Archive for the 'Body Image' Category

Nurturing a Positive Pregnancy…Lessons Learned from Eating Disorder Recovery

Several months ago, The Center for Eating Disorders had the pleasure of hosting former World Champion rower, Whitney Post, as a keynote speaker during National Eating Disorders Awareness Week.  In her talk, Invisible Victory, she spoke about her identity as an elite athlete and how she ultimately used it to her advantage in recovering from her eating disorder (ED).  During her visit to Baltimore, Whitney also shared that she was expecting a baby this June, and that  her work in ED recovery had provided a unique perspective and helpful skills for navigating the ups, downs and body image challenges of pregnancy.  In honor of Mother’s Day,  we asked Whitney if she would help us re-introduce our Nurture blog series for moms and mothers-to-be, and she graciously agreed.  The result is this insightful and delightfully down-to-earth Q&A  post about her ongoing journey through pregnancy and recovery. 

 Q & A with Whitney Post

Q: Have you noticed any similarities or parallels between the pregnancy experience and the recovery process?

WP: I remember early on in pregnancy lying in bed and trying to take stock of all the changes that were going on in my work, my body, my energy, and my identity.  It felt overwhelming to say the least, but what occurred to me was that I was so glad I had all the training of recovery to help me navigate this new journey.  I already knew how to surrender large areas of my life for the sake of something new and different.  I think both recovery and pregnancy are about building new life.  In each the process is long, full of uncertainty and discomfort, and full of hope.  There is a great demand for outside support and people who have been through the process before, and the ability to surrender to what the process is asking of you vs. having things exactly the way you want them.

Q: Can you describe how the process of recovering from an ED has helped you prepare for the experience of pregnancy, particularly as it relates to your body image?

WP: I wanted to be one of those women who remained toned and just grew a big round belly out front.  I am not.  I wanted to be one of those women who stayed true to her satisfying workout regimes.  I am not.  And I wanted to be one of those women who seemed to get more stylish as her belly grew, with cool accessories and funky outfits.  I am not. 

But what I am is one of those women who is putting the health of the child growing inside me first, and doing my best with all the rest.  I just do it while wearing clogs, and in between very moderate (“lame” would be another term) workouts.  As the weight started to come on, I could feel two sides of my brain at work.  One said, “this is a miracle and weight gain is part of the process.  This is healthy and natural.”  Meanwhile, another, old part of my brain shouted, “Hello!!!! You are gaining weight!!  Remember how unhappy you were last time this happened?  Do something about it now!!!”  Every time another round of clothes has to be retired because it becomes snug, a part of me feels an old tug to feel bad about myself.  But recovery taught me the skills of being able to recognize these two different voices and gave me the ability to make a choice, vs. listening to whichever voice is scarier.  I am pleased to say that, “this is normal and natural” now wins easily over “go on a diet!”

At my OB office when they check you in for each visit they hand you a cup to pee in and ask you to weigh yourself.  They leave the room and come back in about ten minutes.  For several months I would worry about having to weigh myself, as part of my recovery has involved not knowing how much I weigh.  I could have asked them to weigh me and just looked away, that would have been totally valid, but I just chose to do the drill and let them decide if I was gaining too much or too little.  As long as I’m not trying to control my weight, but rather trust that to the doctors, and manage healthy meals and appropriate workouts, I feel I am on track.

Q: How can pregnancy positively or negatively impact recovery? 

WP: I have found that I have had to work pretty hard at taking care of my recovery because my needs changed suddenly.  I had to find a new way to eat when everything made me nauseated.  I had to find a new way to work the tools of the program when I was too tired to go to 12-step meetings I normally went to.  I had to find women who were in recovery who had been pregnant to learn from them.  So suddenly, the little world of my recovery resources needed to be updated and shifted, and that has been a big investment on my part.  So I think if you let the things that sustain you in recovery slide because you have less energy or those resources don’t fit as well, you can be on a slippery slope, because you may also find yourself (as I often have) more emotionally vulnerable than normal.  But if you look at it as a time to invest in a new phase of recovery and build a community around you, it can strengthen you.

Q: Can you share some concrete steps women can take during pregnancy to help them nurture a positive relationship with their changing bodies?

  • Recognize you may have conflicting feelings and impulses but make sure your actions reflect your goals and values.  (for example – I want to diet because I don’t like gaining weight but my goal is to have a healthy baby and pregnancy, and so I will accept that gaining weight is part of the process and is temporary).
  • Talk to other women who have been through it and speak honestly about your experience.  You can be a wonderful mother and still not enjoy every aspect of pregnancy – they are not mutually exclusive.
  • Ensure from the outset that you have an OB who is supportive of prioritizing health vs. weight.  Then, trust your doctors when it comes to monitoring weight, exercise, etc., and get someone (nutritionist or physician) to work with you on the food and eating part, if you struggle with it, so you aren’t alone.
  • Focus on the positive parts – go to birthing classes, pay attention to the baby kicks, pick out baby clothes, prepare the house, etc.
  • Go with your body’s intuition about when it needs a rest, a snack or a cry.  You may not be able to keep up with your old self, or your old standards, and that’s okay.  It’s important to accept that your body now has a whole new task to prioritize; supporting the physical growth and development of your baby requires a lot of energy.

Q: As an eating disorder treatment professional, a recovery advocate and now a pregnant woman yourself, what are your thoughts on the mainstream media’s representation of pregnant and post-pregnancy bodies? 

WP: Mainstream media has never been helpful when it comes to figuring out how my body should look, and a pregnant body is no different.  The women chosen to be pregnancy models or on the covers of magazines are a very select group of pregnant women who all look much the same, and are all captured in about their fifth or sixth month of pregnancy when the belly is often cute and round.  If you go to a prenatal yoga class and look at all the bodies (as I often did – I was barely able to focus on the poses) you will see all the different shapes and sizes of bellies regardless of the phase of pregnancy.  Some of them seem pretty wacky looking as we are just not accustomed to seeing really pregnant women!  I find it much healthier to see these real live pregnant women than to look at the models.

