Exciting Developments at The Center for Eating Disorders’ Intensive Outpatient Program

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An Intensive Outpatient Program (IOP) for eating disorders can be important for individuals who are transitioning out of an inpatient or partial hospital setting but would still benefit from more support and structure than is typically offered through weekly outpatient therapy.  The Center for Eating Disorders’  IOP provides 16 hours per week of intensive treatment in the evenings to allow individuals to fully engage in school, work and family during the day while continuing to focus on their recovery.

In the past six months, the IOP has seen some exciting changes and updates in programming. The program has returned to (a newly renovated!) space on the ground floor of the Sheppard Pratt B building, just downstairs from the inpatient and partial hospital units. Our multidisciplinary treatment team now includes members from psychiatry, psychology, art therapy, nutrition, occupational therapy, and social work.

Some of the recent exciting additions to IOP include:

  • Medical DirectorHeather Goff, MD has stepped into the role of Medical Director for the IOP, leading the multidisciplinary treatment team in providing care for patients. She also provides psychiatric treatment to all patients, including weekly assessments and medication management.
  • Clinical CoordinatorMorgan Krumeich, PsyD joined the IOP team in 2014 as our new clinical coordinator. She also leads group therapy and works with patients on an individual basis.
  • Collaborative Care Group – IOP now offers a weekly collaborative care group for parents, caregivers, and supports. Run by IOP social worker Annie Hanley, this group is similar to those offered at other levels of care, but is tailored specifically to the needs and issues that may arise during IOP treatment and associated transitions. All support persons are highly encouraged to attend this free weekly group, held on Tuesdays from 6:30PM-7:30PM.
  • Occupational Therapy – Occupational therapist Rachel Dehart has joined the IOP team and runs weekly OT groups for adults. Adolescents also have the opportunity to meet with an occupational therapist as needed. OT groups in IOP focus on the unique needs of individuals with eating disorders, including time management, grocery shopping, clothes shopping, involvement in the community, work or volunteering, and school.
  • Individualized Nutrition Consultations – With two dietitians now on the IOP team, Caitlin Royster and Kelly Daugherty, we continue to offer weekly nutrition groups for all patients. Additionally, dietitians are working to provide individual assessments and nutrition consultation for patients on a weekly basis.

The Intensive Outpatient Program is designed to work closely with individuals, their families, and outpatient providers in order to offer the most comprehensive care possible. And of course, we always work to incorporate patient feedback in order to ensure the IOP is continuously developing and meeting the needs of individuals, families and the community.

If you have questions about the Intensive Outpatient Program, please call (410) 938-5252 or email EatingDisorderInfo@sheppardpratt.org.

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Meet the IOP Staff

Heather Goff, M.D.
Child & Adolescent Psychiatrist
Medical Director, Intensive Outpatient Program
Dr. Goff joined the Center for Eating Disorders in 2011. A child and adolescent psychiatrist, she is board-certified in both Adult Psychiatry and Child & Adolescent Psychiatry, providing her a developmental perspective that enhances her work with patients of all ages. Her initial medical training was at New York Medical College, followed by a residency in Adult Psychiatry at Yale University, where she was a chief resident in 2005-2006. She then went on to complete a fellowship in Child and Adolescent Psychiatry at the Yale Child Study Center, where she was again chosen to be a chief resident in 2007-2008. Upon completion of her post-graduate training, Dr. Goff joined the Yale faculty, with joint appointments in the Department of Psychiatry and the Child Study Center. As a clinician-educator, she was the teaching attending for one of the adolescent inpatient units. She also served as Director of the Child Study Center at Madison, where she provided direct outpatient care to children, adolescents and their families. While at Yale, Dr. Goff was also a fellow at the Edward Zigler Center in Child Development and Public Policy, leading to her interest in the intersection of the media and social policy in the development and treatment of eating disorders. In her role at CED, Dr. Goff spent one year treating individuals in the inpatient and the partial hospital programs. In 2012, she transitioned to a new role as Medical Director of the Center’s Intensive Outpatient Program and is also completing assessments and evaluations for children and adolescents in our outpatient department.

Erin Birely, LGPC
Mental Health Counselor
Erin Birely graduated from Loyola University in Maryland in 2012 with a Master of Science degree in Counseling Psychology. She completed a year of internship at the Center for Eating Disorders from 2011-2012, and subsequently began working full time in 2012. She is currently working towards her LCPC certification. Erin provides individual check ins and goal setting with patients. Additionally she facilitates DBT groups focusing on symptom management and emotion regulation, and IPT groups focusing on processing interpersonal difficulties, as well as leading the Multi-Family and Supports Group on Wednesdays.

Kelly Daugherty, RD, LDN
Clinical Dietitian
Kelly Daugherty received her Bachelor of Science degree in Dietetics from Saint Catherine University in Minnesota. She completed her dietetic internship with an emphasis in clinical nutrition at Johns Hopkins Bayview Medical Center in Baltimore, MD. During this internship, Kelly completed rotations on an acute care eating disorder unit at Johns Hopkins Hospital in Baltimore and at the Center for Eating Disorders. Kelly joined the CED team in November 2014. She completes nutrition assessments, teaches nutrition groups and assists patients with menu planning in the inpatient, partial hospital, and intensive outpatient programs.

Caitlin Royster, RD, LDN
Clinical Dietitian
Caitlin Royster received her Bachelors of Science in Nutritional Sciences with a concentration in Dietetics from Cornell University. She completed her dietetic internship with a focus on clinical nutrition and nutrition research at the National Institutes of Health in Bethesda, MD. Caitlin joined the Center for Eating Disorders in July 2014. Here she conducts nutrition assessments, teaches nutrition groups, and assists patients with meal planning in the inpatient, partial hospitalization, and intensive outpatient programs. Prior to joining the Center for Eating Disorders, Caitlin worked in an acute care setting providing medical nutrition therapy and nutrition education to patients. Caitlin is passionate about neutralizing food for her patients and takes a non-diet approach to nutrition education.

Rachel Dehart MS, OTR/L
Occupational Therapist II
Rachel Dehart graduated with a Bachelor of Science Degree in Public & Community Health from the University of Maryland, College Park in 2007. She received her Master of Science Degree in Occupational Therapy from Towson University in 2010. Rachel is currently an occupational therapist on the Children’s Short-Term Inpatient Unit where she adapts and grades activities to meet various physical, emotional, and cognitive levels of children aged 3-12. Rachel facilitates Life Skills and Time Management occupational therapy groups in the CED Intensive Outpatient Program to assist patients with re-engagement in meaningful occupations at home and within the community.

