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“GLAMOUR QUEENS IN SIZE 2 JEANS” Steven G. Liga, MSW, LSW, LCADC, CPS CEO/Executive Director Course Outline Introduction What do you think of when I say “Eating Disorder?” Definitions What are we talking about? Consequences What’s the big deal? Causes How does this happen to someone?

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glamour queens in size 2 jeans

“GLAMOUR QUEENS IN SIZE 2 JEANS”

Steven G. Liga, MSW, LSW, LCADC, CPS

CEO/Executive Director

course outline
Course Outline
  • Introduction
    • What do you think of when I say “Eating Disorder?”
  • Definitions
    • What are we talking about?
  • Consequences
    • What’s the big deal?
  • Causes
    • How does this happen to someone?
  • Prevention and Treatment
    • What can be done, and where do we turn?
  • Conclusion
    • What does this have to do with NCADD?
eating disorders
Eating Disorders
  • Let’s Brainstorm!
  • What do you think of when I say “Eating Disorder?”
facts and figures
Facts and Figures
  • The average American woman is five feet, four inches and weighs 140 pounds.
  • The average American woman wears a size 14 dress.
  • One-third of all American women wear a size 16 or larger.
  • The diet industry (diet foods, programs, drugs, etc.) takes in over $40 billion each year and it is still growing.
facts and figures cont
Facts and Figures (cont.)
  • 50% of American women are on a diet at any one time.
  • 75% of American Women do not like or are dissatisfied with their appearance.
  • 90% of high school junior and senior women diet regularly, although only 10-15% are over the weight recommended by doctors.
  • 50% of nine year olds and 80% of 10 year olds have dieted.
facts and figures cont7
Facts and Figures (cont.)
  • 1% of teenaged girls and 5% of college aged women become anorexic or bulimic.
  • Anorexia has the highest mortality rate of any psychiatric diagnosis
    • 20%!
    • Suicide as a result of depression is only 15%
glamour queens in size 2 jeans8
Glamour Queens in Size 2 Jeans

Original poem by Nathalie Gottlieb

www.feminist.com/resources/artspeech/body/voices.htm

which of these people has an eating disorder
Which of these people has an eating disorder?
  • Shelia eats so many French fries that she wants to throw up. And she actually does.
  • Marsha skips breakfast and lunch and eats just a small salad with vinegar dressing for dinner.
  • Susan indulges in a hot fudge sundae (four scoops of ice cream, fudge, whipped cream, and cherry) every night for a week.
profile of an anorexic
Profile of an Anorexic
  • Female (90%)
  • Perfectionist
  • Feels fat even though underweight
  • Denies appetite (won’t eat even when hungry)
  • Preoccupied with food and weight
  • Sleep disturbances
profile of an anorexic cont
Profile of an Anorexic (cont.)
  • Inability to concentrate
  • Mood swings (irritable and depressed)
  • Ritualistic food practices
  • Strict food rules
  • Excessive and rigid exercise routines
  • Shops and cooks for others while not eating themselves
myths
Myths
  • Bulimics and Anorexics are underweight and compulsive overeaters are overweight.
  • People who have eating disorders are weak-willed.
  • Eating disorders are a vain, attention-getting disease.
  • People with eating disorders don’t want anything to do with food.
eating vs eating disorders
Eating vs. Eating Disorders
  • Eating
    • Appetite
    • Food availability
    • Family & cultural practices
    • Voluntary control
eating vs eating disorders cont
Eating vs. Eating Disorders (cont.)
  • Eating Disorders
    • Obsession with:
      • Food
      • Weight
      • Appearance
    • So much that health, relationships, and activities are affected.
behaviors
Behaviors
  • Restrict food intake
  • Binge eating
  • Binge and purge
  • Abuse laxatives
  • Compulsively overeat
  • Exercise excessively
coping mechanisms
Coping Mechanisms
  • Pain
  • Separation
  • Low self-esteem
  • Depression
  • Stress
  • Trauma
dsm 307 1 anorexia nervosa
DSM 307.1 Anorexia Nervosa
  • Refusal to maintain body weight at or above a minimally normal weight for age and height.
  • Intense fear of gaining weight or becoming fat, even though underweight.
  • Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
  • In postmenarchal females, amenorrhea, i.e., the absence of at least three consecutive menstrual cycles.
dsm 307 1 anorexia nervosa cont
DSM 307.1 Anorexia Nervosa (cont.)

Specify type:

  • Restricting Type: during the current episode of Anorexia Nervosa, the person has not regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
  • Binge-Eating/Purging Type: during the current episode of Anorexia Nervosa, the person has regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
dsm 307 51 bulimia nervosa
DSM 307.51 Bulimia Nervosa
  • Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
    • eating, in a discrete period of time, an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances
    • a sense of lack of control over eating during the episode
  • Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise.
dsm 307 51 bulimia nervosa cont
DSM 307.51 Bulimia Nervosa (cont.)
  • The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months.
  • Self-evaluation is unduly influenced by body shape and weight.
  • The disturbance does not occur exclusively during episodes of Anorexia Nervosa.
dsm 307 51 bulimia nervosa cont23
DSM 307.51 Bulimia Nervosa (cont.)

