It's National Compliment Day! : )

I just found out it's National Compliment Day!! Which of course calls for a blog post, right?! Things have been a little busy for me lately... so I haven't been blogging as much as I'd like to. BUT, who can pass up National Compliment Day? 


Regardless of when you actually read this post, make sure that you are taking time to tell your loved ones, family members, friends, co-workers, the person bagging your groceries, your mailman, etc. what you appreciate about them! It never hurts to hear :) A little positive affirmation can go a long way! And, you just never know what a kind word can do for someone.  In that same vein, don't forget to remember the things you like about yourself!! It not only helps to build your confidence, but the way that we think impacts how we feel and how we act. You can start a positive chain reaction simply by having a positive thought!


Soo- Make it your goal to tell at least one person today what you appreciate about them! Ready... go! 

Update on EDC and Michelle Obama

Here is some encouraging and exciting news. If you didn't see my last post, scroll down real quick and skim it- it's pretty short. But I just wanted to follow up because Michelle Obama has listened to the concerns that people have had about her focus on childhood obesity and acknowledged that "The flip side to obesity can be eating disorders and we certainly don't want to enforce the reverse trend," she said. "The campaign 'Let's Move' is not about how our kids look. It's really about how our kids feel and our health." This is good news for all of us. Health and how we all feel is important, and I am glad that she is taking that into consideration as she moves forward with her Let's Move Campaign. She also encouraged parents not to focus on weight, or to talk about weight loss, but rather to focus on the overall picture of health. It is great to see that there has been a bit of a shift in her message. And, it also provides us with a reminder that speaking up can make a difference! To see how you can make a difference, follow this link.

I read a great blog entry a few days ago on parents, adolescents and body image-- topics that have been on my mind a lot lately due to the nature of my work! For parents who are trying to navigate the rough waters of a child or teenager who is struggling with an eating disorder and poor body image, it can be daunting and difficult to know how to respond. For this reason, I often recommend a great book to parents called The Parent's Guide to Eating Disorders, written by Marcia Herrin and Nancy Matsumoto. I had a chance to ask Dr. Herrin a few questions which I will share with you below; she happened to also write the blog entry that I mentioned. Whether or not you are a parent, I think this information can be helpful because you likely have parents yourself, or parental figures in your life, or maybe you know young adults, children or teenagers that you work with, mentor, teach, volunteer with, etc.. While some of this info may not apply directly, some of it can be adapted to encourage healthy attitudes with food. To access the blog that Dr. Herrin writes with Nancy Matsumoto (who is doing some exciting work with athletes and eating disorders that I look forward to sharing with you soon), follow this link- the blog entry is copy and pasted below as well.

Watch Dieting and Bad-Body Talk in front of your Kids

In brand-new, not yet published research, my friend and colleague Dianne Neumark-Sztainer and colleagues at the University of Minnesota and the University of California, San Diego have found that messages from parents about weight and body image have a significant effect on adolescent body image. I have worked with a number of families in which a child, usually a daughter, is all of a sudden worried about her weight triggered by a parent who is dieting and/or talking a lot about how much she (or he--dads can have an affect here too) doesn’t like her body. I tell parents that if they are going to diet, DON”T TALK ABOUT IT!! in front of the kids. Dianne’s group also found that when parents when parents eat well, overweight teens tend to follow their example. Watch for this study: Family Weight Talk and Dieting: How Much Do They Matter for Body Dissatisfaction and Disordered Eating Behaviors in Adolescent Girls? in next issue of the Journal of Adolescent Health.

I think that it is important to point out that parents are not to blame for eating disorders!- however, there are ways that a parent can impact her child for the better and support the child in such a way that is effective! I had the awesome opportunity to ask Marcia Herrin, a nutritionist specializing in working with eating disorders and weight issues, a few questions, and wanted to share some of the helpful tips that she suggests for parents. Dr. Herrin is very respected in the eating disorder field- she founded the Dartmouth College Eating Disorders Prevention, Education and Treatment Program. She has a masters in public health as well as a doctorate in nutrition education. She currently runs a private practice and works with children and adults struggling with eating disorders and weight issues. For more information on Marcia, follow this link.

Me: You and Nancy have partnered together in your book The Parent's Guide to Eating Disorders. This book provides a lot of very helpful information for parents who may be worried about their children's eating attitudes and behaviors. If you could share two or three helpful tips for parents raising children, what might you say to them to help them to encourage healthy attitudes about food?

Marcia: Do not comment on your child's weight. Eat together as a family as often as possible. Do not talk about dieting or weight issues (yours or anyone else's) in front of your child. Do make sure lunch and dinner meals include protein and dessert.

Me: If you are a parent who suspects that your child is struggling with food, whether an eating disorder or disordered eating, what steps might you encourage them to take to help their child?

