Eating Disorders Recovery Frustrations

Freaking out when you make the smallest of steps toward recovery?  Relax.  You are normal.  Whenever we, as human beings attempt to make a major shift in our lives–whether for good or bad–there is a period of emotional instability because we are simply engaging in a paradigm shift.  For one thing, Our psyche doesn’t like the upset.  Our brain, like a well-oiled machine, gets used to operating a certain way and, when we try to do things differently, the machine rebels.  Scientifically, we have synapses that are like little highways that connect habits to feelings, to memories.  It takes thousands of repetitions for those synapses to solidify.  For another, no one realizes that they are sick.  For the ED victim, life has ‘been this way’ for long enough (in their head) that they don’t see their behavior as being weird in any way.  . . well, maybe a little weird, but not weird enough to merit treatment or change.  When someone begins to re-think behaviors and they find they cannot instantly change they come face to face with the seriousness of their illness.  Honestly, it is quite frightening to be in that spot, and that much harder to look at the enormity of changes that need to take place.

The following are some suggestions that a parent, a sibling, or a friend can do to be supportive in the recovery process during this critical time.  1. It is of ultimate importance that the person struggling know with certainty, that they are loved unconditionally without judgement.  They need to be told often.  2. People with ED have a hard time breaking goals down.  They feel a need to ‘eat the whole elephant’ at once.  If they are willing to confide in you, help them understand the definition of a baby step toward success, then congratulate them with the minutest success.  3.  Assure them that small, tiny steps are the way to go.  Master one for a period of time before going to the next minute level.  Step by small step recovery will occur….over a seemingly endless period of time.

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Teenage Eating Disorders: Take a Better Look

Let’s take a better look at Teenage Eating Disorders.

Anorexia.  Sounds like a death knell, doesn’t it?  In reality, one in five people with the disease die from it each year.  In the year 2005, the National Institute of Health (NIH) funded the following disorders accordingly:

 

Illness                                                         Prevalence                Research Funds

Eating disorders:                                        10 million                   $12,000,000*

Alzheimer’s disease:                                   4.5 million                  $647,000,00

Schizophrenia:                                           2.2 million                 $350,000,000

 

* The reported research funds are for anorexia nervosa only. No estimated funding is reported for bulimia nervosa or eating disorders not otherwise specified.

Translated, that means that we have allotted $1.25 per patient inflicted with the disease. Clearly, there is a general non-understanding of what it is, what it can do, the power it has, or why people would not eat on purpose…and that is the real question that would lead to understanding.

If you understood that people:

*looked at you ‘funny’ because your bones were sticking out at your shoulders and hips, making you look like a WWII Holocaust victim;

*thought your smile looked fake;

*felt you were increasingly more difficult to be around because you seemed so demanding

*would eventually be repelled by your smell–because you would soon smell like old, rotten onions, and then decaying flesh;

*didn’t know how to act or what to talk about without upsetting you

*were tired of eating dinner with you because there was always something wrong with the food; *wanted to be your friend, but you were too busy.

*didn’t like the constant conversational subject return to eating, and analysis of food

why would you “choose not to eat”?

If you understood that:

you were ruining your intestinal tract

you were becoming dehydrated

you were ruining the balance of electrolytes in your body, causing all the organs to eventually malfunction

your brain was starving and decaying

your heart was slowing down to frighteningly few number of beats per second

your weight loss was the reason you were always cold

you were becoming a crazy, almost schizophrenic person (in the literal sense)

malnutrition was a reason your hair was falling out, and (if you are a woman) you hadn’t had menses for a very long time

why would you “choose not to eat”?

If you understood that continuing in your present behavior of restrictive dieting would lead to eventual death

why would you “choose not to eat”?

Why does anyone do the weird things they do?  They are not born weird to start with.  They are not typically depressed or anxious when they are two years old.  (Have you seen a two year old lately?)  Why did they develop this very weird pattern of living?  Why are they so anxious or depressed so much of the time?  What happened that allowed ED to take over their lives?  Perhaps there is more to this concern than ‘just eating’.  Perhaps it’s deeper than wanting to be ‘thin and beautiful’.  Perhaps it is more than just getting off the treadmill.  These are only symptoms of a much bigger dilemma.

