Surfacing After Silence

Life. After.

To The Bone fits my reality almost perfectly.

“I had an eating disorder, and To The Bone Got it Almost Entirely Wrong”

Author, Lucy Kelly: “The new Netflix movie is a remarkably tone-deaf and insight-free depiction of anorexia nervosa.” 

I thought To The Bone finally depicted someone struggling with the terrifying choice of anorexia versus recovery.  To The Bone is reassurance that other people have lived my story and other people had the same fears as I did and that other people took years to make the choice to recover.

Yes, this post will discuss anorexia symptoms–my experience with various symptoms and treatment.  At no point will I make the claim that my experience is everyone’s experience–or even that it should represent the majority of people with an eating disorder.

As advocates for mental health awareness in general and eating disorder awareness specifically, we bemoan the fact that not enough media accurately portrays eating disorders, that anorexia is glamourized or romanticized and that society doesn’t understand that anorexia has a mortality rate of 20%.

Then there comes a movie–that is fiction (and she makes a point to call this a fiction, not a documentary/memoir) , but based on the writer’s personal experience–and now people are pissed that it isn’t accurate enough, and that it’s not representative of all people who struggle with an eating disorder.

We ask for reality and then bitch when we’re given that reality.  Does anyone else see the inherent conflict of this statement?

No one story will ever be representative of the majority.  And if we want to keep saying that each individual’s story is unique, we can’t expect one story to work for everyone.  Articles and blogs such as the one I have linked to are now complaining that her story didn’t represent their story.

But–it was nice to finally see this story represented in media.  This story is strikingly similar to my story. If we want people to understand the harsh realities of  eating disorders, tell them to watch this film, because I’m having problems seeing this as ‘romanticized.’ It certainly doesn’t paint a pretty picture.

The seven patients are male, female, black, white, straight, gay, bi, and have anorexia, binge eating disorder, bulimia, and exercise addiction.  This isn’t supposed to represent typical treatment centers, but in one inpatient treatment center, there were only three of us in the eating disorder treatment.   The idea is that it isn’t traditional at all.  The main character faints while waiting for a bus. She’s forever huddled in several layers of clothing in an effort to stay warm and hide herself from sight.  She forces herself to do sit-ups in bed because she is terrified of life without sit-ups. Another patient keeps a smelly paper bag under her bed to throw up in when no one is watching.  A pregnant patient loses her baby due to complications from the eating disorder.  The token male dancer had to stop dancing due to injuries–that are a result of the eating disorder, and he finds during the movie that he will never be professional dancer again because his knee is shot.  One patient is forced to have an NG-tube and struggles to accept how many calories being pumped into her.  Which of these stories present an eating disorder as a beautiful way to live?

ached to tear the NG-tube out.  The only reason I didn’t?  My doctor said he would just put another one back in, and that this time I’d be on a one-to-one on a medical unit on bed rest, and I figured (in my obsessed brain) that at least I could burn off a few calories by walking from the dining room to the living room, where we had to sit. All. Day. Long.  I kept a chart tracking exactly how many sit-ups, push-ups, toe raises, squats, etc. I did every single day.  I would not go to bed until I finished all of those exercises–in addition to whatever running and walking and biking and swimming I had done earlier in the day.  I timed how long I stretched my hamstrings–and kept a chart of all of my stretches too.

We say that media only contributes to the stereotype that only very thin people need treatment.  This film only has 7 patients, true–but some are emaciated, some are thin, some may be overweight (from a health perspective).  Some are athletic.  Some aren’t.  Yet all of them are getting help.

This film does not cater to people wanting numbers of any type.  We only have a few shots of Ellen, the main character, in anything but layers of clothing.  We don’t see her weight.  We don’t hear her weight–either her current weight or how much she’s lost.  We don’t see sizes.  There is one calorie reference.  We don’t even know how many sit-ups Ellen does every day.

As for how the film represents families trying to deal with or understand their loved one’s struggles with an eating disorder?   The sister voices her anger at not having a real sister, only an illness standing in for a sister.  The parents and step-parents struggle to understand and support their daughter and really have no clue how to do so and, even if they did, they’re exhausted and wish they could just forget about it.  If you want to say that parents do everything they can possibly think of to seek help or to read up on a diagnosis and possible treatments or providers–be thankful you can have that viewpoint.  I don’t.

