Childhood Obesity… Are We Putting Up the Wrong Fight??

At the beginning of this year, media was abuzz with criticisms of a billboard advertisement used in Georgia by the Strong 4 Life campaign.  This ad was viewed by many as offensive, shameful, and downright wrong.  The ad and the campaign both neglect to consider one common cause of childhood obesity:  eating disorders.

So why did the Strong 4 Life decide to put out these ads?  Because they thought simply stating the facts about childhood obesity – such as 70% of obese minors have at least one risk factor for heart disease, obese children and adolescents have greater rates of pre-diabetes, bone and joint problems, and sleep apnea – wasn’t enough.  They didn’t want to “sugarcoat” this issue any more.  Instead, they thought that fat-shaming would pique interest and provide a slap in the face for parents and children to get healthy.  Do you think that worked?

Doctors, dietitians, and other health professionals are often “brain-washed” with what the weight loss and diet industry puts into our heads.  Just eat less and move more and everything will be okay, you’ll lose weight, and you’ll be happy.  But as I said in the introduction of this article, they are all missing the big picture – many children who struggle with overweight and obesity are also struggling with mental illness; they are struggling with eating disorders.  They are using food to cope with emotions; they are using food when they are bored.  They have an unhealthy relationship with food, and it will only hurt them more to restrict their food choices by putting them on a diet.

Many of our clients at Inner Door Center® reflect that they were overweight or obese as a child.  And they tell us about all of the shaming they went through – people poking at their “fat”, calling them names, and saying things like “Should you really be eating that?”  The fact of the matter is – people come in all shapes and sizes.  While the BMI and the growth charts can be a useful tool, not every person is going to fit inside that tiny little box.  And when children are expected to fit a certain “ideal” and they don’t, the bullies (not just kids at school, but even their health care team, or parents) who shame them only fuel this eating disorder further.

So yes, childhood obesity is dangerous.  Yes, the facts are that obese children are more at risk for developing chronic diseases in adulthood such as diabetes, heart disease, etc.  But trying to solve this issue by shaming children with ads, or forcing them to go on diets and exercise regimens will only make the problem worse.  It is important to look at the relationship an obese child has with food – WHY are they overeating?  WHY aren’t they going out and playing with their friends?  What is really going on?

Inner Door Center® has great therapists and dietitians who work with children and eating disorders.  If your child is struggling with overweight or obesity, please contact us at (248) 336-2868 or visit our website www.reconnectwithfood.com.

The “Race” to Recovery – it is a marathon, not a sprint!

One of the unique aspects of our clinic is that many of our staff members and group facilitators have been through the recovery process themselves.  Their experience offers an invaluable insight for our current program clients.  One of our facilitators, Brooke Mallon, sat down with me and offered her perspective on recovery.

According to Brooke, when she started on her journey to recovery she wasn’t completely ready.  She thought she was – everyone that loved her encouraged her to get treatment – but inside she wasn’t ready to commit.  This is true for many of our clients.  They have reached the stage of contemplation; they are considering treatment, but still weighing the pros and cons.  Their eating disorder or their addiction is still serving them in some way.

Brooke says some people that went through treatment with her were ready right away.  They were able to move quickly through the process and seemed to make progress faster than others.  For Brooke, recovery was a long process of many different treatment approaches and personal growth.  She had to let go of her “know-it-all” attitude and realize that she really couldn’t know it all, or else she would not be asking for help.  The people she knew in treatment that seemed to have it easy, or get a “fast fix” were probably the ones who had been contemplating this process for a long time, and had realized they didn’t know everything.

Brooke really knew that she was ready for her treatment and ready to take recovery seriously when she realized that her desire to get better was much stronger than her fear of failure.  It wasn’t until she had been through different treatment programs that she realized this.  She realized it when she thought she had a “functional” eating disorder – she was not displaying the ED behaviors as often, but they still happened from time to time, and she thought it was okay.  She finally thought of the kind of mother that she wanted to be, and she knew she wanted a full recovery – she was ready to work hard.

Brooke’s story resonates with so many of our clients.  And her story is not finished.  Brooke still continues to increase her sense of self awareness, to heal herself with her practice of Nia and her group therapy that she leads at Inner Door Center®.