Next post will take a better look at Bulimia and Binge Eating.  We will never get to the root of Teenage Eating Disorders unless we realize there are deep roots that lay hiding.

 

 

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Eating Disorders Help: The Denial Factor

Most of us have certain topics that we discuss with certain friends–those topics become our ‘comfort zones’.  It is not uncommon to fall into the trap of discussing weight, clothes, how good someone looks, or food ingredients with friends.  If you were unable to discuss those topics, would you be able to engage in conversation, or would you be at a loss for words?  What do you talk about with your friends?

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Eating Disorders Treatments include Listening

If you ask someone who is trying to overcome their Eating Disorder how they would like to be supported, they will say, “I want someone to LISTEN to me.  When I have the courage to say anything and express my feelings it seems like it goes in one ear and out the other.  No one understands me.”  A good eating disorders treatments package must include a lot of good listening from not only the counselor, but the parents and family as well.

Granted, part of the problem is that the victim has lost the art of communication.  He/she has lost vocabulary for feelings; in their quest/need to be perfect, they cannot contradict anyone, nor can they tell anyone to change the topic of conversation.  The one suffering may say “I’m starting to feel triggered”, or “I’m needing to vomit” or “I’m not hungry”, but they will never come out and say, “Will you please SHUT UP–your subject matter sucks right now and is making me crazy!” or “I just want to hear myself verbalize to see if it makes any sense.  I need you to just listen.” If we really want to be supportive, we will need to listen acutely for those conversation ‘cues’ that let us know something is up.

If they have the courage to say anything in a group setting, or if they begin to fidget, look anxious, or withdraw from the discussion, it is time for us to take action.  We can take it upon ourselves to re-direct the dialog, we can find a reason to take the victim out of the room (and then ask them how they are feeling), or we can be blunt and say, “This discussion needs to continue at another time in another place.”

I would also highly recommend a heart to heart with your child/friend/roommate to role-play various situations, including the one-on-one where someone else wants to give all the right answers and ‘fix’ everything rather than listen for understanding.

When we really listen with the intent of following someone else’s train of thought we are transferring power to them–empowering their sense of being.  Gradually, they build trust they have in us as well as trust in themselves.  I have been in awe watching one of my daughters grow and flower into her full potential.  When we talk now, I remember to ask, “Is this something you want feed-back on, or are you just wanting for me to listen?”   For eating disorders treatments It’s a win-win!

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Eating Disorders Treatments and Programs

When you, your child, or your neighbor decide it is time to shed the mask of self-sufficiency or having control and ask for help it is also time to talk seriously about Eating Disorders Treatments and Programs. The problem is, where to find it, how to pay for it, or what questions to ask.
The illness you are battling is a severe one and, therefore, costly. Depending on the stage of the disease you need to consider paying for group therapy, individual therapy, often recreational, art, music and dance therapy as well. If you decide to place your loved one into a residential facility you need to be prepared to address the costs of the residence, the food, the care-techs, the Drs. and the medications.
Begin with insurance. If you have insurance, contact the 1-800 number on the back of your card and find out about mental health services covered. Often insurances will cover outpatient treatment for eight sessions—a good beginning, to be sure! Give yourself at least four sessions with the counselor before you decide that he/she is “clueless”. It takes a while for the counselor to break down defense mechanisms and make some progress.
If you do not have insurance but do have the finances to fund your own treatment, begin by asking your Primary Care Physician for referrals to mental health counselors in the area. For the vast majority, finances are so tight that you do not know where to go. Begin by calling 2-1-1 to find social service agencies near you. Ask about mental health service agencies, cash assistance, or financial service programs. Obtain contact information. When you contact an office, find out if the counselor specializes in treatments for eating disorders, depression, anxiety, and, if you abuse substances, include that in the investigation. Ask the administrative assistant for referrals so that, should you decide (after four sessions) you need a different approach or counselor, you have resources to explore.
Two of the biggest questions—not financially related—that need to be asked is, “When do I know my child is ready to come in?”, and “How do I prepare my child for admission to this facility?”
Keep in mind that there are always avenues to travel and help is around one of those corners. Finding the right combination of eating disorders treatments is key to recovery. There is always hope that can replace despair. Allow yourself to believe in hope! You deserve it!