This film doesn’t wrap things up in a nice, neat plotline.  We don’t dive into all the myriad ways someone might develop an eating disorder.  And the patients don’t simply get to the treatment center, get help, and get better.  In fact, the ending simply shows her deciding to really give treatment a chance–without the happily-ever-after conclusion Hollywood loves.  Ellen has had treatment–and then relapsed.  Over and over again.  Which is kind of what my story was.  Hospitalizations that I was not invested in aside from keeping my doctors from committing me.  Discharge, relapse, readmission.  I can’t be the only one with this plotline.

Ellen is terrified.  Of recovery.  This is what we don’t want to speak of.  We want to think that people get sick and want to get better.  But what if you’ve been sick for so long you’ve forgotten what not being sick is like?  What if you’ve been told by multiple treatment providers that “once an anorexic, always an anorexic”?  Life without an eating disorder is the unknown territory that could be beautiful and fulfilling, but it could also be horrific and painful and terrifying.  Terrifying enough to paralyze you.

The repeated hospitalizations did one thing–they kept me physically alive until I hit my particular rock bottom and made the decision to recover and to actually participate in my own treatment.  At the time, I probably would have said I wanted nothing to do with whatever life was.  Now?  I’m glad people forced my physical body to maintain enough health that I survived.  Now?  I’m glad I hit rock bottom and scraped my way back up to somewhat level ground.

This movie will trigger a great many people.  Some people will watch this movie for that very reason.  They want to get tips and tricks to be sicker.  This film won’t give out a lot of tricks.  I’m positive that a lot of people have already printed out pictures from this film and pasted them on walls and in journals as “thinspiration.”  However, I don’t think any representation about eating disorders could not be triggering.  The people who will stare at these images will find inspiration in any movie, any television show, any magazine, any fashion runway, any fitness program, any gym.  They will see someone who is frail from chemo treatments as desirable.  They will see pre-pubescent children as ideal.  They will look at Olympic weight lifters and think that body type can be had by every citizen in the world.

What are some other things you will see watching this film?  How difficult it is to navigate relationships when you or the person you care for are ill.  Family, friends, romantic interests–all are affected by an eating disorder.  How recovery is not a simple process of finding a treatment center and forever moving forward.  How no one can make you recover unless you want to recover.

This film may not be representative of your reality.  But the article I linked to above doesn’t represent my reality.  There is no one reality, no one story.  Perhaps that is what people need to see.  Sometimes, stepping outside of your comfort zone and exposing yourself to alternate realities really is the best course of action.

 

 

 

 

 

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July 21, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, depression, diversity, Eating Disorders, exercise, family, health, identity, images, inclusiveness, movies, publicity, recovery, relationships, thinspo, To the Bone, treatment, triggers, weight | Leave a comment

To the Bone: An Uncomfortable Necessity

Please remember that these thoughts are my own personal opinions.  I am not a psychologist or psychiatrist, and I haven’t performed my own research in order to analyze  statistics.  I am someone who had an eating disorder for a decade.  I am someone who struggled though the initial stages of recovery and have been fully recovered for ten years.  My experience should not be equated with either your personal experience or with academic research.

I think “To the Bone” is a necessary movie, to be released on Netflix in July.  

I think “To the Bone” will be a disturbing movie to watch.

I am sure that some individuals will use the film as “thinspo,” or motivation to continue with their eating disorder.

I still think this is a necessary movie, and I hope that more and more people hear about it and watch it, even if it is triggering and disturbing.

Here’s the reality: Eating disorders existed before movies and social media.  Characters with eating disorders are scene in literature throughout history, even if the modern vocabulary of “eating disorder” and “anorexia” and “bulimia” are employed.

Thinspo existed before the internet.  Thinspo existed as soon as two individuals who were struggling with an eating disorder discussed ways to lose more weight, or be stronger, or look more muscular, or cancel out calories already ingested.

Yes, some individuals will use the film to “get sicker,” but we cannot let fact cancel out everything else this film offers.  If people want a trigger-free environment then don’t read anything, don’t listen to music, and don’t watch movies.  And you might want to stay at home and completely isolate yourself so you don’t come across any upsetting sights or upsetting people when you go to get a cup of coffee.  Don’t bother taking a literature class, since I’ve come across more disturbing scenes and people via our classics than walking around this world.  And don’t bother looking into medicine or psychology or social work or history.

