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Demi Lovato
Fresh from waging war against the Disney Channel for making a joke about eating disorders in one of its
shows, Demi came out with a blog on Seventeen magazine’s website entitled “My Battle With Eating
Disorders,” in which she talks about her own struggles with the disease and offers sound advice to others
who are going through it as well.
9 24 2012 Katie Couric reveals her past battle with bulimia during her interview with Demi Lovato. Katie
Couric spoke of her struggles with bulimia in her early 20s. The former cheerleader-turned-newswoman
reveals her battle with the eating disorder during a chat with Demi Lovato… who was treated for “emotional
and physical issues” in 2010 …. Katie stated on the show, “I wrestled with bulimia all through college and
for two years after that. And I know this rigidity, this feeling that if you eat one thing that’s wrong, you’re full
of self-loathing and then you punish yourself, whether it’s one cookie or a stick of gum that isn’t sugarless,
that I would sometimes beat myself up for that,” Couric says.click here for more Demi…
Anorexia, or self-starvation, is a disease and it can be fatal if left untreated. Recognition of its symptoms can be
the first step toward saving yourself or someone you love from this dangerous disease.
The following is a list of the observable symptoms:
•Refusal to maintain body weight
•Fear of gaining weight
•Talks about “feeling fat”
•Difficulty with eating full meals
•Rigidity with what they will eat
•An obsessive preoccupation with body size
•Over-exercising
•Intense dissatisfaction with physical appearance
•Personality change from outgoing to withdrawn
•Limit food intake to “arrow selection of low-Cal foods
•Hoarding, concealing, crumbling or throwing away food
•Menstrual difficulties
Behavioral Characteristics.
Anorexic patients see their restricted caloric intake as a very brave and arduous thing to do. They tend to prize
challenges over comfort. By contrast, bulimic patients view their behaviors as shameful and disgusting. In order
to recover, patients need help learning to understand the connection between their beliefs about themselves
and their eating disorder behaviors. They often view themselves with such hatred that they feel deserving of the
painful eating disorder behavior. They need to see that their eating disordered behavior is not an achievement,
hut avoidance of true life challenges; not distinctive, hut simply stereotypic. They need to realize their behavior
does not clarify their life, but confuses it; and they need to see that the disorder does not serve higher goals, but
actually blocks the realization of those goals. The individual suffering from destructive eating disorder behavior
must begin to challenge a negative mindset and learn to create and allow positive feelings and thoughts about
themselves.
Anorexia Nervosa
Bingeing and Food Control Excessive dieting, food control, and fasting. Collects recipes, and likes to cook/bake,
but sometimes refuses to eat with family. Tension at mealtime, Fear of food; avoidance of consumption.
Purging Compulsive exercising. Fasting
Eating Behavior Food ritual; calorie counting, rigid rules and schedules.
Sleeping Behavior Insomnia and early morning awakening.
Clothing and Dressing Rituals Frequent weighing, layering of clothes.
Social Behavior Social withdrawal, physically and emotionally. Focus on job and or school work.
Abusive Behavior Slow suicidal progression. Self hatred and feeling of unworthiness
Emotional and Cognitive Characteristics
Individuals suffering from eating disorders have restricted emotions and often cannot identify their feelings.
What they are aware of is extremely negative thoughts related to their body – an effective diversion from their
emotional turmoil and pain. Their thoughts are obsessively locked onto the Irrelevant and their feelings are
avoided and hidden, even from themselves.
Anorexia Nervosa
Body Image Problems Intense fear of becoming fat. Distorted body image.
Perfectionist Behavior Perfectionist: thinnest, smartest, neatest. Dichotomous thinking: all or nothing, black or
white.
Self-Esteem Depression and low sense of self-worth.
Sexuality Decreased interest in sex.
Social Behavior Self-centered and non-social, isolation from others, irritable.