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The Very Important Role of Boundaries to get Help for Eating Disorders

First, I must apologize for my phone going off at the end and Hannah was late for work…technology strikes again!

There are not many eating disorders articles written about the connection between teenage eating disorders and boundaries per se because we, as a culture and as a nation, are presently focusing on healthy living and eating. Although it is very important to have a well-rounded vision of the interplay between exercise and eating, we must remember that this disease is NOT about food at all–it IS about love, agency, and boundaries.

What are boundaries for? They are used to mark property lines so that, as one teenager put it, you don’t mow more grass than you have to–lol! They are also to ‘mark’ your territory, delineating what is rightfully yours and what is not. Boundaries are put in place when you purchase something, when something is given to you, or when you are born with it–like your mind, your heart, and your body. It has taken me years to help my girls understand that I want them to ask me if they can borrow clothing or jewelry before they don it for the day. I want to have the final word as to its whereabouts because it belongs to me.

Boundaries are different for everyone, and no one has the right to belittle or push someone else beyond their limit. I remember being quite young when the movie, “Goldfinger” was made. Naturally there was a lot of hype about this handsome super-spy who was surrounded by beautiful semi-clothed women in an action packed movie and my parents wanted to go see it. To avoid getting a babysitter, they brought me along, but it was a long two hours for me. I FELT frightened, violated, unimportant, out of body/weird and STUCK in a place I didn’t like. Although it was very traumatic for me, I felt brushed aside when I tried to talk about it whether that was intended or not.

As much as I still love and respect my parents, they didn’t understand MY boundaries in that regard, nor did they even know to address the issue with me. I, on the other hand, had no idea HOW to verbalize the confusion I felt. AND HERE’S THE POT OF GOLD IN THIS POST: I didn’t feel permitted to be persistent in expressing myself until they understood me. They explained that having a dead, naked woman lying on a bed face down, painted in gold was just Hollywood. It wasn’t real. It shouldn’t bother me. (Note: the use of ‘should’ will close a conversation every time! MANY parents with good intentions say it frequently!)

What did this experience teach me? 1. Don’t talk and ask questions in the movie theater. It’s rude. 2. There are feelings that I should feel and those that I shouldn’t feel, depending on the occasion. Interpreted, that means that someone else has the power to determine my feelings…do YOU want to be told how to feel about something? Do YOU like feeling STUCK in a place you don’t want to be? When we FEEL those negative feelings we have got to stop and ask ourselves what boundary has been crossed, for if the boundaries are continually violated, and we continue to be hurt, frightened, unimportant, and STUCK the resulting anger will be the perfect fertilizer for any one of the many eating disorders addiction and/or requiring treatments.

For more, continued information, I will be writing many more eating disorders articles on this website, http://www.EatingDisordersHelp.com. Please leave a comment below. :)

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Eating Disorders Help: Eating Disorders Statistics?

OK. Here are some Eating Disorders Statistics that will rock your world: According to The National Institute of Mental Health, National Association of Anorexia Nervosa and Associated Disorders
* 10% report onset at 10 years or younger
* 33% report onset between ages of 11-15
* 43% report onset between ages of 16-20
* 86% report onset of illness by the age of 20

I must caution the reader that eating disorders statistics are only as good as the people in the survey are willing to be honest. Who knows what the REAL statistics are? How many people are really struggling with eating disorders that need help?

The term, ‘onset’ means that, although the symptoms become obvious much later, the illness could have been brewing BEFORE the child was 10 years old. A fourth grader turns 10 years old during the school year. So, while all the other grade schoolers are whizzing through their potato chips, sometimes trashing their sandwiches, there are those who carefully chew and digest their food, sometimes taking up the entire lunch period–sacrificing play time/friend time. Why?

