This document discusses eating disorders such as anorexia nervosa, bulimia, and binge eating disorder. It describes the psychological, interpersonal, and social factors that contribute to the development of eating disorders. People with eating disorders often use food and control of food to cope with difficult emotions and feel in control of their lives. The document outlines common behaviors, thoughts, and beliefs associated with eating disorders like restrictive eating, excessive exercise, obsession with food and weight, and low self-esteem. It provides advice on helping friends who may have an eating disorder by expressing concern in a caring, supportive way and encouraging them to seek help from a medical professional.
Eating disorders are psychological illnesses defined by abnormal eating habits that may involve either insufficient or excessive food intake to the detriment of an individual's physical and mental health.
EATING DISORDERS: Decode the Controlled Chaos provides the information to gain a deeper understanding of the severe epidemic of eating disorders. This book can help you:
-expand your knowledge of eating disorders
-grasp their severity and prevalence
-explore the numerous causes
-identify early waring signs and recognize current symptoms
-increase awareness of the potential medical complications
-understand the meaning and importance of a multi- disciplinary treatment approach
-learn about the treatment options available
-facilitate a clinical interview
-enhance your understanding with the use of clinical vignettes
As treatment professionals, teachers, parents, sibling, and friends, we have a responsibility to one another, our society, and the generations to follow, to become knowledgeable and more willing to talk about this silent killer. It is time for us all to gain awareness and choose to do something differently before it is too late. Let us choose to become united to help create freedom from the prison of eating disorders.
This book is written by Erica Ives, MFT, CEDS (Certified Eating Disorder Specialist). I have been practicing as a Marriage and Family Therapist for nearly twenty years. To learn more please visit www.mindfulpath.com and www.ericaives.com
Best,
Erica
Eating disorders are psychological illnesses defined by abnormal eating habits that may involve either insufficient or excessive food intake to the detriment of an individual's physical and mental health.
EATING DISORDERS: Decode the Controlled Chaos provides the information to gain a deeper understanding of the severe epidemic of eating disorders. This book can help you:
-expand your knowledge of eating disorders
-grasp their severity and prevalence
-explore the numerous causes
-identify early waring signs and recognize current symptoms
-increase awareness of the potential medical complications
-understand the meaning and importance of a multi- disciplinary treatment approach
-learn about the treatment options available
-facilitate a clinical interview
-enhance your understanding with the use of clinical vignettes
As treatment professionals, teachers, parents, sibling, and friends, we have a responsibility to one another, our society, and the generations to follow, to become knowledgeable and more willing to talk about this silent killer. It is time for us all to gain awareness and choose to do something differently before it is too late. Let us choose to become united to help create freedom from the prison of eating disorders.
This book is written by Erica Ives, MFT, CEDS (Certified Eating Disorder Specialist). I have been practicing as a Marriage and Family Therapist for nearly twenty years. To learn more please visit www.mindfulpath.com and www.ericaives.com
Best,
Erica
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
"The Balanced Male" is an interactive presentation for men to help them be happier, deal more effectively with stress and become better relationship partners. Not too lofty of goals, huh?
This a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
Disclaimer
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project email the teacher Chris Jocham: jocham@fultonschools.org
Parent Workshop Suicide Among AdolescentsLaWanda17
This powerpoint is for educational purposes only and to raise awareness about adolescent suicide. Please contact me for more information about this presentation or if you would like me to facilitate this presentation for your school, parent group, youth group, agency, or business.
Los alimentos con mas calorías
Alimentos mas saludables
Como conseguir una buena alimentación
Mala alimentación
Como hacer para llegar a tu peso ideal?
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
"The Balanced Male" is an interactive presentation for men to help them be happier, deal more effectively with stress and become better relationship partners. Not too lofty of goals, huh?
This a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
Disclaimer
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project email the teacher Chris Jocham: jocham@fultonschools.org
Parent Workshop Suicide Among AdolescentsLaWanda17
This powerpoint is for educational purposes only and to raise awareness about adolescent suicide. Please contact me for more information about this presentation or if you would like me to facilitate this presentation for your school, parent group, youth group, agency, or business.
Los alimentos con mas calorías
Alimentos mas saludables
Como conseguir una buena alimentación
Mala alimentación
Como hacer para llegar a tu peso ideal?
8 types of footwear for women the ultimate guideadvardgibbs
Knowing your shoe definitions is useful skill and this presentation is all about women footwear and their types. But few of them have gone out of style yet with the cyclical fashion industry, we won't be surprised if they make a comeback soon.
