Eating & Food Issues

Overview of Eating and Food Issues: Disordered eating is a complicated matter. It comprises a range of behaviors and attitudes, including but by no means limited to those that meet the DSM criteria for eating disorders. Cultural attitudes about weight and body size are not responsible for the origins of eating disorders, but certainly give them a fertile environment in which to flourish.

The DSM-IV names three main types of eating disorders: Anorexia Nervosa (with a Binge-Purge subtype and a Restricting subtype), Bulimia Nervosa, and Eating Disorder Not Otherwise Specified, or ED NOS (which includes Binge Eating Disorder). Many individuals who struggle with disordered eating don’t meet DSM diagnostic criteria, but suffer from sub-clinical eating disorders, or varying degrees of a disordered relationship with food, body and self. Often a compulsive relationship with exercise is present as well. Eating and food issues that manifest as overeating or that cause weight gain are often mistakenly regarded as bad habits or lack of willpower.

Eating and food issues are variants of overeating or under-eating, rather than eating in harmony with one’s body’s needs. Anorexia nervosa involves eating fewer than enough calories and nutrients to maintain one’s body’s normal weight and can involve compulsive exercise or bingeing and purging (compensating for calories ingested via self-induced vomiting, laxatives, diurectics, enemas) as well. Bulimia nervosa is binge eating followed by self-induced vomiting or other compensatory behaviors. Fasting and exercising are considered “compensatory behaviors” but not purging, so someone who binge eats and then eats nothing for 2 days after is considered to have the non-purging type of bulimia. The category ED NOS is a catch-all, which includes binge eaters and those who purge without eating what is considered by DSM criteria to be a binge. Other “styles” of overeating, such as compulsively grazing all day, are not included in the DSM classifications of eating disorders. ~ Overview provided by Deborah Klinger, MA, LMFT, http://www.pizzadreams.com/dk/

 

The Psychotherapy Model and Eating and Food Issues: Eating and food issues, while not caused by the standards of a given culture, can “use” a cultural norm as a backdrop against which to camouflage “themselves.” For example, in her book, “Fasting Girls: The History of Anorexia Nervosa,” author Joan Jacobs Brumberg describes how in medieval times, anorexia nervosa was misperceived as evidence of attainment of a higher spiritual level, in the form of young women who no longer needed the carnal sustenance of food. Today’s climate, with emphasis for younger women on being “hot,” and for all women (and to an increasing extent, men) a focus on watching one’s weight, BMI, caloric/fat gram/carb intake, a disordered relationship with food/exercise/body can masquerade as “healthy.”


Behind these attitudes lurks a belief that not only is fat bad and thin good, fat and thin are statements about a person’s character- if one is fat, she IS bad/unlovable/unwantable. If one is thin, she is good/lovable/wantable—or at least is passing for those things. Eating disorders sufferers who starve themselves, induce vomiting after eating, exercise when it is not medically safe or out of a belief that they are in danger of being fat or flabby, are governed by a tremendous fear of becoming fat, and a belief that they are fundamentally lazy slobs. Those who feel compelled to overeat or binge eat believe their behavior with food and the size, shape and weight of their bodies are proof of their worthlessness. Thus, food and eating issues are expressions of problems with one’s sense of self and self-worth.


Eating and food issues are also indicators of struggles with anxiety and poor ability to cope with emotional affect, in which the body becomes the battleground upon which these conflicts are enacted. (A 2004 study by the University of Pittsburgh showed that a high percentage of individual with eating disorders have a co-occuring anxiety disorder, often present prior to the onset of the eating disorder.) An individual’s body becomes a concrete, visible entity that she can focus on and attempt to achieve mastery over. Such mastery, whether in the form of sticking to a diet, eating less than is appropriate for one’s health, running 5 miles, or vomiting after eating (with or without bingeing), serves to reduce anxiety and give an illusion of power or validity in the presence of a tenuous sense of self-worth. And because food is so fundamental a survival need, a conflicted relationship with food is an expression of conflict around one’s right to want and need.


Recovery from disordered eating is a long and arduous process. Many clients give up because of lack of motivation and energy to commit to the work involved. It is important to recognize that recovery involves not simply attaining the absence of disordered thoughts and behaviors about food and body, but recovering one’s self—developing a sense of authentic identity, and cultivating self-acceptance reverence for one’s self. ~ Overview provided by Deborah Klinger, MA, LMFT

 

The Medical Model and Eating and Food Issues: Anorexia and bulimia nervosa are physically dangerous disorders. Anorexia has the highest premature fatality rate of any mental disorder (Sullivan, 1995). Because the disorder involves self-induced starvation, an anorexic can die of malnutrition, but is also at risk for refeeding syndrome; an electrolyte imbalance caused by a sudden increase in nutrient intake than can lead to cardiac or respiratory arrest.


Bulimia nervosa carries a great deal of medical risk as well: constant vomiting can not only cause electrolyte imbalances, creating possibility of damage to the heart, but puts a bulimic in danger of esophageal rupture.


Obesity burdens a body’s system and puts one at risk for related health problems such as type II diabetes.


Research has shown that medication targeting the serotonin system can be helpful with impulse control as well as mood, and thus useful in treating binge eating and bulimia as well as depression and anxiety that are so often concomitant with disordered eating. But for patients who are undernourished, food is the most important medicine. Patients whose disordered relationship with food is putting them in medical danger should have a treatment team that includes a primary care physician, a psychiatrist for overseeing medication, and a dietician who is skilled in treating eating disorders, as well as a psychotherapist.

 

When outpatient therapy proves inadequate, a higher level of care is necessary. They range in intensity from intensive outpatient (IOP), in which a patient attends a treatment center for several hours a day, partial hospitalization, in which a patient attends a hospital program during the day but not on evenings or weekends, residential treatment, in which a patient lives at a non-hospital treatment center for a month or longer, and inpatient treatment, in which a patient lives in a hospital eating disorders program. There are discrete level-of-care guidelines delineating the criteria for a patient’s status at each level. ~ Overview provided by Deborah Klinger, MA, LMFT

Diagnotic and Statistical Manual of Mental Disorders: The DSM IV criteria for eating disorders are as follows:

Anorexia Nervosa

• Refusal to maintain body weight at or above a minimally normal weight for age and height: Weight loss leading to maintenance of body weight <85% of that expected or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected.
• Intense fear of gaining weight or becoming fat, even though under weight.
• Disturbance in the way one's body weight or shape are experienced, undue influence of body weight or shape on self evaluation, or denial of the seriousness of the current low body weight.
• Amenorrhea (at least three consecutive cycles) in postmenarchal girls and women. Amenorrhea is defined as periods occurring only following hormone (e.g., estrogen) administration.

Type of Anorexia Nervosa

• Restricting type: During the current episode of anorexia nervosa, the person has not regularly engaged in binge-eating or purging behavior (self-induced vomiting or misuse of laxatives, diuretics, or enemas).
• Binge-eating–purging type: During the current episode of anorexia nervosa, the person has regularly engaged in binge-eating or purging behavior (self-induced vomiting or the misuse of laxatives, diuretics, or enemas).


Bulimia Nervosa

• Recurrent episodes of binge eating characterized by both:

1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances
2. A sense of lack of control over eating during the episode, defined by a feeling that one cannot stop eating or control what or how much one is eating

• Recurrent inappropriate compensatory behavior to prevent weight gain

1. Self-induced vomiting
2. Misuse of laxatives, diuretics, enemas, or other medications
3. Fasting
4. Excessive exercise

• The binge eating and inappropriate compensatory behavior both occur, on average, at least twice a week for 3 months.
• Self evaluation is unduly influenced by body shape and weight.
• The disturbance does not occur exclusively during episodes of anorexia nervosa.

Type of Bulimia Nervosa

• Purging type: During the current episode of bulimia nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
• Nonpurging type: During the current episode of bulimia nervosa, the person has used inappropriate compensatory behavior but has not regularly engaged in self-induced vomiting or misused laxatives, diuretics, or enemas.


Eating Disorders Not Otherwise Specified (ED NOS). Eating disorder not otherwise specified includes disorders of eating that do not meet the criteria for any specific eating disorder.

1. For female patients, all of the criteria for anorexia nervosa are met except that the patient has regular menses.
2. All of the criteria for anorexia nervosa are met except that, despite significant weight loss, the patient's current weight is in the normal range.
3. All of the criteria for bulimia nervosa are met except that the binge eating and inappropriate compensatory mechanisms occur less than twice a week or for less than 3 months.
4. The patient has normal body weight and regularly uses inappropriate compensatory behavior after eating small amounts of food (e.g., self-induced vomiting after consuming two cookies).
5. Repeatedly chewing and spitting out, but not swallowing, large amounts of food.
Binge-eating disorder is recurrent episodes of binge eating in the absence if regular inappropriate compensatory behavior characteristic of bulimia nervosa.


(Adapted from American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text rev. Washington, DC, American Psychiatric Association, 2000)

Case Examples of Eating and Food Issues:

 

Cathy, a 25-year-old 2nd-year med student, came to therapy because some fellow students expressed their concerns about Cathy’s extreme weight loss and increasing lack of participation in social events. Cathy maintains that she is fine, that she is simply stressed out about school, and puts grades ahead of socializing. At 5’4” and 96 lbs, she has a BMI of 16.5. She states she is menstruating regularly, though very lightly, and has been on birth control pills for the last 4 years. Further questioning revealed that Cathy was teased for being chubby in middle school and for a period of time in middle and high school, engaged in inducing vomiting after meals. Since the she has an intense fear of becoming “the fat kid that no one likes,” and said that she had been maintaining her weight around 110 lbs until the beginning of this school year, when the pressures of school made her, as she puts it, “aware of how important it is to be the best,” including being the thinnest, and she began cutting back on her food portions, eliminating fats from her diet, and avoiding social situations in which food is involved, because “I don’t know what’s in it.” Cathy’s therapist referred her to a physician for medical monitoring, and a dietician for help devising an appropriate meal plan. Cathy’s therapist began by first separating anorexia from Cathy, helping Cathy view anorexia as an unwelcome guest who had take over Cathy’s brain. She helped Cathy challenge Cathy’s distorted, anorexia-driven thinking about Cathy’s body’s needs for nutrients and energy. As Cathy’s eating improved and her brain became well-nourished enough to participate more fully in the therapeutic process, Cathy became aware that she has tremendous fear of being less than perfect, stemming in part from her parents’ focus on her academic achievements in tandem with their lack of focus on her inner emotional experiences. When her parents divorced when Cathy was in 5th grade, Cathy saw that her parents seemed happier when she did well in school, and she wanted to help them feel happy. She wanted also to make sure that wasn’t a burden or an unhappy reminder of their failed marriage. She had learned to ignore her own emotional needs, and this was reflected in her denying her physical need for food. As she re-connected to her feelings, her therapist guided her to manage painful emotions rather than starving them away, and she found that she was increasingly less fearful of becoming obese and more comfortable in her body. Cathy’s therapist referred her to a psychiatrist who prescribed medication for the obsessive-compulsive anxiety related to her perfectionism. She has learned to recognize and challenge the “voice” of anorexia, and affirm her right to feel her feelings and her physical hunger, and need help and support from others as well as food.

Yvonne, 38, is an elementary school teacher who has been overweight since childhood. She has been on hundreds of diets, losing weight but them regaining it, often gaining more weight than she lost initially. She berates herself for being “a fat pig,” and feels ashamed of her lack of willpower. She is divorced, and her ex-husband used to make nasty remarks about her weight, to which she reacted by retreating to her den in tears and waiting until he went to bed so she could sneak into the kitchen and soothe herself with ice cream and cookies. After such an episode, she would mentally flagellate herself for her shameful behavior, and vow to be strong and disciplined from then on. She came to therapy because she felt defeated by her lack of ability to follow through on her promises to herself, and wondered if she had a problem with emotional eating. She was concerned that the idea that she was, perhaps, an emotional eater, was just an excuse for her weakness as a human being. Her therapist explained disordered eating, and the relationship between painful emotional states and the misuse of food as an antidote. She gave Yvonne tools for tuning into her body’s hunger and satiety signals, and using those as a guide to when her body needed food, rather than following a weight-loss plan. At the same time, she taught Yvonne to use urges to overeat as signals that she was experiencing something emotionally that she needed to attend to. Yvonne learned to value herself and her needs, and created a “toolbox” of self-care skills she could use when feeling bad or wanting to overeat. She explored her family dynamics, and recognized the effects of her father’s alcoholism on her family and specifically on her relationship with food and her body—she had unknowingly learned from her father to stuff painful feelings down, and began reaching for food to comfort herself when her father was drunk and arguing with her mother, who was timid and did not argue back. As her eating became more in tune with her body’s needs and she developed greater emotional self-care skills, her body dropped much of the excess weight.

Therapy for Eating and Food Issues: There are many different types of psychotherapy that are used in the treatment of disordered eating. The two that have been studied the most are Cognitive-Behavioral Therapy (CBT) and interpersonal psychotherapy. Other commonly employed approaches are Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT) and psychodynamic modalities such as Internal Family Systems (IFS) and the Developmental Needs Meeting Strategy (DNMS). Group therapy is often encouraged as an adjunct to individual therapy, as support from others struggling with eating problems has been found to be an important component of recovery.

 

Books Related to Eating & Food Issues: 

 

   

   

 

If there is something important you'd like us to consider adding to this page, please feel free to suggest your ideas.


Eating & Food Issues Article Summaries

The Role of Self-Acceptance in Eating Recovery

By Deborah Klinger, MA, People who struggle with eating and food issues often also struggle with poor self-esteem. I say “poor” rather than “low” because I believe the concept of high and low self-esteem to be problematic. If low self- esteem means perceiving one’s self to be inferior to others, it follows that high self-esteem means perceiving one’s self to be superior to others. Healthy self-esteem is neither high nor low. It is defined by the lack of concern about one’s worth, coupled with a sense of competence and a belief in one’s innate value. When one is comfortable in one’... Read the rest of this entry »

Body Image Work

By Joy A. Davis, LCSW, Natalie has been in recovery from Bulimia Nervosa for more than three years. She still, however, unfairly compares her body to other women in the room, tries on several outfits each morning, and sits on my sofa with a pillow across her stomach as we talk. Long after eating patterns and weight have stabilized, many eating-disordered women continue to struggle with issues of body image. In fact, body dissatisfaction has become so prevalent many authors propose it has sadly become simply part of the female experience. Body dissatisfaction is believed to be one of the highest predictors in adolescent girls ... Read the rest of this entry »

Counselor Urges Schools to Tackle Childhood Obesity with Compassion

A GoodTherapy.org News Summary The rising, and often startling, rates of obesity in the United States and many other parts of the world have led to an increased awareness of the health issues facing modern consumers, and of the issues facing their children, as well. Childhood obesity has recently been selected as a major national challenge by First Lady Michelle Obama, and a growing number of professionals in various fields are working towards helping children overcome this potentially debilitating concern. But in some cases, notes a counselor specializing in weight loss in a recent editorialRead the rest of this entry »

Mirror, Mirror

By Gail Post, Ph.D., National Eating Disorders Awareness Week occurs this month, and it is a necessary reminder of the role body image plays in women’s self-esteem. While women with clinical eating disorders, such as anorexia nervosa or bulimia, typically have a distorted body image, even those without eating disorders often struggle with body image concerns ranging from mild dissatisfaction to outright self-hatred. Any woman can feel tormented, terrorized, and completely obsessed with the image reflected back in the mirror. What perpetuates this assault on body-esteem? Well, one of the biggest offenders is the media. Air-brushed, photo-shopped images of models and celebrities create ... Read the rest of this entry »

University of Kentucky Helps Spread Eating Disorder Awareness

A GoodTherapy.org News Headline Noting the prevalence of weight loss programs and advertisements in modern media, organizers of awareness-raising events at the University of Kentucky suggested that more information about the impact of eating disorders such as anorexia and bulimia should be distributed throughout the population. This information can be particularly critical for women in college, the organizers report, as the specific pressures of the collegiate environment can lead to unhealthy eating and behavioral choices. Other universities and groups touched upon how eating disorders affect men and other age groups, all while taking part in National Eating ... Read the rest of this entry »

Men with Eating Disorder Concerns Receiving Greater Acknowledgment

A GoodTherapy.org News Summary In many ways, eating behavioral concerns such as anorexia and bulimia are treated as issues that affect females. Many clinics and programs are marketed specifically towards women, and even some diagnostic criteria involves female physiology without providing any equivalency for males. But as awareness about eating issues becomes greater and National Eating Disorder Awareness Week takes place, a greater attention to the difficulties faced specifically by men is emerging among professionals and clients alike. Men often must confront particular issues when suffering from the ... Read the rest of this entry »

Treating Eating Problems: Looking Beyond Addiction

By Deborah Klinger, MA, When it comes to eating and food-related problems, various philosophies determine how eating problems are defined and addressed. When the eating disorders treatment field was in its infancy, professionals often based their approaches on those used in the treatment of alcoholism and drug addiction. The addictions model has been used to salvage the lives of alcoholics since the formation of Alcoholics Anonymous (AA), in the 1930’s. AA spawned myriad other 12-Step programs for addressing various addictive problems. One of the earliest of these was Gamblers Anonymous (GA). Overeaters Anonymous (OA), a 12-Step self-help program for people who feel compelled to overeat, ... Read the rest of this entry »

The Family That Eats Together

By Lynne Silva-Breen, MDiv, MA, LMFT, Nothing is more basic to human life than eating. The food and drink that fuel our bodies requires our attention every few hours every day, and provides us with experiences of pleasure and rest that most of us share with others. Food choices vary from country to country, and from century to century. While some eat beans and others fish, we all worry about our food. Is it safe? Is there enough? How will it taste? We spend enormous amounts of money, time and energy producing food, transporting food, buying food, making food. Yet fewer and fewer Americans spend ... Read the rest of this entry »

NY University Announces Film, Lecture Event for Eating Disorders

A GoodTherapy.org News Headline Though the peril of eating disorders have been known for quite some time, many people affected by these mental and psychological concerns do not seek or cannot access treatment, and the need for greater awareness is advocated by many within the therapist community. In recognition of this need and in anticipation of National Eating Disorder Awareness Week, which takes place from February 21st through the 27th, Pace University in New York has announced a series of documentary films and a lecture to help students connect with the issues surrounding these disorders. It ... Read the rest of this entry »

What is a Healthy Body Image?

