How To Safely Treat An Eating Disorder by Lizzie Weakley.

(image: Annie Spratt: Unsplash)

Eating disorders are complex mental health conditions that require a multi-dimensional approach to treatment. They can affect people of all ages, genders, races, and backgrounds, causing severe emotional and physical distress if left untreated. The good news is that there are many safe and effective treatment options available to those struggling with eating disorders. This article will explore some of the most effective ways to safely treat an eating disorder, including therapy, medication, nutrition counselling, and support groups.

Eating Disorder Treatment Therapy

One of the most important aspects of care is eating disorder treatment therapy. There are different types of therapy available to those struggling with an eating disorder, such as cognitive-behavioural therapy (CBT), dialectical behaviour therapy (DBT), and family-based therapy (FBT). These therapies can help individuals identify and change distorted thoughts and behaviours around food, body image, and weight. CBT is particularly effective in treating individuals with anorexia nervosa and bulimia nervosa, while DBT can help those struggling with binge eating disorder and emotional dysregulation. FBT is a family-based approach to treating eating disorders in adolescents and children, which focuses on empowering the family to help the individual recover.

Medication

Medication may also be prescribed to individuals with eating disorders, particularly those with comorbid conditions such as anxiety or depression that are affecting their recovery. Antidepressants can help reduce symptoms of depression or anxiety, while antipsychotics may be prescribed for those with severe symptoms of body dysmorphia, or the distorted belief that their body is flawed. However, medication should be used alongside therapy and other forms of treatment, and under the close supervision of a medical professional.

Nutrition Counselling

Nutrition counseling can be an important part of eating disorder treatment, particularly for those with severe malnutrition or gastrointestinal problems. A registered dietitian can help individuals create a balanced and customized meal plan, learn about appropriate portions, and manage food fears and weight concerns. Nutrition counseling may also include education around mindful eating, intuitive eating, and healthy coping mechanisms. However, it is important to note that nutrition counseling alone is not sufficient for treating eating disorders.

Support Groups

Support groups can be a valuable resource for individuals struggling with eating disorders, as they provide a safe and non-judgmental environment for sharing experiences and gaining support. They can be particularly beneficial for those who cannot afford or access individual therapy, or who prefer a group format. Local and online support groups are available, and many are free or low-cost. Support groups can also provide a sense of community and belonging, which can be helpful in reducing feelings of isolation and loneliness.

Eating disorders can be devastating, but there is hope for recovery. Treatment may involve a combination of therapy, medication, nutrition counselling, and support groups, depending on the individual’s unique needs and circumstances. Recovery is a journey, and it may take time and patience, but with the right support and resources, it is possible. If you or someone you know is struggling with an eating disorder, reach out to a healthcare professional for help. Remember, you are not alone.

Lizzie Weakley is a freelance writer from the USA.

New #ChangetheStory Campaign by Hope Virgo and The Hearts Minds and Genes Coalition shows rise in Eating Disorder Stereotypes.

(image: Change the Story Campaign)

#ChangeTheStory and Anybody and Everybody is a new campaign launched this month by The Hearts Minds and Genes Coalition which is chaired by Multi-Award winning campaigner and Author, Hope Virgo. Hope is a friend of mine who has campaigned for years for help for those with eating disorders and she is a force to be reckoned with and an amazing woman!

Eating disorders are serious, biologically based mental illnesses deserving of equal clinical and research funding to that given to other complex diseases. They want to ensure that no-one with an eating disorder need experience shame or guilt, and everybody should have timely access to specialist services.

Author and Multi-Award winning campaigner, Hope Virgo who chairs the coalition says;“When we think of eating disorders we often immediately think of a white teenage, emaciated girl and fail to realise that eating disorders are so often hidden in plain sight amongst all ages, genders races, ethnicities, body shapes and weights, sexual orientations and socio-economic statuses. The campaign is working to remove the stigma and misunderstanding that surrounds these illnesses, ensuring that nobody should experience shame or guilt for suffering from an eating disorder and to make sure that everybody has prompt access to specialist services.”

