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Disordered Eating -
Time for a Wake-Up Call
By Abigail Natenshon
The statistics say it all.
40 - 50 percent of young
women on college campuses
today are disordered eaters.
By the time girls reach age
13, 80 percent report
dissatisfaction with their
body and their weight and
have been on diets. Today,
disordered eating is
considered to be "healthy"
eating. Worse, disordered
eating has become the norm;
high school girls report
that food restriction and
weight management has become
a constant preoccupation and
topic of discussion amongst
their peers. Otherwise
benign disordered eating
puts genetically susceptible
people at high risk for the
onset of a clinical eating
disorder, the most lethal of
all the mental health
disorders.
We all eat weirdly during
times of emotional stress.
Some of us eat more, some
less, in response to
adrenalin surges. It is hard
to avoid missing a meal now
and again, when we are on
the run or have had a large
snack too close to
dinnertime.
What distinguishes
disordered eating from
occasional quirky or
spotting eating is the
purpose and consistency
behind the behavior, and
whether or not the person
maintains a sense of free
choice with regard to eating
behaviors. When people use
food to resolve underlying
emotional issues, there is a
problem. When the decision
about what and how to eat is
based on compulsive and
inflexible emotional needs,
they have become a slave to
the food ritual. By
definition, an eating
disorder is a misuse of food
to resolve emotional
problems.
Consider this scenario. A
child runs out of the house
in the morning without
breakfast because she has
overslept and is worried
about missing the bus. That
is a normal scenario, as
seen in the child's response
once she gets to school.
Feeling hungry, she grabs a
midmorning snack and eats a
larger lunch than usual,
taking in more calories to
satisfy her appetite.
Another child who skips
breakfast before school
believes that by skipping
breakfast she is showing
restraint and demonstrating
reassuring self-discipline,
giving her a leg-up on the
day. If and when she does
eat that day, she will
probably feel fearful,
guilty and anxious about
having sabotaged her
self-control and having
given in to her “weakness.”
This youngster has a
problem.
If only people would wake up
to the fact that:
-
Dieting is the worst way to lose weight,
-
Breakfast is the most important meal of the day,
-
The best way to be thin and healthy is to eat at
least 3 meals a day
consisting of all the food
groups,
-
Fat free eating is not healthy eating
-
Any behavior that is excessive is unhealthy,
we would be a happier and
healthier world.
The good news is that
disordered eating need not
develop into a clinical
eating disorder,
particularly when there is
early recognition and
effective intervention.
Here’s an instance where an
ounce of prevention is worth
a pound of cure.
Psychotherapist Abigail H. Natenshon has specialized in the treatment of eating disorders with individuals, families, and groups for the past 31years. She is the author of When Your Child Has An Eating Disorder, A Step-by-Step Workbook For Parents And Other Caregivers, Jossey-Bass, 1999. Based on hundreds of successful outcomes, this book shepherds concerned parents step-by-step through the processes of eating disorder recognition, confronting the child, finding the most effective treatment for patient and family, and evaluating and insuring a timely recovery. A guide to eating disorder prevention, this book is useful to parents, health professionals and school personnel alike in countering the pervasive epidemic of unhealthy eating and body image concerns, and destructive media and peer influences. Her work can be reviewed further at www.empoweredparents.com, www.empoweredkidZ.com,
www.treatingeatingdisorders.com.
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