Marcia: First call your child's doctor or your area's most respected expert for their assessment of the situation. Then talk directly (calmly and kindly) to your child about your concerns and observations. Let them know that you are worried but not mad. In our book we say if you are "open, receptive, curious, honest, tentative, and work hard at understanding your child's point of view... no matter what words you use, your chances of success will be greater."

Me: Chapter 8 in your book is wonderful. It touches on body image and the ways that our own body image affects the body image of our children (and by extension those around us). Can you share a little bit about how a parent's negative or unhealthy view of their body or food can affect a child? Do you have any advice for parents who struggle with their body image or self-esteem?

Marcia: "Keep it to yourself" is the advice I give parents about their own struggles with body image or self-esteem. One of the riskiest situations is when a child observes one parent teasing the other about their weight or eating habits. Parents, even if they struggle to believe it themselves, need to preach "it is not what you look like that matters; it is who you are as a person and what you do."

Me: You write about PAMS (Parent-Assisted Meals and Snacks) and appear to have much success with this model, which has been adapted slightly from the Maudsley method. Can you share the heart behind this method and the success that you have seen with teenagers that you have worked with?

Marcia: One strength of PAMS comes from "saving face." When parents take over responsibility for the eating disordered child's food, the child has to eat even if she doesn't want to. She doesn't have to give up her eating disorder. She can relax knowing her parents aren't going to let her starve to death. She doesn't have to agree to eat, she is made to eat. PAMS helps parents know what and how much to feed their child. Some parents can figure this out on their own, but PAMS helps parents who are stressed and overwhelmed by their child's eating disorder hit the ground running with an approach to food that works. I have been in the field of eating disorders for nearly 25 years and I have never seen any other technique turn an eating disorder around as dramatically as PAMS does.

For more information on PAMS and other related topics, check out The Parent's Guide to Eating Disorders. If you are a parent who struggles with body image or food, the most important thing that you can do for your child is to work towards being healthy yourself! Whether that means seeking out a nutritionist, a therapist, or a consultation with your doctor, it is critical for you to be the very best you that you can be, for you and for your children! When Marcia says 'keep it to yourself' regarding your struggles, she means do not talk to your children about it. But it is okay and vital to talk about it with professionals, friends and family members if you are dealing with these feelings and behaviors.

Someday Melissa

There has been quite a bit of media coverage over the last two or three days on the story of Melissa Avrin, a 19 year old girl who lost her battle with bulimia last year. (The cause? A heart attack.) Her mother, Judy, was on the Today show last week and there have been a few articles published recently, all aimed at raising awareness about eating disorders, but also honoring and remembering Melissa's life. Judy has become an advocate and will be lobbying tomorrow April 26, and April 27 in Washington DC to support the FREED Act (Federal Response to Eliminate Eating Disorders Act). To find out more about the advocacy work that you can take part in, follow this link which will take you to the Eating Disorders Coalition site.

But back to Melissa's story- I would really, really encourage you to check out this article, which was published in the New York Times on April 21st. Judy has been raising awareness and speaking out about losing her daughter to an eating disorder over the course of this past year and she is also finishing up a documentary on her life (called Someday Melissa), which she is hoping to have completed by June. Sharing Melissa's story may help to dispel myths about bulimia, as well as connect a face and a story with an illness that is so commonly misunderstood. Melissa was young- 19 years old- and did not survive her battle with bulimia. Her eating disorder took her life, and it is a really heartbreaking story. What is so tragic is that she represents so many who struggle; while many do overcome this battle, there are still some who are like Melissa and are losing their fight. The more that we all can do to raise awareness, provide education, and advocate for more accessible treatment is a step towards saving lives.

To view a trailer of Judy's documentary on Melissa's life, follow this link. It is definitely worth checking out. It is a short, five minute video that is really powerful. Judy found Melissa's journal after she passed away, and after reading through it, was inspired to make a movie that would change peoples lives- as that was one of Melissa's goals that she had journaled about wanting to accomplish someday. Judy is using her grief to advocate, raise awareness and instill hope in the lives of others who are struggling with an eating disorder. If you or someone that you know is struggling with an eating disorder, I hope that Melissa's story may inspire you towards health. You are not alone, and it is possible to beat this disorder with the right treatment! To read different stories of hope and freedom from eating disorders, courtesy of the National Association of Eating Disorders (NEDA), follow this link.

Did You Know???

I thought it might be fun/informative to share some random body image facts, and I came across a site that listed a bunch. I am pulling all of these from Northwestern Health Sciences University's website under a section called U Healthy, so I can't take credit for putting this list together- but it is worth repeating, as these facts demonstrate the role that size, weight, and body image have upon individuals in our society.

Did You Know...