(image on Twitter: Change the Story campaign, Hope Virgo and FEAST outside the Houses of Parliament)

Eating disorders are not new illnesses, but there has been a massive rise in cases during the pandemic. Unacceptable delays before treatment means we are also seeing a rise in avoidable chronic long-term illness and loss of life. We need to ensure that we are no longer hiding behind the global pandemic but ensuring that the right support is in place for everyone because no one should be dying of an eating disorder in 2022. They are working to remove the stigma and misunderstanding that surrounds these illnesses, ensuring that nobody should experience shame or guilt for suffering from a biologically based illness and everybody should have timely access to specialist services.

To raise awareness of the campaign they have created a video supported by Instagram. For a long time, people have used Instagram to challenge stereotypes about body size, share their journeys with overcoming body image issues, and celebrate different body types. 

 Renee McGregor, leading Sports and Eating disorder specialist dietitian said;“We need to change the images, narrative and practices presently associated with eating disorders in order to ensure that no further lives are lost to this illness in 2022 or beyond.” 

Suzanne Baker, CarerRepresentative for F.E.A.S.T. (www.feast-ed.org)in the UK, said;“timely access to sustained, specialist treatment is key to recovery from an eating disorder at any age or stage. Currently too many people are not able to access this treatment often due to misconceptions about what an eating disorder ‘looks’ like. There is no one look – eating disorders are serious biologically influenced illnesses and are often hidden in plain sight.

Dr Agnes Ayton, chair of the Eating Disorders Faculty at the Royal College of Psychiatrists, said: “No one chooses to have an eating disorder. An eating disorder can affect anyone at any age and can be caused by a range of factors including genes, mental or physical health conditions and social pressure. The stigma around having an eating disorder prevents many people from asking for help when they need it. No one should feel embarrassed to ask for help. An eating disorder can have very serious long-term effects on the body, but with treatment, people can fully recover. Raising awareness of this issue is an important first step in helping people to get the help they need. If you think you may have an eating disorder, speak to your GP who can refer you to a specialist counsellor, psychiatrist or psychologist. You can also visit the NHS Choices website to find out what additional support is available, including confidential helplines.”

Gerome Breen, Professor of Psychiatric Genetics at King’s College London says: “Research and its dissemination are essential to dispelling the unhelpful myths and stigma that surround eating disorders and compound their long-lasting and devastating impacts. By understanding more about why and how eating disorders develop we can improve society’s conceptualisation of these conditions and hopefully enable more people to seek and receive the support they need.”

(image on Twitter: Jeremy Hunt MP with Hope Virgo)

You can help by posting a selfie to support this campaign with the hashtag #changethestory.

Watch the video here to discover more about the campaign:

From Denial, To Acceptance and Recovery: My Mental Health and Eating Disorder Journey by Emily J. Johnson

(image: Jasmin Chew at Pexels)

Trigger warning: discusses eating disorders and OCD

It has taken me almost thirty-five years to acknowledge that I have struggled with mental illness myself. I’ve spent a lifetime in denial. It wasn’t until writing my memoir Pushing Through The Cracks in 2021 that I observed my life objectively. I witnessed the experiences I’d gathered since childhood and how they had shaped me into the woman I am today.   A woman of strength, but also one diagnosed with a mental health disorder – Binge eating disorder. A label I neither wanted nor could accept. Not until now.

This isn’t my first experience with mental illness. In my teens, my life was in turmoil. After my parents’ unexpected divorce, my mother remarried a gambler with a volatile temper within two years. My father moved to Australia, and with the upheaval of my home life and the onslaught of puberty, I felt lost. My body was changing, and I’d become uncomfortable with my new shape. What began as a diet to slim my blossoming body developed into anorexia. In the 1980s, treatment was non-existent, at least for me. Instead, my GP gave me a telling-off and threatened to put me in a hospital and force-feed me via a drip. His threats petrified me, and I gradually increased my food intake again. It took me two years to recover. Ultimately, my anorexia was untreated, so it left me with a legacy of disordered thoughts about my body and food throughout my adult life.

