Sue Scheff: 10 Common Myths About Eating Disorders
by Sue Scheff on Dec 01, 2009
During this time of year when eating and food seems to be more abundant, especially those sweets, as parents we need to be aware of our kids and teens and their eating habits. Eating Disorders can be common in many teens that are trying to fit into a clique or other emotional reason.
Carolyn Friedman, is working on her Masters and recently wrote an excellent article on “10 Common Myths Eating Disorders.” She asked me to share it with my readers. Take the time to read and learn more. You never know when you may need this knowledge. A short time ago, she also gave us the “10 Common Myths About Suicide.”
10 Common Myths About Eating Disorders
Like many mental illnesses and conditions, eating disorders such as anorexia nervosa and bulimia nervosa come prepackaged with a disconcerting number of misconceptions. Allowing these unfounded stereotypes to continuously creep through the public’s consciousness is a dangerous game with potentially lethal consequences. General confusion and ignorance regarding eating disorders further isolates and shames sufferers who already feel misunderstood, escalating their anxiety levels and increasing the risk of serious injury. These myths also prevent possible treatment for those who may have an eating disorder, but believe that their exclusion from one or more of the myths means they do not. Only by working tirelessly to dispel them can the eating disordered begin traveling down a relatively more positive road to recovery.
1. The media is to blame. : One of the most pervasive myths regarding eating disorders involves pointing fingers at movies, television shows, and magazines touting thinness (or, for men, lean and/or muscular as the only attractive body shape. With so many of the female eating disordered considering emaciated actresses, dancers, and models as “thinspiration,” it is easy to see how this misconception came into existence. However, anorexia, bulimia, and other eating disorders are far more complex and complicated than merely a construct of warped societal perceptions of attractiveness. While bombardment of supposedly glamorous waifs and taut bodybuilders negatively impacts the severity of eating disorders, in no way can it be considered the root cause, either. At their core, anorexia, bulimia, and their kin are mental illnesses related to brutal levels of anxiety and depression, which manifest themselves in erratic eating patterns and, in the most extreme cases, starvation. Psychologists and scientists are still trying to unlock any potential biological or behavioral origins that would better explain the nuances of eating disorders, but blame does not exclusively lay with the media. It does not help, but it also does not initiate.
2. Only women have eating disorders. : An estimated 5-15% of anorexia and bulimia cases are actually male, as are up to 35% of the binge eating disordered. While the staggering majority of sufferers are statistically female, the illnesses are not their exclusive domain by any means. Both men and women struggling with an eating disorder tend to display a distorted body image, though the former focuses more on musculature while the latter tends to zero in on becoming thinner. This myth is especially disconcerting, since stereotyping eating disorders as absolutely female prevents men and boys with the diseases from receiving a proper diagnosis and treatment. Even though the psychological profiles of male and female eating disordered carry the exact same behavioral, social, physical, and emotional symptoms, males who feel they may be suffering from anorexia, bulimia, or binge eating disorder may end up denying themselves necessary medical care if they believe that only women can be diagnosed as such.
3. Only upper-class Caucasians have eating disorders. : Eating disorders do not discriminate based on race or socioeconomic bracket any more than they do on gender. Psychologists have diagnosed eating disorders on all continents, with the obvious exception of Antarctica, and at every income level. The University of California at Santa Barbara reports mostly equal instances of eating disorders amongst its Asian, Caucasian, and Hispanic students. Like the myth that only women can be diagnosed with an eating disorder, the opinion that they also occur exclusively amongst Caucasians with upper-class backgrounds carries with it some bothersome implications. By adhering to the myth, sufferers of a comparatively lower socioeconomic bracket and/or different ethnicity may potentially reject the idea of seeking professional help altogether. Likewise, they also run the risk of ending up with a misdiagnosis and improper treatment.