Annie Hanley, LGSW
Family Therapist
Annie Hanley graduated from University of South Carolina with a Masters of Social Work in 2014. She is currently certified as a Licensed Graduate Social Worker and is working towards her LCSW-C licensure. Prior to joining the Center for Eating Disorders, Annie provided individual and family therapy at an eating disorder treatment center at both the inpatient and outpatient levels of care. She also has experience using the Trauma-Focused CBT model to work with children who have experienced trauma. In her current role, Annie works as a family therapist in the inpatient, partial hospitalization and intensive outpatient levels of care. She also facilitates groups in the intensive outpatient program (IOP), including the Tuesday IOP Collaborative Care group for family members and support people. Her past research includes examining the role of peer influence on eating disorder development.

Brianna Garrold, ATR
Clinical Art Therapist
Brianna Garrold received her BA in Fine Arts from Notre Dame of Maryland University in 2010 (formerly College of Notre Dame of Maryland) and her MA from The George Washington University in Art Therapy in 2012, with additional coursework in counseling and Trauma-Informed Care. Currently, Brianna works with inpatient, partial hospitalization, and Intensive Outpatient Program patients using the art process to help patients identify and express their emotions, manage anxiety, and treat body image distortions. Brianna received her ATR in September 2014, and is currently working towards completing the LCPC, and the LCPAT, Licensed Clinical Professional Art Therapist.

Morgan Krumeich, Psy.D.
Clinical Coordinator, Intensive Outpatient Program
Dr. Morgan Krumeich graduated from The George Washington University in 2014 with her Doctorate in Clinical Psychology. Prior to obtaining her doctoral degree, Dr. Krumeich obtained a Masters in Clinical Psychology from The George Washington University as well as a Masters in Education (specializing in Applied Child Studies) from Vanderbilt University. She previously spent two years at Sheppard Pratt as a psychology extern at The Lodge School, where she conducted individual therapy, in addition to co-leading group and family therapy. Dr. Krumeich completed a year of internship as a school psychologist in the Newark Public School System before returning to Sheppard Pratt in 2014 to become Clinical Coordinator at the Center for Eating Disorders Intensive Outpatient Program. Dr. Krumeich has specialized training in working with children and adolescents, but she has experience (and enjoys!) working with individuals of all ages.

 

A Reason to Smile ~ A Featured #NEDAwareness Q&A with Benjamin O’Keefe

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BENJAMIN O’KEEFE is an actor, activist, and writer.  Besides working as a performer, Ben has been an emerging leader in activism work focused on LGBT rights, Youth Rights, and Body Image. In this role, Ben has been responsible for creating many major movements of change – most notably, an International movement against size discrimination by Abercrombie & Fitch. Benjamin will speak about his recovery from an eating disorder at a free event on February 22 in Baltimore where he will also co-facilitate a workshop looking at how individual and collective cultural experiences shape the treatment and recovery process.


Today on the blog, Ben shared with us his answers to some of our questions about the recovery journey so that we could share them with you.  Please feel free to leave a comment here on the blog or head over to our Facebook page to thank Ben for his inspiring responses.

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Q & A with Benajamin O’Keefe

 Q: What is one fact about eating disorders that you think is most important for people to know and understand?

Ben: I think the most important thing to know about eating disorders is that they affect no two people the same. They don’t discriminate–even though many people’s opinions on them do. I think that the way we discuss eating disorders needs to fundamentally change. We need to break down the taboo around eating disorders, and start talking about the ways that these disorders affect people from all walks of life and of all cultural make up.

Q: What is one thing you learned about yourself during your experience with an eating disorder and/or the recovery process?

Ben: I learned that I could make it through it anything. Back when I was sick, I never thought that I would make it out of the dark hole that was my disorder. And I certainly never thought that I would make it out to become a person who loves himself so thoroughly–and helps encourage others to do the same.

I learned that, not only am I good enough, but I am great just the way I am.

I learned to surround myself with love, whether that be in the people I spend time with or the environments in which I put myself.

I learned to love my reflection, but more importantly to love what that mirror can’t show me. I am more than a number on a scale, I am a person that deserves love and happiness.

Q: Did you face any specific challenge during the recovery process and what helped you overcome it?

Ben: The road to recovery is so different for every person, but one thing that I think everyone can relate to is the isolation that comes with an eating disorder. It’s so easy to feel like we are alone, in fact it’s Ben-headshot-1024x683exactly what the eating disorder wants you to feel, but it’s just simply not the case. There are people that love you, people you don’t even know.

For me, finding a community of people; whether it be people currently struggling, recovered, or just allies, helped me to see that I truly wasn’t alone in my fight, and that we could get through it together.

Q: What are some day-to-day differences between life with an eating disorder and living life in recovery/recovered from an eating disorder?

Ben: I think the biggest difference is my relationship with food. It’s no longer an enemy. I eat when I’m hungry, I stop when I’m full. If I feel like having a cookie, then I eat a cookie. It’s seems simple, but for someone who is struggling with an eating disorder, it’s not.

For me, I now know that food gives life, and that I shouldn’t fear it, but enjoy it. I make healthy choices, and exercise regularly, but it’s no longer about a number on scale, but instead about being the healthiest person that I can be.

Q: What feedback would you give to the support people – friends and family – of individuals struggling with eating disorders? How can they best help to aid in the recovery process?

Ben: First of all I say THANK YOU. This is a journey for you too, and sometimes we don’t think to say thank you to the people supporting us.

Second, I think that my feedback would be to find patience. It’s easy for support people to become frustrated when they see their loved ones taking actions that don’t make sense to them, but it’s important to remember that this is a mental disorder. It’s not a choice.

With patience, love, and support your loved one can make it through. They need you—and your strength and love.

Q: Everyone defines recovery differently. What does recovery mean to you?

Ben: Recovery to me means regaining my reason to smile. When I struggled with anorexia I felt like I was never happy. No matter what I did, how thin I got, what compliment I received on my appearance, it was never enough.

Now, it’s hard to find me without a smile on my face. I love life, and I do my best to take whatever comes my way—good or bad—with a smile on my face. To me that is the biggest indication of my recovery.

 Benjamin Okeefe SMILEYou can find Ben smiling over on Twitter @benjaminokeefe.

 Leave your comments below and head over to RSVP for Ben’s upcoming talk at Recovery in Real Life.  You can also view a video invitation from Benjamin here.

Matt Wetsel talks Eating Disorder “Recovery in Real Life” ~ #NEDAwareness Week Guest Blog

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WETSEL-headshot.mediumMATT WETSEL is an eating disorder and body image writer and advocate.  After suffering from anorexia as an undergraduate in college, Matt got involved with the Eating Disorders Coalition (EDC) doing volunteer lobby work and is now a member of the EDC Junior Board.  Matt launched the blog, Until Eating Disorders Are No More in 2011 and remains a consistently well-informed and responsible voice in the recovery community. We’re honored to feature some of Matt’s personal insights about recovery in the post below and at the upcoming event Recovery in Real Life You can read Matt Wetsel’s full bio here.

