Remuda Ranch (and Twins!!)

From time to time, we have reps from eating disorder treatment centers that stop by our office, or meet with us over lunch to tell us about their facilities, treatment modalities, etc... And because we specialize in treating eating disorders, we often end up referring a fair number of clients to treatment centers, so it is helpful to spend time with representatives so that we have good information and know the kind of service and treatment that we are recommending to our clients when we refer them somewhere. One of my favorite places (shameless plug because I did contract work there for awhile) is Carolina House- www.carolinaeatingdisorders.com. Check it out- it is fabulous!! I will share more about the Carolina House in another post, but for now, I want to share a little about Remuda Ranch. A rep from Remuda stopped by our office today and I wanted to share a few things that stood out to me.

First, I love that Remuda Ranch is a Christian based treatment center. While they accept clients of all faiths, their therapists are all Christians. About 3 years ago, Remuda was bought out- while they have loosened up on some of their Christian focused rules (they no longer require chapel attendance, for example), they still maintain a Christian focus, which I think is great. Second, they admit teenagers!! It is difficult to find residential treatment for eating disorders (especially locally) for teenagers and adolescents. Hospitals, like UNC, will admit teenagers, but for many parents, the thought of having their child in a residential type setting is easier to handle than having them in a hospital. Also, I was astounded to learn that Remuda will admit patients as young as 8 years old! It is SO sad that girls as young as 8 years old are struggling with eating disorders. The rep that came to our office, Michele, said that they got a call recently about a 7 year old needing treatment. How devastating.

Remuda, aside from individual/family/group therapy, offers equine therapy, as well as canine therapy. They also place a large focus on life after treatment and offer an equivalent of a sober living facility/halfway house program called LIFE for clients who have completed treatment. There are currently two locations in the US- Arizona and Virginia. To learn more about the different treatment and programs offered, visit Remuda's website at www.remudaranch.com.

Remuda Ranch was recently in the news (http://www.reuters.com/article/pressRelease/idUS118833+13-Oct-2009+PRN20091013) reporting that they have seen an increase in the number of twins that are suffering from eating disorders. I remember watching an episode of Intervention awhile back (great show on A&E that makes me cry every time I watch it) that featured a set of identical twins that were struggling with anorexia. If you aren't familiar with the show, the family of the featured people stage an intervention and persuade them to enter into treatment. The set of twins featured on the show went to Remuda in Virginia; when the show aired, they were doing well and were healthy. It was a very moving episode and very inspiring to see them recover.

The Rules of "Normal Eating"

Karen R. Koenig's book The Rules of "Normal Eating" is a great book for anyone who has struggled with dieting, overeating, undereating, emotional eating and anything in between, as the cover of her book (pictured to the left) attests:). There are few books that address the variety of topics that she does in her book, of which include challenging irrational beliefs about food, eating, weight and our bodies. She identifies the differences between physical and emotional hunger, and outlines intuitive eating.

The four rules of eating that she says define a 'normal eater':

1- You eat when you are hungry.

2-You choose foods that you believe will satisfy you.

3-You stay connected to your body and eat with awareness and enjoyment.

4-You stop eating when you are full or satisfied.

While this list looks like a fairly simple set of rules to follow, it is much more difficult if you struggle with disordered eating or an eating disorder. Because eating issues and food struggles are not about food, the underlying issues must always be addressed in order for 'normal eating' to occur. For this reason, Koenig encourages the reader to reframe his or her fears and concerns about food and the rules of 'normal eating' -- she walks the reader through this process. If you do struggle with food issues, it is likely that therapy or some kind of support will be a necessary part of the healing and recovery process because reframing fears (along with other issues, such as control, etc) takes time and hard work. However, it is important to have books and resources that help you along on this journey. For more information on 'normal eating' according to Karen Koenig, visit her website at http://www.eatingnormal.com!

**The four rules were taken from page 20 of her book...

Campaign For Real Beauty

Dove launched a global campaign back in 2004 that is now known as the DOVE Campaign for Real Beauty--I thought it was definitely worth mentioning for many reasons. The purpose of this campaign is to bring about change on a widespread scale by encouraging women to discuss and explore the definition of true beauty, as well as broaden the stereotypes that they hold about beauty. According to statistics compiled from a global study performed by Dove, only 2% of women believe they are beautiful. They also found that the majority of women define beauty as being thin, young and blonde. Based on these statistics and others (which can be accessed on Dove's website), Dove decided to take action by targeting young girls for the purpose of helping to address the issue of self-esteem.

There are many great resources on this site for young girls as well as teenagers, including quizzes, blogs, videos and more. These can be accessed by visiting Dove's website at www.campaignforrealbeauty.com.

One of my favorite things that Dove has done is to produce a few short videos that explore our perception of beauty, as well as how the media influences our perceptions of what is beautiful. I will post a few links so that you can view them if you would like. They are really great! The first one is called Evolution and documents a photo shoot from beginning to end, including the final image that we, as consumers/society, end up viewing. You can watch it by clicking HERE. The second one is my favorite- it gives me chills!! Click HERE to view it.

For more information on Dove's Campaign For Real Beauty, visit their website (link above).

Guess What?? It's Fat Talk Free Week!!

