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A recent article, “Anorexia, the Impossible Subject” by Alice Gregory, published in The New Yorker has made me reconsider the way we speak and write about eating disorders. In response to Kelsey Osgood’s newly-published book, How to Disappear Completely: On Modern Anorexia”, Alice Gregory builds on the argument that much of contemporary literature about anorexia paradoxically glamourizes the disease rather than exposing its dark and deadly nature. Many “pseudo-redemptive” memoirs (written in the past tense by “those who see themselves as recovered”) give extensive details that effectively teach readers how to “become” anorexic; Osgood explains that she herself “contracted” the disease by copying the habits described in such books. These memoirs, as well as other texts that focus on eating disorders (including TV shows like Gossip Girl, Degrassi, Pretty Little Liars and movies such as Cruel Intentions, Black Swan, etc) use lofty language and poetic elaboration that, perhaps inadvertently, turn the truly deadly illness into a twisted sort of achievement or elevated status, a kind of martyrdom to which self-driven readers may aspire. “Unlike other kinds of addictions, anorexia disguises itself as virtue,” Gregory writes. Osgood counteracts this trend by omitting details such as body weight, caloric figures, and so on from her description of how ill she became, but according to Gregory, she still manages to romanticize the disease.

Also in her article, Gregory strives to convey the untenable pathology of an anorexic through definitions and examples from other equally brilliant authors. In her illustration of anorexia as a perverse and perplexing addiction, she shows how “the conflicted way in which we talk about the disease” mirrors the mentality behind the illness itself, in that the anorexic’s plight is both harshly self-abusive and sadistically gratifying as she celebrates the emaciation that proves she is in control; similarly, while the discourse around anorexia is critical and severe, the language is celebratory and hubristic. This contradiction is unparalleled among other sorts of addicts, as is the recollection of glee experienced by an anorexic as she watches her body waste away. Readers are drawn to this “strange euphoria” rather than repulsed by details of bizarre behaviours and bodily disintegration. “Any writing about anorexia makes it more interesting than it really is—even a book that sets out to condemn the very act,” Gregory writes.

“We make anorexia desirable by connecting it to brilliants and also by talking about it poetically, by making it something that enhances a person’s aura, makes them more glamorous,” Osgood explains in her book. Herein lies the trouble: the authors who pen these memoirs are the artistic, creative intellectuals that so many anorexics truly are, so their writing is naturally poetic and alluring. As Gregory puts it, ““not wanting to connect your illness to your own brilliance is nearly impossible if you also want to be a precise, smart, and beautiful writer”. Her solution is to paint not a picture of dogged defiance and self-destructive drama but one of “profoundly boring” tautology; to describe not the incidents of forced-feeding or interventions but the tedious monotony of running laps and calorie counting. Perhaps the subsequent text wouldn’t make the best-seller list, but at least it would bring aspiring readers back down to earth.

I can most certainly attest to the dull monotony of a life as a“slowly suicidal obsessive who avoids other people and expends ninety-five per cent of [my] mental energy counting the calories in green vegetables”, although at the time it was anything but boring - it was a way of life, of escaping the intolerable pain of self-hate. The word “colourless” seems to me a more fitting one, since my anorexic life of isolation and obsession was not bereft not of incident but of vibrancy and joy. In any case, I believe the conversation about anorexia, “impossible” though it may seem, is imperative to its prevention and resolution. Perhaps we need to focus less on the “drama” and more on the way this disease can decimate an entire life long before its victim truly feels self-satisfied; on the way it ravishes the body to an often irreparable extent; on how the “aura” that surrounds its victim plunges everyone around her into joyless terror and pain. Perhaps we need to relate not the self-destructive spiral of disintegration but the exhausting effort of recovery, of slogging through one meal at a time against the will of a merciless inner demon. Perhaps if we can show how much there is to lose, not what twisted (and delusional) “gains” can be made from a life with anorexia, the subject would be better understood… and no longer “impossible.”

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Alison is a regular contributor to The Looking Glass’ blog, is an eating disorders survivor and is an inspiration to those around her.

Imagine a Woman

Imagine a woman who believes it is right and good she is a woman.

A woman who honors her experience and tells her stories.
Who refuses to carry the sins of others within her body and life.

Imagine a woman who trusts and respects herself.
A woman who listens to her needs and desires.
Who meets them with tenderness and grace.

Imagine a woman who acknowledges the past’s influence on the present.
A woman who has walked through her past.
Who has healed into the present.

Imagine a woman who authors her own life.
A woman who exerts, initiates, and moves on her own behalf.
Who refuses to surrender except to her truest self and wisest voice.

Imagine a woman who names her own gods.
A woman who imagines the divine in her image and likeness.
Who designs a personal spirituality to inform her daily life.