Life is triggering.  That’s not going to change.  Every time I see a television show that uses “cardiac arrest” incorrectly, I feel intense anger.  And that leads to some tough sadness, and then a good dose of guilt.  I feel these things observing various ads and billboards.  But just because they make me uncomfortable, I know the signs need to be there because there is information that more people need to know, no matter how it makes me feel.  So I choose not to watch the cheesy Hallmark movies about terminal illnesses in which the ending is somehow always happy, with great insight gained for each character

Similarly, I don’t watch fashion runways or browse through fashion magazines.  A) It’s not what I’m interested in, and B) I find some of fashion quite upsetting.  I am responsible for not picking up that magazine.  While I was still sick, Girl, Interrupted was a movie I’d watch for “motivation.”  I was the one putting the DVD in my player over and over and over again.  That doesn’t detract from the intelligent, thought-provoking movie that it is.  We need to take more responsibility for our own actions, and that includes how we respond to images that seem perfectly normal to most people.

This film will contain images that aren’t seen as “normal” in the general public.  I’ve only seen the Netflix preview of the movie To the Bone. There are the stereotyped images of anorexia, so yes, it has a character who is female and underweight as the lead.  But there are also characters that aren’t either of those things.  There are male eating disorder patients, and there are patients who aren’t emaciated.  They show the intense obsessiveness of exercise addiction, something that hasn’t gotten much media attention.  There is a scene where the family of the patient responds.  I don’t expect to watch that movie with a whole bunch of warm, fuzzy thoughts that make me smile for days.

And maybe we need that.  Maybe more people need to see the severe emaciation that can result from an eating disorder.  Maybe people need to see the endless sit-ups and stair repeats.  Maybe people need to see someone terrified of a plate of food.  Maybe we need to see someone break down because of that fear.

There is a general thought that “eating disorders are bad for your health, of course, but it’s really just high school girls losing some weight and caring too much about their size.”  Those of us who have struggled or are struggling or have lost people to these illnesses already know this to be a radically false claim.  The general public does not.  The general public sees people who are recovered talking about their experiences.  The general public see individuals in early recovery discussing why they sought treatment.  In most cases, the general public sees individuals after they have received or started treatment,  after some of the severe consequences of eating disorders aren’t so obvious.  If the general public never sees the full reality of eating disorders, why would they fully realize the severity of these illnesses?

And maybe, the general public needs to see how this film impacts those of us who are recovered, are still struggling, or are mourning the loss of loved ones to this illness.  Maybe, it’s time to discuss these illnesses more fully than we have in the past.  The public should be more alarmed if this film isn’t uncomfortable to watch.

 

June 21, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, death, depression, diversity, exercise, feelings, guilt, heart, identity, images, movies, publicity, recovery, responses, shame, therapy, thinspo, To the Bone, treatment, triggers, weight | 2 Comments

Sometimes, We’re Just Human

Scrolling through Facebook the other day, I came across this post on how bodies look at different weights.  Yes, there are pictures.  No, they are not posted to feed into the pro-ana craze.  There are all different weights represented and all types of bodies.  The post pairs them up in twos: Two women who weight the same amount and have very different body shapes.

“Eh,” I thought.  “I already know people have different body shapes and sizes. I know weight is just a stupid ass number put on earth to drive us all nuts.”

But I thought I’d take a look at the post anyway.  Here are some things I loved about this post:

  1. The photographs don’t include the person’s  face, and the women aren’t posing in some so-called-sexy-come-hither pose in front of the mirror.  We can’t tell what they are feeling if we can’t read their faces. These photos are more objective than subjective–no special lighting, no special outfits, no special poses.  Just the shape of an unknown person at a given weight.  Because how someone feels shouldn’t be based on their weight.
  2. Also–the women aren’t photographed side by side.  Two different photos of two different women are place side by side.  They weren’t in a position of trying to look “better” or “thinner” or “fitter” or “happier” than  a person standing next to each other.  Because it shouldn’t be a competition.
  3. The post gives us no other information about the women.  Not their age, lifestyle, fitness level, etc.  There are no judgments or subjective comments posted about any photo.  Because you can be fit and strong and healthy regardless of your weight.

I know all of these things.  Most of the time, I even feel these things.  But sometimes, say, at the end a semester of teaching and the end of another very busy track season and after submitting what feels like 500 million thousand job applications in all different types of formats–sometimes I can feel a bit tired and overwhelmed, and my logic isn’t so logical.

And then I try on a pair of shorts that should have fit me but didn’t.  This bothered me.  Even with all my rational statements that are supposed to make me realize my faulty reasoning, I felt crappy.  I wasn’t thinking, “Now I have to lose weight” or “I hate the way I look” or “I’m too big for this world” (a significant phrase from the days I struggled with anorexia).

