Mixed Messages and Making Moves..

This morning, I read a really thought provoking blog entry on True/Slant (which is a blogazine--kind of like a magazine, but a blog... umm, i might have made up that word!!). The author, Katie Drummond, was discussing Katherine McPhee's recent bikini cover on Shape magazine. McPhee, who gained fame after appearing on American Idol, has publicly discussed her past struggles with bulimia, and her experience of being admitted to treatment for three months prior to going on the show in order to focus on getting healthy. Ms. Drummond takes aim at Shape Magazine for putting a recovered eating disorder patient clad in a bikini (and airbrushed!) on its cover, as well as at McPhee for posing in a bikini and perpetuating unrealistic images of beauty after struggling herself with feeling pressure as a result of viewing similar unrealistic images in the media. Ms. Drummond's article is entitled A Lesson in Health Hypocrisy and she explores the hypocrisy that exists in this scenario. Her blog entry is a little angsty, but I appreciate the passion with which she writes because I think that by posing in a bikini for a magazine which happens to advertise 'drop a pound by Friday' on its cover, McPhee- and Shape- are sending some pretty mixed messages.

I wonder if McPhee, or Shape, or the media in general realize the impact that they are having on women by sending such mixed messages. I am not pointing the finger at McPhee (well, maybe I am a little), but she says in the article that doing six different 'moves' changed her body. This sets an alarm off to me. It's not that exercising is wrong, or trying to be healthy or fit is wrong, but it concerns me that her happiness and acceptance of her body are a result of the changes she has made to her body. It just sends the wrong message to women about where our happiness comes from. Again, the point is not to bash McPhee. I just think it is important to raise awareness and discuss some of these things that we become numb to, because whether we know it or not, these images impact us! While there is not one single cause of eating disorders, and while seeing unrealistic images of women's bodies do not cause eating disorders, these images can be a precipitating factor, when combined with a genetic predisposition and certain environmental factors.

A month from now, NEDA (the National Eating Disorder Association) is sponsoring National Eating Disorders Awareness Week--- February 21-27. I will be posting more information as this week draws nearer, but I wanted to mention it in light of what I read this morning on True/Slant. Rather than just venting about the media and that magazine cover, or discussing how things could or should be different, it is helpful to think forwardly and focus on what we can do to make some changes! One simple thing that I have mentioned before is using GoodSearch! This is a search engine, just like google, that donates money to nonprofits of your choice before you perform each search. You can donate to eating disorder nonprofits, as well as a bunch of other great organizations. Follow this link to find out more. The second thing that I wanted to mention is something that I read on NEDA's website the other day. Marilyn Wann, author of Fat? So!, developed an art activity for people to participate in that deals with transforming the numbers on scales to adjectives! Confused? The Boulder Youth Body Alliance (BYBA), a nonprofit that seeks to encourage teens to change the world, rather than their bodies, has encouraged teens to participate in this activity by turning scales into art. I love this idea and think it must be really empowering for women of all ages to take part in something like this! Follow this link to view pictures/examples of scales as art, and to read more about what BYBA is doing!

Love Yourself.

I just read this opinion piece on CNN.com about dieting and wanted to highlight it because it is definitely worth the read (and it fits in especially well with all my recent posts about dieting and New Year's resolutions!!). Dr. Leo Buscaglia's quote above is also one that you may want to go back and re-read a few times after you read this article as well! Anyways, the author of this piece, Dr. Divya Kakaiya, is a psychologist who has been treating eating disorders since 1985; she is also the clinical director and founder of Healthy Within, an eating disorder treatment center in San Diego. Her main premise in this article: don't diet. While she writes from the perspective that dieting mothers do not set a good precedent for their children, whether or not you are a mother does not make this article more or less relevant. I would encourage everyone to check it out. You can follow the link above, or read it below. Enjoy! :)

Welcome to 2010. What is your New Year's resolution? Are you planning on investing more money into the annual $40 billion dieting industry? If so, please think again.

As we start our work week, many of us are looking in the mirror and saying "Yuck. I feel fat, uncomfortable and need to go on a diet."

Dieting and the language of "fat" have become so normal that we don't think twice before we say, "I have to go on a diet, I have gained so much weight."

If we are parents of teenagers, we may as well be saying to them, "Change yourself, fix your body. You're not perfect and never will be." Is this how we want to empower our youth?

