How to Stay Recovery-Focused When Interacting with Triggering Media

In our previous post we discussed a variety of reasons that individuals with eating disorders, especially those in the early stages of recovery, may choose not to watch the Netflix film To The Bone or other films they know could create roadblocks in their continued recovery.

With that said, triggering media has always been around and will always be a part of our society so it’s helpful to know how to navigate it.  Many individuals in long-term recovery or later stages of treatment might feel prepared to watch a film or read a book about eating disorders, despite triggering content. Many of our clinicians have helped to shape such exposure into therapeutic experiences for patients who are ready.  For example, during periods of strong recovery, seeing a film like To The Bone can be an opportunity to reflect on one’s own experience, see things from a new perspective, process lingering eating disorder thoughts or channel anger towards the eating disorder in productive ways.

If you’ve considered all of the options and decide you do want to watch a film about eating disorders, these are a few things to consider that can help you do so in safe and productive ways.

  1. Don’t watch alone. Watch with a support person you can trust and communicate openly with them about how it is impacting you in the moment. You might even consider pausing the show periodically to breathe, reflect and talk.
  2. Time it right. Only watch it when you know you’ll be attending a therapy session or support group within a few days so you can explore your reactions and get help challenging any distorted thoughts or concerns about what you see on screen. If you currently have a lot of other life stressors or you’re in a time of transition (moving, starting school, going through a divorce, etc.) you may want to consider waiting to watch until things settle down.
  3. Challenge the ED thoughts. Consider journaling about aspects of the movie that you find triggering and then refute and challenge the inaccurate, negative or distorted thoughts.
  4. Be an activist. Write a letter to the director of the film or to the editor of a local newspaper regarding what you liked or didn’t like, what was helpful vs. not helpful or what you’d like to see more of when it comes to films about eating disorders. For example, while To The Bone features one person of color and one male in supporting roles, the movie’s star and protagonist is a young, white, upper-middle class woman with anorexia. This doesn’t help to dismantle stereotypes about who is and isn’t impacted by eating disorders. Consider writing a letter that advocates for greater diversity in eating disorder representation or about another aspect of recovery that feels important to you.
  5. Create an escape clause. Allow yourself the option to stop watching at any point throughout the film. Eating disorders can be associated with all-or-nothing thinking so it may feel like once you start the movie you have to finish it, but remember it’s not so black and white. At any point, if you feel triggered or uneasy about what you’re watching, turn it off.
  6. Plan ahead. Decide in advance upon an alternative show to watch or a self-care activity you can do when the film is over (or if you stop watching early) that will help you sustain a more recovery-focused mindset.

Do you use these strategies or have other ideas for navigating triggering media safely?  Tweet them to us @CEDSheppPratt and we’ll add to the list. 


You may also be interested in reading: 
To Watch or Not to Watch: That is the Question, Navigating “To The Bone” and other potentially triggering movies about eating disorders

 

 

 

 

 

To Watch or Not to Watch: That is the Question

Navigating “To the Bone” and other Potentially Triggering or Inflammatory Movies about Eating Disorders

Like most things in life there are benefits and risks that come with exposure to media, especially media that depicts sensitive or potentially life-altering subject matter such as eating disorders, suicide or mental health. As you may have already noticed from the controversial conversations about it, the Netflix movie, To the Bone is no different. The film depicts a young woman, Ellen, in the throes of her eating disorder and follows her through the recovery process which the synopsis points out, includes
help from a “non-traditional doctor” played by Keanu Reeves. It may come as no surprise that the main character, Ellen, is a young, white, very thin, upper middle-class woman, and that the particular eating disorder she is dealing with is anorexia nervosa. Hollywood tends to over-rely on this stereotyped depiction of eating disorders, despite the fact that in reality, eating disorders and the people they impact are much more diverse.

As one of the nation’s longest-running providers of evidence-based treatment for children, adolescents and adults with eating disorders we’ve been asked by numerous patients and families in the previous weeks how to handle such a film.  And while To The Bone may be a new film, this is far from a new question.  Over the last several decades, similar questions have been raised in response to documentaries, blogs, fictional books and memoirs written by individuals recovering from eating disorders.

Decades of observing the impact of this type of media has reinforced our recommendation that individuals who are currently struggling with an eating disorder or those who are in the early stages of treatment and recovery don’t typically benefit from watching movies or reading books that display any of the following characteristics:

  • extremely graphic depictions of people engaged in eating disorder symptoms such as bingeing, purging, chewing/spitting, body checking, over-exercising, self-harming or abusing drugs and alcohol
  • detailed descriptions of ED thoughts and behaviors that are left unchallenged, unexplained or are not paired with sufficient education regarding the consequences
  • conversations that include specific numbers such as weights, clothing sizes, calorie counts or repetitions of exercise.

If you notice any of these characteristics in a movie, show or book, it should be a red flag that it might not be a beneficial resource or recovery-focused activity for someone who is currently struggling.

We always look to support popular media that finds a way to raise awareness and stimulate meaningful discussions about eating disorders in safe and non-triggering ways. With that in mind, we went into our own viewing of this newest movie with high hopes and an open mind. Unfortunately, what we found was that To The Bone ultimately ticks off all three of the red flags mentioned above. Furthermore, the film’s depiction of treatment methods and treatment protocols are far from helpful, safe, or accurate.  As a team of specialized professionals, many of whom have spent their entire careers learning about, researching and utilizing evidence-based treatments for eating disorders, this film was, quite frankly, disappointing and at times difficult for our staff to watch.