I just felt wrong somehow.  I was happy with my appearance before I put on those shorts.  I haven’t thought about losing weight in ages.  I know I’m healthy right now–healthier (physically and emotionally) than I’ve been in awhile.  Winters are tough on my body; it’s as if the cold sucks all of the vitamins that contribute to energy levels out of my body and blocks those vitamins from getting into my body.  I thought to myself, “I shouldn’t weigh this much.”

Not because I had stepped on a scale and saw a scary number, but because of the way a pair of shorts fit.

The end of this previous winter and throughout this spring, I have noticed I have more energy and I feel stronger than previous winters.  I was taking care of myself ignorant of all numbers relating to my size–and this led to more emotional and mental strength as well. 

I immediately worried if I was overreacting and if this was a sign that the eating disorder was sneaking into my thoughts and and and.  But this post is a good reminder, that not everything relating to my body comes from the old history of anorexia.  Sometimes, it’s just me having a crappy day, combined with being surrounded by media that tells everyone they need to lose weight or gain muscles or lose inches.

These thoughts can be persistent and stronger in people struggling with an eating disorder, but this is not just an eating disorder issue.  It’s a cultural one that affects all sexes, all ages, all weights, all lifestyles–and, as a whole, we need more posts such as this one to open up communication.  A scary monster in the closet can’t remain a monster if we are willing to bring it into the light of day.

May 21, 2017 Posted by | bipolar disorder, Body Image, Communication, coping, depression, diversity, Eating Disorders, exercise, feelings, guilt, health, identity, images, progress, publicity, recovery, responses, shame, treatment, weight | Leave a comment

How Much Do We Share?

how-much-is-too-much-coffee-for-health-benefits_0A couple of weeks ago, I spent an hour and a half speaking with one of my colleague’s course sections.  It’s a course that speaks openly on death and dying, and I shared my experiences as someone who woke up and lived after attempting suicide.  I’ve spoken to her classes before and I speak to health classes about my recovery from anorexia.  It always brings up one significant question, one that I think about even after my guest speaking:  Did I share  enough or did I share the right amount or  did I share too much?

When owning our stories and sharing them, how much do we tell?  Of course, this is different for each individual, and it depends on the context and the recipient.  When an eight-year-old asks me why I have so many scars, I’m extremely careful about how I word things.  Think, “Sometimes I get very sad for long periods of time, and when I was younger, I didn’t know how to handle all those painful feelings, so I didn’t cope with them in the best way.  Now I have people to talk to and I have a bunch of different things to do when I start feeling bad.”

I am not ashamed of my past, of having attempted suicide, of beginning self-harm so young, of needing multiple hospitalizations for anorexia, of needing ECT as maintenance therapy for the bipolar disorder.  But it did take time to go from hiding everything from everyone to admitting things to myself to honestly answering questions.

But there are things, especially concerning the eating disorder, that I don’t share, that I knowingly withhold from anyone who isn’t one of my doctors.  I don’t want to have someone use my story to “get sicker.”  I read all the eating disorder memoirs and blogs I could, and I watched certain movies over and over.  I didn’t care how the author/subject got better.  All I cared about was how she got sick in the first place.

When I talk to groups of people, I say I was hospitalized.  I don’t say how many times or for how many months.  I may discuss refeeding, talking about the pain of refeeding and how scary it was emotionally.  Depending on the context, I may address tube feeding and explain it.  I don’t tell people what my mealplan was or how much weight I gained at what stage.  I don’t tell people how much I lost.  I don’t discuss the ways I used to purge, just that I did.  I don’t want to be “that girl”–the one someone compares herself to and then thinks, “I’m not as sick as she was, so I must not be all that sick at all.  I’m fine.”

Many sufferers grew up on competition, via sports or clubs or school.  Many of us used the illness as competition.  And many of us walked away thinking, “I’m not doing it right” or “I’m not good enough.”

It’s so easy to walk into Target and compare yourself to everyone else there.  It’s easy to take sneaky, sideways glances at other people and judge them.  It’s easy to judge ourselves and come up short.

I still compare myself to other people; in some ways, we all do.  “I wish I could speak French.”  “I wish I could knit that fast.”  “He’s a really good singer.”  “I really like the way she handles a classroom.”  But these things no longer determine my worth.  Yes, I have a horrible past, but I’ve chosen to keep moving forward.  I may strive to be better is some areas of my life, but my happiness does not depend on these things.

My happiness is here.  Now.