By Ondina Nandine Hatvany, MFT, First of all what is body image? Body image is how I look- right? No! Body image is a mental idea about your physical body and how you look. Body image is something that constantly changes as it is based more on feeling than fact. This also makes it very vulnerable to distortion. Let me illustrate just how vulnerable your body image can be with the following story... I had a client Marge, who was working hard on improving her body image. She was taking better care of herself. She was eating healthier foods. She was ... Read the rest of this entry »

When Counseling Pairs with Books, Success May be More Certain

A GoodTherapy.org News Summary As obesity among children and adolescents gains understanding as a significant modern health issue, psychologists and others in the health fields are picking up the pace of work geared towards helping young people avoid unhealthy lifestyles and make positive changes to achieve better health –and a better self-image. Recently, a study published in the journal Pediatrics found that when weight counseling programs are paired with reading, the results can take a decidedly positive turn. The study focused on female teenagers with obesity, splitting participants into three groups. The study group was ... Read the rest of this entry »

New Year’s Resolution: Lose Weight. Not!

By Deborah Klinger, MA, It’s January, the time of year when we’ve rung out the old and are ringing in the new, making resolutions for the coming year. New Year’s resolutions usually involve goals for self-improvement, often including weight loss. Magazine ads and articles extol the benefits of amazing plans that promise permanent weight loss in short amounts of time. Vanity and health concerns drive the desire to get smaller, sleeker, leaner in the new year. While this might sound like a positive, worthwhile ambition, it can become an exercise in futility, backfiring and increasing one’s sense of failure, not for ... Read the rest of this entry »

Are You Feeding Your Anxiety?

By Becki A. Hein, MS, LPC, Breathing deeply, relaxing your muscles, and staying in the present moment are some of the most common, most effective ways to manage anxiety. But did you know that changing your eating habits can also help you feel more calm and balanced? There are certain foods and substances which tend to trigger stress and anxiety in the body, and in fact, there are several foods that can even trigger a panic attack. Caffeine, sugar, and alcohol all increase lactic acid levels in the bloodstream. Recent studies show that a high accumulation of lactic acid in the body can increase anxiety ... Read the rest of this entry »

Guided Self-Help and Psychotherapy Show Advantage in Fight Against Binge Eating

A GoodTherapy.org News Headline When faced with challenges that involve both mental and physical health difficulties, clients may not know where to turn for help and treatment. Often, a collaboration of different types of services can prove most beneficial, but there are certainly some medical concerns for which therapy can have a remarkably positive impact. Binge eating has recently been identified as one such concern; while psychotherapy and self-help have been shown to be effective for binge eating issues in the past, a new study based at Rutgers University has shown that in the ... Read the rest of this entry »

Interpersonal Therapy Shows Promise for Preventing Obesity in Girls

A GoodTherapy.org News Summary Pressure to stay thin while growing up has been significant for many years, as the fashion and beauty industries project images of notably thin women and other media portrayals of beauty suggest that a wraith-like appearance is most desirable. But as waistlines across the country have been steadily increasing, the pressure to keep weight away is doubtless becoming even more great as girls are warned by parents and doctors about the health issues associated with obesity. Taking a mental health-based approach may be a ... Read the rest of this entry »

Try Something Different This Holiday: Mindful Eating as a Way to Enjoy More Quality vs. Quantity

By Ondina Nandine Hatvany, MFT, What is Mindful Eating? Mindful eating is about paying attention to what you eat. Actually focusing on the flavors, textures and subtleties of what you are putting in your body. It is not about eating while you are thinking of your bills, the kids, how many calories, watching TV etc. For most of us this is a tall order. There are so many distractions and people, places, things pulling on us, who has time to really pay attention to what they are eating? What is even the point? The point is pleasure. When we are really present with what we ... Read the rest of this entry »

Cracking the Code: Understanding the Language of Disordered Eating

By Deborah Klinger, MA, Disordered eating is a metaphorical expression of an internal condition. Think about food: you may be a “foodie,” who appreciates well-prepared, high quality food and relishes a lengthy meal with good companionship and conversation. You may be more utilitarian, viewing food simply as something necessary to your health and wellbeing. Or perhaps you relish the sensory pleasures of warm, savory, fragrant, filling foods and aren’t interested in much fanfare around the eating of them. Your eating habits may reflect your values when it comes to the consumption of animals, of refined and processed foods, and/or of foods produced locally ... Read the rest of this entry »

Recovery From Disordered Eating: Juggling Several Balls

By Deborah Klinger, MA, Two primary components of a disordered relationship with food that drive disordered eating are food deprivation: restriction of and compensation for food intake, and emotional and psychological issues: painful feelings with which one lacks adequate means of coping, and wounds experienced in the past that propel one to deal with emotional pain via abusing food. The latter speaks to a disordered relationship with one’s self. Although eating problems affect males as well as females, for simplicity’s sake, I will be using “her” and “she” throughout this article. An eating disordered individual equates fat with worthlessness and “unloveability.” Someone who ... Read the rest of this entry »

Sharpen Your Knives for the Holidays

By Lynn Somerstein, PhD, RYT, The hardware store on Third Avenue has a sign in the window that says, “Sharpen your knives for the holidays.” Many of us are lucky enough to have joyful holiday celebrations, with loving family, friends, people who are positive, and that’s wonderful—but unfortunately not the universal experience; there’s a down side to many celebrations—not everyone is your friend, and some of those unfriendly people sharpening their knives for the holidays want you to be their turkey. For example, food is love, right? Well, sometimes it is, when your friend cooks you something special and you are ... Read the rest of this entry »

A Bad Diet Might be Responsible for a Bad Day

A GoodTherapy.org News Summary Reasons for eating a healthy diet abound; from the purported feel-good benefits of chowing down on natural and nutritious foods to the potential to save money on groceries and of course, to lose weight when waist size is an issue, plenty of people are aware of the incentives for picking healthy foods. But it's not just the case that certain items from the health food aisle can have a positive impact on overall health; picking foods that are over-processed and high in sugars and fats have a decidedly negative influence on health, and may particularly impact mental well-being. Searching for ... Read the rest of this entry »

“Healthy at Every Size” Initiative Shows Promise for Improving Body Image, Weight Loss

A GoodTherapy.org News Headline Weight loss is something that scores of people attempt to achieve each year, and some approach the topic with a more positive outlook than others. Though there are options available for rational weight loss, many programs focus on treating non-idealized bodies as wrong or unacceptable, and suggest the restriction of certain foods –sometimes entire food groups-- in order to cause a drop in pounds. The “Healthy at Any Size,” or HAES program, has recently been tested on women attempting to lose weight, and has taken a health, rather than a weight, ... Read the rest of this entry »

Optimism Could Hamper Weight Loss Efforts

A GoodTherapy.org News Summary The weight loss industry is one which attracts several billion dollars each year from the United States alone, a fact which speaks to the national preoccupation with feeling and looking slim. A percentage of these funds are spent by those who suffer from obesity, which goes well beyond a basic inclination to lose a few pounds in preparation for a special event or to fit back into a favorite outfit. the quest to understand how those with obesity can best achieve healthy and successful weight loss has been ongoing for several years, and many different aspects of dieting, exercising, and ... Read the rest of this entry »

CarboMama and the Clean Plate Club: Understanding Eating Disorders

By Lynn Somerstein, PhD, RYT, When three year old Susan had a nightmare, she didn’t go to her mother or father for help; instead she ran through the dark hall right past her parent’s bedroom, and headed straight to the kitchen, where she opened the refrigerator, grabbed a loaf of bread, sat down on the floor and started eating. This became a habit, and sometimes she fell asleep on the floor; if her family found her the next morning they told her she was cute, and called her CarboMama. Ben’s parents thought their baby was a feeding problem- Ben refused to ... Read the rest of this entry »

Successful Weight Loss May Change the Brain

A GoodTherapy.org News Headline As a growing number of people tackled the challenges of losing weight and developing healthier lifestyles, those in the mental health professions and diverse medical fields are paying rapt attention to the ways in which people are able to generate self-control and find inner motivation. Recently, a study at Brown Medical School examined the link between successful weight loss and brain activity, scanning participants who were shown high and low calorie foods as part of healthy weight, overweight, and successful weight loss groups. Those participants who had ... Read the rest of this entry »

Advocacy or Apprehension? Donut Shop Raises Concerns Over Mental Health

A GoodTherapy.org News Summary A donut shop may seem like an unlikely venue for a hot debate about the rights of those with mental health difficulties and related social stigmas. After all, such eateries are usually expected to be a fun and relaxing spot to dig into a deliciously sinful treat. Of course, not all donut shops take on such a creative theme as San Francisco's “Psycho Donuts.” The unusually named shop specializes in a range of donuts and other sweet items, aimed at creating a fun and different atmosphere by making use of a ... Read the rest of this entry »

Anorexia is on the Rise in the United Kingdom

A GoodTherapy.org News Headline Anorexia may be expected to experience higher rates of occurrence in stressful times, and as the financial crisis tightens its grip on the United Kingdom, stress is certainly a predominant result. Unfortunately, however, this stress seems to be contributing to an alarming rise in the rate of anorexia in British men, as a recent survey suggests. Citing heightened concerns about personal appearance in the wake of job layoffs and decreases in the ability to spend, researchers note that increased mental and physical health services for men struggling with the complications of ... Read the rest of this entry »

Weight Loss Culture May be Hurting Kids

A GoodTherapy.org News Headline Society at large has been praising the merits of thinness for many years, with super models and silver screen stars proudly strutting svelte figures. But recently, as awareness grows about worldwide “obesity epidemics,” media is becoming ever more harsh on the matter, and a recently released report on eating disorders among children suggests that this surge may be responsible for significant increases in dangerous diets and poor body image. Some mental health professionals have suggested that children abstain from watching television shows such as “The Biggest Loser,” but ... Read the rest of this entry »

Orthorexia Nervosa: When the Diet-Conscious are Too Conscious

A GoodTherapy.org News Headline A large number of mental health professionals are likely familiar with the symptoms and consequences of various eating disorder types such as anorexia nervosa and bulimia. A fixation on the volume of food consumption is a serious concern for which many seek therapy, but in the context of a society becoming increasingly focused on healthier lifestyles, a new type of eating disorder is being observed and described. Orthorexia nervosa, as the issue is being called, involves debilitating over-concentration on the “purity” of food, and may have a negative ... Read the rest of this entry »

Growing Awareness of Nutrition Sets to Foster Happier Body Images

Check into a given health-related news portal these days and you're likely to find a wealth of material about obesity. Calling the increasing number of people who grow up overweight an “epidemic,” some medical professionals and reporters have represented the increase with a fair amount of shame and guilt directed towards those people who struggle with their weight. But what such news pieces often fail to highlight is the emotional and mental damage dealt to people who are frequently barraged with talk about the negativity and unhealthiness of fat. Thanks in part to the rare occurrence of such unbiased discussion of the growing weight issues ... Read the rest of this entry »

Reversing Eating Disorder Relapse

By Joanna Poppink, LMFT I'm in the middle of attending a great conference at UCLA this week end. It's "Adult Attachment in Clinical Context: Applications of the Adult Attachment Interview." Superb and gifted researchers and clinicians are gathered to discuss and share information on the latest neuroscience findings, the reasons why humans bond or do not bond well with each other, how human relationships can harm and heal, and the powerful healing force of human love, compassion, stability, flexibility and reliability. As I participate in this conference, surrounded by clinicians dedicated to learning and fostering healing, I feel richly held. I am free to let ... Read the rest of this entry »

Study Links Bad Eating Habits with Addictive Behavior

A GoodTherapy.org News Summary For many years, scientists and academicians have worked towards helping to explain the why and how of modern obesity epidemics, both in the United States and in other parts of the world. Recently, a study published in the American Journal of Clinical Nutrition has explored the patterns of thinking about food and eating in relation to behaviors exhibited by those with substance abuse issues, resulting in a significant link between the two. While there are many modern approaches to dieting and weight loss, the assistance of therapy, as in ... Read the rest of this entry »

Michael Jackson: Anorexia?

By Joanna Poppink, LMFT For the past two nights I've been watching Michael Jackson videos on youtube. Here are a few: Beat It, Billy Jean, Thriller, Michael Jackson & Brittany Spears live, From New York Times: great interactive timeline of Michael Jackson's life. I've always loved his music and his distinctive and electrifying dance moves. But I had never watched his career unfold chronologically before my eyes from first appearance as a dynamic little boy in the Jackson Five to the creative genius behind Thriller and beyond. His "We are the world" raised millions for starving children in Africa. Yet at a low Michael was 91 ... Read the rest of this entry »

Of Dads and Daughters: Fighting the Tide of Eating Disorders

Though there have been many positive trends in the worlds of therapy and mental health treatments over the past few years, not all areas have been improving. Amidst a chaotic and stressful society with increasingly tight demands on youth, eating disorders have become a more prominent issue in the United States and around the world than many had imagined, touching the lives of children –especially adolescent girls-- with alarming frequency. A great deal of treatments and programs have been developed in an effort to help curb the development and pervasiveness of anorexia, bulimia, and other sufferances, but one approach proposed by Houston psychotherapist Mary Jo ... Read the rest of this entry »

Eating Disorder Recovery

By Joanna Poppink, LMFT Recovery is a noun that describes a continuing process. To start eating disorder recovery is to start a journey. To be on that journey is to be on your path to health and emotional and intellectual development. Your path leads to your true self, to your inner resources of courage, creativity, self respect, strength and ability to be committed and dedicated. Recovery from bulimia or anorexia or binge eating or compulsive eating is not just about making peace with food and developing healthy eating habits. Recovery is not just about developing or forcing yourself into living with a realistic sense of ... Read the rest of this entry »

Pro-Eating Disorder Websites Challenge Treatment and Enable

Thanks to concerted efforts to raise awareness and understanding about eating disorders by special interest groups and medical practitioners around the country and across the planet, issues such as anorexia and bulimia are fairly well-known disorders whose grave effects on both emotional and physical health are widely acknowledged. Impacting the lives of scores of young women and other demographic groups with high instances of the disorders, anorexia and bulimia are generally looked upon as extremely debilitating and harmful. But there are some whose perspectives are in stark contrast to the norm; a growing community of "pro-ana" and "pro-bulimia" groups want professionals and the international community ... Read the rest of this entry »

Serious Food Issues Abound in the US

National Eating Disorder Awareness Week Closes With a Nod to Psychotherapy

A GoodTherapy.org News Summary It is perhaps not too surprising that in the midst of America's growing obesity concerns, many people are faced with a devastating and related mental health issue. Millions across the country, especially those in the volatile years of adolescence, struggle with some sort of eating disorder, most commonly manifested in the forms of anorexia or bulimia. Far more destructive and potentially fatal than fad diets or other seemingly harmless ventures into modifying the physical self, these eating disorders often last for years, depleting the body of vital nutrients and resulting in unfortunate complications. But above and beyond the basic physical ... Read the rest of this entry »

National Eating Disorder Awareness Week

LCSW February 22-29 has been declared "National Eating Disorder Awareness Week." Major media outlets including MSNBC, USA Today and the Washington Post have provided coverage of related events and offer important information for people with eating disorders, their families and friends, and the general public. Eating disorders are sometimes considered among the deadliest of mental health issues, accounting for about half-a-million deaths each year - a mortality rate of 20%, higher than any other disorder. Eating disorders affect mostly women; 9 of ten people diagnosed are female. Despite an apparent rise in eating disorders nationally and internationally, primary care physicians often fail to spot their presence in ... Read the rest of this entry »

Food, Family and the Holidays

By Ondina Nandine Hatvany, MFT If you tend to struggle with food, weight and body image, holidays like Thanksgiving and Christmas can be particularly challenging, because they revolve so much around food and mealtimes. For someone who is addicted to food, it can feel like there is no escape. Unlike other addictions food is not something you can simply go cold turkey (pun intended) especially this time of year. Following are some tips for dealing with the food, family and holidays dilemma: 1) Identify your trigger foods and situations: A ‘trigger food’ is food that when eaten makes someone feel out of control or compulsive with ... Read the rest of this entry »

This Year Stuff the Turkey, Not the Guests

By Lee Kotsalis-Thulin, MA, RCC As the holiday season shifts into high gear, here’s a plea for a different kind of moderation: let’s all hear it (softly please) for moderate hosting. Moderate hosting means fighting the urge to measure your success as a host by the amount of food and alcohol and sociability your guests consume. It means not pressing the matter when a guest turns down an alcoholic drink, or a second helping of pie, or a third pass under the mistletoe, and keeping in mind the golden rule of being a great host: always make your guests feel comfortable. A number ... Read the rest of this entry »

Are Your Emotions Making You Put On Weight?