On the flip side, it did do a good job of illustrating the immense pain and struggle faced by those who are impacted by these illnesses. It also got people talking about an issue that is usually hushed in society despite the fact that eating disorders impact 20-30 million people.  Our hope would be that some viewers of the film gain insight or information that could help them check in with a friend or loved one who is showing warning signs and needs help.

Taking into account both perspectives and the possibility for all the positive and negative impacts, it’s crucial to think  critically about the media introduced to us as communities, families and individuals.

If you are a therapist, a parent, educator or friend of someone with an eating disorder

It’s really important to empower anyone considering watching a film about eating disorders to feel like they can disengage safely and with your support.  Let them know it’s okay to decide not to watch because it has the potential to be harmful for them and their recovery.  This can be a hard but powerful decision because it builds confidence and sets a precedent for recovery-focused decision-making.  How? Today, it might be saying no to a Netflix film that “everyone else is watching and talking about” but tomorrow it could be saying no to a dangerous cleanse that a favorite celebrity is promoting on social media or saying no to a friend that encourages you to step on her bathroom scale. Learning how to say no to such things, even when the societal pressure and internal urges are strong, is imperative for long-term recovery.

If you have an eating disorder or are in recovery from an eating disorder…

If you’re like a lot of our patients, seeing a trigger warning at the start of a film or hearing in advance that it might be detrimental isn’t always a deterrent and might even make the content more intriguing. We’ve heard from some of our patients that they choose to watch the film despite their own reservations and knowledge of the content.  Most of the reactions included versions of the following:

  • I found myself comparing my body to the actress in the film and thinking that maybe I wasn’t deserving of or didn’t really need treatment since I wasn’t as thin as her.
  • I found myself wishing I could go back to my eating disorder.
  • I was tempted to use “a little bit of my ED behaviors” and was reassuring myself I wouldn’t let it get that bad.
  • If she [the actress Lily Collins] can “lose weight safely” for this role after recovering from an eating disorder in real life than maybe I can too.  

Despite what may be positive intentions for this film, it’s important to be realistic about how it actually plays out for the millions of people with eating disorders who watch it. While not everyone will have reactions like these, we think it’s important for individuals and support people to know it’s a possibility that the person who is struggling with an eating disorder may overlook the negative aspects of the eating disorder on screen and only see the perceived positive or glamorized aspects.

If you are struggling with whether or not to watch this film, or engage with any other eating-disorder focused media, remember that it’s okay to say no. At the very least, we encourage you to discuss your decision with a treatment provider or trusted support person.  If you decide together that watching this type of film might actually be beneficial at certain stages of recovery, check out these guidelines for watching safely.

Some of the most important ways to enhance recovery and prevent relapse include: continuing regular contact with treatment providers, following evidence-based recommendations, engaging in regular self-care and creating a home environment that is conducive to your continued healing and recovery. In this case, that might also include creating a Netflix watchlist that doesn’t have anything to do with eating disorders.

Do you have thoughts on the film or the media surrounding it? Join the discussion on our Facebook page.


Written by Kate Clemmer, LCSW-C, Community Outreach Coordinator, The Center for Eating Disorders at Sheppard Pratt

A Conversation with Bailey Webber, Co-Director of THE STUDENT BODY Film – Part 2

In addition to her debut as a filmmaker with The Student Body, Bailey Webber is an up-and-coming public speaker and has appeared as a guest on several television and radio shows. If you missed Part 1 of our conversation with Bailey, you can find it here and you can meet Bailey, along with her father and Co-Director of the film, Michael Webber, on February 26 at The Center for Eating Disorders at Sheppard Pratt


Q&A with Bailey Webber – Part 2

What have been the most common responses or reactions from people who’ve seen The Student Body? Have they all been positive?

BW: For about a year the film has played at film festivals and special premieres and screenings around the country and my dad and I have been fortunate enough to attend many of them and engage with the audiences. This gives us a great idea of how people are responding to the story and information and I’m so happy to say that the reaction has been incredible!

We have had adults stand up and explain that the story has completely changed their perspective on themselves, their kids, and others.  Students have felt empowered to speak up for the first time and share their own experiences, when before they were too ashamed to say anything.  Teachers, doctors and school nurses have thanked us for making the film, have shared their own emotional stories.  We receive emails and phone calls from people around the country, encouraging us to keep getting the message out.  We even have clinics that want to incorporate the film into their patient programs. 

Just this week we spoke with a clinician who has been battling this issue in her own school district for years, but with no success.  Months ago she arranged to bring the film to her city and worked to encourage the community to join her in seeing it.  The screening was last night and she called us immediately after.  She was so excited and explained that the school officials have finally agreed to stop sending out the letters and will be looking for help to approach the issue in a more productive way!  We were all so excited!  It’s such a game changer and it makes me feel so humbled and overwhelmed to see the film is being used as a tool to help bring about change with these issues. 

Do you have any personal advice or a message of hope for kids and teens who’ve been impacted negatively by bullying, BMI report cards or weight teasing?

