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Susan Liddy, M.A., PCC, CPCC

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Obesity, Eating Disorders and Disordered Eating: Crisis in America

Posted: 08/05/11 09:26 AM ET

In our culture, we are bombarded by daily images of perfect models on magazine covers and
overly-thin actresses on TV and overwhelmed by stressful living. External success is valued over
authentic happiness, and industries get fat financially as a result. It's no wonder we are seeing the
biggest rise in the most insidious causes of death today.

On the one hand, we have an obesity epidemic. According to the Centers for Disease Control and Prevention, about one-third of U.S. adults (33.8 percent) are obese. Approximately 17 percent (or 12.5 million) of children and adolescents aged 2 to 19 are obese. An estimated 300,000 deaths per year may be attributable to obesity.

On the other hand, we have an eating disorder crisis. An estimated 24 million people of all ages
suffer from anorexia, bulimia or binge eating disorders in the U.S. In fact, a young woman with
anorexia is 12 times more likely to die than other women her age without anorexia. (The Renfrew Center Foundation for Eating Disorders, 2003).

More common, but lesser-known, is a phenomenon called "disordered eating." Disordered eating
affects 3 in 4 American women ages 25 to 45, according to a 2008 survey sponsored by SELF magazine in partnership with the University of North Carolina at Chapel Hill. Disordered eaters may engage in excessive dieting, eating when not hungry, eating in secret, skipping meals and primarily eating fattening, over-processed, "comfort" or convenience foods. This can result in low energy, trouble concentrating, anxiety, depression and/or being moderately overweight or underweight. Although disordered eating is considered less serious than eating disorders or obesity, it can lead to both.

Eating disorders, obesity and disordered eating arise from a variety of physical, emotional, and
social issues, all of which need to be addressed for effective treatment. The use or avoidance
of food as a coping mechanism ultimately leads to illness and emotional distress, affecting the
majority of the U.S. population.

We overeat because we are unhappy with ourselves or want to feel a sense of comfort or control
in our lives. We avoid eating or eat and then purge because we feel we cannot measure up to
the ideal body image. We choose unhealthy convenience foods to avoid the planning or time
commitment needed for authentic care of the body.

It all boils down to a state of being that we are trying to achieve through food. We are a culture of
people who do not love ourselves enough to live well nor accept ourselves enough to eat for our
individual body types, shapes or chemistry -- and industries profit from these insecurities.

The food industry feeds us processed, packaged, pesticide-laced food to make life "easier."
The advertising industry constantly reminds us how unacceptable we are so that we'll purchase products. The entertainment industry feeds us fantasies to escape our unhappy lives and false notions that fame and fortune lead to happiness.

In addition to exploring the medical reasons for these troubling eating patterns, the solution rests
upon the development of emotional mastery -- the ability to manage painful or uncomfortable
emotions separately from food, combined with an awareness of industries that use our emotions
against us. Developing a high level of self-acceptance is also critical to this process.

This does not mean that the problems of obesity, eating disorders and disordered eating should
be ignored. Self-acceptance means adopting a non-critical attitude toward yourself and making
choices based out on love for yourself and a desire to treat your body respectfully. It means
accepting your particular body shape, understanding your specific body requirements and giving
your body the type and amount of food and exercise it needs.

Mimi Francis, behavioral health therapist at Green Mountain residential weight loss center, asks, "How well has not liking yourself worked so far? The truth is, it hasn't. In fact, if you dislike your body, it's that much easier to abuse it."

People who truly love and accept themselves will not settle for overeating or starving themselves.
They will do what is necessary to be healthy.

In order to heal the obesity, eating disorders and disordered eating crises in America, we need to
shift our attitudes and our choices:

  1. Take time to understand your emotions, adopt empowering ways to resolve your conflicts and reduce the stress in your life, and teach your children to do the same.
  2. Choose to nurture a deep respect and acceptance for your body, and teach your children to do the same. From this place, you will feel motivated to practice body benevolence: to discover what is good for your body and then choose accordingly.
  3. Say "NO MORE" to the industries that feed us fattening, nutrition-stripped foods, and those that play on our vulnerabilities to get us to spend money to "feel good."
  4. Change how we relate to those among us who are obese or anorexic. We must cast our judgment aside and find ways to love these individuals through the resolution of the pain they are trying to escape.