Imagine a woman in love with her own body.
A woman who believes her body is enough, just as it is.
Who celebrates its rhythms and cycles as an exquisite resource.

Imagine a woman who honors the body of the Goddess in her changing body.
A woman who celebrates the accumulation of her years and her wisdom.
Who refuses to use her life-energy disguising the changes in her body and life.

Imagine a woman who values the women in her life.
A woman who sits in circles of women.
Who is reminded of the truth about herself when she forgets.

Imagine yourself as this woman.

 

“Imagine a Woman” © Patricia Lynn Reilly, 1995
www.imagineAwoman.com

Surviving life with, or in recovery from, an eating disorder is difficult even at the best of times. And for me, Christmas was the best of times! But anorexia cast a heavy shadow over the holidays for both me and my family, as the fear of all that decadent food and overbearing company eclipsed the traditional merriment. The joy of cookie swaps, Christmas cake magic, eggnog, and candy canes was no more. My waif-like presence drained the warmth from family gatherings. I could no longer summon any of my old exuberance at parties, tree-trimmings, sleigh rides, or pageants. My family tip-toed around me in fear of upsetting my fragile emotional state.

Even in the throes of my disease, I longed for the good old days when Christmas was a magical time of joy and lightheartedness. The season’s brightness was yet another thing my disease had robbed from me - and my case is not at all unique: the holidays are immensely challenging for many of those who struggle with an eating disorder. But as I’ve recovered, I’ve discovered a few tricks to retaining some of that holiday cheer, in spite of my chronic illness. While I admit that nothing can chase away those eating disordered thoughts entirely, there are a few ways to minimize the impact they have on holiday cheer. Today, I’m grateful that I can fully enjoy the whole Christmas season - even the sweets and treats - without losing out to anorexia.

This is a gift worth sharing - so for each of the Twelve Days of Christmas, we’ll be posting a new tip on surviving (even enjoying!) the holidays with an eating disorder on the Looking Glass' Facebook page. ‘Like’ us and follow along, beginning December 12th, and see how we’re keeping our holidays merry and bright.

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Alison is a regular contributor to The Looking Glass’ blog, is an eating disorders survivor and is an inspiration to those around her.

When you or someone you love has an eating disorder, food-centric holidays like Hanukkah, Thanksgiving and Christmas pose a particular challenge. The affected individual is likely to experience significantly greater stress knowing he or she will be expected to spend time with family and friends enjoying meals and holiday treats.

Through our work at the Looking Glass Foundation, we have developed several tips to help you enjoy the holiday season:

1) Taking care of yourself tops the list! Get enough rest, plan things you enjoy, stay close to your support system, and know your limits. The holidays can present us with opportunities to attend multiple gatherings in a week and it can be overwhelming, even for those without eating disorders. Journaling can be a good way to help you process feelings of isolation and anxiety and stay centered.

2) Plan ahead, make the challenges smaller, and take small steps. Isolating yourself to avoid food triggers can be tempting but it keeps you from growing and gaining confidence. You may want to host your own smaller gathering with foods you feel comfortable around rather than attend a big party somewhere else. You could plan to enjoy a serving of something you love but would not normally eat. You’ll know whether a step is right if it’s more appealing than worrying.

3) Divert your attention. There are so many ways to make the holiday season memorable. Wrapping presents, using your creativity to make a gift, lining up the holiday music, doing a favour for an elderly neighbour, and volunteering are ways to remember that gratitude is healing and at the heart of our holidays.

4) Know who to call if you find yourself in the occasional crisis. You may have moments when you feel particularly alone with your inner struggle. If you have a close friend or relative who understands, make a plan to be in touch. It can be as simple as a morning walk together, a phone call, email or texting for the understanding and encouragement you need. Or you can keep in touch with your therapist or join an online support group if needed. If you’re struggling and don’t know where to turn, contact the Looking Glass Foundation for Eating Disorders here for compassionate support and guidance.

Remember, you are not alone. Many others are facing eating disorders, and as you move forward with your own recovery, you are demonstrating to others that they, too, will succeed.

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Trixie Hennessey, MSW, RSW, is our wonderful, ultra talented Program Coordinator at The Woodstone Residence. To learn more about the transformational work being done at the Woodstone Residence, click here.

As you probably know, there are different types of eating disorders. While some healthcare facilities may recommend different programs for different eating disorders, it’s important to keep in mind that different people can experience eating disorders in different ways.

Whether you suffer from anorexia, bulimia, binge eating or another unspecified eating disorder, you will undoubtedly need a combination of treatments – all of which can be provided by a reputable residential treatment center.

What is the Best Program for My Type of Eating Disorder?