Cognitive Symptoms Difficulty thinking clearly, potential severe cognitive deficits due to malnourishment.
Adapted from Mary Pabst, MSW, Maryland Association for Anorexia Nervosa and Bulimia (MANA) from
Panhellenic Task Force
Anorexia Linked To Pleasure-Regulating Brain Chemical
Women who suffer from anorexia have increased chemical activity in a part of the brain that controls reward
and reinforcement, something that may explain why they are driven to lose weight but don’t get any pleasure
from it, according to a new study. Researchers used brain-imaging technology on 10 women who had
recovered from anorexia and 12 healthy women. In the anorexic women, they found overactivity by dopamine
receptors in a part of the brain known as the basal ganglia. Dopamine is a brain chemical that is associated
with regulating pleasure. “The take-home message is dopamine in this area may be very important in how we
respond to stimuli, how we view positive and negative reinforcement,” said Dr. Walter Kaye, a psychiatry
professor at the University of Pittsburgh Medical Center and one of the researchers involved in the study. Dr.
Guido Frank, a child psychiatry fellow at the University of California at San Diego and also a leader of the study,
said the hope is that the research can lead to the development of drugs to treat anorexia. “It’s very, very hard to
treat. They recognize it’s wrong, but they still don’t eat,” Frank said. The research was reported this month
online in the journal Biological Psychiatry. About 1 percent of American women suffer from anorexia, a disease
than can also affect men. It has the highest death rate of any psychiatric illness, Kaye said. Women suffering
from anorexia have obsessional personalities, avoid harm and prefer routine, said Dr. Douglas Bunnell, past
president of the National Eating Disorders Association and clinical director of the Renfrew Center of
Connecticut. These women tend to resist therapy and have a distorted perception of themselves, he said.
Although only a small number of women get anorexia in its purest form, there are many more people who suffer
from some form of an eating disorder, Bunnell said. Making the connection between anorexia and what’s
happening in the brain is important for understanding and treating eating disorders, he said.
“There’s still considerable stigma attached to these disorders, particularly for families. People think it reflects
something you did as a parent,” Bunnell said.
Dr. Craig Johnson, director of the eating disorders program at Laureate Psychiatric Hospital in Tulsa, Okla., said
anorexia was historically viewed as a disease brought on by its victims or just a diet gone bad. “Up until this
point we have been left with more sociocultural explanations for the illness and regretfully that has resulted in
some levels of minimization, if not glamorization, of the illnesses,” Johnson said. Though the ultimate goal from
the latest study would be to develop treatments for anorexia, the work may also provide data important in
anorexia prevention and identifying people at risk of developing the disease, Johnson said. Frank said
researchers still don’t know what is causing the dopamine receptor to be overactive, but more research may
provide an answer.
Behavioral Characteristics.
Bulimia Nervosa
Bingeing and Food Control Eating, in a discrete period of time (e.g. within any 2 hour period), an amount of food
that is definitely larger than most people would eat during a similar period of time and under similar
circumstances. Fear of inability to stop eating voluntarily (bingeing), a feeling that one cannot stop eating or
control what or how much one is eating.
Purging Compulsive exercising. Vomiting, laxative, diuretic, or diet pill abuse; or use of other emetics ( syrup of
ipecac).
Eating Behavior Secretive food foraging and hoarding, especially at night. Shoplifting and or petty stealing of
money to buy binge food.
Sleeping Behavior Various sleep disturbances
Clothing and Dressing Rituals Other obsessive-compulsive patterns, such as trying on clothes five times a day.
Social Behavior Social irregularities, alternating withdrawal with erratic need for social contact and approval.
Chaotic relationships and interaction.
Abusive Behavior Drug and/or alcohol abuse. Suicidal gestures or attempts. Self-hatred and self-mutilation.
Feelings of self-disgust.
Emotional and Cognitive Characteristics
Individuals suffering from eating disorders have restricted emotions and often cannot identify their feelings.