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Q & A featuring Matt Wetsel

Q: What is one fact about eating disorders that you think is most important for people to know and understand?

MW: We say it all the time but it’s always worth repeating, eating disorders are serious and must be taken seriously. Especially in America, we live in such a toxic culture that values thinness, promotes dieting, equates weight loss with health without exception, and encourages people to want to ‘improve’ their bodies as if they aren’t good enough already. All of these factors contribute to the trivializing of eating disorders, in popular culture but also within the medical establishment and especially the insurance industry.

It’s so expected of people to diet, to lose weight, etc. that it’s easy to slip into disordered eating behaviors that are actually quite unhealthy and, for some people, pave the way to an eating disorder. These behaviors are so normalized that the warning signs aren’t usually seen as such, but instead are rewarded by the culture and encouraged.

Q: What are some day-to-day differences between life with an eating disorder and living life in recovery/recovered from an eating disorder?

MW: I recall some studies that reported someone with an eating disorder spends maybe 90% of their waking hours thinking about food, weight, etc. When I was sick that was definitely true. It takes up so much of your time and energy that it starts to feel like it’s a part of you. When I would think about recovery, I was honestly terrified of what would be left of me if the eating disorder wasn’t a part of my life. I’d plan my social life, my free time, everything around food. I’d check the scale multiple times per day. I’d avoid friends and family just to avoid potentially having meals with them.

Now, meals are a central part of time I spend with people. I love to cook for friends, go to potlucks, things like that. I eat when I’m hungry, I stop when I’m full. I don’t remember the last time I felt anxious about eating, because it’s been years and years. Even when other hardships in my life have occurred (and there have been a few), I have healthy mechanisms for dealing with grief, depression, anxiety, etc. when life gets challenging. I don’t know what I weigh, and I don’t care.

Q:  What feedback would you give to the support people – friends and family – of individuals struggling with eating disorders? How can they best help to aid in the recovery process?

MW: This is a tough but important question. I’m always afraid to be too specific because good advice for one situation could be terrible advice for the next, depending on circumstances. That said, I think it’s very important to not let the person you’re trying to help or support be the sole source of information on eating disorders. Take time to educate yourself on the subject through other outlets. Make time for yourself and find ways to let go once in a while. If you have to, see a therapist of your own. If you don’t take care of yourself, you’ll be less capable of supporting someone else. It’s like on an airplane, you always put your own oxygen mask on first. That’s hard advice to take when you’re watching someone struggle, but it’s true.

Q: Everyone defines recovery differently. What does recovery mean to you?

MW: Much like the previous question about day-to-day differences, recovery, in a word, means freedom. When you spend so much of your time and energy worrying about food, it’s difficult to be productive in other aspects of your life. All of my relationships suffered while I was anorexic. My GPA tanked. I was in pretty constant physical discomfort.

In contrast, I’ve made lifelong friendships doing advocacy work. I ran a half marathon in 2011 that would have been impossible if I hadn’t recovered. I’m free to figure out who I am and what I want to do with my life without anorexia calling every shot, and that’s a really beautiful thing.

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On February 22, 2015, Matt Wetsel will co-facilitate a free workshop with Benjamin O’Keefe entitled, Eating Disorders: Creating a More Inclusive Recovery CultureThe workshop will examine how cultural experiences affect treatment, the experience of the body and the eating disorder recovery process.

 

“You Are Good Enough – Just As You Are” A Featured #NEDAwareness Week Guest Post by Dianne Bondy

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How much good could we do in this world if our focus was on feeling good and sharing that feeling with the world around us – and what if we dedicated our whole life to serving others, to being present, and to loving ourselves? All of these things are possible, and they are not nearly as far from our reach as it would sometimes seem.

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A Guest Post by Dianne Bondy

It all begins with learning to recognize that already, right in this very moment: you are good enough. Once we learn to recognize this inherent truth, we can then begin to internalize that message by coming to accept that we are indeed good enough, that we have enough, and that our true inner nature is one of abundance and positivity. Coming to this realization allows us to recognize that we are naturally abundant in love, joy and happiness. Knowing this then gives us the power to unconditionally share our positive qualities with others and our world at large.

It has taken me over 25 years to learn and live this message for myself, and while I know this message to be true deep within myself, I still struggle with accepting it and living it every single day. But I am determined to change the negative language and the negative thoughts that creep their way into my life, and I challenge you to do the same.

Sadly, our culture teaches us from a very early age that we are simply not good enough just as we are. And while our culture may have taught us this message, and our culture may try desperately to perpetuate and reinforce this message, we are ultimately granted a choice as to whether or not we will agree to follow along.

For most of my life, I have been a victim of my own self-hate and poor body image. Living in a culture where you are different when everyone else is the same, a culture that values your skin colour more than the contents of your heart, is a painful challenge to overcome. It is really hard to love yourself when people are automatically judging you, categorizing you, and putting limitations on you – without even having the pleasure of getting to know you first.

I grew up in a small town in Canada where I was the only black girl in a sea of white faces. I felt so alone and I desperately wanted to have a friend that looked like me. It was hard enough facing messages of exclusion and unworthiness from external forces, but it was especially difficult and debilitating trying to deal with these messages from within my own family. My family tried to assimilate and fit in as best we could, but the fact that we were different made my life a challenge. I was teased and tortured by kids at school. To make matters worse, my own family also put a premium on how I looked, rather than who I was on the inside. No matter what I did, I still received the message that I wasn’t good enough.

DianneBondyBridgeI took all of these messages – from the school yard to my living room – and I decided the only thing to do was look as perfect as I possibly good. I thought if only I could just be thin, I would be beautiful. I believed that if I were beautiful, people would accept me: other kids would stop picking on me, my father would stop torturing me for being bigger, and my world would be perfect, I would be at ease, and the struggles would end.So I set out to achieve perfection, and I worked diligently as I chased my new goal.

Being a very focused and driven person by nature, I’m an unstoppable force when I put my mind to something. I worked hard at obsessing and torturing my body; it was a dangerous obsession – but no matter how hard I worked, my life didn’t change, the struggles didn’t end, and people didn’t appear to be any more accepting than before. Not only did my same struggles still remain, but I was also failing school and my friends and family started to worry about my survival.

Why was I doing this and why couldn’t I stop? It was because at the core of my being I was traumatized, and until I dealt with that trauma and its root causes, this pain and hatred was not going away. I struggled with my treatments, disordered eating and poor body image for a long time, but once I surrendered to accepting help and community, there was hope, and over the years, I started to realize that a shift in my perspective was the fundamental key in getting to the other side of my daily struggles.