• There are 3 billion women who don’t look like super-models and only 18 who do.
• Marilyn Monroe wore a size 14.
• 7% of 12th grade males have used steroids in order to become more muscular.
• If Barbie was a real woman, she’d have to walk on all fours due to her proportions.
• Male action figures (GI Joe, etc.) have greatly increased in muscular size since 1973; If GI Joe were human, he would have larger biceps than any bodybuilder in history.
• One out of 4 college aged women has an eating disorder.
• In one U.S. National survey, women feared being fat more than dying.
• A survey of formally overweight people revealed they would rather be blind or lose a limb than be overweight again.
• Americans spend more than 40 billion dollars a year on dieting and diet-related products. That’s roughly equivalent to the amount the U.S. Federal Government spends on education each year.
• 46% of 9-11 year olds are sometimes or very often on diets.
• 50% of 10th grade and 12th grade boys want a more muscular upper body.
• Underweight males have body images just as negative as overweight women’s body images.
• 42% of 1st-3rd graders want to be thinner.
• Most fashion models are thinner than 98% of women.
• 25% of American men and 45% of American women are on a diet on any given day.

These statistics are a bit overwhelming! Today I was having a conversation with some women that attend a class that I teach and we were discussing the impact that we can have on others simply based on the ways that we view and accept ourselves. One of the women mentioned that she observed a 3 year old complaining about her stomach being fat after witnessing her mother talking negatively about her own stomach. If we are able to accept ourselves and model this to those around us, we can have such a positive impact on others! In going with this theme, I saw a video on You Tube that I thought I'd share. It was produced by NEDA (National Eating Disorder Association) and may inspire you to help others, especially young girls that you know, to see their unique beauty and to embrace beauty in all sizes, shapes and forms. Enjoy!

Mixed Messages and Making Moves..

This morning, I read a really thought provoking blog entry on True/Slant (which is a blogazine--kind of like a magazine, but a blog... umm, i might have made up that word!!). The author, Katie Drummond, was discussing Katherine McPhee's recent bikini cover on Shape magazine. McPhee, who gained fame after appearing on American Idol, has publicly discussed her past struggles with bulimia, and her experience of being admitted to treatment for three months prior to going on the show in order to focus on getting healthy. Ms. Drummond takes aim at Shape Magazine for putting a recovered eating disorder patient clad in a bikini (and airbrushed!) on its cover, as well as at McPhee for posing in a bikini and perpetuating unrealistic images of beauty after struggling herself with feeling pressure as a result of viewing similar unrealistic images in the media. Ms. Drummond's article is entitled A Lesson in Health Hypocrisy and she explores the hypocrisy that exists in this scenario. Her blog entry is a little angsty, but I appreciate the passion with which she writes because I think that by posing in a bikini for a magazine which happens to advertise 'drop a pound by Friday' on its cover, McPhee- and Shape- are sending some pretty mixed messages.

I wonder if McPhee, or Shape, or the media in general realize the impact that they are having on women by sending such mixed messages. I am not pointing the finger at McPhee (well, maybe I am a little), but she says in the article that doing six different 'moves' changed her body. This sets an alarm off to me. It's not that exercising is wrong, or trying to be healthy or fit is wrong, but it concerns me that her happiness and acceptance of her body are a result of the changes she has made to her body. It just sends the wrong message to women about where our happiness comes from. Again, the point is not to bash McPhee. I just think it is important to raise awareness and discuss some of these things that we become numb to, because whether we know it or not, these images impact us! While there is not one single cause of eating disorders, and while seeing unrealistic images of women's bodies do not cause eating disorders, these images can be a precipitating factor, when combined with a genetic predisposition and certain environmental factors.

A month from now, NEDA (the National Eating Disorder Association) is sponsoring National Eating Disorders Awareness Week--- February 21-27. I will be posting more information as this week draws nearer, but I wanted to mention it in light of what I read this morning on True/Slant. Rather than just venting about the media and that magazine cover, or discussing how things could or should be different, it is helpful to think forwardly and focus on what we can do to make some changes! One simple thing that I have mentioned before is using GoodSearch! This is a search engine, just like google, that donates money to nonprofits of your choice before you perform each search. You can donate to eating disorder nonprofits, as well as a bunch of other great organizations. Follow this link to find out more. The second thing that I wanted to mention is something that I read on NEDA's website the other day. Marilyn Wann, author of Fat? So!, developed an art activity for people to participate in that deals with transforming the numbers on scales to adjectives! Confused? The Boulder Youth Body Alliance (BYBA), a nonprofit that seeks to encourage teens to change the world, rather than their bodies, has encouraged teens to participate in this activity by turning scales into art. I love this idea and think it must be really empowering for women of all ages to take part in something like this! Follow this link to view pictures/examples of scales as art, and to read more about what BYBA is doing!

Love Yourself.