As for “after the baby” the media is obsessed with how fast a woman can “get her body back.”  I’m happy Heidi Klum made it her goal to be a sexy Victoria secret model within weeks of giving birth, but I don’t think that is helpful for most women.  I am really looking forward to being able to run and do a sit up and move my body with greater ease and speed after the baby is born.  But the reality is I will be sleep deprived and in a very demanding phase of feeding, soothing, and getting to know a new baby, and at that time, I don’t need to be preoccupied with how quickly I can lose weight.  Focusing on eating well and getting in some sleep and exercise will be my goal for good self-care.

Q: Is there one piece of advice that has been particularly helpful for you in terms of staying focused on wellness and body positivity during pregnancy?

WP: Trust your body and stay connected ~ not that different from recovery, right? : )  Pregnancy can make you tired and moody, and both of those things can make socializing less appealing. I have found that I need to push myself to stay connected to old pals and to reach out to start to create a new community of moms-to-be. 

Q: Are there any lessons you’ve learned through ED recovery that you think may also be helpful for individuals as they venture into the day-to-day life of motherhood with a new baby?

WP:In recovery I spent a lot of time learning how to figure out what I needed, and how to stand up for that need while being kind and respectful of others.  But I still need to fight a part of me that is stuck in the habit of  “people pleasing.”  In pregnancy part of my job is to avoid putting myself in bad situations (being around people who have contagious colds or flus, overdoing myself with social/work demands), even though I might have been fine with these situations when not pregnant. This means I have to say “no” to things more often.  I learned early on that if I went against an instinct about my limits of comfort, I was really uncomfortable. I imagine some of the same will be true with an infant.  So my lesson that I am learning over again is that I need to respect my instincts and boundaries, and while I may inconvenience people in the process, we will all survive.

Whitney Post is the President and Co-Founder of Eating for Life Alliance and spends much of her time educating college students, professionals, athletes and coaches about eating disorder prevention and treatment. The Center for Eating Disorders is incredibly grateful to Whitney for sharing her insights, experiences,  and advice about pregnancy and recovery for this post We wish her well as she ventures into motherhood!  If you’d like to share your own ideas on this topic, please leave your thoughts in the comments section below or join the discussion on our Facebook Page

If you enjoyed this blog, you may want to read these previous entries from CED’s Nurture Blog Series:

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*Significant health risks (for mom and baby) are associated with eating disorders during pregnancy.  It is recommended that the eating disorder be significantly resolved before a pregnancy is attempted.  If pregnancy does occur prior to recovery, it is imperative that you receive appropriate medical and psychological support. If you are struggling with an eating disorder during pregnancy, or are working hard to maintain your recovery during pregnancy, we would like to remind you how important it is to be honest with your OB and other medical providers during this time.  It’s critical that your providers are aware of your medical history and any current and past ED symptoms so that they can provide the best possible health care for you and your baby.  

What’s Really Going On with Faceboook & Body Image?

The results of our recent survey regarding the intersection of Facebook use and body image have been highlighted by various news outlets over the past two weeks.  We discussed the implications of the survey results here (and as a guest post over at The Illusionists), drawing attention to the fact that 51% of the 600 survey respondents said they often compare themselves to others while on Facebook and that seeing photos on Facebook makes them more self-conscious about their own body and weight.  Additionally, 32% endorsed feelings of sadness when they compare their body to other people’s photos on Facebook which, for most people, is at least once a day if not more.

Facebook: Body Image Friend or Foe? at The Illusionists.org

We originally set out to do this survey because we were finding that patients with eating disorders were meeting with great difficulty in the recovery process when it came to logging into their Facebook accounts.  In fact, before we released the full survey results, one user on our Facebook page left the following comment:

Facebook definitely played a role in fueling my eating disorder symptoms and behaviors.  Most people only post pictures that glamorize their bodies and social life…There have been multiple times throughout my recovery that I have deactivated my account because the things I was seeing online were fogging my view of reality.  Realizing that the site was doing more harm than good for me has made me more aware of the things I post on my account.  I think it’s important to make sure we are trying to foster a safe and healthy community and we can only do that if we first change the way we act… .” -  Facebook User

While some media outlets have gone as far as to say that Facebook is a cause of negative body image and eating disorders, others have dismissed the significance of the results as par for the course in our  image and weight-obsessed culture.  Others, including this editorial assistant over at Allure Magazineonline, have spoken up in a personal, and humorous, way about the modern realities of  this pressure-to-be-perfect in Facebook photos. Despite the varied reactions, one thing became clear to us following the survey;   Individuals with eating disorders are not alone in their battle with body-obsession on Facebook.   

Since the survey, we’ve been asked multiple times about how body-pressure from online social media differs from the toxic messages we’ve been getting for decades from fashion magazines, commercials and weight-focused friends?   The answer: the content itself is nothing new to us as a society - conversations that are hyper-focused on weight loss, diets, bikini bodies, and who looks ”hot or not” – but the delivery and dissemination of it is new.  We’ve noticed the following characteristics of online communities are unique in how they can potentially affect the relationship we have with our bodies: 

  • Accessibility - Online social networks never turn off.  Even when you’re by yourself you’re often not far from your laptop, iPad or Smartphone and the lure of logging in to Facebook.  In the past, waiting in line at the store might have included…waiting in line.  With a smartphone it could easily be spent browsing Facebook pics from your old college roomate’s beach vacation or reading about Aunt Sally’s 37th time going on a diet.  For better or worse, we have a lot more visual information at our fingertips than ever before. 
  • Immediacy – your status update or photo can literally be seen (and commented on) around the world in a matter of seconds.
  • Lack of control over what other people post and how people comment on it.
  • Two-way street- unlike with magazines or commercials, Facebook not only allows you to see photos of other people, but allows them to see photos of you.  Maybe even more importantly, YOU are seeing public photos of you which can sometimes create the most body anxiety, especially if your instinct is to zero in on all of your supposed “imperfections” in each picture.
  • Business or Pleasure? – there’s a unique mix between the personal and business realms on Facebook.  Users often use one account to stay connected with friends/family but also occasionally promote a product or business in their posts and photos.  This means we get advertisement-like messages about beauty, exercise and weight-loss products from people we like and/or trust.  Confusing? Definitely.     
  • The sheer number of people you are connected to on Facebook is more than you would ever casually socialize with on a Friday night. The thought of hundreds or even thousands of people zeroing in on what you imagine to be “imperfections” can be overwhelming when it comes to body insecurities.  (It’s important to remember that no one else is ever looking at you or your body in photos as closely as you are!) 
  • Body Comparisons while on Facebook take on new meaning because you’re seeing real people.  Unlike magazines and advertisements which feature [heavily photoshopped]models and celebrities, photos of Facebook friends may, unfortunately, feel like a more realistic or welcoming comparison.  

