Recently, there have been heated debates between clinicians and parent advocates regarding the role of environmental and family issues in eating disorders. Some people insist that family dynamics and environmental factors play a role in the development of an eating disorder. Others bristle at the possibility. Some people say “families don’t cause eating disorders, BUT…” Others fixate on the “but” and disregard everything else.
My views on this issue are….
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There is much debate amongst mental health professionals as to whether mental illnesses should be called “brain disorders.” A large part of the disagreement, as I see it, comes from a lack of consensus as to the meaning of the term “brain disorder.”
I conceptualize a brain disorder as a disease or disorder that originates in the brain and influences mood, thinking, learning, and/or behavior. By my definition, all disorders….
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1.) The approach is based upon theory rather than empirical data.
Decades ago, when psychologists and psychiatrists first began treating eating disorders, psychodynamic therapy was the only tool they had. Science has come a long way since then. While there is still so much about the illness that we don’t understand, we have learned a great deal in the past decade about the etiology of eating disorders and how to treat them more effectively. Why use theory-based practice….
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“I don’t have time.”
This is an excuse I hear all too often. When I recommend a health-promoting behavior to a patient, such as sleeping at least 8 hours per night, meditating, spending quality time with family and friends, or exercising regularly, some people respond reflexively by stating that they don’t have time. Others will give a more wistful response, such as: “Oh, I would love to, I know it’s good for me, but I just don’t have the time.” There are patients who cancel their therapy appointments because they “don’t have time”….
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For most people, the holidays are a time of joy and celebration. However, for many people with mental illnesses, the yuletide cheer is accompanied by added challenges. This is true for those with various diagnoses. Consider the following:
1. For people with depression, the joy and festivities of the holiday season seem to amplify their own inability to experience pleasure. As families and friends come together, they may withdraw. To make matters worse, Christmas falls right around the shortest day of the year, so the lack of sunlight….
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Many people who have recovered from anorexia nervosa (AN) continue to exhibit anxiety, depression, moodiness, perfectionism, or other psychological issues. In fact, the anxious personality style that persists after full recovery is the norm, rather than the exception. Walter Kaye’s research shows that 60-70% of people with histories of AN have anxious, obsessive, perfectionistic, rigid, harm-avoidant personality traits that were present before AN and persist after recovery…..
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I do not believe that the media plays a major role in the etiology of eating disorders. And yet, in much of the eating disorder world, it has become accepted as an unspoken, self-evident truth that patients with anorexia and bulimia have developed their illnesses in large part due to their desire to emulate “the thin ideal” which our media promotes. Those who espouse this idea cite the Fiji Study, which demonstrated dramatically increased rates of body dissatisfaction and disordered….
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“It is never too late to give up your prejudices…No way of thinking or doing, however ancient, can be trusted without proof. What everybody echoes or in silence passes by as true today may turn out to be falsehood tomorrow, mere smoke of opinion.”
– Henry David Thoreau, Walden
Last weekend, I attended the annual National Eating Disorders Association conference….
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“It’s not about the food.”
This phrase, used widely in eating disorder recovery, is misleading and potentially harmful.
Here’s the truth – anorexia nervosa (AN) is not “about” anything other than being born with a certain neurobiological predisposition to this particular brain disorder, which lays dormant until activated by insufficient nutrition. Given that food restriction has a calming and mood-elevating effect in people with this type of brain chemistry, anorexics….
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Earlier this week, a federal judge ordered the Pittsburgh Public Schools to pay $55,000 to settle a lawsuit filed by a mother, who claimed her adolescent daughter was bullied into anorexia.
According to the lawsuit, the plaintiff’s daughter, now 15, was bullied relentlessly at school in 6th and 7th grades. A group of boys taunted her and made degrading remarks of a sexual nature,….
Read More : A Dangerous…