Eating Disorders | Health and Fitness

By Eric J. Roberts

A person suffering from anorexia sees themselves as fat when they are, in fact, skinny and underweight. Their weight does not match their height, activity level or age. They get bad memory, feel depressed, have a fear of gaining weight, feel light headed, and often faint. Women with anorexia may have problems with their menstrual cycle such as missed or late periods, as well as trouble getting pregnant. Woman who are pregnant have a higher risk of a miscarriage and a higher risk to need to deliver their baby through C-section. People suffering from anorexia can also have muscle and joint problems, kidney stones, kidney failure, anemia, bloating, constipation, low levels of potassium, magnesium, and sodium in their bodies, low blood pressure, slow heart rate, and heart failure. Some physical signs that can be seen on a person suffering from anorexia are dry or yellow skin, brittle nails, more hair growth on their body, and thin and brittle hair. A person with anorexia may also get cold easily, bruise easily, and feel down a lot.

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

"My life with an eating disorder during the holidays is a living hell - constant hiding and fear, confused about life and hating every moment being surrounded by food. There was so much pressure, so many stares and glances, and days with endless comments. My whole life was a mess. There was so much pain and guilt inside of me and I didn't know where to turn, except to my eating disorder. I hated the pressure of eating the food, the constant worrying of offending others." -Twenty-two-year-old woman "It's hard to be around all the food and festivities. When I'm hurting inside and struggling with what "normal" food portions even are, I need the help, emotional understanding, and support of family and other people. "Handle with care, but please handle." Accept me the way I am. Let me back in the family" -Twenty-three-year-old woman.The Hidden Beast of Holiday Feasts Tales of Bulimia and Binge Eating.On the other end of the eating disorder spectrum, a woman with severe bulimia or binge eating disorder finds the holidays are a genuine nightmare because there is so much emphasis on food that they become preoccupied with it. Binge eating and subsequent purges become even more prevalent because many of the foods and sweets that are associated with holiday celebrations are very enticing to them. The holidays can be a time of convenient indulgence, but also a time of great shame and self-reproach because of their secret life. Some even use the binge eating and/or purging as a form of self-punishment throughout the holidays.

Women who suffer with binge eating or bulimia often live out this painful eating disorder hell in private and in secret, and often feel great self contempt. To many of their family and friends things may look positive and normal even while the sufferer feels significant despair and negativity about their loss of self-control. Those whose family members know about their eating disorder carry this awful feeling that they are the main attraction at the holiday dinner, where every trip to the food or to the bathroom is seen as a major defeat and disappointment to their family.Christmas is the hardest time with my bulimia. So much food, so much love, and so much joy, but I could not feel the love or joy, so I indulged in the food as a replacement. It was hard to see everyone so happy before I made the trek to the bathroom. I felt unworthy to be happy. I didn't deserve the love and joy. I've discovered that if I can focus on the love and joy, everything else falls into place" -Eighteen-year-old-woman

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

So many celebrities suffer and have died from eating disorders. Singer Karen Carpenter was struggling with anorexia and bulimia and after she went to treatment for years, everyone thought that she had recovered and was doing better. After that, she was found dead on the bathroom floor in her parent's house. She had a heart attack and it was said that the result of it was because she had abused the drug Ipecac for years. Ipecac is a liquid that is used to induce vomiting, and it is often abused by anorexics and bulimics.

Cognitive behavioral therapy allows psychologists to see the patient's thought process, interpersonal therapy involves dealing with difficult relationships with others, rational emotive therapy involves studying a patient's unhelpful beliefs, and psychoanalytic psychotherapy involves looking at a person's past experiences. All of this information can help a psychologist find the problem, and come up with the solution to the problem. Group therapy is a helpful part of treatment that allows sufferers of the similar eating disorders get together to discuss their problem. Groups are able to discuss coping strategies, ask and answer questions, and talk about ways to change their behavior. Medical treatment is necessary in order to make sure that the patient receives full treatment. Drugs such as anti-depressants can be prescribed by an experienced doctor who knows your condition in order to help treat your illness. Nutritional counseling is another effective and good way to help treat eating disorders. Dieticians and nutritionists can help patients understand what a well-balanced diet is and what foods they should eat on a daily basis. Nutritional counseling can also help patients face their fears about food and get over their fears of being afraid to eat.

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

It is not your job to fix or solve the eating disorder. It is your job to encourage nourishment of the body and provide nourishment to the soul. Working too hard to stop the eating disorder behaviors during the holidays can fuel dishonesty and defensiveness which actually feeds the problem. You are not responsible to say or do everything right. Nothing you do or not do will take away your friend or family member's own responsibility to overcome and recover from their eating disorder. She/he is the only one who can do that job, but you can care, empathize, encourage, and share the process with them. The good intent you express is often more helpful than what is actually said or done. If your friend or family member knows that your heart is on their side, then you become a source of comfort, support, and safety to them.These general holiday suggestions by patients and professionals are not a complete list, but they do emphasize some positive approaches to help and support someone suffering with an eating disorder. The specific ideas, strategies, and agreements that can come out of your interactions with your loved one before and during the holidays will allow these ideas to be personalized and unique for each situation. Remember also, that the person struggling with the eating disorder has her own list of positive things that she can do to help her through the holiday season as well. We hope this article is helpful in better understanding the significant and difficult ordeal those who suffer from eating disorders will face at this season of the year. We hope this awareness and understanding will help us identify the best gifts of the holidays for those we love and care so much about at this time of year.

I believe that as long as the media continues to idolize thin celebrities, the effects of education about the dangers of eating disorders through the media will not be effective. For each step that they take forward to solve the problem, they take two steps back by continuing to idolize thin celebrities. It is not a question of what effects have a greater likelihood of causing an eating disorder, but it is a fact that media does contribute to people developing and maintaining eating disorders. There are other causes of eating disorders, such as interpersonal or biological factors, but if the problem of media influencing eating disorders can be changed, there will be fewer cases of eating disorders. We have to take one step at a time in order to solve this very serious problem of eating disorders, and a great place to start is to change the fact that media influences eating disorders. There is not one cause of eating disorders, but media is a big influence to them since media reaches so many people. Personally, I think that group therapy very helpful in the treatment process of an eating disorder. Victims of an eating disorder are able to ask questions and receive answers in order to better understand their situation.

Source: http://healthandfitnessabdussalamblog.blogspot.com/2013/01/eating-disorders.html

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