BW: The biggest thing to know is that you are not alone and your voice does matter.  I also want them to know that things can change, but only if we are willing to speak up and engage.  Along those lines, there are a few things that I suggest to young people:

  1. Always be respectful. Taking a stand, speaking your mind and challenging authority doesn’t mean you have the right to disrespect another person in the process. Otherwise, you’ve just done something wrong yourself!
  2. Find an adult to learn from and help support you. My friend, Maddie, had a strong, smart, loving mother who was willing to stand behind her when she protested. For me, my dad had my back all along the way as I challenged authority at every corner. This can help give you the courage you need when taking on big challenges and getting outside of your comfort zone.
  3. Know your rights. My dad taught me that 90% of having rights is knowing my rights! Learn from an adult what is possible, what actions you can actually take, and what your rights are. Then bravely exercise those rights! Trust me, it feels great!
  4. Use your powerful voice! It’s surprising to learn that many people might feel the same way you do, but everyone is just waiting for someone else to speak up. Well, maybe you should be that “someone”! Start the conversation with your peers, your teachers, your parents and your school board. You’ll be amazed at the change that can happen when you finally choose to use your voice. I’ve experienced this twice in high school and you see it in the film. It’s amazing, it’s simple, and it can really change things for the better. You can do it, too!

What was it like to embark on a project this big with your dad as your partner? Did the two of you learn anything new about each other in the process?

BW: Working alongside my dad was amazing!   Growing up he always taught my sister and me to tackle big and difficult things, to face our fears, and to overcome any disadvantages that we might have rather than use them as excuses.  For me, making this film was an example of all of these things and having my dad mentor and encourage me through the process was everything.

Father/Daughter Filmmaking Duo, Michael Webber & Bailey Webber

In the beginning, he also explained that this was my project and he will be there to equal my effort, but no more.  In other words, if I don’t put in the time, if I don’t do the research, if I don’t do the work, neither will he.  But if I give it everything I have no matter how difficult the obstacles, then he will give his everything too.  We joke about it now because the film became an obsession for me and I would drag him all over the country and spend the next three years helping me make this film.  He even set aside other films he was working on just to help me see this through!

My dad would also assign books for me to read on filmmaking, journalism, writing – and I would read them all!  He would give me lists of films to watch and study and take notes on, and then he would discuss them with me.  He taught me how to edit, how to write for film, how story works and how to build these big story boards to work from as the production evolved.  It was the greatest filmmaking course ever! We had so much fun together and I hope that comes out in the film, especially with the humor that we brought to it.   So for me, the experience has changed me forever.

Who do you think could benefit from attending the screening of The Student Body here in Baltimore on February 26th? What overarching message do you hope they will take away from the event?

BW: Public screenings like this are great for parents, students, teachers, lawmakers, and anyone in the healthcare field.   All of these groups are represented in the film and will benefit from experiencing the other perspectives in the story.  My hope is that people will come away from the film with a greater understanding of the complexity behind obesity and eating disorders and with a new appreciation for the struggles that people have with their weight and body image.


Many thanks to Bailey Webber for taking the time to share about her experience filming The Student Body.  If you’d like to see the film and have a chance to ask Bailey and her dad, Michael Webber, more about their experience, join us in Baltimore on February 26 for a FREE SCREENING in recognition of National Eating Disorders Awareness Week. Attendance is free but space is limited – RSVP Today!

The Student Body

Read More: A Conversation with Bailey Webber, Co-Director of THE STUDENT BODY – Part 1

A Conversation with Bailey Webber, Co-Director of THE STUDENT BODY Film – Part 1


Bailey Webber is a student investigative journalist, writer, and co-director of The Student Body. Her story of courage and activism has been featured in numerous newspaper and online articles.  She has been honored by the National Association of University Women for her advocacy work, is an ambassador for the National Eating Disorders Association as well as Proud to Be Me with which she has written several articles, blogs, and has participated in panel discussions. Bailey is the daughter of Michael Webber, a motion picture producer and renowned documentary filmmaker.  As such, she has grown up around movie making and has storytelling in her blood. The Student Body is her directorial debut.

 

In advance of the upcoming Baltimore Premiere of her film, we had the pleasure of asking Bailey about the film and her experience co-directing it alongside her father. Part 1 of here responses are shared here.


Q&A with Bailey Webber – Part 1

 

In your own words, can you tell us what The Student Body is about and why you feel people should see the film?

BW: For me, The Student Body is a story of empowerment and finding your voice.  Learning to stand against something that you feel is wrong, even when nobody else seems to be standing with you.  That’s the example we see in the beginning of the film with my friend, Maddy, which then empowered me to find my own voice, to step outside of my comfort zone, and to combat something that I felt was unjust.  Little did I know the giants I would face along the journey!

I hope people will watch the film for a couple reasons.  For one, I want young people to realize that their opinion does matter, their voice can be powerful, and they can help to bring about change in their world.  But it starts with being willing to learn, to work hard, and to be persistent.  And for adults, I hope they will see the film and learn as I did, that obesity is so much more complicated than we are led to believe, and shaming and blaming kids for this epidemic of obesity is wrong on so many levels. 

I also want people to know that this is a very positive film and it’s even filled with a lot of humor!  People are surprised at how funny and entertaining the film is and they come away from with a sense of hope and encouragement, as well as being better informed and energized about the progress that can be made.  I’ve had both students and adults tell me seeing the film has changed their life!

 

Can you share a little bit about the evolution of The Student Body? What drew you to the topic of BMI report cards and body shaming in the schools?

BW: Believe it or not, this film actually started off as a small, summer project when I was a sophomore in high school.  I wanted to make a documentary about the “fat letters” that were being handed out to students at my school and my dad, who is a filmmaker, agreed to mentor me through the process. 

Early on in my investigation, it became clear that this was more than just a local story, this was happening all over our state.  And by the end of the summer, I found myself in the middle of a heated national debate!  This was much bigger than I could have imagined and I wanted to take my investigation all the way.  So, my dad agreed to drop his other films and help me see this through to the end.  The father/daughter filmmaking duo was born!  I then spent the next two years in production, traveling the country and taking my story to its conclusion. 

