Showing posts with label aneroxia. Show all posts
Showing posts with label aneroxia. Show all posts

Thursday, July 14, 2011

Eating Disorders and Your Kids

How am I supposed to bring this up with my kids? I don’t know where to start.

Initiating a conversation about someone else is a neutral, non-threatening way to broach the topic. If you hear that someone in your child’s school has an eating disorder, that is an appropriate time to bring it up. Your child already knows or will hear rumors soon, and may have questions that you can answer. If you don’t have any examples closer to home, there are frequently stories of celebrities in and out of treatment.

One that your child may already know is Demi Lovato, a teen actress and singer who has been in numerous Disney movies and TV shows. She entered the residential treatment center last fall, and in April 2011 she gave a few interviews where she discussed some pretty heavy topics.

She discussed being bullied as a child, and her subsequent depression, eating disorder, and self-mutilation, as well as her recent diagnosis with bipolar disorder, her recovery, and helping other girls in her new role with Seventeen Magazine. Here are a few sources for you that condense her story: an article that summarizes Demi’s disorders and treatment or this video where Demi discusses being bullied, her eating disorder, cutting, and her treatment.

Chances are, your children already know her story, and have heard about people at school doing things like skipping meals, purging, or cutting. Demi’s life may not have been that of a typical child, but we can use her story to check in and connect with our children.
Why should I be concerned if my kid is on a diet? I’m on a diet too.
You as an adult are more likely to have your diet in the proper perspective. Kids and teens, especially perfectionist, driven, rule-bound ones, can take things too far until it is a compulsion they cannot control. In her interview, Demi said that by fifteen years old, she was skipping most meals, and when she failed to lose weight, started throwing up. Take stock of your own eating habits – ditch the rules about food, weighing portions, or calorie counting, and instead focus on eating mostly nutritious food, only when you are hungry. Also, never cut yourself down for your weight or what you eat, or be critical about others’ weight or appearance. Before you say it, think how it would sound coming out of a child’s mouth.

My son has been losing weight, but it’s for sports, so that doesn’t count, right?

It’s true that girls and women are more likely to develop eating disorders, but out of eleven million suffering from ED today, one million of those are male. Check over the list of symptoms below, and pay attention to your instinct as a parent. If anything about the way your son is losing weight concerns you, talk to him and talk to a professional. Better safe than sorry!

What’s the difference between an eating disorder and a diet? Or, what are the symptoms of an eating disorder?

It’s possible to diet without developing an eating disorder, but most medical professionals agree that children should not be on any diets.

Where the two differ, however, is the ability or inability to think logically and rationally. So when a normal dieter looks in the mirror and sees progress, anorexics have a distorted view and cannot see themselves as anything but fat. Their irrational compulsion justifies extreme measures, like purging, skipping entire meals, and laxatives. A medical professional or therapist can help with an accurate assessment and diagnosis, but let your instinct as a parent serve as an early warning system. You are often the first to know when something is up with your child, even if you aren’t sure what it is.

Be watchful for these symptoms:
  • Different eating habits, diet plans, skipping meals, snacks, meat, or desserts, avoiding eating with others
  • Distorted, negative self-image
  • Eating alone, in secret, or at night
  • Avoiding social situations that involve food
  • Change in moods including depression, anxiety, withdrawal, irritability, obsessive behavior in other activities
  • Preoccupation with dieting, calories, food, cooking, diet books, what others are eating 
  • Visiting websites that promote unhealthy weight loss
  • Any weight loss, weight gain, or failure to make expected gain in height
  • Compulsive exercising
  • Taking laxatives, diet pills, or steroids
  • Making excuses to get out of eating
  • Going to the bathroom right after meals, running water to hide vomiting sounds
  • Wearing loose clothing to hide weight loss or body shape
  • Hoarding high-calorie food, or evidence of binge eating (food wrappers, quantities of food disappearing)
If I suspect they are hiding something, should I snoop in their things?
If you are truly concerned for their safety, you are justified in violating their privacy. This is a last resort, however, and there are ways to avoid it unnecessarily. Are you sure you can’t draw it out in a conversation? If you are just curious, or feeling out of touch, you should instead be working on building your relationship. If you are paying for your son or daughter’s cell phone, internet service, and car payments, you can establish upfront rules about their use that don’t leave them feeling violated. Be judicious with what you find.
If it’s serious, such as laxatives, weapons, drugs, evidence that they are being bullied or stalked by a predator, act on it immediately. They will of course be furious and hurt, but the danger to them is substantial. If you find something upsetting but not dangerous, such as communication complaining about you, first take a deep breath, try to remember what it was like to be a teenager, and let go of your anger. Then work on strengthening your connection.