As life went on, I fell in love and got married. Eventually, my husband and I made the choice to start a family. I wanted to be a mother, and create a family with my husband, and I knew that the only way to do this was to return to something that made me feel whole again. I identified this as a need for a spiritual practice – a practice that would bridge the gap between my body, my mind, and my spirit. This search lead me back to my yoga practice – a practice I had abandoned for years in favor of more extreme forms of physical fitness. Ultimately, returning back to my yoga practice was the beginning of making peace with who I was and what I looked like. I started with breathing and meditation practices, and slowly I began to focus more on the philosophy of yoga. The breath, the philosophy, and the physical practice, were connected to my soul and my higher Self in a way I had never experienced before.

I began to feel included, seen, and divine. I began to see my body as a beautiful and vital container for my soul. My yoga practice taught me that I am part of a bigger, more expansive divine energy that far exceeded the limited perceptions of self that had been dealt to me by society, my family, and messages from outside myself. I discovered that I was both worthy and beautiful. I realized, for the first time in all my life that I was enough – just as I was, and that realization saved me.

Dianne-Bondy warriorRadiating with a new self-love and a realization of my natural abundance, I started to surround myself with friends and a community that uplifted and supported me. I found a way to reinforce my new positive self-talk, and I worked hard every day to breakthrough my old, destructive thought patters. This fundamental shift in my self-perspective, and the internalizing of the message that I am enough -just as I am, is something I work hard at reinforcing every single day. Naturally, I still struggle with disappointment and self-doubt, and every now and again the messages of the world try to penetrate my consciousness. When this happens, I move deeper into my spiritual practices and I connect with my positive, healthy, and vibrant community. Without fail, this always brings me back to my higher self.

My heart resides in my personal mantra, and I want to share this mantra with you. I ask you to say this to yourself: I am enough, I have enough, I have all the time in world, and I am doing nothing wrong. I am perfect as I am.

Nothing is more powerful than our own self-talk, and our own realization of who and what we truly are – not what people at school or work say, not what family members say, not what our society and media tells us – but what we say to ourselves. This means that you have a choice to either connect with what is already deep inside you, or let others lead you astray. If you take a look deep within yourself, I know that you will see how truly radiant and abundant you already are. So I encourage you to create your own mantra – that is, to create your own self-talk, your own powerful little phrase that will bring you deeper within yourself, and drown out the noise from the world outside.

I think Dr.Seuss is one of the most profound philosophers of our time, and so I leave you with one of my favourite quotes…

Today you are YOU
That is truer than true
There is no one alive who is Youer than You
~ Dr. Seuss

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Dianne Bondy is the creator and director of Yoga for All 200/500 Yoga Alliance Teacher Training Program  and founder and Managing Director of Yogasteya – a virtual online yoga studio that supports yoga for all cultures, shapes, sizes and abilities. On February 22, 2015 she will join other eating disorder recovery advocates in Baltimore for a special event called “Recovery in Real Life”during which she will facilitate a free yoga workshop focused on body acceptance.

You can read Dianne’s full bio here and watch a video invitation from her here.

Many thanks to Dianne for sharing her wisdom and insight with our readers! 

Photo credit: Erika Reid Photography

Erin Matson on Eating Disorders & “Recovery in Real Life” A Special #NEDAWawareness Guest Blog

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ERIN MATSON (@Erintothemax) is a writer and organizer for reproductive justice, equality for women, and social change. An activist and strategist, Erin has led local, state, and national advocacy campaigns and has appeared in a variety of publications and frequently on television, including ABC World News, BBC World News, and MSNBC. She served as an Editor at Large for RH Reality Check, and previously held a variety of positions in the National Organization for Women, including serving as the youngest state NOW president in the country (Minnesota NOW), a founding member of the national Young Feminist Task Force, and a national executive officer (NOW Action Vice President). One of her responsibilities was leading the national organization’s Love Your Body campaign. Erin is an anorexia survivor, and for many years said that recovering from an eating disorder was the coolest thing she’d ever done. That changed when she became a mom. 

We asked Erin to reflect on the experience of living with and recovering from an eating disorder and she graciously allowed us to share her thoughts and ideas with our readers. This is what she had to say…

Q: What is one fact about eating disorders that you think is most important for people to know and understand? 

EM: Recovery is possible! When I was most struggling with anorexia, I wish I had known there were people who do go on to recover. An eating disorder means there is hard work ahead but it definitely doesn’t mean that your life is doomed forever. I had an eating disorder and things were terrible, but today my life is terrific. That possibility didn’t get through to me while I was struggling.

Q: What is one thing you learned about yourself during your experience with an eating disorder and/or the recovery process?

EM: I am. It sounds strange, but one of the most profound things I learned through the recovery process is that I deserve to take up space without relying upon external validators like accomplishments, or roles, or size.

Q: Did you face any specific challenge during the recovery process and what helped you overcome it?

EM: Bad days and bad moments happen. Accepting them when they happen, rather than viewing them as failures or reasons to give up, is the first step to overcoming them. During the more difficult phases of my recovery I tried to observe a mental wall of separation between meal and snack and physical activity times; no matter what happened earlier in the day or the day before, I was going to focus on following my recovery plan during the moment in front of me.

Q: What are some day-to-day differences between life with an eating disorder and living life in recovery/recovered from an eating disorder?

EM: Cue the music and rainbows! Seriously, the difference is amazing. I am able to enjoy life, a depth of thought, and the company of others in a way that was impossible when I was preoccupied with my eating disorder. Recovery has made me more compassionate toward others and the struggles they may be going through. In the super-awesome category, recovery made it possible for me to have a baby.

Q: What feedback would you give to the support people – friends and family – of individuals struggling with eating disorders? How can they best help to aid in the recovery process?

EM: Patience. Patience and unconditional love are the best gifts you can give to an individual in recovery. What I didn’t need was people to fix my problem; what I most needed was people who I could count on, no matter what.

Q: Everyone defines recovery differently. What does recovery mean to you?

EM: Recovery means living without my eating disorder. It means accepting myself, and allowing myself the freedom to be human. At a macro level, it has come to mean for me actively resisting sexism and eating disorder culture, and working so that people treat each other (and themselves) better.

Want to hear more from Erin Matson on recovery from her Eating Disorder?  Be sure to RSVP for the event Recovery in Real Life and register for her breakout session entitled The Gifts & Challenges of Recovery during Pregnancy, Post-Partum & Parenting. 

Before the event, you can catch Erin chatting about the gifts of recovery in this short YouTube video: What Has Recovery Given You? Erin Matson on Eating Disorder “Recovery in Real Life” 

She also blogs about pregnancy and eating disorders, reproductive justice and other important issues over at erintothemax.com.  