I just read this opinion piece on CNN.com about dieting and wanted to highlight it because it is definitely worth the read (and it fits in especially well with all my recent posts about dieting and New Year's resolutions!!). Dr. Leo Buscaglia's quote above is also one that you may want to go back and re-read a few times after you read this article as well! Anyways, the author of this piece, Dr. Divya Kakaiya, is a psychologist who has been treating eating disorders since 1985; she is also the clinical director and founder of Healthy Within, an eating disorder treatment center in San Diego. Her main premise in this article: don't diet. While she writes from the perspective that dieting mothers do not set a good precedent for their children, whether or not you are a mother does not make this article more or less relevant. I would encourage everyone to check it out. You can follow the link above, or read it below. Enjoy! :)

Welcome to 2010. What is your New Year's resolution? Are you planning on investing more money into the annual $40 billion dieting industry? If so, please think again.

As we start our work week, many of us are looking in the mirror and saying "Yuck. I feel fat, uncomfortable and need to go on a diet."

Dieting and the language of "fat" have become so normal that we don't think twice before we say, "I have to go on a diet, I have gained so much weight."

If we are parents of teenagers, we may as well be saying to them, "Change yourself, fix your body. You're not perfect and never will be." Is this how we want to empower our youth?

You spend countless hours raising your child with the values of honesty, integrity and the importance of the work ethic. But if you are dieting and complaining about how fat you are, you could be putting your teenager at risk for an eating disorder. As a psychologist who has been treating eating disorders since 1985, I worry that there could be a connection between dieting parents and teenagers who develop anorexia or bulimia.

The 6-year-old girl who is watching her mother suck in her stomach in front of the mirror is going to look at her belly poking out and immediately think that she is fat.

How awful that we just inadvertently planted the seed of lifelong discontent with her body into the innocent mind of a 6-year-old.

We have to be mindful of what we really want to emphasize as important. In this quick-fix world of Botox, plastic surgery and fad diets, our children are not being taught how to tolerate discomfort and how to work hard and patiently.

"Now" is the demand word that parents feel compelled to cater to. We could be creating a generation of self-obsessed, narcissistic children. Do we really want them to feel that the glamour of "Gossip Girl" is the goal of their lives? We must draw the line by examining our own core values.

The majority of us know that the quick fix is not going to work, yet we feel compelled to throw ourselves into the despair of broken diets, broken resolutions, broken promises and worse, a pervasive sense of shame that attacks the core of our being.

We are so inundated with messages that are constantly redefining what is healthy that in our confusion we forget what is normal eating and a healthy, balanced lifestyle.

The "diet monster" gobbles up our self-esteem and makes us return to that unfaithful lover again and again, only to drop more money into that $40 billion pot. We could use that money to educate millions of brains each year, better our schools, reduce poverty and attend to our elderly.

Of course, eating healthily and staying active are very important. But of those who lose weight through dieting, 98 percent gain it back again in two years. Diet is a four-letter word that begins with "die." Isn't that ominous enough?

This year, create an intention not to diet.

When you do this, you are consciously rejecting the appearance-obsessed, materialistic culture that inundates us. An intention to honor your soul instead of your appearance -- to choose to give back in the community, volunteer, give time to the elderly -- will make you feel stronger.

Instead of spending time counting calories or going obsessively to the gym, donate those hours to a shelter for abused women. Love your body. This year, make it your intention to teach your teenager to reject the appearance-obsessed world she lives in and have her give her heart instead of changing her body.

Caution: This approach might make you start to love your body and you may waver on your New Year's resolution to lose weight!

As January unfolds, we are going to be blasted with commercials from multiple sources, with each one touting a permanent relief. The net result of these commercials is to get us to continue to hate our bodies so that these diet companies can make money off our body hatred.

There is also a political reason for women to be held to a high "thin" standard of perfection. We are then no longer a threat to anyone who wants power. "Body Wars" keep women in their place and are economically driven.

Let us assert our power by rejecting the dieting mantra, and standing our ground.

A Walk Down Recovery Lane with Jenni Schaefer

Jenni Schaefer is the author of two books- Life Without Ed and more recently, Goodbye Ed, Hello Me. She is an activist, educator and motivational speaker, seeking to raise awareness about eating disorders. She is also a musician; she writes music and sings! She recently gave an interview (back in November) sharing her thoughts about being in recovery from an eating disorder. Her most recent book, Goodbye Ed, Hello Me is focused on her life post- ED (the name she gave her eating disorder) and her experience of living and loving life without ED! Below is the interview, copy and pasted from November 4th's Planet Blacksburg, the collegiate publication of Virginia Tech.

Q: How would you describe a life of suffering with an eating disorder?

Schaefer: It’s a complicated illness, it doesn’t make sense. I always ate normal when I was around my family. I didn’t really think I had a problem. I knew there was something wrong but didn’t define that as a problem. The denial is so huge in this disease. My friends would comment on my weight, but I thought everyone was jealous. I was lying to myself, not them.