Stay tuned for another feature on Brooke, highlighting her experience as a yoga and Nia instructor at Inner Door Center® and the work she does with our clients!

Eating Disorders and Substance Abuse: Co-Occurring Disorders

Inner Door Center® is both a center for eating disorder recovery and recovery from other addictions, such as substance abuse.  In our center, we have seen that more often than not, these two areas of mental health treatment collide.  It is often revealed that our clients who have come in seeking treatment of an eating disorder are also struggling with other addictions, and our clients who have substance abuse problems often also have disordered eating patterns.  This concept is not new, and it was not a revelation for Inner Door Center® – the research on the interface of eating disorders with substance abuse disorders is strong and the goal of our clinic is to treat them both for a successful recovery process.

Here are some facts about eating disorders and substance abuse:

-          In a study published in Psychological Medicine in 1984, it was found that 17% of patients with eating disorders in the study also suffered from borderline personality disorder.  The incidence of alcohol abuse was also significant in patients with borderline personality disorder.

-          According to the Youth Risk Behavior Surveillance System concluded that increased medical attention should be directed toward adolescents who practice disordered eating behaviors because they are also at elevated risk for using cigarettes, alcohol, inhalants, methamphetamines, and steroids.

-          Studies from the International Journal of Eating Disorders and Psychiatry and Clinical Neurosciences  found that substance abuse disorders are more prevalent in patients with anorexia nervosa that display bulimic symptomology.

In the treatment of patients that have a substance abuse disorder and an eating disorder, one thing is very clear:  before true recovery can start to take place, biological restoration must occur.  That being said, weight and eating must be restored to its natural state in order for the brain to function properly to focus on recovery.  And on the other hand, sobriety must be achieved in order to focus on normalizing eating.  In our recovery programs, we determine which disorder has the greater prevalence and treat our clients accordingly – those who have serious drug addictions will receive care in our Inner Strength Substance Abuse Intensive Outpatient Program, and those who have severe eating disorders with a level of sobriety from drugs will be treated in one of our eating disorder programs.

 

If you or a loved one is suffering from addictions or eating disorders, please contact our clinic at (248) 336-2868 or visit our website: www.innerdoorcenter.com to learn more about the recovery programs that we offer at Inner Door Center®.

 

SOURCES:

International Journal of Eating Disorders.  Volume 14, Issue 1, pages 107-110.  Copyright 2010 Wiley Periodicals, Inc. A Wiley Company.

International Journal of Eating Disorders.  Volume Issue 5, pages 464-470.  Published online: 14 Mar 2008.  Copyright 2010 Wiley Periodicals, Inc. A Wiley Company.

International Journal of Eating Disorders.  http://www3.interscience.wiley.com.proxy1.cl.msu.edu/cgi-bin/fulltext/122234710/PDFSTART

Psychiatry and Clinical Neurosciences.  Volume 63, Issue 1, pages 82-87.  Journal compilation 2010 Japanese society of psychiatry and neurology.

Reflective Question: Excuses are like…

Recovery is a difficult process, and it is a different process for everyone who experiences it.  When we are put into stressful situations, we sometimes act out in ways that we wouldn’t normally act.  Do you give yourself excuses for behaving in negative ways?  Or do you own the fact that this is hard to deal with?

Inner Door Center® Feature: Samara Johnson and Stereotype Event Detroit

Meet Samara Johnson, Development Director of the Inner Door Foundation, and learn more about the upcoming event: Stereotype

Where did you go to school & for what?

I graduated in May of 2011 from Michigan State University with a degree in Studio Art.

What made you interested in working with eating disorders?

Eating disorders have always been a close subject to me. I have an extensive family history of eating disorders and I have also struggled with an eating disorder throughout my life.

How did you get involved in Inner Door Foundation?

After graduation I was helping out at Reconnect With Food, doing the program and assisting in art therapy. After the seven week program Beverly Price asked me if I would be interested in taking the role of Development Director to expand the reach of the Inner Door Foundation.

Who is your favorite artist?