I’ve seen signs, and now I’m worried. How do I ask my son or daughter if they have an eating disorder?

If you have reason to believe there is a problem, tell them you are concerned without using guilt or blame. Begin by saying, “We have noticed this. Let’s talk.” Skip the lecture, ask open questions, and do more listening than talking. Show compassion and patience. Don’t accuse, shame, or demand anything (except, of course, a visit to a doctor).

Find a therapist that has experience and training in eating disorders. Educate yourself with the resources available from reputable sources such as the National Institute of Mental Health site, the National Eating Disorders Association (NEDA) Parent Toolkit, or call the NEDA Helpline at 800-931-2237. HelpGuide.org also has a good basic guide for family and friends.

Why is our son or daughter doing this? Is it my fault?

Finding who to blame should not be your first action. However, the question may nag you whether you as a parent have contributed to your child’s condition. Parents do not cause eating disorders. Studies have found that someone can inherit a predisposition, but there are many other factors involved. Like in Demi’s case, where she suffered from depression first, and was later diagnosed with bipolar disorder, ED is often combined with other mental conditions such as depression, obsessive compulsive disorder, or anxiety. Personality traits like perfectionism, eagerness to please, and being highly driven seem to correlate. ED patients come from every sort of family, every ethnicity, cultural background, and economic status. Parents can, however, be instrumental to recovery.

Special contributor: M. Quinlan

Be an educated parent, you will have healthier teens.

Continue reading on Examiner.com Talking to your teens about eating disorders - Jacksonville Parenting Teens | Examiner.com http://www.examiner.com/parenting-teens-in-jacksonville/talking-to-your-teens-about-eating-disorders#ixzz1S6lC5Anu

Thursday, December 24, 2009

Sue Scheff: Teens and Eating Disorders


This weekend's loss of a beautiful young actress is a tragedy. There are some reports that Brittany Murphy was looking exceptionally thin within the past few weeks prior her death. Although there are no confirmed reports of any eating disorder, it is a topic parents need to be educated on.

Eating disorders among teens, especially girls, are a serious concern. With today's peer pressure to keep up with the trends, fit into those skinny jeans and be a part of the cool clique can lead your teen down a troubled road.

What is an eating disorder? The MayoClinic describes it as follows:

Eating disorders are a broad group of serious conditions in which you're so preoccupied with food and weight that you can often focus on little else. The main types of eating disorders are anorexia nervosa, bulimia nervosa and binge-eating disorder, and there are also many subtypes.

Most people with eating disorders are females, but males also have eating disorders. The exception is binge-eating disorder, which appears to affect almost as many males as females.

Treatments for eating disorders usually involve psychotherapy, nutrition education, family counseling, medications and hospitalization.

Anorexia nervosa
When you have anorexia nervosa (an-o-REK-se-uh nur-VOH-suh), you're obsessed with food and being thin, sometimes to the point of deadly self-starvation. You may exercise excessively or simply not eat enough calories.

Bulimia nervosa
When you have bulimia, you have episodes of bingeing and purging. During these episodes, you typically eat a large amount of food in a short amount of time and then try to rid yourself of the extra calories by vomiting or excessive exercise. In between these binge-purge episodes, you may eat very little or skip meals altogether. You may be a normal weight or even a bit overweight.


