Eating Disorder Treatment at Cedars Cobble Hill - By Bryn Meadows R.P.C.
Who gets eating disorders? Teenage girls, who read too many magazines? Girls who take diets too far? Girls who want to lose weight, be perfect.... It's about looking good, right?
The truth is, anyone can develop an eating disorder. Men, women, girls, boys. People do not need to be 'thin' to have an eating disorder. Eating disorders are not about vanity, they are about an individual who is suffering and looking for any way they can to cope. However, coping is surviving, not living. Eating disorders are about self punishment, low self worth, low self esteem and a lack of confidence. They are about not knowing how to live in the world, they are about feeling bad and guilty and un-deserving of life, and never, ever good enough. The truth is that some of our most profound changes are most likely to begin when we are feeling deeply un-comfortable, unhappy, or unfulfilled. For it is only in such moments, motivated by our discomfort, that we are likely to step out of our ruts and start searching for different ways of being in the world. The question is: how? How do I change? What will this change look like? What will happen? We can get so stuck on the questions that we feel paralyzed by them. Rilke said: " To have patience with everything unresolved in your heart" to "Love the questions themselves" and finally: "To live your way to the answers". Sometimes we can know that we are profoundly unhappy, we can know that something needs to change, but we are too scared to make those changes because we don't know what the outcome will look like. We understand that can be scary. We want to reassure you that change does not happen overnight (even if sometimes we want it to). This is reassuring, because it lets us LIVE our way to the answers and to figure things out as we go, at a pace we can accept, one step at a time. You don't have to know HOW to change, or HOW to make it happen. You do not have to have all of the answers before you begin. You just have to take the first step, and ask for help. At Cedars we have developed an in-depth, intensive residential treatment program for individuals suffering with eating disorders. We understand addiction, we understand eating disorders and we understand how to effectively treat the individual who is suffering. Research on eating disorders has shown that there are similarities between many cases of eating disorders and addictive conditions such as alcoholism and drug addiction. The human brain has reward centers and these are normally activated when a person feels well, takes care of the body, behaves sensibly, is praised, is in love, exercises, etc. It is also possible to stimulate these reward centers by artificial means. Drugs of all kinds forbidden and permitted, produce chemical stimulation which is an important part of the cause of addiction. Stimulation also blocks unpleasant feelings and therefore, those with eating disorders, as well as those with other addictive disorders, may use them to block unbearable feelings. Healthy people get their stimulation of the reward center by doing good things. They are stimulated by exercise because it is good for the body to get exercise. They are stimulated by eating, because it is good for the body to get nourishment. They are stimulated by being in love, because it is good for the survival of the human race that people mate. They are stimulated when they have achieved something or when they get appraisal because it is good that people do constructive things. However, if the reward centre is stimulated by drugs, alcohol or abuse of food, they cease to function in the way they should. Abuse is a short cut to false happiness, a happiness which doesn't come from doing something good. Incorrect usage of the reward centers is especially common with people who have a personality requiring a lot of reward effects in order for them to feel well, and also have worry and stress which can be reduced by drugs. There is accordingly a common factor with many types of addiction: · Alcoholism and drug disorders · Eating disorders · Compulsive sex dependence · Compulsive gambling · Compulsive exercising · Self-injury and anorexia nervosa (even body injury can stimulate the reward centre in order to protect the body from pain). This means that much of what is known about the treatment of alcoholism and drug addiction can be used for eating disorders. The patient's own ego must be strengthened and taught to refuse the kind of eating pattern which tempts with quick artificial solutions. Many eating disorder treatment programs revolve around exposure therapy and psycho-ed groups on the medical consequences of eating disorders. They do not discuss or acknowledge the addictive nature of the disease, or teach the patients of the nature of their addictions. They almost strictly treat the behavior, and not the cause. Many treatments also use punitive measures to treat the behavior of the individual, instead of empowering the individual through education and support to be able to make better choices. The lack of understanding of the nature of addiction and the fact that eating disorders are a different manifestation of addiction is why many people believe that eating disorders are difficult to treat. However, at Cedars we understand the nature of addiction and we understand how to effectively and compassionately treat individuals who are suffering with eating disorders. Working with the 12 steps and learning about the nature of addiction, an individual who is suffering can have a clear, understandable, compassionate and accessible path to recovery. Sources, references: 1. Addiction and the Eating Disorders, by Caroline Davis, Ph.D., Psychiatric Times, February 2001. 2. Eating Disorders and Addiction, by Barton J. Blinder, M.D., Ph.D.; Mary C. Blinder, M.D.; and Visant A. Sanathara, Psychiatric Times, December 1998. 3. Personality Characteristics of Females Seeking Treatment for Obesity, Bulimia Nervosa and Alcoholic Disorders, by G. Palme and J. Palme, Personality and individual differences 26(1999), Pergamon Press. 4. Eating Disorders, Obesity, Anorexia Nervosa and the Person Within, by Hilde Bruch, 1973., Basic Books, New York. 5. Anorexia Nervosa and Bulimia Nervosa, Diagnosis, Treatment and the Role of Impulsivity for Long-Term Outcome, by S. Sohlberg. 1987. Acta Universitas Upsaliensis, Uppsala. 6. Treatment of severe Obesity, by H. Björvell, 1985. Gustav V-s forskningsinstitut, Karolinska Institutet, Stockholm. 7. An explorative study of bulimia and other excessive Behaviours, by C. Bergh, 1988. Thesis, Karolinska Institutet. |