GLAMOUR QUEENS IN SIZE 2 JEANS

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GLAMOUR QUEENS IN SIZE 2 JEANS

• Steven G. Liga, MSW, LSW, LCADC, CPS
• CEO/Executive Director

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Course Outline

• Introduction
• What do you think of when I say Eating
  Disorder?
• Definitions
• What are we talking about?
• Consequences
• Whats the big deal?
• Causes
• How does this happen to someone?
• Prevention and Treatment
• What can be done, and where do we turn?
• Conclusion
• What does this have to do with NCADD?

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INTRODUCTION
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Eating Disorders

• Lets Brainstorm!
• What do you think of when I say Eating Disorder?

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Facts and Figures

• The average American woman is five feet, four
  inches and weighs 140 pounds.
• The average American woman wears a size 14 dress.
• One-third of all American women wear a size 16 or
  larger.
• The diet industry (diet foods, programs, drugs,
  etc.) takes in over 40 billion each year and it
  is still growing.

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Facts and Figures (cont.)

• 50 of American women are on a diet at any one
  time.
• 75 of American Women do not like or are
  dissatisfied with their appearance.
• 90 of high school junior and senior women diet
  regularly, although only 10-15 are over the
  weight recommended by doctors.
• 50 of nine year olds and 80 of 10 year olds
  have dieted.

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Facts and Figures (cont.)

• 1 of teenaged girls and 5 of college aged women
  become anorexic or bulimic.
• Anorexia has the highest mortality rate of any
  psychiatric diagnosis
• 20!
• Suicide as a result of depression is only 15

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Glamour Queens in Size 2 Jeans

• Original poem by Nathalie Gottlieb
• www.feminist.com/resources/artspeech/body/voices.h
  tm

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DEFINITIONS
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Which of these people has an eating disorder?

• Shelia eats so many French fries that she wants
  to throw up. And she actually does.
• Marsha skips breakfast and lunch and eats just a
  small salad with vinegar dressing for dinner.
• Susan indulges in a hot fudge sundae (four scoops
  of ice cream, fudge, whipped cream, and cherry)
  every night for a week.

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Profile of an Anorexic

• Female (90)
• Perfectionist
• Feels fat even though underweight
• Denies appetite (wont eat even when hungry)
• Preoccupied with food and weight
• Sleep disturbances

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Profile of an Anorexic (cont.)

• Inability to concentrate
• Mood swings (irritable and depressed)
• Ritualistic food practices
• Strict food rules
• Excessive and rigid exercise routines
• Shops and cooks for others while not eating
  themselves

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What does she see in the mirror?
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Myths

• Bulimics and Anorexics are underweight and
  compulsive overeaters are overweight.
• People who have eating disorders are weak-willed.
• Eating disorders are a vain, attention-getting
  disease.
• People with eating disorders dont want anything
  to do with food.

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Eating vs. Eating Disorders

• Eating
• Appetite
• Food availability
• Family cultural practices
• Voluntary control

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Eating vs. Eating Disorders (cont.)

• Eating Disorders
• Obsession with
• Food
• Weight
• Appearance
• So much that health, relationships, and
  activities are affected.

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Behaviors

• Restrict food intake
• Binge eating
• Binge and purge
• Abuse laxatives
• Compulsively overeat
• Exercise excessively

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Coping Mechanisms

• Pain
• Separation
• Low self-esteem
• Depression
• Stress
• Trauma

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DSM 307.1 Anorexia Nervosa

• Refusal to maintain body weight at or above a
  minimally normal weight for age and height.
• Intense fear of gaining weight or becoming fat,
  even though underweight.
• Disturbance in the way in which ones body weight
  or shape is experienced, undue influence of body
  weight or shape on self-evaluation, or denial of
  the seriousness of the current low body weight.
• In postmenarchal females, amenorrhea, i.e., the
  absence of at least three consecutive menstrual
  cycles.

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DSM 307.1 Anorexia Nervosa (cont.)

• Specify type
• Restricting Type during the current episode of
  Anorexia Nervosa, the person has not regularly
  engaged in binge-eating or purging behavior
  (i.e., self-induced vomiting or the misuse of
  laxatives, diuretics, or enemas)
• Binge-Eating/Purging Type during the current
  episode of Anorexia Nervosa, the person has
  regularly engaged in binge-eating or purging
  behavior (i.e., self-induced vomiting or the
  misuse of laxatives, diuretics, or enemas)

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DSM 307.51 Bulimia Nervosa

• Recurrent episodes of binge eating. An episode
  of binge eating is characterized by both of the
  following
• eating, in a discrete period of time, an amount
  of food that is definitely larger than most
  people would eat during a similar period of time
  and under similar circumstances
• a sense of lack of control over eating during the
  episode
• Recurrent inappropriate compensatory behavior in
  order to prevent weight gain, such as
  self-induced vomiting misuse of laxatives,
  diuretics, enemas, or other medications fasting
  or excessive exercise.

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DSM 307.51 Bulimia Nervosa (cont.)

• The binge eating and inappropriate compensatory
  behaviors both occur, on average, at least twice
  a week for 3 months.
• Self-evaluation is unduly influenced by body
  shape and weight.
• The disturbance does not occur exclusively during
  episodes of Anorexia Nervosa.

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DSM 307.51 Bulimia Nervosa (cont.)