You spend countless hours raising your child with the values of honesty, integrity and the importance of the work ethic. But if you are dieting and complaining about how fat you are, you could be putting your teenager at risk for an eating disorder. As a psychologist who has been treating eating disorders since 1985, I worry that there could be a connection between dieting parents and teenagers who develop anorexia or bulimia.

The 6-year-old girl who is watching her mother suck in her stomach in front of the mirror is going to look at her belly poking out and immediately think that she is fat.

How awful that we just inadvertently planted the seed of lifelong discontent with her body into the innocent mind of a 6-year-old.

We have to be mindful of what we really want to emphasize as important. In this quick-fix world of Botox, plastic surgery and fad diets, our children are not being taught how to tolerate discomfort and how to work hard and patiently.

"Now" is the demand word that parents feel compelled to cater to. We could be creating a generation of self-obsessed, narcissistic children. Do we really want them to feel that the glamour of "Gossip Girl" is the goal of their lives? We must draw the line by examining our own core values.

The majority of us know that the quick fix is not going to work, yet we feel compelled to throw ourselves into the despair of broken diets, broken resolutions, broken promises and worse, a pervasive sense of shame that attacks the core of our being.

We are so inundated with messages that are constantly redefining what is healthy that in our confusion we forget what is normal eating and a healthy, balanced lifestyle.

The "diet monster" gobbles up our self-esteem and makes us return to that unfaithful lover again and again, only to drop more money into that $40 billion pot. We could use that money to educate millions of brains each year, better our schools, reduce poverty and attend to our elderly.

Of course, eating healthily and staying active are very important. But of those who lose weight through dieting, 98 percent gain it back again in two years. Diet is a four-letter word that begins with "die." Isn't that ominous enough?

This year, create an intention not to diet.

When you do this, you are consciously rejecting the appearance-obsessed, materialistic culture that inundates us. An intention to honor your soul instead of your appearance -- to choose to give back in the community, volunteer, give time to the elderly -- will make you feel stronger.

Instead of spending time counting calories or going obsessively to the gym, donate those hours to a shelter for abused women. Love your body. This year, make it your intention to teach your teenager to reject the appearance-obsessed world she lives in and have her give her heart instead of changing her body.

Caution: This approach might make you start to love your body and you may waver on your New Year's resolution to lose weight!

As January unfolds, we are going to be blasted with commercials from multiple sources, with each one touting a permanent relief. The net result of these commercials is to get us to continue to hate our bodies so that these diet companies can make money off our body hatred.

There is also a political reason for women to be held to a high "thin" standard of perfection. We are then no longer a threat to anyone who wants power. "Body Wars" keep women in their place and are economically driven.

Let us assert our power by rejecting the dieting mantra, and standing our ground.

A Walk Down Recovery Lane with Jenni Schaefer

Jenni Schaefer is the author of two books- Life Without Ed and more recently, Goodbye Ed, Hello Me. She is an activist, educator and motivational speaker, seeking to raise awareness about eating disorders. She is also a musician; she writes music and sings! She recently gave an interview (back in November) sharing her thoughts about being in recovery from an eating disorder. Her most recent book, Goodbye Ed, Hello Me is focused on her life post- ED (the name she gave her eating disorder) and her experience of living and loving life without ED! Below is the interview, copy and pasted from November 4th's Planet Blacksburg, the collegiate publication of Virginia Tech.

Q: How would you describe a life of suffering with an eating disorder?

Schaefer: It’s a complicated illness, it doesn’t make sense. I always ate normal when I was around my family. I didn’t really think I had a problem. I knew there was something wrong but didn’t define that as a problem. The denial is so huge in this disease. My friends would comment on my weight, but I thought everyone was jealous. I was lying to myself, not them.

Q: Describe the relationship that you formed with Ed.
Schaefer: I was always depressed. I thought I was never going to get better. My therapist, Thom, kept telling me that was Ed, not Jenni. The eating disorder was my identity. I really thought I was the eating disorder. We label ourselves as the anorexic girl, or the skinniest girl in the world, or the bulimic girl. But that’s not us. And we really grieve when we have to let that identity go.

Q: Your eating disorder started in college. What exactly prompted it?
Schaefer: I have an older brother and a younger brother, and I was the perfect child going to medical school. I appeared to have this perfect life and I always smiled. I knew instantly it was about perfectionism. I was always called ‘Perfect Jenni.’ It was about criticism, and very low self esteem. I realized that my eating disorder helped me control emotions and feelings. I struggled with Ed thoughts at the young age of four. These thoughts grew louder as I grew older. I didn't question the thoughts until I was 22 and at rock bottom.