I am so thankful to have been able to learn and work alongside my dad.  I had my own obstacles to overcome and I really needed someone like him to give me the confidence and encouragement to keep going all the way.  It was an amazing journey and I learned so much about myself through the experience.   

 

Was there one interview you did for the film that really moved you or was particularly powerful? If so, with whom was it and what made it stand out to you?

BW: As I began investigating this issue I read that these “fat letters” are being sent to students of all ages, even as young as kindergartners. I didn’t know how awful and detrimental this really was to young kids until I talked to them myself.  One of the most powerful interviews I did was with a group of 4th graders in New York who were brave enough to speak on camera.  These sweet little kids each received “fitness grams” from their school, telling them that they were overweight and were devastated by it.  They cried when they got home.  They saw themselves differently than before.  And they were not alone; kids and parents all over the country have had similar experiences but just would not agree to talk about it on camera because it was humiliating.

The short time I spent with these kids changed me forever.  It gave me the energy I needed to keep pressing forward and to be a voice for them and also caused me want to focus my future on working more with youth.

 

What was your personal knowledge/perception of BMI testing in schools before the film and how did it evolve throughout your filming of The Student Body?

BW: One of my favorite things about documentary filmmaking is how much I learn through the journey.  When I started this film I didn’t know much about BMI or obesity.  I simply wanted to tell a personal story about a girl at my school and shed light on what seemed like government profiling and bullying.  But this led me to connect with top experts around the country who were willing to talk to me about BMI and obesity.  I learned so much through this process and the neat thing is the audience gets to come along with me as we take this journey together.

 

Can you share the most surprising thing you learned in the process of creating this film?

BW: The most surprising, and maybe most controversial thing I learned, is that all of the experts that I spoke to said pretty much the same thing – obesity is a disease and the cause in many people may not be as simple as we once believed.  Research is showing that it’s not as simple as calories in versus calories burned and that obesity is not only caused by poor diet and exercise.  The research is finding all of these other factors that play a big role in the obesity epidemic and yet we still are pointing our finger at kids and telling them they have done something wrong.  The experts talked with me about the disconnect between what their research is showing and what the general public believes.


Read Part 2 of our interview with Bailey Webber HERE.

Watch the trailer and reserve a seat at The Baltimore Screening of The Student Body on February 26, 2017 in Towson, MD.

 

 

5 things that might surprise you about eating disorders, weight and food

5 Things That Might Surprise You VENDITTA

Despite how widespread eating disorders are, many, many misconceptions remain about these illnesses and the people affected by them.  These misconceptions are hosted and maintained by a variety of sources including the popular media, opinions of people around you, outdated information online and in textbooks, and by stigma that prevents open and honest conversations that could lead to greater understanding on a more personal level.  As a society, it’s important that we move past the stereotypical thinking, not just about eating disorders but about eating and health in general so that we can shift towards non-judgmental attitudes and practices that truly promote well-being.  After my time as a Community Outreach intern at The Center for Eating Disorders at Sheppard Pratt, these are the five most surprising facts I thought would be important for my peers and the community to know.

*     *     *

1. Anorexia and bulimia are not the only eating disorders, nor are they the most prevalent. There are more than just the eating disorders that we hear about through the media.  Binge eating disorder, atypical anorexia nervosa, bulimia nervosa of a low frequency and/or limited duration, and Avoidant Restrictive Food Intake Disorder (ARFID) are just a few examples.  Some of these diagnoses fall within the category of Other Specified Feeding or Eating Disorder (OSFED), but it is also possible to have an Unspecified Feeding or Eating Disorder.  In all of these cases though, eating disorders can take a significant toll on a person’s health and quality of life.  It seems the lack of awareness, the sensitivity of these disorders, and the confusing nature of diagnosis for eating disorders have all contributed to the fact that only 1 in 10 people with an eating disorder will get treatment.  This is a sobering statistic given that eating disorders have the highest mortality rate of any mental illness and are rarely resolved without professional help.  Raising awareness of all the different types of eating disorders and wide variety of symptoms might make it a little easier for individuals who are struggling to see themselves represented and to seek help.

2. Up to 30 million people of all ages and genders suffer from eating disorders. It is true that adolescent females make up a large part of the treatment seeking population, but it’s important to note the role that bias and misinformation, even among medical professionals, can play here.  If a person is struggling with an eating disorder and they fall outside of the white, adolescent female stereotype, they are actually less likely to be screened for, correctly diagnosed with, or referred to specialized treatment for an eating disorder.  The truth is that eating disorders do not discriminate; people of any race, ethnicity, sexual orientation or socioeconomic status may be affected.  These illnesses affect men, women, children, and the elderly.  It’s important that health and mental health professionals know this and don’t overlook warning signs in their patients.

3. There is no such thing as a “bad food.” Most of us learn throughout our lifetimes that certain foods are “bad” and others are “good” based on any number of analyses – fat content, calories, food group, process by which it was made, etc.  These messages reach us through social pressures, peer groups, family attitudes, commercials, magazines, and just about everywhere we look online.  When we’re surrounded by these messages, it is easy to forget that food is just food and gives us energy and can be enjoyed– it doesn’t have to be assigned a moral value.  Despite what we are told by the healthy lifestyle bloggers, it is okay, even necessary, to eat bread and pasta.  It is okay to get ice cream that isn’t sugar free and to go for the full fat lattes.  None of these things influence our self-worth or intrinsic goodness.  Disordered thoughts about food are everywhere and will likely continue to be everywhere.  Take away the “good” and “bad” labels from the food and you’re one step closer to creating a healthy attitude toward food whether you’re working on recovery from an eating disorder or not.