4. The eating disordered are easy to spot because they are so thin. : Those suffering from an eating disorder cannot be spotted in a crowd any more than those with clinical depression, anxiety issues, and other common mental illnesses. The disease does not seek out specific body types any more than it does anything else. Many individuals are genetically predisposed to sport a skinny frame, and their appearance does not inherently indicate the presence of an eating disorder. Nor does someone with a comparatively larger frame clearly represent the absence of one. Women and men of all shapes and sizes can fall victim to eating disorders if they fit the psychological profile – there are absolutely no physical signs or symptoms associated with this mental illness. Disturbing images of skeletal bodies ravaged by anorexia or bulimia come only from the most extreme and prolonged cases. They serve as a sign of what the eating disordered can eventually become without attentive, supportive, and healthy medical and psychological treatment, but they are not to be considered illustrative of the majority of sufferers.
5. The eating disordered don’t eat. : If voluntary starvation was indicative of an eating disorder, many individuals with religious or sociopolitical reasons for abstaining from food who don’t otherwise display any signs of psychologically struggling with one would incur an incorrect diagnosis. The truth is, most eating disordered do actually eat as a means of veiling their illness from potentially concerned family and friends. Some choose to create a feeling of fullness by eating calorie–neutral foods such as celery, though some very rare and extreme cases have gone so far as to actually eat cotton balls. Others eat, but purge the contents of their digestive tract by inducing vomiting or taking laxatives later on. One of the most common eating disorders, eating disorder not otherwise specified, or EDNOS, is characterized by obsessively calculating and analyzing food intake. Binge eating disorder involves an almost uncontrollable compulsion to consume food, but without purging afterwards. Only the most severe, often un- or insufficiently treated, instances resort to outright starvation, but given their sensationalist nature they receive the brunt of the attention. This serves only to perpetuate the myth and drive it further into the public’s consciousness – family and friends worried that a loved one may be suffering from an eating disorder could potentially dismiss the idea once the individual in question eats in front of them.
6. Having an eating disorder is a lifestyle choice. : As with all mental illnesses, those suffering from an eating disorder do not elect to live life shackled with the associated stresses. Factors such as poor self-esteem, poor impulse control, depression, and anxiety all play a part in diagnosing an individual with an eating disorder. The label of “lifestyle choice” implies some level of control, as if the sufferer can phase in and out of their symptoms voluntarily. Adhering to a healthy diet and exercise regimen are both lifestyle choices, but when they are carried out to excessive, compulsive extremes they cease to be considered as such and instead end up as indicators of something far more serious. This lack of control and overall sense of being trapped separates the eating disordered from those simply desiring to lose weight for health reasons. Eating disordered individuals display a complex network of emotional, mental, and physical issues that completely negate any perceptions that they have simply made the choice to hurt themselves.
7. Nobody dies from an eating disorder. : If left untreated or undiagnosed, an eating disorder is one of the few common mental illnesses that can actually kill the host. As a result of unhealthy and inadequate eating habits, sufferers can fall victim to permanent liver, heart, brain, and kidney damage. Inefficient and injured organs potentially lead to a coma, even death. 5-10% of anorexics die within the first ten years of diagnosis, 18-20% after twenty, and 20% will eventually die due to physical complications or suicide. Because of prevailing stigmas and misconceptions, only one in ten eating disordered individuals are estimated to enter into a treatment plan. By driving stakes into these horrifying myths, the psychological community and active, concerned members of society can hopefully save many more lives from ending as a result of a treatable medical condition.
8. The eating disordered only care about looking pretty. : One of the nastiest, most degrading stigmas associated with eating disorders involves taunts and callous dismissals of its victims as shallow, petty bubbleheads concerned only with the pursuit of the insanely specific and unrealistic Hollywood ideal of what constitutes beauty. This blasts a giant and entirely unnecessary rift between the eating disordered and mainstream society, furthering miring them in misunderstood isolation and precluding attempts to seek solace and treatment before it becomes too late. Faced with adversity and scorn from external sources, many choose to simply soldier forth and accept their cruel, anxious fate, believing that even extensive psychotherapy cannot cure them. At their very core, eating disorders are not inherently about food or appearance or beauty. They are about depression, poor self-esteem and self-image, and anxiety. While media blitzes of PhotoShopped celebrities do, in fact, actively help reinforce the issue, they also do not stand as the primary reason why men and women alike succumb to eating disorders.