The human body wants to thrive. In its natural state, it seeks to find homeostasis within itself.
When we can teach people how to truly love themselves, how to master their emotions and value
what is truly good for them, then people will naturally do what is needed to create optimum health
within the context of what is possible for them.

 

Follow Susan Liddy, M.A., PCC, CPCC on Twitter: www.twitter.com/SusanLiddy

In our culture, we are bombarded by daily images of perfect models on magazine covers and overly-thin actresses on TV and overwhelmed by stressful living. External success is valued over authentic hap...
In our culture, we are bombarded by daily images of perfect models on magazine covers and overly-thin actresses on TV and overwhelmed by stressful living. External success is valued over authentic hap...
 
 
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03:07 PM on 09/22/2011
Great article on a very complex issue. As one who suffered for more than 40 years from eating disorders and disordered eating patterns, I know there are no easy explanations or answers. To add to the discussion, Yale University has published some very interesting evidence that there's an addictive component involved: http://www.acefitness.org/certifiednewsarticle/1749/food-addiction-truth-or-scare/?utm_source=Certified%2BNews&utm_medium=email&utm_term=September%2B2011&utm_campaign=Certified%2BNews&CMP=EMC-CertifiedNews_0911. In addition to my own experience, my 15 years as a personal trainer to a largely female clientele has confirmed that this is a huge problem, and one I hope to help others move past.
Beth Novick
Disordered Eating Coach
www.lastingchangenow.com
09:20 PM on 09/28/2011
Excellent article!
Thanks so much for sharing Beth!

:) Susan
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HannaSchmitz
I'm just saying
11:13 AM on 09/01/2011
I just got back from vacation and OMG, people eat so bad in the south. Big, obese people eating 5000 calories for dinner alone. People don't give a $hit. They want to eat fried foods, deserts and drink a lot.
09:19 PM on 09/28/2011
It truly is sad how uninformed so many people are. Yet, you know how to eat and I'm thankful for that. So very proud of you for turning your eating disorders around. YOU DID IT!!!! Way to go.
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Widespread Panic
To the bang bang boogie, say up jump the boogie
12:48 AM on 08/18/2011
I started binge eating and purging when I was 18. Been struggling with it for over 20 years. Started having some medical problems and the fear of kidney failure has tapered my purging urges but I still struggle with the bingeing. Especially since I'm unemployed, dealing with a long distance relationship for over a year, socially awkward so I don't have many friends thus I'm bored a lot...I do exercise almost daily but it's a struggle.....
09:17 PM on 09/28/2011
((( hug )))
Please see my reply to the post just below...
12:31 PM on 08/12/2011
I've had disordered eating since I was 13. Bingeing, purging, restricting--you name it, i've done it. The most fascinating part of it all is that there is basically no way to get help. Especially when I have no health insurance. Oh well, further down the rabbit hole I dive!
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HannaSchmitz
I'm just saying
11:16 AM on 09/01/2011
Me too and I'm still 20 pounds overweight. I told my therapist and he didn't seem to care about it at all. You are sabotaging yourself. You know it and when you say down the rabbit hole because you have no insurance, it tells me that you are playing a victim, like you have no control over yourself. You do and stop sabotaging yourself. I did three months ago and it's been great.
09:15 PM on 09/28/2011
Flower (and Hanna),

I know that what you are dealing with is extremely challenging especially if you feel you have to go it alone. What I want you to consider right now... and get super honest about, are the results of your eating. What results are you getting from binging and purging? You likely get some relief or escape from some pain that you are in or fear that you have: we'll call these "positive results". And, you likely get what we'll call "negative results", such as guilt, shame, feeling out of control, hunger, sore throat and other negative physical conditions.

