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Emily Gaber MS, LPC-IT, NCC
• Anorexia Nervosa – symptoms and warning signs
• Inadequate food intake
• Weight loss leading to dangerously low weights
• Intense fear of weight gain, obsession with weight, calories, dieting
• Refuses to eat certain foods – even denies hunger, may have food rituals
or very rigid behaviors
• Socially withdrawn
• Restrictive type or binge/purge type
Why you should seek help:
Anorexia is deadly. It attacks on both
a physical and mental level, putting your heart
and bone health at risk. Its progression can be
rapid, and early intervention is key to recovery.
• Bulimia Nervosa – symptoms and warning signs
• Frequent episodes of consuming very large amounts of food followed by behaviors to “purge” such as self induced vomiting and/or exercise
• One feels out of control during the binge-eating episode and it is followed by intense guilt and shame.
• One might have unusual or frequent trips to the bathroom after meals –and have unusual swelling or cheeks or jaw area. Stains on teeth. Calluses on back of hand or knuckles (Russell’s sign).
Perhaps a rigid exercise regime.
Why you should seek help:
Bulimia is also deadly – entire GI system is at risk,
electrolyte and chemical imbalances can affect vital
organs. This disease simulates a drug addiction in its
effects on the brain.
• Binge Eating Disorder
• Frequent episodes of consuming very large amounts of food
without behaviors to “get rid” of the food.
• One feels out of control during the binge eating episode with
strong feelings of guilt and shame
• Often accompanied by yo-yo dieting
Why you should seek help:
Medical concerns such as high blood pressure,
obesity, heart disease, diabetes, gallbladder
disease, and more!
• Feeding or Eating Disorders
• Avoidant/Restrictive Food Intake Disorder
• PICA
• Rumination Disorder
• Orthorexia
• Other Unspecified Feeding or Eating Disorder
• Body Dysmorphia
• Disordered Eating
• ED’s are highly emotional illnesses
• No two eating disorders are the same
• Comorbidities
• Depression, anxiety, trauma, self-harm, substance abuse, etc.
• Weight assumptions
• Reality of denial
• Addiction model
• A review of nearly 50 years of research confirms that AN has
the highest mortality rate of any psychiatric disorder. (Arcelus,
Mitchell, Wales, & Nielsen, 2011)
• Outpatient counseling and nutrition counseling:
• 1-2x per week
• Intensive Outpatient Counseling (IOP)
• 3 days per week 3 hours per day
• Partial Hospitalization (PHP)
• 5 days per week 6-8 hrs per day
• Residential
• Typical stay is 15-90 days
• Inpatient
• Stay until medically stable – typically <2 weeks
• Family History
• Alcoholism in first-degree relatives
• Visual Sports
• Personality Traits
• Parental eating behavior and weight
• Physical, mental, or sexual abuse
• Trauma
• Low self-esteem
• Body-image dissatisfaction
• History of excessive dieting, frequently skipped meals, or compulsive exercise
• Why or how do you “get” an eating disorder?
• Just like any other illness - multifactorial
• Genetic component – the seed
• ESRRA and HDAC4
• Environment – the soil
• Media, diet industry
• Trigger – the storms
Proper and early treatment have the best outcomes – Seed will always be
there, environment can change some, and you will be well equipped to
weather the many storms life will inevitably bring.
Personalized, compassionate, team approach to recovery.
Power of Photoshop
https://www.youtube
.com/watch?v=17j5
QzF3kqE
• Eating less makes you weigh less
• Set point theory
• 95-96% diet failure rate
• Diet Industry makes $59 billion per year
• Foods are good or bad
• Overweight = unhealthy
• Problem with BMI
• Food Rules
• Do you ever feel irrationally scared that you will become fat?
• Do you have trouble keeping your food down?
• Are you highly critical of your own and/or others’ bodies?
• How much of your day do you spending thinking about food, body weight, shape, or size?
• Is the way you are eating or behaving around foods affecting your work, school, social life, family?
• Do you ever feel guilt or shame after you eat?
• Do you eat differently alone than when you are around others?
• Do you have any signs that you are not eating enough?