The truth is, when you get caught up in comparing yourself and your body to other people (online or off) you can’t win.  Blogger, Margarita Tartakovsky, shares her journey out of this comparison trap in How To Stop Comparing Yourself To Others, in which she reflects:  

When you’re rarely satisfied with yourself, your self-worth is shaky, and you see others’ lives as almost perfect – or definitely better than your own. You  constantly search outside yourself, and as a result, you knock yourself down. For many of us, comparing ourselves just changes stripes from time to time. One day, we want someone else’s abs, biceps or hips. Another day, we want their smarts or style. A few days later, we want their family life or financial situation.  Until we can truly believe in ourselves, the comparisons will swirl and sabotage…It’s interesting that now that I accept, appreciate and believe in my body, the physical comparisons have mostly quieted.

The trap of body negativity and comparisons on Facebook can certainly be difficult to avoid, especially if your online social atmosphere includes a lot of people who place a high value on appearance-only qualities or happen to be caught up in the diet mentality themselves.  The impact can feel much more powerful if your body image is already in a fragile state as is often the case for individuals with eating disorders and those recovering from eating disorders.  

The great news is that you can mold a more positive online experience for yourself.  If you’ve reflected on your Facebook use,  assessed its impact on your body image and realized that too much of your social networking time is spent feeling worried or sad about how you look, than it may be time to set some changes in motion.

You can start by vowing to maintain a body positive Facebook profile - this means not engaging in fat talk, self-criticism, diet discussion or body snarking while on Facebook. Once you’ve made the decision to do so, you can find tips and suggestions for incorporating body positivity in our post, Social Networks ~ Building a Body Positive Presence Online.

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Related Posts:

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Body Image Friend or Foe? How is Facebook affecting the way you feel about your Body?

ABC-2 News Interview - Does Facebook Make You Feel Fat?

Over the last year, major social networking and blog sites have taken steps to protect users from  dangerous Pro-ana and Pro-mia communities online.  These are sites that promote eating disorders as a way of life, instead of a genuine mental illness, and create an atmosphere that normalizes and encourages extremely dangerous weight-loss behaviors.  Most recently the popular photo sharing site, Pinterestupdated their policies regarding inappropriate content to include Pinners and boards that feature “thinspo” or “thinspiration” – images of dangerously thin bodies meant to motivate or inspire users to pursue greater weight loss.   While banning this content won’t cure eating disorders, it can certainly help to protect vulnerable individuals from tapping into these dangerous websites. 

Though somewhat hidden in “underground” niches across the web, the dangers of online pro-eating disorder sites have been well-documented, and we commend Pinterest, Facebook, and Tumblr for taking a stand to protect their users from these sites.  But perhaps more unsuspecting in their effects, are mainstream social network communities: general sites like Facebook that we all use everyday to keep in touch with friends and family across the world, to post pictures of our kids and pets, to share birthday wishes or follow favorite organizations.  

Have you ever thought about how Facebook use is affecting your relationship with your body? 

Recently, The Center for Eating Disorders commissioned a public survey of Facebook users age 16-40 and found that, for most Facebook users, the answer to this questions is actually quite concerning.  In response to the survey we found:

  • 51% of respondents said that seeing photos of themselves on Facebook makes them more conscious about their own body and their weight
  • 32% said they feel SAD when comparing Facebook photos of themselves to their friends’
  • 44% spend time wishing they had the same body or weight as a friend when looking at photos on Facebook
  • 37% said they feel that they need to change specific parts of their body when comparing their bodies to a friend’s body in Facebook photos

Now consider that 80% of the respondents in our survey reported that they log on to Facebook at least once a day and more than half of them log on several times each day.   Thus, we see the set-up  for a daily stream of negative body image thoughts which could potentially impact one’s self-esteem.

Recent articles on CNN.com and NYTimes.com have drawn attention to the heightened role that online social networks play in adolescents’ relationship with their bodies, specifically with regards to the sexualization of teens’ online photos.  Most recently, the self-esteem website Proud2BMe.org  featured a collection of sobering quotes  from real teens regarding their body image and Facebook use, a few of which are excerpted below:

“People get positive attention in the world by losing weight. And you can do it to an even greater extent on Facebook.”-Anika, 18

“It’s only the ’standard beauty’ who gets the ‘likes’ I feel like to be the hot girl, you have to be like that, or wear your shirt too low and your skirt too high.” -Kirby, 18

“When looking at images of girls in a magazine almost all us know that they are altered electronically to appear perfect. When it comes to social media such as Facebook, most believe that they are looking at raw pictures, or ‘real girls.’ Whether this is true or not, they are ultimately used as a standard of comparison.    -Mary

What may be even more sobering is the reality that this mindset is not unique to adolescents. Survey results indicate that this is not just a phase we pass through or something teens will necessarily grow out of.   Respondents included adults in their 20s, 30s and 40s confirming that they experience similar patterns of body negativity and weight obsession when using Facebook.   

Body negativity on Facebook is not to be considered just a women’s issue either.  In this survey commissioned by CED, 40% of the male respondents agreed that they sometimes write negative comments about their own body in photos posted on Facebook (whereas 21% of females agree to doing so).

What do we gain from publicly, or privately, criticizing our bodies and constantly comparing our bodies to one another?  Does anyone really benefit from congratulating or praising people when they post about weight loss or diets in their Facebook updates?  Weight obsession and body shaming certainly isn’t new, but online social networks are creating a new frontier that seems to be publicizing our body insecurities while magnifying society’s love affair with diets and weight loss. CED’s associate director Dr. Steven Crawford had this to say in response to the survey results:

As people spend more time thinking about what’s wrong with their bodies, less time is spent on the positive realm and engaging in life in meaningful and fulfilling ways.  When people become more concerned with the image they project online and less concerned with holistic markers of health in real life, their body image may suffer and they may even turn, or return, to harmful fad diets or dangerous weight-control behaviors. We hope the results of this survey encourage people to really look at how their online behavior affects their outlook, and we caution them against being overly critical of their own bodies or other people’s bodies while on Facebook and other social networking sites.