Q: Who was the first person you told?
Schaefer: I finally got up the courage to tell my ex-boyfriend at the time. I was so ashamed. I was silenced by my eating disorder. I had him tell my parents. I didn’t want anyone to know, not even my brothers. My eating disorder was not going to get better if I stayed silent. I tend to have black and white thinking. That’s part of my recovery, to fight that. Nobody’s going to know, or everybody’s going to know.

Q: How did your family react when they discovered you had an eating disorder?
Schaefer: I remember my mom calling me after she found out I was struggling and getting help. Knowing that my mom went to a library and was trying to learn more showed me that she really cared. Both of my brothers never realized that someone could be struggling with something so deadly, but appear to be so normal. They thought someone with an eating disorder was extremely emaciated like those you see on TV.

Q: One of your famous quotes is, “Never married, but happily divorced.” Can you explain this?
Schaefer: I am divorced from my eating disorder, not a person. I was actually taught by my psychotherapist in recovery to treat my eating disorder as an abusive boyfriend, or husband. Really, that’s how it felt. I felt controlled and abused by my eating disorder. Ed actually had a chair in our therapy sessions.

Q: In your interviews you never discuss your lowest or highest weight throughout your treatment. Why is that?
Schaefer: You can be any size and have an eating disorder. It’s not about food or weight, it’s not about size. That doesn’t matter. It’s really about what’s inside. It’s a huge paradox; it’s not about the food and weight, but it’s all about the food and weight. Definitely don’t talk about specific behaviors. People use numbers as bullets.

Q: Do you believe recovery is possible for all individuals?
Schaefer: It’s a constant process. Recovery is a very long process. But I do believe you can be recovered. Food is something we deal with at least three times a day. It’s not something you can just quit, give up. With an eating disorder, it’s a continuum. It’s something you have to do every day, three times a day. It’s a real struggle to find the balance with food. Food is everywhere. It’s how you celebrate holidays, and it’s how you celebrate birthdays.

Q: Then how were you able to recover?
Schaefer: That is a million dollar question. I think there are so many aspects of eating disorder recovery. For me, it was about using all the resources I had and constantly staying connected to my therapist, to my family, to my doctor, and not isolating. It was also never giving up. Every time I relapsed I had to stand back up again. My favorite quote is, “fall down 7 times, stand up 8.” It’s very, very frustrating and very, very hard. It’s a spiritual process as well. We don’t want to talk about higher power; we hate them because we think they gave us the eating disorder. It was a big disconnect.

Q: Describe this disconnect.
Schaefer: You disconnect with everybody. I had spent 10 years trying to avoid my friends. I alienated all my friends. I’d say, “I am completely self sufficient.”

Q: So how did you reconnect with God?
Schaefer: First of all, I had to just yell. I had a journal about how God hates me, and listed all the reasons. For me, I really had to meet people in my life that were spiritually fit, spiritually healthy; who had a good relationship with God. I had to look to those people as guides and mentors. It’s not what happens to us, but it’s how we respond to it. Use things that happen in a positive way. Turn it around.

Q: During your recovery process, when you would fall into a pit of relapses, how would you pull yourself out?
Schaefer: I fell into relapse often. In fact, it got worse before it ever started getting better. I had to hold onto hope that recovery is possible. Connecting with others always helped.

Q: What inspired you to finally make a change, accept help, and move forward with your life, independent of Ed?
Schaefer: Like I said above, I got help because I hit rock bottom at 22. I was depressed and hopeless. I couldn't function as a productive member of society. I often couldn't get out of bed.

Q: How did you realize that you actually wanted to recover?
Schaefer: I was frequently afraid to let Ed go. Ed was my main way of coping with life. To fully let Ed go, I had to find other ways to deal with life. I also had to be willing to let go of the things I "liked" about Ed. I liked how Ed made me feel special (i.e. being the thinnest one in the room). I had to find other ways to feel special: by just being myself.

Q: What advice would you give to others suffering with Ed?
Schaefer: I can’t emphasize enough the importance of telling someone and getting professional help. Making one phone call; that is such a key to start with. Learning how to love myself was a key. A real key.

For more information on Jenni Schaefer, or to find out more about either of her books, follow this link to access her website. For the original interview, follow this link.

A Wake-Up Call

One of my all-time favorite movies is Clueless. Say what you want about it, but everything about it makes me laugh. My best friend gave me that movie for my birthday shortly after it came out years ago, and I probably know all of the words by heart. When I heard Sunday that Brittany Murphy, the actress who played Tai in this movie, was found unconscious and died of cardiac arrest, I could not believe it. She was only 32 years old- so tragic.