9. Eating disorders are not illnesses. : The Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision officially recognizes four eating disorders – anorexia nervosa, bulimia nervosa, rumination syndrome, and EDNOS. Many professionals in the psychological community also recognize binge eating disorders, which are under consideration for inclusion in future publications of the DSM. Because of their inclusion in a an official diagnostic manual used by the psychological and medical communities, eating disorders ought to be regarded as serious illnesses and handled as such.
10. An individual cannot have more than one eating disorder. : A logical assumption, but it is actually incorrect. Because anorexia, bulimia, EDNOS, and rumination syndrome all share common symptoms and underlying issues, some sufferers have been known to drift from one to another in order to try and satiate the depression and anxiety. It is not uncommon for a bulimic to quit a system of binging and purging and resort to eating inadequately, and the same is true in reverse. Professionals as well as concerned family and friends must pay close attention in order to detect subtle shifts in behavior that may signify the presence of multiple eating disorders.
By making an earnest effort to promote an awareness and understanding of eating disorders, millions of lives all over the world can be improved, if not outright saved. Unfortunately, numerous presumptions, misconceptions, and absolute lies prevent many men and women from realizing they suffer from an eating disorder, therefore precluding them from seeking the therapy that could very well mean the difference between life and death. Spreading the truth and destroying these dangerous falsehoods stands as the best method of preventing the suffering of more individuals who do not realize that they are not beyond health, happiness, and hope.
Tags: Aneroxia, Binge Eating, Bulimia, Eating Disorders, Parenting, parenting advice, Parenting Teens, Parents Universal Resource Experts, Sue Scheff, Teen Body Image, Teen Depression, Teen Help, Teen Issues, Teen Self Esteem
Sue Scheff: My Daughter Has an Eating Disorder and I Don’t Get it
by Sue Scheff on Jul 23, 2009
Lori Hanson is an Award winning author, speaker and mentor. After reading her first book, It All Started with Pop-Tarts, I was impressed with her ability to share her own journey with Bulimia as well as her private life. Most recently she released her book for teens, Teen Secrets to Surviving & THRIVING, again, another fantastic book. Lori is dedicated to others in helping them better understand eating disorders as well as motivating people in a positive direction. Learn more at Learn2Balance.
My Daughter Has an Eating Disorder and I Don’t Get It
By Lori Hanson
The bombshell drops. Your precious little girl or boy has an eating disorder. For some parents they suspect and have to figure out how to confront their child. For others, they are blissfully unaware until their child confides in them. 85% of eating disorders start between the ages of 13-20.
Finding out your child has an eating disorder stirs up numerous emotions for a parent. The first reaction seems to start with questions of how could this happen? I was a good parent! Then guilt sets in and for many parents, mom’s in particular they quickly jump on the thought train of what am I going to do to fix it? How can I make it go away quickly and make my child normal again. The embarrassment is there along with the guilt. For some there is a feeling of betrayal because their child, teen or young adult didn’t tell them about he eating disorder, or didn’t tell them sooner.
But what parents and loved ones don’t understand is why it is so difficult for the child or young adult to tell them. First, it’s incredibly difficult for the individual suffering with an eating disorder to admit to themselves that they have a problem. It’s a behavioral addiction which means it’s a “psychological” thing. Which means there is something mentally wrong. And most individuals aren’t anxious to join that club. Second, the embarrassment, guilt and shame of the eating disorder behavior makes it incredibly difficult to share with family or loved ones. It’s not about betrayal. Third, one of the core characteristics of eating disorders is isolation (in addition to obsession with food, body and more.)