Meet the rest of the #RecoveryinRealLife speakers here.

Meet the #NEDAwareness Week Speakers…

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“Recovery in Real Life:
Celebrating the Voices of Hardship, Hope &
Healing from Eating Disorders”

Sunday, February 22, 2015
Baltimore, MD

Download the event brochure, read about the speakers below, and don’t forget to RSVP to reserve your seats today.

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FEATURED PRESENTERS:

B_OkeefeBENJAMIN O’KEEFE is an actor, activist, and writer.  Born into very humble beginnings with his single mother, twin brother, and older sister, Ben quickly realized his passion for performing. After enduring intense bullying in school, Ben turned to his school’s theater program as a safe haven. It was there, in searching for the voices of the characters that he portrayed, that he found his own.  Besides working as a performer, Ben has been extremely active in activism work, particularly in the topics of LGBT rights, Youth Rights, and Body Image. He has worked with organizations such as GLSEN, The Trevor Project, NEDA, Proud2Bme, and many more. Ben has been responsible for creating many major movements of change. Most notably, an International movement against size discrimination by Abercrombie & Fitch. As a writer, Ben has contributed to some of the largest publications in the world including; The Huffington Post, The Guardian, The LA Times and many more. He has begun writing his first book “Our Stories: A Voiceless” and has also been featured in hundreds of publications around the world such as; The New York Times, People Magazine, NPR, Forbes, MTV, and The New Yorker. Appearing on several 20 under 20 and 40 under 40 lists it is well known that is Ben is using his passions to make an impact on the world, one person at a time.  Find Ben on Twitter @benjaminokeefe.

Erin_Matson1ERIN MATSON is a writer and organizer for reproductive justice, equality for women, and social change. She is based in Arlington, Virginia. An activist and strategist, Erin has led local, state, and national advocacy campaigns in areas including abortion rights, contraceptive access, and cultural representations of women.  Erin has appeared in a variety of publications and frequently on television, including ABC World News, BBC World News, and MSNBC. She served as an Editor at Large for RH Reality Check, and previously held a variety of positions in the National Organization for Women, including serving as the youngest state NOW president in the country (Minnesota NOW), a founding member of the national Young Feminist Task Force, and a national executive officer (NOW Action Vice President). One of her responsibilities was leading the national organization’s Love Your Body campaign. Erin is an anorexia survivor, and for many years said that recovering from an eating disorder was the coolest thing she’d ever done. That changed when she became a mom.  Find Erin blogging about pregnancy and eating disorders or on Twitter @Erintothemax.

Christopher SkarinkaCHRISTOPHER SKARINKA developed bulimia at the age of 20 while involved in athletics and high-pressure academics at Harvard University. He continued to struggle as he coped with the stress of an investment banking job after graduation. Now recovered, Chris remains active in the corporate world; he co-founded a company on the west coast and serves as the Chief Operating Officer of a big data company in Washington, DC. He also gives back and has served as Treasurer and junior board member of the National Eating Disorders Association for more than two years. In this role, his primary function is outreach, both broadly speaking and more targeted specifically towards men and athletes. This involves speaking on panels and at conferences, as well as writing articles and organizing outreach and fundraising events.  You can read more about Chris’s story here.

Dianne_BondyDIANNE BONDY is an Author, Motivator, Risk Taker, Educator, Yoga Teacher, and Leading Voice in the Diversity in Yoga and Yoga of Inclusion Movement. After struggling with self-hate, eating disorders and body image for most of her life, Dianne returned to her yoga practice after abandoning it for years for more extreme forms of fitness. This was the beginning of making peace with who she was and what she looked like.  She is passionate about creating a more diverse playing field in the yoga community and is a highly recognized voice in the Diversity in Yoga and Yoga of Inclusion movements – where all shapes, sizes, ethnicities, and cultural backgrounds are recognized and embraced both on and off the mat.  Dianne Bondy is an E-RTY 500 with Yoga Alliance, with extensive training in yoga therapy.  She is a regular columnist for Elephant Journal and Do You Yoga, has been featured in Yoga Journal magazine, The Guardian and appears as a guest author in the books: Yoga and Body Image, and Yes Yoga Has Curves. She is the creator and director of Yoga for All 200/500 Yoga Alliance Teacher Training Program  and founder and Managing Director of Yogasteya – a virtual online yoga studio that supports yoga for all cultures, shapes, sizes and abilities.

Matt_WetselMATT WETSEL is an eating disorder and body image writer and advocate.  He focuses on the intersection of gender constructs, mental health, and body acceptance. Matt has degrees in Psychology and Religious Studies, and holds a Post-Baccalaureate Certificate in Gender, Sexuality, & Women’s Studies from Virginia Commonwealth University.  After suffering from anorexia as an undergraduate in college, Matt Wetsel got involved with the Eating Disorders Coalition (EDC) doing volunteer grassroots lobby work. Inspired by the people he met there, he became active in his local community organizing occasional guest speakers and giving talks to help educate others about eating disorders. He currently is a member of the EDC Junior Board and has been interviewed for various news outlets, including the Huffington Post.  He started his blog, Until Eating Disorders Are No More, in early 2011. The name was inspired by the legislative efforts of the Eating Disorders Coalition to help end eating disorders through effective policy reform, public education, and properly funded research. You can find Matt on Twitter @MattWetsel.

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 Additional Breakout Session Presenters
from The Center for Eating Disorders’ Staff:

Boas.2015

Craig Boas, LCSW-C

Goff.2015

Heather Goff, M.D.

McGowens.2015

Niccole McGowens, Psy.D.

Hendricks.2015

Rachel Hendricks, LCSW-C

Anna Hanley Photo (1)

Anna Hanley, LGSW

It’s Diet Season: Are You Prepared?

girl with unbrella

Diet season is officially upon us.
Weight loss companies are well aware that millions of Americans are actively making New Year’s resolutions. Armed with teams of marketers and millions of dollars, they’ve spent the last twelve months crafting their year-end advertising.  And year after year they are wildly successful, at least in terms of revenue. According to this report, global weight loss markets were expected to be worth $586.3 billion in 2014. The U.S. is the largest contributor to that figure and was projected to reach $310 billion last year.

