October 2006

For most of us, enjoying food is one of life’s simple pleasures. For some, this basic part of life becomes significantly altered and food can come to be seen as an enemy or a savior. Either of these extremes is an indication of deeper issues. We hope you find the interviews with Cynthia Bulik, PhD, Director of UNC Eating Disorder Program, and ACC’s own Rebecca Lowry both informative and helpful about the complex issue of eating disorders.

Dr. Joe Verga
Executive Director, ACC


OCTOBER FEATURES

Eating Disorders, 101

Eating Disorders:
Who, When, What Do I Do?

Friends of ACC—
Joe & Beth Lineberry

Book Reviews


Eating Disorders, 101

An Interview with Cynthia M. Bulik, PhD FAED
Director, UNC Eating Disorders Program, UNC-Chapel Hill

What are the clinical definitions for the most common types of eating disorders?

· Anorexia nervosa…Individuals are unable or unwilling to maintain a body weight which is normal or expected for their age and height. Typically, this means that a person is less than 85% of their expected weight. Even so, they continue to be fearful of weight gain. Their thoughts and feelings about their size and shape have a profound impact on their sense of self and their self-esteem. Anorexia Nervosa has the highest mortality rate of any psychiatric disorder.

· Bulimia nervosa…Individuals with this diagnosis experience binge-eating episodes which are marked by eating an unusually large amount of food, usually in a discrete period of time, but feel out of control while doing so. The sense of being out of control is what distinguishes binge-eating from regular overeating. It is followed by attempts to “undo” the consequences of the binge by using unhealthy compensatory behaviors such as self-induced vomiting, excessive exercise, misuse of laxatives, etc.

· Binge eating disorder…Individuals with this diagnosis engage in binge eating but do not regularly use inappropriate compensatory weight control behaviors such as fasting or purging. Feelings of shame and embarrassment are prominent. It is often, but not always, associated with overweight and obesity. Read More



Eating Disorders: Who, When, What to Do
An Interview with Rebecca Lowry, MA LPC


Although a person of any age or gender may suffer with an eating disorder, who is most commonly affected?

The prevalence is higher among females, but it is rising in males, for all types of eating disorders including anorexia, bulimia, binge eating and compulsive overeating. Anorexia afflicts girls and women 9 times more often than boys and men

The age range is widening as well. The most common age group is probably teens to early twenties. It is rampant on college campuses, but it is not uncommon in preteens and older adults. Dr. Jantz [see Book Reviews] believes that the peak time for developing an eating disorder is between 11 and 13. Read More.




Friends of ACC - Joe and Beth Lineberry

As Associates in Christian Counseling approaches its 15th anniversary, it seemed an appropriate time to interview some “Friends” who have been there since the beginning. Read More







Book Reviews

Dying to be Thin: Understanding and Defeating Anorexia Nervosa and Bulimia—A Practical, Lifesaving Guide
Ira. M. Sacker, MD, and Marc A. Zimmer, PhD
Warner Books, 1987
Uses case histories and first-person accounts by patients, their families, physicians, and friends. Is a complete resource for anyone concerned with these dangerous disorders.

Hope, Help, and Healing for Eating Disorders
Gregory L. Jantz, PhD
Shaw, 2002
Outlines a comprehensive, holistic, and practical approach to bring spiritual, relational and physical elements into the healing process.

“Mom, I Fee Fat”: Becoming Your Daughter’s Ally in Developing a Healthy Body Image
Sharon A. Hersh
Shaw, 2001
Timely, culturally informed, realistic, and Biblically based. This is a sensitive, thoughtful, and valuable resource for mother’s of girls. It will help raise young women with healthy body image and self-esteem




Now What Do I Do

· Know the signs of anorexia nervosa and bulimia nervosa.

· Discuss your concerns with the individual before deciding she does have an eating disorder (i.e., make sure she just hasn't had a bout of the flu).

· Discuss your concerns with a resource available to you such as nutritionist, counselor or other health professional.

· In discussing your concerns with the individual, be compassionate and open and try to do it in an informal manner rather than a structured interview so that she doesn't feel you are talking to her as a "professional," but as a concerned person to whom she can turn.

· In your discussion, convey your concerns about her health and functioning -don't just focus on weight loss or body size. Let her know the ways in which you may be able to help her (by getting literature or the name of a counselor or nutritionist).

· Have patience - expect to be rejected at first. (It's frightening to admit you have a problem that is out of control and the thought of giving up the behavior is even more frightening). Make sure you leave her with the impression that you do think the situation is serious and that you'd like to speak to her again about it.

· Throughout the whole process of detection, referral, and recovery, keep the focus on the goal of feeling healthy (physically, emotionally, psychologically, relationship wise)

· Don't make promises you can't keep. (i.e. don't promise you won't "tell," if you feel the person's health is in danger.)

· Be aware of community resources and what to do in an emergency.

· Know your limits. Do not get over-involved in terms of trying to offer "therapeutic" advice. These are complicated, dangerous, and often difficult-to-treat disorders that generally require a whole team approach to treatment. You do no want to become a substitute for professional care.

Reprinted with permission by Dr. Marcia Herrin. For more information please contact: Dartmouth College Nutrition Education Program at (603) 650-1414, or Eating Disorders Awareness and Prevention, Inc. (EDAP) at 603 Stewart Street, Suite 803, Seattle, W A 98101. (206) 382-3587.

United Way - A Way to Give Wachovia
- A Matching Program

Each fall brings the United Way campaign to our community.

Did you know you may designate that your donation be given to
Associates in Christian Counseling?

ACC’s code number is 2062.

If you write 2062 on the United Way form,
ACC will receive your gift.


Wachovia employees have a special opportunity to support
Associates in Christian Counseling.

Any gift of up to $1000/year given directly to ACC will be matched by
Wachovia!

Simply give your gift to ACC along with your completed Matching Gift Form.





Fast Facts

42% of 1st-3rd
grade girls want to be thinner

81% 10 year olds
are afraid of being fat

Average American
woman:
5’ 4”, 140 lbs

Average American
model:
5’ 11”, 117 lbs

For more info
click here


A Thought

To promise not to do a thing is the surest way in the world to make a body want to go and do that very thing.

Mark Twain,
The Adventures of Tom Sawyer


Wish List

We are in need of some additional computers,
Pentium 3 or newer. Due to space constraint, laptops are preferable
but not essential.

If you are able to
help, please contact
Rick Cole at
896-0065, ext. 205, or via email.



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This e-newsletter is published monthly by Associates in Christian Counseling Heather M. Verga, Editor
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