Healthy
            Reflections Newsletter
               
                 
                   
 
 
 
 
Linda Young, Ph.D., LMFT
 Publisher
(850) 656-1404
June 25, 2009
email: info@mentalhealthcorner.com
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Greetings!
 
 We're hearing a lot these days about obesity in the U.S. and the health risks associated with it.  While it is certainly an important health issue, eating patterns on the opposite end of the weight/food continuum can be just as deadly.  In this issue of our newsletter, we're exploring the issue of eating disorders, specifically anorexia nervosa and bulima nervosa.  As always, I'd love to hear your feedback at info@mentalhealthcorner.com.
 
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Your Mental Health "Nugget" 
 
 Eating Disorders: The "Perfect" Body To Die For
 
In 1997, 22-year-old Heidi Gunther died of a heart attack during a vacation trip with her family. She was at the time a ballet dancer for the Boston Ballet. Heidi suffered from an eating disorder called Anorexia Nervosa.

Anorexia is a life threatening psychological condition in which a person believes he or she is too obese or never thin enough.  This self-image results in self-starvation to the point of malnutrition. This condition seems to be more prevalent among teenage girls and young women.  However, cases have also been found among men, young children, and even some women as old as sixty. It is characterized by extremely low body weight, and a distorted sense of self-perception.

The physiological state of anorexia creates a great strain on the heart and cardiovascular system. Symptoms include slow heart rate, an electrolyte imbalance, muscle weakness, and a breakdown of the immune system resulting finally in death. Anorexia can also lead to other disorders such as stunted growth, shrunken bones, mineral loss, kidney damage, liver damage, destruction of teeth, disruption of menstrual cycle, infertility, and a host of other damaging symptoms. 
 
Bulimia nervosa, like anorexia, is an eating disorder in reaction to a perceived weight gain. The subject with bulimia engages in binge eating  during the day and then follows the binging with intentional purging by inducing vomiting, excessive exercising or use of laxatives. Some subjects with anorexia also combine binging and purging with their starvation routine.

In today's society, especially in developed countries, the pressure for women to live up to an unrealistic ideal "thin" image is imposed, celebrated, and glamorized by the media and the culture. In fields of ballet, modeling, and the entertainment industry, competition is fierce. Importance is placed on that ideal "thin" look by these institutions, especially in the modeling and ballet worlds.
 
Even though it is generally accepted in the medical world that the causes of anorexia nervosa are inconclusive, the idea that societal pressures are one of the causes for this mental disorder is not far-fetched.

Aside from society and the media celebrating a culture of excessive thinness, there are other factors that interact with each other to cause anorexia. Scientists have determined that the interaction of genetics, environment, biochemistry, and personality traits also contribute to eating disorders. Most people with anorexia share similar personality traits such as perfectionism and low self-esteem. They also share some other psychological issues such as control issues, lack of coping skills, the need for attention, and depression. 

 Since the causes of anorexia are multifaceted, the treatment can include a variety of approaches, most of which are psychological in nature. The first step to recovery though is to restore the person to a normal or close-to-normal body weight that is out of the danger zone. It's best if the patient can be diagnosed early and steps can be taken to treat the patient either in a hospital or as an outpatient. The patient who is far along in his/her disorder may be in need of urgent hospitalization to prevent death. In the beginning, weight gain is the biggest obstacle to initial recovery.

After weight has been stabilized, psychotherapy is the initial avenue of treatment in order to deal with the issues of self-hate and low self esteem that are at the root of the disorder. Cognitive-behavioral therapy can also be used to change destructive thoughts and behaviors. Group therapy and family therapy give the patient an emotional support system during treatment. A physician is also involved in prescribing medication to deal with anxiety or depression.

For someone with anorexia or any other eating disorder, it's a tough road back to health. In the beginning most patients resist treatment because of denial. Recovery can take up to 7 to 10 years or more. Eighty percent of people with eating disorders who seek treatment will recover or make significant strides. Unfortunately, the rest may remain chronic sufferers or die.
 
The National Association of Anorexia Nervosa and Associated Disorders is a great resource for help and information regarding eating disorders. Their information hotline is open from 9:00 a.m. to 5:00 p.m. Central Time Monday through Friday. at (847) 831-3438.  Their website address is:  http://www.anad.org.
 
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Quotes To Ponder:
 
 Youth is a circumstance you can't do anything about. The trick is to grow up without getting old. - Frank Lloyd Wright, American Architect
 
With the new day comes new strength and new thoughts. - Eleanor Roosevelt,  American Humanitarian and Former First Lady of the United States
 
You give but little when you give of your possessions. It is when you give of yourself that you truly give. - Kahlil Gibran, Lebanese Poet and Novelist
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