By Jeanette Raymond, Ph.D. Flora was proud of herself. Her stomach felt flatter. Her new diet and exercise regimen was paying off. She ate things she liked and found exercises that fitted in with her energy levels- not the self flagellation she inflicted on herself in the gym the last time she tried to lose weight. She was amazed at how easy it was to follow her program and how much she was enjoying it. A couple of weeks into the project Flora was part of a decision making team at work. There were disagreements and heated opinions flying around making her feel uneasy. ... Read the rest of this entry »

What’s the Big, Fat Deal About Body Image?

by Andrew Walen, LGSW When you look at your body in the mirror, two things occur. First, you see the body’s physical structure; its size, shape, texture, curves, and nuances – great and small. Then comes the part that’s hard to control – the thoughts and comments that swirl about our brains concerning the body in that mirror. Oh man, can those cause trouble! It’s usually at this point when most of us look at our bodies and berate ourselves for not having that flat stomach, or shapely thighs and buttocks, or taut breasts and biceps that many of us crave. But these thoughts ... Read the rest of this entry »

Why Diets Don’t Work

Written by Anne Cuthbert, M.A. LPC I love peanut butter. As a kid, I used to eat it out of the jar, spoon first. Although I grew out of the spoon phase, I still love it with bread and honey, with chocolate and in nearly any candy bar. What I never did know about my love for peanut butter, is that it made me sick. I was so out of touch with my body and the effect of food on my body that I never realized that the sick feeling in my stomach was the result of the food I just ate. It took ... Read the rest of this entry »

Ana: A Story about Making an Ally with One's Anorexia

~Written by Anonymous My story is the story of Ana. Ana was my closest companion for almost sixteen years. The name “Anna,” as it is usually spelled, means “gracious,” but Ana certainly did not seem very gracious at times. Ana is a shortened form of Anorexia, the name I gave my eating disorder. In that one word lies the summation of the last sixteen years of my life. Some years were worse than others, the earlier ones being the most severe. But Ana was always there, sometimes acting as a lifeline, sometimes as an archenemy. She challenged the Self for my very soul. Ana was ... Read the rest of this entry »

Please add your comments about Eating & Food Issues - (click here to add a comment)

  • Therapist Encino 2007-12-04 08:11:04

    What an amazing story! This woman is as insightful as she is talented in writing. I thoroughly enjoyed reading this story and appreciate all of the points made. As difficult as anorexia is to treat, this woman certainly made all of her efforts and the efforts of her therapist worthwhile and then some

  • Therapist Falkirk 2007-12-05 07:56:25

    I, too, got a lot out of this story. It was very powerful and I hope to share it with my clients. I think that befriending anorexia is something that we never hear about. Rather than fight it, appreciate it for what it's done-very interesting point and “food for thought.” It also gives a lot of credence to examining the internal family structure.

  • Therapist Fergus 2007-12-06 15:28:11

    What a remarkable woman! To be able to understand yourself and your problems so transparently is most certainly the result of some very hard work. I am proud of her, even though I don't know her. Again, what a woman!

  • Ronald 2008-01-06 22:30:17

    Diet plan definitely help in reducing over weight. If you eat too many "wrong" calories then you'll get fat. This is why many obese people remain overweight.

  • Mary 2008-01-07 06:58:20

    I totally agree with everything in this blog entry. But, my large and looming question is this: how do you get from the binge/purge cycle to being able to have your favorite food in the house for weeks without touching it? I have always been amazed by people who have that sort of will power.I'm one of the ones who eats it as soon as it crosses the threshold!

  • Niels 2008-01-07 07:00:17

    I also wonder the same thing as well as something else: what about people who are severely overweight? Don't they need to take some steps to get themselves healthy? What about people who are diagnosed with something like diabetes. They really have to watch what they eat-a sugar addict with diabetes can't continue to eat sugar the way they have. Otherwise, they'll end up in a diabetic coma. What is that sort of person to do?

  • Jessie 2008-01-07 07:11:40

    I enjoy watching Dr. Oz on Oprah. I thought he had a good suggestion. Rather than focusing on what food you are eating, try reading the ingredient label as a prescription. I thought that was an interesting concept. But, it may very well feed right into that diet mentality. Being overweight certainly is an odd phenomenon in the history of the world. In some times in history and in some cultures, it's prized as being a sign of wealth. Unfortunately, we happen to live in a time and place where those who are overweight are ostracized and criticized.

  • Jason 2008-01-07 07:24:16

    I think the best way to get from a diet mentality to a sane relationship with food is to rework your thinking and the way you respond to food. If you work on your thinking before making any sort of action plan, I think you stand a better chance of success. I do think that obese people need to lose weight-but only for health reasons. I think that all people are beautiful, no matter their shape or size. But, I also think that many people who are obese are very sad and use food to self-medicate. It's such a complex issue with no easy answer. Our society has certainly made a mess of it all!

  • Candida 2008-01-10 16:39:18

    Diets are only half of what weight looses need--they need exercise too! Additionally, if you don't have muscle, you can't burn fat! And when you diet, you don't gain muscle.

  • nancy bruno 2008-01-31 11:53:31

    Interesting insights. I think that the most honest thing that you said was that it is okay to make changes if you are unhappy about something, but changing your body does not mean that the negative thoughts that you have had about yourself are going to go away. At the Beautiful Women Project we believe that it is the sum of a woman's life experiences that makes her beautiful. Taking a moment to recognize just one thing that makes an individual beautiful - that makes her smile when she reflects upon it - that is what makes a woman beautiful. Positive body image will come, loving ourselves will happen - taking it one step at a time.

  • Laura 2008-02-15 04:25:28

    I am just like most women in America-I'd love to lose a few pounds, especially in certain area, say goodbye to cellulite forever, etc. etc. In fact, I used to be much worse about the whole thing. But, then, after my second daughter was born I gained some major insite into the whole thing. I can remember the exact place on the exact street I was when I asked myself the following question: How in the world can I hate this body that produced to healthy, beautiful children? It may be flawed and imperfect, but how can I hate something that deserves so much honor? My youngest is five, and I still feel the same!

  • Heidi 2008-02-15 04:27:26

    Sometimes I think how lucky we are as a country to have body image be such a big deal. In other places, rather than having the luxury of standing in front of a mirror being critical, women are forced to cover themselves from head to toe. In other places, children don't know to have body image issues b/c they don't have enough to eat, much less have spare money for a mirror to examine themselves in. We are indeed fortunate to sit around and worry about our fat rolls rather than worrying about the enemy coming and taking our family away from us in the middle of the night.

  • Christie 2008-02-15 04:29:14

    The whole body image thing just drives me crazy, partly b/c I am such a sucker! I fall right into the same trap as all of those women the author mentioned in the statistics. Rather than embracing who I am, I want to look like just about anybody else. I go to the gym five days a week, and I haven't grown an inch taller or lost any of that fat from my thighs. GGRRR....

  • avery 2008-02-15 04:29:48

    I am very interested in reading more on how to have a healthy body image. Does anyone know of any good resources?

  • Henry 2009-07-16 09:35:08

    I usually don't post in blogs but your blog forced me to, amazing work.. beautiful !

  • amyhop 2008-05-23 18:47:34

    For so lond I allowed my own weight to shelter me from life. It kept me isolated in a sense from the troubles which were going on around me. I was simply overlooked as a result of my weight and quite frankly looking back on that now that was my security. When I lost weight and became the focus of attention that was very hard for me and there is still a tendency to turn to food in times of crisis as that has always been my comfort.

  • Kyle 2008-05-24 03:34:17

    I am the opposite of an emotional eater- when I get stressed I think my appetite shuts down and it makes me ill to think about food! But I know others who are exactly the opposite of me and it is like their only coping mechanism in times of stress is to eat.

  • gamecock96 2008-05-25 09:17:54

    Kyle you knwo that your comments have made all of the women out here gag- why can't I lose my appetite when stressed?!? I am living proof that stress can make you blow up because there are stressful times in my life when food is like a comforting thing to me although I really have no idea why. It feels like a security blanket.

  • Cynthia V 2008-05-26 07:36:19

    It is a personal choice that we all make to allow food to take over our lives, same as with alcohol and other drugs. There has to coma a pont where you take control over the issue and not allow it to ruin your life in that manner anymore. There are healthier alternatives and just because you are stressed this does not mean that you have to add to the unhealthy situation by packing on pounds.

  • Steve H 2008-05-27 02:40:03

    Yes yes and yes. . . emotions can make you put on weight and I totally disagree that it is a personla choice. For people who have used this as comfort for so many years it is no easier to let this go without some form of therapy than it is to stop abusing more dangerous drugs. This can be an addiction and I think too many people treat it far too lightly.

  • upstatesc 2008-05-28 13:31:45

    Yeah too many people do not recognize this as a serious problem at all. Thye just consider some to be lazy and fat with no idea about the underlying issues which have taken someone there.

  • David 2008-05-29 13:04:53

    And why do you think that some people make food their drug of choice rather than turning to alcohol or drugs? Is this because this is the only comfort or nourishment that they received as a child? I think that problems like these are probably very deep rooted and go back as far as childhood.

  • Jillian 2008-05-30 03:12:52

    That is a very interesting thought. When we are kids and need comfort hopefully there are parents and adults there to fill that void for us. When there are not those role models there of course you will turn elsewhere to find that. There are many who find that in food and this can be just as hard of a habit to break as seeking the same solace in illegal substances. We just need to have more empathy for people who struggle with this and help them (and oursleves too!) find a way through issues without incessantly turning to things that are not good for us.

  • Jeni 2008-05-31 03:02:39

    I always tend to eat when I am hurt or stressed. I am not overweight but that seems to be what I always go to for comfort in any situation- happy or sad. I think that so much of the American lifestyle naturally revolves around food and meals that this is inevitable for some of us.

  • Austin 2008-06-09 04:39:34

    But how is it that we have all gottne so far off base with food? When hdid it become used for more than to give us energy and sustain us? It seems that now people use it to sustain them in ways that food was never intended to be used. We have to get back to the basics- food for energy, not comfort.

  • Shannon 2008-06-10 09:23:13

    Yes but so many people have grown up with food as comfort and that is such a tough habit to break for all of us. We even have a genre of food called "comfort food" for Heaven's sake! Emotional eating can be such a stress for everyone involved and rarely is it healthy. Thank goodness there are trained therapists who are equipped with issues such as this which remain so taboo in our society. We do not need to ostracize but help these people who deal with these issues.

  • Margo 2008-06-25 10:05:02

    I never tend to overeat when depressed but know those who do. It is a terrible pattern for them to get into and I hope that people realize that it is no good to ostracize them for behavior that often cannot be helped. making them feel worse about the situation will do nothing but harm them in the long run.

  • Jeni 2008-06-28 16:19:22

    Thanks Margo- as someone who does eat in stressful situations I appreciate the support. For me when people say negative things about my weight it only makes me want to eat even more.

  • Nikki 2008-06-29 11:11:59

    Jeni I agree with you one hundred percent. The more others dwell on things in a negative manner the more it will make you want to do the opposite of what they are telling you. Emotional eating i think especially for women can be a very dangerous situation and we all have to do better with helping ourselves and loved ones deal with the issue.

  • Sandy 2008-06-30 10:05:14

    We have to stop treating food as medication. It is not- when used in the wrong manner it will only bring on even more problems than you may have intended. We have so many issues in the US with things like diabetes, high blood pressure, and heart problems. Much of this is directly attributable to our unhealthy relationships with food.

  • upstatesc 2008-07-15 14:15:56

    But what can we do to break this cycle? We are inundated with food no matter where we turn!

  • Heather Jamieson 2010-01-13 08:11:15

    Addiction of any kind whether to alcohol, gambling, sex and other forms of substance and bad habit can be damaging. However, the worse among these is to become addicted to drugs as these could alter your life completely or kill you. harleystreet-psychotherapist.co.uk

  • Rene 2008-12-24 05:20:26

    Why is it that so many of us allow the holiday season to totally stress us out? The holidays are supposed to be about family and friends and love, not the tension that so many of us allow to permeate the atmosphere. We are having a very low key holiday season this year but in years past have had a lot more entertaining to do. But I have never let it all get to me. These are the things and times that I enjoy and look forward to most in the world and I will never let my spirits be dampened at Christmas. the season should be about so much more than that. Here's wishing everyone a joyful and stress free holiday season this year and best to you in the new year!

  • Kylie 2008-12-25 13:17:38

    Holidays for some reason are sometimes stressful. I find my self getting stressed when I am trying to cook everything all at once.... I come from a family that don't really like alcohol or the thought of it in the house, which I on the other hand, like to have a drink while I am cooking. I think it's a good idea to have something different for guests who's not into the drinking.

  • tudy 2008-12-25 13:19:36

    Some of us are on diets and trying to watch what and how much we eat. I applaud anyone who hosts a holiday dinner and lets the individual decided on their own when they have had enough, not when WE think they have had enough.

  • Liza 2008-12-26 05:05:54

    I have some lost about fifty pounds this past year but had this fear that the holidays would be my downfall. At work clients were always bringing baked goods and the dinner parties felt like they would sabotage all of my efforts. I tried to remian strong and did so most of the time but I did encounter a few instances where I did feel the pressure from others to indulge. I just wish that everyone could just fill his or her own glass and not constantly remind me or think that they are reminding me of what I am missing by not having that one drink or monster brownie.

  • Lee Kotsalis-Thulin 2008-12-26 14:22:19

    Congratulations Liza, that's a significant amount of weight to release! In my experience, it's enough of a challenge to differentiate all the voices in my own head when it comes to deciding what and when and how much to eat -- am I eating because I'm hungry, or because I'm bored, or because it's there, or because everyone else is eating, or because it smells/looks good, or because I've hit that 'what the hell' point etc. etc. For me, adding others' voices, perceived pressure, or alcohol to that mix just jumbles it further.

  • Risa 2008-12-27 11:31:13

    There was one year where a hostess kept literally shoving things in my face and by the end of the party I was ready to shove her against the wall. I wish that more people could take no for an answer when it comes to refusing food and drink. If I want something then I am a big girl and I can get it for myself.

  • Joanne 2008-12-28 11:48:42

    I am so bad. I want to be a good hostess so I feel that if someone is without food or drink in hand that it is my job to bring that to them.

  • Erica 2008-12-29 02:47:45

    I loved reading this one. I was in rehab 2 years ago because of a drinking habit in college which all started around the festive season. I stopped socialising a lot as I realised that it was the major cause of temptation. I got married 4 months ago and I had a house party for relatives and close friends. I did exactly this. The only booze in the house was punch and fresh home made wine. That's all and in limited proportions.

  • Michael 2008-12-29 02:49:44

    I hated going to my cousin's place this christmas. It was booze booze booze and end of the day it felt like a local pub. We had it all drunken brawls, the police knocking on our door and the worst hangover in my life. I would never do that again.

  • Mark 2008-12-30 00:31:15

    I am a diabetic from childhood and most festival food is out of bounds. Some of my friends have now started keeping me in mind when they plan their menu.

  • Shannon 2009-01-02 05:28:37

    I experienced this same thing at a new year's eve party the other night even though I rarely drink at all. I suppose this is the season of bringing outt he worst in your host, because if your hand is empty someone is always trying to fill it with something alcohol based. maybe all of this will end now that the new year has begun and for the most part the partying is through for a while.

  • Leslie M 2009-01-03 12:12:09

    Gracious host or not I think there are times when you have to be a little more in tune with your guests and their needs and shoving food at them all night long is not the way to do this. How about some pleasant connversation instead?

  • Felicia 2009-01-06 02:35:53

    I am a firm believer in eating protein and getting plenty of water because these two things will help you feel full and may help prevent overeating. I really like the soother list idea.

  • Samantha 2009-01-06 02:37:36

    Great read. I never thought about the soother list. This would be great around those holidays when everyone wants you to eat this and that. It is hard for me to resist foods I love and I must admit, I love food. I just have to watch what I eat and I try not to beat myself up if I slip up a little.

  • Rebeka 2009-01-06 02:56:38

    Thanks for the advice! I usually try to eat every 2 1/2 to 3 hours, small meals. this seems to satisfy me and keeps me from being hungry or eating too much.

  • Alana 2009-01-06 06:02:40

    I have struggled with this for years- there have been points in my life where I have almost refused to go to events like this because of having to be around the food and being afraid of how I would deal with the situations. I have finally conquered this fear by trying to eat something small before I go and then that helps me control what I eat once I get there. This kind of fear ruined my social life for many years and I am so hoping to have finally gotten over this hump.

  • Ondina Hatvany 2009-01-06 11:01:03

    It is really helpful to hear all your feedback and what has worked for you in the past. The holidays can bring up so much stuff for people around relationships, love (including self love!) and the pressure to be "nice", "happy" etc. It is easy to take everything that is not "nice" or not "happy" out on food and the body. What is fascinating to explore (mostly with my clients) post holiday season, is how there is always more going on than is immediately apparent on the surface. People will talk about feeling "like a pig" or "out of control" around food. The problem is that the judgement and shame further entrenches these patterns. Nothing persists unless it serves a function. Finding out what 'function' the 'problem' serves can be the 1st step towards self love and healing.

  • Miley 2009-01-07 02:38:34

    I love going to social events and seeing all the foods they have available, but that is where I get into trouble. So much food, and I want to try it all... Not good. I am really going to take the suggestions from this article and use them.

  • Carla G 2009-01-07 05:25:25

    Thanks so much for this very insightful article. I used to think that it was only because of the food- that this was the reason my eating becomes so erratic and out of control over the holidays. What I have finally learned is that it is not the food at all but the general sense of this is reflecting how I feel when I am with my extended family. I always feel a little out of control because this is how all of them are and this has made its way into my eating habits. I had a very haphazard time growing up, moving all the time and neither of my parents held consistent jobs. Sometimes we did not even know if or when we could get our next meal, so when we did, we would all get slightly out of control. I think that this urge to hoard food and take as much as I can at one time stems from this and I know that it will take a lot of time to break these habits. But your article and others like it sheds so much light on my problems with this issue for me and I know there is light at the end of the tunnel.

  • Billie 2009-01-08 05:45:42

    When I am in situations like these everything seems to be a trigger food! I do not know or understand why I derive so uch comfort from food but I do and I always have. I do not necessarily have a weight problem but I know that I have an unhealthy relationship and I want to find out ways to nip this in the bud before my own kids see these things and pick up these bad habits for themselves.

  • nancy 2009-01-09 05:23:44

    Last night I watched a taped Oprah episode that I had from Monday where she talked all about her weight loss struggles and having to do all of this while in the public eye, and that along with reading this article was a real eye opener for me. It is never about the food, only what we are using the food for. Like her, food has always been my drug of choice in stressful situations, and like many others the holidays are the ultimate of stress for me. I eat not because the food is there but to numb me. I could not believe how much I could realte to all of this and how ready I am to make the changes that I need to make. I know that I will need the help of a therapist to get me past some of my own issues, and I really thank the author here for presenting me with some viable and doable solutions in situations like this and I hope to soon be working on the ways that I can put these into practice in my own life.

  • Tarah 2009-01-10 10:03:40

    How old do I have to be before I can totally stop blaming my family for my issues with weight and take that responsibility for myself? Lord knows I try but every time I alwats backslide into feeling like they made me this way so i have no control over it. How do I get that control back in my life?