For your "negative results", I want you to REALLY associate them with your eating habits. Think of them as if you would if you were to lick a cigarette butt filled ashtray at a nightclub. REALLY associate how disgusting it feels to engage in your eating habit.

For your "positive results", I want you to discover how you can get those same results in another way. I KNOW that you are capable of creating these positive feelings in better ways.

Finally, eating disorders are not something to mess around with. YOU WILL DIE if you continue this way. Do what ever possible TODAY to find the support that you need. Use Hanna as inspiration that this is possible.

You can beat this and you are too important on this planet not too.
Hanna - good work. *high five*

Susan
05:17 PM on 08/08/2011
It would have been great if the author would have given a shout out to the Health at Every Size movement and the book, "Health at Every Size" by Linda Bacon. Bacon outs the b.s. of the "obesity epidemic" hype (that's part of the industry feeding off of fear as well, but our journalists just can't investigate that thoroughly enough for some reason) and gives a solid approach to HEALTH independent of weight obsession. Which is, essentially, what this author is trying to do. Health at every size, folks! It's a reality.
11:48 PM on 08/09/2011
Thanks for the recommendation.
First I've heard of the book.
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HUFFPOST SUPER USER
sedunning
11:59 PM on 08/07/2011
so....if 3 out of 4 women eat this way, that's 75%, so who's to say that huge % is all wrong and the small % is right? Who decides who is the "normal eater?" But yes, our society is crazed about food and weight. Women's magazines have about 3 diet/weight loss articles per issue stuffed inbetween glossy full page ads for chocolate cakes and fast food. Very few people cook from scratch any more, and few actually "plan" meals, and most eat way too much inbetween meals. Even more maddening to me is the huge number of people now getting gastric bypass surgery even with BMI's of only 33-35. They don't understand there can be real, long term, negative effects of such drastic surgery....they think that's the quick and easy way so they don't have to put in any effort. I've lost 40 pounds in the past 6 months. It's hard, and I've got more to go, but would never consider gastric bypass even though I would have qualified.
11:52 PM on 08/09/2011
Its a sad state of affairs either way you look at it.
Food is meant to nourish us.
Not kill us.
11:48 PM on 08/07/2011
SOME SKINNY (NO GOOD) SOME AVERAGE (GOOD) AND FAT.(BAD)..EVERYBODY LOOK DIFFERANT...THAT ALL...
I WAS KID BEING SKINNY THEN TEENAGER /YOUNG ADULT. NEED VITAMIN HELLP MANAGE EAT WELL LIKE THAT...I OLDER HAD DIABETICE MY WEIGH NOT BAD LIKE 100 POUND...LONG AGO LOST POUND LIKE 75 TO 85 PUND..THAT WHY.. PEOPLE NEED VITAMIN NEED FOR EATING WELL:D
11:53 PM on 08/09/2011
We all have different shapes and sizes.
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HannaSchmitz
I'm just saying
11:45 AM on 08/07/2011
My mil is 68 and eats this way and has her whole life. I'll see her eat nothing all day then eat 5000 cal before bed. She's a stick and depressed all the time. This article is so true.
11:53 PM on 08/09/2011
I'm sad for your MIL.
Must be hard for you to be a witness too.
((( hug )))