Eating Disorder A Threat To Life | Solh Wellness.pdfSolh Wellness
Eating disorders are caused due to uncontrollable eating habits that harm your health, emotions, and ability to perform in day-to-day activities. Solh Wellness explains about its types, causes and risk factors.
Review the prevalence of eating disorders
Identify assessment areas
Identify risk and protective factors
Explore complications
Explore potential guidelines for treatment
Based on APA Guidelines for Eating Disorders, the NICE Guidelines for Eating Disorder Recognition and Treatment, and the NEDA Coach and Trainer’s Toolkit
A direct link to the CEU course is https://www.allceus.com/member/cart/index/product/id/56/c/
Will be released as part of the Counselor Toolbox Podcast
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. What are eating disorders?
Eating disorders are complex conditions
that arise from a combination of longstanding behavioral, emotional,
psychological, interpersonal, and social
factors.
3. What are they?
People with eating disorders often use food
and the control of food in an attempt to
compensate for feelings and emotions that
may otherwise seem over-whelming.
For some, dieting, bingeing, and purging may
begin as a way to cope with painful emotions
and to feel in control of one’s life, but
ultimately, these behaviors will damage a
person’s physical and emotional health, selfesteem, and sense of competence and
control.
5. Describe
Most of you know someone that has
struggled with their eating -- make a
group of 3 or 4 and describe the person
to the rest of your group.
Did you describe the person or their
behavior?
Common themes?
6. Anorexia nervosa
Characterized by self-starvation and excessive weight loss.
Symptoms include:
Refusal to maintain body weight at or above a minimally normal
weight for height, body type, age, and activity level
Intense fear of weight gain or being “fat”
Feeling “fat” or overweight despite dramatic weight loss
Loss of menstrual periods
Extreme concern with body weight and shape
7. Bulimia
Characterized by a secretive cycle of binge eating followed by purging.
Bulimia includes eating large amounts of food--more than most people
would eat in one meal--in short periods of time, then getting rid of the
food and calories through vomiting, laxative abuse, or over-exercising.
Repeated episodes of bingeing and purging
Feeling out of control during a binge and eating beyond the point of
comfortable fullness
Purging after a binge, (typically by self-induced vomiting, abuse of
laxatives, diet pills and/or diuretics, excessive exercise, or fasting)
Frequent dieting
Extreme concern with body weight and shape
8. Binge Eating Disorder/
Compulsive Overeating
Characterized primarily by periods of uncontrolled,
impulsive, or continuous eating beyond the point of
feeling comfortably full.
While there is no purging, there may be sporadic
fasts or repetitive diets and often feelings of shame or
self-hatred after a binge.
People who overeat compulsively may struggle with
anxiety, depression, and loneliness, which can
contribute to their unhealthy episodes of binge eating.
Body weight may vary from normal to mild, moderate,
or severe obesity.
9. Factors
Disordered eating is NOT just about
food and diets…
Can you list the other factors that play a
role in the development or continuation
of disordered eating behaviors?
See how many your group can come up
with.
11. Interpersonal Factors
Troubled family and personal
relationships
Difficulty expressing emotions and
feelings
History of being teased or ridiculed
based on size or weight
History of physical or sexual abuse
12. Social Factors
Cultural pressures that glorify "thinness" and
place value on obtaining the "perfect body"
Narrow definitions of beauty that include only
women and men of specific body weights and
shapes
Cultural norms that value people on the basis
of physical appearance and not inner
qualities and strengths
13. Other Factors
Scientists are still researching possible
biochemical or biological causes of
eating disorders. In some individuals
with eating disorders, certain chemicals
in the brain that control hunger,
appetite, and digestion have been
found to be imbalanced. The exact
meaning and implications of these
imbalances remains under investigation
14. Behavior
Share some of the behaviors that you
have witnessed from people struggling
with and ED regarding food and
exercise.
What is the common theme for these
behaviors?
15. Food Behavior
Anorexic
The person skips meals, takes only tiny portions, will
not eat in front of other people, eats in ritualistic
ways, and mixes strange food combinations. May
chew mouthfuls of food but spits them out before
swallowing.
Grocery shops and cooks for the entire household,
but will not eat the tasty meals.
Always has an excuse not to eat -- is not hungry, just
ate with a friend, is feeling ill, is upset, and so forth.
16. Food Behavior
Bulimic
The person gorges, usually in secret, emptying
cupboards and refrigerator. May also buy special
binge food.