  • Ondina Hatvany 2009-01-12 05:52:35

    To answer to Tarah: Where you have control is where you get hooked and by that I mean emotionally hooked. These are places that usually have roots in our history and our identity. They can have a fair amount of (emotional) charge. It is best to get the help of a professional to start to figure out how you can 'unhook' yourself but for now you can notice every time you get 'hooked'. It is the 1st step towards unhooking yourself... Best Ondina Nandine Hatvany, MFT

  • Maggie 2009-02-28 15:17:44

    I had posted earlier in the week that my granddaughter suffers from an eating disorder so I was so glad to see this article here. I am checking out the website to see if we have missed anything with her treatment or if there are any other avenues for her to try. Thanks so much for posting this here.

  • Hal 2009-03-03 14:26:51

    As a male who struggled for years with both anorexia and bulimia I am here to say that it about time that these disorders began to get the recognition that they deserve! You would not believe how many times over the course of my own treatment that people who were well meaning would say things like I was just being too vain and to stop caring so much about what I looked like. But after years of treatment and therapy I came to realize that eating disorders are about so much more than that yet it is difficult to explain to anyone who has never experienced this before. I was fortunate enough to have friends and family who cared enough about me to support me and get me to a healthy place in my life (finally!) but we cannot do that while telling those who suffer that they just need to shake it off and get over it. Anorexia and bulimia, as well as overeating, go far deeper than that, and for many like me, it takes years of pretty intensive treatment to overcome. There are still days where I struggle but I know that I have the power to get past it and I do, but it is still a day to day process.

  • Claudia 2009-03-05 03:56:21

    Appreciate the attention eating disorders are getting here. My sister fought anorexia for years and died last year. This effort to get out the message feels like a tribute to her and all that she was and could have been.

  • kelli 2009-03-08 09:32:08

    this is really a great idea on getting the news and info out there on eating disorders.. So many girls want to be like the models and actresses in magazines and tv, and we wonder why they feel they have to look that way. Great article.

  • jessie 2009-03-08 09:33:44

    It's so sad to hear that girls are going thru this. They need family and friends to get them the help they need and support and understanding... along with therapy on how to overcome and understand this disease.

  • Madison 2009-03-10 03:06:37

    I agree with Hal. I think Anorexia and Bulimia are more than diseases and there should be abundance of help out there for people who suffer with this. I am fortunate to not have went thru this, but I have witnessed my sister in law going thru this and the doctor just looked at her and told her she just needed to start eating and stop treating her body badly... Some doctor.. From what she said, he pretty well accused her of something awful.

  • Betti 2009-03-18 07:11:39

    maybe doctors should be a little more understanding when it comes to illness as bulimia and anorexia. I would hate to have to go to a doctor for help and they just look at as if they were judging me. These girls, men or adults who need help, need someone understanding

  • Lanna 2009-03-20 07:22:04

    It's great to see that there is help out there for these girls that need it. Anyone dealing with bulimia and anorexia need the understanding and help from loved ones as well as therapist... even tho a lot of girls tend to at first not want to listen because they want to be thinner to feel better..

  • Macy 2009-04-10 03:48:52

    For the girls or boys that need help, I wonder if they have insurance if this would cover something like this for them to get help? This is an illness that I understand, can eventually kill someone if they don't get help.

  • Madisyn 2009-07-08 13:02:54

    cool stuff i hope i get to read more updates

  • Marianne 2009-03-03 14:21:53

    More parents and adults need to be on the lookout for these disorders as they are taking the lives of far too many teens these days.

  • Suzanne 2009-03-05 03:54:49

    Eating disorders are a sad reality for many families. I am a high school teacher and it amazes me how many girls I see who are already dieting and concerned over body issues that I never thought about at this young age. We are doing a lot of damage to our children from a very early age and look at the turmoil that this has inevitably caused. I am always looking and listening to what my female and male students have to say about things like this. Sometimes I know that I am the only one who is listening to them in their lives and that this might just be the only shot that someone has to make a difference.

  • Amelia 2009-03-05 04:00:35

    I think the worst thing about today's world is the hype about being hip and sexy. You have to love who you are unconditionally cos if you dont nobody will. My mom taught me this when I was 5. I look into the mirror every morning and say this aloud, "Good morning gorgeous!! You are the best!!"

  • Carolyn 2009-03-09 14:08:17

    Amelia that is great. I tell my daughter the same things every day- I only hope that the messages I send to her now will be enough to overcome the pressures she will face as a teen a few years down the road and that it can help to ensure that she does not succumb to the negative messages about girls that society so often projects upon them. We need to tell our kids to get smart, not get sickly thin.

  • Angel 2009-03-16 02:09:40

    I think Amelia is very correct... You have to tell yourself and your child, that they are beautiful, no matter what. A child needs to hear this as well as adults. If you continue to tell yourself that you are beautiful, unconciously you will believe it... I really do believe it's mind over matter and that part of the brain has a lot to do with it.. I've read so much on the brain and how it works and confirmation. We all need to practice this.

  • Erica 2009-03-16 02:46:12

    As a teenager, this is very common among a lot of girls. I think parents need to take the time to educate their children over the harm and hurt this could cause.

  • Brea 2009-03-20 03:18:55

    In my opinion, i think if a child does not get the physical love, such as hugging and kissing when they are younger or hear the words "I love you", that they may start questioning themselves whether they are pretty or not. It may be hard for some of us to express our feelings if we weren't given that ourselves when we were growing up.

  • Allie 2009-03-03 14:16:20

    From what I have read in the past eating disorders are sometimes about having something in your life that you feel you have control over. Is that true? I always thought it had more to do with the unrealistic expectations that we place upon people about what they have to look like in order to be more acceptable to society but maybe I am way off the mark. Does anyone have any insight into this? I tend to think that the control issue seems a little strange but this is something that I have never had to deal with before so I do not want to pass judgement in any way.

  • Hollis 2009-03-05 03:47:29

    It is agonizing to see people going through their issues with food when I see so much waste here. Wasted food, wasted lives. Who would have ever thought that this basic energy source could bring so many problems to so many?

  • Bob 2009-03-05 03:55:23

    I never knew binge eating is so serious. I think all of us go through that sometime in our teens. I do know that schools are doing their part by altering school lunches to healthier options. It's nice to see some celebrities think differently about size 0. It's not wrong to be size 0 naturally especially if you belong to the Asian race where women have a smaller skeletal structure. I think the awareness is catching up. It's the attitude of people in most cases which needs to change. Most people who are alone, going through a lot of stress, chronic illness or depression have eating disorders. Families and friends need to lend that helping hand. If your friend is too fat pick her along for a morning or evening walk. If your partner is too thin make a romantic dinner at home and dont forget the chocolate mousse.

  • Catherine 2009-03-06 03:45:47

    Having watched a close friend almost kill herself with an eating disorder I can honestly say that it is just not that easy to change their lives. They may eat that piece of chocolate but then they are in the bathroom the next minute trying to throw it up. She has numerous health problems now that all stem from years of traumatizing her body and who knows what kinds of mental and emotional scars that she will carry with her for years. It is scary that eating disorders are so often wrongly diagnosed and that there seems to be very little care for those who have them in their lives.

  • Eliza 2009-03-08 06:12:14

    We are such a wasteful country in general and it makes me sad to think about how many are out there who would kill for the amounts of food that we have so readily available to us and yet there are still those who do not appreciate food for what it is. For many people food is the enemy and i guess it is just kind of difficult for me to wrap my mind around that whole concept. Food should be appreciated and enjoyed, not looked at as something evil yet this is how those with eating disorders perceive it. How does that happen? What happens to people who have this way of thinking about food? Food should be nourishment and we should all be way more appreciative than we are for its plentiful abundance here in the United States.

  • Braden 2009-03-09 01:32:00

    It is very sad that people have to go through life hating the way they feel and look and blaming the food that they eat. It's no wonder that many people have bulimia or are anorexic from all the junk food they advertise and the way they make it easy to just grab up and eat and all the skinny models in magazines and tv, where a lot of teens and young adults look up to and use as role models to be just like them.

  • Savannah 2009-03-09 14:01:33

    And the more we buy into it the more serious the problems are going to continue to be.

  • Ray 2009-03-10 03:02:44

    It is important to point out too that this can happen to both young men and women too. I have for years had terrible self esteem and issues with my own body image and nobody ever took me seriously I guess because I am a guy. I mean what kind of guy really even cares about that kind of stuff? Well I did and still do and this has caused me and my family both a great deal of pain. There never seems to be the right kind of treatment geared toward helping men overcome these issues so for a long time now I have felt at a loss as to where to turn for help. I have a fantastic therapist now who is helping me to wrestle with many of my own inner demons but it is still a struggle every day.

  • Joe 2009-03-11 10:16:06

    Are the symptoms of bulimia the same as anorexia as far as some of the physical problems?

  • Jordan 2009-03-13 02:20:13

    Ray made a good comment... it's not just girls who go thru this, men do as well... It's very common to see girls get caught up in this and don't realize that men do too.. This is a serious problem and we need more people, therapist to help with this and be understanding.

  • Robert 2009-05-30 20:11:28

    This is definitely bad news!! If these websites are sites owned by registered companies or organizations, I am sure the govt. can hold them responsible for propagating dangerous and hazardous heath trends.

  • Hilda 2009-05-30 20:53:49

    How can there be anything beautiful about eating or not eating till the point of sickness? I think beauty pageants for the small and large encourage this trend indirectly. Therapists need to warn their clients of such websites or material as therapy can never be affective when the person has assimilated conflicting info.

  • Timothy 2009-05-31 19:47:36

    Fads galore these days I would say. Latest is glorifying eating disorders I guess. Being a victim of one, there is nothing beautiful and good about not being able to help oneself.

  • Timothy 2009-05-31 19:51:31

    Looks like this is the latest fad these days. Being a victim of bulimia for years, I can definitely say that there is nothing beautiful or good about not being able to help oneself

  • Eliza 2009-06-01 05:37:53

    This is so sick. Material like this that could potentially cause such harm to someone's life should not be allowed to be posted on the web. Yeah yeah I know free speech and all but give me a break! These sites that have this kind of material are playing right into the hands and heads of girls and guys who already have poor body image and this is making them think that this is OK and that there are ways to be healthy and live with anorexia and bulimia as a way of maintaining dangerously low body weights and in some freaky way being in better control of their bodies. You have to have a really sick mind to read some of what these sites have to say and believe that they are true. But young kids are very impressionable so I know that there are some out there who go to these sites just like they would other help sites and get info that they think is going to help them stay skinny. Too bad they don't tell you all of the dangers that come with unhealthy eating disorders too.

  • Kayla 2009-06-02 03:54:49

    having suffered from bulimia for most of my teenage years and into my twenties I can say emphatically that there is nothing beautiful about this disorder. It is ugly and takes away any self respect you ever had. Maybe that is the kind of statements that they need to be posting to these sites.

  • Wendy 2009-06-03 02:47:48

    These sites should be banned. But how can they if they are doing nothing wrong except hurting other people. Shame on them!

  • Camille 2009-06-03 03:43:07

    I have read a lot on this blog and find it interesting that no one has commented that people with eating disorders should just be able to stop acting out in the way that certain authors here feel that other addicts should do. Why is that? Are anorexia and bulimia not considered addictions like other poor behavioral choices are? I am not challenging anyone nor do I make light of the problems experienced by others, but does anyone ever tell the anorexic or bulimic to just stop their bad behavior in the same way that we will say these things to and about alcoholics and drug addicts?

  • Tammy 2009-06-04 02:58:21

    This is absolutely Crazy! What do these sites encourage? Death? Surely something's got to be done.

  • Hollis 2009-06-04 17:00:54

    all I have to say is that we have to be more careful every day about the content we allow into our homes, no matter the venue that it comes from. Kids and adults as well are easily influenced and who knows who is going to be taken in by this kind of sick material.

  • runninfast 2009-06-05 11:59:24

    I know that all of us probably think the same thing- that sites like these should be banned. But we all know that this is not something that is going to be a possibility. So why not start at home teaching our families the best ways to stay healthy and how to feel good about who they are and the choices that they make? There are of course some horrible influences on them in this world that we just cannot shield them from. But we have to know that when we are giving them the right kind of information and validation at home the chances of them buying into what sites like these have to say is smaller than it would have been otherwise. We can never keep them from everything negative but knowing that we are giving our kids a good foundation is a great way to start and to hopefully know that they are equipped to make tough decisions that are not going to harm them in the long term.

  • Meleah 2009-06-09 01:55:55

    I agree with you, runninfast. It starts at home and all we can do is do our best when educating our kids. That's all we can do. Teach them what is wrong and the cons about doing this to our bodies and teach them what is right when it comes to appreciating our bodies.

  • Carrie 2009-06-12 04:05:33

    I don't know who in their right minds think bulimia, anorexia or skinniness is sexy and beautiful. These websites that promote this need a reality check

  • Maggie 2009-06-16 14:55:06

    i’ve never heard of such a thing! I would have never thought anyone would even advertise something like this.

  • Gabby 2009-06-21 08:41:49

    I'm sure many of us think this is totally and utterly wrong, but what can we do? Nothing! It's a shame that people who promote these sites, have no morals at all!

  • Della 2009-06-22 14:34:16

    Too bad you can't work up a petition to get these sites banned. I know... freedom of speech, but still yet, it's hurting a lot of young girls and boys

  • Christy 2010-01-28 07:54:01

    I'm writing an essay on the pro-ana & pro-mia websites. i'm finding out a lot and i even visited one to check one out (i can't write on a topic with genuine feeling that i've never seen or experienced before) and i was disgusted. they wrote up that bulimia and anorexia are not diseases, they're a lifestyle choice. i'm sickened by the people who choose to invade other's lives with harsh & cruel tips when they should just worry about their own life.

  • raydeana 2009-06-03 02:43:58

    Recovery from eating disorder is an all time struggling battle. I've seen this at the rehab i used to work at and never knew how difficult it could be for some people.

  • Caroline 2009-06-03 03:38:12

    I have never had a true eating disorder but I know that I do have a problem relationship with food. My weight is always yo yo-ing fifteen or twenty pounds, and it seems like I lose weight just to gain it all back again, sometimes more. I never feel like I have a love relationship with food in a healthy way, only a hate one in a bad way. I think of myself as being "good" when I stick to my eating plan and have only a certain amount of calories a day whereas I will describe myself as being "bad" even if I have only a small treat. I do not really know how this relationship with food got started but now I have been in it for years and have no idea how to get out. Does anyone have any advice or things I could read to help me get my life back on track? I feel like I am ruled by food and my problems with it and I hate how that makes me feel.

  • Joanna Poppink 2009-06-03 07:36:11

    Dear Caroline, Thanks for writing. Many people get caught in this yo yo weight experience yet feel they don't meet the various criteria for an eating disorder. A challenging but efficient way to approach your eating dilemma is to keep a journal. Every morning if possible, write for three or four pages. Write whatever comes to you mind. And if nothing comes to your mind describe your room or what you are wearing or what you did yesterday. Just write. Keep all your writing in a notebook so it's not scattered sheets, and date every page. Be sure to include your feelings. Just do this for months. Eventually you will go through your weight gain and loss and regain because that's your pattern. Then read your journal. You will see how your thoughts and feelings change. You will get insight into what "triggers" your patterns. Once you have this information you will be better able to make your decisions about what,if anything, you need to place in or remove from your life (or both) to keep yourself steady and free from that yo yo experience. Please let me know how you are doing! warm regards, Joanna

  • Pamela 2009-06-04 02:31:58

    I feel the same as Caroline. I don't really beat myself up when I eat something bad, I get disappointed in myself and wonder what good did it do, that the taste was only going to be temporary. I get back on the bandwagon again and try again. It's not about dieting, its about eating right, healthy and if I decide to eat something that's not really what i need, I'll just eat a bite or two, just to satisfy that craving. Portion control is what it is all about for me.

  • Joanna Poppink 2009-06-04 11:42:58

    Dear Pamela, Thank you for your post. I'm thinking about what you and Caroline are saying. Here's what I come up with. If you have an eating disorder, you will get caught in the behavior regardless of any structural changes you make in your behavior. The underlying reasons that are the basis of your particular eating disorder will remain unaddressed. So sooner or later, the behavior will return. But... if you don't have an eating disorder, making structural changes WILL have a positive effect on your behavior. You know that portion control is something you need to be aware of. I wonder about your using the word crave. It's a powerful word. When it's used by a person with an eating disorder it can relate to that person being on the verge of a binge and then either bingeing or going into starvation mode as a response. If you don't have an eating disorder, I suggest you find other words to use for what you mean. Having a yen for? Having a taste for? Something looking good or appealing? Then you have framed your experience differently in your own mind. It's okay to have a yen for something or have a taste of something that looks good to you right now and have it -- just not amounts that lead to trouble. It sounds to me like you are or are becoming an intuitive eater. And that's great. Intuitive eating is all about creating a healthy relationship with food. http://www.intuitiveeating.com/ Thank you again for your post! warm regards, Joanna

  • Ryann 2009-06-04 16:57:46

    My twin died from complications from anorexia so I know what a challenge these feelings about food can be. They become all consuming and that is all you think about. I mean I even struggled with my own issues while she went through hers thinking things like we weigh the same thing so maybe I am fat just like she thinks she is. Luckily I was able to be honest with myself and accept that this was not the truth but Rhiannon never was so lucky. She saw herself as fat until the day she went into the hospital and never can home again. It was like her brain and her eyes and her body had rebelled against her and led her to believe the grossest untruths about herself. There are great recovery programs out there but I know having lived through this that there just are not enough of them, and that there are not enough families and doctors even today who treat this as seriously as they should. You would think that with all of the research out there that would be changing but there is still so much shame attached to the subject that there are still those who do not feel comfortable with talking about it.

  • Joanna Poppink 2009-06-04 21:00:32

    Dear Ryann, Thank you for sharing part of your story with us. I am so very sorry for your loss. To watch your twin sister deteriorate has got to have been a tragedy for you and your family. I marvel at your strength and wisdom and applaud your ability to be your own person. You are a force working against ignorance and shame by speaking the truth of your experience so plainly and clearly. You enrich us with your post. I hope you will continue writing. You have much of value to share with the world. warm regards, Joanna

  • Georgia 2009-06-05 11:55:39

    Joanna I have a question for you. Do you think that eating disorders can ever truly be overcome or do you think that self doubt that often accompanies these diseases is always there lurking beneath the surface, ready to emerge the next time there is a negative trigger?

