Eating Disorder Recovery Tips

By Sadie L. Dye


What is the most deadly psychological disorder today? If you guessed an eating disorder, then you are right. According to WebMD, eating disorders are illnesses that cause a person to adopt harmful eating habits. So, does this make WebMD just a great resource, or is this really true, and is an eating disorder really a dangerous illness? Most sufferers of an eating disorder are often mocked about their problem, and they are not taken seriously. People should not misinterpret or disbelieve sufferers of an eating disorder because it is, in fact, a very serious illness. There are, however, minor cases of eating disorders but there are far too many deaths related to them, thus we must take this issue very seriously and approach it with care.

Starving for the Holidays - A Tale of Anorexia Those struggling with anorexia are terrified of the holidays because they have no idea what a normal amount of food is for themselves. Most of them feel that anything they eat will mean instantaneous weight gain. In fact, some of them have said that just the sight or smell of food is terrifying to them because their fear of being fat or becoming fat is so ever-present in their minds. For some, just thinking about food is enough to create intense turmoil, pain, and guilt. Anorexia creates tremendous guilt about any kind of indulgence involving food. The eating of food becomes evidence, in their mind, that they are weak, out of control, and undisciplined. Anorexic men and women are often terrified of being seen eating food or of having people look at them while they eat. One client felt that every eye was on her at holiday gatherings. Many suffering with anorexia have shared their feelings of being immobilized by their fears about food.

A person suffering from bulimia can get the same effects as a person suffering from anorexia since both disorders involve the loss of major and rapid weight, which leads to very unhealthy changes in the body. Symptoms between anorexia and bulimia sufferers differ in the way that sufferers of bulimia would eat a lot of food in a short amount of time and then force themselves to throw up, when people with anorexia just don't want to eat altogether. People with bulimia also misuse laxatives and go on strict diets of fasting and rigorous exercising. Sufferers from eating disorders in general are affected emotionally, psychologically, behaviorally, and socially. Emotional and psychological changes include increased anxiety, depression, suicidal thoughts, guilt, and low self esteem. Some changes in behavior of a person suffering from an eating disorder include dieting, frequent visits to the bathroom after eating, a change in fashion, and constantly checking their weight. Some social changes of a person suffering from an eating disorder may include isolation, being anti-social, avoiding social gatherings where food is involved, and a loss of interest for hobbies. Other physical signs of eating disorders in general include edema, a reduction in metabolism, sore throats, stomach problems, heartburn, and hypoglycemia; which leads to irrational thinking, shaking, confusion, irritability, and comas.

Eating disorders have a big impact on society on a small and on a large scale; meaning both individuals and society as a whole dedicate significant parts of their lives to the struggles of dealing with eating disorders. A lot of money and time go into the troubles of dealing with an eating disorder, as well as into the measures taken in order to treat and prevent them. Eating disorders are very common amongst celebrities, mainly because their profession puts pressure on them to be skinny. The majority of celebrities that we see in the media are all skinny, and most of them are anorexic or bulimic. The fans of these celebrities look at the bodies of their idols and they want to be like them. The problem with this is that anorexic and skinny celebrities do not make good role models for their fans because their skinny figures are not a healthy look to follow. Famous people believe that in order to be successful they must be skinny. This is not true. Celebrities expose their looks and body image to the media where fans can see them and get the wrong idea that their idol's looks are acceptable when their idols are only trying to lose weight for their own "success". In a weight article, Monica Seles stated that "Women in society have much tougher pressure to be thin." It is like a cycle; celebrities are skinny in order to impress their fans and companies. They send their fans the wrong idea, thus making their fans lose weight. In the end, everyone has the idea that they must be thin and they must lose weight, thus, being skinny becomes the norm.

There is no need and there is no good time to feel guilty or at fault for your loved one's eating disorder. The Holidays are especially not the time. Eating disorders are complex illnesses that are not caused by one person or one relationship. It is also important for the eating disordered person not to feel responsible for their family and friend's emotional response to the eating disorder. One helpful agreement around the holiday season is, "We will spend time focusing on the need for nourishment as previously agreed upon, and primarily, we will spend time focusing on each other and the things that are available and that are meaningful in our family or social setting." Let them know that you can look beyond the outward manifestations of the eating disorder because you are also concerned about the hurt, pain, fear, and guilt they are feeling inside. In acknowledging the pain inside, no one has to be at fault or to blame for the eating disorder, allowing positive family associations and caring to become the emphasis. There is no need to "walk on egg shells", especially when everyone understands and acknowledges the underlying needs associated with the eating disorder. Compassion is a wonderful holiday gift for someone with an eating disorder.

Some family dynamics, such as conflict, can be triggering to those with eating disorder difficulties. Struggles with perfectionism, feelings of rejection, disapproval, and fear of being controlled, are all cited frequently by women who suffer with the illness. Harboring strong feelings and beliefs that parents, family members, or friends find them unacceptable, inadequate, or disappointing is challenging for anyone, but is particularly devastating to someone with a painful eating disorder. Being immersed in a family setting during the holidays has the potential to dredge up old issues, fears, conflicts, and worries about family relationships. The resulting emotional disruption can feed the eating disorder and exacerbate the problem.Holidays, with all the food and family commotion, are pure hell when you have an eating disorder. For me, when the focus isn't on food and is on the real reason for the holiday, it's a big help. My family helped me out with this one, but I had to do most of it internally. Remember, it's just food, and we have more power than food." -Thirty-nine-year-old woman

