A Little Update...

Back in April, I felt inspired to re-post a blog that Nancy Matsumoto wrote regarding the dilemma of when to speak up and express concern over a friend's eating disorder. You can read that post here. Nancy is a blogger (she blogs over at Eating Disorders and Nutritional News), but she is also an accomplished writer, as well as a friend that I have mentioned on my blog many times. Recently, a reader of mine responded to that particular blog post and was really touched by what Nancy had written. I shared that with Nancy, who then wrote a follow up blog. If you are interested in checking that out (it's a good one!), follow this link. Thanks to Nancy for her kind and compassionate words on such a difficult topic!

Happy New Year, friends! While I planned on my first post of 2011 being lighthearted with some encouraging thoughts for the New Year (don't worry, those are coming soon), I felt like I needed to first address something that has been coming up the last few days in many conversations that I have had with friends and clients alike. French model Isabelle Caro died at age 28 after a long struggle with anorexia. She had been struggling with anorexia since her youth, the struggle spanning half of her short life. When she entered the world of modeling, she was already struggling with her eating disorder; however, the environmental pressures resulted in further triggering her into an extremely dangerous state which in 2005 ultimately led her into a coma. Doctors thought that she would not survive, but she came out of the coma, was discharged from the hospital and continued to model. She wanted people to see the devastating effects and impact that an eating disorder has on its sufferer, and as a result, she decided to pose nude for an Italian advertisement in 2007 in an attempt to de-glamorize the thin ideal. More recently, within the last few years, she had been on different television shows and news programs discussing her experience with anorexia. Her recent death is extremely upsetting- and this entire story has raised some really important questions for me.

First, in 2007, when Isabelle posed for this campaign, she reportedly said regarding her intentions and hopes for such a campaign.. "I've hidden myself and covered myself for too long. Now I want to show myself fearlessly, even though I know my body arouses repugnance. I want to recover because I love life and the riches of the universe. I want to show young people how dangerous this illness is. " I think what makes me so sad about this is that she wanted to recover, she wanted to live a full life, and yet she wasn't able to do it on her own. Anorexia is a mental illness, and it is extremely difficult for one to recover on her own. I guess I just wonder if her death could have been prevented. Why did the people around her continue to allow her to be the face of anorexia in the media, rather than helping her take the steps to health that she could not take on her own? I am not saying that her death is the fault of her acting coach, or booking agent, or doctor, or whomever, but when someone suffering from an eating disorder reaches a certain point (not just weight wise- but health wise), hospitalization/treatment is necessary for recovery. How is it that she was made famous by her eating disorder, and yet people stood by and let her continue in it? I'm angry that she was encouraged and supported to keep putting herself out there and it makes me wonder why the people closest to her did not stop her and lovingly get her the help that she needed. I know that the sufferer has to want to recover, and no one can force recovery, but it sounds like she did want to recover.. she just was not able to do it on her own, like so many others. I don't know if the people around Isabelle tried to get her into some kind of treatment, and I would have to imagine (or hope) that they tried at some point. But I think this whole story highlights both the nature of anorexia as a mental illness AND the importance of people receiving the appropriate care, treatment and help that they need-- and how sometimes that means that they NEED help from others in order to get there.

Secondly, the Italian fashion house that promoted Isabelle's 'no anorexia' campaign wanted to support Caro by using " the naked body to show everyone the reality of this illness, caused in most cases by the stereotypes imposed by the world of fashion. " I think that eating disorder education certainly needs to happen, and I respect the efforts of those involved to that end. What concerns me is that eating disorders are not caused by the fashion industry. Certainly the thin ideal, the unrealistic standard of beauty created by the media etc contributes, but if the fashion industry causes eating disorders, then why do we not all have them? It is because eating disorders are caused by many different factors, including significant genetic ones. 

I guess all of this got me thinking again about helpful ways to educate people about eating disorders. How do we effectively portray the severity and danger of an eating disorder while also not plastering photos around that can be more triggering and harmful than good for people to see? When someone suffering from an eating disorder sees a deathly looking skeletal body and may not look the same, she may be tempted to think that she is not really suffering or struggling as badly, or that her health is not being impacted. And in some ways, images further stereotype what an eating disorder 'looks like.' One in four college aged women suffers from eating disorders, but that does not mean that one in four college aged women are walking around looking like skeletons... or that their eating disorders are any less of a threat to their health because of what they look like. I think we need to be careful about how we communicate about eating disorders. I don't know that I have any good global solutions at this point, but I think it's important and necessary to ask the questions. 

In all of this, I am just sad that another life has been lost as a result of a devastating mental illness. I hope that her death is not in vain, and that she may serve as a reminder to all of us that anorexia (in addition to other eating disorders) is a real and dangerous illness that is capable of tragic outcomes when not treated.  

Happy November!

It's a new month, and with a new month, comes some good news from a recent study... Results from a national survey (conducted by the National Eating Disorders Association) reveal that the general public's awareness about eating disorders has dramatically increased. Great news! According to the study, 82% of people would agree that an eating disorder is a physical OR mental illness. 78% of people believed that they would know if someone was suffering from an ED, and 95% said if they knew someone that was suffering from an ED, they would help the person seek the appropriate help.

