Mindful Eating on Campus ~ Part 1

college student at laptopFew things are more stressful for a student who is in recovery from their eating disorder than trying to negotiate eating on campus. College living is full of obstacles to eating consistently and mindfully: buffets in the dining halls; eating between classes and on the go; staying up until 4 AM; social events involving food; and limited access to the grocery store or a working kitchen. While many students in treatment are given guidelines as to how to eat in a healthy manner, it is often difficult to implement those strategies in a campus setting but it is possible.  A great resource for this task is the book, Mindful Eating 101: A Guide to Healthy Eating in College and Beyondby Dr. Susan Albers which we will reference throughout this post.

Mindfulness is an old concept that has, more recently become somewhat of a cultural catch phrase. Standing at a coffee shop bulletin board, you may notice advertisements for mindful meditation classes or yoga classes that promise skill development in the art of mindfulness or even magazine covers that stress the importance of mindful living. So, what is mindfulness?  Mindfulness refers to the ability to bring one’s awareness completely to the present moment.  In contrast, mindlessness, refers to behaving or doing things without much attention.

Consider that you are eating dinner in your dorm in front of the TV during your favorite night of Mindful Eating 101television. As you laugh along with the show and get intrigued by products during the commercials, you occasionally pick up your phone and make plans for the evening and attempt to skim a chapter in your text book for tomorrow’s quiz.  All the while, you also continue to go through the motions of eating your dinner…mindlessly. In this situation, your attention is likely focused on the characters and themes in the TV show and not on your food or your body’s response to the food.  When this happens, it is common for people to eat more than they normally would because they aren’t really enjoying their food, and they aren’t in touch with the mechanisms in the body that tell us when we want to stop eating. In contrast, when you choose a meal from the dining hall and sit at a table to enjoy it with a friend but without other distractions, you may find that you eat more slowly, you savor the tastes of the food, and you have an increased awareness of your hunger/satiety cues, which allow you to stop when you feel full. This style of eating would be considered mindful eating.

Individuals who’ve struggled with an eating disorder or have chronically dieted often lose touch with their body’s natural ability to regulate food and eating processes.  Sometimes they may need help establishing normal eating patterns again and re-connecting to their bodies.  In eating disorder treatment, mindfulness is a concept that is used frequently in helping people to develop awareness of their thoughts, emotions, patterns, triggers, and hunger/fullness cues.

Eating mindfully is an important skill because it allows you to eat exactly what your body wants in just the right amounts. Restricting your food intake or dieting is not mindful because it denies your body of the food that it needs for fuel and nourishment.  Bingeing is also not mindful eating because it exceeds the amount of food that your body wants or needs and may cause you to feel uncomfortably full or even pained.  Mindfulness involves trusting your body to maintain a balance.  Learning to eat mindfully can take time, so be gentle with yourself as you practice the steps that will allow you to eat intuitively in response to your own body’s needs.

Dr. Albers outlines the seven habits of mindful eaters in her book.  These habits are the key components of learning to eat mindfully.

  1. Awareness: Use your senses to gather information about the world. By using sight, sound, hearing, touch and taste, you can become attuned to what is going on around you at any moment. Turning this inward, you can better recognize your hunger, fullness and thirst cues to help guide your eating choices.
  2. Observation: Simply notice your thoughts and feelings as an impartial observer. The key is to do this without judgment. For example, if you have the thought “I am fat,” simply notice that it is there, label it as a negative thought, and move on.
  3. Shifting out of autopilot: Some of our routines become so mundane that it is difficult to pay close attention to the details. These routines sometimes enable mindless eating or skipping meals completely, and so you may want to change the routine or bring awareness to it in order to be more mindful. Try waking up a few minutes earlier to fit in breakfast or consider meeting a classmate someplace for lunch that you’ve never been before.
  4. Finding the gray area: Black and White thinking refers to thinking in extremes. Food is good or bad. Someone is fat or skinny. Clearly, life is not that simple. To be mindful, one must be flexible and avoid operating in extremes. An example of this is someone who is on a diet that forbids bread; even if a person wants bread they will deprive themselves of it because of the diet. Sometimes, this deprivation can lead to the person bingeing on bread. In contrast, a mindful eater would recognize the particular craving and allow herself to have an appropriate serving of bread at the time when she wants it.
  5. Be in the moment:  As a college student, you may find yourself frequently eating in class, while cramming for a test, or even while walking or driving across campus. Multi-tasking like this is not considered mindful because you cannot use your senses to enjoy the food or to stay aware of your hunger and fullness cues. Ideally, a mindful eater would sit with their meal on a plate at a table and devote their full attention to eating. However, this is not always a realistic goal for a college student.  Try making small changes that help you stay present during meals, such as always sitting down to eat and turning off your phone to remind yourself to stop texting and posting on Facebook until you finish your lunch.
  6. Non judgmental: Notice judgmental thoughts and proceed with compassion instead of criticism. Often at the campus dining halls, various stations offer different types and categories of food. If you notice yourself judging a particular food station ( “I can’t order from that section, everything is full of fat.”) notice the criticism attached to the food and label it (“there I go thinking of foods in good and bad categories again.”) Practice compassion and focus on truthful statements (“this food may have fat in it, but I need some fat to help me protect my organs”).  Try to incorporate different foods from each of the various food stations at the dining hall throughout the course of the week.
  7. Acceptance: Accept things for how they are as opposed to how you think they should be. Dr. Albers gives a great example in her book of accepting your shoe size, even if you wish it were different, because there really is nothing that you can do about it. As much as you may wish to have smaller or larger feet, eventually you must let go and accept that your feet are the size that they are.