4. Fat talk is harmful for everyone. Body dissatisfaction can be a significant risk factor for the development of eating disorders.  Negative thoughts about one’s body are not easily extinguished and most people with eating disorders continue to struggle with these thoughts during their recovery process. Talking about diets, comparing body sizes, complimenting weight loss, or just generally talking negatively about body shape or weight can be very triggering and can even contribute to relapse.  But it’s not just people with eating disorders who are harmed by fat talk.  Whether it is self-directed or directed at a friend or a stranger, focusing on weight/size as a measure of worth or beauty brings everyone down.   It probably seems completely normal for someone to say “you look great, have you lost weight?” or for a co-worker to mention she’s not eating carbs because she’s afraid it will make her fat.  But it doesn’t have to be normal. When fat talk happens, consider how you might turn it around to be positive and helpful instead of feeding into the negativity.  Could you change the subject completely, educate your friend about the dangers of fat talk, or simply model mindful eating behaviors?  You can also remind your friends of all the reasons why you care about them that have nothing to do with what size they wear.

5. You really can’t tell whether or not someone has an eating disorder simply by looking at them. People with eating disorders look very much like everyone else – completely diverse.  As stated earlier, this includes diversity in age, gender and race but also diversity in weight and size.  The phrase, “you don’t look like you have an eating disorder” is not only misleading but also can be extremely detrimental to individuals seeking support.  Eating disorders can affect low weight, average weight, and high weight individuals.  Unfortunately, many people delay seeking treatment based on an assumption that their health is not at risk unless they are drastically under or overweight.   In general, weight is a very poor predictor of one’s current health.  If you are engaging in disordered eating behaviors and experience frequent negative thoughts about your body, it doesn’t matter what size you are, your health is at risk and you deserve support and treatment.

For more information about different types of eating disorders and treatment visit eatingdisorder.org.

If you’re concerned that you or a loved one may be exhibiting signs of an eating disorder,  you can take the confidential online self-assessment to find out more.

Emily VENDITTA croppedWritten by: Emily Venditta
Towson University Graduate
CED Community Outreach Intern
Spring 2016

 

Adventures in Self-Care with Melissa Fabello, Part II

 

MF 003
In honor of National Eating Disorders Awareness Week 2016 (Feb. 21-27), we asked body acceptance activist and eating disorder recovery advocate, Melissa Fabello to share her thoughts on some essential eating disorder awareness topics.  If you missed it, you can find her thoughts on self-care, perfectionism and dieting in Part I.

Below, in part II she opens the door to important conversations about body neutrality and intersectionality, and she also shares the one thing she wants people struggling with eating disorders to know about recovery.

 


Q & A with MELISSA FABELLO: Part II

 

Q: You recently wrote an awesome list of 50 body acceptance resolutions for 2016. In that list you introduce body neutrality as an alternative goal when body positivity feels like too much pressure. What did you mean by that?

MF: There are so many aims of the body acceptance or body positivity movement that I love. I have found so much comfort, joy, and support within those communities, and I am forever grateful to them for that. I’ve also found some missteps that I think need correcting, one of which being the push for everyone to feel beautiful and to love their bodies. I think that’s a lovely goal, and I also think it’s too lofty for reality.

Because the truth is that no one loves their body every single day – no one. Part of how body image works is that it can shift and that we all have good days, and we all have bad days. Mostly, when we have healthy body image, we simply see our body for what it is without ascribing any meaning to it whatsoever, and we exist, full of acceptance, in that body. To me, that’s what body neutrality is about. It’s about acknowledging and accepting our body as is, rather than pushing ourselves to have extreme feelings about it either way.

And I like to think of it as an option – not an alternative to the mainstream body acceptance movement. I like to think of it as something that someone can choose to work toward, if that goal feels more realistic than one of unconditional love. Perhaps, even, I like to think of it as a stop on the train toward a more loving relationship with our bodies. I just think that pushing people to love their bodies can backfire if it creates another standard to live up to.

 

Q: In all of your writing and in advocating for individuals with eating disorders, you take great care to acknowledge the true diversity of those who are impacted. From gender to age to race and socioeconomic status, why is it so important to you to highlight these marginalized voices in your work?

MF: Intersectionality – the understanding that intersecting social identities exist, a term that was coined by Kimberlé Crenshaw – is an absolute must in any and all work, I believe, but especially in work that stems from feminism. The ways in which we’re impacted by society differ, based on our identities. As a queer woman, for example, I experience life differently than a straight woman or a queer man. As a white woman, I experience life differently than a woman of color or a white man. Our positionality within the complicated web of identity matters because it affects how we move through this world. This is true in regards to body image and eating disorders, too.

We talk a lot about the thin ideal in our work – and that’s a very real, valid concern. We talk less, though, about how our beauty ideals are also centered on whiteness, on a heteronormative idea of gender roles, on access to money, on youth, and many other intersections. The further that we get away from the ideal, the more suffering we may experience as a result, and the more pressure we may feel to approximate those ideals. And I think that when we center the most marginalized – the people furthest from that ideal – in our work, then we help more people. When our work focuses on white, middle class, cis women, for example, then those are the only people that we help.

