Thank you to all that joined us last night for the #ENDED twitter chat with Eating Disorder Network of Maryland. For those of you that missed it here's a quick recap
Q1. Eating disorders are incredibly complex- can we start by listing as many risk factors for developing an ED that we can think of?
PrjectED A1. Eating Disordered family members, #endED
liberonetwork A1 Comorbid psychiatric conditions such as anxiety + depression; painful life events. "Biology loads gun, environment pulls trigger"
liberonetwork @EDNMaryland Genetic contributors that are passed on and also modeling patterns of food learned from parents perhaps
EDNMaryland A1. Dieting can trigger someone into developing an e/d but we know it is not dieting alone that causes ed's.
Q2. Sharon, you often talk about a person's ED "traits." What is that compromised of? #endED
EDNMaryland We've learned is that many with ed/s have very strong traits. Esp perfectionism. Society pushes for thinness so eds can develop.
EDNMaryland Personality traits: blk-white thinking, strong-willed, rigidity, impulsive, slow to change, perfectionism. #endED
@EDNMaryland: A2. We also know that most people with eds have at least one of the following: anxiety, depression, or OCD #endED -
PrjectED As clients we noticed that really common trait is either being really impulsive or the exact opposite...depending on the disorder #endED
EDNMaryland A2. Food is an easy thing to use and manipulate. You can't get a DUI, it isn't illegal, it comes in all types of flavors...
liberonetwork A2 Shame, people-pleasing, weak sense of self
EDNMaryland A2. Another big one is perfectionism. You have to learn and accept that not everything is going to be perfect nor should it be
MarciRD A2 As a #dietitian, I find food is the perfect play dough for practicing flexibility.#endED As people practice flexibility with food choices- what, what, where, how, why they eat, it dominoes into other areas of their life
Q3. Carolyn Costin says- we can take our traits to the light or dark. How can people with EDs use those traits for recovery?
EDNMaryland One of the common sayings for those with eds is that "they can't see the forest for the trees." Do you know why?
PrjectED A3. With rigidity, it can help when trying to stand your ground against those who can possibly hurt your recovery
liberonetwork: A3 Jenni Schaefer says turn perfectionism into excellency- and use healthy, balanced determination to beat ED!
EDNMaryland When you're anxious it is hard to be emotionally flexible. It is important to really push yourself to see the bigger picture.
MarciRD A3 My clients have amazing drive and commitment that can really support their recovery when channeled!
liberonetwork: A3 A lot of people with EDs are very empathetic towards others. Learn to turn that empathy inward to themselves
EDNMaryland Another grt tool is to make yourself order something diff when you go to a restaurant and not the usual "safe" food
MarciRD: A3 I really see stubbornness transformed into commitment. And perfectionism, when softened can lead to positive action.
Q4 What are tips to dealing with these risk factors of family history including mental illness and substance abuse?#endED
EDNMaryland A4 One important thing to do is to acknowledge that your family has a hx of addiction. Don't be in denial of it.
PrjectED A4. I think it is important to recognize what risk factors your family has. If you fail to see them then you can't deal with them #endED
EDNMaryland A4 Many with family hx of addiction need to focus on doing things in moderation. Not overdoing (food, $, exercise...)
MarciRD A4 Looking for areas of extreme behavior, including drugs, alcohol, emotions, money, exercise, shopping, gambling, etc. #endED -
EDNMaryland A4 Talk openly with family and your tx about the hx of addiction in the family.#endED
ElizabethEats @MarciRD @EDNMaryland I find pt w/ fam hx of addiction like to view food as all or nothing. on or off. No carbs or all carbs. agree? #ended
EDNMaryland @ElizabethEats Also important to find another color besides blk or white. Even if it's only 1 shade over it's a start!
MarciRD A4 With my clients we are often developing new "traditions" or "guidelines" to live by- establishing new patterns that break from old #endED
Thank you to Sharon of EDN Maryland for sharing her wisdom and to all that joined!Be sure to join us on August 22nd at 8:30 pm EST for a twitter chat on Beauty Pageants and body image with Nicole Ortiz @MissDEIntl2012
When you have a healthy relationship with food then…
How would you finish this sentence? Kaleigh, from HugStronger asked me this question and given the culture of eating in the U.S. it’s a really important one. We live in a society that conflates health with morality, size with success, and appearance with identity. This takes a toll on our feelings of self-worth and ability (or lack thereof) to measure up. Our food landscape is over-processed and over-abundant while the sub-text speaks to the virtue of self-denial. How utterly confusing. The line between clinical eating disorders and culturally accepted dieting and body hating continues to blur. Many people feel as if they are living in a food and body prison with no way out. In short, I will never be out of a job.