Many residential treatment facilities, such as The Looking Glass Residence, will take a multidisciplinary approach when finding a treatment that will help you. Some of the treatments include a combination of the following:

Acute, medical care: If your bodyweight (or nutrition levels) drop dangerously low.

Nutritional counselling: While people with eating disorders are often knowledgeable about calories, it’s vital that they receive nutritional counselling during treatment.

Group therapy: Support structures and sharing are an important part of recovery, which is why many residential treatment centers offer group therapy for young people with eating disorders.

Family approaches: Your family unit is also a part of your rehabilitation and many residential treatment centers will include them in your recovery. This will help other members in your family understand what you are going through and give them some helpful strategies to help you recover.

Medication: It’s possible that you have other mental illnesses that may be aggravating your eating disorder, such as depression, anxiety, insomnia or post-traumatic stress disorder. Proper psychological evaluations will take place to make sure you get the medication and medical attention that you need.

Treatment Options Available for Eating Disorders

When it comes to eating disorders treatment , it’s vital that you join a residential treatment center that takes a holistic, multidisciplinary approach. There are so many different aspects of eating disorders that a cookie-cutter, one-size-fits-all approach won’t work. Find out more about the program offered at The Looking Glass Residence.

When researching residential treatment programs for different types of eating disorders , it’s important to remember that your child’s illness is much more than a diet gone awry. Eating disorders aren’t about food, weight or size – it’s a mental illness that is difficult to deal with and overcome.

Advice for Parents with Children with Eating Disorders 

Unfortunately, a weekly meeting with a psychologist or dietician is rarely enough to help a teen, adolescent or young adult overcome an eating disorder. This is why The Woodstone Residence offers an intensive, structured program for approximately fourteen hours per day, seven days per week.

We take a multidisciplinary approach that focuses on breaking old habits and forming new, healthy ones. Our team has years of experience helping young people overcome eating disorders and our unique program includes a variety of approaches to suit individual needs at various stages of recovery.

As caring parents or guardians, you will be a part of the process as part of our family therapy and engagement sessions. Your child will also receive individual and group therapy, nutrition education, meal support, community involvement, arts and recreation therapies as well as psychiatric, pharmaceutical and medical care and treatment.

Treatment Options Available for Eating Disorders 
Eating disorder treatments can range from medication and hospitalization to outpatient treatment community support groups, self-help treatments and behavioral therapy. If you know that your child needs immediate help and a customized, outcome-based program that can help him or her overcome their illness, it’s time to take action.

Let the capable team at The Woodstone Residence help your child with all aspects of their lives so that they have the coping skills, nutritional education, life strategies and confidence to deal with their eating disorder.

As a healthcare professional, you may come across young people with different types of eating disorders and it’s your job to point them in the right direction. Whether you are a dietician, doctor, counsellor, psychologist or you have specialized in eating disorders for a number of years, you can appreciate how delicate and complex some situations can be.

Healthcare Advice: What is the Best Program for My Client's Eating Disorder?

When it is time to select an appropriate residential treatment program, you know that your patient or client can no longer function in daily life due to their illness. Selecting a residential treatment program that offers a number of therapeutic approaches including individual, group and family therapy, as well as psychiatry and complementary modalities is in your client’s best interest.

Community-based and outpatient treatments: While this type of eating disorder treatment is always advised after a patient has completed a program at a residential treatment centre, community-based and outpatient treatments may not meet their needs during the first recovery phases of the program. It’s important to assess whether your patient needs full-time help that includes a number of multidisciplinary approaches or if he or she will truly benefit from a weekly support meeting. If lasting, positive changes are the goal, then it’s time to look at a longer, more intensive program.

Medication: If you are a psychiatrist or a doctor, you are probably aware that your patient might need medication in order to treat other related illnesses. Medications used in the treatment of various eating disorders can include SSRI’s (selective serotonin reuptake inhibitors), TCAs (tricyclics) and antiemetics. While the first two types of medications listed here are antidepressants (such as Prozac and Norpramin), the latter is a drug that has been designed to suppress vomiting and nausea, which may or may not be applicable to your client’s eating disorder treatment .

Nutritional advice and meal planning: Your client will need counselling and meal planning solutions in order to give him/her the skills needed to replace destructive and damaging patterns with healthy alternatives.

For some people, breaking an eating disorder cycle may require accessing more intensive services than are available in their local communities, and/or distancing themselves temporarily from the environment in which the disorder flourishes. The Woodstone Residence can provide a safe and supporting environment that can help break destructive behaviours.

While there are many different types of eating disorders, you (or your child) will need a specific set of skills in order to overcome it. Research has shown that people can experience the same eating disorder in different ways, which is why you need experienced, qualified, empathetic and dedicated people from an eating disorder clinic to help you on your way to recovery.