The eating disorder field has long focused its efforts on a very specific population, and I think it’s far past time to admit that and to work actively to eradicate the ways that that focus perpetuates systems of oppression like white supremacy and classism, among others. Different voices need to be centered because different 670_06_NEDAW_TWITTER_01_2016_P12experiences exist and have been ignored.

 

Q: Who do you think could benefit from attending your presentation, Adventures in Self-Care: Everyday strategies for nurturing an imperfect recovery in the real world?

MF: I think that anyone could, honestly! It’s been my experience that conversations around self-care can be difficult to have because so few people practice it. I’m going to talk a lot about what self-care means and why it’s important, but I’m also going to give ideas on how to start cultivating more self-care practices in your life – in ways that are easy and practical. I think that anyone who feels like sometimes life is overwhelming and they need some “me” time could benefit from this conversation – and isn’t that everyone?

 

Q: Lastly, what is the one thing you would want to tell someone who is struggling with an eating disorder and may be feeling ambivalent, hopeless, overwhelmed by or resistant to the prospect of recovery?

MF: I want them to know that those are very real and valid feelings to have. I want them to know that we’ve all come up against that at some point or another. And I want them to know that one of the biggest obstacles to recovery is believing that it’s one huge accomplishment that looks a certain way. It’s not. Recovery is about a whole bunch of tiny successes that lead you to a healthier, happier place – defined by you. Recovery is in your reach because you get to decide what it looks like and how to get there. But first, you need to take the first step of believing (even skeptically!) that it’s a possibility. And it is. I promise you that it is.

 

Continue the conversation with us on Facebook and Twitter using the hashtag #bmoreselfcare. 


Many thanks to Melissa Fabello for taking the time to share her passionate and thoughtful responses. If you’d like to hear more from Melissa, join us in Baltimore on February 21 to help kick-off National Eating Disorders Awareness Week. Don’t forget to RSVP. Space is limited. 

Download an Event Flyer to share or post:
Adventures in Self-Care…Everyday strategies for nurturing an imperfect recovery in the real world (PDF)

You can find Part I of our Q&A with Melissa here.

 



 

Why Providers Must Stand Up and Join the March Against ED

This post was written by our Community Outreach Coordinator as a guest blog for the March against eating disorders.  It was originally posted on marchagainsted.com and has been cross posted here with their permission.


Teacher
Nurse
Barista
Artist
Accountant
Grandmother
Student
CEO
Musician
Author
Mom
News Anchor
Military Officer
College Athlete
Dad

They care for you, entertain you and bring you joy.  They protect you and teach you, create things for you.  They help you and mentor you. They are varied. They are diverse. They are important.

They are people you might see every day.

And they are people we might see every day in the course of providing care and treatment for individuals and families impacted by eating disorders.

MOM March 2014At The Center for Eating Disorders at Sheppard Pratt, we see numerous people each day struggling with anorexia, bulimia, binge eating disorder, ARFID and other feeding and eating disorders.  These individuals with eating disorders are varied.  They are diverse. They are important.

This is why we were proud to participate in the inaugural March Against Eating Disorders on Capitol Hill last fall and why we are eager to return this year on October 27th for an even larger and more impactful event. As physicians, therapists, dietitians and nurses specializing in the treatment of people with eating disorders, we see the daily struggle, the medical repercussions, the fear and the impact of eating disorders on relationships, careers and families.  But we also see the hope, the healing and comfort that comes with treatment and recovery.  That is why it’s so important for those of us in the field to stand up and share our voices too.

Why do we march?  

  • We march because eating disorders continue to be stigmatized, sensationalized, overlooked and underfunded despite having the highest mortality rate of any mental illness.
  • We march because no one chooses to have an eating disorder.  Eating disorders are highly heritable illnesses, meaning 50-80% of a person’s risk for developing an eating disorder is genetic. Additional causes are varied and complex.
  • We march because no family should hear “it’s just a phase, she’ll grow out of it.” from a medical professional before they make it through our doors. A lack of specialized eating disorder training for physicians delays detection and appropriate referrals. Delaying treatment delays recovery.
  • We march because 20-30% of our patients are men who thought they were the “only one” and suffered in silence for a long time. Eating disorders don’t discriminate and treatment shouldn’t either.
  • We march because parents do not cause eating disorders but eating disorders can cause heartache for parents and family members. Guilt, blame, stigma and outdated stereotypes can prevent families from getting the help they deserve. Current research supports an understanding that caregivers can play a positive and integral role in helping a loved one to heal from their eating disorder.
  • We march because eating disorders can be deadly but they can also be overcome.  Early intervention and evidence-based treatment makes a difference.
  • We march because no one should have to get sicker before they can get well. Insurance coverage for eating disorders must not be a barrier to quality care.
  • We march because we live together in a culture that equates weight loss with health, yet we work every day with individuals whose weight loss is associated with osteopenia, hair loss, fatigue, cardiac arrhythmia and infertility.  We support a movement that embraces health-focused goals for our schools and communities instead of weight-focused goals.

These are just some of the reasons why we are excited to stand with The Alliance for Eating Disorders Awareness, The Eating Disorder Coalition, and MAED – Mothers Against Eating Disorders at The #MarchAgainstED in our nation’s capitol.  Join us on October 27th to take a stand and help increase awareness about eating disorders.

Why will you march?  