Binge-eating disorder
When you have binge-eating disorder, you regularly eat excessive amounts of food (binge), sometimes for hours on end. You may eat when you're not hungry and continue eating even long after you're uncomfortably full. After a binge, you may try to diet or eat normal meals, triggering a new round of bingeing. You may be a normal weight, overweight or obese.

Eating disorders in youngsters
Eating disorders can affect people of any age. In children, it's sometimes hard to tell what's an eating disorder and what's simply a whim, a new fad, or experimentation with a vegetarian diet or other eating styles. In addition, many girls and sometimes boys go on diets to lose weight, but stop dieting after a short time. If you're a parent or guardian, be careful not to mistake occasional dieting with an eating disorder. On the other hand, be alert for eating patterns and beliefs that may signal unhealthy behavior, as well as peer pressure that may trigger eating disorders.

Causes of eating disorders:

It's not known with certainty what causes eating disorders. As with other mental illnesses, the possible causes are complex and may result from an interaction of biological, psychological, family, genetic, environmental and social factors. Possible causes of eating disorders include:


Biology. Some people may be genetically vulnerable to developing eating disorders. Some studies show that people with biological siblings or parents with an eating disorder may develop one too, suggesting a possible genetic link. In addition, there's some evidence that serotonin, a naturally occurring brain chemical, may influence eating behaviors because of its connection to the regulation of food intake.

Psychological and emotional health. People with eating disorders may have psychological and emotional characteristics that contribute to the disorder. They may have low self-esteem, perfectionism, impulsive behavior, anger management difficulties, family conflicts and troubled relationships, for instance.

Sociocultural issues. The modern Western cultural environment often cultivates and reinforces a desire for thinness. Success and worth are often equated with being thin. The media and entertainment industries often focus on appearance and body shape. Peer pressure may fuel this desire to be thin, particularly among young girls.

Learn the symptoms and risk factors of eating disorders.

Be an educated parent, you will have healthier teens!

Learn about teen body image.

Sunday, December 6, 2009

Sue Scheff: Ten Common Myths About Eating Disorders


During this time of year when eating and food seems to be more abundant, especially those sweets, as parents we need to be aware of our kids and teens and their eating habits. Eating Disorders can be common in many teens that are trying to fit into a clique or other emotional reason.
Carolyn Friedman, is working on her Masters and recently wrote an excellent article on “10 Common Myths Eating Disorders.” She asked me to share it with my readers. Take the time to read and learn more. You never know when you may need this knowledge. A short time ago, she also gave us the “10 Common Myths About Suicide.”

10 Common Myths About Eating Disorders

Like many mental illnesses and conditions, eating disorders such as anorexia nervosa and bulimia nervosa come prepackaged with a disconcerting number of misconceptions. Allowing these unfounded stereotypes to continuously creep through the public’s consciousness is a dangerous game with potentially lethal consequences. General confusion and ignorance regarding eating disorders further isolates and shames sufferers who already feel misunderstood, escalating their anxiety levels and increasing the risk of serious injury. These myths also prevent possible treatment for those who may have an eating disorder, but believe that their exclusion from one or more of the myths means they do not. Only by working tirelessly to dispel them can the eating disordered begin traveling down a relatively more positive road to recovery.


1. The media is to blame. : One of the most pervasive myths regarding eating disorders involves pointing fingers at movies, television shows, and magazines touting thinness (or, for men, lean and/or muscular as the only attractive body shape. With so many of the female eating disordered considering emaciated actresses, dancers, and models as “thinspiration,” it is easy to see how this misconception came into existence. However, anorexia, bulimia, and other eating disorders are far more complex and complicated than merely a construct of warped societal perceptions of attractiveness. While bombardment of supposedly glamorous waifs and taut bodybuilders negatively impacts the severity of eating disorders, in no way can it be considered the root cause, either. At their core, anorexia, bulimia, and their kin are mental illnesses related to brutal levels of anxiety and depression, which manifest themselves in erratic eating patterns and, in the most extreme cases, starvation. Psychologists and scientists are still trying to unlock any potential biological or behavioral origins that would better explain the nuances of eating disorders, but blame does not exclusively lay with the media. It does not help, but it also does not initiate.