What they are aware of is extremely negative thoughts related to their body – an effective diversion from their
emotional turmoil and pain. Their thoughts are obsessively locked onto the Irrelevant and their feelings are
avoided and hidden, even from themselves.
Bulimia Nervosa
Body Image Problems Preoccupation with appearance and “image”.
Perfectionist Behavior Perfectionist: high performance and achievement expectations. Perfectionist inside, but
sometimes chaotic outside. Facade of normalcy, seemingly “got it together”.
Self-Esteem Low self-esteem: self-loathing, self disgust, and depression.
Sexuality May be promiscuous or confused about sexuality, a mask for a desire to he accepted and respected.
Social Behavior Constant feeling of being out of control; vacillates between isolation and extreme need for
external validation.
Cognitive Symptoms Inability to accurately identify and express feelings. Out of touch with one’s feelings, (e.g.
anger, affection, humor). Thoughts obsessive and focused on the eating disorder cycle.
Adapted from Mary Pabst, MSW, Maryland Association for Anorexia Nervosa and Bulimia (MANA) from
Panhellenic Task Force
Bulimia not always about looking thin
Freshman Jane Felton said she would purge to make herself feel better in comparison to other women, who
made her feel insufficient.
“I always thought I was chubby – chubbier than the rest of the girls in my class,” Felton said. “Most of the time I
wouldn’t eat, unless I was stressed out or I was really hungry. In those situations, I would just eat a lot of junk
food, because that made me feel sick quicker. Then I would run to the bathroom, stick my finger in my throat
and throw it all up. I wanted to be pretty,” she said.
According to Dr. Donald McAlpine, a psychiatrist and the director of the eating disorders services at the Mayo
Clinic in Rochester, Minn., bulimia, also referred to as bulimia nervosa, is a psychological eating disorder that
involves repeated episodes of overeating. This is followed by inappropriate ways of trying to rid the body of the
food before weight gain occurs, he said.
In most cases, the disorder is not solely about being thin. It can also become a way to “gain total control of
some aspect of their life,” Judy Blackstone, a UW-Eau Claire counselor said.
According to the National Eating Disorder Association, overwhelming lifestyles full of never-ending homework,
significant other pressures, difficult family relationships and additional stressing aspects are common causes
for self-induced purging.
“None of the eating disorders are about food,” Blackstone said. “They’re about the way we feel about
ourselves.”
Cases of bulimia may start in post-adolescence due to unattainable standards of American society and
continues all throughout college, she said.
The Spectator News
1.Tend to hide and bottle up feelings – especially anger
2.Hypersensitive to criticism, though have a critical spirit themselves
3.Shame to control self and others
4.Impulsive in thought and action
5.Has great difficulty with intimacy, both sexual and emotional
6.Obsession with weight, though tend not to be extremely overweight
7.Addicted to the scale
8.Tend to have very strong need for other’s approval, but feels as though they never get it
9.Very secretive, deal with very high amounts of guilt
10.Obsessive in thought about physical body
11.Believes that God disapproves of them
12.Tremendous physical exhaustion
13.PMS tendency, irregular periods
14.Dizziness, headaches, constant thirst
15.Digestive disturbances, extreme, bloated
16.Electrolyte imbalance resulting in muscular weakness
17.Dental problems
18.A life of extremes in relationships, spirituality, and emotions
19.Chronic low self-esteem
20.Disturbed metabolism.
What works in treatment?
1.Whole person approach
2.Non-diet approach
3.Self-esteem retraining
4.Nutritional reeducation
5.Spiritual renewal
6.Relationship enhancement
7.Identity development
Bulimia Symptoms
•95% to 98% female
•84% have some college education
•Usually white-this is changing
•64% are closer to proper weight
•On the average, binges occur 11 times per week
•Average number of calories consumed: 4,800
•Average age at onset: 18
•Estimated number of bulimic college women – 20-30%
•Very unhappy and have low self-esteem
•Often depressed
•Tend to be passive individuals
•Tend to rely on others, especially me” for self- validation
•Afraid of rejection
•Perfectionists
•Isolated
•Very secretive
•Unsure how to cope with stresses of life
Miley Cyrus and Lady Gaga face criticism for tweets about their eating habits and
Ashley Judd stands up for herself.