If you’ve struggled with disordered eating, it may be easier to practice mindfulness at first with something that is not related to food. Try this simple exercise to practice the aforementioned skills. Close your eyes and simply count how many sounds you can hear in the room. When you think you have counted the sounds in the room, push yourself to try to hear beyond the room. Can you hear sounds from outside? In the hallway? What about the sounds closest to you…can you hear your own breathing? The sounds that you hear are happening in the here and now; congratulations…you have been successful at being mindful of the present moment! Now you might want to try doing a similar exercise with your food, using your senses to guide your eating.

For more information and tips on healthy eating during college, read Mindful Eating on Campus: Part 2 HERE…

 

Written by Jennifer Moran, PsyD, Therapist and College Liaison at The Center for Eating Disorders at Sheppard Pratt; Originally published on 10/11/11

 Photo Credit:
1. Vichaya Kiatying-Angsulee and freedigitalphotos.net
2. Susan Albers / mindfuleatingcafe.com

For more information about Dr. Albers and her Mindful Eating series, visit her website at www.mindfuleatingcafe.com.

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


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

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

*     *     *

Q & A with LINDA BACON, Ph.D.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 *       *       *

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

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


 

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

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

*     *     *

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

 

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

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

 

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

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

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

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

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

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

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

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

 

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

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

 

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

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

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

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

Dr. Linda Bacon

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

*     *     *

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

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

Perfectly Imperfect: A Special Q&A with JENNI SCHAEFER

Jenni Schaefer
In recognition of National Eating Disorders Awareness Week (Feb. 23 – March 1), we caught up with Life Without Ed author and all-around inspiring person, JENNI SCHAEFER. 

It was about  five years ago that Jenni last visited The Center for Eating Disorders at Sheppard Pratt  and we are thrilled to welcome her back here to the CED blog and back to Baltimore on Saturday, March 1st for a new presentation entitled, Perfectly Imperfect: Eating & Body Image. 

It turns out that a lot can happen in five years.  Armed with a new relationship, a new book and lots of new experiences, Jenni continues to educate, inspire and lead by example both within the eating disorder community and beyond.  We are grateful to Jenni for taking the time to answer our questions and excited to share her responses below with our readers.

*     *     *

Q & A with JENNI SCHAEFER  

Q: You’ve been a longtime advocate and activist for the National Eating Disorders Association (NEDA) and will be speaking in Baltimore in honor of National Eating Disorders Awareness Week 2014. What does this campaign mean to you and what progress have you seen around the awareness and education of eating disorders since you began this journey?

After struggling for years with an eating disorder, I finally picked up the phone in search of real help. I called 1-800-931-2237, which is NEDA’s Helpline.  NEDA sent me a list of treatment resources (via snail mail back then!), and my healing journey began. It is surreal to me how life has come full circle: I am honored to serve as the Chair of NEDA’s Ambassadors Council today. Working with NEDA and NEDAwareness Week means the world to me. My hope during the week is not only to encourage people to get help but also to prevent some from ever going down the treacherous road of an eating disorder in the first place. If I had participated in a NEDAwareness event years ago, I believe that my journey would have been a lot smoother. Maybe I never would have turned to Ed (aka “eating disorder”) in the first place, or maybe I would have realized that I had a problem and reached out for help sooner. Similar to the 2014 NEDAwareness theme, “I Had No Idea” that I was struggling with a life-threatening illness.

Since I began my recovery journey, I have seen eating disorders awareness and education improve greatly. Back when I was struggling in college, I rarely heard anyone talk about eating disorders. But, today, colleges all across the country ask me to speak at their NEDAwareness events. Again, it is amazing how life can come full circle like that!

Q: In addition to your hugely popular and inspirational books, Life Without Ed and Goodbye Ed, Hello Me, you have a new book out with co-author Jennifer Thomas, PhD called Almost Anorexic: Is My (Or My Loved One’s) Relationship with Food a Problem? What prompted you and Dr. Thomas to write this book, and can you elaborate on what you mean by the term “almost anorexic”?