2. Only women have eating disorders. : An estimated 5-15% of anorexia and bulimia cases are actually male, as are up to 35% of the binge eating disordered. While the staggering majority of sufferers are statistically female, the illnesses are not their exclusive domain by any means. Both men and women struggling with an eating disorder tend to display a distorted body image, though the former focuses more on musculature while the latter tends to zero in on becoming thinner. This myth is especially disconcerting, since stereotyping eating disorders as absolutely female prevents men and boys with the diseases from receiving a proper diagnosis and treatment. Even though the psychological profiles of male and female eating disordered carry the exact same behavioral, social, physical, and emotional symptoms, males who feel they may be suffering from anorexia, bulimia, or binge eating disorder may end up denying themselves necessary medical care if they believe that only women can be diagnosed as such.

3. Only upper-class Caucasians have eating disorders. : Eating disorders do not discriminate based on race or socioeconomic bracket any more than they do on gender. Psychologists have diagnosed eating disorders on all continents, with the obvious exception of Antarctica, and at every income level. The University of California at Santa Barbara reports mostly equal instances of eating disorders amongst its Asian, Caucasian, and Hispanic students. Like the myth that only women can be diagnosed with an eating disorder, the opinion that they also occur exclusively amongst Caucasians with upper-class backgrounds carries with it some bothersome implications. By adhering to the myth, sufferers of a comparatively lower socioeconomic bracket and/or different ethnicity may potentially reject the idea of seeking professional help altogether. Likewise, they also run the risk of ending up with a misdiagnosis and improper treatment.

4. The eating disordered are easy to spot because they are so thin. : Those suffering from an eating disorder cannot be spotted in a crowd any more than those with clinical depression, anxiety issues, and other common mental illnesses. The disease does not seek out specific body types any more than it does anything else. Many individuals are genetically predisposed to sport a skinny frame, and their appearance does not inherently indicate the presence of an eating disorder. Nor does someone with a comparatively larger frame clearly represent the absence of one. Women and men of all shapes and sizes can fall victim to eating disorders if they fit the psychological profile – there are absolutely no physical signs or symptoms associated with this mental illness. Disturbing images of skeletal bodies ravaged by anorexia or bulimia come only from the most extreme and prolonged cases. They serve as a sign of what the eating disordered can eventually become without attentive, supportive, and healthy medical and psychological treatment, but they are not to be considered illustrative of the majority of sufferers.

5. The eating disordered don’t eat. : If voluntary starvation was indicative of an eating disorder, many individuals with religious or sociopolitical reasons for abstaining from food who don’t otherwise display any signs of psychologically struggling with one would incur an incorrect diagnosis. The truth is, most eating disordered do actually eat as a means of veiling their illness from potentially concerned family and friends. Some choose to create a feeling of fullness by eating calorie–neutral foods such as celery, though some very rare and extreme cases have gone so far as to actually eat cotton balls. Others eat, but purge the contents of their digestive tract by inducing vomiting or taking laxatives later on. One of the most common eating disorders, eating disorder not otherwise specified, or EDNOS, is characterized by obsessively calculating and analyzing food intake. Binge eating disorder involves an almost uncontrollable compulsion to consume food, but without purging afterwards. Only the most severe, often un- or insufficiently treated, instances resort to outright starvation, but given their sensationalist nature they receive the brunt of the attention. This serves only to perpetuate the myth and drive it further into the public’s consciousness – family and friends worried that a loved one may be suffering from an eating disorder could potentially dismiss the idea once the individual in question eats in front of them.

