“To the Bone”, a recently released Netflix movie, has generated discussion on the topic of eating disorders. The New York Times reviewed this movie. Anything that promotes awareness is a plus.
The movie itself is no Academy Award winner. It reminds me of an after school special from the 1980s.
In a separate blog I will review the movie. For this blog, I have only one message.
Avoidant/Restrictive Food Intake Disorder (ARFID) has replaced Feeding Disorder of Infancy and Early Childhood.
The DSM-Vis the manual used for diagnosing psychiatric problems. It stands for The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. The Fifth edition has been out since May 2013 and includes changes to how eating disorders are categorized and diagnosed.
This post will address one of those changes, which the new diagnosis is called Avoidant / Restrictive Food Intake Disorder (also known as ARFID).
Dr Daniels, I never really know if I am hungry or full, and sometimes eat so much that I feel uncomfortably full afterward. Does this mean I have Binge Eating Disorder?
Overeating: What is it?
Overeating at times is part of normal eating. Examples of overeating include having an extra helping at a meal because something tastes soooo good, or eating beyond fullness at a special holiday meal or celebration.
Binge Eating: What is it?
The year was 1986. Meredith Baxter Birney played a Step-ford wife named “Kate”, who was married to a handsome successful attorney. The name of the movie is “Kate’s Secret”.
When the film aired, bulimia was taboo. While bulimia may be less of a taboo topic now, there is still a lot of shame associated. And lots of misunderstanding.
It is not unusual for men and women who suffer from bulimia to feel embarrassed and disgusted about their behavior and about themselves. They may develop secretive habits to hide their behavior.
“Dr Daniels, when you give talks on anorexia please let people know it really sucks to have this problem. I hate when I hear people say they wish they had anorexia. Do they wish to think of nothing but food 24/7? Do they wish for self hatred and disgust? Do they wish their brain would shrink, their organs would shut down, and they would feel cold all the time? Tell them anorexia is a monster that takes over the mind and body.”
—-a 29 year old woman in treatment for anorexia nervosa
(Who by the way is doing great in treatment! Anorexia is completely 100% treatable with the proper treatment.)
What is anorexia?
National Eating Disorders Awareness Week (NEDAW) is being held February 23rd to March 1st, 2014.
The theme this year is “I had no idea”.
What ideas do you have about eating disorders?
There are lots of misperceptions.
For example, when people find out I specialize in the treatment of eating disorders, they assume I meet solely with teenage girls. Nope. Girls and women, boys and men, of ALL ages, shapes, and ethnicity present with eating disorder symptoms.
Get the facts!
People who obsess about food and have otherwise healthy eating may be suffering from “orthorexia nervosa,” a term that literally translates to “fixation on righteous eating.” Orthorexia may begin as a well intentioned attempt to eat more healthfully, but the intention morphs into a preoccupation with food quality and purity. People with this condition become consumed with what and how much to eat, and how to deal with “slip-ups.” An iron-clad will is needed to maintain this rigid eating style. Every day is a chance to eat right, be “good,” rise above others in dietary prowess, and self-punish if temptation wins (usually through stricter eating, fasts and exercise). Self-esteem becomes wrapped up in the purity eating behavior, which then becomes part of feeling superior or virtuous compared to other people who eat a wider range and larger amount of food. Eventually food choices become so restrictive, in both variety and calories, that health suffers – an ironic twist for a person so completely dedicated to healthy eating. Eventually, the obsession with healthy eating can crowd out other activities and interests, impair relationships, and become physically dangerous.
Welcome to my Blog
Here I get real on body image, eating, sex, yoga and more. Sometimes the topics are more random. All relate to psychology (after all, I am a psychologist!) --Dr.D