If panicked about weight gain, may purge to get rid of
the calories. May leave clues that suggest discovery
is desired -- empty boxes, cans, and food packages;
foul smelling bathrooms; running water to cover
sounds of vomiting; excessive use of mouthwash and
breath mints; and in some cases, containers of vomit
poorly hidden that invite discovery.
17. Exercise
The person exercises excessively and
compulsively. May tire easily, keeping up a
harsh regimen only through sheer will power.
As time passes, athletic performance suffers.
Even so, s/he refuses to change the routine.
May develop strange eating patterns,
supposedly to enhance athletic performance.
May consume sports drinks and
supplements, but total calories are less than
what an active lifestyle requires.
18. Exercise
Up to five percent of high school girls and seven
percent of middle-school girls have tried steroids in
attempts to get bigger and stronger in sports and also
to reduce body fat and control weight.
Some say they don't mind gaining weight as long as
it's muscle weight, not fat.
Male abuse of steroids is also well documented.
19. Thoughts and Beliefs
In spite of average or above-average intelligence, the person thinks in
magical and simplistic ways, for example, "If I am thinner, I will feel
better about myself." S/he loses the ability to think logically, evaluate
reality objectively, and admit and correct undesirable consequences of
choices and actions.
Becomes irrational and denies that anything is wrong. Argues with
people who try to help, and then withdraws, sulks, or throws a tantrum.
Wanting to be special, s/he becomes competitive. Strives to be the
best, the smallest, the thinnest, and so forth.
Has trouble concentrating. Obsesses about food and weight and holds
to rigid, perfectionistic standards for self and others.
Is envious of thin people in general and thinner people in particular.
Seeks to emulate them.
20. Feelings
Has trouble talking about feelings, especially anger. Denies anger,
saying something like, "Everything is OK. I am just tired and stressed."
Escapes stress by turning to binge food, exercise, or anorexic rituals.
Becomes moody, irritable, cross, snappish, and touchy. Responds to
confrontation and even low-intensity interactions with tears, tantrums, or
withdrawal. Feels s/he does not fit in and therefore avoids friends and
activities. Withdraws into self and feelings, becoming socially isolated.
Feels inadequate, fearful of not measuring up. Frequently experiences
depression, anxiety, guilt, loneliness, and at times overwhelming
emptiness, meaninglessness, hopelessness, and despair.
21. Social Behavior
Tries to please everyone and withdraws when this is not possible. Tries
to take care of others when s/he is the person who needs care. May
present self as needy and dependent or conversely as fiercely
independent and rejecting of all attempts to help. Anorexics tend to
avoid sexual activity. Bulimics may engage in casual or even
promiscuous sex.
Person tries to control what and where the family eats. To the dismay of
others, s/he consistently selects low-fat, low-sugar non-threatening -and unappealing -- foods and restaurants that provide these "safe"
items.
Relationships tend to be either superficial or dependent. Person craves
true intimacy but at the same time is terrified of it. As in all other areas
of life, anorexics tend to be rigidly controlling while bulimics have
problems with lack of impulse control that can lead to rash and
regrettable decisions about sex, money, stealing, commitments,
careers, and all forms of social risk taking.
22. Judy’s Story
My name is Judy Sargent. I
am 37 years-old and a
recovered anorexic. I
suffered from severe
anorexia nervosa for 10
years, was hospitalized 26
times, and landed myself in
intensive care units on
multiple occasions. You
would never guess any of
these things looking at me
today.
23. Story
Did you get good grades in school?
Yes, I was a straight "A" student. My father is a
professor, so there was always pressure to
perform. If I got an "A," my father said that I
didn't challenge myself enough. If I got an "A-,"
my father said that I didn't apply myself hard
enough. I couldn't ever seem to "win" the
approval I so desired from my parents.
24. Did you feel as if you were not perfect
compared to your peers?
I guess you could say I'd always been a
perfectionist (striving for perfection in
everything that I did), but the pressure was
internal (competing with myself and nobody
else). In terms of my peers, I felt inferior. I
had HORRIBLY low self-esteem. I never felt
"better than" my peers, nor did I do things to
make myself feel that way. In my minds eye, I
knew that I was inferior. Socially, I felt like a
misfit (even though I was on the cheerleading
squad and outwardly looked like "I had it all").
25. Why did you decide to stop eating
rather than something like become
bulimic?
It all started as a simple "diet" (as part
of my self-devised, self-improvement
plan), but it snowballed out of control.