Consider reflecting on your own Facebook use and how it could possibly be affecting your relationship with your body.   We suggest asking yourself the following questions to discern whether certain online behaviors or patterns are harming your self-esteem or body image:

  • How often do you publicly or privately criticize your own body while online?
  • How much time do you spend comparing your body to other people’s bodies online?
  • What percentage of your status updates focus on weight, diets or exercise? 
  • Do your comments on other people’s photos regularly focus on weight or appearance in a negative or positive way?  
  • How do you feel when you look through friends’ online albums? Do you ever get overwhelmed by this?  

It’s important to remember that Facebook, and social networking in general, is a wonderful way to stay in touch with and connect to other people and organizations.  Facebook certainly doesn’t cause negative body image in and of itself.  It does however, provide lots of fuel for the weight-obsession and body criticisms that already burn out of control in our larger culture.  This can be particularly worrisome for individuals who already struggle with severe negative body image or eating disorders.  During a recent interview with ABC-2 News regarding the survey results, CED Director, Dr. Harry Brandt added that,     

Facebook may be another step in our culture that promotes self-consciousness about appearance and feelings of low self-worth around [the] body, and those are significant factors in the proliferation of eating disorders.

If you find that you’re using Facebook as an outlet for feeling badly about your body, comparing yourself to others physically, or hyperfocusing on appearance and weight in your posts, it may be time to renovate your page.  Check out these follow-up posts:

Do you have suggestions? Want to share about you own experience?  Join the conversation, and start the movement towards online body positivity on our Facebook page.

You can findmore information about The Center for Eating Disorders at Sheppard Pratt on our website, www.EatingDisorder.org

Ringing in the New Year…in a new way

In our culture, holidays can get idealized through marketing, media messages and product promotions.  Thanksgiving has a reputation for being all about the food…it is, after all, a celebratory ”feast”.  Christmas (and Hanukkah to a lesser extent) often comes with pressure to engage in frenzied shopping and elaborate gift exchanges. And to round out the season, New Year’s Eve arrives with a cultural assumption that  everyone will be happily ringing in the new year with hefty resolutions for weight loss and a perpetually full glass of alcohol.

All of these holidays come with their own joys and challenges. The annual combination of drinking and diet pressures during NYE can be especially troublesome for individuals working on recovery considering the high rate of overlap between substance abuse and eating disorders

Approximately 50% of individuals with an eating disorder (ED) abuse or are dependent on alcohol or illicit substances compared with approximately 9% of the general population …

…Conversely, females who report alcohol problems and/or binge drinking were more likely to report recent ED symptoms

  Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2788663/

During the hard work of ED recovery, it can be very easy for individuals to fall into the trap of “symptom substitution”.  This occurs when someone is refraining from acting on their eating disorder symptoms but begins to engage in, or increases their reliance on, other unhealthy behaviors such as binge drinking, drug use or self-injury.  Individuals who struggle with an ED and alcoholism can encounter an especially slippery slope during holidays like NYE that promote and normalize heavy drinking.      

If you struggle with substance abuse and find yourself challenged by the idea of the alcohol-focused NYE celebration, or you’re worried about how it might affect your ED recovery, it’s a good idea to plan ahead and create a recovery-focused party plan.  Here are a few tips and ideas to get you started:

Explore your options.  If your friends are planning an evening of bar-hopping, drinking games or other events that are heavily dependent on alcohol, it might not be the best option for you this year.  Consider other outlets…do you have neighbors, co-workers, friends from your church or synagogue, siblings, cousins or other family members who will be getting together to celebrate?  Check in to see if they may have a more balanced celebration in mind and could be more supportive of your recovery efforts. You may need to look beyond your most immediate social network to find what you need.

You CAN have fun while in recovery from an eating disorder and substance abuse; don’t convince yourself otherwise. It can be tempting to assume that there are no options for an alcohol-free evening on New Year’s Eve, but resist the urge to isolate as an alternative.  Sitting at home by yourself watching the ball drop in Times Square might seem like the safe option now but could set you up for feelings of loneliness, depression and negative thoughts as you head into the new year.   Try, instead, to connect with at least one other person and plan something special like going to see a movie or a concert, or catch a comedy show. 

Identify a sober buddy. If you are looking forward to attending a NYE party and you know there will be alcohol there, find out if there is anyone else who will be abstaining from alcohol, and team up for support.  Don’t limit yourself to other people in recovery; consider your friend’s wife who is 6 months pregnant and not drinking, or your friend who is a nurse and has to leave the party to go straight to work at 2 am.  Create alliances to help safeguard your recovery.  At the very least, let your host or a good friend know in advance that you won’t be drinking so they can help alleviate any pressure to do so on the night of the event.

BYO.   Just because you are choosing to focus on recovery and may be abstaining from alcohol doesn’t mean you shouldn’t participate in the midnight toast. In fact, if you’ve been working hard on getting well and finding happiness outside of the eating disorder and/or alcoholism, you probably have a lot of reasons to celebrate the arrival of the New Year, and toast to the progress you’ve made thus far.  Pack your own bottle of sparkling cider and raise your glass in your own honor.

Fun alternatives. If recovery-focused plans fall through or just don’t seem to be coming together, consider some creative alternatives like offering to babysit your nieces and nephews or a bunch of the neighborhood kids.  Put your energy into creating a fun, kid-centric New Year’s Eve celebration for them that you can enjoy too.   Think silly string, noise makers, confetti and some glittery dress-up outfits from the thrift store.

Safety First.  Even if you don’t struggle with substance abuse, but you know you will be drinking on NYE, aim for moderation and be sure that you have a safe travel plan in place.  Either stay-the-night at your host’s house or arrange for a trustworthy designated driver. You can also look into public services in your city that offer free rides home on NYE.  If you’re in the Baltimore area you can call  877-963-Taxi to take advantage of the Tipsy? Taxi!

#DitchingDieting  Be prepared to be bombarded with new year’s resolutions and people’s new diet plans in the weeks that follow.  In an attempt to balance those triggering and unhealthy messages, set up a system in advance to expose yourself to more accurate information about dieting and engage in a body-positive community.  If you’re on Twitter, follow the hash tag #DitchingDieting, and learn more about the toxic diet culture in this post, Dare to Resolve to Ditch Dieting  from Adios Barbie. 