Yes, the weight loss industry has been preparing for an entire year. But, you can be prepared too. The first step is anticipating the messages that you will be bombarded with so you’re not caught off guard. Here are just a few of the diet industry’s strategies you are sure to encounter in the new year:

  • They will make a lot of promises for a “better” you, a “more successful” you, a “happier” you, but most emphatically, a “thinner” you. They will use those terms interchangeably to try to convince you that you cannot be better, happier or more successful without weight loss. You can.
  • They will pay celebrities enormous amounts of money to endorse what they are selling. Average salaries for celebrity weight-loss endorsers range from $500,000 to $3 million via ABC News.
  • They will tell you this time will be different.
  • They will make faulty connections between weight and health.
  • They will use scare tactics and personal stories to appeal to your emotions.
  • They will use before and after pictures that may or may not be the same person, are often retouched and photoshopped, or might just be stock images of someone who never used their product.
  • They will try to convince you that your body cannot be trusted to do one of it’s most basic jobs.  They will insist you need to pay them money to rely on external rules or charts for when and how much to eat.
  • They will ignore the natural and healthy diversity of bodies by telling you everyone can be thin if they work hard enough. This also happens to be one of the four toxic myths that promote most body image and weight concerns. This cycle works very well for diet companies because the more concerned people are with their bodies, the more likely they are to engage in weight control behaviors. In other words, it is in their best interest to keep you dissatisfied with your body so that you keep buying their product and it keeps being ineffective.
  • They will share short-term statistics from studies funded by their own investors to show how well their diet plan works for the first 3-6 months. They will not respond to requests for independent, long-term outcome studies.
  • They may tell you their product is “not a diet but a lifestyle”.
  • They will tell you your health is at risk. They will not tell you about studies like this which found the risk of mortality was higher among people in the underweight category than it was for those in the overweight category OR like this one which showed increased health behaviors led to improved health markers even in the absence of weight loss.
  • They may even include the phrase “results not typical” in fine print at the very bottom of their full page ad or in speedy verbal disclaimers at the end of a commercial.
  • It is only January yet still, they will tell you that summer is just around the corner and then attempt to make the case that your body is not “ready” for the beach. Spoiler Alert: If you have a body and you have the chance to go to a beach, then you are ready.
  • Are we missing anything? Can you think of other trends or predictable marketing slogans used by the diet industry to try to sell their products? You can add to the list on our Facebook page.

Why is it important to be prepared?
The National Eating Disorder Association reports that 35% of “normal dieters” progress to pathological dieting, and 20-25% of those individuals will develop eating disorders. This is not because eating disorders are simply “diets gone too far” but because diets trigger biological, emotional and mental shifts in the way you process food and information about that food. It is well established that diets can…

  • Dysregulate and weaken your body’s natural cues for hunger and fullness.
  • Trigger obsessive thoughts about food and weight
  • Cause intense cravings for off-limit foods
  • Create anxiety about certain types of food and in response to specific situations involving food such as eating with other people or in public places when the diet-safe food is unavailable.
  • Establish a pattern of failure, low self-esteem and distrust of one’s body
  • Assign moral judgment to foods
  • Develop a system in which exercise is used as a form of punishment instead of a fun or social activity

Clinging to the diet mentality or getting caught up in weight cycling is futile, not to mention potentially harmful to your health and your wallet. For individuals at risk for eating disorders, or for those in recovery, these dieting side effects can be even more dangerous and may create risk for relapse. This year, don’t let the diet season bring you down. Be prepared to stand up against diet pressures by knowing exactly what to expect.  If you find yourself getting overwhelmed or tempted by the ads this season, print out the list above and try checking off all of the marketing tactics you notice.  Then choose to move towards nourishment, self-care and non-judgment by inviting a body-positive friend to lunch, scheduling a massage, setting the table for a mindful eating experience or reaching out for extra support from a treatment provider.

Other Helpful Resources:

  1. Mindful Eating on Campus: Parts 1 & 2
  2. The Resolution Solution
  3. A Message for People Considering Their Next Diet (pdf) from Linda Bacon, PhD
  4. Ringing in the New Year in a New Way
  5. What is Intuitive Eating?
  6. www.eatingdisorder.org

Join CED on Facebook for body image inspiration and recovery support.

*Above image courtesy of freedigitalphotos.net and a454

Body Respect Q&A with Linda Bacon, Ph.D. ~ Part I


Linda Bacon, Ph.D. is an internationally recognized authority on weight and health.  She will stop by Baltimore this fall for two events aimed at dispelling long held myths about weight and health within the medical community and in our society at large. A nutrition professor and researcher, Dr. Bacon holds graduate degrees in physiology, psychology, and exercise metabolism, with a specialty in nutrition. She has conducted federally funded studies on diet and health, and  published in top scientific journals. Dr. Bacon’s advocacy for Health at Every Size (HAES) has generated a large following on social media platforms and the international lecture circuit. Her book, Health at Every Size: The Surprising Truth About Your Weight, called the “Bible” of the alternative health movement by Prevention Magazine, ranks consistently high in Amazon’s health titles. Her latest book, Body Respect: What Conventional Health Books Get Wrong, Leave Out, or Just Fail to Understand, co-authored by Lucy Aphramor, is a crash course in all you need to know about bodies and health.

We recently had the pleasure of corresponding with Dr. Bacon to get answers to some of your most popular questions about HAES, the work she does dispelling diet myths and her newest book, Body Respect.  You can find Part I of her responses below, and Part II is available here.

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Q & A with LINDA BACON, Ph.D.

Q: What led you to pursue writing about and researching health and weight science?

LB: My journey began from own personal pain: in my adolescence and early twenties, I believed that I was fat, that there was something wrong with being fat, and if only I lost weight, everything in my life would be better: my parents would be more proud of me, I’d be more popular… Those thoughts sent me on the painful journey of fighting my weight, and included an academic search for a solution. What I found along that academic journey surprised me: the research contradicted many of the commonly accepted beliefs I held about weight. I developed a critical lens through my work first as a psychotherapist, next as an exercise physiologist and later a nutritionist. And that critical lens has been so valuable in re-learning how to look at myself, and my own relationship with food and my body, and come to a sense of peace and contentment. The war that was originally waged against my self – the fat on my body – was more appropriately waged against oppressive attitudes about fat. I’m now on a mission to share what I’ve learned, both to support others in their personal journeys and to support social change. Our culture plays a huge role in fueling our disconnection with self and it’s critical we move towards a more just and compassionate world so that this struggle isn’t so normative. No one should experience the pain and body shame that I – and many others – routinely do.

Q: What are the most important tenets of Health at Every Size (HAES)?

LB: I see three aspects as being most important: 1) RESPECT, including respect for body diversity; 2) CRITICAL AWARENESS – challenging cultural and scientific assumptions; valuing people’s lived experience and body knowledge; and acknowledging social injustice as a hazard to health and well-being; and 3) COMPASSIONATE SELF-CARE – in eating, movement, and other areas. There’s a lot packed into those words, so here’s the simpler response: HAES is all about supporting people in moving towards greater acceptance and improved self-care, and advocating for the institutional and social change necessary to support that.

Free event in Baltimore on November 8th. Click image for details.