While 1 in 200 adults will experience full-blown anorexia, at Cover: Almost Anorexicleast 1 in 20 (1 in 10 teen girls!) will struggle with restricting, bingeing and/or purging that doesn’t meet full diagnostic criteria for anorexia nervosa, bulimia nervosa or binge eating disorder. Almost Anorexic, which is the third book in Harvard Medical School’s The Almost Effect™ series, brings attention to the grey area between “normal eating” and an officially recognized eating disorder. Dr. Thomas and I want people to know that, regardless of their eating disorder diagnosis or lack thereof, both help and hope are available. A diagnostic label cannot adequately depict pain and suffering. All who struggle deserve help, and full recovery is possible.

[To learn more about
Almost Anorexic and to read book excerpts, click here. You can also watch a hopeful book trailer (video) or register to attend a professional workshop facilitated by the book’s co-authors.]

Q: There has been a lot of discussion within the eating disorder field recently around the conceptualization of eating disorders as brain-based illnesses as opposed to purely psychological or behavioral disorders. You touch on the implications of this in Almost Anorexic How can the words we use to define the disorder impact the recovery process?

When I first received help for my eating disorder, people told me that I would never fully recover. They said that an eating disorder was like diabetes and that it would be with me forever. Believing this, in the end, just served to keep me stuck. I had to change my language, and I had to connect with people who believed that I could get fully better. This made all of the difference.

In relation to brain disorder language, Almost Anorexic explains: “Some people and organizations have found brain-disorder language extremely helpful in explaining to others why individuals with eating disorders can’t just “snap out of it” and in absolving parents of guilt and blame for their child’s illness. Others, however, have worried that brain-disorder language may give sufferers and loved ones alike the hopeless (and false!) impression that eating disorders are lifelong illnesses that cannot be treated and may even provide a handy excuse for the continuation of dangerous symptoms (after all, your brain made you do it). To combat this, parent activist Laura Collins Lyster-Mensh has used the term “treatable brain disorder.” We suggest you use the terminology that works best for you. Words are powerful. Don’t let Ed hijack them.”

Q: Perfectionism is one of the genetically-based personality traits most highly associated with the development of eating disorders and will be the focus of your talk in Baltimore on March 1, 2014. Did perfectionism play a role in the development of your eating disorder? Did it also play a role in recovery?

I was not born with an eating disorder, but I was born with the perfectionism trait. Constantly striving to be perfect certainly made me more vulnerable to having an eating disorder. So did other genetic traits like high anxiety and obsessive-compulsiveness. However, when channeled in a positive direction, these traits played a crucial role in my recovery. I was able to refine perfectionism, for instance, and apply it to things like attending doctors’ appointments and finishing therapy assignments. When taken to the light, our genetic traits absolutely support recovery.

Q: Individuals who are perfectionists often struggle with the urge to compare themselves to people around them. Among individuals with eating disorders these comparisons are often appearance-based or weight-focused but can also be related to one’s career, house, family, wealth or talent. Constant comparison can be very triggering and detrimental to the recovery process. What strategies help you avoid this comparison trap?

My motto, as I originally wrote about in Life Without Ed, is “Compare and Despair.” Early in recovery, I actually displayed “Compare and Despair” on post-it notes throughout my home. These notes reminded me that comparing inevitably leads to despairing, so I did my best to stop setting myself up for this kind of self-loathing. Further, learning that I was not alone in my tendency to compare helped me to change as well.  The Center for Eating Disorders’ survey related to Facebook and comparisons, for instance, has helped people I know to better understand the growing prevalence of comparing (as well as the fall-out of it) and to feel a sense of camaraderie in making positive changes.

Q: In the age of social media, it seems the opportunity for comparing oneself to others has reached an all time high. Do you have any tips for individuals looking to use social media in a healthy way that is supportive of recovery?

In the tenth anniversary edition of Life Without Ed, which was just released, I talk about the fact that Ed surely has a Facebook account! Each time a person with an eating disorder logs in online, Ed does, too. This awareness is key. Further, individuals with eating disorders can change their online settings to block triggering people and ads. Within the anniversary edition of Life Without Ed, I give many tips for how to use technology to support your recovery, including using mobile apps like “Recovery Record” and “Rise Up + Recover.”

Q: You last visited The Center for Eating Disorders at Sheppard Pratt as a guest speaker in 2009 during which you spoke about the concept of being Recovered. from your eating disorder. What new insights about being Recovered. have you gained over the past 5 years, and has any of it surprised you?

