Posts Tagged ‘Education’

March is National Nutrition Month. For those of us who are dietitians and nutritionists, National Nutrition Month is typically a time to ask folks to think a bit more about food, nutrition, healthy eating, etc. So, it might be a little odd that I am choosing to write about the possible dangers of paying too much attention to the food you eat! 

Don’t get me wrong, I absolutely believe that what you eat—when, how, and with whom you eat—can make a tremendous difference in your physical and mental health, as well as your overall enjoyment of life. However, we are seeing a disturbing trend, particularly online, that promotes strict adherence to a rigid set of food rules as the path to health and moral purity. This is the world of “clean eating.” 

The concept of “eating clean” has its origins in the early days of alternative medicine. People would become obsessed with obtaining health and curing disease through the strident adherence to various dietary strategies. Dr. Steven Bratman, an alternative medicine physician at the time, noted that many of his more diet-focused patients were “inadvertently harming themselves psychologically through excessive focus on food.” Also, their “exuberant pursuit of physical health had spawned a rigid, fearful and self-punishing lifestyle that caused more harm than good.” He created a name for this hyperfocus on food and obsession with eating the “right” food—“Orthorexia Nervosa” (1).

You’re invited!

Whether in-person or virtually, you’re invited to assess, assess, assess! In school, we clinicians are taught to ask questions—so many questions. We are taught to ask about our patients’ history, about their current happenings, and about their future hopes and dreams. We are taught to ask about easy things and hard things. We are taught to ask about things that aren’t socially appropriate, things that are extremely uncomfortable outside the confines of medical and mental health settings. We are trained to ask questions about substance use, depression, anxiety, suicide, sexual behaviors, and peculiarities of the human body and its functioning.

Yet, so often, we forget to ask questions about one of the things that sustains life: FOOD! We know that to survive we need to eat. From the moment of conception to the moment of death, we are required to consume, in some way, calories that feed and nourish the systems within the body. Why, then, do we shy away from asking questions about this life-giving, life-sustaining human behavior?

Anecdotally, I hear medical and mental health providers say, “We have never had training,” “I don’t know what to ask,” and “I’m not sure what to do if it seems as though there might be a problem.” However, in the same way that we all learned how to ask and how to respond or intervene following questions about suicidal ideation or even substance use, we all can become more comfortable with integrating questions about eating disorders into our assessments of 100% of our patients.

The Emily Program’s Peace Meal podcast is officially in its third year of production! To celebrate the milestone, we listened back to our first two years of episodes and rounded up our choice picks for healthcare providers. Tune in to this sampling to hear eating disorder experts and people in recovery provide education by way of clinical experience, research, and personal stories. You’ll learn how to better understand, identify, and address eating disorders in your everyday interactions with patients.

Episode 2: Eating Disorders 101

For a basic introduction to eating disorders, this 101 primer is the place to start. Therapist Jennifer Nelson lays out general eating disorder facts, including the primary types and diagnoses, risk factors, and warning signs.

Rejecting the myth that eating disorders are always visible, Jennifer explains that the illnesses are in fact often missed by both providers and clients themselves. Eating disorders don’t have a look, size, or shape, she says, and many symptoms are easily dismissed or hard to see. They often develop slowly and subtly over time. Emphasizing the importance of close, careful examination and early intervention, Jennifer also offers advice to providers concerned about their patients.

Listen to the episode here.

Diet culture wreaks havoc all year long, compromising our joy, peace of mind, health, and trust in our bodies. And now, as in years past, it has hit its peak season. Dieting’s unfounded claims and empty promises show up with renewed energy after the holidays, as if right on schedule every year.

With the ring of the new year comes diet talk suggesting that we should “get back on track” after holiday eating or “jumpstart” the year with weight loss resolutions. Cleanses and detoxes and fasts galore, the clamor implies that we must change our bodies with the turn of the calendar. It sets an expectation that controlling our bodies will lead to happier, healthier lives via “new year, new me” goals.

But weight-loss dieting is a misguided approach to happiness and health. Not only is it ineffective for most people, but it can actually cause harm to our bodies.

An estimated 30 million people in the United States have an eating disorder. The majority of them do not receive professional care. Many experience shame and stigma because of their illness, and many struggle all alone.

By educating ourselves and others, we can work to reduce stigma and to better understand these complex illnesses that affect so many. Here are five myths and facts about eating disorders.

Myth: Eating disorders affect only thin, young, white women.

Fact: This is the stereotypical image of eating disorders—a thin, young, white woman. It is this woman we’ve seen in media depictions of these disorders and heard about most in common chatter. Even within the field, research has historically focused on clients who fit this profile, in part because white women were (and still are) the most likely to receive care.

But this narrow demographic does not accurately reflect the diversity of those who experience these illnesses. Far from it. Eating disorders affect people of all ages, races, genders, sexual orientations, body sizes, classes, and abilities. They’re not just a “teenager’s problem” or a “white girl’s problem.” They’re not something that affects only wealthy people, or only cisgender people, or only people of any other social group. Eating disorders don’t discriminate in these ways; they span across all social categories.

There is likely no topic more on the minds of clients than weight. While the degree of preoccupation with weight varies—some clients admittedly experiencing little to none—weight is a construct that carries extraordinary meaning within and outside of the eating disorder experience. For those with and without these disorders, weight is a common source of concern and is often given disproportionate influence as a vital sign measure.

We live in a society that obsesses over weight. It erroneously conflates weight with health, attaching both social and moral significance to our body size. Weight bias is pervasive, and people who live in larger bodies face discrimination in settings from the workplace to the doctor’s office.

Eating disorders often compound the significance of weight even more. When we have these illnesses, the number on the scale can operate as a definition of who we fundamentally are. Our essential value as a person becomes attached to that numeric value. While we may know rationally that weight should not hold so much power, eating disorders are not rational illnesses. Therefore, the topic of weighing in eating disorder treatment is not simple at all.