ED Basics

Since I'm just getting started with this blog, I figured I would take a moment to introduce eating disorders to those who may be unfamiliar. Much of this information comes from the National Eating Disorders Association, my knowledge and experience. For more, please visit the NEDA Website at www.nationaleatingdisorders.org.

Let's start with the basics ...

What are EDs?

There are several types of eating disorders including Anorexia Nervosa, Bulimia Nervosa, Compulsive Overeating/Binge Eating Disorder and Eating Disorders Not Otherwise Specified (EDNOS). Each has its own characteristics, but all eating disorders are similar in their function.

Anorexia Nervosa: A serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss.

Binge Eating Disorder (BED): A type of eating disorder not otherwise specified and is characterized by recurrent binge eating without the regular use of compensatory measures to counter the binge eating.

Bulimia Nervosa: A serious, potentially life-threatening eating disorder characterized by a cycle of bingeing and compensatory behaviors such as self-induced vomiting designed to undo or compensate for the effects of binge eating.

What causes EDs?

In my experience, I have learned that the causes for such disorders vary depending on the individual. There may be a biological component, as well as psychological and sociocultural components. Some research suggests EDs are an autoimmune disease. Regardless, the range of causes is wide.

Who can have an ED?

This one is simple: ANYONE. It used to be assumed that only wealthy, young and/or overachieving Caucasian women could have EDs, but research and experience has proven that men suffer, as well as individuals from every nationality. EDs do not discriminate.

How are EDs treated?

EDs can be fatal, but there is hope for those who wish to recover. Often, a treatment team is involved consisting of a psychologist, psychiatrist, physician, and dietitian. If you or someone you love is seeking help, please know it is out there. Outpatient treatment can be time consuming so be prepared for several appointments each week.

A psychologist is usually a part of the team to help address what may be at the root of the disorder(s) or what is perpetuating it/them. This part of treatment can be most beneficial and I recommend utilizing every minute available and really setting/working on goals.

A psychiatrist can be helpful in diagnosing the disorder(s) and/or any coexisting disorders. They can also prescribe any needed medication.

A physician is a crucial part of the treatment team as EDs can take a toll on the body. It is important to visit a doctor to determine what, if any, damage has been done and work together to improve overall physical health. Medical monitoring is just as important during the refeeding process as it is during the most active stages of the ED.

A dietitian can make recommendations about the amount of calories and types of foods your body needs. My dietitians have also been responsible for monitoring my weight on a week-to-week basis to assure I'm not losing or gaining too quickly, but rather at a pace that it healthy for me personally. Dietitians can also provide nutrition education and help us make better choices.

If inpatient treatment is needed because one can't break the ED cycle on his/her own or his/her health is in jeopardy, there are numerous hospitals and centers throughout the country. Inpatient treatment is often used to stabilize the person medically and reintroduce them to eating more regularly (without using compensating behaviors such as purging. An example would be Rogers Memorial Hospital). Residential treatment centers do the same, but provide a less restrictive environment and typically involve more outdoor activities or therapies (Remuda Ranch would be an example). There are also several partial hospital programs which provide structure throughout the day or evening, but give patients a chance to live at home or in an apartment while practicing what they are learning.

There is much more to be learned about EDs than what I can put in one post. But please, if you need more information quickly, visit NEDA's Website or call their helpline at (800) 931-2237.

I hope this post has been at least somewhat helpful. EDs are very complex, life-threatening illnesses and while I could go on and on, I'm going to stop for now and let you digest (no pun intended) what you've already read.