So when the news comes out via an intervention or when the individual suffering approaches loved ones for help just remember, both the individual with the eating disorder and their loved ones are hurt, confused, feeling guilt, embarrassment and shame. Underneath all the embarrassment, the parents core sentiments is usually, “How can I help them recover? What’s the best way to support them?” And depending on where the individual with the eating disorder is on their path, their core sentiment may be denial or wanting to get help.
For the individual suffering the obsessiveness of the behavior is draining, scary and totally controls them. As much as they may want to stop, the fear of losing the control they gain through the disorder is often paralyzing. At the root is low self-esteem, but that is only one of the factors that contributes to an eating disorder.
For most who suffer, they lack the courage to communicate freely, to set appropriate boundaries, and to express their emotions, positive or negative. The eating disorder behavior helps them numb out and disengage from life and other people. It provides a quiet solitude which evolves into a living hell of isolation and obsession. Digging out on their own to improve self-esteem and gain much needed self-confidence isn’t something most can do on their own.
A holistic approach to treating eating disorders teaches the individual healthy communication skills, helps them improve self-esteem and understand the causes of their addictive behavior. It is critical to understand and address the body and brain chemistry through diet, nutrition and nutritional supplements which helps move the individual beyond “willpower” and gives much needed nutritional support and objectivity. Reprogramming negative thoughts and beliefs is key to recovery and lastly improving mental and physical health with body work rounds out the circle of a solid holistic approach.
So parents, before you get consumed in anger, hurt, embarrassment and try to figure out to make the problem go away quickly realize that as a behavioral addiction it runs deeps and won’t go away with simple comments of “honey, why don’t you just eat.” Unfortunately, this is something the individual suffering has to change, as parents and loved ones you can’t fix it for them. Find a pactitioner your child relates to and a treatment facility that is family oriented and a parent advocate. Healing an individual from an eating disorder can and should have a positive effect on the entire family!
In peace, balance and health,
Lori Hanson
Award-winning author, It Started With Pop-Tarts…An Alternative Approach to Winning the Battle of Bulimia
Speaker and Life Balance Consultant
www.Learn2Balance.com
Tags: Aneroxia, Bulimia, Eating Disorders, Parenting, parenting advice, Parenting Blogs, Parenting Tips, Parents Universal Resource Experts, Sue Scheff, Teen Body Image, Teen Eating Disorders, Teen Health, Teen Help, Teen Issues
Sue Scheff: Teens and Eating Disorders
by Sue Scheff on Dec 18, 2008
As the holidays are here, parents should be aware of their teens and tweens concerns with body image. Today’s peer pressure compounded with Internet Images of what a teen should look like, can add stress and frustration to a young teen (both girls and boys).
Eating Disorders can sometimes be hard to recognize. As a parent, it is important to be informed and know the warning signs.
Here is a great article from Connect with Kids from this week’s parenting articles and tips:
“I would never want to look at one. I think that would be really depressing to tell you the truth.”
– Mary Hardin, 14 years old
What Mary doesn’t want to see, to millions others is just a few key words and mouse clicks away.
“Who’s the skinniest and how can they stay the skinniest (or) here’s how you can have only one thing to eat all day or how you can survive on water and gum,” explains Bryna Livingston, a licensed clinical social worker who specializes in eating disorders.
Livingston is referring to pro-anorexia websites – where girls are applauded for losing weight and surviving hunger – that are emerging on the Internet. On many such sites, anorexics journal thoughts and feelings and even post pictures of their thin celebrity idols.
“It’s a pseudo-support group, and the problem is you’re not really getting support,” says Livingston. “You’re feeding a competition. You’re feeding a disease, and you’re feeding what you want to hear so you don’t have to make any changes.”
For Mary Hardin, change was hard. She struggled with anorexia for three years. These websites, she says, spell danger. “I think (the websites) could have really made me worse and (made me) fall more into my eating disorder and encouraged me more,” she says. “That’s the last thing I needed was to be encouraged to be in an eating disorder.”
