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… is Worth a Pound of Cure as Mr Franklin once wrote. And certainly, within treating EDs, the earlier the diagnosis and treatment-management begin, the better the chances for prevention and staving off serious health complications.
As many of us who have had our budding adolescents suddenly taken in by the ravages of an Eating Disorder right about the time new thresholds of independence and growth were to begin, we can attest that getting as much support, education and care immediately when noticing signs of of an ED, or any other behavior that a parent or caregiver just ‘know’ isn’t quite right is absolutely vital, and in some serious cases, can save a loved ones life.
Thankfully the American Academy of Pediatrics is taking equal measures and strongly advising recommended ED screening for pre-teen and adolescents as part of annual check-ups and for participation in athletic activities in a newly released report.
This is great news. And recollecting back to when our then 12-13yr old daughter was initially diagnosed with Anorexia Nervosa, I am continually grateful that we were able to get the initial support and assistance through our pediatrician. -Merci
Two studies that are to take a deeper look into Anorexia Nervosa: The Loughborough Eating disorders Activity theraPy (LEAP) study which looks at the role of extreme exercise in the maintenance of Anorexia Nervosa combining cognitive techniques and behavioural experiments. And the Strong Without Anorexia Nervosa (SWAN) study which aims at determining which three psychological treatments: Cognitive Behavioral Therapy (CBT), Maudsley Cognitive Motivation Therapy, and Supportive Clinical Management have the best outcome for Anorexia Nervosa.
With such a great need for continued research in the area of Eating Disorders, it’s always inspiring to see the dedication and commitment of the individuals and clinicians driving these studies- Kudos!
Grateful to be part of this year’s gathering…
____________________
‘When the sun has set, and the moon has set, and the fire has gone out, and speech has stopped, what light does a person here have?’
‘The soul, indeed, is his light,’ said he, ‘for with the soul, indeed, as the light, one sits, moves about, does one’s work, and returns.’
BRHADARANYAKA UPANISAD, IV. 3.6.
I love how the birth of International No Diet Day began “from a picnic in Mary’s living room” in the early ’90’s and fertilized it’s magnitude world-wide. Ms Evans-Young is herself a recovered anorexic and wrote the book Diet Breaking: Having it all Without Having to Diet and it couldn’t be a better time than now to let the message sink in– deep and with reflection.
Largesse gives the background on the term: size esteem which was initially coined by Richard Stimson, husband to a contributing director/writer at the site, Karen Stimson who explains it perfectly:
– Feeling acceptance of, respect for, and pride in one’s body, whatever its size or shape –
But I like this analogy even more highlighted by Cheri Erdman EdD who wrote the book Live Large! and thought about it as a simple yet poignant equation: Size Acceptance + Self Esteem = SIZE ESTEEM
Either way you think about it, the insanity of dieting, wanting to force our bodies to be a size/shape it was not genetically determined to be– and thankfully so for the beautiful variety of shapes, sizes, colors, we all add to the collage of life, is quite dubious.
It’s even further magnified when you or a loved one suffer from an eating disorder and are trying to regain your health and follow through with recovery and maintaining wellness in a seemingly endless fat-phobic, diet-crazed, fashion-consumed environment. Our daughter at times can take on this incessant self-doubt and accusational inquiries about why she has to eat what she has to when others, her classmates, etc. eat less than she does and are constantly discussing “fat” laden topics— it’s enough to make anyone go a little bonkers. Advertisers, marketing, the health ins field, even health care (hey, let’s face it– those mega-million dollar hospitals that now look more like shopping malls want to treat the ill business) and the all time winner: the diet industry.
Stuffed and Starved is a title from researcher Raj Patel more about food prices, the global-glut, etc. but I had to think about this a little bit more this morning how it really ties into so many other layers of Life– and will be worth dissecting and playing off the similar as well as dissimilar dualities we can only pretend don’t exist, or just think is someone else’s “problem” to fix, get over, medicate– like the cliched remark I’ve heard countless times since our daughter was diagnosed with anorexia- “why doesn’t she just eat?!”, then the instant turn against parents when our children don’t eat = it’s your fault, you did something “wrong”, etc.
Yes, INDD is a day we find relative and meaningful in our family. And with the weather reaching low 70’s, sun shining– I think a picnic is just what we’ll do to celebrate this day!
-shanti
Facing the bluntness of reality is the highest form of
sanity and enlightened vision… Devotion proceeds
through various stages of unmasking until we reach
the point of seeing the world directly and simply
without imposing our fabrications… There may
be a sense of being lost or exposed, a sense of vulnerability.
That is simply a sign that ego is losing its grip
on its territory; it is not a threat.
-Chogyam Trungpa Rinpoche
“It’s about opening up the doors and ending the shadow of discrimination against the mentally ill.”
-Patrick Kennedy
Today’s news is quite uplifting. And the 268-148 vote does speak to the dire need to continue towards enacting mental-health parity and mandating health insurance coverage equal to that of physical illness for mental health and addiction. I think Paul Wellstone would be encouraged to see some progress being made after nearly a decade of back and forth bi-partisan bickering and huge corporate influence , (and currently, to no one’s surprise, big-ph-arm Eli Lilly is really throwing a tantrum!), to strangle this vital legislation.
And there are plenty of critics who are rallying this victory as “mental-health insanity” and clearly looking only at their own financial dunk, but it’s truly time to stop stigmatizing those with mental illness who clearly need the same standard of quality care and treatment that any sane society would not withhold or financially ruin one with personally while working towards full health, healing and recovery.
I, unfortunately live in a state that does not currently have mental-health parity- yet. But I was impressed to read an in depth study done last spring by the La Follette School of Public Affairs in our state, that despite not having all the conclusive data to make absolute recommendations regarding mental-health parity, has incredibly convincing and thought-provoking details putting to bunk some of the primary reasoning against implementing mental-health parity that I would encourage anyone interested in advocating for mental health disparity to read. These studies really can be applied and adapted for further critique and implemented across all states, so that we will eventually see more than thirteen states that have adopted mental-health parity law.
-shanti
I find Eating By The Light Of The Moon to be a fitting thought for the day…
Your body is precious.
It is your vehicle for awakening,
treat it with care.
-BUDDHA
After nearly 40days without sharing a family meal together- we had found ourselves deleriously joyful and thankful to be able to spend time together, eat, (even snack!) and reconnect in the comfort of our own home.
Our daughter has really come a long way since last year, and she is making strides everyday towards dismantling her illness with targeted awareness, challenging her “comfort/safety” zone, setting small daily goals for herself; and becoming more herself vs the anorexia holding her mind and body prisoner.
We ate minus “deposits”, as she used to call the cut up pieces of food she would attempt to leave behind at meals- there was no stalling, balking, or baiting to allow an inch of AN entry at this meal- it was absolutely wonderfully normal, and my husband and I savoured every moment of this lunch.
Everyday is another day to be thankful, to be encouraged, and definitely optimistic- gracious thanks to those who have been and continue to be comforting and reassuring sources of friendship, support and strength (and listening to my seemingly endless venting!)
-Shanti
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