Eventually, I became afraid to eat (and
even, at times, to drink water). It was
like a phobia (fear) of weight gain and
food.
26. What made you look at yourself as not
a thin enough person?
Contrary to popular belief, I
saw myself as thin, although
I told people that I was "fat."
For me, the word "fat" took
on a whole new meaning.
When I looked at myself in
the mirror, I saw the
protruding bones and the
greyish blue skin. In my
mind, I was still "fat"
because I was still less than
perfect and still unhappy.
27. How did your friends cope with the
problem?
My friends quickly dissipated and then
disappeared completely. The anorexia
became all consuming. I spent hours
exercising, and I avoided any social
gatherings that had anything to do with
food.
28. I never imagined….
I started losing weight, never
dreaming that I'd become
anorexic, that I'd lose control
over my life and almost wind
up dead. I began my diet as
a simple self-improvement
campaign, as an attempt to
"feel better" about myself.
Initially, I felt better...so I lost
more weight...quickly it
became a trap and spiraled
out of control.
29. Inside the ED’s mind
Anorexia nervosa is not really about
losing weight, eating or not eating,
exercising like a maniac or not. It is
about self-esteem. It is about how you
feel about yourself. True happiness
comes from within, it cannot be gleaned
from reading the numbers off of a
bathroom scale.
30. Behaviors
Restaurant Rules:
Before ordering, ask for a full glass of ice water (with lemon,
optional) and consume it. Get a refill when the waiter comes to
take your order.
Get nutrition information ahead of time if you can. Surf the 'net
or call the restaurant (just tell them you have "health issues")
and ask about the calorie, fat and carb content of their dishes.
Then you will know what to order -- or whether to even bother
going there.
Avoid all breaded or battered items, fried items, sautéed items,
breads, pasta, rice, sweetened drinks, and of course, desserts.
31. More “Rules”
Get the simplest foods in their
most natural form available,
such as grilled fish and a tossed
salad. Lean proteins like shrimp
are best. (You don't NEED the
cocktail sauce, ignore it!)
When given a choice, always
lunch portion, never dinner
portion.
Request all sauces and
dressings on the side. That
way you retain control over how
much you consume. Nearly all
the excess calories, fats and
carbs are in restaurant sauces
and dressings.
Have your water glass refilled
when the food arrives.
One or two sips of water
between bites.
Set down fork after each bite.
Chew slowly and thoroughly.
Be discreet; don't make a
spectacle of yourself. You are
there to survive the experience,
savour your sense of control,
and enjoy your time out -- not to
draw attention to how weird you
can be with food.
32. Excuses?
"Oh, thank you, but I already
ate at work (school, friend's
house, on your way home,
etc. wherever you just came
from)."
"Well, I haven't really been
feeling well today. My
stomach is kind of queasy;
maybe I'll just have some hot
tea and see if it settles for
now."
"Man, I've got a massive
headache -- I'll just take a
big glass of water and an
aspirin (tylenol, ibuprofen,
whatever) if you don't
mind ..."
"Well, I had a really HUGE
breakfast (lunch, snack,
whatever) and I'm still full
from that ... maybe later."
33. Reality?
"My favorite safe food is egg
whites. 15 calories each and
pure protein, no fat. 4 are
just 60 cal. total and you will
think you just had an omlette
at perkins. My second fav is
canned chicken broth. 20
cals in the whole can (fat
free kind of course) warms
you up and no guilt."
34. Helping
If you are worried about your friend’s
eating behaviors or attitudes, it is
important to express your concerns in a
loving and supportive way. It is also
necessary to discuss your worries early
on, rather than waiting until your friend
has endured many of the damaging
physical and emotional effects of eating
disorders.
35. Judy’s advice
I usually encourage people to voice their
concern to their friend by saying something
like, " ___ (name), I'm concerned about you.
I've noticed that you've lost a lot of weight
lately. I really care about you and I'm afraid of
losing you. Would you consider going to get
help?" Denial and resistance is common in
the early stages of an eating disorder, so this
approach may not work.
36. Communicating
Set a time to talk. Set aside a time for a
private, respectful meeting with your friend to
discuss your concerns openly and honestly in
a caring, supportive way. Make sure you will
be some place away from other distractions.
Communicate your concerns. Share your
memories of specific times when you felt
concerned about your friend’s eating or
exercise behaviors. Explain that you think
these things may indicate that there could be
a problem that needs professional attention.
37. Communicating
Ask your friend to explore these concerns with a
counselor, doctor, nutritionist, or other health
professional who is knowledgeable about eating
issues. If you feel comfortable doing so, offer to help
your friend make an appointment or accompany your
friend on their first visit.