I often say that I am recovered from my eating disorder, but not from life. Part of being “recovered.” actually means continual personal growth. Since my visit to Sheppard Pratt, I have blossomed in many areas, especially related to relationships. I have learned how to let more love into my life and have even gotten married. Luckily, my husband’s name is not Ed! Related to freedom from eating disorders, you can click here to download a table that Dr. Thomas and I created comparing “fully recovered” to “barely recovered.”

Q: What are some of the main points you hope to convey during your upcoming talk, Perfectly Imperfect on March 1st in Baltimore? Who do you think could benefit from attending the presentation?

One of the most common comments I receive from audience members is, “I don’t have an eating disorder, but I do have an Ed in my head.” People also relate to my efforts to overcome perfectionism as well as my journey to find happiness in life. We always have fun singing my song, “It’s Okay to be Happy.” That said, my talks are applicable to anyone who calls him or herself a human! On March 1st, I will discuss finding balance with food and weight in a world that is anything but balanced. We will talk about striving simultaneously for both excellence and “perfect imperfection.” And one big goal of my presentations is to laugh—a lot.

*    *    *

Do you have your own questions for Jenni?  Join us on Twitter @CEDSheppPratt for a special Tweet Chat on Thursday, February 20, 2014 from 1:00-2:00pm EST with Jenni Schaefer (@jennischaefer) and Jennifer J. Thomas, PhD (@drjennythomas).  Use the hashtag #CEDchat to participate and follow along. Send your questions in advance to kclemmer@sheppardpratt.org and we might use them during the chat!

More About Jenni…
Jenni Schaefer’s breakthrough bestseller, Life Without Ed: How One Woman Declared Independence from Her Eating Disorder and How You Can Too, established her as one of the leading lights in the recovery movement. With her second book, Goodbye Ed, Hello Me: Recover from Your Eating Disorder and Fall in Love with Life, she earned her place as one of the country’s foremost motivational writers and speakers. Jenni’s straightforward, realistic style has made her a role model, source of inspiration, and confidant to people worldwide looking to overcome adversity and live more fully. She speaks at conferences, at major universities, and in corporate settings; has appeared on many syndicated TV and radio shows; and has been quoted in publications including The New York Times. She is also chair of the Ambassadors Council of the National Eating Disorders Association. An accomplished singer/songwriter, she lives in Austin, Texas

Want to learn more about NEDAwareness Week Events at The Center for Eating Disorders at Sheppard Pratt?  Click HERE.

 

 

Body Image & ACT: Q&A with Author and Psychologist Emily Sandoz, PhD


The collective response to negative body image often includes an attempt to convince people to love their bodies, to embrace every imperfection and to do away with all negative thoughts.  These can be difficult, if not impossible, tasks for most people, particularly amidst the backdrop of a culture that encourages body bashing and a very narrow ideal of “beauty”.  For many individuals, negative thoughts about their bodies are so deeply entrenched that it feels too big of a leap to move from hating their bodies to falling madly in love with them. So if you’re not ready to love your body, what’s left to do?  Emily Sandoz, PhD, along with co-author Troy DuFrene, propose a different path in their new book, Living With Your Body & Other Things You Hate: How to Let Go of Your Struggle with Body Image Using Acceptance & Commitment Therapy. 

In anticipation of our upcoming Fall Community Event, we conversed remotely with Dr. Sandoz to find out more about her work with body image, Acceptance & Commitment Therapy (ACT), and of course, the soon-to-be-released book.  Read on to learn more about ACT and don’t forget to RSVP for Dr. Sandoz’s free presentation in Baltimore on November 17th, 2013, or download the event invitation (pdf).

 

Q & A with Emily Sandoz, PhD

Q: What was your  motivation for writing Living With Your Body & Other Things You Hate: How to Let Go of Your Struggle with Body Image Using Acceptance & Commitment Therapy (due out Jan. 2013)?

ES: Well, a couple of things. First, I find myself more and more aware of how body conscious we are.  At a very early age, people begin evaluating themselves in terms of their body’s appearance or functioning. For many, this can become a primary means of self-evaluation, becoming more of a focus than other things that person really values or strives for.  Further, I think the general public receives mixed messages about what they are supposed to do with those evaluations.  Are they wrong evaluations? Should they always evaluate themselves positively, always love the body? Should they change their bodies? Is it our responsibility to look good, to be strong and physically capable?  This book suggests that all that struggle to manage our thoughts and feelings about our bodies, or even manage our bodies themselves, can just lead to more and more struggle. We suggest that healthy body image is about body image flexibility – being able to receive our experiences of our bodies, good and bad, and to relate to ourselves and the world meaningfully, regardless of those body experiences.

Q: Many people engage in deep and serious battles with body image on a daily basis.   What are the possible repercussions of going through life hating your body? 