6. Having an eating disorder is a lifestyle choice. : As with all mental illnesses, those suffering from an eating disorder do not elect to live life shackled with the associated stresses. Factors such as poor self-esteem, poor impulse control, depression, and anxiety all play a part in diagnosing an individual with an eating disorder. The label of “lifestyle choice” implies some level of control, as if the sufferer can phase in and out of their symptoms voluntarily. Adhering to a healthy diet and exercise regimen are both lifestyle choices, but when they are carried out to excessive, compulsive extremes they cease to be considered as such and instead end up as indicators of something far more serious. This lack of control and overall sense of being trapped separates the eating disordered from those simply desiring to lose weight for health reasons. Eating disordered individuals display a complex network of emotional, mental, and physical issues that completely negate any perceptions that they have simply made the choice to hurt themselves.

7. Nobody dies from an eating disorder. : If left untreated or undiagnosed, an eating disorder is one of the few common mental illnesses that can actually kill the host. As a result of unhealthy and inadequate eating habits, sufferers can fall victim to permanent liver, heart, brain, and kidney damage. Inefficient and injured organs potentially lead to a coma, even death. 5-10% of anorexics die within the first ten years of diagnosis, 18-20% after twenty, and 20% will eventually die due to physical complications or suicide. Because of prevailing stigmas and misconceptions, only one in ten eating disordered individuals are estimated to enter into a treatment plan. By driving stakes into these horrifying myths, the psychological community and active, concerned members of society can hopefully save many more lives from ending as a result of a treatable medical condition.

8. The eating disordered only care about looking pretty. : One of the nastiest, most degrading stigmas associated with eating disorders involves taunts and callous dismissals of its victims as shallow, petty bubbleheads concerned only with the pursuit of the insanely specific and unrealistic Hollywood ideal of what constitutes beauty. This blasts a giant and entirely unnecessary rift between the eating disordered and mainstream society, furthering miring them in misunderstood isolation and precluding attempts to seek solace and treatment before it becomes too late. Faced with adversity and scorn from external sources, many choose to simply soldier forth and accept their cruel, anxious fate, believing that even extensive psychotherapy cannot cure them. At their very core, eating disorders are not inherently about food or appearance or beauty. They are about depression, poor self-esteem and self-image, and anxiety. While media blitzes of PhotoShopped celebrities do, in fact, actively help reinforce the issue, they also do not stand as the primary reason why men and women alike succumb to eating disorders.

9. Eating disorders are not illnesses. : The Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision officially recognizes four eating disorders – anorexia nervosa, bulimia nervosa, rumination syndrome, and EDNOS. Many professionals in the psychological community also recognize binge eating disorders, which are under consideration for inclusion in future publications of the DSM. Because of their inclusion in a an official diagnostic manual used by the psychological and medical communities, eating disorders ought to be regarded as serious illnesses and handled as such.

10. An individual cannot have more than one eating disorder. : A logical assumption, but it is actually incorrect. Because anorexia, bulimia, EDNOS, and rumination syndrome all share common symptoms and underlying issues, some sufferers have been known to drift from one to another in order to try and satiate the depression and anxiety. It is not uncommon for a bulimic to quit a system of binging and purging and resort to eating inadequately, and the same is true in reverse. Professionals as well as concerned family and friends must pay close attention in order to detect subtle shifts in behavior that may signify the presence of multiple eating disorders.

By making an earnest effort to promote an awareness and understanding of eating disorders, millions of lives all over the world can be improved, if not outright saved. Unfortunately, numerous presumptions, misconceptions, and absolute lies prevent many men and women from realizing they suffer from an eating disorder, therefore precluding them from seeking the therapy that could very well mean the difference between life and death. Spreading the truth and destroying these dangerous falsehoods stands as the best method of preventing the suffering of more individuals who do not realize that they are not beyond health, happiness, and hope.