Transcript What is an Eating Disorder? - Jewish Women`s Fund of Atlanta

Eating Disorders in the Jewish
Community
Featuring Guest Speakers:
Ruth Falkenstein, Recovery Speaker
Board Member of EDIN
Jaime Glazerman, MA, LPC
Therapist, Atlanta Center for Eating Disorders
Page Love, MS, RD CSSD, LD
Vice President of the board for EDIN
Registered Dietitian and Owner of Nutrifit, Sport, Therapy, Inc.
Carrie R. Poline, D.O., FAPA
Child, Adolescent & Adult Psychiatry & Medical Director, Veritas Collaborative
Atlanta Clinic
Eileen Shaw, RDN, LD, LPC
Nutritionist Therapist, Atlanta Center for Eating Disorders
www.myedin.org
Ruth’s Story
What is an eating disorder?
Carrie R. Poline, D.O.
Child, Adolescent & Adult Psychiatry
Medical Director, Veritas Collaborative
Atlanta Clinic
Prevalence of Eating
Disorders
• It is estimated that 20
million women and 10 million men in America
have an disordered eating
• Every 62
minutes at least one person dies as a direct result from an eating
disorder.
• 81% of 10 year olds are afraid of being fat
• 13% of women over 50 engage in eating disorder behaviors
• Rise in eating disorders of Jewish women
• Higher incidence of disordered eating in Jewish than almost any other
ethnicity.
• Eating Disorders in Orthodox and Syrian Jewish communities in Brooklyn
50 percent higher than the general U.S. population
What is an
Eating Disorder?
An eating disorder is an unhealthy relationship with food and
weight that interferes with many areas of a person’s life.
• Anorexia Nervosa
• Bulimia Nervosa
• Binge-Eating Disorder
• Avoidant/ Restrictive Food Intake
Disorder
Psychiatric Comorbidities
•Anxiety Disorders: OCD/GAD/Panic
•Mood Disorders: MDD
•ADHD
•Addiction
•PTSD/Trauma
•Gender Dysphoria
Eating
Disorders
DAMAGE
every
system in
one’s body!
Multifactorial Etiology
Social
Biological
Psychological
Risk Factors, Personality &
Genetic Vulnerabilities
The Perfect Storm:
•Personality/Temperament
• Highly Sensitive
• High drive to please others-- “people pleaser”
• Perfectionistic
• Impulsive
• Obsessional/ Rigid Thinking
• Addiction issues
• Anxiety, OCD and Depressive Disorder
• Trauma
•Genetics and Family History
•Psychosocial stressor (Diet or Transition)
Risk Factors in the Jewish Community
Food Centric Holidays and Observance
• Mixed message about food
• Fad diets and fitness routines are highly advertised on all media platforms
• Good foods/Bad foods diet messaging rampant
• Mixed messages about achievement
• Pressure to be perfect
• Increased anxiety due to pressure to succeed
• Features divert from perfect ideal
• Pressure on males to be more fit and muscular, while females feel the need to be
thin
Vulnerabilities in the Orthodox Community
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•
Patriarchal Traditions
Eating Disorders in the Jewish
Community: Vulnerability Risk Factors
• Food Centric Holidays and Observance
• Mixed message about food
• Mixed messages about achievement
• Pressure to be perfect
• Increased anxiety due to pressure to succeed
• Features divert from perfect ideal
• Patriarchal Traditions
Nutrition
Page Love, MS, RD CSSD, LD
Vice President of the board for EDIN
Registered dietitian and Owner of Nutrifit, Sport,
Therapy, Inc.
Nutrition and Wellness Confusion
Areas of confusion:
•New Diet Trends: Paleo, Whole 30, Juicing,
etc.
•Hyper-focus on food: organic, gluten, sugar,
carbs etc.
Focus on Positive Nutrition:
•Focusing on what you need versus what you
don’t need
•Intuitive Eating
Focusing on what we need…Not what we don’t
6-8 oz of meats
3-4 cups of milk
4-6 tsps oils
3-6 cups grains
2-3 cups fruit
2-4 cups vegetables
8-10 cups of water or noncaffeinated fluids
•Eat breakfast every day!
•Provide the building blocks of protein daily
•Take in at least a tablespoon of vegetable fat daily
•Make sure you are getting enough calcium and iron
It is important to listen to your own body, but if you regularly consume
significantly less than this- you might want to ask a professional if you are
eating enough.
Just Like Your Car,
Your Body Needs the Right
Kind of Oil...
When we
deny our
body the
fuel it
needs we
crave it
even more
Meeting adequate kosher friendly
protein needs (target 20-25 gms protein per meal)
•Tofu
•Soy meats
•Seiten
•Legumes/lentils
•Eggs
•Cheese
•Nuts/nut butters
The Dangers of Dieting
• It does more harm than good!
• Between 90-99%
of weight loss diets fail to produce
permanent weight loss.
• Dieting leads to weight gain due to reduced needs for
energy and increased ability to absorb energy from food
• Females who diet are 12 times as likely to binge as
females who don’t diet.
• 35% of dieters will end up having an eating disorder and
many more will have a distorted relationship with food.
Diet
vs. Nondiet
• Weight:
Achieving ideal
weight (or as close as
possible), used as
measure of success
• Food:
Moralized as
good/bad, legal/illegal,
shouldn’t/should, on/off
diet, variety, quantity,
calories, etc, determined
by external source, i.e.,
the diet, program and/or
staff.