ES:It stands in the way of other things that are more important. You can’t help being critical of the way your body is.  That’s what minds do – they are critical.  They have to be!  But hating is getting entrenched in those self-criticisms.  Letting them drive your behavior, so you end up living your life more about managing your self-criticisms than about your relationships, or your career, or your spirituality – whatever is most important to you.

Q: What are the main tenets of Acceptance & Commitment Therapy?

ES: ACT (said as the word “act”) is based on the idea that healthy living is characterized by psychological flexibility, or the ability to experience ourselves, others, and the world fully and without defense, while taking action toward the things we care about, even when it is painful or scary. Not having this psychological flexibility is actually a driving factor in creating psychological stress and problems such as depression, anxiety and eating disorders.  It’s not our experiences (our thoughts or feelings) that are problematic, it’s all the things we do to try to get rid of them.  Those things interfere with the life worth living.

[Psychological flexibility spans a wide range of human abilities to: recognize and adapt to various situations; shift mindsets or behavior to preserve personal or social functioning; maintain balance among important life domains; and commit to behaviors that are congruent with our values. source: Kashdan & Rottenberg, 2009]

Q: What does the research say about the effectiveness of ACT for body image and eating disorders?

ES: This is a relatively new area, to be sure, but preliminary data coming from a number of different labs are largely supportive of the application of ACT to body image and eating disorders.  My own work in this area has recently moved to basic research, focusing on the nature of body image inflexibility, how it develops, and how flexibility can be trained. My hope is that this work can complement the treatment research by promoting continued development based on better understandings of body image flexibility and inflexibility.

Q: Many people are familiar with Cognitive Behavior Therapy (CBT) and Dialectic Behavior Therapy (DBT) but may be less knowledgeable about ACT.  What are the main differences between ACT and other evidence-based treatments for eating disorders and body image such as CBT and DBT? 

ES: Well ACT is a cognitive behavior therapy, but it differs from many CBT’s in that it challenges the idea that thinking must change for observable behavior to change.  In this area, ACT posits that healthy body image and eating does not depend on challenging critical thoughts about the body. It depends on learning to engage in meaningful, values-based action regardless of what thoughts are coming up.

Q: “Acceptance” can be a difficult concept for people to really understand and put into practice.  Why is this?  And what’s the most effective way to define or describe acceptance as it relates to body image?

ES: It’s tough because we sometimes think acceptance means liking or tolerating tough experiences.  Applied to body image, acceptance simply means making room for all thoughts and feelings about the body, whether we like them or not.

Q: What are the potential barriers to “letting go” of one’s struggle with body image? To that same point, what are the possible benefits?

ES: We are trained from a very early age that things that hurt are wrong, that we are responsible for managing our feelings.  In the case of body image, we are also taught that managing our bodies is our responsibility.  We are taught that it’s right to struggle, that we should feel good and look good, and we should be willing to struggle to get there. Because of this, considering letting go of that struggle is hard to even imagine. We find ourselves wondering what would happen to our experiences of our bodies if we stopped struggling. Would our bad feelings about the body completely overwhelm us if we weren’t managing them?  And what about our bodies themselves? If we weren’t struggling – Would we suddenly become grotesque? Would our bodies become completely disabled?  Of course, letting go of the struggle does mean that we expose ourselves to all kinds of hurt that we don’t like having.  Only letting go of that struggle frees us up to do other things that are more important – to allocate all those resources to the things we really care about, even when it hurts. And we know it’s going to hurt because we feel most vulnerable when we’re going after the things we want. So in ACT, we practice doing that, in the presence of the worst kinds of body hurt.  It’s not just hurt anymore, though, it’s hurt with a purpose.

Q: You talk in your new book about the idea that acceptance “isn’t something you do once”.  Can you elaborate on that notion?

ES: Well, it’s not like we pass through some portal where suddenly we are all-accepting and the work is done. It takes practice.  We think we’re doing great, then we suddenly notice all these new ways of inflexibility showing up, these new scary or painful thoughts coming up.  It’s just human nature.  Working on body flexibility is a lifetime commitment to making the things that matter to you more important than managing your experience of your body.

Q: Where does the element of “Commitment” come into play when working on body image struggles?

ES: Building a lifelong pattern of flexibility takes commitment. From an ACT perspective, commitment means noticing when we are being inflexible, when we are working to move away from ourselves and our own experiences, and simply turning back.

Q: What are some of the other areas in life in which the principles of ACT might be beneficial?

ES: Any area of life that is, for you, characterized by attempts to manage your experiences instead of managing the meaning in your life is an area of life that might benefit from the ACT principles.  And the ACT community provides a wealth of resources for people looking to do this kind of work. The Association for Contextual Behavioral Science website has a whole section for folks who are looking for support applying these principles in their lives, and New Harbinger publishes a number of self-help books for a range of difficulties people experience.