Q: Why do you think so many people continue to rely on dieting when the data isn’t there to back it up as an effective remedy for weight loss or improved health?

LB: I have a lot of compassion for dieters. The dieting belief system is so strongly a part of our culture and medical belief system, it makes sense that many people would buy into it and believe they are doing the right thing. And there is so much fantasy imbued in the results: the belief that one will be seen as attractive and successful, and that it will ameliorate disease. It makes sense many people grab onto it, and get a sense of hope when they try. And we’re taught to believe the “experts” rather than to trust our own experience. So when the diet fails to give them lasting results, the dieter blames him or herself, rather than the diet.

The diet is the problem and it’s the diet that fails, not the dieter. It takes courage to take our power back and recognize that the problem is out there, not in ourselves, that we have a system inside us well-designed to help us manage our weight, if only we trust it. The HAES journey is about helping people to understand that the source of their pain is not the weight itself – but the weight prejudice, and to reclaim their power to know what, when, how to eat, and a new attitude towards other self-care behaviors.

Not long ago, I had a very poignant experience of the damages of the diet mentality. I attended a wedding reception where there was a beautiful buffet of gourmet food. At one end of the buffet was the proud father of one of the brides. (I’m in California, where it’s legal for lesbians to marry.) He had helped plan this party; to him, sharing food was part of the ritual that brought his daughter’s friends and family together. At the other end, three women approached. One looked at the display and said, “Oh, I really shouldn’t.” Her friend commiserated, saying, “It really is tempting, isn’t it?” They all looked on sadly. This is the world we have created. These women are “good” dieters. For them, virtue lies in confronting the temptations of good food, exerting their willpower, and overcoming their desire.

This saddens me. I want a world where food is about nourishing us, body and soul, where we can celebrate with the shared ritual of eating. Where you eat what you want without guilt… and without bingeing. Where eating is uncomplicated by weight concerns.

Fortunately, that world is possible and the Health at Every Size movement helps to articulate it. I live in it myself, and I’ve tested it in a randomized controlled clinical trial. And my results have been reproduced by others. We have shown that people – yes, even “obese” people who are experienced dieters – can learn to dump the diet mentality and celebrate food, and that it results in improved nutritional choices and improved health outcomes. And that it does not result in that feared weight gain.

Q: In your new book, Body Respect: What Conventional Health Books Get Wrong, Leave Out, and Just Plain Fail to Understand about Weight, you and your co-author Lucy Aphramor write a lot about the influence of social justice on weight and health. What’s the most important thing you think people should understand about the impact of inequality and social differences on weight and health?

LB: I can sum it up in three words: “our stories matter.” Our experiences in the world get lodged in us on a cellular level. The experience of oppression, for example, triggers a chronic stress response, which in turn leads to weakened immunity and increased risk for many diseases. When we focus solely on an individual’s weight or health habits, we miss these structural and political inequities, and it stops us from addressing the policies and systems that have a far greater impact on our health. It also supports a culture of blaming individuals for their disease: e.g., “it’s your fault for getting diabetes; if only you ate better.”

How we get treated in the world has a huge impact on our health. Acknowledging the power of social status in determining health can help take the blame off of the individual and will have more significance for tackling health disparities than getting more people to stop smoking, or to be more active, or to eat more nutritiously. This doesn’t mean that we need to stop talking about behavior change: helping someone take better care of themselves is valuable. But it needs to be put in context. Once we understand this, it opens up new avenues for self-care and for how health care gets practiced.

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Interested?  Want to learn more about Dr. Bacon’s research and how the focus on weight can obstruct us from achieving health?  Read more in Body Respect Q&A with Linda Bacon: Part II.

Then join us in Baltimore on November 7th and 8th to see her speak. Visit our Events Page to reserve your seats.


 

Body Respect Q&A with Linda Bacon, Ph.D. ~ Part II

Welcome to Part II of our discussion with internationally acclaimed author and researcher, Linda Bacon, Ph.D.  If you missed Part I, you can find it here

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Q&A with Linda Bacon, Ph.D. ~ Part II

 

Q: What are some of the repercussions of evaluating a person’s health by their weight?

LB: One key repercussion is misdiagnosis. Some thin people get the diseases we blame on weight – and they often don’t get diagnosed until later when they’re more advanced and harder to treat – and many heavier people never get the diseases we blame on weight. And then of course, it introduces the nocebo effect: tell someone they’re going to get sick and they probably will. So it’s just bad medicine. (And expensive! Those excessive costs attributed to “obesity” can be better attributed to weight bias.) Fat or thin, the conflation of weight and health imbues people with a fear of fat and distracts us from what really matters. It brings stigma, a problem of social justice, into health care. It’s both ineffective AND damaging.

 

Q: How could a focus on weight, or on weight loss, get in the way of effective healthcare? Can you give a specific example?

LB: My knee has been bothering me a lot lately, and that provides for an easy example. My father suffered from similar knee problems. However, he was fat (I use that as a descriptive term, stripped of pejorative connotations) and I’m not, resulting in very different treatment from our orthopedists.

My doc told me to first try physical therapy, that stretching and strengthening the muscles around the joint can help. Surgery was also presented as an option.

But what did my father’s doctors recommend? They put him on diets – over and over again. He never developed a regular exercise habit and struggled with weight cycling and disordered eating his whole adult life.

Carrying more weight may have aggravated my dad’s joint problems; no doubt there are ways it’s hard to be in a fatter body. (I should add parenthetically, that there are also ways it confers health advantage, but that’s a much longer blog post.) But trying to lose that weight is no kind of solution. I can assure you, my father – almost all heavier people – they’ve tried already.

My dad went to his death with knee pain. That’s just not effective healthcare. Even if fat is a causative factor and weight loss may be helpful in reducing symptoms, that doesn’t mean that prescribing weight loss is an effective or helpful solution. (Note also that it’s well documented in the literature: prescribing weight loss is more likely to result in health-damaging weight cycling than sustained weight loss.)

My advice in training health care professionals in respectful care with larger people is to start by considering how they would treat someone in a thinner body. Appropriate exercise? Meds? Surgery? Then do what you can to support your patients in implementing your advice and handling the challenges posed by their particular body.

It’s important to remember that good health habits benefit everyone, across the weight spectrum. And that you can’t diagnose someone’s health habits by looking at them. My father – and people of all sizes – could also have benefited from eating disorders screening. Appropriate eating disorders treatment may – or may not – have a side effect of weight change.

 

Q: On November 7 and 8 you will be speaking at two events in Baltimore, one for the community and another specifically for health professionals. What are some of your main goals for each of those talks and who do you think could benefit from attending?