Experts say parents of anorexics have to show tough love, especially if their child is being enticed by these Internet sites. “I’d turn off the computer. I’d get it out of the house,” says Livingston.
Mary’s advice: “Listen to who you trust. Do you trust your family and your friends, or do you trust these people (on the Internet) that you don’t even know that are trying to give you lessons about your life?”
Luckily, Mary avoided the lure of anorexia websites when she was struggling with her illness. After years of therapy and family support, she says she is now healed. “It is possible to recover and to be a healthy girl with a happy life after it all,” she says. “There is hope to get through it.”
Tips for Parents
Many dangerous places exist in cyberspace, especially for those with body image difficulties. A quick, easy Google search can produce a long list of pro-anorexia and pro-bulimia websites – places where those who suffer from eating disorders (ED) support each other and establish a sense of community. There are at least 100 active pro-anorexia and pro-bulimia sites. Some statistics state that several of these sites have accumulated tens of thousands of hits. Many sites treat eating disorders as lifestyle choices, rather than the illnesses they truly are. Most personify anorexia (“Ana”) and bulimia (“Mia”) into companions – individuals one can look to for guidance and strength.
The medical community classifies eating disorders as mental illnesses. Experts say girls with eating disorders focus on their bodies in a misguided bid to resolve deeper psychological issues, believing that they can fix their inner troubles by achieving a perfect outside. Eating disorder specialists say pro-anorexia sites are particularly dangerous since those suffering from the disease are usually in deep denial and cling to the illness to avoid dealing with its psychological underpinnings. Websites that glorify eating disorders make treatment increasingly difficult.
- Eating disorders have the highest mortality rate of any mental illness.
- There are an estimated 7 million females and 1 million males suffering from eating disorders in the United States.
- The Harvard Eating Disorders Center estimates that 3 percent of adolescent women and girls have anorexia, bulimia or binge-eating disorders.
- Four-of-five 13-year-old girls have attempted to lose weight.
- One study showed that 42 percent of first- through third-grade girls want to be thinner.
About 1 percent of females between 10 and 20 have anorexia nervosa. Between 2 percent and 3 percent of young women develop bulimia nervosa. Almost half of all anorexics will develop bulimia or bulimic patterns.
Without treatment, up to 20 percent of people with serious eating disorders die. With treatment, the mortality rate falls to 2 to 3 percent. The recovery rate with treatment is about 60 percent. Alas, only 10 percent of those with eating disorders receive treatment.
Pro-ED sites are just one reason why parents need to monitor children’s online behavior. In the web journals or logs (blogs) of these sites, users share near-starvation diets, offer tips for coping with hunger and detail ways to avoid the suspicions of family members. They post “thinspiration” – images from the media of their ideal celebrities, such as supermodel Kate Moss and the Olsen twins. They discuss extreme calorie restriction and weight loss through laxatives, diet pills and purging (self-induced vomiting).
- Between the ages of 8 and 14, females naturally gain at least 40 pounds.
- More than half of teenage girls are – or think they should be – on diets.
- Websites were changing the very culture surrounding eating disorders, making them more acceptable to girls on and off the Internet.
- Pro-ED sites thrive off the denial aspect of the illnesses while promoting the perceived benefits of having an eating disorder.
References
- Anorexia Nervosa and Related Eating Disorders, Inc.
- Harvard Eating Disorders Center
- The National Institute of Mental Health
- Reuters
- Socialist Voice of Women
- South Carolina Department of Mental Health
I also recommend you visit a survivor of Eating Disorders, Lori Hanson’s website at www.lori-hanson.com and check out her book, It All Started with Pop-Tarts.
Tags: Aneroxia, At Risk Teens, Connect with Kids, Eating Disorders, Lori Hanson, Parenting Teens, Parents Universal Resource Experts, Peer Pressure, Sue Scheff, Teen Eating Disorders, Teen Issues
