequently out of breath after relatively light activities.
11. Excessive sweating and shortness of breath.
12. High blood pressure and/or cholesterol.
13. Leg and joint pain.
14. Weight gain.
15. Decreased mobility due to weight gain.
16. Loss of sexual desire or promiscuous relations.
17. Mood swings. Depression. Fatigue.
18. Insomnia. Poor Sleeping Habits.

Katie Goode, LMFT
www.HolisticTherapyOC.com

Monday, December 15, 2008

Eating Disorder Links and Resources

AED Academy for Eating Disorders
For E.D. professionals; promotes effective treatment, develops prevention initiatives, stimulates research, sponsors international conference and regional workshops.
Website: http://www.aedweb.org

National Association of Anorexia Nervosa & Associated Disorders
Distributes listing of therapists, hospitals, and informative materials; sponsors support groups, conference, research, and a crisis hotline. Quarterly newsletter.
http://www.anad.org/ANAD

EDA Eating Disorders Anonymous
A "balance, not abstinence" 12-step fellowship. Free literature available.
http://www.eatingdisordersanonymous.org

Eating Disorder Coalition for Research, Policy and Action
Advances the federal recognition of eating disorders as a public health priority.
http://www.eatingdisorderscoalition.org

Eating Disorders Information Network
Atlanta-based resource and referral resource. Quarterly magazine, speakers bureau, curriculums, school outreach programs, EDAW events.
http://www.edin-ga.org

Eating Disorder Referral and Information Center
Provides free information and treatment referrals for all forms of eating disorders.
http://www.edreferral.com

Help Guide
Support groups help patients and families talk about their experiences and help each other get better. If you have an eating disorder, a support group is a great way to gain support, find ways to improve your self-concept, and know that you are not alone in the struggle!
http://www.helpguide.org/mental/eating_disorder_self_help.htm

IAEDP International Association of Eating Disorders Professionals
A non-profit membership organization for professionals; provides certification, education, local chapters, a newsletter, and an annual symposium.
http://www.iaedp.com

MEDA Massachusetts Eating Disorders Association, Inc.
Newsletter, referral network, local support groups, educational seminars and trainings, speaker series.
http://www.medainc.org

National Eating Disorders Association
NEDA is dedicated to expanding public understanding of eating disorders and promoting access to quality treatment for those affected along with support for their families through education, advocacy and research.
http://www.nationaleatingdisorders.org

NEDSP The National Eating Disorders Screening Program
Eating disorders screening, education, and outreach programs.
http://www.mentalhealthscreening.org

Katie Goode, LMFT
www.HolisticTherapyOC.com

Monday, December 8, 2008

What Are Eating Disorders?

An eating disorder is marked by extremes. It is present when a person experiences severe disturbances in eating behavior, such as extreme reduction of food intake or extreme overeating, or feelings of extreme distress or concern about body weight or shape.

A person with an eating disorder may have started out just eating smaller or larger amounts of food than usual, but at some point, the urge to eat less or more spirals out of control. Eating disorders are very complex, and despite scientific research to understand them, the biological, behavioral and social underpinnings of these illnesses remain elusive.

The two main types of eating disorders are anorexia nervosa and bulimia nervosa. A third category is "eating disorders not otherwise specified (EDNOS)," which includes several variations of eating disorders. Most of these disorders are similar to anorexia or bulimia but with slightly different characteristics. Binge-eating disorder, which has received increasing research and media attention in recent years, is one type of EDNOS.

Eating disorders frequently appear during adolescence or young adulthood, but some reports indicate that they can develop during childhood or later in adulthood. WLinkomen and girls are much more likely than males to develop an eating disorder. Men and boys account for an estimated 5 to 15 percent of patients with anorexia or bulimia and an estimated 35 percent of those with binge-eating disorder. Eating disorders are real, treatable medical illnesses with complex underlying psychological and biological causes. They frequently co-exist with other psychiatric disorders such as depression, substance abuse, or anxiety disorders. People with eating disorders also can suffer from numerous other physical health complications, such as heart conditions or kidney failure, which can lead to death.

For more information, visit http://www.nimh.nih.gov

Katie Goode, LMFT
www.HolisticTherapyOC.com


Saturday, December 6, 2008

Types of eating disorders

The most common eating disorders are anorexia, bulimia, and binge eating disorder.

  • Anorexia – People with anorexia starve themselves out of an intense fear of becoming fat. Despite being underweight or even emaciated, they never believe they’re thin enough. In addition to restricting calories, people with anorexia may also control their weight with exercise, diet pills, or purging.
  • Bulimia – Bulimia involves a destructive cycle of bingeing and purging. Following an episode of out-of-control binge eating, people with bulimia take drastic steps to purge themselves of the extra calories. In order to avoid weight gain they vomit, exercise, fast, or take laxatives.
  • Binge Eating Disorder – People with binge eating disorder compulsively overeat, rapidly consuming thousands of calories in a short period of time. Despite feelings of guilt and shame over these secret binges, they feel unable to control their behavior or stop eating even when uncomfortably full.
Katie Goode, LMFT
www.HolisticTherapyOC.com

Teenage Dieting

According to the CASA Report: Food for Thought: Substance Abuse and Eating Disorders (2003):

While only 15% of teenage boys and girls can be classified as overweight:

Girls Boys
62.3% 28.8% Report Trying to lose weight

58.6% 28.2% Are Actively Dieting

68.4% 51% Exercise with goal of losing weight or to avoid gaining

19.1% 7.6% Have Fasted for more than 24 hours

12.6% 5.5% Use Diet Pills, powders, or liquids

7.8% 2.9% Vomit or take laxatives to lose weight or avoid gaining

Katie Goode, LMFT
www.HolisticTherapyOC.com

Eating Disorder Prevalence

How Prevalent Are Eating Disorders in the US?

Consider these very serious statistics:

* Research reveals that 40-60% of girls in high school perceive themselves to be overweight and are actively trying to lose weight.
* Approximately 10-15% of these girls can be considered “chronic dieters,” two-thirds of whom are not overweight.
* Ninety percent of eating disorder sufferers are female.
* Girls are particularly vulnerable to the development of body dissatisfaction, unhealthy dieting behaviors and eating disorders.
* An estimated 10 million American women and girls and 1 million men and boys have active, destructive eating disorders — including anorexia, bulimia, and binge eating disorder.
* Eating disorders are serious health conditions with and anorexia has one of the highest death rates of any mental illness.

Katie Goode, LMFT
www.HolisticTherapyOC.com