As the year comes to a close, remember that your recovery, your happiness  and your well-being is worth more than a few hours of partying on New Year’s Eve.  Try something new this year by allowing yourself the time and space to celebrate in a way that is safe and supportive of your emotional growth and your current stage of recovery.  Strive to be mindful and present as you welcome in a year of gratitude, positivity, strength and confidence.

Happy New Year from The Center for Eating Disorders at Sheppard Pratt!   

 

 

 

Making a Difference ~ Fat Talk Free Week 2011

This is the 6th post in an 8-part blog series  about eating disorders on campus.

Fat Talk Free Week 2011

“I’m having a fat day.”

“Does this outfit make me look fat?”

“I can’t go on that date until I lose more weight – I’m so disgusting.”

Have you ever uttered these words? Have you thought them? Heard other people say them? These types of statements have become far too acceptable as part of our every day speech and social conversation. In an effort to combat this way of speaking to ourselves and others, Tri Delta Sorority launched their fourth annual Fat Talk Free Week going on right now, October 16-22, 2011.

The following description of this initiative is posted on their website:

Fat Talk describes all of the statements made in everyday conversation that can contribute to women’s dissatisfaction with their bodies by reinforcing the thin ideal. Examples of fat talk may include: “I’m so fat,” “Do I look fat in this?” “I need to lose 10 pounds” and “She’s too fat to be wearing that.” Statements that are considered fat talk don’t necessarily have to be negative; they can seem positive yet also reinforce the need to be thin –“How do you stay so skinny?” or  “You look great! Have you lost weight?”

Fat Talk Free Week, our cause campaign in support of Reflections, is an annual week-long event to raise awareness about the damaging effects of Fat Talk. We’re encouraging everyone to change the conversation to create a more positive body image for women everywhere!

Negative body image is one of the most persistent symptoms of an eating disorder. In fact, for many people, their eating disorder symptoms will be well under control before their body image begins to improve. This is a frustrating experience that can also be very triggering, leading some, unfortunately, to revert to their eating disorder behaviors. Fortunately, there are some steps you can take to actively work on nurturing and accepting your body. There’s still time to enlist some friends or family members to take part in Fat Talk Free Week to support you in creating a world less focused on appearance and unrealistic body ideals.

Stop Fat Talk: Instead of talking with others about your appearance, start conversations about which classes you are taing, your weekend plans or how you are feeling that day. Compliment others on their accomplishments, style, or humor instead of highlighting their appearance or weight. If others are engaging in fat talk, politely redirect the conversation or let them know about your goal for the week and encourage them to join in.  You can connect with others on the End Fat Talk Facebook Page.

Make a List, Don’t Check it Twice: On one half of a piece of paper, write a list of the things you dislike about your body. On the other half write the things that you like about your body, you accomplishments and your personality. Tear off the half that details the negatives and rip it up into pieces. Throw it in the trash where it belongs! Put the positive half somewhere that you can look at it frequently to remind yourself of your great qualities.

Treat Your Body: This would be a great week to schedule a massage or a pedicure. Strapped for cash? Check out local spas that might have student discounts or get some friends together and swap accessories that emphasize your favorite feature. Sometimes, it is a treat to simply take a nice, long shower at home and actually take time to enjoy the scents of the shampoos and soaps that you use.

Apologize: It may seem silly, but every time you catch yourself thinking a negative thought about your body, pause and apologize to your body for being so harsh. Instead, try to express your gratitude for what your body does for you. For example, if you are thinking your thighs are too big, stop and thank your legs for giving you the ability to walk from place to place.  You might even want to write your body an apology letter for having been so critical in the past. Then write your resolutions for how you will treat it better in the future.

Get Creative: Tap into your inner artist and create a poster for CED’s 6th Annual Love Your Tree positive body image and poster campaign.  Colleges and  student organizations in the state of Maryland can even request a free Love Your Tree creative workshop for your campus facilitated by the program’s creator, Julia Andersen.  More details here.

Out with the old, In with the new: This would be a great week to do your body a favor and get rid of any old clothes that don’t fit or simply don’t make you feel great when you wear them. What is the point of holding onto jeans that don’t cooperate with your body? They’re only taking up space in your closet, and you could be focusing on the jeans that fit you and flatter you now. Host a clothing drive in your dorm or with your friends; donate those clothes to Goodwill or take them to a consignment shop. Everyone wins!

We at The Center for Eating Disorders encourage you to sign the Fat Talk Free Week Pledge.  Over 3,000 other people have already made the commitment to befriend their bodies, will you?

Remember, Fat Talk Free doesn’t have to end on Friday.  See how much better you feel when you focus on life outside of clothing sizes, diet goals and the media’s harmful messages about beauty. You may find that you want to make it a daily commitment.  Need a little extra motivation?  Check out Positive Body Image is Always In Season: 7 Tips for Year-Round Body Image Boosting and join us on Facebook.

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Written by Jennifer Moran, PsyD. as part of CED’s 8-part college blog series for students struggling with disordered eating and body image concerns on campus.

The 6th annual “Love Your Tree” Poster Campaign

Love Your Tree

Merging positive body image & creative arts in schools and on campuses across Maryland

July 15 – December 16, 2011

WHAT is Love Your Tree?

Love Your Tree is an arts-based body image campaign based on the work of author and activist, Eve Ensler.  Ensler’s award winning play, The Good Body sends a message to stop hating our bodies and encourages us all to challenge society’s narrow definition of beauty. The Love Your Tree program was created six years ago as a creative avenue for this important message to reach young people in schools and organizations throughout our state and beyond. Middle school, high school and college students from across Maryland are invited to create and submit original posters that illustrate their positive response to the phrase, “Like a tree, my body is…”. This campaign provides students with an opportunity to use art as an avenue for learning about and expressing messages of self-acceptance and appreciation for body diversity.  Center for Eating Disorders staff are available to provide free, on-site Love Your Tree workshops for schools and youth organizations wanting to take part in the campaign.

WHEN:

Love Your Tree workshops are offered August through December of 2011.  Call (410) 427-3886 or email kclemmer@sheppardpratt.org to schedule.  Poster entries must be submitted by December 16th, 2011.

