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Anorexia Nervosa - Myths, Causes, and Cure
What is Anorexia Nervosa?
Anorexia Nervosa is a disease marked by the
pathological fear of weight gain leading to rapid or extreme
weight loss. Victims with anorexia restrict or limit their
intake of food, as well as their behaviors in life spheres
beyond food and eating. As an example, an anorexic young adult
refused to go to her roommate's wedding because the ceremony
was to take place at precisely the moment when she would need
to be eating dinner. She did not have the flexibility to diverge
from her daily schedule; and so her life became severely compromised.
Another anorexic woman ate the same limited number of foods
every day of her life in the same order and in the same amounts;
she felt compelled to wear the same few items of clothing
as well.
Anorexia is a condition that describes the refusal
to eat. It should be noted that the refusal to eat could be
based on many different factors. Anorexia nervosa is a condition
that implies an effort to resolve emotional problems through
the misuse of food. Anorexia, per se, is a term that describes
the inability or refusal to eat for reasons that are other
than emotional.
Three distinct aspects of eating dysfunction
must be in place for your child's behaviors to qualify as
a clinical eating disorder.
- The physical aspect may include weight loss, amenorrhea,
fainting, cold intolerance, etc.
- The behavioral aspect may include strict dieting, secretive
eating, binge eating, compulsive exercise, laxative, diet
pill or diuretic abuse, impaired relationships, etc
- The emotional aspect may include depression, anxiety,
low self-esteem, fear of weight gain, body image distortion,
etc.
Who gets anorexia?
- There are 11 millions victims of anorexia and bulimia
in American today, 87 percent of whom are below the age
of twenty.
- There are ten times as many female sufferers, though during
the past decade, the number of males with anorexia has doubled.
- Anorexia has been called a "rich girl's" disease, though
the fact is that this eating disorder is prevalent among
all races, cultures and ethnic groups that are upwardly
mobile, including African Americans, American Indians, Fiji
Islanders, etc.
- Children as young as age five are now being reported to
suffer from anorexia, displaying such symptoms as compulsive
exercise, food restriction, vegetarianism, etc.
Why do people develop anorexia?
Anorexia is caused by the merging of environmental
factors in an atmosphere of physiological susceptibility.
Children can be born with a predisposition to developing anorexia
through genetics and temperament. There has been shown a direct
correlation between inherited addictions and the development
of clinical eating disorders, including both anorexia and
bulimia.
Other predisposing factors that are environmental
in nature include the influence of peers and the media, as
well as communication and problem solving patterns in the
family. The good news is that when children are taught by
their parents to recognize feelings so they can address problems
and find effective solutions early in life, they will have
less of a tendency to need or want to turn to an eating disorder
such as anorexia to "solve" their problems for them.
In addition, the nature of one's eating lifestyle
(healthy or not so healthy) will have a great influence on
whether or not a person may become a victim of extreme, disregulated
or dysfunctional eating habits or obesity later in life.
Are parents responsible for causing anorexia?
There is no direct correlation between parenting
and anorexia, particularly because genetics play a significant
part in disease development. However, parents are largely
responsible for shaping a child's attitudes about eating,
body image, weight, and weight management and about establishing
a healthy eating lifestyle during the growing up years. Parents
are their child's best teachers and role models. Most importantly,
they are the best observers of their child; through early
disease detection, parents can most effectively stack the
cards in favor of prevention and a timely and lasting recovery.
Parents belong in their child's anorexia recovery
in a supportive way, particularly when the child is young
and living at home.
What are the myths and misconceptions connected
with anorexia?
A few common misconceptions about anorexia include
the notion that
- people with anorexia do not eat,
- people with anorexia are incurable,
- all anorexics are thin or emaciated.
These statements are not true and can divert
an observer from making a skillful diagnosis and becoming
proactive to protect a child's life quality and possibly save
a child's life.
Is anorexia curable?
Anorexia is curable in 80 percent of cases that
are detected early and treated effectively. In 50 percent
of cases, anorexia is so completely curable that food and
eating cease to be an issue for the individual. In the other
30 percent of cases, anorexia is totally curable, though the
patient may need to stay in treatment or return to treatment
on an as-needed basis in order to stay on top of the underlying
emotional issues that may have initially driven the disease.
How can you recognize anorexia when you see
it?
The earliest warning signs of disease-in-the-making
are more likely to be seen in the child's mood, attitudes,
fears, and preoccupations than in weight or food-related behaviors.
By the time your child has begun to show physical signs of
losing weight, the window of opportunity for prevention may
already have passed. Paying special attention to your child's
or loved one's emotions will give you a window into your child's
emotional and behavioral future.
Eating disorders are more likely to present
themselves at home than in the doctor's office, so the responsibility
for early diagnosis lies with parents and families. Recovery
from anorexia results in the development of emotionally healthy
and functional children who are free to grow up to become
emotionally healthy adults. With recovery, kids get their
personality and their life quality back; at the same time,
their parents claim to "get their child back." When
Your Child Has an Eating Disorder: A Step-by-Step Workbook
for Parents and Other Caregivers" (Jossey Bass Publishers)
will guide you in your efforts to help your child regain their
good health.
Do you see anorexia in yourself or in your
child?
The following is a short quiz to help you consider
whether or not you or your child may have a problem that could
develop into anorexia.
- Do you worry about your appearance?
- Do you spend a lot of time on preening, grooming?
- Do you eat special foods just to improve appearance?
- Do you use behaviors around food and exercise to relieve
or resolve anxiety, depression?
- Are your behaviors around eating and exercise compulsive,
inflexible?
- Does excessiveness or extremism show up in other life
spheres as well?
- Do you notice depression and moodiness?
What should you do if you suspect that your
child has anorexia?
Parents and coaches have a vital role to play
in the lives of youngsters with anorexia or anorexia-in-the-
making. If your child does not recognize a problem, or refuses
to respond to his condition or to care for himself or herself,
it is up to you as a parent to:
- Take charge.
- Know what you are looking at.
- Understand what anorexia is.
- Talk to your child. Discussing an existent problem won't
make it worse, but by defining it as such, can make a solution
possible.
- Get professional help
Remember that eating disorders are a misuse
of food to resolve emotional problems. If eating or exercise
behaviors diminish anxiety or depression, or if they double
as pseudo-solutions to emotional problems even as they address
issues of hunger and satiety, it's time to seek out more effective
ways to solve problems. Professional treatment for anorexia
may best involve a multi-disciplinary team of professionals,
including a medical doctor and nutritionist, as well as a
psychotherapist.
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About the Author:
Psychotherapist Abigail H. Natenshon has specialized in the
treatment of eating disorders with individuals, families,
and groups for the past 31years. She is the author of When
Your Child Has An Eating Disorder, A Step-by-Step Workbook
For Parents And Other Caregivers, Jossey-Bass, 1999. Based
on hundreds of successful outcomes, this book shepherds concerned
parents step-by-step through the processes of eating disorder
recognition, confronting the child, finding the most effective
treatment for patient and family, and evaluating and insuring
a timely recovery. A guide to eating disorder prevention,
this book is useful to parents, health professionals and school
personnel alike in countering the pervasive epidemic of unhealthy
eating and body image concerns, and destructive media and
peer influences. Her work can be reviewed further at www.empoweredparents.com
and www.empoweredkidZ.com
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