So this brings us back to what a healthy relationship with food looks like. Here’s my top 10:
1. Eating is often enjoyable- full of flavors and textures you truly love.
3. Eating requires some forethought and planning but food does not pre-occupy the majority of your thoughts.4. Eating is flexible in terms of timing and variety.
5. Eating does not result in feelings of guilt or shame.
6. Eating is motivated by internal cues of hunger and fullness most of the time.
7. When eating or thinking about eating you can feel relaxed and at ease.
8. Sometimes you eat food solely for the pleasure of eating, regardless of nutritional content.
9. Balanced, nutritious eating comes naturally because of your connection to how certain foods make you feel physically and the emotional tug of war is not present.10. Eating is viewed as a way to take good care of yourself.
These are my top 10. What would you add to the list?
Interested in reading more on this topic? Check out Ellyn Satter’s definition of “normal eating.”
Every time I open up my computer, walk into a bookstore or turn on the TV there is a new diet book/philosophy that is screaming at me “Click/Open/Read here how to Lose 10 pounds in one week!” They all make my blood boil and make me want to let out a little scream of frustration, since most are not written by medical professionals, most are not based on peer-reviewed science, and most are just a quick-fix/total gimmick. My latest frustration has been with the self--published diet book under the pseudonym Venice A. Fulton “6 Weeks To OMG: Get Skinnier Than All Your Friends” and I want to tell you why:
Not only is the author (whose real name is Paul Khanna) afraid to write the book using his real name, but he’s a personal trainer. Not a doctor, not a dietitian, an exercise specialist.
- The main principles make my skin crawl
OMG Diet: Always Skip Breakfast
Reality Check: Breakfast has been proven as a way to kick-start your metabolism and those that eat breakfast are shown to maintain a healthy weight[i] [ii] [iii], have reduced cravings and more energy throughout the day.
OMG DIET: NO Snacking "There's no such thing as a healthy snack," says Fulton.
Reality Check: When we eat ever 4 hours we keep our metabolism running smoothly, avoid ever getting ravenous, which makes it easier to eat appropriate meals and never feel like we need to devour everything in the house.
OMG DIET: Take a cold bath daily to “burn stored fat”
Reality Check: Taking a cold bath will not speed up your metabolism. It may cause you to burn 5 more calories a day, but in my book that’s certainly not worth sitting in an ice bath for 30 minutes for.
Plus the highly restrictive diet mentality targeted towards young girls just screams “eating disorder trigger” The OMG diet is something to be avoided at all costs!
What other diet myths do you want us to dispel? Send us your thoughts!
[i] Astbury NM, Taylor MA, Macdonald IA. Breakfast consumption affects appetite, energy intake, and the metabolic and endocrine responses to foods consumed later in the day in male habitual breakfast eaters. J Nutr. 2011 Jul;141(7):1381-9.
[ii] Cho S, Dietrich M, Brown C, Clark CA, Block G. The effect of breakfast type on total daily energy intake and body mass index: Results from the Third National Health and Nutrition Examination Survey (NHANES III). Journal of the American College Nutrition. 2003;22:296-302.
[iii] Ashwell M. An examination of the relationship between breakfast, weight and shape. British Journal of Nursing. 2010;19:1155.
We have a very exciting Twitter chat coming your way this month! We are honored to have Sharon Peterson, the director of Eating Disorder Network of Maryland (EDN Maryland) talk with us about the genetic component of eating disorders as well as how clients and therapists can learn to manage personality traits that may be hindering recovery.
If you're new to Twitter, here's a primer on how to participate. It's simple, go to www.tweetchat.com and enter the keyword "#endED" and it will appear as if you're in a chat room. Watch the tweets stream live and join in on the conversation. Be sure to follow @MarciRD and @EDNMaryland
We hope you can join us on July 25th th at 8:30 EST. Feel free to RSVP on Facebook as well!
This post is brought to you by a student enrolled in the Eating Disorder Institute Program at Plymouth State. I know you'll enjoy it.
I’ve Got Beef!
SkinnyCow products perplex and infuriate me. I have two major issues with them at the moment, one being the name and two being their recent declaration that women can now eat brownies again.