WHO:

Middle School, High School and College-age students throughout Maryland can participate in groups, classes, organizations, or as individuals.  One poster per person.  Educators, counselors, youth leaders and parents are encouraged to help facilitate participation in the campaign.

HOW TO GET INVOLVED:

Schedule a workshop and/or download the following documents for details on how to submit a poster:

  • 2011 Call-for-Posters (pdf)
  • Student Artwork Registration Form (pdf)
  • All artwork MUST reflect original student ideas and designs.
  • Poster entries must be no smaller than 9″x12″ and no larger than 12″x18″.  Only two- dimensional media will be accepted.
  • For more information, contact the CED Outreach Department at (410) 427-3886 or email kclemmer@sheppardpratt.org.

MORE INFO:

The campaign will culminate in February 2012 with a special recognition ceremony and a public exhibit of student artwork.  Students will receive awards for their artwork and one poster will be chosen for professional reproduction and promotion of the Love Your Tree message.  You can check out photos of the 2010 poster exhibit and reception here on our Facebook page.

The campaign’s central theme, Love Your Body, Love Your Tree encourages self-awareness, media literacy, health and well-being, advocacy and an appreciation for the diversity of beauty.


“Navigating Our Culture’s Body Anxiety & Finding Body Confidence” ~ Q & A with SUSIE ORBACH

Susie OrbachSusie Orbach is a psychoanalyst, activist and author of many books including the classic, Fat is a Feminist Issue and her latest publication, Bodies. In addition to co-founding The Women’s Therapy Centre  in London and The Women’s Therapy Centre Institute in New York, Orbach serves as consultant and co-originator of the Dove Campaign for Real Beauty.  She is also convenor of www.any-body.org through which she recently organized a series of international summits aimed at promoting body diversity and changing the way our culture turns individuals against their own bodies.

As an author and international body image activist, Orbach lectures extensively worldwide.  On October 2nd, 2011 we are excited to welcome her to The Center for Eating Disorders at Sheppard Pratt in Baltimore where she will be presenting a free talk for the community entitled, Navigating Our Culture’s Body Anxiety and Finding Body Confidence. You can get the details and reserve your seats for the event here.

In advance of her presentation, we asked Dr. Orbach a few questions about her upcoming talk and her responses are below.
*       *      *
Q & A with Susie Orbach:

Q: The title of your upcoming talk at CED is “Navigating our Culture’s Body Anxiety and Finding Body Confidence”.  In your own words, how would you define body anxiety?  How do you define body confidence?

Susie: Body anxiety: Waking up and worrying whether it is going to be a good day or a bad day in relation to food; scrutinizing your body –dreading it will have the faults you see there, hoping it won’t; feeling pierced throughout the day with negative body thoughts; making plans to change the way you eat, exercise because you must ‘punish yourself’ and so on

Body confidence: waking up and feeling your physicality; reflecting on what you are doing that morning and what you might want to wear. Eating just what you want and relishing it when you are hungry. Moving your body because it feels good. Enjoying going about your life trusting your body will be there in a good way with you.

Q: In your opinion, where does the responsibility lie for this culture of extreme body dissatisfaction we have come to accept as the norm?  With whom does the responsibility lie to change it?

Susie: Big questions I hope to answer in my talk…The important thing is that whether in advertising, the media, food industry, the beauty industry, there are things we can to do change the situation. We need bold strategies from the individual, to the corporate to the political governmental

Q: What would you say is the biggest cultural myth that affects body image and/or weight struggles?

Susie: That the diet industry is on our side. It isn’t. It is part of the problem not the solution

Q: You have played an integral role in the creation of an international movement called Endangered Species.  What is the mission of this project?  In what ways has the project begun to accomplish its goals and what is on the horizon?  How can individuals contribute to the movement?

Susie: Come and join us one and all…set up a group in Baltimore, propose a project or join one of our existing projects. You are really welcome and needed.

Endangered aims to transform the culture that makes us afraid of our bodies and their appetites. We launched this year on the 100th Anniversary of International Women’s Day. In London we are working with Parliament, with Girl Guides, with the Y, with many different Body Activist Groups – some in Fashion, some in education,  to take on those industries which grow fat on making girls and women, and increasingly men, feel wary of their bodies and their desires.

*Check out some great highlights from the Endangered Species Summits compiled by  Elena Rossini who is also the director of the upcoming documentary, The Illusionists.

Q: Many people, especially individuals with eating disorders, often struggle with intensely comparing themselves and their bodies to other people.  What do you think are the origins for this process and what roles do you see body competition and comparison playing in our society today?

Susie: Body competition is destructive and ubiquitous and not made easier by the cosmetic surgery industry, photo shopping and celebrity culture. Our visual culture is so full of images of people that don’t actually exist and it is very damaging.

Q: In your experience treating individuals with eating disorders and body image disturbances, what one piece of advice would you offer to individuals working towards recovery and body acceptance?

Q: Susie: Look back at pictures of yourself from a few years ago when you thought you looked awful (if you kept them), the odds are, you’ll find you were quite ok, lovely even. Then reflect upon the sad fact that you didn’t trust you looked ok then but you did so perhaps you have to risk feeling a tiny bit ok now…….

But in truth I wouldn’t give one piece of advice! It would depend on the individual….

Q: What keeps you hopeful that we will be able to push back against society’s damaging messages with regard to body satisfaction?  Do you think we will see real change in the way future generations relate to their bodies?

Susie: I am deeply pessimistic. But I also think: what choice do we have but to challenge the hurt and the vicious attacks on bodies. What gives me hope are the number of body activists out there – young, old, across cultures and class who are insisting on something more humane in relation to our bodies.

Q: After attending your community talk in Baltimore on October 2nd, what primary message do you hope individuals will take from your presentation and put into practice?

Susie: Gosh, that’s tough. We are all individuals and will take and give different things to the day and so what hits home will vary, but I hope it is the determination to make peace with our bodies.

*        *       *

We hope so too.

Do you have your own questions for Susie Orbach? Join us in Baltimore on October 2nd for the chance to ask.  A reception and book signing will follow the presentation.  Attendance is free but seats are limited – don’t forget to RSVP.  Get details HERE.