Q: On November 17, 2013 you will be in Baltimore speaking about How to Let Go of Your Struggle with Body Image.  What do you hope people will take away from this event and who could benefit from attending?

My main hope is that people may leave curious. Curious about how they struggle with their body image and what costs that has in their lives. Curious about how their lives might look different if they let go of the struggle with body image and embraced their experiences of their body, painful or pleasurable.  Curious about how they might use the time and energy if they weren’t spending it on the body image struggle.

 *     *     *

Emily K. Sandoz, PhD, is assistant professor of psychology at University of Louisiana at Lafayette, LA. She is a therapist who specializes in treating clients using acceptance and commitment therapy. Sandoz is coauthor of Acceptance and Commitment Therapy for Eating Disorders and The Mindfulness and Acceptance Workbook for Bulimia. She received her doctorate from the University of Mississippi, and she lives and works in Lafayette, LA.

On November 17th, Dr. Sandoz will be the featured guest speaker at The Center for Eating Disorders at Sheppard Pratt‘s fall event, How to Let Go of Your Struggle with Body Image.  Click on the link to find out more about the FREE event and to reserve your seats.

The Center for Eating Disorders at Sheppard Pratt offers outpatient therapists trained in Acceptance & Commitment Therapy. If you’re interested in this type of therapy and would like to find out more about starting treatment for an eating disorder and/or body image, please call us at (410) 938-5252.

 

Decoding the Road to Eating Disorder Recovery

 

Everyone’s recovery journey looks different.  Recovery may take some individuals longer or shorter and involve various combinations of treatment providers, treatment modalities and sources of motivation.  Different people may rely more or less on specific support people and utilize different and diverse coping skills.  Aside from just being different, no one’s recovery will be perfect.  That’s a good thing.  The ups and downs are necessary opportunities for growth and learning during the healing process.  In the midst of that, it can be hard to imagine recovery until you see that others have been where you are and have come out stronger and more fulfilled on the other side.

Over the years many individuals have come here to speak about how, why and with what tools they’ve established their recovery from various eating disorders.  In 2010 speaker Jenni Schaefer shared what recovery means to her and why she kept pushing through what she calls the  “mediocre stages of recovery” to reach a state of being “Recovered.”. In 2011 recovery advocate Johanna Kandel also visited to provide insight on her past fears about recovery like what if I can’t recover?” and “what if I hate being recovered?”  She also addressed the challenge of envisioning yourself without the eating disorder and why it’s never too late to find hope and begin the recovery process.

Most recently  we hosted author, scientist and recovery advocate, Carrie Arnold for a talk entitled Hope Through Science.  Carrie’s presentation was an honest depiction of her own challenges and triumphs in recovery.  She also shared about her  exploration of eating disorders through the lens of a scientist, joking with the crowd that she may be the only one to “read PubMed [journal articles] like its sort of a contact sport.”  During her talk, Carrie provided a glimpse at some of this science and talked about how it impacted her understanding of the illness while also working to propel her forward in recovery.

 

 

Hope Through Science attendees responded to Carrie’s down-to-earth, science-minded and very realistic view of her own healing process.  Her discussion about the science and biology behind eating disorders also goes a long way in helping to break through much of the stigma that surrounds eating disorders so that people begin to understand that they are not to blame for their suffering, but they can be responsible for, and capable of, taking the steps to recover.  Lessening this stigma and misunderstanding about what causes eating disorders is also helpful for friends and family who may be struggling to support a loved one in the recovery process. 


“Loved her personal story and clarification of what an eating disorder is; definitely provided more of an idea for my family.”    ~ Event Attendee

 

“It was interesting to hear information about how science can affect the development and progression of an eating disorder and how knowing the ‘science behind an eating disorder’ could potentially help to unlock a successful recovery process.”    ~ Event attendee

 

As noted above, everyone has different strengths to share and different lessons they learn throughout recovery.  Carrie’s distinctive position as both a recovered individual and a science writer, allows her to add a unique perspective to the host of hopeful stories out there.  If your journey to recovery is similar to Carrie’s, and the insight into the biology of eating disorders informs and empowers you personally, we highly reccommend picking up a copy of her most recent book: Decoding Anorexia: How Breakthroughs in Science Offer Hope for Eating Disorders.  Carrie Arnold can also be found blogging about eating disorders, science and recovery over at Ed Bites.  

Regardless of which path you take to get there, recovery can often feel like an uphill battle, and its not uncommon for individuals to feel hopeless at various points along the way.  That being said, it becomes very important for individuals and their families to be exposed to the many different stories of healing and recovery that do exist.  In order to believe that recovery is possible, sometimes you have to see it and hear it.  This is one of many reasons why we at the Center for Eating Disorders find it important to offer recovery-focused events for the community and our patients.  These events provide a platform for recovered individuals to share their stories and their strength while also reminding us all that the process of recovery looks different for everyone.