LB: More than anything else, I want to inspire people. For the general community, I want attendees to leave with a sense of hope, that they can lose the guilt and shame and instead take pleasure in eating, that they can look at their bodies kindly. And I want the health care professionals to leave with a greater sense of agency, feeling empowered that they know how to be helpful for people. I want all of us to walk away with a stronger sense of community, feeling that we’re part of a committed group of people helping to make this a more just and compassionate world.

 

Q: Are you hopeful that our medical community, or even our society in general, will be able to make a paradigm shift away from a focus on weight? What helps you stay focused on and inspired by this goal?

LB: I do feel quite hopeful. I’ve watched the transition that’s been happening over the years, how my message resonates with the medical community, once exposed. Most professionals are feeling disillusioned with the old system, and I’m frequently told that coming to hear me talk is a relief. It allows them to take their disquiet seriously and they feel empowered to be presented with solutions that make sense.

But I’m not naïve. As much as I’d like to have faith in the inevitability of justice being done, and the old paradigm being tossed by the wayside, I’m just not confident that’s going to happen large-scale in the mainstream anytime soon. But I find it very liberating to consider that maybe the point isn’t victory, as much as we would like to see that done. Maybe the real issue is that by speaking my truth, I sleep better at night and it gives me hope.

Desmond Tutu offered this advice as rationale for the work of a freedom fighter: You don’t do the things you do because others will necessarily join you in doing them, nor because they will ultimately prove successful. You do the things you do because the things you do are right.

Dr. Linda Bacon

So I try to let go of the preoccupation with outcome, and find fulfillment in my involvement in something worthwhile, and being a part of this greater community. I look forward to being at Sheppard Pratt soon, and connecting with more people committed to a more just and respectful world.

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Many thanks to Dr. Linda Bacon for sharing her time, expertise and compassion with our online communities.  Please join us November 7th in Baltimore when Dr. Bacon will offer an in-depth training for health professionals and then again on November 8th for an inspiring free community event. Find out more and register for both events here.

See Also: BODY RESPECT Q&A with Linda Bacon: Part I

Understanding Hopelessness & Cultivating Hope: Discussing Suicide and the Death of Robin Williams

As the world feels and reacts to the news of Robin Williams’ death, the national conversation has turned quite rapidly to suicide and suicide prevention. Unfortunately, to those of us in the field of mental health, these headlines require daily observance. In general, individuals struggling with eating disorders are more likely than those without eating disorders to think about and attempt suicide. One study found that risk for suicide is approximately 23 times higher in those with eating disorders than in the general population of the same age (Harris and Barraclough, NSPL_Logo_home1997).

While we feel strongly that the details surrounding Williams’ death are a private matter, it has been publicly acknowledged that he was battling severe depression and had a long history of substance abuse.  Among a multitude of public reactions to the news, there is a pervasive feeling of shock that a person whose public life was built around laughter and joy could simultaneously be experiencing so much pain. People far and wide are wondering how this hilarious and much-loved person could actually be feeling so hopeless?

Hopelessness is a difficult topic, particularly for individuals who are not in the midst of feeling it and, perhaps as a result, have a difficult time conceptualizing how anyone else could ever get to a point that they feel completely unable to be helped. But understanding hopelessness is at the core of every discussion about suicide. Discussing it honestly and compassionately can make a difference for those who struggle. Carrie Arnold, a former guest speaker here at the Center, wrote openly about this on her blog after receiving the news about Williams. A poignant account of her own experience with depression and attempted suicide, Arnold captures the importance of striving to understand and develop compassion for individuals in a state of despair.

“We talk of people who complete suicide as being ‘selfish’ that they couldn’t sense their loved one’s pain. Yet when those feelings of utter despair washed over me, all I could think about was the pain I was causing others.”

Arnold goes on to talk about the venture back from despair and the rebuilding of hope, desire and gratitude, writing:

“Then you figure out that you have started living life again without even realizing it. There’s no miracle moment, here, just the slow stringing together of small moments into a narrative called your biography.”

Carrie Arnold’s story is extremely important to tell because it reflects the stories of so many others that don’t make headlines and rarely get told. This is the story of traveling to the brink of hopelessness and continuing right on through. This is the story of hope. The message to people struggling with eating disorders, depression or addiction is that you can prevail.  You can feel hopeless and still not be hopeless.

Almost every single guest speaker we’ve hosted to speak about recovery through the years have shared that they felt hopeless a lot and that they fully believed recovery was impossible for them. They were sure of it. Yet there they are, years later, standing on a stage telling their incredible story of recovery.  Rest assured, many people living full,  meaningful lives without their eating little tree growingdisorders today were once sitting there in front of a computer screen thinking about how recovery was impossible for them too. Too many lives have been lost to suicide, there is no question about that. Yet so many others have been to the depths of hopelessness and traveled back. In fact, according to the Action Alliance for Suicide Prevention, “the vast majority of people who face adversity, mental illness, and other challenges—even those in high risk groups—do not die by suicide, but instead find support, treatment, or other ways to cope.” This is where we can begin to cultivate hope. Do not listen to any voice that says you can’t recover. YOU CAN.

The news of Robin Williams’ death is a reminder to each of us that hopelessness rarely puts itself on parade. Hopelessness hides; it isolates and it often masquerades as your neighbor, friend or coworker trudging quietly through the thickness of depression all while posting exciting status updates on Facebook or volunteering at their child’s school with a fresh smile. If we take something from the tragic passing of a beautiful person and talented actor, let it be this:

Depression does not discriminate.  A well-polished public life – house, career, car, body, wardrobe, etc – is not an accurate reflection of a person’s private life or emotional experience. Check-in with friends if you know they’ve struggled with depression in the past, and never assume that someone is okay based on outward appearance alone.

ASK FOR HELP.   It is not shameful to struggle out loud. Be honest with those around you about how you’re feeling and do not allow your hopelessness to hide.  Talk to friends, family or call the Suicide Prevention Lifeline at 1-800-273-TALK (8255) if you are in crisis.

Depression, eating disorders and substance abuse are treatable illnesses. If you’ve traveled through hopelessness and back again, share with others about that experience of healing so they know it’s possible and that hopelessness is not a one-way street. Encourage others to get treatment.

Know the signs and symptoms that someone is in immediate danger for suicidal behavior and become educated about underlying risk factors for suicide. For example, adolescent boys and girls engaging in multiple unhealthy weight control behaviors are at greater risk for experiencing suicidal thoughts (Kim, et al, 2009).

For more information about the risks of suicide associated with eating disorders, please visit Medical Complication of Eating Disorders.

If you are interested in getting treatment for an eating disorder and co-occurring issues such as depression, anxiety, trauma or substance abuse, please call us right away at (410) 938-5252.  You are not alone.

www.eatingdisorder.org

*Tree image courtesy of Just2shutter and FreeDigitalPhotos.net