  • Joanna Poppink 2009-06-05 16:41:54

    Dear Georgia, Thank you for asking this question! So many people want to know the answer. Let me circle your question a little. The answer takes in more than what you ask. Suppose we take eating disorders out of your post. Then you are asking, "Does self doubt lurk beneath the surface in our psyches, ready to emerge when there is a negative trigger?" Now we've really got something. Do we ever become so self confident that we never experience self doubt? Mmm. I would be wary of people who never questioned themselves, never explored their assumptions, they knew all they needed to know and had all the tools, skills and depth of awareness they would ever need for a lifetime of living in our ambiguous and changing world. If this is a realistic perspective, that is, if having occasional bouts of self doubt is normal and healthy, even useful when we need to learn something, then self doubt will emerge periodically throughout our lives. Your question refers to "self doubt lurking beneath the surface." My question is, 'why would self doubt lurk near the surface?' If that is true then the person is skating along in life with little self confidence and can be easily swayed by people or events. Many people struggling with eating disorders wish for the day they will be completely free. Or they don't try to recover because they think complete freedom doesn't exist. But being human means we have to continue to learn and grow. We are continually meeting challenges that could be thought of as triggers in life. We don't get complete freedom from stress, anxiety, worry, rage, fear or any of the human emotions. The challenge has more to do with how we experience these feelings and whether we use them as information or whether we act out. Sorry this is a long answer. I'm trying to make it short as possible, but there's a lot to cover! So, can a person with an eating disorder find real recovery? Yes. Can she be free of the compulsions? Yes. Will she ever find herself in a situation where something - maybe she knows what and maybe she doesn't - triggers powerful feelings and the desire to act out in old eating disorder ways? Probably. Will she have the strength, self confidence, ability to explore her own self doubts to find her way through the experience without acting out her eating disorder? Yes. That's what real recovery looks like. In recovery you don't find a perfect world where no triggers exist. In recovery you don't become a perfect person where nothing triggers you. In recovery you become a healthy, self reliant person. You can meet your own self doubts and have the strength and resiliance to stand for what you believe if that's what's called for or beyond your limited beliefs if that's what is necessary to live a full and healthy life. Hope that gets to the heart of your question, Georgia!

  • Lila 2009-06-08 03:12:08

    Why is it that food seems to be a problem for a lot of us. I know it's not the food that's the problem but Us who has a problem with food. And it seems like the bad, junky food is always the food we want the most. Food tastes great and the more junk food out there, the more i think people will have a prob with it.

  • Joanna Poppink 2009-06-08 09:12:27

    Dear Lila, We live in a stressful demanding world. Today, in my opinion, we need to be more healthy, strong, confident and resilient than ever before. And we need to relax. We need soothing from stress and strain. We need a "time out" so we can heal, repair, think, feel and learn from our experiences. When we can't find ways to take care of ourselves because of a vulnerability of some kind, we will look for what will "work" for us. Bingeing on broccoli doesn't do it. Snacking on liver and onions won't do it. But the carbs, the sugars, the products made with flour, will take us "out." Unfortunately when people get to that numbed state think they are relaxed because the pain or anixiety has stopped. That's not being relaxed. That's being anesthetized. We need to develop ways to really take care of ourselves, whether we have an eating disorder or not,. Walks, baths, books, time with friends, writing, gardening, dancing, yoga, meditation, painting, sketching are all healthful and productive ways to care for ourselves and get us through stressful times. They work much better than junk food. Thanks you for asking your question, Lisa. warm regards, Joanna

  • Amy 2009-06-09 01:52:56

    Joanna, You are totally right! Food is almost like alcohol. When we are depressed, feeling blue, down in the dump, some of us turn to food just like some turn to alcohol. It satisfies us for a while, but aftewards, when reality hits, we feel guilty for giving in and succumbing to what is only a temporary fix

  • Delia 2009-06-09 03:55:12

    I appreciate all of the questions and comments here. I guess I never realized just how complicated the whole range of eating disorders really is. I thought it was something that someone could just control themselves, you know stop the throwing up and just eat! This helps me to see that it goes so much deeper than this.

  • Fran S 2009-06-14 08:46:28

    Do you have to have special certification to work with those who have eating disorders? I am thinking of going back to school and this is a subject that interests me a great deal. Thank you.

  • Joanna Poppink 2009-06-14 13:58:27

    Dear Fran, As far as I know, legally a clinician doesn't need special certification. However, most mental health licenses have a section in their rulings stating that a clinician must work only within their scope of competence. Those words can seem vague or specific, depending on the eye of the beholder. To me, in terms of working with people with eating disorders, the phrasing means that a clinician needs to get specific training in whatever population he or she works with so the work is conducted within the scope of competence. Does that make sense to you? In order to be a member of the professional organizations, International Association of Eating Disorder Professional (IAEDP) and the Academy of Eating Disorders (AED), a clinician must meet certain specific requirements in terms of experience and training. These organizations also sponsor conferences that provide a broad spectrum of education in the field. Many organizations and licensed clinicians offer classes, workshops, seminars in the field or related fields that help equp a clinician to work with the eating disorder population. And, yes, IMO, legally required not, in order to be competent and bring genuine help to people with eating disorders, special studies, experience, education and training is required.

  • Joanna Poppink 2009-06-14 14:02:53

    Dear Fran, P.S. I included IAEDP and AED in my last comment because their requirements for membership can sure as a base for getting solid competency work in the field of eating disorders. Meeting those requirements will allow you membership in the organizations. Meeting those requirements will help you establish a foundation of experience, education and skill that will help you become competent in the field. And meeting those requirements will help you be aware of what more you need to learn in an ongoing basis in this most challenging field. Good luck to you! Joanna

  • Nicki 2009-06-17 14:38:05

    Thank you very much for this article - I feel I have made real headway in overcoming my problem with binge eating and it has certainly been very challenging. I really agree with you that it is all about learning how to look after yourself and for me that has been learning how to deal with my emotions and how to be kind to myself. Not an easy thing to do! It has also been really important for me to finally take responsibility for myself. I do feel as though I am on a journey and a very exciting one at that!

  • Joanna Poppink 2009-06-18 12:07:27

    Dear Nicki, Thank you for writing in, and congratulations on your recovery progress. The great thing about the journey you are on is that the journey continues long after you find your eating disorder recovery. You just keep on growing, learning and developing, hopefully, for the rest of your life. I agree, it’s not easy, but it’s great! warm regards, Joanna

  • Jaki 2009-06-19 11:17:39

    I really enjoyed this article and the comments. I'm in recovery from 10 years or so of bulimia/anorexia... have been out of therapy and in solid recovery for several years. Do you think recovery is an endless journey? Or do you reach a point where for all practical purposes you're recovered? Or is it always something that is just there, waiting to crop up? I was also wondering: do you think someone who is in solid recovery from an eating disorder but later has a severe bout of depression, should that person find a therapist who has experience with people with eating disorders or does it not matter? My last question... I read your description of recovery, and feel how much my recovery falls short of that inner healing. What to do if some of the underlying stuff never changed? Does it just take more time?

  • Kylie 2009-06-23 20:00:56

    I think having a supportive dad goes a long way. I lost my mom when I was 11. Not the easiest thing in the world at that age. My dad was very patient with me and even the times that he used to criticize, it used to be objective criticism. Looking back, I can say I am a confident person in my own skin. I think its definitely important to have a dad who matures with you.

  • Melinda 2009-06-22 09:24:52

    Although I love both my mother and father dearly they were always so critical of me when I was growing up, telling me things like I was chubby or to stop eating so much. And that really did make an impact on me as a kid, and has carried over into adulthood even though I have tried so hard not to let it. It is as a result of words like these that were used against me that I try to be so careful about what I say to my own girls, because as much as I try to keep a handle on what and how they eat I would never want them to even get the faintest idea that I thought they were fat or eating too much. I know just how easily those seeimingly innocuous words can have on a young girl's self esteem and what a lasting impression this can make on them.

  • Becca 2009-06-28 09:53:06

    And how about the things they see in the grocery store check out lines on the current magazine covers? We may can shield the kids from our words but there is no way to keep them from the media who declares pretty regularly that if you are over a size 6 then you must be fat. You can't tell me that young girls and women alike do not take all of this to heart because I know that I still do and I am well past my tween and adolescent years. It is hard to ignore all of this sometimes because that is what we are constsntly innundated with. And just think about the girls who not only get the messages from that media but the same stupid verification of that at home too! Imagine how bad they must inevitably come to think about themselves and how unfair that is to them.

  • Diane 2009-06-23 00:12:26

    I find myself on the other side of the fence Melinda. My son was a big baby who became very skinny between 3-10. I found myself constantly yelling at him and trying to force him to eat. The fact that I was a good cook used to irk me a little more with my skinny child. The world doesnt deal with our sore points generously as well. Years of jibes and jokes from friends and families about him took their toll and I wasnt the supportive mother he would have liked to have. Today he is in therapy for depression and eating disorders. Nothing I do can undo the damage done.

  • Missy 2009-06-24 02:02:02

    parents love their children, but I think mother's kind of want their daughters to grow up and be like them or be what they weren't. There's pagents, contests, and cheerleading that I think a lot of mothers want their little girls to be in so they push for that self image of their daughter. I think Daddy's just want their little girls to be little girls.

  • Jennifer 2009-06-29 02:26:16

    In a very old world my dad was new light. He taught me the less trodden path and today I think I owe a lot to him. There was never an issue of whether I can with him. It was only whether I wanted to. He taught me to be free in life in spirit and I owe a lot to him

  • Steve 2009-06-24 06:43:58

    As father I have to speak up and say that you should be mindful of what you to say to all of your kids, male or female. Like it or not we are the role models that they are always going to look up to and it is our responsibility as parents to give them the things that they need to be a success in life. So what if they are a little skinny or a little pudgy? We have to get to the point where we can look down deep inside and ask oursleves if he or she is a good kid, does well in school, and is making a positive contribution to the household. If those questions have the answers that we want to hear, what does their size matter and why should we even make comments about it? I want my kids to be healthy too but I know that we all go through up and down phases with our weight and for the most part I know that if I just ignore it then sometimes problems will resolve themselves on their own. Support your kids, don't knock them down.

  • Jon 2009-06-25 03:42:28

    My dad was very old school and felt like (and still feels) that things he said to me and my sisters growing up were to toughen us up. Guess that is not the way of thinking anymore huh?

  • Georgia 2009-06-27 05:29:41

    I hope that we as a society have evolved past the point that what does not break you can only make you stronger, but i fear that for the older generations that has not hit home yet. For so many young girls especially that is really not the case. They really take what we all have to say to heart and they keep it with them all through adulthood. We all need to make a much better effort about the things we say to our kids and take a good look at what we are teaching them through both our actions and our words.

  • Linda 2009-07-01 04:04:42

    Fathers can be very positive people as men tend to be less irrational and emotional in their behaviour. I also think men are great motivators.

  • Sandra 2009-07-01 06:07:11

    Dads, be careful what you say. You may not think it but your girls are always listening.

  • Samuel 2009-07-23 08:17:27

    What we're hearing about is the alleged abuse of meds by Michael Jackson. I'd be more inclined to understand that as the reason for his skeletal frame than anorexia. The man had the world at his moonwalking feet and that wasn't enough. He was a tragic 50 year old crazy mixed up kid.

  • Erika Ryder 2009-07-22 14:58:54

    my God i have such mixed feelings about MJ. Loved his spirit, his dancing, his music, all the positive things he did for the world. But the guy was a troubled soul and clearly a survivor of childhood abuse who never, form what i can tell, had a chance to heal in this lifetime. And then there are the allegations that in addition to being a victim of childhood abuse, was a perpetrator and pedophile... so hard to separate the part of me that find him despicable.. i sihs i could transcend it.

  • David 2009-07-24 07:20:12

    I think MJ was a victim of success. Sometimes when you have everything in life its difficult to value the basic things like your body, your job, your family etc. I dont know whether he was a victim of anorexia or a victim of a weak mind. Whatever he was he definitely died a sad death.

  • Carter 2009-07-24 07:20:33

    I certainly would not be surprised to learn that he had anorexia. Aside from the physical appearance which was appalling to so many of us, you know that he had many inner demons that he probably battled for much of his life, and we all know that one of the ultimate ways to deal with some of those issues is to take control of our bodies to an unhealthy extreme. maybe that is what happened in his case- we will probably never know. But how sad to have lost another legend in this manner and mystery. The good ones just never seem to make it to a ripe old age do they? I am not saying that I agree with everything that he did in his life, but I try not to judge. But you have to admit that for a time there was a talent there and that may never again be matched.

  • Kimber 2009-07-27 02:54:58

    Indeed, Michael went through a lot of hell with the media and people, grew up in an abusive household and was ridiculed by some. No wonder all this took a toll on his body. Anorexia? Who knows, but the symptoms described in this article does make sense and explains some of his problems.

  • mr. mike 2009-07-23 08:40:17

    seems obvious to me

  • Martha T. 2009-07-23 09:04:44

    It's never about the food. My pantry has comfort foods stuck in dark corners which I eat when I'm bored or upset. Afterwards I feel bad that I did and am getting fat so I eat more. Comfort eating never gives you much comfort for long. An addiction? Not to the food in my opinion. To filling a void or to the distraction of eating.

  • JoanP 2009-07-23 14:21:18

    Thanks for posting about this, I would love to read more about this topic.

  • Judy on a diet 2009-07-24 06:57:38

    I am in therapy for tv addiction. I can totally relate to this and this was the first side effect of my addiction. I piled on the pounds with all the junk food I used to eat. I lived every moment in front of the tv with no life or relationship other than that. I am learning to get over my destructive behaviour with a forced time table. It's working and I just think its sad. Addiction to anything causes bad dietary habits.

  • Gloria 2009-07-24 07:14:25

    Aren't there now 12 step meetings that are geared toward helping people with these kinds of food addictions? I think they are modeled after AA and programs like that. It is hard for me to think of food as an addiction but I guess for many people it is. But I am like the other poster here- I don't really think it is about the food. I think it is about trying to bring fulfillment into your life but by using unhealthy means. I would also like to learn more about the subject.

  • Joanna 2009-07-25 00:02:18

    I think food can be a serious issue. Peopl who lack confidence and have low self esteem prefer closetting themselves than interacting with the world. They would be the ones to be susceptible to the comfort that food gives. However that comfort zone has to be revisited often to stay in euphoria.

  • Julie 2009-07-27 02:48:16

    This is very understandable. I have always read that before you put a piece of food in your mouth, stop and think.. "am i really hungry" if not, put it down. It may taste good temporarily, but after 5 mintues, what do u have to show for it, but the taste.

  • Savannah 2009-07-27 11:03:54

    There have been so many times that I know I have turned to food for comfort, not because I am hungry but there is just something about certain types of food that gives me pleasure that cannot be explained. I love the way it tastes and feels in my mouth, but I also love the way it makes me feel emotionally. It makes me feel full and satisfied, and sometimes there is nothing else that will do. I have had my struggles with my weight throughout my adult life and even just typing this I know that this is where so many of my problems stem from. It is simply one of those things that I have no idea how to control.

  • helper3 2009-08-17 16:19:44

    Great headline. I think two things happen. Their self-confidence goes up (which feels good) and their trust in you increases.

  • Ambrose 2009-08-07 10:24:23

    Hi Joanna, Thanks so much for taking the time to share your notes on the conference and to good therapy for publishing this. It's almost as if I attended the conference, for free nonetheless... I love how the wisdom of psychotherapy and the research of brain science is merging to reveal the hope for change...

  • Francis W. 2009-08-09 18:02:29

    Joanna I want to add my thank you too. So generous of you and good therapy to share your notes with us like this! I've always believed that showing love and kindness consistently can overcome almost anything. It's wonderful to see scientific evidence.

  • Madeleine 2009-08-10 17:15:57

    I am so happy to see that there is now more attention being paid to this issue, but for very personal reasons I only wish that more had been known sooner. I lost my sister Julie to anorexia and related complications from the disease more than 20 years ago. Then no one even knew about the disease much less did anything to prevent relapse. I am glad to know that there are people now who care and see this as a serious enough issue to address and hopefully prevent for other families.

  • Barbara 2009-08-12 09:46:20

    Sad to see anyone relapse with anything they struggle with. Good news in the making when there is ever any forward progress in this area

  • James 2009-10-02 15:01:57

    thanks for a great article!

  • lisa lascala 2009-08-10 09:59:29

    i have heard that food additives are a major cause of food allergies and even unnecessary wight gain. i'll have to read this article.

  • Jay 2009-08-10 16:54:29

    have any of you seen Fast Food Nation? This shows just how much over processed yet easy to come by food has contributed to the growing size of us all. Not a blanket excuse but one that does seem to hold a little water.

  • Ginger 2009-08-12 09:38:56

    Improving the self esteem of those who have weight problems can go a long way toward helping to solve the problem. I have long battled with my own weight issues and have been everything from the ideal weight to moderately overweight and yes chronically obese. Throughout it all I have never felt good about myself and what I looked like no matter what size I happened to be wearing. I am currently looking into therapy for that because I am tired of not liking who I am and having how I feel about myself depend on my size. It is just not worth it anymore.

  • Cassie V. 2009-08-14 11:39:38

    Hey Sharon I'm the perfect weight. I just need to be six inches taller and I'm there. ;) Who has the time to cook proper meals and eat healthy every day? I eat because I have to to live. I don't want to have to spend time cooking for hours too. I'd rather gain a few pounds with convenience foods to gain a few hours.

  • Sharon Johnson 2009-08-13 22:12:03

    Sounds good to boost self esteem to make people comfortable about what they look like,as I have never found a person happy with their weight - including myself and I have been running a muscle toning/weight business for years. Not only fat people, but thin people want to be thinner. Ask around - do you ever meet anyone who says, yes, I am the perfect weight?

  • Julia 2009-08-15 13:27:14

    lol Cassie what a great comment- I am right there with you about just needing to add a few vertical inches and I too would be the perfect woman! What I think would really help to resolve some of these issues though has nothing to do with nutrition information, It is all a matter of teaching our younger generations to be healthy and that healthy does not always mean rail skinny. And that fat people are pretty too!