Register now at www.MarchAgainstED.com

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Written by Kate Clemmer, LCSW-C, Community Outreach Coordinator at The Center for Eating Disorders at Sheppard Pratt for www.MarchAgainstED.com

The original posting of this blog is available at: http://www.marchagainsted.com/blog/why-providers-must-stand-up-and-join-the-march-against-ed

 

THE ILLUSIONISTS Film Screening – Meet the panel of experts…

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On June 7th, hundreds will gather in Baltimore to be among the first to see an exclusive screening of the much-anticipated international documentary The Illusionists. In addition to viewing the full-length film, event attendees will have a unique opportunity to ask questions and converse with a panel of experts including the film’s director.  Meet the panel members below and be sure to reserve your seat for the event.

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Panel Members:

elena_headshotELENA ROSSINI
Writer & Director of ‘The Illusionists’

Elena Rossini is an Italian filmmaker and multimedia producer. Notable film projects include DOVE SEI TU, a feature-length narrative film set in between Milan, the documentary DIRECTION, and IDEAL WOMEN, an experimental short film juxtaposing beauty ideals in the art world vs. mass media, commissioned by ARTE Web and the Louvre Museum. In 2009, Elena launched a multimedia platform – No Country for Young Women – whose aim is to promote the visibility of professional women and to provide real role models for young girls from entrepreneurs to NASA engineers, illustrators, architects, filmmakers, non-profit directors, award-winning novelists, and more.

Since 2011 when The Illusionists was funded through a crowdfunding campaign, Elena has worked tirelessly as writer, producer, cinematographer and director. Elena is also a photographer and a blogger. Her photos and articles have appeared in Jezebel, indieWIRE, Adios Barbie and Gender Across Borders.  Elena will travel from her home in Paris to be a part of this exclusive advance screening and panel discussion.

 

tmaronickThomas Maronick, JD, DBA
Professor of Marketing
Towson University

Dr. Maronick is a Professor of Marketing in the College of Business and Economics at Towson University in Towson, Maryland.  He holds a BA in Philosophy from St. Thomas Seminary, an MBA from the University of Denver, and a Doctorate in Business Administration (DBA) from the University of Kentucky with a major in Marketing. It also includes a JD from the University of Baltimore, School of Law. Dr. Marnonick is also an inactive member of the Maryland Bar. At Towson University he teaches undergraduate and graduate courses in strategic marketing and marketing research and has also taught graduate and executive development courses in marketing, consumer behavior, and marketing research at a number of universities in the Baltimore and Washington DC area. In addition to his role as professor, Dr. Maronick’s professional background includes serving as Director of the Office of Impact Evaluation in the Bureau of Consumer Protection at the Federal Trade Commission (FTC) from 1980 – 1997 where he served as the in-house marketing expert for all divisions of the Bureau, advising attorneys and senior management on marketing aspects of cases being considered or undertaken by Commission attorneys. Dr. Maronick was also responsible for the evaluation of research submitted by firms being investigated by the Commission and for the design and implementation of all consumer research undertaken by the Bureau during that period. Since leaving the Commission in 1997, Dr. Maronick has served as an expert witness in marketing-related cases and has testified in Federal and State courts.  His areas of expertise include: marketing, deceptive advertising, public policy, research, and expert witness/litigation support.

 

Laura.Sproch.2015a_portraitLaura Sproch, PhD
Psychologist & Research Coordinator
The Center for Eating Disorders at Sheppard Pratt

Dr. Laura Sproch is a licensed clinical psychologist who serves as the Research Coordinator and outpatient individual, family, and group therapist at the Center for Eating Disorders. Currently, Dr. Sproch is initiating treatment outcome studies, managing quality improvement projects, and developing novel research projects in an effort to contribute to the field’s understanding of effective eating disorder treatment methods. Dr. Sproch received her Ph.D. in Clinical/School Psychology from Hofstra University in Hempstead, NY where she completed her dissertation examining cognitive similarities between differential eating disorder diagnoses. Dr. Sproch originally joined the CED team in 2011 as a postdoctoral fellow on the inpatient and partial hospitalization units acting as a family, individual, and group therapist. She has also worked with adolescents and adults struggling with disordered eating at a variety of levels of care, including at Friends Hospital in Philadelphia, PA and ‘Ai Pono: The Anorexia and Bulimia Center of Hawaii in Honolulu, HI. Her professional interests also include cognitive behavioral therapy, family-based treatment, behavioral modification, and school psychology.

 

Panel Moderator:

Dr. Crawford headshot_portrait

Steven Crawford, M.D.
Co-Director
The Center for Eating Disorders at Sheppard Pratt

In addition to his leadership role at The Center for Eating Disorders, Dr. Steven Crawford serves as Assistant Chief of Psychiatry at St. Joseph Medical Center, University of Maryland and as an Associate Professor at The University of Maryland where he helps to train medical students on effective screening and care for individuals with eating disorders. As an extension of this commitment to professional training, Dr. Crawford also serves as Director for Eating Disorders fellowship at The Center for Eating Disorders. He is Past President of the Maryland Psychiatric Society and Chair for the Committee on Scientific Activity for MedChi.  Dr. Crawford has participated in numerous research studies including NIMH federally funded research for an international collaborative study on the genetics of Anorexia Nervosa as well as the Family Therapy Treatment of Adolescents with Anorexia Nervosa. His numerous publications include the chapter on Eating Disorders and Substance Use Disorders for the fifth edition of Substance Abuse: A Comprehensive Textbook. After more than 25 years of specializing in the field of eating disorder treatment, Dr. Crawford has become a trusted resource for his patients, colleagues and the community.