-Susan
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playsindirt
So much dirt, so little time.
09:06 AM on 08/07/2011
I have a friend whose 18-year-old daughter was hospitalized with what everyone thought was anorexia but turned out she had disordered eating. It's not that she didn't want to eat or wanted to lose weight (she was naturally very thin) - her hectic lifestyle just prevented her from eating and making good food choices. When the doctors told her she could die it was a giant wake up call for their whole family. You have to teach your children to make good food choices and start young.
11:51 PM on 08/07/2011
THAT WHY SHE SKINNY.....PUT IV LIKE CLEAR FOOD... I THINK HOME WAS OLD FOOD NOT GOOD...NEED INSURE LIQUID VITAMIN :))))))) FOR EAT WELL....OK?
11:54 PM on 08/09/2011
Delighted to learn that she took this wake up call seriously.
At age 18, it is still very early in her life to turn this ALL around.
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Entaowed
Love Art, Deep Blues, Surrealism, Philosophy, Absu
08:56 PM on 08/06/2011
4 forkfuls is craziness. If you do the math, especially if we properly espouse a diet high in nutrient dense, high fiber & low calories food like fruits & vegetables-4 forkfuls would be at best a starvation diet. And worse for men & more active folks, who of course tend to burn more calories.
11:55 PM on 08/09/2011
No, I do not recommend eating only four forkfuls.
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HUFFPOST SUPER USER
William Anderson LMHC
Licensed Psychotherapist, Weight Control Expert
11:58 AM on 08/06/2011
You discuss some important issues here, but the solution to our disordered eating and obesity epidemic will not come from mere understanding and discussion of the causes. In addition, we often cannot properly identify all the reasons for the problem, and thank God, we don't need to. Our problems are behavioral, and if we can change the behavior, the behavioral disorder and the obesity are resolved, whether or not we fully understand them.

Our whole culture has disordered eating. That's why over 70% are overweight, heading towards 100%.

After 25 years of obesity and failure, I finally discovered the behavioral solution as a behavioral specialist and addictions counselor, lost 140 lbs., and have maintained my ideal weight since. I've been training others since, and I invite you to look into my work and my book.

William Anderson, LMHC
Author of 'The Anderson Method - Secrets of Permanent Weight Loss'
www.TheAndersonMethod.com
Blog: http://theandersonmethodblog.wordpress.com/
12:57 PM on 08/06/2011
Since this is a sales pitch (essentially) I would hope my fellow commenters would ask for controlled research as to whether the "Anderson Method" works on more people than just Mr. Anderson. For example, 100 people, 50 randomly assigned to the method, 50 using another method or a "placebo."
Run the study for 6 months and see if the Method results in more pounds lost than the other method or the placebo. Anderson's testimonial is anecdotal. The plural of anecdote is not data. Show us the data please.
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HUFFPOST SUPER USER
William Anderson LMHC
Licensed Psychotherapist, Weight Control Expert
11:04 AM on 08/07/2011
Take a look at this ABC7 news report: http://www.youtube.com/watch?v=09cYWqvLsz4
When I first started helping others in 1985, I followed my first 50 patients for a year after the training. 100% lost the weight they had set out for as an initial goal, and at the end of the year, 70% had maintained their success. Since the comparable average success rates with diets is less than 35% and 5% respectively, I felt no further need to defend my results. If I were only half as successful as I am, I'd still be seven times as successful as the average. As far as the 30% who were not as successful as I'd have hoped for, their 100% success is still a good possibility, with the persistence that is so much a part of our humanity. They will never forget the science and psychology they learn in my program. As far as your suggestion of a research project, I invite you to arrange it. I'll even supply the curriculum and textbooks free of charge. I have 15 therapists throughout the country providing the training, adding more gradually as I recruit and train them.
05:02 AM on 08/06/2011
Obviously this is just gleamed from my experience and I'm not speaking for everyone who has suffered from disordered eating but eating disorders are not inherently political. I am someone who has struggled with various forms of disordered eating since I was a child and I am currently diagnosed with anorexia nervosa and I am very underweight. I don't starve myself or overexercise because of the obesity "epidemic", the poor, the welfare system, Obama, or because I just so happen to feel like "stickin' it to the man" by keeping my intake low. My eating disorder is a personal issue and it's the same for a majority of people.

I am not trying to look like a model because I know that no matter how skinny I get, I will not magically transform into a 5'11" slim yet impossibly busty Victoria's Secret model. I am not aiming for Kate Moss circa Heroin chic. I am someone who deeply despises themselves and I self harm through restriction, by denying myself the bare minimum to survive. Some obese woman in middle America using her EBT card to buy soda and Cheetos at Walmart for her equally unhealthy child has nothing to do with this.