Typically, these sensitive children who will eventually need eating disorders treatments come from homes with high expectations, and low deliverance of positive affirmations. Are the homes evil? NO. Parents are working, busy, have other obligations that, to the child, feel more important than themselves; Quite often there is discord or disharmony between the parents that creates additional stress which is not discussed openly. As in the case of divorce, children take on the non-discussion of stress as being self-related–that they are the source of the problem, that if they tried harder to do more, be more, give more the stress would stop.

In the parent’s point of view, they could be trying to hold on to survival of the family in hopes of keeping things as normal as possible. One, perhaps both may believe that their children wouldn’t understand what is going on between them, they don’t want to admit a difficulty (perhaps too busy placing ‘blame’ on the other), or they simply don’t know how to talk about problems for fear that someone will ‘know’ they are normal.:). They are too engrossed in their own problems to realize that their praise or endorsement of their child’s being comes only when their child has DONE or behaved well in something obvious or public: a well-executed performance of a talent, a 100% on a report card, having a cute outfit on, receiving praise from a colleague about their child.

What to do? Be honest. Avoid giving the ‘silent treatment’ to your spouse or being on the receiving end. Talk to him/her about your feelings! Use “I feel…” statements. If you are frustrated, tell your children you are frustrated that you and your spouse cannot come to an agreement; assure them that they are not to blame. If you are angry, let them know that you are not angry at THEM. If you feel anxiety, express your anxiety. Must you ‘fill in the blanks’ and give them all the gory details? No. In your efforts to leave them blameless, you do not need to place blame anywhere else. But you MUST acknowledge the feelings you have…of which they are, assuredly already aware!

Remember, Eating Disorders Statistics only let us know what those being surveyed are willing to say. In order to decrease the chance of your home becoming a statistic, express your feelings to those who have offended you and to your children.

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Coping Skills as Eating Disorders Treatments

How can you apply some eating disorders treatments as coping skills over the Thanksgiving weekend?

Does Aunt Tillie constantly notice AND comment on everyone and everything?  Does Uncle Ned have opinions about ‘good nutrition’ and health that he is compelled to share?  These and other comments made by family members and guests at mealtime can be quite triggering for someone who is trying desperately to overcome their fear of food, their fear of relationships, and/or their fear of failure.  Knowing this, assure your son or daughter that you will support them in their need to handle the situation however they see fit.  That would include vomiting and/or restricting.  However, even if they choose to act out through their feeling of empowerment, someone is sure to say something about it.  How do you, as a family handle that?

One of the most powerful treatments for eating disorders you can implement includes giving your child as much control of the situation as possible.  Take a moment–or several moments–to share your feelings about the upcoming issues.  Let them tell you how they would LIKE the event to transpire.  What would their desired outcome be?  How would they like YOU to help and support them?  Would they like you to talk to the guests before they arrive?  Would THEY like to visit with the guests beforehand?  Would they like nothing said?  How would they like you to respond as a supportive parent if something IS said?

Do you see how you are handing the control of the uncontrollable situation to them?  You are not trying to ‘bait them’, or give them a hopeless situation, but you ARE trying to learn the desired role of support.

Dinner, in spite of your efforts, may still prove to be a little ‘dicey’.  Remember this is the long road–the long haul.  Maintain belief in your child if you expect the eating disorders treatments to take effect!  Hold fast to correct principles!  This Thanksgiving experience is only a dip in the road if you hang on to each other with pure, unconditional love!

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Ed [Eating disorders] or Me?

FREE TELESUMMIT every TUESDAY, 12:30 MST dial in 1-712-432-3066 access: 457920. http://www.EatingDisordersHelp.com

Bulimic Symptoms and other eating disorders–ED–like most undesirable things, don’t suddenly ‘just show up’. They are most akin to oil seeping through a shag carpet under the door. They go unnoticed over a period of time (typically, years) until you step in the wrong place. It is then that you feel the slimy substance leak into your shoe and, when you look down, you see that your foot is covered in goo and your shoe is now ruined. You not only feel dirty, but you wonder how in the world you are going to make it to a place to clean up without tracking it all over the house first. People will ask you why you didn’t see the mess, why you were so careless to step in it, “Why”….and “You should have”. So now you feel not only stupid, but silly–and you are still stuck where you are with no silent or casual way out. If only the solution for those showing bulimic symptoms or needing anorexia help were that simple!

