Eating Disorders

By Letitia M. Cooper


What is the most deadly psychological disorder today? If you guessed an eating disorder, then you are right. According to WebMD, eating disorders are illnesses that cause a person to adopt harmful eating habits. So, does this make WebMD just a great resource, or is this really true, and is an eating disorder really a dangerous illness? Most sufferers of an eating disorder are often mocked about their problem, and they are not taken seriously. People should not misinterpret or disbelieve sufferers of an eating disorder because it is, in fact, a very serious illness. There are, however, minor cases of eating disorders but there are far too many deaths related to them, thus we must take this issue very seriously and approach it with care.

At Center for Change, we have asked many patients over the years to share from their private experiences what the Holidays have been like during the years they suffered with an eating disorder. The women quoted in this article are of different ages, but all suffered with the illness for many years. As you read the following passages you will feel something of the agony of suffering with an eating disorder at this festive time of year.

"Unlike any other normal teenager, I always hated it when the holiday season would roll around. It meant that I would have to face my two worst enemies - food and people, and a lot of them. I always felt completely out of place and such a wicked child in such a happy environment. I was the only person who didn't love food, people, and celebrations. Rather, holidays for me were a celebration of fear and isolation. I would lock myself in my room. Maybe no one else gained weight over the holidays, but just the smell of food added weight to my body. My anorexia destroyed any happiness or relationships I could possibly have had." -Nineteen-year-old woman

Women who suffer with binge eating or bulimia often live out this painful eating disorder hell in private and in secret, and often feel great self contempt. To many of their family and friends things may look positive and normal even while the sufferer feels significant despair and negativity about their loss of self-control. Those whose family members know about their eating disorder carry this awful feeling that they are the main attraction at the holiday dinner, where every trip to the food or to the bathroom is seen as a major defeat and disappointment to their family.Christmas is the hardest time with my bulimia. So much food, so much love, and so much joy, but I could not feel the love or joy, so I indulged in the food as a replacement. It was hard to see everyone so happy before I made the trek to the bathroom. I felt unworthy to be happy. I didn't deserve the love and joy. I've discovered that if I can focus on the love and joy, everything else falls into place" -Eighteen-year-old-woman

There is no need and there is no good time to feel guilty or at fault for your loved one's eating disorder. The Holidays are especially not the time. Eating disorders are complex illnesses that are not caused by one person or one relationship. It is also important for the eating disordered person not to feel responsible for their family and friend's emotional response to the eating disorder. One helpful agreement around the holiday season is, "We will spend time focusing on the need for nourishment as previously agreed upon, and primarily, we will spend time focusing on each other and the things that are available and that are meaningful in our family or social setting." Let them know that you can look beyond the outward manifestations of the eating disorder because you are also concerned about the hurt, pain, fear, and guilt they are feeling inside. In acknowledging the pain inside, no one has to be at fault or to blame for the eating disorder, allowing positive family associations and caring to become the emphasis. There is no need to "walk on egg shells", especially when everyone understands and acknowledges the underlying needs associated with the eating disorder. Compassion is a wonderful holiday gift for someone with an eating disorder.

So many celebrities suffer and have died from eating disorders. Singer Karen Carpenter was struggling with anorexia and bulimia and after she went to treatment for years, everyone thought that she had recovered and was doing better. After that, she was found dead on the bathroom floor in her parent's house. She had a heart attack and it was said that the result of it was because she had abused the drug Ipecac for years. Ipecac is a liquid that is used to induce vomiting, and it is often abused by anorexics and bulimics.

According to the South Carolina Department of Health, about seven million American women and one million American men have an eating disorder. About one in every two hundred women in America has anorexia, and about two or three out of one hundred women have bulimia. About half of Americans know at least one person who has an eating disorder. According to the National Association of Anorexia Nervosa and Associated Disorders, about 5% to 10% of people diagnosed with anorexia will die within 10 years of having the disease, about 18% to 20% of people will be dead after having the disease for 20 years and only 30% to 40% of people will recover from it. It is very scary fact that the rate of mortality for people with anorexia is twelve times higher than the rate of death of all of the causes of death for females from 15 to 24 years old. (South Carolina Department of Health). Nearly 20% of the people who have anorexia will die prematurely from health problems and heart problems due to their eating disorder. About 95% of people with an eating disorder are between the ages of 12 and 25, about 50% of females between the ages of 11 and 13 see themselves as overweight, and around 80% of 13 year old's have, at some point, tried to lose weight. It is a very sad fact that over 80% of females who have made an effort to go get treatment for their eating disorder, have not received the full treatment that they need in order to fully recover. This often leads to the disorder reoccurring and to the patients hurting their health even more. Obviously, eating disorders are really serious and they should be treated as soon as possible.

The importance of these quotes from clients in treatment for anorexia is found in their honest expression of the tremendous pressure and conflict they feel inside in response to the normal food and social activities of the season. Their internal suffering and pain are often hidden from those around them by their continual remarks about "being fat," or may also be hidden in their patterns of avoidance and withdrawal from social involvements."The secrecy and lying make it very difficult for me during the holiday season. I have to decide whether to restrict my food or to binge and then sneak away to purge." -Twenty-two-year-old-woman."Having an eating disorder during the holidays presents quite a contradiction in my mind. I anticipate all the food and get excited, while at the same time I dread the many family members around. I feel that the family is over to "watch". I know that they simply want to reach out and help, but I feel that a big help would be to make a concerted effort to shift the holiday focus from the food to the underlying purpose. I wish the food could be a minor deal, just an accessory to the holiday, rather than the focus." -Twenty-year-old woman

When going into a family or social event, especially if people are aware of the eating disorder problem, it is helpful that everyone talks honestly about what will help and what will not help during the event. Armed with this knowledge, family and friends can set up some structure around holiday activities that is agreeable to all parties involved. Give reassurance about your desire to "be supportive" of them without trying to control every problem. You can respond to their feedback about what may be helpful to them by making positive adjustments. It helps to express love, gratitude, respect, and acceptance for your loved one.

I believe that as long as the media continues to idolize thin celebrities, the effects of education about the dangers of eating disorders through the media will not be effective. For each step that they take forward to solve the problem, they take two steps back by continuing to idolize thin celebrities. It is not a question of what effects have a greater likelihood of causing an eating disorder, but it is a fact that media does contribute to people developing and maintaining eating disorders. There are other causes of eating disorders, such as interpersonal or biological factors, but if the problem of media influencing eating disorders can be changed, there will be fewer cases of eating disorders. We have to take one step at a time in order to solve this very serious problem of eating disorders, and a great place to start is to change the fact that media influences eating disorders. There is not one cause of eating disorders, but media is a big influence to them since media reaches so many people. Personally, I think that group therapy very helpful in the treatment process of an eating disorder. Victims of an eating disorder are able to ask questions and receive answers in order to better understand their situation.




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