Q: Describe the relationship that you formed with Ed.
Schaefer: I was always depressed. I thought I was never going to get better. My therapist, Thom, kept telling me that was Ed, not Jenni. The eating disorder was my identity. I really thought I was the eating disorder. We label ourselves as the anorexic girl, or the skinniest girl in the world, or the bulimic girl. But that’s not us. And we really grieve when we have to let that identity go.

Q: Your eating disorder started in college. What exactly prompted it?
Schaefer: I have an older brother and a younger brother, and I was the perfect child going to medical school. I appeared to have this perfect life and I always smiled. I knew instantly it was about perfectionism. I was always called ‘Perfect Jenni.’ It was about criticism, and very low self esteem. I realized that my eating disorder helped me control emotions and feelings. I struggled with Ed thoughts at the young age of four. These thoughts grew louder as I grew older. I didn't question the thoughts until I was 22 and at rock bottom.

Q: Who was the first person you told?
Schaefer: I finally got up the courage to tell my ex-boyfriend at the time. I was so ashamed. I was silenced by my eating disorder. I had him tell my parents. I didn’t want anyone to know, not even my brothers. My eating disorder was not going to get better if I stayed silent. I tend to have black and white thinking. That’s part of my recovery, to fight that. Nobody’s going to know, or everybody’s going to know.

Q: How did your family react when they discovered you had an eating disorder?
Schaefer: I remember my mom calling me after she found out I was struggling and getting help. Knowing that my mom went to a library and was trying to learn more showed me that she really cared. Both of my brothers never realized that someone could be struggling with something so deadly, but appear to be so normal. They thought someone with an eating disorder was extremely emaciated like those you see on TV.

Q: One of your famous quotes is, “Never married, but happily divorced.” Can you explain this?
Schaefer: I am divorced from my eating disorder, not a person. I was actually taught by my psychotherapist in recovery to treat my eating disorder as an abusive boyfriend, or husband. Really, that’s how it felt. I felt controlled and abused by my eating disorder. Ed actually had a chair in our therapy sessions.

Q: In your interviews you never discuss your lowest or highest weight throughout your treatment. Why is that?
Schaefer: You can be any size and have an eating disorder. It’s not about food or weight, it’s not about size. That doesn’t matter. It’s really about what’s inside. It’s a huge paradox; it’s not about the food and weight, but it’s all about the food and weight. Definitely don’t talk about specific behaviors. People use numbers as bullets.

Q: Do you believe recovery is possible for all individuals?
Schaefer: It’s a constant process. Recovery is a very long process. But I do believe you can be recovered. Food is something we deal with at least three times a day. It’s not something you can just quit, give up. With an eating disorder, it’s a continuum. It’s something you have to do every day, three times a day. It’s a real struggle to find the balance with food. Food is everywhere. It’s how you celebrate holidays, and it’s how you celebrate birthdays.

Q: Then how were you able to recover?
Schaefer: That is a million dollar question. I think there are so many aspects of eating disorder recovery. For me, it was about using all the resources I had and constantly staying connected to my therapist, to my family, to my doctor, and not isolating. It was also never giving up. Every time I relapsed I had to stand back up again. My favorite quote is, “fall down 7 times, stand up 8.” It’s very, very frustrating and very, very hard. It’s a spiritual process as well. We don’t want to talk about higher power; we hate them because we think they gave us the eating disorder. It was a big disconnect.

Q: Describe this disconnect.
Schaefer: You disconnect with everybody. I had spent 10 years trying to avoid my friends. I alienated all my friends. I’d say, “I am completely self sufficient.”

Q: So how did you reconnect with God?
Schaefer: First of all, I had to just yell. I had a journal about how God hates me, and listed all the reasons. For me, I really had to meet people in my life that were spiritually fit, spiritually healthy; who had a good relationship with God. I had to look to those people as guides and mentors. It’s not what happens to us, but it’s how we respond to it. Use things that happen in a positive way. Turn it around.

Q: During your recovery process, when you would fall into a pit of relapses, how would you pull yourself out?
Schaefer: I fell into relapse often. In fact, it got worse before it ever started getting better. I had to hold onto hope that recovery is possible. Connecting with others always helped.

Q: What inspired you to finally make a change, accept help, and move forward with your life, independent of Ed?
Schaefer: Like I said above, I got help because I hit rock bottom at 22. I was depressed and hopeless. I couldn't function as a productive member of society. I often couldn't get out of bed.

Q: How did you realize that you actually wanted to recover?
Schaefer: I was frequently afraid to let Ed go. Ed was my main way of coping with life. To fully let Ed go, I had to find other ways to deal with life. I also had to be willing to let go of the things I "liked" about Ed. I liked how Ed made me feel special (i.e. being the thinnest one in the room). I had to find other ways to feel special: by just being myself.