*     *     *

If you or a loved one are struggling with an eating disorder or have questions about treatment, please visit www.eatingdisorder.org or call us at (410) 938-5252.  You can also follow CED on Facebook.

 

 

“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)


“What if I hate being recovered?”…and other fears that get in the way of eating disorder recovery.

Each time we face our fear, we gain strength, courage, and confidence in the doing. ~anonymous

Fear is a powerful emotion.   At it’s best, fear can serve to alert and protect us from legitimate danger.  At it’s worst, fear is debilitating and it can prevent us from taking any action at all, especially in the direction of our goals.  When individuals with eating disorders (EDs) are faced with the possibility of  recovery,  fear can quickly become a primary motivation to maintain the status quo of symptoms and the illness.  Often the fears are so strong and so many, that there’s a feeling of being paralyzed in a place of chaos and discontent.

To want to recover but to simultaneously be afraid of recovery is a common sentiment.   Many people fear the physical changes of recovery…what will my body look like if I recover?… How will it change?… Can I tolerate the physical discomfort? And while these are often the fears most verbally expressed, many of the most paralyzing fears occupy more significant arenas… Who am I without the ED?… What will happen to my relationships if I recover?… What if I can’t recover? When author and recovery advocate, Johanna Kandel visited The Center for Eating Disorders she touched on the topic of fear in her talk and found the answers to these questions on her own journey to recovery…

“What happens if I do this thing called recovery and it’s not worth it?…What if I hate being recovered?” The work of recovery is hard – that’s no secret – but when it comes down to it, you’d be hard-pressed to find anyone who has recovered from an ED and wishes they hadn’t.  Its much easier to find people who wish they had sought help earlier and yearn to make up for time they spent in the grips of the ED.

“Ultimately we know deeply that the other side of every fear is freedom.” ~ Marilyn Ferguson

It can be hard to push through the fear of the unknown and the uncertainty of what recovery will look like, but you can’t get past a fear you don’t acknowledge.  Tune into your fears, become aware of what they are, and then you can begin to address them one-by-one.   Talk about them out loud with a friend or loved one.  Write them down in a journal or share them anonymously on our discussion board.  Find a support group where you can listen to other people process similar fears about recovery from an ED.  Most importantly, don’t let fear keep you from becoming the best and most authentic version of yourself.

Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness, that most frightens us. We ask ourselves, who am I to be brilliant, gorgeous, talented, and fabulous? Actually, who are you not to be? ~Marianne Williamson

*          *         *

This was the fourth of several recovery blogs inspired by the February 2011 presentation by Johanna Kandel at The Center for Eating Disorders at Sheppard Pratt. Follow CED on  Facebook to stay tuned as we continue to post additional recovery-focused blogs and video clips.  Johanna shares more about her own recovery journey in her highly influential book, Life Beyond Your Eating Disorder,  and continues to support others through her role as the Executive Director of The Alliance for Eating Disorders Awareness, a non-profit organization based in Florida. You can learn more about Johanna and her incredible book in these previous blogs as well:

You Are So Much More Than Your Eating Disorder

Anyone who has been through the eating disorder recovery process will tell you it is not easy.  Eating Disorders (EDs) are complex bio-psycho-social illnesses and, as such, the treatment and recovery process can often be more difficult than anticipated.  It’s not uncommon for struggling individuals (and their support people) to hold on to a wish that removing one specific trigger will offer a quick fix or a shortcut to recovery.  Unfortunately, there is no magic wand for ED recovery.  Changes to daily routines, altering hobbies or taking time off from triggering activities are sometimes part of the recovery process but these things must be accompanied by additional hard work, specialized therapy and a deeper understanding of oneself and the role that the ED plays in ones life.

When author and recovery advocate Johanna S. Kandel was speaking here at CED in February 2011, she talked about this struggle as it related to her own ballet career and her identity as a dancer.  Now recovered after 10 years of struggling with periods of anorexia, bulimia and binge eating disorder, Johanna remembers thinking that removing ballet from her life would also remove the ED.

In the clip, Johanna shares so bravely about a story which so many others can relate to – being in a very scary place for a long time, feeling like there isn’t much to cling to other than the ED.  The longer one identifies solely with their ED, the harder it can be to envision oneself without it.  Fortunately, while there is no magic wand, there are skilled treatment professionals, evidence-based therapies, ongoing support groups and various treatment options for those who are struggling with all types of eating disorders.  It is never too late to hope.  It is never too late to seek treatment and to begin the journey to recovery.