 

 

May 14, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, death, depression, Eating Disorders, ECT, exercise, feelings, guilt, health, identity, mindfulness, progress, publicity, recovery, responses, self harm, shame, suicide, treatment | Leave a comment

13 Reasons Why

ThirteenReasonsWhy

Okay, so I will join the great online debate over the book Thirteen Reasons Why, which has led to a television show.  I have read the book, but I have not seen any television episodes.  Most of the online discussions have centered on why people shouldn’t watch the show, how horrible a person Hannah is, how it will only encourage teens to commit suicide, and how it’s just “another mental illness book” that doesn’t actually confront anything.

I read the book when it first came out.  Although the writing wasn’t the best and the plot was contrived, I was glad it was written.  A teenager voicing her feelings and thoughts regarding what led to her suicide.  No, I do not agree with leaving thirteen tapes behind that nit pick and blame other individuals.  Her suicide was her decision.  She had full agency.  No one made her kill herself.

But . . . what the book shows is that suicide is anything but a simple decision resulting from a single bad day.  No, her friends didn’t make her commit suicide, but their behaviors contributed to how she felt.  Imagine if she had been able to voice what she was feeling in an open and honest manner while she was alive.  That’s what we should be focusing on.  This book exposes the truth that people suffer in silence.

You may say that with all the options out there now, there was no reason she had to suffer in silence.  Have you ever been a teenager and known something wasn’t “right” but you had no idea where to go or who to ask or even how to put the idea that something isn’t right into actual words?

Yes, there are options.  More than before.  But they still aren’t easily accessible for youth.  There is still so much judgment concerning mental health and mental health treatment.  So maybe Hannah was cruel in leaving those tapes behind, but she was still suffering and she still felt completely alone.

As a suicide survivor, to pass judgment on Hannah’s character and actions would be hypocritical.  I’ve been her.  I didn’t leave people tapes and letters, even though I had something I wanted to say.  My attempt was my decision; no one else is to blame.

I am grateful I’m here to write this.  Most days.  The chilling nature of Bipolar Disorder is that I know it doesn’t leave.   We have found a treatment that has proven most beneficial, and I have learned a zillion more ways to cope, but I still go through dark spells and I still make mistakes.

As for this book making suicide look trendy–we’re blind if we say that society hasn’t experienced this before.  The Bell Jar;  Girl, Interrupted; and Prozac Nation are the first three books that pop into my mind.  The harsh truth is that teenage suicide existed before, it exists now, and it will continue–even if no one watches this show or reads this book.  Maybe instead of discussing Hannah’s character flaws and how it was unfair of her to do what she did, we should discuss what it is in our  society that creates real-life-Hannahs every single day.  And then maybe we should discuss how we could create a new environment, one with less judgments and less isolation and more forgiveness.

April 20, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, death, depression, Eating Disorders, family, feelings, guilt, identity, Mental Health Parity, progress, publicity, recovery, relationships, shame, suicide, therapy, trauma, treatment | Leave a comment

Whatever You Want

JUST TRY HARDER!!

If you wanted it bad enough, you’d have it by now. All you have to do is try. It’s easy once you decide to really go after it.  Give yourself some credit and just do it already! 

Anyone else hear these, or similar, sayings while struggling with an eating disorder or addiction or trauma or depression?  Or life in general?  I *think* they’re supposed to be motivational. How many people actually find words like this motivating?  How many people feel guilty after hearing words such as these?  I’ll raise my hand to the latter.

I’ll admit, those early hospitalizations for the eating disorder and self-harm—I didn’t want it.  I had no intention of wanting it.  I had every intention of following the program’s rules in order to be discharged so I could go home and get back to the weight I was before admission.  I was there because my treatment team told me to go.  I played nice so I could avoid involuntary commitment.

Then there came the stage when I began considering recovery.  I began wanting it.  I knew people in varying stages of recovery, and I was starting to see just how miserable the eating disorder was making my life.  But at the same time, I began to notice how difficult recovery was.  How many daily choices I would have to make to stay on that path.  How exhausting those choices could be.  How exhausted I would be.  And how terrifying everything in front of me was.

I wanted recovery.  But I was already exhausted and frightened and overwhelmed.  How was I supposed to take on even more exhaustion, terror, and change?  I really had no faith that I could do so.  I mean, I had an eating disorder.  How strong could I possibly be?  How could I be strong enough to overhaul my life?  I knew how easy relapsing after treatment was.  Fighting that felt like too much for me.  So when I heard someone say “You just have to want it”, I felt like a total failure.  I thought that I obviously didn’t want it enough, or else I would be choosing recovery.

