It is not hard to find someone willing to treat an eating disorder patient. Most therapists, social workers, doctors, and dietitians, with no particular specialty in the topic, will accept patients with anorexia, bulimia and other eating disorders. I've heard of a chiropractor, a massage therapist, and an astrologist taking charge of this life-threatening illness as well.
As parents and loved ones, I think it is really important that we do everything we can to make sure patients get care from clinicians who specialize in eating disorders. Further, it is our job to make sure these specialists are using evidence-based treatment methods.
Eating Disorder Recovery
I'm off to Salzburg, Austria soon to attend and speak at an Eating Disorders conference. I've lost count of how many I've attended now, but this is the longest distance I've traveled to one.
It sounds like a reasonable question: "What is your ideal body weight?" But beware: this is a technical term that is often confused for what it sounds like: an aesthetic ideal.
We have drugs for everything now, right? Too hot, too weak, too sad, too hyper - there's a pill. Not enough hormones, low insulin, can't breathe - the doctor has a script for you. But what about anorexia? Bulimia? Binge Eating Disorder?
I am a tap dance student, and last night was our yearly recital. As I stood in the wings, literally, reading a review copy for an upcoming book about anorexia, I was surrounded by dancers of all ages and shapes. As a job hazard, I watch the kids for signs of eating disorders. Since no one is eating on the stage - or face the wrath of Miss Linda - you may wonder what I'm looking for.
We've all heard of patients and parents of patients "Googling" an illness or treatment and arriving to appointments with print-outs and pointed questions. The problem is new, but not unexpected. New technologies and access often make people nervous. There was a time when women weren't allowed to read novels and locomotive trains were believed to cause internal damage because they traveled so fast. To be fair, the public is known to over-reach on new ideas as well: the Atkins Diet and pet rocks come to mind.
Have you noticed that it is just assumed in our society that everyone wants to be thin? Thin is never defined, and seems to mean "smaller than anyone else in the room." Everyone seems to agree that being thinner is a constant quest, and that the only difference between people with an eating disorder and everyone else is how strong that "drive for thinness" is. I don't buy it, and I'll tell you why.
One of the strangest, and most dangerous, symptoms of an eating disorder is "not wanting to recover." Parents panic or get understandably angry when their child denies being ill, hides the eating disorder behaviors, and lashes out at anyone trying to help. We see a horrible illness that is sapping the life and personality from a beloved child - yet they seem to embrace it. What can parents do when a son or daughter says "I'm not ill and I don't want to get better?"
When our family is dealing with a horrible situation, it is natural to want others to understand OUR issue. I wish it didn't have to be a competition. We are all in this together.
Parents struggle with their child's wanting vs needing to exercise during eating disorder treatment. We wonder if exercise is healthy or not, and how much exercise is okay (Eating Disorders: Compulsive Exercise In Teens). Here's what I've learned to listen for: "want" vs. "need."