That is definitely progress and encouraging news. : ) One area that the survey highlighted was the fact that overall, specific knowledge about eating disorders has not increased and that the incidence of eating disorders has not declined. Rather than being discouraged by this part of the survey's results, it just reminds me that there is still a need to continue to raise awareness and educate people about eating disorders. There has been a lot in the news this week about eating disorders... between Portia de Rossi sharing about her eating disorder (maybe too explicitly!) and Demi Lovato, who quit her tour to allegedly receive treatment for an eating disorder. An interesting comment that Lynn Grefe (NEDA President) made is that too often we focus on trying to de-stigmatize mental illness and eating disorders, which can sometimes reinforce the stigma. She went on to say that having an eating disorder is no different than having any other illness (breast cancer, etc) and that we need to spend more of our time focusing on educating people, especially in light of this recent data. Two thumbs up, Ms. Grefe.

To check out more of the data from this survey, keep checking back in:) The link is through MedScape Med News and technical difficulties are interfering with the link attaching. You can also google 'NEDA survey MedScape' to find it as well!

On Asking For Help-- And A Horse Named Dude

Last week, I took a little road trip to Virginia where I attended an onsite visit at Remuda Ranch. Remuda is a residential treatment facility for girls and women with eating disorders- they just recently updated their website, and it's worth checking out (follow this link to view it!). Anyways, while I knew quite a bit about Remuda Ranch before visiting, I was really impressed with the quality of care that they provide to patients. I was also impressed with the commitment and value placed on spiritual healing as well! Remuda's treatment program is centered around a Christian approach, however, girls and women of all faiths are respected and welcome and can decide how little or how much they want to participate and interact with the faith piece.

Anyways, Remuda really is a ranch- it's not just called that:-). There is a full service barn complete with horses. No cell phone service, no Starbucks, and nothing but dirt roads and beautiful scenery. Among the therapeutic activities used with patients is equine therapy, which uses experiences and interactions with horses to teach the patients things about themselves, facilitating insight and growth. I was a little skeptical before I really knew anything about it, but after learning more and seeing different demonstrations, it is amazing how much you can learn about yourself from a horse!

I volunteered to help out with an activity and got to meet Dude, an Arabian horse:-). My task was to get him over a jumping bar without touching him. Last time I checked, I wasn't a horse trainer-- and I had NO idea how to make this happen. Once I was in the ring with Dude, I secretly regretted volunteering because I was feeling a little in over my head!! After several frustrating minutes of Dude eating dirt and ignoring my commands to jump over the bar, I finally asked Dave, the man in charge, if he had any suggestions! He didn't (of course), but some of the other therapists that were watching were able to give me some ideas. They told me to take the bar off of the jumping post, and lay it on the ground and have Dude walk over the bar. After much coaxing and guiding him from behind, Dude finally stepped over the bar!!

After processing what happened with Dude (I love that the horse's name is Dude, by the way), Dave mentioned that this particular activity can be useful in illustrating how important it is to ask for help!! He said that he will watch people struggling with an activity like this, not knowing what to do, and watching them get frustrated (like me!), and angry- and yet they don't ask for help. Or, if they do, they wait a really long time before asking. You might see how this applies to eating disorder recovery, and even more so, life!! We were not created to be alone, to have no support or community in our lives. And yet sometimes our pride or life circumstances keep us from reaching out and asking for help! Sometimes admitting we need help and are unable to do things on our own can be a huge step forward... and what a relief to know that we don't have to carry a burden all on our own! Sometimes we don't ask for help because we're not even sure of what we need! But just being able to share a burden with a friend, family member or loved one can be a way of reaching out for help and support.

For those of you unfamiliar with TLC, it is the cable TV network that has brought us such gems as Jon and Kate Plus Eight, The Duggars: 19 Kids and Counting, I Didn't Know I was Pregnant and Toddlers and Tiaras. If my tone isn't giveaway enough, I won't elaborate any more on my opinion of these shows. [I will say, as a disclaimer, that my mind is just so blown by 'I Didn't Know I Was Pregnant'. How do these women NOT KNOW?!] Anyways, many people really like these shows- and that is just fine. What is not fine is that I just read an article in the LA Times about one of TLC's new shows, airing tonight, which follows people through their issues with food and disordered eating. The name of the show is called Freaky Eaters. Umm... FREAKY EATERS???!!

Now, my thought is that by calling yourself The Learning Channel, your intent is to educate people and help them learn! Part of educating people about eating disorders and helping them to understand disordered eating is to bust myths, emphasize the facts (genetics included), and hopefully in doing so, de-stigmatize mental illness. A show entitled FREAKY EATERS does not help do that- it does just the opposite by stigmatizing eating disorders and disordered eating by calling people 'freaky' who struggle in the ways that they relate to food!! It seems really insensitive and irresponsible.

I would encourage you to follow this link, which will take you to a web page that will allow you to email the network directly and share your feedback with them. You probably have other thoughts in addition to those that I have written- in fact, I am sure that you do! And I would encourage you to share them with the network as well! Part of raising awareness and education is to advocate- and this is a very simple way to do that!