Yes.  I think you do have to want it.  People can’t make you recover.  They can force you to eat and gain weight and they can monitor your diet and when you use the bathroom and how much you exercise, but that can only last so long.  Eventually, it will come back to you again.  And if you don’t want to change, you won’t change.

But desire is not enough.  If you are so exhausted and physically compromised that you can’t think through the decision of what movie to go see, how can you be expected to make a serious life decision?  If you really do want recovery but have absolutely no idea how to even begin walking that path or whom to talk to or where to go, how can you be expected to “just” get better.  And if you know you want a better life but don’t honestly believe you have an eating disorder, how can you choose not to have one?

Sometimes, someone else will have to step up and make decisions for you.  They may have to force you to go into treatment.  A doctor may have to initiate involuntary feedings.  And you may hate those people and be angry and bitter and swear you’ll never talk to them again.  But because of these people, you will have a chance to regain enough strength and mental clarity to make the decision for yourself.  And even then, you may well need those same people to help keep you on that path of recovery.

After I choose to recovery, I didn’t immediately begin eating 100% of my meals and calmly sit in the hallway afterward without yearning to get up and pace for hours to burn all of that food off.  I struggled against my treatment team.  I tried to “make deals” with them to get out of certain parts of health.  I was confused as to why they were demanding so freaking much out of me.  I wanted to get better, but I just didn’t want to put forth the required effort.  For a while.  Then I began *gasp* working with my treatment team and making choices for myself that supported a healthy lifestyle.  And after I regained enough strength, I found that it was easier to make those daily choices to recover than to make the choices to relapse.

If you are at that stage of wanting it but are completely exhausted and don’t know what the hell to do, tell someone else and tell them you need their help because you can’t do it by yourself.  And then resent that person with all your heart as they help you get to the point where you can thank them with your life.

January 26, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, depression, Eating Disorders, faith, family, feelings, guilt, health, identity, progress, publicity, recovery, relationships, self harm, shame, therapy, trauma, treatment | Leave a comment

Regardless of gender, color, size, age . . .

 

where-is-everyone-report-cover-l

Recently, Obama signed the 21st Century Cures Act into law which will, among other things, require insurance companies to stop refusing payments for residential care, thus finally giving eating disorder patients access to adequate treatment.  The Miami Herald ran an op-ed discussing this new law, which originated with the Anna Westin Act.  The senators also discuss what was left out of the law–measures that would affect how images are photoshopped.  Regarding how these images affect those with eating disorders, they state, “Dissatisfaction with their own bodies based on unrealistic and unattainable physical standards promoted by these significantly digitally-altered images can develop into dangerous medical conditions including depression, anxiety, and eating disorders, costing both families and taxpayers dearly.”

I agree wholeheartedly with everything stated with this op-ed, and I realize digitally altered photos are the main point of discussion.   However, the editors of the newspaper unfortunately contributed to existing stereotypes with their choice of a cartoon illustration depicting a very thin female with a huge shadow.  But why would the editors have chosen anything different considering our leading eating disorder organizations and treatment centers–regardless of the age and sex of the patients they accept–offer the same images over and over in their publications:  a thin female staring forlornly into a mirror or out the window.  Of course, she is almost always a she.  And she’s usually a white, older teenager, often with long straight hair.  We don’t see a rebellious teenager with spiked, dyed hair, with piercings and tattoos, dressed in black, staring angrily into the camera.  This is not the image they want to people to associate with eating disorders.

As the stereotypical all-American overachieving white college female, it was terrifying to reach out for help because I was afraid I wasn’t “thin enough” for anyone to believe me.  So I didn’t reach out for several years.  Imagine how difficult it must be for a forty-year-old Asian male to ask for help.  Or a black woman approaching retirement?  Or anyone considered at all overweight?  Or anyone who isn’t skinny?

I was in treatment with men and women and adolescents and adults from all different cultures.  Yet the treatment brochures don’t reflect that diversity.  Educational materials stating that eating disorders affect everyone across the population still only portray a small segment of these individuals.

Eating disorders already result in isolation and fear.  In order to truly reach the different people affected with these illnesses, we need to expand the face of eating disorders.

 

December 29, 2016 Posted by | Body Image, Communication, diversity, Eating Disorders, feelings, health, identity, images, inclusiveness, Mental Health Parity, publicity, shame, teaching | 1 Comment