First of all I would like to say that a cow is a certain size based on genetic make-up that makes it look like a cow! A cow cannot loose weight and be a “skinny cow” if it did it would be sick and the owners would be very concerned. The name outrageously implies that a cow can change it’s size meaning then, that SkinnyCow’s general market they are selling to which is no secret.. WOMEN!.... can therefore just change their genetic make-up and then be “skinny women”. This idea not only encourages the altered view of our society that anyone can be a size zero and be healthy and discourages a healthy body image and health at any size.
Second I would like to bring everyone’s attention to the latest law that has been appealed in america... women can now eat brownies.. that is right girls head on down to the supermarket for the celebration! SkinnyCow states that we can now eat brownies again! I was unaware that I could not eat them prior to this ridiculous commercial and marketing campaign by the SkinnyCow brand of dieting foods. This again only contributes to “good” and “bad” foods and the forbidden fruit for all women and wouldn’t you know it SkinnyCow figured it out, our kriptonite is brownies, but luckily they have found the antidote... a diet brownie... yum. yum. yum. All sarcasm aside this is very discouraging and this type of message should not be accepted and should be highlighted as how NOT to market towards women, because this is one cow who is now “mooing” for more.
What do you think, should Skinny Cow change their name? What would you re-name their product line as?
As someone who constantly drinks water all day, I knew I had to find a better alternative to buying bottled water. I couldn’t help but think how much money I was spending each day on buying water! I also felt somewhat guilty about how much waste I was creating by drinking bottle upon bottle of water each day. So, one can only imagine how excited I was when I came across this fantastic innovation from Brita. Brita’s new water bottle has a filter placed inside, which allows you to change any normal tap water into a great tasting product you might find being sold on shelves.
Though tap water is regulated by the EPA, chlorine is often added as a disinfectant by certain municipalities, and lead can leach out of household plumbing into water being poured. Brita water filtration systems reduce the common impurities, and can even remove 96.6% of pharmaceuticals found in drinking water. Reducing Chlorine, Copper, and Mercury creates better tasting and smelling water – which is more appealing and therefore hopefully helps individuals drink more of the healthy stuff. Brita bottles are NSF certified (inspected by a third-party) ensuring that their product does in fact reduce the taste and odor of Chlorine and particulates in water.
The bottle itself is easy to navigate. There is a small filter that sits inside the top that can be replaced as needed, (should be replaced every 256 refills, 2 months, or 40 gallons) and is extremely simple to change. The bottle itself is made of a soft plastic material, allowing for easy squeezing and dispensing of water. Another easily overlooked but great feature is the loop by the mouth piece, which helps with easy carry (when your arms are full) and can attach to straps on backpacks and other bags. The Brita bottle is also marketed at a reasonable price. The Brita website lists the bottle at $9.99, though I have also found it at Wal-Mart for $8.88. The replacement filters are equally inexpensive at $6.88 for a pack of two at Wal-Mart. With its ease of purchase in local stores, inexpensiveness, and versatility, I would recommend this water bottle to everyone – from kids to adults, for sporting outings and professional work days.
This bottle has changed everything for me. I use it at work, school, on-the-go, and the opportunities are endless. In the past, just thinking about how awful the tap tasted at work, would force me to pay extra for the fancy bottled water. But now, I know that I am free to drink water from any tap anywhere I go with the help of the ingenious bottle filter. And, at the great price, it is easy to buy one to keep at work, home, and even in the car. I have now had my Brita bottle for 7 months and have never looked back. It is in excellent condition even though I use it on a daily basis, and still creates great tasting water.
I love the 4th of July. It's a laid-back, relaxing, good weather, and grilled food kind of holiday. What's not to love? I also really like the theme of independence. And I think it's a fantastic theme for anyone looking to improve their physical, mental, or emotional health.
We all find ourselves with habits we'd like to do away with. So why not think about this coming 4th of July as an opportunity to take a day of independence from something that has been bringing you down? Get creative, you can declare your independence from ANYTHING as long as it supports your overall health.
Perhaps you'd like to get out of a food rut and eat more fruits and veggies. What a better time to enjoy the fresh berries and corn that summer brings!
Or maybe you are too rigid with eating and you'd like to incorporate some more "fun food" into your diet. Celebrating the 4th with family and friends is a great opportunity.
You might like to focus on speaking to yourself with more compassion so staying tuned in to your inner dialogue might be useful.
Or maybe you work too much and just want to relax! Is the 4th a day to steer clear of all things electronic?
It's up to you. But take good care of yourself. No one else can do that for you. The 4th is a day of celebrating our nation's independence. But perhaps it's also a day to declare yourself some independence as well. You deserve it.
What will you be declaring your independence from this 4th of July?