Oh, and for every person who says "Men want REAL women with REAL curves. Not bags of bones", way to miss the point. Sex and sexual relationships are pretty much the LAST thing on the mind of someone deeply entrenched in a life threatening eating disorder.
04:50 PM on 08/08/2011
Thank you for your candid and personal comment that emphasizes the depth and seriousness of your eating disorder and that of many.
12:04 AM on 08/10/2011
Ofelia,

Just want to give you a hug and let you know that I am proud of you for all of your efforts.
Your awareness to what it is that drives you to avoid eating is excellent.
Now, how can you take that awareness and "shoot holes in it"?
For example, is it really true that you should be despised?
Is it really true that you are deserving of punishment?
Please find someone who can support you to answer these questions from your empowered true self because even though you say that deep down you despise yourself, my guess is that deeper down you really just want to be loved.

-Susan
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LivelyLexie
Don't panic.
11:45 PM on 08/05/2011
3 out of four women? That sounds off.
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02:33 AM on 08/06/2011
Yeah, it's sounds terribly optimistic.
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zelda777
transcend the B. S.
10:38 PM on 08/05/2011
Over eating is not caused by slender models in magazines. Fashion models have been slender and elongated since the post-WW2 days with the rise of high fashion. Before live photographic models were used, sketches were much more popular (in the 50s), and they were always very elongated, displaying the elegant lines the designers wanted.

It's only been in the last 15-20 years that women and girls have become so addicted to and influenced by pictures in magazines. When I was a teen in the 60s, we had Twiggy and others. No one was starving themselves to look like them. We merely commented, Gee, she's awfully thin," and turned the page. So what. I'm naturally thin and it didn't use to mean a thing. Most young people used to to be slender to medium before all these eating disorders started. Those are definitely a modern cultural neurosis.

People need to wean themselves away from media images and stop confusing them with reality. Being thin is a job requirement for fashion models and professional dancers - for logistical reasons. There are naturally thin people who can fill these spots - no one needs to starve themselves. Some people do need to get a life.
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HUFFPOST SUPER USER
myviewsofnow
12:31 AM on 08/06/2011
Actually longer, when I was in my teens in the 70's eating disorders were then becoming a hidden problem. I knew of at least 4 girls in my HS that were Anorexic, i was diagnosed with bulimia in my early 20's. Maybe YOU need to step into the real world, where people have flaws and deal with them in imperfect ways.
01:30 AM on 08/06/2011
"myview", good comment. I'll go on a bit. In my Junior year of HS, back in 1987, I knew MANY girls that were either Bulemic or Anorexic. I've always been slender, but when I hit High School, that pressure to "be thin" kicked in, and when I saw my friends skipping lunch, I hopped on that bandwagon, to "fit in". I starved myself. Skipped family meals, even though my mother called me down to the table. A yogurt a day, maybe some fruit, and that was it. I was dizzy, confused, and lightheaded at times, but was able to function through school and my part time job. Finally, when my 5'10" frame weighed in at 100lbs at a doctor's visit, my parents had me hospitalized.

I spent a month in treatment. And while I'm not "totally' cured to this day, I'm at a light, but healthy weight for my height.

And as long as the media perpetuates "Thin is in", other young women will continue along this path, to strive to look like the models in the magazines. Yes, some people are "naturally thin", but there is a lot of airbrushing that goes into many images.

Telling people to "wean themselves away from the media", when Tabloid magazines, Tabloid "shows", and sites on the internet are readily available for viewing. Hmm.
10:31 PM on 08/05/2011
It's just as tough as being on the opposite end of the spectrum. No, do not have eating disorders unless you consider 3 meals a day with desert + snacks a disorder. Just have a difficult time keep weight on.
12:07 AM on 08/10/2011
I get it, I really do.
For most of my life I was underweight and accused of having an eating disordered.
I was teased relentlessly for how I looked.
I would eat and eat and eat just to keep the weight on.
Now at age 43 I am having trouble maintaining a healthy weight (in the opposite direction.)
Be good to yourself and never let anyone tell you that you are anything other than magnificent.
Thanks so much for your comment.
-Susan