Art has been a present in my life since childhood. It is difficult to pick a “favorite” since a work of art or a style of creation can be applied to many different things at different times in my life. I have been highly influenced by the work of Marcel Duchamp, Robert Rauschenberg, and Joseph Campbell. They each create a work of art through a combination of techniques and materials that resonate with me on a subconscious level and have been very inspirational.

What is “Stereotype”?

Stereotype will be an evening of art music and education, held on June 14, 2012 at the Detroit Opera House. Live entertainment will include the renowned Jazz artist, Marcus Belgrave and a DJ later in the night. Art submitted to the event will be displayed in various locations throughout the space. The event will use art to call upon the automatic subconscious stereotyping that takes place in our society with the goal of breaking the stigmas that deter those in need from seeking help. Hopefully by breaking the barrier that separates those with eating disorders, the real issues of food and body image that plague the masses will be able to be discussed freely and therefore, slowly healed.

Who or what inspired you to create this event?

I realized that I wanted to do something about the stigmas that surround eating disorders with the hope that spreading knowledge regarding these disorders and I decided the best way to spread awareness in the area was to create a cultural happening through a dual-purpose event that would highlight the thriving art scene in Detroit and spread the awareness of eating disorders.

What is one stereotype of eating disorders you are most interested in abolishing?

Eating disorders are more common than they appear. It is important to me that it is not simply someone that restricts or purges food but also people that are constantly preoccupied with obsessions about food or that use food as comfort (or punishment). Both of these are actions that seem acceptable and normal in our society but many do not realize that food is no different than a drug addiction… and that is an seem worse at times since you can cut out a drug but you can not stop eating.

How will Inner Door Foundation use the donations from Stereotype?

Money raised from the event will be used to provide a far-reaching educational network for those who struggle with Eating Disorders along with their friends and family, to assist with current national political advocacy efforts to include the diagnosis of eating disorders, across the spectrum, in all mental health parity legislation, and to increase advocacy efforts for mental health parity legislation specifically in Michigan and to provide a clinic to assist those who are denied insurance benefits when it is medically necessary that they receive treatment.

How can people help donate to Stereotype event, and where can tickets be purchased?

Tickets for the event can be purchased on the event website http://stereotype-event.com. The various sponsorship levels are located on the website and the event Facebook page.  Donations of any amount are appreciated and accepted either through the website or via mail in check.

Eating Disorders Coalition National Lobby Day

Twice a year, people from across the country – friends and strangers – join the Eating Disorders Coalition (EDC) in Washington D.C. for National Lobby Day.  On these days, these advocates come together to make their voices heard for the recognition of eating disorders as a public health priority.  The next National Lobby Day is approaching fast – on April 23rd and April 24th 2012, EDC will be advocating for the FREED Act (Federal Response to Eliminate Eating Disorders).

Why is it so important to participate in these events? 

  • Because eating disorders are deadly.  Individuals with Anorexia Nervosa are 57 times more likely than their peers without eating disorders to commit suicide.
  • Because eating disorders affect everyone.  Approximately 12.5 million people – all ages, all genders – in the United States suffer from some form of an eating disorder.
  • Because most insurance companies do not cover treatment for eating disorders.  So many people who suffer never get the level of care that they truly need, and may even go completely untreated.

What is the FREED Act?

The FREED Act, if passed, would help to provide better access to care, education and prevention, and research – all of which would help to save lives.  You can read the Eating Disorders Coalition’s summary of the FREED Act here.

How can I get involved?

Even if you can’t make it to the EDC National Lobby Day in Washington D.C., you can still help EDC in their efforts to advocate for the FREED Act by joining the “Phone in for FREED” Campaign.  All you need is a little bit of time and a phone to make an impact.

This is how it works:

-          STEP ONE:  Find out who your members of congress are (www.congress.gov) – you’ll have one representative and two senators and get their phone numbers.