  • Sandra 2009-08-16 07:30:42

    here's my problem. I know WHAT I am supposed to eat, know all of the nutritional guidelines, but just have a hard time sticking with that and putting all of that into action. Losing weight takes time and I am an instant gratification kind of girl if you know what I mean. I want to commit to losing weight and look in the mirror three days later and have reached my goal. That is when I kind of lose heart and the willpower to continue on with the healthy eating. It just seems so slow and although I think it is great to be getting the message out about healthy eating habits I am not sure it is gonna work when it comes to teaching this old dog new tricks.

  • Martha T. 2009-08-16 22:22:45

    Sandra I know how you feel. The best way I heard it was that I didn't put the weight on overnight so won't drop it overnight either. I want it gone yesterday as well, believe me. Forget the word diet and fit in a couple of dietary changes because this has to last a lifetime to work. Good luck.

  • Madeleine 2009-08-18 13:44:29

    I think I have this! Sometimes i will not even go out with friends over fears about where they are eating and how the resataurant prepares the food. My friends have all kind of laughed it off, but I do not want to lose them over this. How could I find someone in my area to talk to about this because it does freak me out a little too.

  • Steph B 2009-08-19 09:03:53

    You know when I read things like this it sometimes makes me feel like diagnoses like these are only serving the purpose of making people feel like there is something wrong with them. What is wrong with being concerned about the things that we consume and put into our bodies, in addition to caring about the foods that our families eat? There is nothing wrong with being health conscious and passing that along to your kids. It is important to know where the foods that you are eating come from and the processes that they have gone through before reaching your table. That only makes sense to me. I don't call that a disorder- I call that a reality and concern over your own well being.

  • Teach 2009-08-21 07:34:20

    There's nothing wrong with being health conscious Steph. I agree. It's when you take it to extremes and cut out entire food groups that you do damage to yourself and your family. A balanced diet doesn't do that and malnutrition is not the result of a balanced diet.

  • Dr. Notary 2009-08-21 08:05:54

    Petra Ness: In response to your question, the signs and symptoms of orthorexia nervosa may include - * Planning their daily menu more than 24 hours in advance * Getting more pleasure from the perceived virtue of food than from actually eating it * Decreased quality of life as the focus on “better” quality food increases * Being increasingly rigid and self-critical about their eating * Defining self-esteem and self worth by the quality of food they eat * Having a lower opinion of people who do not eat what they deem healthy * Describing healthy food as “pure,” “proper,” or “correct” * Eating only at home where they have total control of the food, therefore withdrawing socially * Feeling guilt or self-loathing when they eat “incorrect” food Information sourced from The International Eating Disorders Institute. I hope you find that helpful.

  • Lacey 2009-08-21 09:04:52

    The MyPyramid.gov site is based on the food pyramid dietary guidelines jointly agreed upon by the HHS and USDA which are updated every 5 years. Those are next due for revision in 2010. You can create personalized eating plans for your whole family from 2 years old and up. You can compare your eating habits to what's recommended there and see how healthy your diet really is.

  • Petra Ness 2009-08-17 20:07:14

    learned about this after talking to a therapist about my daughter, who doesn't have an eating disorder but is preoccupied about eating healthy. i think it also includes other symptoms like basic fears about health and different obsessions and behaviors that go with it. how can I find a list of all the sympots, anyone know?

  • Yolanda 2009-08-26 12:59:06

    Well said Amy. I know I never thought about my weight at seven. Your daughter's lucky to have a mom with the right attitude to set her mind straight on that. Hey Marty! You're always such a ray of sunshine, you know that? LOL.

  • Felicita 2009-08-27 04:14:31

    My son is 4.5 and calls his friend a pot. The kid is just chubby not fat. I think kids are more conscious than 10 years ago. That's a good and bad thing. Schools freak them out about fats so they dont eat anything which is not high fibre blah blah blah. Its good to be fit but not make it the obsession in life.

  • Joanna 2009-08-26 02:49:37

    My parents and my entire family is big made. I am not fat but I am pear shaped. I face so much in school and am teased no ends. Its sad but thin is always in. Noone looks beyond skin deep when you are a teenager.

  • Amy 2009-08-26 10:04:23

    My daughter is seven and already she will make little comments here and there about her belly being big and things like that. She is seven! I never thought about things like that at her age yet I was not exposed to all of the anorexic movie stars that our kids are today! These celebs are who our kids look up to and they are making it harder and harder for parents to tell their kids that they are ok no matter what they look like. I think that there is a time and a place for being concerned about your child's weight but there is a right way to handle it and a wrong way. I do not want my daughter to be so weight obsessed that it ends up controlling her life in the way that I see it happening all around me to so many other females. Let's just get back to giving our kids a good old healthy dose of self esteem and let them live happy lives without always having to be so concerned with how they and others look.

  • Marty 2009-08-26 09:37:43

    How about we just call fat people fat and avoid the euphemisms. What's warped and unrealistic is giving flab a cutesy name. Political correctness makes me sick. If you're fat, you're fat. Deal with it and if you don't like being fat, do something about it.

  • Cara 2009-09-11 14:51:02

    Anorexia is all about having control over something. I guess that there are many men out there who feel like they have no control over their financial situations right now, so eating and their physical situations are something that they can control. I think that many men feel like they have experienced the brunt of this economic downturn and maybe that is why something so surprising like anorexia has begun to show up more and more among them.

  • Kim D 2009-09-14 10:07:58

    If a man were to come forward and say that he had an eating disorder I bet many people would discount that just because he is a man and we do not hear about those cases very often. This in and of itself could be a huge reason why so many fewer men than women will find the ability to seek treatment for this illness.

  • Dyki 2009-09-11 14:22:35

    The recession really seems to have taken its toll... Any sudden change of financial capability will put people under a lot of pressure, more so the bread-winners of the family. Anorexia affecting people is very alarming and that too in a developed nation... People must try and focus more on their health and not concentrate too much on the finances. Yes,finances are important, but not more than one's health... As the global recession seems to be coming to an end, we can only hope the its ill-effects will now be reversed and restored to its previous states.

  • VictoriaL. 2009-09-13 19:43:57

    Eating disorders can affect both males and females Olivia. My theory is that anorexia in women gets more attention because women tend to be open to discussing health more and reading articles and so on than men. They are also more body conscious on average and the condition is more prevalent in females. Hence the extra attention towards them.

  • Clif 2009-09-11 13:58:22

    I do not think the times are so bad that people have no money to buy nutritious food for themselves. I think the reason for this development is only mental stress... Losing a job is very unfortunate for any person, and this will surely have a negative effect on any given person, and this development is a testimony to that.

  • Jillian 2009-09-11 10:46:47

    I must admit, when I saw the title of this post, I did not expect it to be about adult men. This dose seem a bit alarming that populations like this that who are not typically seen as being targets for this type of illness are now more than ever struggling. Maybe it is just because anorexia in men has been a more taboo thing that I've never heard much about this before.

  • Samuel 2009-09-13 15:48:28

    Whoever thought up that manorexia title needs shot. There's no reason for a distinction and flippant labels like that make it even harder for men to come forward that need help. On the positive side, it's good to see they are.

  • Olivia 2009-09-13 09:55:42

    I have never really thought about eating disorders affecting men. Guess this just goes to show that here is yet another equal opportunity illness just looking to strike down its next victim.

  • Hollis 2009-09-15 10:28:07

    Although I can see how this might offend I think that in all honesty the donut shop was just trying to be humorous and unintentionally has stepped on some toes. Personally I think that there are greater insults out there to be worried about these days, but hey. I am just one voice.

  • Grade 2009-09-14 14:31:59

    This is the perfect way to mock at people who are not perfect and I totally back the protest by the Community Alliance United to Seek Equality. The donut shop has no right to do something like this. It is hard to imagine a menu that consists of words associated with various health problems... if its not mocking at people with such conditions, then what is it...? This must be stopped at the earliest by the concerned authorities. After all, a" person's right ends where another person's begins."

  • Comb 2009-09-14 14:22:33

    I, for one, cannot be taking sides in this argument... Seems to me that there is no right or wrong side in this case and that both are just about right in their own ways... Maybe the naming in the donut is helping people know more about the problems through their naming techniques, but then again it may be creating problems, as advocated by the group. If there is a case file regarding this issue, it is going to be very tough to decide for the judiciary as to whether the donut shop is just using its freedom or is actually causing damage...

  • Jessica 2009-09-14 14:20:28

    How weird is that... I kinda like it though, very different! I can see how people could be offended though. Hopefully the shop owners are in it for the right reasons.

  • Marsh 2009-09-28 10:34:29

    Losing weight has given me a lot of confidence and am now able to do a lot of things that I was previously unable to. This really has boosted by confidence levels and am now a totally new person.

  • Julia 2009-10-01 06:26:53

    Interesting!!! Abstinence is a good thing after all. For someone like me who lost 30 pounds in a year, I would say the once in a while indulgence is as therapeutic as abstinence!!

  • Liz 2009-09-28 04:38:27

    ugghh. Losing weight and keeping it off has always been so hard for me! I wish that there was a way for the brain to change in its way of thinking about food once the weight is gone, but it is like I can lose the weight and do so well for a while and then the compulsion to eat will take back over and I end up going through the same dieting motions over and over again. Nothing ever feels permanent. But maybe once I do achieve that permanence I will get those control issues in my brain too and will learn how to keep the weight off for good!

  • Sarah 2009-10-12 10:33:54

    Sorry but when I am trying to change my life for the better by losing weight then I see no way that being optimistic could let me down. What am I supposed to be- mopey all of the time because the weight is not coming off as quickly as I may have expected? If I buy into that notion then I am just going to keep spinning my wheels and get no where in the end. Being optimistic about my chances for success are what is going to keep me going and I know that there are many other people out there like me and in my same shoes who feel the same way. We are tired of being depressed about our weight and are ready to make good changes for ourselves. There is nothing wrong with that.

  • Cena 2009-10-12 03:17:57

    Optimism and expectation is good, but when done in excess,it all proves to be a bane. Over-expectation,which stems from over-optimism always leads to disappointment and heartbreak and can even nervous breakdown in extreme cases.

  • Waltt 2009-10-12 09:59:04

    ^^ I completely agree with the fact that companies promise the world to the customers but of course, the end result fall well short of it, thereby causing a complex in the person's mind that he/she is not good enough at all... this needs to be checked by regulating authorities...

  • Kete 2009-10-11 02:08:18

    "Hope for the best but be prepared for the worst"... these words fit this situation right. Although a person undergoing a weight-loss program can hope for the best possible result, he/she may be disappointed with the final result. This should be taken in stride by being prepared for such a result right from the initial stage or may bring in negative thoughts after the program...

  • Peter 2009-10-11 02:14:45

    Well, well well... this might be true because of the very-optimistic adverts being put up by companies organizing such weight-loss programs... They promise the world and this spurs an increase in the expectations of the people joining the program and then when the results are not close to the out-of-the-world transition, people are disappointed. Being moderate regarding the expectations is what is required by people joining such programs.

  • Olivia 2009-10-11 11:25:29

    Too often in the quest for the perfect body I think that women especially set themselves up for failure. We are told time and again that all we have to do is think positive and the results will come. But that is very often not the case. Achieving the ideal takes time and commitment, and that sunny optimism can only get you so far day in and day out when the scales are not moving. There does need to be a degree of optimism but there also has to be a healthy dose of reality to go along with that, and the reality is that losing weight is not a one month challenge. This is something that many of us have to continually struggle with and work on for a lifetime, and when the journey takes that long, it is very easy to lose that optimism along the way.

  • Gary 2009-10-13 06:51:57

    Unrealistic weight loss goals are sure to set even the hardest worker up to fail. That's just the way it is.

  • Peg 2009-10-15 08:13:56

    This is an excellent, concise description of the onset and dynamics of eating disorders. Something useful to share with patients.

  • Lynn Somerstein 2009-10-21 09:37:22

    Hi Peg, Thanks very much for your lovely comment. I'm glad you found this useful. Take care, Lynn

  • Lynn Somerstein 2009-10-27 05:11:44

    Cutting Ties With Parents (1 Letter) NY Times p. 40 October 27 To the Editor: Re “When Parents Are Too Toxic to Tolerate” (Mind, Oct. 20): Parentectomy — that’s the word we used when I worked for child welfare services in New York City. Some parents mean to harm their kids, and in those rare instances, the children would be made healthier by lopping off the relationship as though it were a diseased body part, like an infected appendix. Children are powerless, but when grown up they are able to get rid of the parents who continue doing harm by ending the relationship. Sometimes bad parents are worse than no parents. Lynn Somerstein

  • Belle 2009-11-11 20:27:34

    I implore every dieter to throw away the scales and concentrate on becoming happy within. What's the point in making being super slim your priority if you're dispirited every day? Find your joy first. Take care of your spirit and the pounds will take care of themselves.

  • VictoriaL. 2009-11-11 19:47:12

    There are beautiful, beautiful women out there that don't have tiny waistlines. Queen Latifah, Oprah and Kirstie Alley are all stunning. When Oprah lost all that weight before, I thought she looked like death warmed up. Not everyone looks good when they are thin and a high percentage yo-yo diet only to pile it all on again. If you eat healthy, you'll be healthy.

  • Martha T. 2009-11-11 18:59:29

    That is a step in the right direction. When I comfort eat and put on weight I become obsessed with the scales. Looking at it as eating healthy rather than dieting is a much more positive message.

  • Katherine 2009-11-11 19:09:28

    I despise myself when I gain weight. I don't only look ugly. I feel ugly inside. Talk about self-loathing. Being able to accept myself for being who I am, thin or fat, and to be happy about that...now that would be a blessing.

  • JEREMY 2009-11-11 15:30:06

    There is an ideal weight for every height, likewise it wouldn't be wrong to say that people, no matter of what size, should try and achieve a fit state rather than trying to 'shrink' themselves...

  • Corrinne 2009-11-11 07:45:20

    I am such an emotional eater so I am looking for a rpogram like this to help me.

  • rebecca 2009-11-11 10:20:58

    Some people are genetically bigger than others, but that does not necessarily mean they are not healthy or anything... to each one his own, and whatever size they are, being healthy is possible and this is a positive step...

  • Beth 2009-11-13 05:52:16

    When I eat gross things I end up feeling worse. I think they are going to make me feel better but they never do.

  • bradshaw 2009-11-13 02:51:38

    Eating right does keep your spirits high and also your health. It is very important that we eat right as not doing so will leave an impending mark in our minds for the rest of the day... I have felt this. it also happens when we crave for something in particular but do not get to eat it,... we feel low all throughout the day...

  • JENNA 2009-11-12 10:07:48

    More reason to stick with my new all-health diet that I adopted at the behest of my trainer.Cheers

  • Ar 2009-11-17 07:50:53

    Awesome perspective and great ideas for coping with a sometimes joyful yet stressful holiday. It is always a challenge when so many personalities come together - each with their own expectations of what the day should offer.

  • Lynn Somerstein 2009-11-17 12:31:47

    Thanks for reading and commenting- holidays can be a challenge; toys and secret weapons can help.;)

  • Austin 2009-11-18 04:51:27

    My girlfriend does this thing with food "eating good" and "eating bad". If we go out to eat that is her bad night and she will mostly eat what she wants but then she will mope around and talk about how bad she has been. What is that all about? Seems kinda warped to me but I can't say anything to her about how crazy that sounds because she will bit my freakin head off!

  • NATE 2009-11-18 02:48:10

    It is really upsetting to see some individuals saying that they will skip a meal because they want to reduce but then have a heavy meal later in the day anyway because they were 'so hungry' ! Balanced diet is to be followed...it is not bad to have a good amount of food, but enough physical activity needs to be undertaken to fully utilize the food and not let it accumulate as fat in the body.

  • Kate 2009-12-02 11:47:05

    Thank you for your helpful article. The following is what has helped me maintain recovery from anorexia. What Helps? - Menu plan My menu plan, consisting of 3 meals and 3 snacks, was constructed whilst I was an in-patient in Marchwood Priory Eating disorder Unit. This is a vital part of my recovery and my main weapon against anorexia. I have since adapted the menu plan with the help of a dietician. My menu plan enables me (also health professionals) to keep track of my intake so if I drop in weight then it can be easily adapted for weight restoration. Experience has taught me that messing around with my menu plan always leads to a relapse. The best thing about having a plan is that it keeps things simple – even if I’m having a wobbly day I know that as long as I stick to it I will be alright. - Exercise contract By my second admission to the EDU I found my exercise was completely out of control. Before being discharged my therapist helped me to work out a sensible, ‘recovery-focused’ exercise contract. As with the menu plan I found the contract a helpful tool to keep me on an even keel. Again, going off contract and giving in to my exercise addiction is an alarm bell for relapse. - CBT tools CBT (Cognitive Behavioural Therapy) has been a fantastic tool. My CBT therapist (Paul Murray) has helped me no end to recognise the link between my thought patterns and how they impact upon my anorexia and depression. Through using thought records, setting up behaviour experiments and most significantly being reminded that I cannot predict the future or read other people’s minds I am now much less afraid of my thoughts and more able to challenge them. Paul helped me to understand that having anorexia and depression does not make me unintelligent or hopeless at all. In fact the friends I have made whilst in hospital are some of the most caring, bright, selfless, likeable people I have ever met! - Medication In the early days of my illness at about age 17, I was completely opposed to all medication. Over the years I have been prescribed sertraline, dothiepin, prozac, mirtazipine, diazepam, temazepam, impramine and none of it helped very much at all. It was only very recently when I was hospitalised in 2008 that after trying literally everything else that I agreed to give medication one more go. My consultant (Dr Millin) put me on Venlafaxine and Quetiepine and apart from a setback later that year when I was on Olanzapine to regain weight, I have found this combination has hand on heart transformed my life. Though I still struggle with anorexia ‘blips’ and continue to find weight restoration a real battle it is nowhere near as hard as it was without medication. My advice is to keep trying until you find the right one for you – if something is not helping then don’t stick with it longer than a few months see your GP/consultant to try something else. - Cognitive analytical therapy Since 2008 I have worked with a CAT therapist who has helped me make a states of mind map which shows me where my behaviour/thinking traps are and provides me with different exit strategies. I would strongly recommend finding a CAT therapist to work with as it is another useful tool. - Memorising Scripture/recovery quotes Especially in the early days of recovery I found I had an awful lot of time that I’d preciously dedicated to anorexia free so memorising both Bible verses and recovery quotes proved to be a great help.