Q: What advice would you give to others suffering with Ed?
Schaefer: I can’t emphasize enough the importance of telling someone and getting professional help. Making one phone call; that is such a key to start with. Learning how to love myself was a key. A real key.

For more information on Jenni Schaefer, or to find out more about either of her books, follow this link to access her website. For the original interview, follow this link.

A Wake-Up Call

One of my all-time favorite movies is Clueless. Say what you want about it, but everything about it makes me laugh. My best friend gave me that movie for my birthday shortly after it came out years ago, and I probably know all of the words by heart. When I heard Sunday that Brittany Murphy, the actress who played Tai in this movie, was found unconscious and died of cardiac arrest, I could not believe it. She was only 32 years old- so tragic.

There is a lot of speculation surrounding her death- she has been plagued with rumors of drug use, as well as an eating disorder. At this point, it is all speculation, but what is clear is that the most recent pictures published of her show her looking extremely emaciated. I was not planning on blogging about her, but I have had quite a few conversations about her death in the last two days with my clients that have really been making me think. A lot of the girls and women that I work with have eating disorders, and Brittany Murphy's death has possibly serious implications for those with anorexia, and eating disorders. As I mentioned before, no one really knows what caused her death. But what statistics tell us is that anorexia nervosa has the highest mortality rate of any mental illness. In fact, according to the National Eating Disorders Association (NEDA), females between the ages of 15 and 24 who suffer from anorexia nervosa experience a death rate that is 12 times higher than the death rate of all other causes of death. Just to be clear, this statistic only applies to those suffering with anorexia-- this does not mean that the leading cause of death among females who are between 15 and 24 is anorexia.

This week as I have heard clients question and ponder what ultimately killed Brittany Murphy (investigators said it was 'natural causes' but what is natural about dying at 32?), I have been struck by something else. Regardless of which self-destructive behavior (eating disorder, drugs, etc) may have contributed to her death, I think there is an important lesson that can be learned from this whole situation. It appears that Brittany's friends and fellow actors were not as shocked to hear about her death as the rest of us- apparently, she had been exhibiting erratic behavior as of late, and they were all very concerned about her shrinking frame. I think her death is a wake-up call. No matter what ultimately caused her death, her tragic exit from this world demonstrates that we are fragile. So many people with eating disorders think that they are immune from the dire health consequences that result from eating disorders, especially death; likewise, often those with drug dependencies and addictions often think that nothing bad will happen to them as a result of their drug use, including death. But death can happen and it does happen. And it is so important to take mental illness and self-destructive behaviors seriously! If you know someone who is practicing self-destructive habits, or is engaging in harmful behaviors, or you yourself are engaging in these behaviors, please seek help. This is such a serious issue. Hopefully Brittany Murphy's death will not be in vain- and will serve as a warning for others who are walking this fine line of danger.

If you or someone that you know is interested in finding out about receiving help to deal with an eating disorder, follow this link. To find out more about receiving help for a drug related issue, click here.

Kids, Mental Health and Hope

I like to think that I am a 'glass half full' kind of person. Generally, I try to see the good in people and situations, and am hopeful about change- if I weren't, I'm not so sure that counseling would be the best field for me! All that to say... I noticed the other day that while I was reading an article about young people and mental health, I found myself taking a 'glass half empty' mentality. Why??

Well, according to a survey funded by the National Institute of Mental Health (NIMH) which will soon be published in the journal Pediatrics, 13 percent of all children and young teens have at least one 'mental health disorder.' And of that 13 percent, only half have been evaluated and treated by a mental health professional. These facts indicate that while one half of young people are being treated, one half are not. This is a staggering number when considering that half of all youth with mental illness are receiving no treatment or help at all.

This survey sampled 3, 042 children between the ages of 8 and 15, and the findings were based on assessments of these children for six common mental disorders--anxiety disorder, panic disorder, eating disorders (anorexia and bulimia), depression, ADHD (attention-deficit/hyperactivity disorder) and conduct disorder. For a bit of perspective, imagine if half of young people who deal with diabetes or asthma were living without medical treatment. To think about the number of children and teens who are suffering from untreated mental health issues is alarming. And sad! Research indicates that when mental health issues are not treated, they typically persist and become more severe with age. (I wrote a blog awhile back on teens and depression that addressed this issue- follow this link to read it and to learn some of the symptoms of childhood/teenage depression.) This is concerning because young children and teens who suffer from eating disorders, for example, and are not being treated are at serious risk for many physical and psychological problems. This is a serious issue!