Are you a treatment professional?  You may also be interested in the continuing education event taking place earlier the same day:

October 2, 2011 (8:00-11:00am) The Body in Therapy: An In Depth Look at Countertransference and the False Body with Susie Orbach, approved for 2.0 CME/CEU credits.  Download the program Flyer (pdf)


Momentum of Positive Change: The AMA’s Photoshop Policy & Beyond

On its website, the American Medical Association (AMA) states that its mission is to “help doctors help patients by uniting physicians nationwide to work on the most important professional and public health issues.”  It speaks volumes then, that in their most recent press release, the AMA announced the adoption of a new policy to discourage the rampant use of photoshopping and American Medical Association Logophoto editing by advertisers.  In the policy, AMA cites the connection between unrealistic/altered images and adolescent health problems, particularly body image and eating disorders. A press release about the new policy included the following statement:

Advertisers commonly alter photographs to enhance the appearance of models’ bodies, and such alterations can contribute to unrealistic expectations of appropriate body image – especially among impressionable children and adolescents. A large body of literature links exposure to media-propagated images of unrealistic body image to eating disorders and other child and adolescent health problems. The AMA adopted new policy to encourage advertising associations to work with public and private sector organizations concerned with child and adolescent health to develop guidelines for advertisements, especially those appearing in teen-oriented publications, that would discourage the altering of photographs in a manner that could promote unrealistic expectations of appropriate body image.

Its important to note that eating disorders are biological illnesses with a myriad of  genetic, hormonal and neurobiological factors.  Just as parents do not cause eating disorders, nor do airbrushed magazine ads. (In fact, Carrie Arnold over at Psychology Today’s Body of Evidence does a great job of examining this aspect of the AMA’s statement).  But our hope is that this new policy is not just focused on removing a risk factor for those who may be genetically more susceptible to the “thin ideal”.  A society saturated with computer-generated images portrayed as real bodies is unhealthy and harmful whether it contributes to an eating disorder or not.   Its harmful to females and males.  Its harmful to kids and adults.  Its harmful for anyone that struggles with negative self-esteem or body image.  In this way, the issue of photoshop and media ethics is more than an eating disorder prevention issue but one that addresses self-esteem and body image on a societal level.

While some will say the policy doesn’t accomplish enough, its encouraging to see a well-respected, national organization like the AMA acknowledging the issue and prompting further attention to it. What’s most encouraging isGirl Scouts of America logo that this recent action by the AMA, seems to be part of a larger momentum of change including the Girl Scouts’ announcement of its’ project, Healthy MEdia: Commission for Positive Images of Women and Girls which is being co-launched by the National Association of Broadcasters (NAB), the National Cable & Telecommunications Association (NCTA), and The Creative Coalition.

The new policy also arrives amidst several specific wins in the fight against harmful media practices surrounding weight, food, beauty ideals and sexualization.  Most recently, the Federal Trade Commission (FTC) won a settlement against Beiersdorf, Inc. (parent company of Nivea) Inc. that prohibits them from making continued false claims that its Nivea My Silhouette! skin cream can reduce consumers’ body size.  In June, the National Eating Disorders Association (NEDA) publicly applauded Yoplait for agreeing to pull a troubling ad campaign after being warned by NEDA that it normalized dangerously disordered thoughts around food and weight.  And thanks to international body image advocates Sharon HaywoodMelinda Tankard Reist and more than 5,000 signatures on a petition at Change.org, major networks MTV and VH1 both agreed to ban a violent and misogynistic music video starring Kanye West and other high profile music stars.

Lots of individuals and organizations are pushing back against the tide of false bodies, diet myths, weight prejudice and general negativity in the media.  They’re making great strides in the promotion of positive body image, self-esteem and overall health (vs. weight).  In addition to those we mentioned above, here are just a few more organizations and individuals that are doing good and speaking out for change:

When it comes to body image and media literacy, what other successful campaigns and positive social changes have you noticed lately? 

Join the discussion and check us out on Facebook & Twitter.

Bathing Suit Blues?

Spring has definitely sprung which means summer is just around the corner.  Summer is a season of many perks…beach vacations, picnics, holiday weekends,  longer days, blooming gardens, swimming pools, lightning bugs and flip flops, just to name a few.  But for males and females who struggle with their body image, this otherwise pleasant season can be overshadowed by anxiety and dread.  Like clockwork, every spring we are bombarded by messages telling us to “Shape Up for Summer” or “Shed those Extra Winter Pounds”.  As weather gets warmer and clothes get skimpier, even people who coasted through winter without worry, suddenly become more aware of their body weight and shape. And for those who struggle on a daily basis with negative body image or eating disorders, summer offers added challenges along the journey towards finding body confidence.  Pressure to conform can be overwhelming when surrounded by friends or family on that illusive search for the “perfect” beach body – a fruitless and unrealistic ideal sold to us by advertisers, often with complete disregard for health. For some, just the thought of purchasing a bathing suit can trigger enough worry and self doubt to allow these harmful media messages to seep in.  From crash diets to tanning beds, summer can quickly become a minefield of dangerous behaviors and deteriorating health.

So what can you do if summertime stress has you low on body confidence?  Can you make it through the barrage of destructive messages this summer and still come out okay?  Better yet, can you use it as an opportunity to gain confidence, positivity and strength?  We say yes, you can! Here are some suggestions:

Talk back. Okay, maybe this goes against everything your parents ever told you but certainly they won’t mind a little attitude if directed at the media and not at them.  Dispute harmful summer body myths with positive self-talk, and say it like you mean it…

“No one can tell me what I can and can’t wear; I will find and wear a swimsuit that fits and flatters my body JUST AS I AM instead of trying to change my body to fit into a pre-determined size or style.”

“I refuse to miss out on fun opportunities in my life because some magazine tells me I’m not skinny enough, tan enough or muscular enough to be seen in a bathing suit.”

Stop and smell the roses…literally and figuratively.  Grow a garden, plant a tree, feel the grass between your toes, and breathe in the sweet summer air.  Sit outside and read a good book feeling the warm sunshine upon your face.  Look up in the night sky and gaze at the stars.  Be mindful of the scenery and sounds around you this summer. Sail on a boat, take a nature walk, listen to the rain on the roof during a thunder storm.  Enjoy all of your five senses with gratitude, and remember to give your body credit for allowing you to do all of these awesome things.

