Transcript this presentation - Empowered Eating

Eating Disorder Support
for Your Students
Types of Eating Disorders
● Anorexia Nervosa: intense fear of gaining
weight; may purge or restrict to keep weight
off
● Bulimia Nervosa: eating a large amount of
food in a short period of time followed by
self-destructive ways to get rid of the food
(over-exercising, purging, laxative abuse)
Types of Eating Disorders (cont)
● Binge Eating Disorder: “out of control” eating
until uncomfortably full- no attempt to get rid of
the food; Triggered by emotions, trauma,
stress. Feels extreme shame/guilt after a
binge
● Orthorexia: only allowing oneself to eat what
they consider “healthy” avoiding all processed
foods, sugar, animal product, fat, etc
Important Facts about ED
● Serious, life threatening physical and
physiological complications
● Can affect both men and women; athletes
are high risk population
● Weight is not the only marker of ED
Signs and Symptoms
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Marked weight loss, gain, fluctuations
Cold intolerance
Weakness/Fatigue and Trouble Focusing
Dizziness
Hot flashes/sweating
Oral lacerations
Parotid enlargement
Signs and Symptoms (cont)
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Chest pain, shortness of breath
Gastric discomfort, constipation
Reoccurring bone fractures
Depression/Anxious Behavior
Hair loss
Target of weight bullying
Spends more time alone
Avoids cafeteria/excuses to skip lunch
Myths about ED
● Eating Disorders are not an illness
● Classified as mental illness, have a biologic basic and
co-occur with other mental illness
● Eating Disorders are Uncommon
● 3rd most common chronic illness among adolescent
females
● Eating Disorders are a Choice
● Develop over time and require appropriate treatment to
address underlying issues
Impact on ED on Cognitive Ability and
Functioning in School
● Negative impact on behavior and school
performance
● Less engaged, less active and less social
● Immune system weakens and can make
students more vulnerable to illness
● Perfectionist attitude may still compel them
to achieve high level of academics which is
more difficult in malnourished state
10 Phases of Eating Disorder Recovery
I don’t think I have a problem
I might have a problem but it’s not that bad
I have a problem but I don’t care
I want to change but I don’t know how and I’m scared
I tried to change but I couldn’t
I can stop some of the behaviors but not all of them
I can stop the behaviors, but not my thoughts
I am often free from behaviors and thoughts, but not all the
time
9) I am free from behaviors and thoughts
10) I am recovered
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Carolyn Costin 8 Keys to Recovery from an Eating Disorder
Why is support from Counselors
important?
● The more members of a treatment/support
team the better
● Want school to be a safe place
● Can identify red flags
How can you help?
• Proactive talks on campus, promoting
positive body image
• Fat Talk Free Week
• Positive Affirmations
• Sending out resources to Families
• Educate teachers and staff
• Recognizing warning signs
• Knowing providers in your area
How can you help? (cont)
• Update school policy on anti-harassment
and anti-discrimination to ensure they
include provisions about appearance and
body shape
• Make it a policy not to weight students
publicly
• No labeling of food as good or bad in
cafeteria
SCOFF
Do you ever make yourself throw up because you feel
uncomfortably full?
Do you worry you have lost control over how much you
eat?
Have you recently lost or gained more than 10-15 lbs in a 3
month period?
Do you believe yourself to be fat when others say you are
thin?
Would you say food dominates your life?
2 or more yes’s warrants further assessment
Plan for Student in Treatment
• Meet with student and parents before return
to school
• Have realistic expectations regarding
cognitive ability
• Recognize impact of peers
• Provide in-school counseling
• Discuss need for meal monitoring
Empowered Eating Team
Group of Registered Dietitians with a program
designed to provide freedom from food
struggles and hope for people struggling with
eating disorders and their loved ones
What we do
Weekly appointments
Daily support
Weekly support group
Help with meal planning
Proper nutrition education
Blind Weight checks
Coordination of Care with treatment team
Normalize eating patterns and end food struggles
Trained in Family Based Therapy
Transitioning clients to and from higher level of care
Indicators of Recovery (Reiff & Reiff)
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Metabolic Rate: increased to person’s genetically
determined level
Variety of Foods
Food consumption patterns: discontinue
binge/purge/restrict pattern
Hunger: Ability to recognize hunger and fullness
Decrease amount of time spent thinking about food
and weight to less than 20% of day
Caloric Intake: amount necessary to achieve
appropriate weight
Indicators of Recovery (Reiff & Reiff) cont
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Food Fears: ability to eat a moderate amount of
foods without fear, guilt, anxiety
Restored GI Function: absence of diarrhea,
constipation and bloating
Weight: maintenance of body weight within a
healthy range; restoration of menses without
hormone therapy
Activity level: appropriate physical activity without
feeling compulsive
Ability to eat outside the home at friends or
restaurants
Normal Eating
Resources
● Eating Disorder Network of Maryland
(http://www.ednmaryland.org/)
● Academy of Eating Disorders (aedweb.org)
● National Eating Disorders Association
(http://www.nationaleatingdisorders.org/)
● Gurze Catalog
REBEL Against Diets Program
Additional program for
students looking to have a
healthy relationship with
food. Our goal is to not let
food get in the way of what
really matters!
Empowered Eating Team
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@EmpoweredEating
Greenbelt&Columbia MD