Childhood Eating Disorders Blog


Archive for August, 2008

Hear Dr. Marcia Herrin on the Maudsley Method for Eating Disorders

Thursday, August 14th, 2008

Dr. Herrin has been invited to discuss Maudsley-inspired techniques for putting parents in charge of their eating disordered child’s food behavior at several upcoming conferences.

Sept. 18-20, 2008 in Austin, Texas @ National NEDA Conference. This conference is designed for individuals living with an eating disorder, a family members or friends looking to offer support to a loved one, or treatment professionals looking to help others.

Nov. 13-16, 2008, Renfrew Center Conference for Professionals. @ Philadelphia Airport Marriott. This conference also features Jane Fonda!

Sending Your Recovering Child to College

Thursday, August 7th, 2008

This is that time of year when parents call me for advice on sending their eating-disordered child off to college for the first time. I’m always reminded how important it is that parents make sure that a good tight system is in place for their recovering young college students. As much as we would like to turn treatment and monitoring over to the college, the truth is that colleges rarely get involved until students are in serious enough trouble to worry roommates, professors, and residential life staff.
I just got off the phone with Leigh. She is the mother of Simone, who is going off to her freshman year in college in a few weeks. Leigh called the school last week, leaving a message saying that she wanted to know what resources the college had on campus that would support Simone’s continued recovery from purging anorexia. Leigh had called me because she was frustrated she hadn’t heard back from the health center and worried the college would not be aggressive enough with treatment to keep Simone’s recovery on track.
I told Leigh that most colleges are not going to insist on treatment for incoming students, but they can do weight checks and many have counseling departments and even nutritionists. As Simone’s parent, Leigh will have to be the one to insist that Simone arrange for the weekly weight checks and check out the counseling and nutrition resources. In Simone’s case, Leigh is going to have the health center fax weekly weights to me. Simone and I have planned to continue treatment over videocam unless she finds a nutritionist to work with on campus.
It’s a good idea to talk over the transition to college with your child’s nutritionist or doctor and coordinate ongoing care with your child’s college health care center. Your goal is to not have anything fall between the cracks where treatment is concerned. Starting college is stressful under any circumstances, so try to make the transition in treatment as seamless and well-planned out as possible.
Marcia

Eating disorders and the Olympics

Friday, August 1st, 2008

As the 2008 Summer Olympics are about to begin in Beijing, it’s a good time to reflect on the role eating disorders have played among Olympians and other elite athletes.

Perfectionism, the desire to please, and a fierce work ethic are among those traits essential to the making of an Olympian. They are also among the most common characteristics of the classic anorexic. It’s no surprise, then, that elite athletes are especially vulnerable to eating disorders, especially when the athlete’s specialty falls into the category of so-called “thinness-demand sports,” which call for maintaining a low weight. Included among these high-risk sports are gymnastics, wrestling, rowing and cycling, all of which are summer Olympic sports.

 

The link between athletics and eating disorders was underscored in a study published this month in the International Journal of Eating Disorders, which found that university undergraduate women who actively participate in sports are more vulnerable to eating disorders than those who don’t regularly exercise. The higher the anxiety about sports or exercise-related performance, the more likely these women were to experience eating disorder symptoms and body dissatisfaction.

 

Nadia Comaneci and Kathy Rigby both suffered from eating disorders, as did USA tennis player and two-time Olympic medalist Zina Garrison. German Olympic rower Bahne Rabe’s eating disorder reportedly killed him at age 37 in 2001.

 

In her recently published memoir Chalked Up: Inside Elite Gymnastics, Merciless Coaching, Overzealous Parents, Eating Disorders, and Elusive Olympics Dreams (William Morrow), author Jennifer Sey describes her path to becoming the 1986 U.S. national gymnastics champion. Comments from coaches such as “I don’t coach fat gymnasts” turned her into a self-punishing anorexic who kept her weight down through a steady diet of laxatives.  Sey didn’t make it to the 1988 Olympic team even though her mother, whose whole life had been devoted to grooming a champion, promised, “I won’t let you eat, I’ll lock the cabinets,” and said, “You’re not going to throw this away after all the time and money we’ve spent.”

 

Another example: On July 28, world women’s cycling champion Marta Bastianelli tested positive for a banned stimulant during a qualifying competition for the Olympic Games. Bastianelli claimed that the substance identified was not a performance-enhancing drug but part of a mix of herbs a naturopath had prescribed to help her lose weight. After a bit of unplanned weight gain, Bastianelli had been advised by her Italian cycling team coaches that she needed to lose weight.

    

The takeaway lesson for parents here is that sports, especially when practiced in a highly competitive and pressured environment, put a child or adult (especially one who is genetically susceptible) at risk for an eating disorder. Be vigilant and make sure your child’s coach is not making overt comments about weight, shape or size. As Jennifer Sey, who now suffers from the physical effects of her long-term eating disorder, found out, pursuing a sport at the risk of your health is just not worth it.  

 

Take care,

Marcia & Nancy