• Specify type
• Purging Type during the current episode of
  Bulimia Nervosa, the person has regularly engaged
  in self-induced vomiting or the misuse of
  laxatives, diuretics, or enemas
• Nonpurging Type during the current episode of
  Bulimia Nervosa, the person has used other
  inappropriate compensatory behaviors, such as
  fasting or excessive exercise, but has not
  regularly engaged in self-induced vomiting or the
  misuse of laxatives, diuretics, or enemas

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DSM 307.50 Eating Disorder NOS

• For females, all of the criteria for Anorexia
  Nervosa are met except that the individual has
  regular menses.
• All of the criteria for Anorexia Nervosa are met
  except that, despite significant weight loss, the
  individuals current weight is in the normal
  range.
• All of the criteria for Bulimia Nervosa are met
  except that the binge eating and inappropriate
  compensatory mechanisms occur at a frequency of
  less than twice a week or for a duration of less
  than 3 months.

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DSM 307.50 Eating Disorder NOS (cont.)

• The regular use of inappropriate compensatory
  behavior by an individual of normal body weight
  after eating small amounts of food (e.g.,
  self-induced vomiting after the consumption of
  two cookies).
• Repeatedly chewing and spitting out, but not
  swallowing, large amounts of food.
• Binge-eating disorder (BED) recurrent episodes
  of binge eating in the absence of the regular use
  of inappropriate compensatory behaviors
  characteristic of Bulimia Nervosa.

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CONSEQUENCES
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Whats the Big Deal?

• Pick a letter
• Except F, J, N, Q, R, U, V, X, Y, Z
• www.edreferral.com/consequences_of_ed.htm

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Dying to be PerfectThe Ellen Hart Pena Story
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CAUSES
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Bio-psycho-social Model

• Bio heredity
• Psycho pain, separation, low self-esteem,
  depression, stress, trauma
• Social media culture (web sites)

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PREVENTION TREATMENT
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Prevention

• Do not promote the belief that thinness/weight
  loss is great and being large/weight gain is
  horrible.
• Avoid categorizing food as good and bad.
• Learn and discuss the genetic basis of different
  body types.

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Prevention (cont.)

• Link respect for diversity in weight and shape
  with diversity in race, gender, ethnicity, and
  intelligence.
• Help children understand the ways that the media
  distorts the true diversity of human body types
  and implies that a slender body means beauty,
  power, excitement, and sexuality.
• Learn and discuss the dangers of trying to alter
  your body shape through dieting.
• Take women seriously for what they say, feel, and
  do not in regard to their shape or looks.

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Basic Principles

• Eating disorders are serious and complex problems
• Warnings are not enough. We must address
• Our cultural obsession with slenderness
• Roles of men and women in society
• Development of self-esteem that transcends
  appearance
• Programs must include opportunities for
  participants to speak with trained professionals

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Warning Signs

• Weighing self 2-3 times per day
• Choosing exercise over friends and family
• Exercising after meals to burn calories
• Exercising even when injured
• Weakness/dizziness
• Mood swings
• Peculiar eating rituals
• Difficulty eating in public
• Preoccupied with desire to be thin
• Obsessed with fat grams and calories
• Fear of gaining weight

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Warning Signs (cont.)

• Running water for a long time while in the
  bathroom
• Eating when lonely, stressed, tense
• Eating a lot without gaining weight
• Wearing clothes to hide thinness
• Hair loss, brittle nails, lanugo
• Gray teeth from erosion of enamel
• Hand sores, calluses
• Irregular or non-existent periods
• Irregular body temperature

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High Risk Sports

• Gymnastics
• Swimming
• Ballet
• Wrestling
• Body building
• Jockeying
• Rowing
• Diving
• Figure skating
• Long distance running

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Treatment Resources

• Eating disorders ALWAYS require professional
  help!
• The Renfrew Center of Northern New Jersey174
  Union StreetRidgewood, NJ 07450Tel
  1-800-RENFREW Website http//www.renfrewcenter.c
  om
•  
• University Medical Center at Princeton
• Eating Disorders Program
• 253 Witherspoon Street
• Princeton, NJ 08540
• Tel [phone]
• Toll-Free [phone]
• Website www.princetonhcs.org

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Treatment Resources (cont.)

• Somerset Medical CenterEating Disorders Program
• 110 Rehill AvenueSomerville, NJ 08876Tel
  [phone]Website www.somersetmedicalcenter.
  com
• Overlook Hospital
• Eating Disorders Program at Atlantic Health
• 99 Beauvoir Avenue, Box 243
• Summit, NJ 07901
• 908-522-5757
• Website www.goryebchildrenshospital.org

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CONCLUSION
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Eating Disorders Addiction

• Feelings of guilt and distress
• Phases/Stages
• Bio-psycho-social causes
• 12 steps
• Myths about weakness
• Important to recognize as a disease
• CAN Recover
• Can be deadly if not treated
• Medical and social complications

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Eating Disorders Addiction (cont.)

• Media plays a HUGE role
• PREVENTION WORKS!
• DSM-IV
• Effects all cultures, genders, socioeconomic
  classes
• Co-dependence
• Secret
• Relapse is common
• Lying
• Excuses

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What To Learn More?

• National Eating Disorders Association
• http//www.nationaleatingdisorders.org
• Eating Disorder Association of New Jersey
• http//www.edanj.org
• Something Fishy Website on Eating Disorders
• http//www.something-fishy.org

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What To Learn More? (cont.)

• Academy for Eating Disorders
• www.aedweb.org
• National Association of Anorexia Nervosa
  Associated Disorders
• www.anad.org
• United States National Library of Medicine
• www.nlm.nih.gov/medlineplus/eatingdisorders.html
  

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What To Learn More? (cont.)

• Eating Disorder Referral and Information Center
• www.edreferral.com
• National Institute of Mental Health
• www.nimh.nih.gov
• Anorexia Nervosa and Related Eating Disorders,
  Inc.
• www.anred.com

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Contact
Information
152 Tices Lane
East Brunswick, NJ 08816 732-254-3344 ext.
11 steve_at_ncadd-middlesex.com
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For more information or additional resources,
call NJPN at [phone] or visit www.njpn.org
for the contact information of your local
affiliate.