It is a fine line to walk for someone who wants to help. It is obvious that help is needed, but you (now the caregiver) don’t want the victim to feel worse. The natural reaction for some people is to pretend it is not there while in the presence of the person with ‘shoe goo’ and talk around it or talk about it with other people while wringing each others’ hands. The best way, however, is to address it head on: “I see you are in a bit of a pickle” (in the case of the shoe goo), “I’ve noticed that you are having a hard time dealing with eating lately”, or “I’ve noticed that you are not quite yourself lately”. You will note the lack of judgement–just pure observation.

The person with ED will, most likely, make an excuse, or become defensive at which point you say, “I’m not passing judgement here. I only wanted to point out that I’ve noticed a change and I wondered if you had noticed it too.” In that light you are not backing down from the observation, but you are not attacking it either. You are leaving the door open for discussion.

ED fears truth. ED swallows it’s victims so they are unable to see truth. When someone you love needs Eating Disorders treatments from their need for anorexia help or because they are showing a few bulimic symptoms, it is time for you to breathe deeply, educate yourself, and take the time to mend the bonds of trust that have severed–for whatever reason. It is not time to blame.

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Teenage Eating Disorders: Food Games

If someone is playing food games, they are exhibiting definite bulimic symptoms or they need anorexic help. What are food games? Essentially they are ways people play with their food in efforts to help others believe they are actually eating. When broken down, a food game is any way a person eats food that is different from the norm. It is normal for a baby to eat meat with his fingers. It is NOT normal for a teenager to do the same.
Many people dab their pizza with a napkin before they eat, claiming it is healthier. The truth is, these same people are quite possibly scared of grease and aren’t familiar with how it feels in the mouth. Masking the discomfort and fear, these people go with the socially popular idea that less grease means healthier food and society believes and endorses the story: “You are so good. I don’t have that kind of control.”
Another example is slurping the sauces off noodles so as to decrease the amount of calories. Please don’t think that noodle slurping is inherently a food game as it is common to dab up the rest of the sauce with a slice of bread. Those playing food games, however, do not intend to dab anything besides the corners of the mouth. In fact, the extra sauce will go unnoticed, as much of it will be wiped away with a napkin.
Many of us have heard of the “Spread the Food Across Your Plate” game where the player gets away with eating morsels, fiddling with the food, and leaving it strewn across the plate. Of course we are familiar with the “Hide Food In Your Napkin” game as we have seen it portrayed in movies and television shows.
How about the “Press Your Meat Against Your Plate With Your Fork to Squeeze Out Excess Grease” game? Perhaps the “Eat As Many Helpings of Salads, Veggies, or Fruit As You Can To Feel Full” game? There is always the “Drink Lots of Water Before, During and After Dinner”. What about “Less Condiments Mean Less Fat So I Eat Dry and Bland Foods” game? Or perhaps the opposite food game is preferred: “Eat Food With Lots of Condiments So That You Don’t Really Have to Feel It In Your Mouth.” Other games include: “Chew Ice (or Gum) to Abate/Deaden Hunger”, “Cut Off Any Particle of Fat from Meat”, “Touch Food to Get Extra Grease and Then Wipe It On Your Napkin”, “Chew Food at Least X# of Times”, “Take at Least (X#) Minutes to Eat Any Meal”, “Cut Food Into Tiny Pieces”, and “Dissect Food”.
There are a myriad of food games that the player feels unable to win—yet compelled to play while becoming more anxious and willing to risk being noticed until the player is finally in checkmate. There are eating disorders treatments to put in place when such bulimic symptoms or symptoms requiring anorexic help are obvious.
The main thing to remember is to keep breathing, and address what you noticed (without judgement) with the game player. “I noticed you were playing some food games at the dinner table tonight…” After the question is posed, listen.

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