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Eating Disorders Treatment

Culturally, eating disorders are often associated with young teenagers who don't know exactly how to cope with their developing bodies or fluctuating dynamics in their families and peer groups. But as teens become older and transition from high school to the broader world of a university campus, they can be even more susceptible to disordered eating behaviors. The risk of eating disorders in college students has continued to escalate these past several years, and there are multiple reasons behind the persistence of this issue. 
Secrecy and bulimia (and all eating disorders) often go hand in hand. But this is especially true for bulimia, where people struggling with the illness may not appear to be unwell. There are so many unspoken layers of complexity to the disease that a person can suffer for years without getting the help that they need. But breaking the secrecy around bulimia is one of the best antidotes to isolation and stigma. By opening up and sharing their difficulties around food with others – even anonymously – people can stop the illness from worsening over time. Talking about it out loud is often the first step towards healing. So, how do people go from years of silence and secrecy about bulimia to admitting that they have a problem?
What are the indicators that an eating disorder has led to suicidal ideation? Are there shifts in mood or patterns of behavior to look for in people who battle this disease? How common is suicide in the disordered eating population, and which signs need to be taken seriously as cries for help or intervention?  (Note: This post contains a trigger warning.)
I have taken numerous stabs at eating disorder recovery in the past decade, and until just a couple years ago, these attempts were unsuccessful. Why did I continue to revert back to an illness that sabotaged all the dreams and plans I envisioned for my young life? The answer is simple, but it eluded me for years, and perhaps it has eluded you too. So here is the truth I have since come to learn—you have to want eating disorder recovery for yourself. This must be the purpose that fuels your desire, resolve, and persistence to heal. Otherwise, the motivation you feel at the start of this journey will be unsustainable and short-lived once the obstacles emerge. Once I made that connection, it transformed my whole mindset around healing, so this is why I cannot stress enough, you have to want eating disorder recovery for yourself—and no one else. 
There have been countless moments during my time in both outpatient therapy and inpatient treatment when a certain fear held me back from embracing true recovery—the question, "Who am I without my eating disorder?" I knew the illness had starved my body, wrecked my relationships, consumed my mind, and seduced me into harmful decisions, but I clung to it still as my one source of identity. I was terrified of losing the behaviors that I assumed—inaccurately—made me both special and unique.
Are eating disorders hereditary? What is the connection between eating disorders and heredity? Are some people more genetically predisposed to these illnesses than others? Sure, psychosocial factors—such as environmental influence and media exposure—can lead to disordered eating behaviors, but what about the biological piece? It strikes me as curious that my mother, grandmother, and great-grandmother all exhibited tendencies around both food and body image that I know to be consistent with eating disorders. And moreover, I cannot help but wonder if there is a genetic link between these patterns of generational dysfunction and my own battle with anorexia. So this curiosity has prompted me to delve into what science might reveal in terms of eating disorders and heredity.
Research studies have found many parallels between bulimia and drug addiction. Conceptualizing bulimia as an addiction, or simply understanding the similarities between these mental health problems may help open up new possibilities for treatment.
Last week, I came across the idea of "thin privilege," a term I had been unfamiliar with up to that point, and as I researched this concept, I was forced to confront the role of thin privilege in eating disorder treatment—my own experience included. Thin privilege is a systemic ease and entitlement in which people with smaller bodies tend to move through society. More opportunities and advantages are often afforded to people who look the way mainstream culture has deemed acceptable or ideal. In terms of the eating disorder population, those who mirror the stereotype of "emaciated" are more likely to have their illnesses treated with serious concern and validation than people whose bodies do not reflect this arbitrary mold. But if eating disorder recovery is to be made accessible for all those who suffer—not based on outward size or shape—then it's time to address the role of thin privilege in eating disorder treatment.   
Eating disorders and pornography addictions have more in common than you might realize at face value. But when you break down the complex nuances, deep-rooted motives, and unaddressed traumas that often drive the symptoms of these issues, both eating disorders and porn addictions share many identical threads. In fact, I know firsthand this connection exists because I am a survivor of anorexia, and my husband is a recovered user of porn. Our two healing stories are uniquely our own, but the similarities between his obstacles and mine are also just too pronounced to dismiss as coincidental. So what do eating disorders and pornography addictions have in common? In case you are wondering, here is my perspective on this enmeshed and intricate dynamic.
Eating disorders often elicit both competition and comparison among those who suffer, and this can especially be rampant within the context of eating disorder treatment. Because society tends to normalize and glamorize disordered eating behaviors, the inclination to compete over being the "thinnest person in the room" does not suddenly disappear inside a controlled, therapeutic environment. The amount of rules and supervision are heightened in treatment, but the fixation with remaining "skinny enough" is difficult to switch off. This mindset is rooted in insecurity, self-hatred, shame, and negative body image, so feeling the need to compare or compete serves as a distraction from those uncomfortable emotions. But the fact is, competition and comparison in eating disorder treatment will exacerbate suffering and counteract recovery.