A few years after my father’s death in my mid-thirties, I became fixated on turning electrical items off – the cooker, iron, hair straighteners, television – anything that was plugged in. I would touch the switches whilst talking out loud to myself, repeatedly, trying to confirm they were in the ‘off’ position. I knew they were off, but somehow, I couldn’t accept that they were off. Additional obsessions snuck in gradually. I began checking the fridge door was closed, then every door and window in my home. What started as checking became an arduous set routine every night to ensure the doors and windows were locked multiple times. I was terrified someone was going to break in. Checking the doors eased that terror, temporarily.

It continued for several months, and I couldn’t stop the thoughts no matter how hard I tried. I moved back to the UK in 2010 and it appeared the huge disruption to my life interrupted the intrusive thoughts and checking behaviours, and they stopped. As the mother of a child with severe Obsessive-Compulsive Disorder (OCD), I now recognise what I experienced back in my thirties may well have been OCD.

Fast forward to my late forties, a divorce behind me, and a period of depression to follow, I remarried and began a new life with a blended family. But within a couple of years, both of my sons and my new husband began struggling with their mental health. Mental illness filled our once happy home with depression, anxiety, alcoholism, OCD, and gambling, and it turned my entire world upside down whilst I tried to care for them all. I was under immense stress and turned to something to help me cope – food.

It began with me ‘rewarding’ myself with chocolate bars late at night when everyone else had settled. Over time, the ‘reward’ became a buffet of junk — mostly heavily processed carbs and sugar. All eaten quickly, in secret, and shrouded in shame. Within a few months, I was eating around 5000 calories during a night-time binge. In-between the binges were days of restricted food intake. I gained a large amount of weight, which I hated myself for. The self-loathing was overwhelming.

I realised I had a problem in late 2019 and went to my GP, who referred me to an eating disorder clinic. They diagnosed me with Binge eating disorder (BED), and I began a recovery programme, which I stuck to until the Covid pandemic interrupted my sessions, and I threw in the towel. As a result, I slipped back into bingeing again when life overwhelmed me.

In 2021, I self-referred myself back to the ED clinic. I’m still on a waiting list, however, I’ve taken steps to get support and am in recovery now. I am 24 days binge-free at the time of writing this, which feels like such a huge personal triumph after a long period of relapse.

I think the toughest part for me has been accepting that I had a mental health disorder. I also felt overwhelming guilt that I had perhaps somehow genetically gifted my son’s mental illness to each of them. It’s taken me a long time to accept my diagnosis and our family’s situation. But from that place of acceptance, I have finally found peace….and recovery.



Emily J. Johnson is the author of Pushing Through The Cracks, her memoir of her family’s struggles with mental health. She lives in the UK and this is her first blog on this subject!

Experts share strategies to stop Binge Eating. Guest post by Jasmine Burns

BED

Binge eating is a very serious disorder. Someone who has binge eating disorder will most likely be of normal weight, therefore making it hard to recognize if they have it by just looking at them. Signs and symptoms that you or someone you love have this disorder can include of the following:

  • Eating a lot of food in one sitting
  • Keep eating even when you are physically full
  • Dieting often without losing weight
  • Keeping food around you at all times

Binge eating can have vastly negative effects on your health and life. The impacts are not just physical but also emotional. Binge eating generates shame, guilt, anxiety and depression. These are emotional stressors that can cause your blood sugar levels to go awry.

We have sought out the expertise of professionals who share ways you can have control over this disorder. Please read through them to learn coping mechanisms.

https://www.thediabetescouncil.com/53-experts-share-life-changing-tips-strategies-stop-binge-eating/