• Weight: Body will seek its
natural weight as
individual eats in response
to physical cues of
hunger, fullness, and
sense of well-being, as
well as taste
• Food: Neutralized. ALL
food is acceptable.
Quantity, quality, and
frequency are determined
by individual exploring
and responding to
physical cues, sense of
well-being, taste, and lab
values. It is self-regulated
and internally cued
How do we listen to our
bodies?
Eileen Shaw, RDN, LD, LPC
Nutritionist Therapist, Atlanta
Center for Eating Disorders
Health is…
•Accepting and respecting your natural size and
shape
•Eating in a flexible manner that values pleasure and
honors internal cues of hunger, satiety, and appetite.
•Finding the joy in moving one’s body and becoming
more physically vital.
Modified from Health at Every Size
Definition of Normal Eating
“…Normal eating is being able to eat when you are hungry
and continue eating until you are satisfied…is over-eating
at times…under-eating at times…trusting your body to
make up for your mistakes in eating…is flexible and varies
in response to your emotions, schedule, hunger, and
proximity to food…” – Ellyn Satter
NUTRITION ON THE PLATE AND ON THE MIND
Developed by Eileen Shaw RD, LPC, Atlanta Center For
Eating Disorders
How do you listen to your body?
Our bodies need fuel but
they also need to move!
Move your body in ways you ENJOY!
• Reasons to move your body!
• Reduces stress and anxiety
• Boosts self-esteem
• Strengths muscles, bones and heart
• Releases endorphins which trigger positive feelings
• Improves your sleep at night and concentration during the day
• Reasons to REST (to not exercise or move your body):
• To change your body shape or size
• Leads to frustration and disappointment
• Because you feel guilty or anxious when you don’t workout.
• If you are sick or injured, REST.
Identification and
Prevention
Jaime Glazerman, MA, LPC
Therapist, Atlanta Center for Eating Disorders
Prevention Strategies
•Identify early warning signs and/or risk factors
•Recognize beauty is socially constructed
•Foster positive body image
•Accept your body
•Challenge society’s ideas of beauty
•Provide clear messages about food
•Let go of perfection
•Address attitudes of male entitlement
•Manage stress
Warning Signs
of An Eating Disorder
• Preoccupation with weight and shape
• Frequently weighs self, Body checking, Seeking reassurance about appearance,
ex: “do I look bigger to you?”
• Intense fear of gaining weight
• Preoccupation with food
• Cutting out certain foods or food groups (vegetarianism, paleo, low-carb, low-
fat, etc)
• Reads food labels, counts calories
• Physical symptoms
• Weight loss or weight gain
• Fatigue, dizziness, fainting, difficulty concentrating
• Thinning hair, dry skin, brittle nails
Warning Signs
•
•
Secretive behaviors
• Denial of hunger & excuses to avoid meals, ex: “I already ate”, “I don’t feel well”
• Hides or throws food away
• Eating alone or in secret
• Conceals changes in weight by wearing baggy clothing
• Denies there is a problem
Emotional Signs
• Feels disgusted, depressed, guilty, inadequate, hopeless
• Changes in mood and personality
• Social withdrawal
Warning Signs
• Binge Eating
• Consumption of large amounts of food (food disappears from
house, food wrappers stuffed under the bed)
• Eats when not hungry (due to intense emotion)
• Purging:
• Frequent trips to the bathroom or showering after meals
• Bloodshot and/or watery eyes after using the bathroom
• Scratchy or raspy voice quality
• Exercises at all costs, despite weather, illness, injury, other
commitments (to compensate for eating)
• Using OTC medications to lose weight or calories
Beauty is Socially Constructed
Females
• Taller and Leaner
• 20 years ago the average
fashion model weighed 8%
less than the average
woman; today its 23% less
Males
• 1870s wide waist and
stocky legs
• Now: Chiseled abs and
muscular
Fostering Positive Body Image
• Normalize all bodies, sizes, and shapes and how bodies
change and adapt
• More attention and focus on body function instead of
appearance
• Recognize what you can and cannot control
• Model positive body image
• Say positive things about your own body
• Model positive and balanced eating habits
• Model balanced activity/exercise
• Don’t weigh yourself!
• Stop negative self-talk immediately
• Treat yourself with the same kindness and respect you show your best
friend
• Be your body’s friend and supporter, not its enemy
Prevention Strategies for the
Jewish Community
• Challenge society’s ideas of beauty
• Clear Messages about food
• All Food Fits
• Intuitive Eating
• Let go of perfection
• Value and Worth Inherent
• Focus on Goals
• Challenge current ideal of achievement
•Address attitudes of Male Entitlement
Manage Your Stress!
• Stress is BAD for your health- mental and physical- to
include
• There are LOTS of ways to manage stress!!
• Breathe!
There are lots of ways to relieve stress that require nothing more than your breath!
Take a walk or go for a run
Laugh (watch a funny video on YouTube)
Talk to or call a supportive friend
Listen to peaceful music or take a hot bath
Punch a pillow
Keep a journal
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• When you manage your stress, you feel better!
Want to Learn More?

For more information go to:
 EDIN’s website: www.myedin.org
 To find help (therapists, dieticians):
www.myedin.org/find-treatment.html
 NEDA: www.nationaleatingdisorders.org/
 Healthy at Every Size:
www.haescommunity.org/
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Email:
Sarah Pannell [email protected]
EDIN’S
MISSION
The Eating Disorders Information Network
(EDIN) is a nonprofit organization founded in
1996 that is committed to awareness and
prevention of eating disorders.