Miley soon clarified her statement via Twitter: “For everyone calling me anorexic I
have a gluten and lactose allergy. It’s not about weight it’s about health. Gluten is
crapppp anyway!”
more Miley… read here.
Cyrus praised Ashley Judd in another tweet. Judd wrote an article in The Daily Beast
this week chastising the media for criticizing her face’s “puffy” appearance.
… the conversation was pointedly nasty, gendered, and misogynistic and embodies
what all girls and women in our culture, to a greater or lesser degree, endure every
day, in ways both outrageous and subtle,” Judd wrote of comments about her face in
The Daily Beast.
Lady Gaga admitted at a conference earlier this year that she struggled with bulimia
as a teen.
A tweet from the singer this week has some of her fans and eating disorder activists
angry.
“Just killed back to back spin classes. Eating a salad and dreaming of a
cheeseburger. #PopSingersDontEat #IWasBornThisWay” she tweeted.
More Lady Gaga… Pro-thinspo style… click here.
The National Eating Disorders Association responded to Lady Gaga, questioning the
message behind her tweet.
Brazil model Ana Carolina Reston, who weighed only 88 pounds, dies
at 21 because of generalized infection as a result of anorexia.
“Take care for your children because their loss is irreparable,”
Reston’s mother, Miriam, told the O Globo newspaper. “Nothing can
make the pain go away. No money in the world is worth the life of your
child.” The model’s cousin, Dani Grimaldi, told the Estado de Sao Paulo
newspaper that Reston also battled bulimia.
Ashlee Simpson
Singer Ashlee Simpson (sister of singer and actress Jessica Simpson)
has publicly admitted that she battled with an eating disorder during
her pre-teen years. “I was around a lot of girls with eating disorders.”
click here for more Ashlee…
Barbara Niven
Actress Barbara Niven is beautiful, blond, and brave – brave enough to
go public about her bulimia. “By sharing my experiences I hope that
others who may still be hiding their problem may take their first steps
toward recovery,” says the star of the syndicated TV hit Pensacola:
Wings of Gold. “Bulimia is a hidden disease. To fight it, first you have to
recognize you have it. Then you need to start talking about.”
more celebrity eating disorders click here.
The Barbi Twins
Though they bared their bodies in Playboy, pinups Sia and Shane
Barbi said models are not to blame for society’s obsession with
personal image; they, like many women, are victims of an
over-emphasis on a waif-like physique. The sisters, known as the
Barbi Twins, spoke on campus Tuesday night about their battle with
bulimia and anorexia as part of Body Image Awareness Week.
more Barbi Twins, click here.
Calista Flockhart
The ultra-thin actresss poke out about her much speculated weight problem. Shesaid
she doesn’t pay attention to all the gossip that she’s anorexic. She denied rumors that
she has an eating disorder. However. later she admitted to having an eating disorder.
More Calista Click here.
Daniel Johns
He’s a much loved rock’n’roller who’s married to one of the world’s most beautiful women.
But singer Daniel Johns has finally revealed the horror behind his teenage anorexia – a
condition which nearly left him dead.
Johns has admitted he was close to suicide a number of times as he battled the eating
disorder in his late teens. It is the first time the singer has spoken at length about his
anorexia, a problem which is affecting increasing numbers of teenage boys in Australia
Geri Halliwell
Singer Geri Halliwell (former Ginger Spice from the Spice Girls) publicly admitted
suffering from bulimia and binge eating for several years. “I realised I couldn’t control
this monster anymore. I needed to find help.” Her piece of advice for those who are
struggling – “I can honestly tell you from personal experience, that worrying about an
eating disorder really can get you down. There’s nothing to be ashamed about. You’ll
be amazed at the difference it’ll make to your whole life if you tell someone you trust.