Guess what this week is?? Fat Talk Free Week!! I just heard about this and I am so excited. What a great idea! So, what in the world is Fat Talk Free Week anyways? It is five whole days set aside, from October 19-23, to raise awareness of body image issues and to bring attention to how damaging the 'thin ideal' is for women in our society.

The following is a video which has been put together to inspire and impact, and I highly encourage you to watch it! The formatting is not working on the video below, so CLICK HERE to watch!

And another one! Because it is so good! CLICK HERE!!

Also, here are some facts that were put together by TriDelta, the sorority and Greek organization that is headlining this week's End Fat Talk campaign. You may find these facts surprising, interesting, disheartening. They may inspire you to join the fight! I lifted these facts to share from the End Fat Talk website (http://www.endfattalk.org), and they can be accessed by clicking on the 'stats' button.

81% of 10 year olds are afraid of being fat. 51% of 9 and 10 year old girls feel better about themselves if they are on a diet.(Mellin LM, Irwin CE & Scully S, 1992)

Barbie, the best selling fashion doll in the world, has unattainable and unhealthy body proportions. If she were alive, her waist would be smaller than patients with anorexia nervosa, and she would be unable to menstruate. Research has shown that very young girls (ages 5-7) who are exposed to Barbie have lower body esteem and want a thinner body than they have.(Dittmar, Halliwell, & Ive, 2006)

IN THE UNITED STATES...

More than 2/3 of women ages 18-25 would rather be mean or stupid than be fat and over 50% would rather be hit by a truck.(Martin, 2007)

1 in 4 women have avoided engaging in a physical activity or sport because they feel badly about the way they look.(Dove, Beyond Stereotypes: Rebuilding the Foundation of Beauty Beliefs)

According to a national survey, 60% of adolescent girls are currently trying to lose weight(1) and more than 50% have engaged in unhealthy weight control behaviors such as fasting, skipping meals, vomiting or smoking in the past year(2). Girls who use dangerous weight control behaviors like vomiting are more likely to attempt suicide(3).(1)http://www.cdc.gov/HealthyYouth/yrbs/pdf/yrbss07_mmwr.pdf; (2)Neumark-Sztainer, Story, Hannan, Perry, & Irving, 2002; (3)Crow, Eisenberg, Story, & Neumark-Sztainer, 2008)

Adolescent girls who are less satisfied with their bodies engage in less physical activity.(Neumark-Sztainer, Paxton, Hannan, Haines, & Story, 2006)

Fashion models are thinner than 98% of women. (Smolak, 1996)

As many as 10 million females are suffering from anorexia or bulimia. That's more than are suffering from breast cancer. (National Eating Disorder Association)

AROUND THE WORLD...

Eating disorders are as prevalent in Italy as in the United States. (Favaro, Ferrara, & Santonastaso, 2003)

On a list of items including suicide, depression and drugs, Australian girls ranked body image as their most concerning issue. (National Survey of Young Australians, 2007)

63% of women in Brazil have considered having cosmetic surgery to enhance their appearance. (Dove, Beyond Stereotypes: Rebuilding the Foundation of Beauty Beliefs)

After three years of Western television, the rate of purging in Fijian girls went from 0% to 11% and 74% of Fijian girls now report feeling too big or too fat at least sometimes. (Becker, Burwell, Herzog, Hamburg, & Gilman, 2002)

Percentage of girls in one Israeli study who are...afraid of becoming fat: 63% and who are unhappy with their figure: 87%. (Latzer & Shatz, 2001)

Half of all women in Japan have avoided going to the doctor because they feel badly about their looks and more than half have avoided going on a job interview for the same reason. (Dove, Beyond Stereotypes: Rebuilding the Foundation of Beauty Beliefs)

When given a range of body types to choose from, 12% of Mexican girls selected the anorexic body size as their ideal body shape. (Austin & Smith, 2008)

Almost 1/3 of women in Saudi Arabia report crying because they feel badly about the way they look. (Dove, Beyond Stereotypes: Rebuilding the Foundation of Beauty Beliefs)

Click HERE for more detailed information on Fat Talk Free Week or visit www.endfattalk.org.

Educated Family May Mean Higher Eating Disorder Risk

An article published on Reuters recently reported that girls who come from educated families may be at greater risk of developing an eating disorder. This does not mean that girls whose fathers, mothers and grandparents are highly educated are destined to have an eating disorder; however, it reinforces and identifies a group (teenage girls!) who are at risk.

This article was based on a study that followed generations of families in Sweden, specifically families who had girls that were born between 1952 and 1989. While girls whose parents completed college were twice as likely to be treated for an eating disorder than girls whose parents had an elementary school education, the astounding news (to me!) is related to maternal grandmothers' education as predictors of eating disorders. Girls whose maternal grandmothers completed college were six times as likely to be treated for an eating disorder, as compared to girls whose maternal grandmothers only attended elementary school. While it is not clear that greater academic achievement leads to eating disorders, it IS clear that the link exists. The article hypothesizes that expectations may have something to do with it; we have known for awhile that high-achieving girls are at risk for eating disorders, and it is possible that the higher (perceived) expectations that a girl feels (educationally or otherwise), the more at risk a girl is to develop an eating disorder. As mentioned in a previous post about prevention efforts with teenagers, it is important to highlight groups of teenagers that may be at high risk for developing eating disorders, as well as other mental illnesses, to do all that we can to prevent their development.

For the article, follow this link!