• Weight loss, hair loss, menstrual disturbance, headaches, low energy, difficulty sleeping, feel cold, faint, dizzy, chest pain, shortness of breath
• Evolve – The Center for Healing Eating Disorders
• Provides 1:1 session with both therapist and dietitian
• Provides Meal Support
• Group Support
• Body Image Support
In the state of Wisconsin you can go to Rogers Memorial Hospital or Aurora
Psychiatric Hospital, REDI Clinic. Bordering states have The Emily Program
(Twin Cities, MN). The Center for Discovery (Chicago, IL).
You should check with your insurance company if you don’t know where to
start.
• Be a model of healthy self-esteem and body image. Recognize
that others pay attention and learn from the way you talk about
yourself and your body.
• Choose to talk about yourself with respect and appreciation.
• Choose to value yourself based on your goals, accomplishments, talents,
and character.
• Refrain from letting the way you feel about your body weight and shape
determine the course of your day.
• Embrace the natural diversity of human bodies and celebrate your body’s
unique shape and size.
• Continue to educate yourself
• A certain body, weight, shape, or size will never = happy
• Different people have different definitions of health
• QUESTION THE SOURCE
• Reach out for help
• Try compassion in place of criticism
• Stop looking outward and start looking inward
• Garner DM and Garfinkel PE (Eds) Handbook of Treatment for Eating Disorders New York: Guilford (1997)
• Zerbe KJ The Body Betrayed: A Deeper Understanding of Women, Eating Disorders, and treatment Carlsbad, CA: Gurze (1993)
• NEDA – nationaleatingdisorders.org
• The Eating Disorders Clinical Pocket Guide by Jessica Setnick
• Evolvehealing.org
• AED – Academy for Eating Disorders
• BEDA – Binge Eating Disorder Association
• F.E.A.S.T. – Families Empowered and Supporting Treatment of Eating Disorders
• Maudsley Parents
• Gurze Books
• IAEDP – International Association of Eating Disorder Professionals
• www.mentorconnect-ed.org
Anorexia Nervosa and Associated Disorders. (n.d.). Retrieved February 28, 2016 from http://www.anad.org
Bacon, L. (2010). Health at every size: The surprising truth about your weight. BenBella Books.
Bulik, C. M., Kleiman, S. C., & Yilmaz, Z. (2016). Genetic epidemiology of eating disorders. Current opinion in
psychiatry, 29(6), 383.
Calle, E. E., Thun, M. J., Petrelli, J. M., Rodriguez, C., & Heath Jr, C. W. (1999). Body-mass index and mortality in a
prospective cohort of US adults. New England Journal of Medicine, 341(15), 1097-1105.
Cui, H., Moore, J., Ashimi, S. S., Mason, B. L., Drawbridge, J. N., Han, S., ... & Pieper, A. A. (2013). Eating disorder
predisposition is associated with ESRRA and HDAC4 mutations. The Journal of clinical investigation, 123(11).
Deans, E., M.D. (2011). A History of Eating Disorders. Retrieved February 28, 2016 from
https://www.psychologytoday.com/blog/evolutionary-psychiatry/201112/history-eating-disorders
Gibbs, W. W. (2005). Obesity: an overblown epidemic?. Scientific American, 292(6), 70-77.
Maine, M., McGilley, B. H., & Bunnell, D. W. (2010). Treatment of eating disorders: Bridging the research-practice gap.
London, UK: Academic Press of Elsevier
National Eating Disorders Association. (n.d.). Retrieved February 28, 2016, from http://nationaleatingdisorders.org/
Shih, P. A. B., & Woodside, D. B. (2016). Contemporary views on the genetics of anorexia nervosa. European
Neuropsychopharmacology, 26(4), 663-673.
Tagay, S. Schlottbohm, E., Reyes-Rodriguez, M.L., Repic, N., & Senf, W. (2013). Eating disorders, trauma, PTSD, and
psychological resources. Eating Disorders, 22(1), 33-49.
Wilson, G. T. (2010). Eating disorders, obesity and addiction. European Eating Disorders Review, 18(5), 341-351.