  • Pauline 2009-12-16 16:33:15

    For years I struggled to get control of my weight and it just never has happened for me. I have finally come to terms that I was tired of feeling like a bad person just because I enjoyed an extra slice of pie. Now I am not saying that it was easy to come to terms with this but I do have to say that I have been a whole lot happier since I have been able to let go of all of those negative feelings about food that I carried around with me for years.

  • alec stewart 2009-12-17 05:18:52

    My mom is in her late 40s and has been overweight for the past decade at least... she keep worrying about it but never listens when I ask her not to have her meals in front of the TV... I have observed that she eats too much and that she does not chew her food enough. In addition to the health hazard that it is causing, we also miss her when all the others are having a 'family meal'

  • JEMma/ 2009-12-17 14:13:38

    I'm quite surprized to know that there are people out there who actually have feelings of being flawed, depending on the food that they eat...But it may be something very normal to a lot of people. Nevertheless, my theory is-eat what you want,when you want and how you want, just workout enough to stay in shape :)

  • Deborah Klinger, M.A., LMFT, CEDS 2010-01-05 06:58:39

    Thank you all for your comments! Pauline, good for you! Self-acceptance is crucial to well-being, as are peaceful relationships with food and body. Alec, if your mom is eating in front of the TV when the rest of the family is sitting at the table enjoying a family meal, she could be suffering from something other than just poor eating habits, such as depression or anxiety. Off-kilter eating habits are often signs of an underlying problem. She may benefit from counseling. Jemma, separating a sense of worth and value as a person from one's eating behaviors, weight, shape or size is surprisingly difficult for some people. The key is learning to recognize one's innate worth and value, and to eat and exercise for the purpose of taking good care of that worthwhile, valuable person!

  • Lacey 2009-12-22 17:40:11

    Ondina, I liked that! Ever see City of Angels where Meg Ryan (Maggie) is asked to describe a pear by Nicolas Cage (Seth)? Seth: What's that like? What's it taste like? Describe it like Hemingway. Maggie: Well, it tastes like a pear. You don't know what a pear tastes like? Seth: I don't know what a pear tastes like to you. Maggie: Sweet, juicy, soft on your tongue, grainy like a sugary sand that dissolves in your mouth. How's that? Seth: It's perfect. That's what I'd call mindful eating. :)

  • ASmom 2009-12-22 18:33:31

    As a child I sat at a table for every single meal. My dad didn't allow us to bring anything to the table apart from ourselves. Nor could we leave it until everyone was finished eating and then sharing their day. I was amazed when I went to other kids' houses and saw them reading or watching TV and getting up and down when they felt like it. Back then I thought I was deprived. Now I see that was his way of connecting with us and making sure we appreciated both what was on the table and my mother's efforts. He'd ask each of us what we'd liked best about our meal that night. If we hadn't paid attention to our food, we couldn't have answered. That was a good article!

  • Victoria L. 2009-12-22 19:20:19

    I love that movie, Lacey. I can't stand having to balance a meal on my lap and eat hurriedly. Fast food in your car is the most defective idea ever thought of. It can't be good for your digestive system either, not to mention the calorific value. Thank you for sharing that, Ondina.

  • soldy 2009-12-22 20:08:59

    It's also insulting to the cook when you rush through food to get back to watching the football game or soap opera and don't savor it. You should be mindful of the food itself and appreciate of the work and love that went into the preparation of a home cooked meal.

  • Martha T. 2009-12-22 20:28:13

    I'm ashamed to say I have often been at my desk, opened a big bag of cookies, intending to have a couple and ate every last cookie without even noticing until I was down to the crumbs! That's mindless eating I imagine, the opposite of mindful eating.

  • Jackie 2009-12-22 20:43:24

    And that is exactly how I added twenty pounds within six months, Martha. With my figure they could have painted me white, added a scarf and a top hat and I'd have made a great snowman decoration for our yard LOL. Now I pay attention to my food, mealtimes and the size of the serving too. Ondina is definitely right. When you slow down and really taste what you're eating while chewing every mouthful, you'll notice how much better it tastes and how much more you leave behind on your plate.

  • Edward C. 2009-12-23 01:51:17

    I have always believed that if we eat slowly, we eat less and also enjoy the food better and have always followed this habit too. I love Mars, but then I never eat more than one bar, and while I am eating it, I go slow and enjoy every bite.

  • Leslie 2009-12-23 05:54:07

    The concept of mindful eating has brought me a much sweeter relationship with food over the past year and I feel like my ultimate test is here with the holidays to see if what I have learned over the past year with the help of my nutritionis6t I can make stick when platters abound with unhealthy choices. But now rather than stuffing my face with who knows what I try to make a conscious decision about what I eat and have enough only to appreciate the taste, not to feel gorged with it.

  • Ondina Hatvany 2009-12-23 08:05:47

    I love all the feedback! Now I must add 'City of Angels' to my holiday-must-see list + practice mindful eating myself...: ) Here's to pleasure- filled mindful moments for you all! Ondina

  • Reeta Luthra 2009-12-23 12:56:15

    I've always been a very slow eater and am regularly the last person to finish at the table. I'm mindful when eating but must admit that chocolate is a gobble food and my ultimate weakness! However, even with chocolate, I can make a packet last ages without feeling deprived in any way. I wonder if there is a connection between this and the psychological habits that the slow eating must have formed between the act of eating and the feeling of being full.

  • michael adams 2009-12-23 16:28:29

    I do not eat slowly, but I always make sure I'm in control of how much I eat and I also make sure I chew my food well. Do you think there is any reason to slow down if I follow the above procedure? Thanks.

  • Ondina Hatvany 2009-12-24 08:36:51

    Hi Michael If you enjoy eating faster then follow that.... Remember it's about what you enjoy the most. You might want to try the slower eating and see if you don't enjoy that more... Also if you are eating slower you might find you have less need to control how much you eat because you will feel when you've had enough. Just some food for thought (pun intended!) Best Ondina

  • Lacey 2009-12-31 20:27:10

    Cooking isn't an art form anymore and it should be. Eating is reduced now to what we do to live. How else can we explain the junk food we consume? It's sure not for the good of our health. Ondina, you'll love City of Angels. Nic Cage plays an angel in it and that's why he's asking her. He's never tasted food, only read about what it's like. :)

  • Francis W. 2009-12-31 20:40:30

    I find cooking and enjoying a good meal relaxing. It's also a wonderfully social activity. We've forgotten that side of it as well. Breaking bread together cements relationships.

  • Yolanda 2009-12-31 20:52:38

    Mealtimes are to be gotten out of the way ASAP. They interrupt my TV! LOL.

  • Craig H. 2009-12-31 20:59:13

    Ondina, you made me hungry. ;) Happy New Year.

  • Ondina Hatvany 2010-01-01 06:52:08

    7 course New year's Dinner... Talk about mindful eating! Every course was a rich + small portion but very artfully served with loooong breaks in between... There was even a champagne sorbet to cleanse the palet before the main course, which we ended up taking home. Desert we opted for there- Yum! There is a whole level of nurturing that happened with the artful presentation of the food and the socializing in between courses... So here's another pointer: Nurturing can take many different forms if you practice mindful eating...; ) Happy 2010!

  • Damien 2009-12-27 02:25:49

    Peope under depression tend to have bad eating habits and this needs to be taken care of as a part of the health plans at schools.

  • elizabeth 2009-12-27 02:04:33

    Pre-tten and teenage kids need all the advice and guidance they can get and it is no surprise that those who got ample of it with a scientific approach benefitted to a greater degree.

  • Meg 2009-12-27 06:16:34

    It is never just about the food- these girls are trying to mask their real feelings and they are doing this by gorging themselves on unhealthy food options. I am not sure that I understand where this need to cover comes from but then I look at it rationally and realize that my own need for a smoke every now and then is the same thing. It is just that the damage that I am doing is on in the inside and these girls wear those on the outside for all to see.

  • fiona 2009-12-28 02:07:42

    well, it is true that guiding someone through a path is far better than just directing them, and it is the same here. Just giving a plan is not enough, especially for young adults. It is important to guide them through it, helping them and keeping their focus on the plan.

  • Charlotte 2009-12-28 12:01:00

    Until girls see for real that the images on screen and in the magazines are not what life is all baout then we are going to continue to have these problems with overeating, obesity, and other food disorders. Therapy is not enough when society itself is not willing to recognize that these images are causing our young girls a world of problems- there needs to be a major change in how we all think about body image in order to make the most difference.

  • Emmanuel 2009-12-29 02:13:45

    Pre-teens and teens are exposed to a lot of media now and they think that perfection is the way ahead and see all the great looking models and other people on TV and the internet and are not content with anything less than that. While maintaining your physical appearance is a good thing, kids tend to go overboard in this regard.

  • Maggie 2009-12-29 07:23:23

    When grown women get comfortable in their own skin that is when we will see the difference in how young girls feel too.

  • james anderson 2010-01-08 11:18:34

    Yes, it is true that the situation becomes very problematic when there is a mental and physical combinational disorder. Most often, people tend to head for one of the solutions,not knowing that the problem cannot be solved if the other part is not solved too... this results in no full solution being yielded even after treatment... guidance should be given to such cases at all kinds of health facilities,one of which they will surely go to.

  • sachman 2010-01-07 15:59:10

    Most people tend to eat unnecessarily when they are involved in some other activity like watching tv or using the computer. Also, I have observed that most often it is the people who do not exercise that get into binge eating.These are the people who are not actuall;y very conscious of their health and this may very well have to do with their mental setup and it would need psychotherapy more than a weight loss program to really help such people.

  • Frances E 2010-01-08 14:44:30

    As a recovering binge eater I know that there were times where I would have literally eaten myself into the grave if not for the sanity and assurance that I could succeed and triumph over this that I got from my counselor. She has been a real blessing to me, and believe me I have been through several different programs, and while they started me on the right path, she has been the one who has been able to keep me there. She gave me the insight and the will to see what was really going on with me, what I was trying to cover with my eating and how to get out from behind the ma sk and the facade of that life that I had been living.

  • Harold King 2010-01-08 16:47:55

    Most binge eaters are people who want to stop the habit but are just not able to.a little bit of guidance and understanding from someone,preferably a professional,will do them a world of good.

  • Frances E 2010-01-09 12:10:36

    The key though is finding someone you trust and can relate to who can best help you.

  • Linda 2010-01-10 08:59:51

    Stuffing down your feelings with food is not a great way to live but I see it happening everyday in my line of work. Many programs are fabulous, but until you find that one person whom you can trust and who can help you break through many of those issues that plague you and cause you to exhibit this kind of behavior there will be no real lasting and sustainable changes. I see so many make progress in the programs but then when they come out they are right back off hte proverbial wagon again. Sometimes I see what looks like harder habits to break when it comes to eating disorders than any alcoholic or drug addict has faced. When so much of this deals with hidden self esteem and worth issues those seem like they are so much harder to overcome because it is hard to make those feelings go away, and to change the way that you may have always looked at yourself.

  • Mike 2010-01-11 08:34:09

    It's always the right mixture of program and talk that will usually show those with eating disorders the greatest path to success. One thing might not work alone but when used together they can really do the trick.

  • John Lee LMHC 2010-01-21 17:17:36

    You are exactly on target! People come to me all the time for anxiety. I ask them how much coffee or colas do you drink? How much chocolate or candy? In treating anxiety one must look at the whole picture which includes diet, relaxation techniques and breathing exercises. I like as you walk..the first 4 steps inhale...the next 4 steps hold your breath..the next 8 steps exhale. Breathing and diet are bery important components to anxiety reduction.

  • Pauline 2010-01-22 05:44:50

    As an armchair nutritionist I am so glad to see all of this in print! These are things I have been telling my friends and family for years! You have to be so mindful of the things that you feed your body. Not only can they play the devil with your overall physical health but they also determine your mindset and how stable your are mentally and spiritually. For years people have thought I was nuts spouting all of this out but I know from my own experiences just how true this really is. Thank you so much for sharing this wonderful information with all of us, and I am definitely going to make sure that everyone I have been talking to has the chance to read it too.

  • Toure W. 2010-01-22 05:45:06

    wow...i never imagined that diet patterns can influence anxiety levels in an individual. i thought it was the other way around...if a person is anxious,he or she tends to dat fast and a much larger quantity.

  • emma 2010-01-22 11:50:49

    most of us use the above-mentioned food items with little thought of anything other than the calories. I did not know that certain foods could actually promote stress and panic attacks. I will now spread the word to my friends and try to be careful about my diet in the future.

  • yolanda 2010-01-23 10:34:11

    even more reason for schools to do better with what they feed our kids everyday! just think of how much school performance could improve if they would ever get around to giving our kids healthy nutritious lunches all of the time.

  • Becki Hein 2010-02-12 13:23:48

    Thanks for your comments! You all make really good points. Anxiety really is influenced by more than just our racing thoughts! When you consider diet and exercise as well, you help calm yourself so much better.

  • Eileen 2010-01-25 10:15:01

    I do agree that your weight is not who you are, as some of us have been led to believe. But I do think that it is important to continue to stress the importance of a healthy lifestyle. After all we all know that carrying too much weight around is not good for most of us, and that a significant way to improve our overall health is to drop a few pounds when necessary. So while it is not good to always focus on the scale and certainly not ideal for you to base your self worth an what that scales says that you weigh, it is a good idea to be in tune with your body and to strive for healthier living practices.

  • A.George 2010-01-25 13:34:07

    People should stop stressing themselves about these things and just see to it that their life is full of joy and they are happy with people around them and that they are being a good human being in their life!

  • Deborah Klinger, M.A., LMFT, CEDS 2010-01-25 18:38:47

    Amen! Although for some of us, this is easier said than done. Support from others, personal and professional, is essential in order to heal from disordered eating.

  • Deborah Klinger, M.A., LMFT, CEDS 2010-01-25 18:47:32

    Eileen, our bodies want to be healthy and this includes being the optimal size and shape and ratio of lean body mass to fat stores for each of us. If we give our bodies the kinds and amounts of food and exercise they need, they will maintain or arrive at those optimal levels. No focus on scales is necessary. It's about living in harmony-- mind, body emotions, spirit-with ourselves.

  • Michelle 2010-01-23 10:26:33

    Thanks so much for this insight. I have struggled for years with my weight, always resolving that this was going to be the year to make changes for the better and that never really worked out too well for me. I have decided to let it go but it is so hard! I look at myself in the mirror and do not like the image that I see and always have this feeling that if I could just lose those 20 pounds then all of that would be different but you just never know. So this year I am trying to come to terms with being happy with who I am and where I am right now and hopefully when I get to that point then I can make the choice to lose the weight and to become a healthier person overall. I know it is about so much mre than a number on the scale or the size of my jeans but quite honestly it is just not that easy to let those kinds of things go when those are the numbers thta you have allowed to rule your life for so many years now.

  • Deborah Klinger, M.A., LMFT, CEDS 2010-01-23 17:18:04

    You're welcome, Michelle. It is hard to let go of a lifetime's worth of thinking a certain way. I encourage you to focus on listening to and nourishing your body because you value it (and yourself), without investment in any result in terms of shape and size, and trusting that as you do, it will shift to whatever its natural shape and size is.

  • Emrett 2010-01-24 15:20:26

    It is more important to be a good person, a good individual than be aesthetically appealing. Okay, if you look good,then that's great but if you are not too fortunate, make up for that with your behavior and everybody will love you!

  • Deborah Klinger, M.A., LMFT, CEDS 2010-01-24 20:53:58

    I agree, Emrett! I'll add that I believe looks aren't something to be made up for by behavior; rather, they are just different aspects of who we are.

  • Michelle 2010-01-26 05:47:56

    Thanks to everyone who has posted simce my previous comment. This has always been a struggle for me and letting go of those preconceived notions of what you think you should look like are difficult to say the least. But I am working on it and I know that with support like you can get here I can be a success, maybe not a size 6 but a success anyway! :-)

  • Deborah Klinger, M.A., LMFT, CEDS 2010-01-26 20:06:45

    Michele, you are already a success! I'm glad you're finding so much support here. We're not designed to operate alone; we need connection to and assistance from others, and you're tending to yourself by reaching out and connecting and getting that assistance.

  • Shayla 2010-02-09 09:08:05

    This is so interesting- I was just doing some other reading this morning and read that kids who eat dinner with their families, get enough sleep, and watch fewer than 2 hours of tv per day are less likely to be overweight than kids who do not have this type of routine. And now it looks like adding reading to that list could be another benefit. It is great to be getting all of these tips, but I am also a firm believer that our kids have got to get moving! Too many of them sit around being couch potatoes and nobody is making them get up off their fannies and get some exercise. I swear that sometimes my parents would lock the door when they sent us out to play and would not let us in until they are ready. Today that would get you in big trouble, but then we just got on our bikes and had a good old time outdoors. Kids today do not get to experience childhood in the same way that I did and in some very profound ways that is sad.

  • CARL 2010-02-09 13:12:54

    I'm not in agreement with this...i believe that the reading actually deviates the attention away from main topic of practices to be followed to get away from obesity... and just listening to a story is not going to help as practical solutions from professionals are required.

  • Steph 2010-02-10 11:33:43

    I completely sympathize with Marge! You know the scales say one thing but you look at yourself in the mirror and see something totally different. It is so hard to get past those ways that you see yourself when you have been thinking the same things about your body for years. I am 36 years old and have never had a positive body image no matter what size I have been. I really don't foresee there being a change in the way that I think in the near future.

  • Buffert G. 2010-02-10 15:02:53

    I just think an bese person who is comfortable and is not hateful towards his body is a much better and happier person than one who is just overweight but hates his body... if you are too obese or too thin, dont worry or fret...that's how you're meant to be and you are not cripled...you can achieve anything no matter how you look or are...have a good mind most of all :)

  • geriant jones 2010-02-10 15:23:35

    I have seen a lot of people you wouldn't describe as being 'perfect' in the sense of their physical experience but are extremely happy because they enjoy everything they do and do not give unnecessary important on their appearance.