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Questions about the panel or the event?  Call (410) 427-3886 or email kclemmer@sheppardpratt.org

 

 

 

Q&A with Filmmaker, ELENA ROSSINI on “The Illusionists”, why she made the film and her hopes for its impact

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After years of following along with and supporting Elena Rossini’s work to produce The Illusionists, we are thrilled to be able to host the public’s first full sneak peek of the film on June 7 in Baltimore. In advance of the event, we asked Elena about the documentary, the challenges she faced along the way and what’s next for her and the film. Read about her experiences below and be sure to RSVP for the advanced screening and panel discussion.

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Q & A with ELENA ROSSINI

Q: “The Illusionists”is a film about the commodification of the body and the spread of westernized beauty ideals. Can you describe those concepts and share a bit about each of the main themes introduced in the film? What was the biggest surprise you encountered while researching the globalization of body ideals?

The central thesis of the film is that after millennia of puritanism, in the 20th century the body was “liberated” – mostly for commercial reasons – and has become “the finest consumer object.” After all, we all have a body and we all go through the process of aging. There is unlimited consumerism built around the idea that a youthful appearance is key to success and happiness. What I found most fascinating is the fact that Western media is so powerful – and persuasive – that it has exported beauty ideals to the rest of the world. So, if you are walking through the streets of Beirut, Mumbai, or Tokyo, you will see billboard ads that display images of Caucasian models with blue eyes, who look very different from the local population. In The Illusionists I show the powerful effects of this globalization of beauty ideals. One of my favorite quotes on the subject comes from British psychotherapist and author Susie Orbach. She says: “I think one of the tragedies that’s happening at the moment is that we’re losing bodies as fast as we’re losing languages. Just as English has become the lingua franca of the world, so the white, blondified, small nosed, pert breast, long-legged body is coming to stand in for the great variety of human bodies that there are.”

Q: What were the biggest barriers for you in getting this project off the ground?

Completing the film truly felt like a Herculean endeavor, as I did virtually everything on my own: from fundraising to writing, producing, directing, shooting and editing. I even took care of archival material and motion graphics – basically covering the roles of a dozen people. It was never my intention to do everything by myself! A famous French director mentored me and proposed to be executive producer: but no French TV networks wanted to give us funding (after 2 years of various meetings), so I was left to do things on my own… and thus started a Kickstarter campaign. When the film was finished and I looked for a celebrity to record the voice-over, some very prominent film people expressed interest in helping… but then disappeared, so I had to resort to finding someone through my own networks. There is an Italian saying that goes “Chi fa da se, fa per tre” – meaning “you’d better do things yourself rather than waiting for someone else to do it.”

In the world of film – which is such a collaborative medium – it’s very difficult to do everything on your own. So, when opportunities for collaboration arose, I was so happy! The audio part of the film – from the incredible soundtrack created by Pierre-Marie Maulini of STAL, to the sound mix done by AOC, to the voice-over recorded by the amazing Peter Coyote… it was truly a dream come true.

Q: What would you say makes “The Illusionists” different from other documentaries about the media portrayal of beauty ideals?

I pinch myself every time I ILLUSIONISTSfilmstillMILAN01have conversations with sales agents who have watched the film, because they invariably compliment The Illusionists for the fact that it has a global angle. Filming locations included the US, UK, Netherlands, Italy, France, Lebanon, India and Japan. This is definitely the film’s biggest selling point and what sets it apart.

From the point of view of storytelling and tone, I wanted to highlight the absurdity of certain advertising messages, so there are many sections of the film where audiences laugh out loud. I have to admit, I am not a big fan of documentaries that simply point the finger in an angry way or show depressing facts for 89 minutes and have a one minute uplifting section at the end, seemingly out of nowhere. I think humour can be a powerful teacher!

Q: What aspects of the film are you most proud of?

My favorite moments are definitely the most shocking and humorous ones. I love to hear audiences react out loud when I show the hypocrisy of beauty companies. One of my favorite sections is a split screen with skin whitening ads on one side, and self-tanning lotions on the other: those are ads by the same brands, but done in different regions of the world!

670-06_Illusionists_FB_twitter_sidebar_4_2015_P2Q: If you had to sum up your film in one word, what would that word be?

Subversive (in a positive way!). A friend has recently called me a “gentle warrior” – it was one of the biggest compliments I ever received. I love the idea of challenging the status quo, but in a way that’s not violent or angry.

Q: What is next for the film, and for you as a Director?  Are you committed to doing more work on body image and media literacy?

I have the utmost admiration for the career of activist, author and filmmaker Jean Kilbourne – whom I was super lucky to feature in The Illusionists. My dream is to follow her footsteps and continue working on The Illusionists, updating the film or doing follow-ups in the years to come. There is so much to talk about and the media landscape is constantly evolving: I’d love to go to new countries and produce a web series that continues to tackle these topics.

Q: What do you hope viewers will get out of attending this special advance screening event on June 7th?

I am so excited about this special advance screening because so far I have only shown the full film to friends, friends-of-friends, or sales agents. I am thrilled at the opportunity to have my first big sneak peek at The Center for Eating Disorders at Sheppard Pratt and to see how people who don’t know me will react. A friend said something that stayed with me. Weeks after a private screening at his place, he said, “After watching The Illusionists, I don’t see ads the same way anymore.” I loved hearing that. If I can manage to make audience members more aware of ads and their messages, I would have done my job.

 

Join us in Baltimore for the exclusive advanced screening of the film followed by a panel discussion with Elena and other experts on body image and media literacy.  Pre-registration is required to reserve seats.

Click the image below to watch a 4-minute preview of The Illusionists

You may also be interested in reading…

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

Ben-headshot-2nd

 

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.