There is a lot of speculation surrounding her death- she has been plagued with rumors of drug use, as well as an eating disorder. At this point, it is all speculation, but what is clear is that the most recent pictures published of her show her looking extremely emaciated. I was not planning on blogging about her, but I have had quite a few conversations about her death in the last two days with my clients that have really been making me think. A lot of the girls and women that I work with have eating disorders, and Brittany Murphy's death has possibly serious implications for those with anorexia, and eating disorders. As I mentioned before, no one really knows what caused her death. But what statistics tell us is that anorexia nervosa has the highest mortality rate of any mental illness. In fact, according to the National Eating Disorders Association (NEDA), females between the ages of 15 and 24 who suffer from anorexia nervosa experience a death rate that is 12 times higher than the death rate of all other causes of death. Just to be clear, this statistic only applies to those suffering with anorexia-- this does not mean that the leading cause of death among females who are between 15 and 24 is anorexia.

This week as I have heard clients question and ponder what ultimately killed Brittany Murphy (investigators said it was 'natural causes' but what is natural about dying at 32?), I have been struck by something else. Regardless of which self-destructive behavior (eating disorder, drugs, etc) may have contributed to her death, I think there is an important lesson that can be learned from this whole situation. It appears that Brittany's friends and fellow actors were not as shocked to hear about her death as the rest of us- apparently, she had been exhibiting erratic behavior as of late, and they were all very concerned about her shrinking frame. I think her death is a wake-up call. No matter what ultimately caused her death, her tragic exit from this world demonstrates that we are fragile. So many people with eating disorders think that they are immune from the dire health consequences that result from eating disorders, especially death; likewise, often those with drug dependencies and addictions often think that nothing bad will happen to them as a result of their drug use, including death. But death can happen and it does happen. And it is so important to take mental illness and self-destructive behaviors seriously! If you know someone who is practicing self-destructive habits, or is engaging in harmful behaviors, or you yourself are engaging in these behaviors, please seek help. This is such a serious issue. Hopefully Brittany Murphy's death will not be in vain- and will serve as a warning for others who are walking this fine line of danger.

If you or someone that you know is interested in finding out about receiving help to deal with an eating disorder, follow this link. To find out more about receiving help for a drug related issue, click here.

Kids, Mental Health and Hope

I like to think that I am a 'glass half full' kind of person. Generally, I try to see the good in people and situations, and am hopeful about change- if I weren't, I'm not so sure that counseling would be the best field for me! All that to say... I noticed the other day that while I was reading an article about young people and mental health, I found myself taking a 'glass half empty' mentality. Why??

Well, according to a survey funded by the National Institute of Mental Health (NIMH) which will soon be published in the journal Pediatrics, 13 percent of all children and young teens have at least one 'mental health disorder.' And of that 13 percent, only half have been evaluated and treated by a mental health professional. These facts indicate that while one half of young people are being treated, one half are not. This is a staggering number when considering that half of all youth with mental illness are receiving no treatment or help at all.

This survey sampled 3, 042 children between the ages of 8 and 15, and the findings were based on assessments of these children for six common mental disorders--anxiety disorder, panic disorder, eating disorders (anorexia and bulimia), depression, ADHD (attention-deficit/hyperactivity disorder) and conduct disorder. For a bit of perspective, imagine if half of young people who deal with diabetes or asthma were living without medical treatment. To think about the number of children and teens who are suffering from untreated mental health issues is alarming. And sad! Research indicates that when mental health issues are not treated, they typically persist and become more severe with age. (I wrote a blog awhile back on teens and depression that addressed this issue- follow this link to read it and to learn some of the symptoms of childhood/teenage depression.) This is concerning because young children and teens who suffer from eating disorders, for example, and are not being treated are at serious risk for many physical and psychological problems. This is a serious issue!

The article suggested that part of this problem is due to the fact that there is a shortage of mental health workers that specialize in treating children, specifically psychiatrists. So what is a parent to do?? Perhaps we need to focus on educating more parents and teachers about the symptoms of anxiety, depression, eating disorders, ADHD, etc.. in children and teens so that they are able to notice the warning signs and advocate for their treatment. While mental health professionals have the tools and knowledge to diagnose and treat, parents and teachers are able to notice patterns of behavior in children over time that a professional is not necessarily capable of seeing when sitting with them for 30 minutes. To read this article in its entirety, follow this link, as well as this one for more info!