-          STEP TWO:  Place your calls to your members of congress – you can use the following script: “Hi, My name is Jane and I’m calling to urge your boss to become a co-sponsor of the Federal Response to Eliminate Eating Disorders, HR 1448 (when you’re calling your Representative’s office) or S 481 (when you’re calling your Senator’s offices)….Should I leave a message with you about this or is there someone in your office who would be better talk to about this bill? (wait for response) … The FREED Act is important to me because….(share why it’s important to you).”
***Make sure you get the name of the person you talked to and make sure you THANK THEM for their time and ask them when you should follow-up.
***Now, if you’re talking to a person vs. leaving a message, they might ask you a couple questions, or share a story about a friend they know who had an eating disorder, etc.. Don’t worry if you can’t answer the questions. Just let them know you’ll be happy to have someone get back to them (then you’ll forward those questions (and the contact info of the office who asked them) to the Policy Assistant email address above).

-          STEP THREE:  Email the EDC Policy Assistant to let EDC know who you called and what they said: kmacdonald@eatingdisorderscoalition.org

-          STEP FOUR:  Encourage your friends and family members to join you and do the same!  Simply show them this webpage and explain to them why this act is so important to you.

Check for updates and procedures for EDC’s National Lobby Day on their website http://www.eatingdisorderscoalition.org/LobbyDayApril2012.htm.  This video from the EDC website also provides a simple overview of how lobby days work and how you can make a difference.

Reflective Question: Confronted with a new truth

Often in recovery, what we have learned to be “true” is challenged by others.  Can you recall a time when you were confronted with a more profound level of truth – perhaps about issues relating to food – than you were used to hearing?  Did you find the experience intimidating?  Stressful?  Annoying?  How well did you listen when confronted with this new truth?

Take Your Worst and Make It Your Best!

This article was adapted from: http://www.notonadiet.com/10-tips-for-a-healthy-body-image/

You know those days when you wake up and you just don’t like what you see in the mirror?  You can’t seem to find the right outfit, your hair just isn’t working for you, and you’re just bound and determined that today is going to be a crappy day.

Some of you out there might be thinking, “That’s how I feel every single day.”  You’re thinking, “How in the world do people get the confidence that they do?”  It’s all about positive self talk, and sometimes faking it until you make it.  Sometimes just putting those positive feelings into the universe can turn a “blah” day into a “Rah!” day.

“Nothing looks good on me.”  Instead of looking at the whole big picture if that is scary for you, look at smaller pieces of the puzzle.  Focus on the parts of you that don’t get covered up – like your face, your eyes, your smile.  Think, “I can make other people happy by showing them my genuine smile.”  Or, “I love the way the color of my eyes looks with this shirt that I am wearing.”

“If I just lost a few pounds, I would be happy.”  Honor your body, no matter what shape or size it is.  Feed your body with nutritious foods – a balance of grains, fruits, vegetables, proteins, and dairy – and honor your hunger and fullness.  Treat your body the way you’d treat a friend or loved one; give it all the love that it needs, including the love of good nutrition.  Give your body a treat now and then, in the form of a massage, or a pedicure, or a delicious ice cream sundae “just because”.

“I just know that I am going to mess up tonight and eat too much.”  Don’t try to foresee the future – you’re not a fortune-teller.  Instead of imagining the worse kind of evening, imagine your best possible evening.  What do you really want to do?  Do you want to enjoy a nice pasta dinner with your spouse and watch a movie cuddled up on the couch?  Then think of that!  Do you want to take a long bubble bath with candles and read a book?  Perfect!  Deciding that you’ll do positive things instead of “knowing you’re going to mess up” can paint a whole different picture of what will happen.

“I ate way too much.  I’m going to have to work out for hours to burn off all those calories.”  The body works in magical ways.  There will be days where we overindulge, and there will be days when we don’t eat as much.  This is called “normal eating”.  Exercise is an important part of self-care, but it is not meant to “burn off calories”.  We need calories as energy to fuel our bodies!  Think of how good a workout makes you feel.  If you’re not enjoying every second of a workout, then don’t do it!  Be thankful for the food that you’ve eaten that has provided you with the energy that you need to go to work or school, to laugh with your friends, and to perform exercise that makes you happy.

For more ideas of how to turn your negative self-talk into positive remarks, be sure to visit this blog article: http://www.notonadiet.com/10-tips-for-a-healthy-body-image/ and remember that loving yourself is the greatest gift you could ever receive.