There are lots of people who want to help and you really CAN’T fight this one on your
own. It might be a hard decision to make, to tell people and to seek help but, trust me
it’s nowhere as hard as trying to deal with it on your own.” Geri has written a book
called “Just For The Record” in which she talks with brutal honesty about her life,
including battling and overcoming eating disorders, which she has struggled with since
childhood…. More, click here,.
Mary-Kate Olsen
After months of speculation about her emaciated appearance, Mary-Kate Olsen has
entered treatment for an eating disorder (anorexia). Fans and celeb magazines
expressed shock and concern at Mary-Kate’s appearance April 29 at the unveiling of the
twins’ star on the Hollywood Walk of Fame. After treatment it appears she is still battling
with an eating disorder… read more, click here,
Victoria Beckham
PoshSpice of Spice Girls has admitted for the first time that she suffered from an eating
disorder. She made the revelation in an extract from her forthcoming autobiography,
Learning To Fly, which was published in the Mail on Sunday newspaper.
Beckham has denied that she had anorexia in the past. Beckham described her illness
and said that for a time she was “obsessed” with her appearance.
click here for more.
Body Images on Television Affect Viewers
As a result of the extremely thin females frequently seen on television, many Americans feel
overweight, even though they may be an average size. Media portray the message that happiness and
success come with a thin body. The joys in life such as power, popularity, friends, and success are
seen to come easily to the beautiful, thin characters on television. Characters who are overweight are
often perceived as failures, lonely, or rejected. They are often the target of jokes and humiliation.
Both genders may be greatly affected by the images on television, but females are more likely to be
targeted by these messages.2 Successful women are young and thin, while the appearance and age
range for successful men. The female viewer may assume that she must lose weight to obtain power.
The media imply that there are shortcuts to make the average female look and feel as thin and
desirable as the women seen on television. Commercials suggest that the average woman wants to
lose weight to resemble current actresses and models. The message assumes that the average
person is not thin enough to be viewed as a beautiful person in society.2
While many of the women seen on television are becoming thinner, an average weight female may
view herself as overweight, which could lead to eating disorders. Women account for 90 to 95 percent
of all people who suffer from eating disorders, and men comprise the remaining five to ten percent.2
Those who watch television at least three nights a week are fifty percent more likely than non-viewers
to feel overweight or fat. Fifteen percent of the viewers admitted to vomiting to lose weight, and
two-thirds of the female viewers dieted as a result of the images they saw.2
The two most common eating disorders, anorexia nervosa and bulimia nervosa, affect over five million
Americans.1 Thousands of these people die from physical problems resulting from these illnesses.1
Body Images on Television Affect Those on Television
Eating disorders have not only affected the television watching population. The necessity to be thin
has plagued women actresses, models, and singers for decades. In the late 1960s, singer Karen
Carpenter felt compelled to lose weight to appear more attractive. She was put on a water diet to
bring her weight down from 140 pounds to 120. After she received positive compliments from her
family and friends, she accelerated the dieting and lost more weight. In 1975, Carpenter weighed 80
pounds and vomited the little food she ate. She struggled with anorexia for the remaining years of her
life until her death at the age of 32. The singer died from cardiac arrest caused by heart strain as a
result of the anorexia.13
Actress Tracey Gold of Growing Pains struggled with anorexia for several years. She was dieting by
eating only 500 calories a day, while a typical diet requires 1,800 calories, and went from 133 pounds to
113 pounds in two months. After Gold achieved her ideal weight, she could not stop dieting. When the
actress’ weight went down to 90 pounds, she was forced to leave Growing Pains for professional help.
Eventually, Gold recovered from the disease to live a healthy life.