The article suggested that part of this problem is due to the fact that there is a shortage of mental health workers that specialize in treating children, specifically psychiatrists. So what is a parent to do?? Perhaps we need to focus on educating more parents and teachers about the symptoms of anxiety, depression, eating disorders, ADHD, etc.. in children and teens so that they are able to notice the warning signs and advocate for their treatment. While mental health professionals have the tools and knowledge to diagnose and treat, parents and teachers are able to notice patterns of behavior in children over time that a professional is not necessarily capable of seeing when sitting with them for 30 minutes. To read this article in its entirety, follow this link, as well as this one for more info!

You'd Be So Pretty If....

The title of this blog post sounds a little terrible, right? I actually ripped off the title from the name of a book that I recently came across!! And for the record, the book is anything but terrible :). Dara Chadwick has written a book called You'd Be So Pretty If...: Teaching Our Daughters to Love Their Bodies--Even When We Don't Love Our Own, and she also writes a blog with the same title. She recently posted a few tips for modeling positive body image that I want to share because I think they are great. I would also like to point out that even if you are not a mother, or you are a mother and do not have daughters, this information is still really applicable. We may not have daughters (who are therefore influenced by the views we have of our own bodies), but we certainly impact the people in our lives (especially and specifically other women) based on the ways that we see ourselves. It is interesting to consider how learning to accept ourselves can actually help others to accept themselves as well.

So, while this may sound easier in theory than in practice (like a LOT of things!), here are five things that you can try (compliments of Dara Chadwick), that no matter how you feel about your body, may help you learn self-acceptance, as well as model it to others!

1: Silence the Critic. If you tend to say negative things about your body, criticize certain features you dislike or are not comfortable with, or make jokes about yourself, stop. Whenever you notice that you are doing this, stop yourself.

2: Act "as if." Imagine how you might feel or act differently if you were your ideal size or shape. Would you participate in different activities? Say hello to more people? Buy a certain style of clothing? If so, act out your feelings or engage in those activities and see if you notice a change in how you feel or how others respond to you. (Hint- you most likely will!)

3: Choose one thing. Focus on making one healthy choice each day- whether it is eating your breakfast, taking the stairs up one floor instead of the elevator, etc..

4: Be OK with change. Focus on being the healthiest, most content version of yourself that you can be. We all change as we get older, and as we go through different life experiences, our bodies change. Appreciating what our bodies do for us, considering the purposes that our arms/legs/hips/etc serve, and recognizing how functional they are can help us to accept our bodies/body parts rather than criticize them.

5: Find your own body image role models. Find women who model a healthy, positive attitude that you admire and respect. Maybe it's Scarlett Johansson, Kate Winslet, a friend who exudes confidence and charm, or a friend whose personal style you admire. By holding up a role model of unattainable perfection, we struggle to accept ourselves because we are never able to reach this ideal.

While change is often tough because it requires extra effort, energy, and a lot of extra thought, I believe it is worth it. It is worth it for us to accept ourselves, to feel good about ourselves and our bodies, and to encourage other women (friends, sisters, daughters) to accept themselves as well. For more on Dara Chadwick, follow this link.

Popsicles and PreSchoolers

The other day, I witnessed a pretty funny thing. I was at the gym, and I noticed two girls who looked to be about 6 years old. They were fully dressed in cute, girlie school clothes, walking on treadmills. Oh- and they were eating popsicles. Seeing this made me laugh at first- but then my rational side kicked in and I wondered how in the world they got there and I wanted to know where in the world their parents were! I watched them as they walked side by side, and panicked when they began walking on the same treadmill together; they migrated from machine to machine and even attempted to lift weights! To conclude their workout, they took some medicine balls and began trying to do crunches- but stopped and began trying to jump over them as though they were playing leap frog (all while each eating a popsicle). At first I just thought that they were cute, but the longer I watched them I started feeling a little weird about it. It was clear that they were intent on exercising, even though they were spending two minutes on one machine, then hopping onto another, then another. I guess it was their determination that seemed funny- they must have gotten some kind of message about exercise that led them to want to participate. Whether messages from family, culture or the media (or a combination of all three!), it is likely that multiple sources influenced (and continue to influence) these girls. In many ways, an act like theirs is child-like and innocent- similar to a little girl mimicking her mother by playing dress-up or putting on makeup. But in light of something that I read a day or so after encountering these popsicle-eating girls working out, I have started to wonder just how innocent the whole thing really was.

According to a recent study, nearly half of all 3 to 6 year olds worry about being fat (!!!). A study done at the University of Central Florida revealed that 31 percent of the girls surveyed almost always worry about being fat, while 18 percent sometimes worry about being fat. What we know about body image and young girls is that when young girls have poor body image and worry about their weight, they are much more likely to suffer from an eating disorder. The researchers in this study believe that TV is one of the strongest influences on a young girl's body image, as the media portrays a standard of beauty which often breeds conformity to this standard. I also think that another very strong influence is a girl's mother. If a young girl sees her mother obsessing over food, her weight or exercise, she will certainly pick up on this and will likely follow suit. Or, if a mother has poor body image, a daughter might adopt some of the same ways of viewing her own body. This is not to say that when a girl develops an eating disorder or has poor body image that her mother is to blame; however, it is important to recognize the impact that your own body image can have on your daughter's. Children are smart- never underestimate the power of modeling healthy choices and healthy self-esteem!