Accessorize. It can be fun to sport a great sun hat or trendy sunglasses that make you feel great and don’t have a size on their tag.  And while those accessories are eye-catching, we’d argue that the best beach bodies are those adorned with confidence and a smile.  If authentic confidence is hard for you right now, practice the “fake it until you make it” technique consistently, especially if you are going to be around young kids or adolescents who will be modeling your body image behaviors.

Teach others about a healthy lifestyle and show them the power of your positive energy.  Refrain from reading articles focused on weight, and talk often about how good health has nothing to do with the number on a scale.  Remind yourself and others that pressures from society regarding body size are unrealistic, unhealthy and dangerous.  Spend extra time with supportive friends and loved ones who also understand, appreciate, and embrace a diverse definition of beauty.

Change it up! Wear a different color, try a new sport or connect with a new friend.  Take a day trip somewhere you’ve never been or try a hobby you were always curious about.  Relish in the extra hours of sunlight and remember that a changing of the seasons is not about how you look in a bathing suit, but rather how you live your life.

Be kind. Treat your body, and other people’s bodies, with respect and dignity.

We’ve said it before… and we’ll say it again: Dieting does not work.  In fact, dieting damages your physical and mental well being. Chronic dieters are more likely to be depressed, have low self-esteem and most will end up at higher weights than they started. There’s a reason counting calories and adding up meal points were not included in our list of fun things about summer.   Summer is bound to go by quickly… try spending your time and energy on things that are actually enjoyable and beneficial.  Dieting is neither of those things.

Need a little motivation? Check out the first ever National Swimsuit Confidence Week taking place this week, May 23-27.  The movement, launched by Lands’ End, was created to celebrate women of all shapes and sizes, inspire them to embrace their swimsuit beauty and to have fun this summer.  Each day Lands’ End is giving away 10 Lands’ End Swimsuits, 10 Lands’ End Beach Towels and announcing exclusive promotions on Twitter. Find out the schedule and more at Mom Spark.

Let’s welcome summer and bid farewell to any lingering anxiety.  We hope you can spend time appreciating where you and your body are in this moment. What are you doing to make the best of your summer and to turn the bathing suit blues into body confidence? Share your strategy on our Facebook page!

Find out more about The Center for Eating Disorders at Sheppard Pratt at www.eatingdisorder.org.

Blog contributions by Amy Scott, LCPC

20 Ways to Celebrate “International No Diet Day”

Today is the 9th annual International No Diet Day (INDD).  The campaign was started in 1992 by an author in Britain who had gone through her own recovery from anorexia. What started as a gathering in her living room has grown into a celebration of beauty and health across the globe.

Here are 20 ways you can get involved with the international celebration of INDD…

1. The obvious: Take the No Diet Pledge (Don’t forget to print it out as a reminder.)

2. Review the facts.  Dieting rarely works. 95% of all dieters regain their lost weight and more within 1 to 5 years.

3. Do some research.  Next time you see a diet ad, read the extra fine print under the before/after pictures.

4. Throw out your scale.  While physically chucking that bathroom scale out a second-story window and watching it break into pieces below sounds exciting, there are obvious risks with that tactic.  Consider these alternative methods:

  • Donate it to a thrift store (bonus = tax write-off for donations!)
  • Hand it over at your next therapy or nutrition appointment
  • Wait by the road on trash day and hand it directly to your Garbage Collector

5. Use the money you planned to spend on diet products to get a massage, visit a museum,  send a gift to an out-of-town friend, OR deposit it in a savings account.  We promise it will be more fulfilling.

6. Check out some of our favorite websites and bloggers that advocate a non-diet approach to healthy living for people of every size.

7. Recycle any weight-loss magazines or diet cookbooks.  Get creative and turn them into crafts, rip-out the pages and use them as packing paper for breakables.  Or simply thrown them in the recycling bin.

8. Better yet: cancel any ongoing subscriptions to diet-laden publications.

9. Do a spring cleaning of your closet.  Donate clothes that don’t fit or don’t make you feel good in your body.  Remember,clothes are meant to fit your body, not the other way around.

10. Start living.  Do the thing you’ve been putting off until you lose X pounds. Go to the beach, take a salsa dancing lesson, go mountain climbing.

11. Reach out for support. If chronic dieting and an intense focus on weight loss has led to serious problems with eating disorders, dangerous weight-loss attempts or feelings of depression,  seek professional help.  (Not sure if you really need help?  You can start with this confidential, self-assessment quiz to find out).

12. Are you a parent, pediatrician, educator or childcare provider?  Help cultivate a new generation of non-dieters by teaching children to be competent eaters from the start.  Check out these great feeding resources:

13. Make a list of 10 positive things your body does for you. Hang it on your mirror.

14. Wear something you love and feel comfortable in

15. Spread the word. Copy the picture above and post to your Facebook profile.

16. Connect to nature.  Find some beautiful scenery, sit, relax and be inspired by the natural ability of living things to nourish themselves without external cues from diet companies.   You have the same ability.

17. Feeling crafty? Instead of trashing the bathroom scale, consider taking it apart and turning it into an art project representing your freedom from dieting.  (Side note: If you do this, PLEASE send us a pic and we will post on our facebook page!)

18. Compliment a friend on a quality not related to appearance OR tell someone you love what makes them beautiful without using words that describe body size, weight or appearance.

19. Add up all of the time you usually spend weighing yourself, counting calories, reading weight-loss articles, feeling badly about your body, or thinking about food.  Make a list of all the things you’d rather be doing with that time.  Start doing them.

20. Keep on going.  Just in case 20 ideas wasn’t enough for you, here’s a list of “50 Ways to Lose the 3 Ds: Dieting, Drive for Thinness, and Body Dissatisfaction” from The National Eating Disorders Association.

The Center for Eating Disorders at Sheppard Pratt fully supports the goals and values of International No Diet Day on May 6th and all year long.   We hope you have a chance to try at least one of the ideas today, but remember that they don’t expire.   These 20 ideas represent steps you can take at any time to start changing your relationship with food and weight.

If you or someone you love is struggling with an eating disorder, please visit our website at www.eatingdisorder.org or call us at (410) 938-5252 for information about treatment and support.