Do you find yourself hoping one change will erase the ED from your life?  Does it prevent or delay you from seeking meaningful help?  If you find yourself feeling like your eating disorder is your only identify, try this exercise:  Draw a picture of a sun with many different rays of light coming out.  On each ray, write down an important role that you play in life or important elements of who you are.  For example:

Daughter, College Student, Nanny/Babysitter, aspiring Writer, Employee, Colleague, Tutor, Sister…

OR…

Brother, Friend, Fiance, Son, Employee, Hospital Volunteer, Uncle, Artist, Band Member, Pet Owner…

Early on in recovery, the eating disorder may have an important place around your sun as well.  As Johanna mentioned in the clip, it can often feel like the ED becomes your only identity.  Reminding yourself that you are so much more than your ED can help to make it a little bit easier to loosen your grip on the ED.   Gradually, through treatment, the ED becomes a less important part of who you are, and you can spend more time focusing on the true rays of light in your life.

*          *         *

This was the second of several recovery blogs inspired by the February 2011 presentation by Johanna Kandel at The Center for Eating Disorders at Sheppard Pratt. Follow CED on  Facebook to stay tuned as we continue to post additional recovery-focused blogs and video clips .  Johanna shares more about her own recovery journey in her highly influential book, Life Beyond Your Eating Disorder,  and continues to support others through her role as the Executive Director of The Alliance for Eating Disorders Awareness, a non-profit organization based in Florida. You can learn more about Johanna and her incredible book in these previous blogs as well:


Life Beyond Your Eating Disorder: Q&A with Johanna S. Kandel ~ Part 2

Today we feature a continuation of  a two-part interview with Johanna Kandel, author of Life Beyond Your Eating Disorder and upcoming keynote speaker for The Center for Eating Disorders at Sheppard Pratt’s NEDAWeek kick-off event. Check out Part 1 to read Johanna’s thoughts on the role of control, humor and fear in the process of recovery.  In part 2, below, Johanna discusses her top 3 recovery tools and what she hopes people will learn from attending her presentation in Baltimore on February 20th, 2011.  You can find out more about this free event here.

*   *   *

Q&A with Johanna S. Kandel ~ Part 2

Q: In your book you talk about not knowing who you were during the height of your illness and that you felt like you had become your eating disorder.  How did you re-discover yourself and did you encounter any surprises along the way?

JK: One of the biggest fears I had when approaching recovery was not knowing who I was or what I liked.  I truly believed that recovery meant knowing everything about me at that moment.  My therapist assured me that no one was expecting me to know all the answers to the all important questions right away.  No one was expecting me to write an epic-autobiography about all of my likes and dislikes the moment I began the recovery process.  Life, like recovery, is a journey and you may find that what you like today may not be what like you two weeks or two months from now. The biggest surprise that I encountered was that I actually started having a good time exploring all the things I gave myself permission to try.  Nothing is written in stone, so give yourself permission to explore and try something new.  You never know, you might just like it!

Q: What would you say were the top 3 most important things in your recovery toolbox?

JK: Filling my tool box with as many tools as I could was integral to my recovery.  Some of my most favorite that I used on my journey were:

~ Ignorant Stamp to help me to ‘stamp out the ignorance’ and not let people’s comments fuel my negative voice.

~ The Dresser with Seven Drawers which allows me to take a look at the ultimate best outcome (top drawer), the ultimate worst (bottom drawer) and then come up with a middle ‘okay’ drawer/outcome.

~ The Box of Crayons – Just as in a box of crayons there are so many colors other than just black and white.  As someone who lived in only the black or white (all or nothing), learning to embrace all the colors in the crayon box of life was so important.

Q: What do you hope people take away from your presentation in Baltimore on February 20th?  Who could benefit from attending?

JK: My biggest wish is that people take away the message that there truly is life beyond eating disorders.  People can and do recover.  There is help, there is hope, and there is healing.  I battled for so many years alone and afraid.  I didn’t believe that I would/could get better.  I didn’t think it was an option.  Turns out, it absolutely was and can be for anyone that is struggling too.  If you or someone you know is battling and/or recovering, I hope you will be able to join me on Sunday, February 20 at the Center for Eating Disorders at Sheppard Pratt.  I am so incredibly honored to be part of their Eating Disorders Awareness Week events and really look forward to seeing you there!

In good health,

Johanna

*   *   *

We would like to extend our sincere gratitude to Johanna Kandel for taking the time to provide such hopeful and insightful responses for this blog.  We are very much looking forward to her Life Beyond Your Eating Disorder presentation in Baltimore on February 20th, and we hope you can join us.  Download the event flyer (pdf) and remember to pre-register as space is limited, and seats are filling up quickly!

More Upcoming NEDAWeek Events at The Center for Eating Disorders:

  • Love Your Tree‘ Community Art Exhibit and Reception on February 22, 2011 at 6:30pm
  • Free Eating Disorder Screenings ~ February 21-25, 2011

Visit our Events page or call (410) 427-3886 for more info on any of the upcoming events.