So what to do??? Here are a few ideas: Discuss perceptions of beauty- what is realistic and healthy, and what is not. Initiate discussions about the way that the media alters images via photoshop and other methods while you are watching TV or viewing other media together. Affirm qualities and skills that you see in your daughter/friend/sister, rather than focusing on appearance. A great resource that I have mentioned before is Dove's Campaign for Real Beauty. Follow this link to read more about what Dove is doing to help build self-esteem and positive body image in young girls. To view their website and to access tools and online workshops, follow this link.

Turkey Day Anxiety: Part 2

Thanksgiving is tomorrow- and it seems like most people are either running around, making last minute preparations to host family and friends, or making sure that all the essential ingredients are present in their kitchens for cooking, or are packing/en route to be with family and friends. As I mentioned in my previous post (scroll down, or click here to read it), this time of the year is often accompanied by a significant amount of stress. Whether the holidays are stressful due to family tension, financial strain, or other difficult circumstances, one thing is certain- Thanksgiving has become a food holiday, meaning that food has become the main event.

What do we know about stress and eating? Well, for some people, stress during the holidays can lead to emotional eating, overeating, and/or binge eating, while for others who have struggled with restrictive eating, this tension may manifest in restrictive behavior with regards to the amount of food eaten or a preoccupation with what is being consumed. In addition, the heightened awareness that the media and our culture have placed upon food, weight, and our bodies has strongly impacted our beliefs about food. Therefore, a holiday that is centered around food can be triggering for anyone, but especially for those who are currently struggling with an eating disorder or eating issue, as it is not uncommon (unfortunately) for people to observe and make comments about who is eating how much, and how much weight so-and-so gained/lost since last year. If you are reading this, I would challenge you try to make it through this Thanksgiving without making any comments about what other people are eating, or how much they are eating, or any other comments along these lines. While this may seem like a minor adjustment to make, it would probably surprise you to find what an impact such a small change can make on others around you. If you are someone who struggles with an eating disorder, have struggled with one in the past, or struggle with body image issues, OR you will be spending this Thanksgiving with someone you love who you know or suspect struggles in any way with food, here are a few helpful tips, courtesy of NEDA, that may serve to alleviate the stress of such a time.

1. Worry more about the size of your heart than the size of your (fill-in-the-blank-body part). Think about how you can serve someone or do something nice for someone else- and do it. It helps to focus on others, and it helps to consider what you are thankful for.

2. Have conversations with your loved ones about things that matter to you all--dreams, goals, faith, relationships, concerns, fears, challenges, etc-- rather than focusing your energy and thoughts on food or body concerns.

3. Designate someone to be your 'support' person who you can call if you are struggling, or who you can talk with to encourage you to get through the tough moments.

4. Make goals for the day, and try to follow through with them. If you make goals with food, make sure you also make other non-food goals as well.

For more tips, follow this link for NEDA's complete list.

Here are some suggestions for families from Marcia Herrin and Nancy Matsumoto, authors of The Parent's Guide to Eating Disorders:

Try making your family’s holiday traditions more about relationships and activities than about food.

· Don’t skip meals or plan to undereat or diet the day following a family holiday.

· Talk to other family members in advance about not pushing food or commenting on diets, calories, or weight loss. Even too much emphasis on trying to make healthy choices at holiday meals can add to the stress.

· It is particularly important if your child is recovering from a serious eating disorder to have pre-warned family members about the kind of talk and attention that is appropriate. I suggest that parents develop a kind of code or signal that tells family members or other guests, “change the subject, and fast!”

· Because meal schedules may be altered and more snack foods and desserts are served during the holidays, it’s important that parents of an eating-disordered child be extra-solicitous and vigilant. If circumstances conspire to create a level of stress that interferes with your child’s recovery, you and your child should sit down and prioritize the extras in your lives. Remember that the first item on your list of important things to accomplish – even during the holidays -- should be your child’s recovery.

I think the most important thing to remember in all of this is the real meaning of Thanksgiving! No matter what we are going through, we always have things we can be thankful for. This doesn't minimize the tough things that some of us are going through or dealing with, but practicing gratitude does wonders for your outlook. Maybe you can make a list of all the things you are thankful for, or maybe you can make a point to discuss with your friends and family what you have been thankful for as you reflect on the past year. I hope everyone has a wonderful Thanksgiving!! I am so thankful for those of you who have been reading my blog, and for those of you who have encouraged and inspired me.