  • Martha T. 2010-02-10 20:57:58

    It's not easy to find a weight you're comfortable with either. When I gained weight, I felt bad. When I lost it to the point where I lost too much, I still felt bad. When I put it all on again, I felt bad. I agree on that being too narrow a base for self esteem.

  • Cole 2010-02-11 02:14:08

    it is important that we work towards having a good image of ourselves and while we're at it, we should make sure we set realistic goals for ourselves and not something that is not possible to achieve and will only put us under more stress.

  • Constance 2010-02-11 10:29:56

    Feeling good about who you are on the inside and how healthy you are is way more important than focusing solely on what you look like on the outside. I think we have just become too shallow, focusing on the wrong things. And maybe society perpetuates that-who knows. But no matter what everyone else is pushing it is up to us to get to a point where we can be happy and healthy with ourselves. I know that sounds preachy but life is too short to worry about what others think. get your own mind and body in the right place and everything else will fall in line the way that it is meant to be.

  • Ondina Hatvany 2010-02-11 13:52:29

    I love the commentary this article has elicited and appreciate the stories and sharing! With regards to Steph's comment about never having had a positive body image and never expecting that will change I encourage finding those things that foster a wider base for your self esteem and when it comes to your body, start small. Is there anything, however small that you can appreciate about your body? For instance I had a client who detested her body. She had a lot of resistance to even imaging she could like anything about it. After many discussions she was able to come up with 1 thing she liked about it: her little pinkie, because it was "cute!" This became her starting block and the entry way towards a healthier body image. My point being that you start where you are and see if you can push the edge towards more acceptance of yourself, however small.

  • Gabriel 2010-02-12 13:22:48

    Poundage doesn't equal personality.

  • Belle 2010-02-12 15:13:54

    "The problem with this excessive focus on externals or how we look is that it takes us away from our internal felt sense of what has true value and meaning for us. When people move away from their truth they become disempowered." So true! Your body is not who you are. It carries your soul around, and is just a vehicle for traveling from A to B. Nothing more, nothing less. What's inside is what counts!

  • Ondina Hatvany 2010-02-13 12:23:21

    Thanx Belle for acknowledging this line. It really is the heart of the whole article..: ) Ondina

  • Adam Blum 2010-02-15 14:57:20

    Great article. I think body image issues/awareness should be taught in junior high schools mandatory.

  • soldy 2010-02-18 12:40:47

    Thanks for an interesting article, Ondina. Do you think that we ever feel 100% good about our bodies?

  • Cassie V. 2010-02-18 15:04:27

    What is it that makes us associate our well being with what the scales say anyway? It's crazy. I can be feeling really good and then I weigh myself and feel really bad.

  • Ondina Hatvany 2010-02-18 17:13:53

    In response to Soldy I would like to quote the article: Healthy body image means that you are comfortable with the body that you have. It does not mean that you think your body is perfect, rather that you accept and commit to loving and caring for it. I don't think always feeling 100% good about our bodies is even a goal! Body Image is a fluid thing that can change daily or even moment to moment... Noticing where and when this changes can give you a lot of information. Our bodies are constantly giving us information it's whether or not we choose to listen...

  • Martha T. 2010-02-25 14:19:33

    "I don’t think always feeling 100% good about our bodies is even a goal! Body Image is a fluid thing that can change daily or even moment to moment… Noticing where and when this changes can give you a lot of information. Our bodies are constantly giving us information it’s whether or not we choose to listen…" Absolutely. I know when I'm tired or ill I feel much more self-conscious about the weight I've gained than when I'm having a great day. My mindset is an enormous factor in how much I care on any given day.

  • Lois 2010-02-11 17:07:01

    I wish that I lived in an area where showing a film series like this was in the norm, I have been living with having an eating disorder for more than 25 years and I am so sick of living this way, but I guess I have to be thankful that I have survived the sickness for this long. I have tried all kinds of support groups and programs but nothing seems to last. I think that I get better but then there is always something that will get me right back into those same familiar patterns of either bingeing and purging or just not eating at all. I hate myself for all of the up and down and my family thinks I am nuts that I can't seem to get control over this after all of these years. But they don't see what I see when I look in the mirror and if they only could then maybe they would understand why I live the way that I do. I know that I have screwed up and have lost a lot as a result of living with an eating disorder but I don't know how to stop.

  • Friedrich 2010-02-12 04:20:04

    It is a very good way to educate people about a particular issue and especially so for discorders because many people do not know that they themselves are suffering from a particular disorder even though they are...

  • arianna 2010-02-12 05:48:06

    So sorry to hear that you have been living like that for so long Lois. There are some excellent resources available and some great reading material that could help although I am sure you have been there done that. But the good thing is that you recognize that you do have this problem, and I do so wish that you would once again seek help and try to get well. My thoughts and prayers are with you in this journey.

  • Olivia 2010-02-12 14:13:55

    Educational stuff like this presented in multimedia format is sure to draw the crowds when compared to boring flyers and hoarding regarding the same. They need to capitalise on this and make maximum use of such fils and exhibit them at public places and public events... sponsorship will not be a problem because companies would definitely come forward if multimedia and exposure is involved :)

  • George R. 2010-02-12 16:32:13

    It is nice to see such things being given the spotlight...many people suffer from eating disorder yet most do not know that they suffer from the disorder...seeing the symptoms should give people an idea, and this would lead to them seeking medical help, which is a good way forward to building a healthy world at large.

  • Kelly 2010-02-13 06:00:47

    Hope that the students appreciate the efforts that their school is maing to get the messgae out about how dangerous eating disorders are and how they can get help for themselves or for someone else that they think is in trouble.

  • Deidra 2010-02-14 17:08:46

    Whatever medium has to be used these days to catch students' attention is well worth a rty.

  • ERIC KNOWELES 2010-02-16 02:55:32

    The main reason why even simple conditions to overcome several issues are not quite followed and the problems eradicated is because of lack of awareness in the general public.Programs like these are bound to bring in a lot of awareness for the people, thereby helping the community at large.

  • FIONA 2010-02-18 04:13:40

    Nost people at my office bring their food to their desk and gobble it while they are working away at the computer. This, they say, is because it says time and allows them to reach deadlines... well, I say you are working the whole day to meet deadlines just to earn money. Money for wat? to buy you food! And you are not enjoying your food! Isn't this stupid?!

  • reggie 2010-02-18 07:16:40

    There have been times when I have slacked off on making the whole family eat together but we all missed that time together. Without those family meal times there was no real chance to talk or get things worked out.

  • Lynne Silva-Breen, Author 2010-02-18 21:26:33

    The way most of us live, moving quickly through the events of the day, eating is just another chore. Eating fast doesn't usually refresh, renew or connect us. It does take planning, effort and energy to make eating meals more than that. Great to hear that you try to make eating a satisfying, shared event!

  • Stuart A. Kaplowitz, MFT 2010-02-19 14:11:43

    A wonderful truth. Spending time together is so important and beautiful connections can be enhanced even over a simple meal. But there's more -- a chance to feel heard, supported and maybe even doted on a bit (smile). Stuart

  • bennett 2010-02-22 10:10:59

    I have tried the OA program but I did not like it. Are there other programs which target overeaters but have a different focus than the 12 step stuff? I would love to try something like that but I live in a small community and I know that there are not that many resources readily available to me. It's kinda like I know I need help but don't know where to go to get it.

  • Melanie p 2010-02-19 05:48:29

    It's a behavior thing.You have to change the behavior before you can stifle the addiction.

  • william 2010-02-19 06:56:11

    my brother has eating problems he does not overeat but eats in an inappropriate manner. from what I have observed, he eats too fast and doesn't chew his food enough. he does not eat an excessive amount but still has his tummy hurting on a regular basis. I have told him to try and enjoy the meal rather than just go through it like a duty, but he doesn't seem to listen.

  • ETHER 2010-02-19 10:26:18

    Eating disorders are actually quite dangerous...come to think of it, eating disorders are a rare kind of disorders that lead to other problems and even ailments... it may lead to htings like diabetes, obesity and many other problems...

  • dion 2010-02-20 03:32:04

    eating right is like walking on a very thin rope...you should neither eat less nor should you go overboard and eat too much.the best policy to follow would be that of the middle path...eat right and eat a sufficient amount, but not to overdo it. it is also important about what you eat in addition to how much... you cannot eat a single thing at all times even if you are taking in the right amount of it. you need to balance all this.

  • colleen 2010-02-20 11:38:52

    This is not a one size fits all kind of fix, same thing with alcohol. There are all kinds of underlying issues that may drive someone to overeat and there has to be treatment that is designed to address all of these different concerns. Not one plan is always going to do the trick.

  • robin r 2010-02-21 13:21:17

    I have always felt weak when it comes to food, and just like the 12 steps say, i had to recognize very early on that it has a power over me but that I have the ability to make choices to control that power. That is not always the easiest thing to do- give me a good Chinese takeout menu and I go weak in the knees. :-) But seriously there are things that you can take away from the 12 step programs which can help with any type of addictive situation but like other readers have mentioned there is not one thing that is designed to help everyoe. All addictions are different and manifest themselves in different ways depending on the individual. I rely on my sponsor to help me keep my head straight and to keep my eating under control but there are others who think that this is too heavy handed and do not do well under this type of approach at all. But this is what is so cool. We are all different, that's what makes the world go round. And instead of getting all tied up with the things that don't work we should do a better job at highlighting those things that do and find a way to implement those into many lives so that more people can benefit and find peace in their lives.

  • Deborah Klinger, M.A., LMFT, CEDS 2010-03-02 19:25:26

    Thank you all for the insightful comments! Melanie, I believe that eating and food are different from "pure" addictions like alcohol, drugs, gambling, etc. With those things, the addict must stop engaging in the behavior before s/he is detoxed and clear-minded enough to do the work to make the changes necessary to heal and to build a fulfilling, addiction-free life. With food and eating, changes need to be made as the inner work and life-building is done. Eventually, the destructive eating behaviors are resolved. William, I encourage you to show your brother curiosity about his eating behaviors. Let him know you're concerned and really want to understand what's going on with him. Ether, yes, eating disorders are quite dangerous. If I have my statistics right, they have the highest fatality rate of all mental disorders. Dion, eating the right balance of foods is essential to well-being. All bodies need certain types of nutrients in certain combinations throughout the day to give a body what it needs. Colleen, I agree. We are all unique individuals, and what works for one person may not be the right fit for another. Robin, ditto. I'm glad the 12-Step approach is working for you. My only quibble is that, again, I believe that food and eating are different from "pure" addictions in that with an addiction like drugs and alcohol, the addict must never use that substance again-- ingesting it will trigger a reaction that causes the person to crave it and probably abuse it again. The addict can't drink alcohol like a normal person or use drugs recreationally. When it comes to food/disordered eating, re-connecting to one's body's signals and restoring trust in one's ability to eat normally is an important part of recovery. Bennet, I encourage you to search the web, starting with the lists on GoodTherapy, for therapists in your area who offer support groups or group therapy for disordered eaters. If you can't find any in person, there are online support resources. The National Eating Disorders Ass'n (NEDA), Gurze Books (bulimia.com), Overcoming Overeating, edrefferal. com and the newly formed Binge Eating Disorders Ass'n (BEDA) are a few that come to mind. You might read Geneen Roth's "Breaking Free from Emotional Eating" and start your own peer support group!

  • Steve 2010-02-22 09:50:47

    I guess I have not ever really given much thought to the fact that a man could have an eating disorder. That is not something you hear about everyday. Everything that I have ever seen or heard about eating disorders mainly revolves around females and especially ways to keep young women from developing these habits. You don't think that things could affect young men like that but I guess they do, and that's where it becomes all about control. Maybe for them it is not so much about having that skewed self image that we always think about when you consider women with anorexia or something like that but for men maybe it gives them a sense of having control over something in their lives when they do not feel it elsewhere. Thanks for raising such a critical issue that does not seem to have much prevalence in the general population in that people are not talking about it, but maybe this will get people talking and recognizing the danger that is possible here too.

  • sandra cunningham 2010-02-23 12:50:50

    the outstinock requirements and everything related to the entire act of eating and other related things are different in men and women and it is only imperative that stress be laid on both and not just women when it comes to treatment of eating disorders.

  • Jerry 2010-02-24 09:41:39

    You don't know what kind of stigma there is attached to being a man with anorexia. People have made me feel so shallow and vain in the past- my therapy has let me see that this is not what it is all about. But you don't know how many people made me feel bad about being afflicted with this, like I could just turn it off in an instant if I wanted to. Anorexia is not like that. I am glad that eating disorders and men are finally being recognized because it is more of a problem than many realize.

  • Amy 2010-03-02 11:02:19

    College campuses are such a hotbed for eating disorders this seems like a great program for the to support and endorse.

  • George Hamilton 2010-03-02 14:48:20

    I think it is a great move to target the college-goers with this program because it is generally such young people who think that staying fit and lean means not to eat enough.It is a very wrong concept and is bound to land the followers into health hazards,as mentioned in the post here.

  • Frances 2010-03-04 10:46:12

    Did you know that the weight loss industry is the 5th largest revenue generator in the United States? And for what purpose? Most of us just end up regaining the weight again anyway because these problems only treat what is going on on the surface and not getting to the real reasons for obesity. And as far as the eating disorders go this is the fuel that only feeds that fore. We become desperate to look a certain way and to conform to what we think is the ideal and that gets that ball in motion. Frankly we need to think more about just living a healthy lifestyle instead of continuing to be ruled by the numbers on the scale.

  • Beth T 2010-03-03 11:37:55

    The only images of beauty that we are given anymore are size 2 stick thin waifish models so we internalize and begin to think that this is the only version of beautiful that there is! Think about the harm that this has not only done to us but to younger generations of girls who find it impossible to always live up to these sometimes unhealthy images of beauty and who will stop at nothing to create that super thin image for themselves. And look at the problems that this is causing in turn. Eating disorders are on the rise and women and girls everywhere are suffering trying to live up these unrealistic expectations.

  • JUDE WARNE 2010-03-03 16:09:25

    I agree that it is because of the exhibition of ultra-thin models and such stuff that people get carried away...but people should also exercise some thought and think to themselves whether that ought to be their sole aim in life and whether spending so much time, money and effort on it is all worth it...is it not sufficient to have a regular work-out schedule and have a moderate body which is actually much better and healthier than those way-too-thin models that you see on TV and magazines...?!

  • gilbert johansson 2010-03-04 00:39:14

    Well I just think moderation is the way forward...nobody is perfect and if a person has the perfect eyes, he/she may not have the perfect hair...it is always like that...nobody has everything perfect...just be glad for what you have and try and work a little towards it. After all, that's not the most important thing in life, is it?

  • Della 2010-03-11 09:27:27

    But when is it ever ok to belittle a child? Weight is a serious issue but the child should not be humiliated because of it.

  • P Hall 2010-03-10 10:47:49

    It is very important to check obesity in children and youngsters because the trend is that the average age of obese individual is just falling dramatically and it speaks volumes of how ill-managed the health of our nation is!

  • Bethany 2010-03-11 05:57:25

    I don't have an eating disorder yet practically not a day goes by that I do not find myself comparing the way I look and my size to another female. Unfortunatley I can't stop and I think that there are a whole lot of other people just like me out there who get bogged down with the comparisons and thinking that if they could just lose another ten piunds everything would be better. That is just what has been engrained into the female psyche for so long that it is really difficult to let those feelings go.

  • kim M 2010-03-11 09:43:00

    this whole 'beauty' trend sweeps across all people and although sounds and seems nice at first,it can prove to be bad in most cases.youngsters are influenced by such trends and do everything they can to try and keep their bodies skin and trim.in the process they cause a lot of harm to their own bodies,like not consuming enough amount of food,thereby depriving their body of sufficient nutrients,and also this kind of a lack of nutritious food at the growing stages can really hamper their growth.

  • peter 2010-03-19 04:59:34

    other people's opinions are good,yes.but we should make sure that it does not gain so much importance that it becomes the most important thing for us,even more than our perception of the sef.after all,we are the most important person to ourselves and others' views and opinions should never be let to dominate us.

  • Deborah Klinger, M.A., LMFT, CEDS 2010-03-18 19:45:54

    Thanks, Mia and G.! I would say that it is the job of parents to reflect back to their children their innate worth. I agree that it is human to be concerned about what others think of us, yet I believe that it is important to know that our worth can't be determined by or based on what others think of us. Believing in our innate worth is part of healthy self-esteem. It's human to like approval from others, but important not to need it to feel OK about ourselves.

  • Deborah Klinger, M.A., LMFT, CEDS 2010-03-19 07:05:28

    Peter, I agree! Charlotte, yes, low/poor self-esteem is a factor than can contribute to a person being vulnerable to developing an eating disorder.

  • charlotte 2010-03-19 05:19:52

    think that low self esteem is one of the first reasons why someone would develop an eating disorder in the first place

  • Mia 2010-03-18 12:25:25

    The problem with most individuals is that they are more bopthered about how others see them rather whether they themselves like them...this over-dependence on others' judgement can do a lot of harm to any person. The onus is therefore on the parents to teach their children that they need not care about what others think of them or have an image of them but they need to be the ones responsible for any dictation of their own image!

  • G.Helms 2010-03-18 16:44:40

    It is human to be wondering what others think of you and how they see you...hence I would say rather than ignoring what others think we should try and work to be good enough.That way we will be satisfied ourselves and the same will be acknowledged by the others too.

Leave a Reply

By commenting on this blog you acknowledge acceptance of this Blog's
Terms and Conditions of Use


* Required

Find a Therapist who Specializes in Eating & Food Issues

Zip Code: 
Search within 
City: 
State: 
Country: 
Therapist's Last Name: 
Language: 
Type of Service: 
Age Group of Client(s): 
Concerns: 
Type of therapy: 
If you are looking for a therapist who provides a specific type of therapy, please be sure to select the "type of therapy" above.
Loading...
See more

Therapy Issues