Eating Disorders

By Sadie L. Dye


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.
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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.

A person suffering from bulimia can get the same effects as a person suffering from anorexia since both disorders involve the loss of major and rapid weight, which leads to very unhealthy changes in the body. Symptoms between anorexia and bulimia sufferers differ in the way that sufferers of bulimia would eat a lot of food in a short amount of time and then force themselves to throw up, when people with anorexia just don't want to eat altogether. People with bulimia also misuse laxatives and go on strict diets of fasting and rigorous exercising. Sufferers from eating disorders in general are affected emotionally, psychologically, behaviorally, and socially. Emotional and psychological changes include increased anxiety, depression, suicidal thoughts, guilt, and low self esteem. Some changes in behavior of a person suffering from an eating disorder include dieting, frequent visits to the bathroom after eating, a change in fashion, and constantly checking their weight. Some social changes of a person suffering from an eating disorder may include isolation, being anti-social, avoiding social gatherings where food is involved, and a loss of interest for hobbies. Other physical signs of eating disorders in general include edema, a reduction in metabolism, sore throats, stomach problems, heartburn, and hypoglycemia; which leads to irrational thinking, shaking, confusion, irritability, and comas.

"The holiday season is always the most difficult time of year in dealing with my eating disorder. Holidays, in my family, tend to center around food. The combination of dealing with the anxiety of being around family and the focus on food tends to be a huge trigger for me to easily fall into my eating disorder behaviors. I need to rely on outside support to best cope with the stresses of the holidays." -Twenty-one-year-old woman

According to the article "Eating Disorders and Body Image in the Media" by Heather Mudgett, media can be very hypocritical because while the media shares news about celebrities dying from eating disorders, it also contains images of underweight celebrities modeled as if everyone should look like them. We might also see an article about a person dying from an eating disorder in a magazine, and on the next page we might see an underweight model, modeling a popular product. The underweight images of people in the media give consumers the wrong idea that being skinny is OK and that there is nothing wrong with it, when, in fact, being that skinny can lead to a person's own death. Consumers spend so much money on products and services that will help them lose weight, such as weight loss drinks, nutrition bars, pills, laxatives, weight loss videos, and they even take weight loss classes. People also misuse drugs and liquids in order to force themselves to lose weight, and this can be very stressing to the body. Any time that we do something against our body's natural functions, we hurt our body and put ourselves at great risk to further health problems in the future.

Some family dynamics, such as conflict, can be triggering to those with eating disorder difficulties. Struggles with perfectionism, feelings of rejection, disapproval, and fear of being controlled, are all cited frequently by women who suffer with the illness. Harboring strong feelings and beliefs that parents, family members, or friends find them unacceptable, inadequate, or disappointing is challenging for anyone, but is particularly devastating to someone with a painful eating disorder. Being immersed in a family setting during the holidays has the potential to dredge up old issues, fears, conflicts, and worries about family relationships. The resulting emotional disruption can feed the eating disorder and exacerbate the problem.Holidays, with all the food and family commotion, are pure hell when you have an eating disorder. For me, when the focus isn't on food and is on the real reason for the holiday, it's a big help. My family helped me out with this one, but I had to do most of it internally. Remember, it's just food, and we have more power than food." -Thirty-nine-year-old woman

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

A lot of people are confused about what "normal eating" is so they need nutritional counseling to help them get back on track. Not that many people who suffer from an eating disorder go to get treated for it. According to the South Carolina Department of Health , only 1 out of 10 people who suffer from an eating disorder go to get treatment. The cost of treatment for an outpatient is very expensive. Costs for outpatient treatment can be over $100,000. In the US, the cost of treatment for an eating disorder per day is anywhere from $500 to $2,000. On average, a person in inpatient treatment has to pay $30,000 a month. People with eating disorders need approximately 3-6 months of inpatient care in order to recover. The cost of treatment for an eating disorder is ridiculously high, and the high costs might be a reason that people do not go to get treated. It is very hard for most families to pay for the treatment of their illness, especially when insurance companies don't usually cover eating disorder costs. Another way to help reduce the number of people with eating disorders is to educate people about the dangers of eating disorders through media. The media is a good tool to help educate people on the dangers of eating disorders, but it is also a tool that hurts people by condoning the appearances of skinny people who suffer from such disorders. Another way that eating disorders can be treated and minimizes is through the "Doll Experiment". People were shown that if a human being had the same attributes as a Barbie doll, the body would not be able to hold itself because of its awkward shape and structure. This is a good way to show people that a Barbie doll isn't necessarily what women today should aim towards looking like. In the same way, the celebrities we see on TV are not people who we should try to look like either.

This is very helpful and it might make the victims of eating disorders feel more comfortable knowing that there are other people out there who are going through the same thing. Unfortunately, people are put under so much pressure to be thin by watching skinny celebrities all over the media be idolized. If they are being idolized does that means that they are good role models and their behaviors should be followed? No, most of the time, celebrities are not good role models. I believe that early childhood education is very important because I think that eating disorders start at an early age when children are naive and susceptible to being changed by others. Educating young kids about the media and how to criticize media is a very important step to reducing the number of people with eating disorders. Since media has such a big influence on eating disorders, children should be able to effectively criticize it and not fall victim to its schemes.




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