Avoid conflicts or a battle of the wills with your
friend. If your friend refuses to acknowledge that
there is a problem, or any reason for you to be
concerned, restate your feelings and the reasons for
them and leave yourself open and available as a
supportive listener.
38. Communicating
Avoid placing shame, blame, or guilt on your friend regarding
their actions or attitudes. Do not use accusatory “you”
statements like, “You just need to eat.” Or, “You are acting
irresponsibly.” Instead, use “I” statements. For example: “I’m
concerned about you because you refuse to eat breakfast or
lunch.” Or, “It makes me afraid to hear you vomiting.”
Avoid giving simple solutions. For example, "If you'd just
stop, then everything would be fine!"
Express your continued support. Remind your friend that you
care and want your friend to be healthy and happy.
39. Body Image
Body image is . . .
How you see yourself when you look in the mirror or when you
picture yourself in your mind.
What you believe about your own appearance (including your
memories, assumptions, and generalizations).
How you feel about your body, including your height, shape, and
weight.
How you sense and control your body as you move. How you
feel in your body, not just about your body.
3 D’s
Dieting, Body Dissatisfaction, Drive for Thinness
40.
41. Dieting
Americans spend more than $40 billion dollars a year on dieting and
diet-related products.
That’s roughly equivalent to the amount the U.S. Federal Government
spends on education each year.
It is estimated that 40-50% of American women are trying to lose weight
at any point in time.
One recent study revealed that 91% of women on a college campus
had dieted; 22% dieted "often" or "always."
Researchers estimate that 40-60% of high school girls are on diets
Another study found that 46% of 9-11 year olds are sometimes or very
often on diets
And, another researcher discovered that 42% of 1st-3rd grade girls
surveyed reported wanting to be thinner
42. Media
All media images and messages are constructions.
They are NOT reflections of reality. Advertisements
and other media messages have been carefully
crafted with an intent to send a very specific
message.
Advertisements are created to do one thing: convince
you to buy or support a specific product or service.
To convince you to buy a specific product or service,
advertisers will often construct an emotional
experience that looks like reality. Remember, you are
only seeing what the advertisers want you to see.
44. Media
Advertisers create their message based on what they think you
will want to see and what they think will affect you and compel
you to buy their product. Just because they think their approach
will work with people like you doesn’t mean it has to work with
you as an individual.
As individuals, we decide how to experience the media
messages we encounter. We can choose to use a filter that
helps us understand what the advertiser wants us to think or
believe and then choose whether we want to think or believe
that message. We can choose a filter that protects our selfesteem and body image.
45.
46. Actress Jennifer Aniston for Vanity
Fair, May 2001
"The media create this
wonderful illusion-but
the amount of
airbrushing that goes
into those beauty
magazines, the hours
of hair and makeup!
It's impossible to live
up to, because it's not
real."
47. - Elizabeth Hurley for Details magazine
"On my last Cosmo
cover," she
explains, "they
added about five
inches to my
breasts. It's very
funny. I have, like,
massive knockers.
Huge. Absolutely
massive."
48. Christy Turlington
Christy Turlington explains to
Elle magazine... "Advertising is
so manipulative," she says.
"There's not one picture in
magazines today that's not
airbrushed." ... "It's funny,"
Turlington continues. "When
women see pictures of models
in fashion magazines and say, 'I
can never look like that,'what
they don't realize is that no one
can look that good without the
help of a computer.
49. Reverse triggers
From the website…
“These images represent what we
never want to become. If you
want to know why ... just look
around you at how these people
too often end up being treated.
Perhaps you yourself have been
guilty of this at times. For the
record, this site does not
condone bashing fat people. We
just choose not to be among their
number, is all. “
http://www.plagueangel.net/grotto/id11.html
50. Pro-Anorexia?
"Pro-ana" thus becomes short for proactive, volitional anorexia.
It refers to actively embracing the concept of anorexia as a
lifestyle choice rather than an illness.
Philosophy: There are No Victims Here
Volitional, proactive anorexia is not a disease
or a disorder. It is not to be confused with
ED-anorexia; it is not something invasive which
one "suffers from." There are no VICTIMS here.
It is a lifestyle choice that begins and ends
with a particular faculty human beings seem in
drastically short supply of today: the will.
http://www.plagueangel.net/
51. Dealing with clients
What do you need to learn to effectively
and compassionately deal with ED
patients and clients?