Many experienced professionals will be involved in the recovery of a person with an eating disorder. Similarly, many different approaches and skill sets are needed in order to give a victim of an eating disorder the medical, psychological, social, nutritional and coping skills they need. These are only a few of the qualified staff – who should all specialize in eating disorders – that will be needed throughout the recovery process:

As you can see from the above list of professionals, it’s vital that the team helping you or your child is not only qualified, but has specific experience in helping young people with eating disorders.

How Woodstone Residence can Help 

The eating disorder treatments offered at the Woodstone Residence reflect a number of core values that motivate the development of the service and shape its care philosophy; these include recover, nurture, reinforce, build, discover and enhance. Our eating disorder treatment program focuses on giving you, your child or your patient the dedicated help they need in order to make lasting changes in their lives. Find out more about our renowned program by contacting us today.

Eating disorders are a mental illness with physical consequences. If your child has an eating disorder and has been admitted at a residential treatment facility, chances are that you are already extremely worried (and have undoubtedly already spent a lot of time researching treatment solutions and after-care support options).

Dealing with Media Influences, Meal Times and Mood Disorders 

If your child is dealing with an eating disorder, there may be some long-standing issues that you will have to deal with as a family. Here are some of the challenges that you might face:

Information for Parents - How to Deal with Media Influences, Coping with Meal Times, Coping with Depression, Anxiety and Self-Esteem

It’s vital that you keep an eye on your child’s progress. Not only can they be very susceptible to criticism, the media and mood disorders, they can also feel isolated and alone. Here are a few tips:

Stay connected to their support group and make sure you are able to give them access to the psychological and physical specialists that they need in order to implementing lasting, positive changes in their lives.

Whenever I share my story as a recovering anorexic - whether it’s in front of a high school class, through my writing, or one-on-one, the question that everyone asks is, “How did you recover?” And that really is THE question, isn’t it?

Anorexia is, at best, ambiguous in nature. Without any definite cause or simple diagnosis, anorexia and other eating disorders have baffled medical practitioners, psychologists, parents, and even victims [patients] themselves as they search for answers and keys to recovery. Just when the miracle formula appears, a new, even more insidious pathology emerges, like an interminably elusive virus. I don’t mean to imply that the treatments available are futile; on the contrary, they have provided invaluable insight and support in my years of recovery. For that, I am profoundly grateful.

However, it wasn’t in the ward of a hospital, on the couch of a therapist, at the bottom of prescription medication, or even in ongoing outpatient treatment that I found my panacea at last.

It wasn’t until I had been hospitalized five times, seen countless counsellors and psychologists, switched between medication and alternative healing methods, and fell short time and time again that I really began to lose hope and search elsewhere. It was in that state of near helplessness that I found the number one thing that helped me recover - and continues to move me forward to this day.

That “miracle cure” turned out to be nothing more than the support and connection with others who had been just as baffled by their eating disorders as I, had yet found freedom from their disease, and were willing to share their story with me. Once united with those who truly knew my insanity and the sickness that ruled my life because they too had suffered its wrath, I realized I was not alone or unlovable. The women who so warmly welcomed me into their fold without any trace of judgment had clearly experienced the darkest side of my disease, and yet they were now healthy and happy, with lives full of friends, family, careers, and aspirations. They had what I wanted. They told me that I could have it too, if I did as they had done.Together

That was the day I first walked into the rooms of Anorexics and Bulimics Anonymous (ABA), a twelve-step fellowship modeled after Alcoholics Anonymous whose only requirement for membership is a desire to stop unhealthy eating practices. As a chronic anorexic of the hopeless variety, I fit right in. As I attended meetings, I came to realize that over my years of treatment, I had been struggling to “fix” my disease by emulating those who had never shared my experience, when what I really needed was a mentor who had found recovery and was willing to show me how. And that’s exactly what ABA has given me - an entire fellowship of people who share in a solution that works.

It’s true that not everyone relates to the twelve-step approach, and I’ve seen many people recover through other means. But one thing rings true to recovery across the board: no one can do it alone. Eating disorders are diseases of isolation, so it stands to reason that their cure be rooted in companionship and support. By connecting with like-minded individuals through mutual desire for recovery - whether it be in the rooms of ABA or in other healing circles, by volunteering at the Looking Glass Foundation’s Summer Camps or staying in touch with friends after treatment - I believe a person truly can recover from an eating disorder. The key lies in relating to one another and a willingness to get well. To this day, it’s the number one thing that keeps me in recovery.

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Alison is a regular contributor to The Looking Glass’ blog, is an eating disorders survivor and is an inspiration to those around her.

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