Specify type:

  • Purging Type: during the current episode of Bulimia Nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
  • Nonpurging Type: during the current episode of Bulimia Nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
dsm 307 50 eating disorder nos
DSM 307.50 Eating Disorder NOS
  • For females, all of the criteria for Anorexia Nervosa are met except that the individual has regular menses.
  • All of the criteria for Anorexia Nervosa are met except that, despite significant weight loss, the individual’s current weight is in the normal range.
  • All of the criteria for Bulimia Nervosa are met except that the binge eating and inappropriate compensatory mechanisms occur at a frequency of less than twice a week or for a duration of less than 3 months.
dsm 307 50 eating disorder nos cont
DSM 307.50 Eating Disorder NOS (cont.)
  • The regular use of inappropriate compensatory behavior by an individual of normal body weight after eating small amounts of food (e.g., self-induced vomiting after the consumption of two cookies).
  • Repeatedly chewing and spitting out, but not swallowing, large amounts of food.
  • Binge-eating disorder (BED): recurrent episodes of binge eating in the absence of the regular use of inappropriate compensatory behaviors characteristic of Bulimia Nervosa.
what s the big deal
What’s the Big Deal?
  • Pick a letter
    • Except F, J, N, Q, R, U, V, X, Y, Z
    • www.edreferral.com/consequences_of_ed.htm
bio psycho social model
Bio-psycho-social Model
  • Bio = heredity
  • Psycho = pain, separation, low self-esteem, depression, stress, trauma
  • Social = media & culture (web sites)
prevention
Prevention
  • Do not promote the belief that thinness/weight loss is great and being large/weight gain is horrible.
  • Avoid categorizing food as “good” and “bad”.
  • Learn and discuss the genetic basis of different body types.
prevention cont
Prevention (cont.)
  • Link respect for diversity in weight and shape with diversity in race, gender, ethnicity, and intelligence.
  • Help children understand the ways that the media distorts the true diversity of human body types and implies that a slender body means beauty, power, excitement, and sexuality.
  • Learn and discuss the dangers of trying to alter your body shape through dieting.
  • Take women seriously for what they say, feel, and do not in regard to their shape or looks.
basic principles
Basic Principles
  • Eating disorders are serious and complex problems
  • Warnings are not enough. We must address:
    • Our cultural obsession with slenderness
    • Roles of men and women in society
    • Development of self-esteem that transcends appearance
  • Programs must include opportunities for participants to speak with trained professionals
warning signs
Warning Signs
  • Weighing self 2-3 times per day
  • Choosing exercise over friends and family
  • Exercising after meals to burn calories
  • Exercising even when injured
  • Weakness/dizziness
  • Mood swings
  • Peculiar eating rituals
  • Difficulty eating in public
  • Preoccupied with desire to be thin
  • Obsessed with fat grams and calories
  • Fear of gaining weight
warning signs cont
Warning Signs (cont.)
  • Running water for a long time while in the bathroom
  • Eating when lonely, stressed, tense
  • Eating a lot without gaining weight
  • Wearing clothes to hide thinness
  • Hair loss, brittle nails, lanugo
  • Gray teeth from erosion of enamel
  • Hand sores, calluses
  • Irregular or non-existent periods
  • Irregular body temperature
high risk sports
High Risk Sports
  • Gymnastics
  • Swimming
  • Ballet
  • Wrestling
  • Body building
  • Jockeying
  • Rowing
  • Diving
  • Figure skating
  • Long distance running
treatment resources
Treatment Resources
  • Eating disorders ALWAYS require professional help!
    • The Renfrew Center of Northern New Jersey174 Union StreetRidgewood, NJ 07450Tel: 1-800-RENFREW Website: http://www.renfrewcenter.com
    • University Medical Center at Princeton

Eating Disorders Program

253 Witherspoon Street

Princeton, NJ 08540

Tel: (609) 497-4490

Toll-Free: (877) 932-8935

Website: www.princetonhcs.org

treatment resources cont
Treatment Resources (cont.)
  • Somerset Medical CenterEating Disorders Program

110 Rehill AvenueSomerville, NJ 08876Tel: (800) 914-9444Website: www.somersetmedicalcenter.com

  • Overlook Hospital

Eating Disorders Program at Atlantic Health

99 Beauvoir Avenue, Box 243

Summit, NJ 07901

908-522-5757

Website: www.goryebchildrenshospital.org

eating disorders addiction
Eating Disorders & Addiction
  • Feelings of guilt and distress
  • Phases/Stages
  • Bio-psycho-social causes
  • 12 steps
  • Myths about weakness
  • Important to recognize as a disease
  • CAN Recover
  • Can be deadly if not treated
  • Medical and social complications
eating disorders addiction cont
Eating Disorders & Addiction (cont.)
  • Media plays a HUGE role
  • PREVENTION WORKS!
  • DSM-IV
  • Effects all cultures, genders, socioeconomic classes
  • Co-dependence
  • Secret
  • Relapse is common
  • Lying
  • Excuses
what to learn more
What To Learn More?
  • National Eating Disorders Association

http://www.nationaleatingdisorders.org

  • Eating Disorder Association of New Jersey

http://www.edanj.org

  • Something Fishy Website on Eating Disorders

http://www.something-fishy.org

what to learn more cont
What To Learn More? (cont.)
  • Academy for Eating Disorders

www.aedweb.org

  • National Association of Anorexia Nervosa & Associated Disorders

www.anad.org

  • United States National Library of Medicine

www.nlm.nih.gov/medlineplus/eatingdisorders.html

what to learn more cont45
What To Learn More? (cont.)
  • Eating Disorder Referral and Information Center

www.edreferral.com

  • National Institute of Mental Health

www.nimh.nih.gov

  • Anorexia Nervosa and Related Eating Disorders, Inc.

www.anred.com

slide46

Contact

Information

152 Tices Lane

East Brunswick, NJ 08816

732-254-3344 ext. 11

steve@ncadd-middlesex.com

slide47

For more information or additional resources, call NJPN at

(732)367-0611

or visit www.njpn.org

for the contact information of your local affiliate.