According to the South Carolina Department of Health, about seven million American women and one million American men have an eating disorder. About one in every two hundred women in America has anorexia, and about two or three out of one hundred women have bulimia. About half of Americans know at least one person who has an eating disorder. According to the National Association of Anorexia Nervosa and Associated Disorders, about 5% to 10% of people diagnosed with anorexia will die within 10 years of having the disease, about 18% to 20% of people will be dead after having the disease for 20 years and only 30% to 40% of people will recover from it. It is very scary fact that the rate of mortality for people with anorexia is twelve times higher than the rate of death of all of the causes of death for females from 15 to 24 years old. (South Carolina Department of Health). Nearly 20% of the people who have anorexia will die prematurely from health problems and heart problems due to their eating disorder. About 95% of people with an eating disorder are between the ages of 12 and 25, about 50% of females between the ages of 11 and 13 see themselves as overweight, and around 80% of 13 year old's have, at some point, tried to lose weight. It is a very sad fact that over 80% of females who have made an effort to go get treatment for their eating disorder, have not received the full treatment that they need in order to fully recover. This often leads to the disorder reoccurring and to the patients hurting their health even more. Obviously, eating disorders are really serious and they should be treated as soon as possible.

There are several themes that are evident in these suggestions for loved ones and friends by those suffering with eating disorders. One of the most important is to keep the primary focus and interest on the family member or friend - the individual beyond her eating behaviors or eating disorder. Consider well these suggestions, they are actually heartfelt requests. How Family and Friends Can Help During the Holidays Family members and friends need to know ways to help a loved one suffering from an eating disorder during the holidays. In addition to those suggestions offered above, the following suggestions from clinical professionals may also be helpful: - If your loved one is a child or adolescent in treatment, and/or if you are involved in Maudsley/Family Based Treatment, then continue with your regular outlined treatment plan through the Holidays. - If your loved ones is a child or adolescent with anorexia, then learn about the Maudsley/ Family Based Treatment approach. It is important to give this approach consideration. - If your loved one is an acute medical or self harm risk then arrange for intensive medical/psychiatric care immediately. - Get professional help for your loved one with those who have experience and expertise with eating disorder treatment. - It is important for everyone to be honest and up front with each other. - It is important to emphasize the purpose for the celebration of the holiday and focus less on food or meals. If the focus is on the holiday itself and its true meaning and purpose rather than on the food or eating disorder, it will be easier for your loved one to focus less on it herself. Emphasize time together, activities, and traditions that transcend meals and eating. Let food become a support to the holiday rather than its central focus. - It is important for family and friends not to feel responsible and guilty for the eating disorder. Additional support can come from extended family, other friends, community, and even treatment team members. If you recognize the benefit of these additional support people during the holidays, you can encourage this extra involvement rather than be hurt and offended by it. Sometimes, a person with an eating disorder might not be ready yet to receive the full love and support family and friends offer, but support and love them anyway! You can send the message, "We're here to support you and it's okay if others support you as well. We want you to have all the help you need during this time."It is important for family and friends to remove any unreasonable behavior expectations or pressures of performance. Sometimes you want so much for things to be better that you do not realize how your disappointed hopes and expectations actually play out as triggers for the eating disorder. Letting go of these specific expectations in your own mind frees you up to respond to and enjoy whatever your loved one is capable of during the holidays. It would be more helpful to express a lot of warmth, love, kindness, and acceptance toward the person - "There is no pressure to prove anything to us during the holidays. We just want to focus on being together the best we can." Eliminating specific, overt, or implicit expectations will be more beneficial than almost anything else you can do.It is important to offer care "giving" and not care "taking." Being a self declared nurse, dietitian, therapist, or detective takes you out of your most important role - "loved one"

A lot of people are confused about what "normal eating" is so they need nutritional counseling to help them get back on track. Not that many people who suffer from an eating disorder go to get treated for it. According to the South Carolina Department of Health , only 1 out of 10 people who suffer from an eating disorder go to get treatment. The cost of treatment for an outpatient is very expensive. Costs for outpatient treatment can be over $100,000. In the US, the cost of treatment for an eating disorder per day is anywhere from $500 to $2,000. On average, a person in inpatient treatment has to pay $30,000 a month. People with eating disorders need approximately 3-6 months of inpatient care in order to recover. The cost of treatment for an eating disorder is ridiculously high, and the high costs might be a reason that people do not go to get treated. It is very hard for most families to pay for the treatment of their illness, especially when insurance companies don't usually cover eating disorder costs. Another way to help reduce the number of people with eating disorders is to educate people about the dangers of eating disorders through media. The media is a good tool to help educate people on the dangers of eating disorders, but it is also a tool that hurts people by condoning the appearances of skinny people who suffer from such disorders. Another way that eating disorders can be treated and minimizes is through the "Doll Experiment". People were shown that if a human being had the same attributes as a Barbie doll, the body would not be able to hold itself because of its awkward shape and structure. This is a good way to show people that a Barbie doll isn't necessarily what women today should aim towards looking like. In the same way, the celebrities we see on TV are not people who we should try to look like either.

Personally, I don't think that the media will ever be an effective resource for people to learn the truth and to learn about eating disorders. The media spreads a lot of false information and people tend to misinterpret the messages they hear on TV. Companies try to sell us products that will reduce our weight and make ourselves look "beautiful" by spending millions of dollars on advertisements. Consumers spend a lot of money and time trying to lose weight and buying these products that are not what the body needs. I believe that our bodies know what they need and ever one's body is different. Everyone has a different metabolism and shape, and we have to learn how to love ourselves for who we are. We need to teach children at a young age that what they say on TV is not what it is cracked up to be and that they need to have self confidence, because if they don't create an image for themselves, the media will do it for them.




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