Eating Disorders in Older Women on the Rise
By MIKAELA CONLEY (@mikaelaconley)
read more from source,
http://abcnews.go.com/Health/eating-disorders-older-women-rise/story?id=16512484
June 2012
“I can’t participate in the practicum,” Judith Shaw told her yoga instructor. She was training to
become an instructor herself, but she had fallen and broken her pubic bone.
“You’re going to continue to break bones if you don’t feed yourself,” the instructor told her.
For Shaw, that was the moment. After a 15-year battle, she returned home that night and finally
admitted out loud, “I am anorexic and I need help.”
In 2006, soon after her acceptance of the disease, Shaw checked herself into a residential
treatment center for eating disorders. The mother of two was a bit different than her fellow
patients, though. At 53, among teens and 20-somethings, most of her peers could have been her
children.
Shaw’s anorexia appeared later than most who have battled the same illness. At 39, she became
a “gym rat,” but that routine soon led to excessive workouts and years of starving herself. With
hindsight and years of therapy, Shaw looks back at the onset of her eating disorder and said it
was triggered by a lifetime’s sense of self-worthlessness.
“I became obsessed with exercise,” Shaw, now 59, said. “I wanted to show an exterior of
strength that was able to mask the hollowness and vulnerability that I felt on the inside.”
She received recognition and praise as a result of her extreme exercises. Coupled with
barely-there food intake, the praise of her body image gave her “a sense of meaning in a life that
felt directionless, alone and isolated.”
While many attribute eating disorders to teen girls and young women, experts say there may be a
growing number of older people who experience the same struggles. Whether there is more
awareness and diagnoses remains unclear, but many clinical experts said they have seen a
spike in women over 40 seeking treatment in recent years.
The triggers may be different among different age groups, but traumatic life events tend to
trigger or contribute to eating disorders, no matter the age, said Susie Roman, program
coordinator at the National Eating Disorders Association. When older women experience eating
disorders, most of the time it is due to an earlier eating disorder that has resurfaced, but not
always. New cases and those that resurface can be triggered by divorce, death of a loved one or
children moving away.
“Older women who have eating disorders that return can often have a harder time changing
since the behaviors are so a part of them but whether the eating disorder is different is not
clear,” said Connie Diekman, director of university nutrition at Washington University at St. Louis.
Shaw whittled away to “well under 100 pounds,” but she said she doesn’t like to talk pounds
when discussing eating disorders.
“It’s so much more than that,” she said.
“A common perception of eating disorders is that it’s all about food and weight,” said Sarah
Parker, director of anxiety and eating disorders at the Reeds Treatment Center in New York. “On
the surface, they are, but it is issues related to significant interpersonal stressors, and they end
up coping with these stressors by controlling what they eat or how they look.”
More than 10 million Americans suffer from bulimia, anorexia or other types of eating disorders,
according to the National Eating Disorders Association, and millions more suffer from binge
eating.
For Shaw, it was her husband asking for a separation after 35 years of marriage that likely
contributed to the disease.
“My body was crumbling as my life was crumbling,” said Shaw.
Older women often fly under the radar with their disorders, though. Doctors are much more apt
to notice eating disorders in teens who have lost an excessive amount of weight, or, if a young
woman stops menstruating, a telltale sign of anorexia, a doctor will investigate further. Parents
are usually involved with the feeding and care of teens, and because of this, family, friends and
physicians are more likely to become skeptical of a change in eating and exercise habits.
Shaw’s period stopped in her early 40s, but doctors chalked it up to early menopause. She was
anemic, but doctors treated her lack of healthy red blood cells as an isolated incident. Her bone
density deteriorated, but, again, physicians treated the osteoporosis on its own. Friends
admired her weight loss and exercise tenacity.
While the health risks of an eating disorder are damaging at any age, older women are at an
even increased risk because their bodies have aged more, said Parker.
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