I would like to share what we discussed last night in the #MHSM chat! Below is what I personally shared and the topics we discussed. There were many participants and there was a wonderful discussion on all these questions! I am truly grateful for everyone’s participation. I thought I would share what I tweeted, in case you were busy, or are not a part of Twitter.
Eating disorders are an important topic and I am grateful for the opportunity to host a chat to discuss them.
In two weeks I will be starting a Pro-Recovery / #RecoveryWarriors chat!!! I will let you know the details as soon as I have them all worked out.
Welcome to the Mental Health & Social Media chat #mhsm on Eating Disorders #NEDAW11
Let’s take a few minutes to introduce ourselves to the group! Please let us know your blog if you have one!
Not everyone neatly fits in these boxes, but that does NOT mean they do not have an eating disorder
Q2: What are common risk factors in the development of an eating disorder?
Risk factors do not mean everyone will get an ED
There is no one CAUSE to eating disorders
Genes play a major role in causing eating disorders – we are in the early stages of this research
Family history. Eating disorders are significantly more likely to occur in people who have parents or siblings who’ve had an eating disorder.
Emotional disorders. People with depression, anxiety disorders and obsessive-compulsive disorder are more likely to have an eating disorder.
80% had a lifetime issue of anxiety disorder, and 60% developed before ED, approx. ¼ of the time there is OCD (all of which is much higher than normal society).
Personality traits: perfectionism, obsessiveness, tendency to anxiety, harm avoidance, depression, inhibition, drive for thinness, altered interoceptive awareness, etc.
Obsessive-Compulsive Personality - being a perfectionist, morally rigid, or preoccupied with rules and order. This personality disorder has been strongly associated with a higher risk for anorexia
Transitions. Whether it’s heading off to college, moving, landing a new job or a relationship breakup, change can bring emotional distress, which may increase your susceptibility to an eating disorder.
Dieting. People who lose weight are often reinforced by positive comments from others and by their changing appearance. This may cause some people to take dieting too far, leading to an eating disorder.
Sports, work and artistic activities. Athletes, actors and television personalities, dancers, and models are at higher risk of eating disorders. Eating disorders are particularly common among ballerinas, gymnasts, runners and wrestlers. Coaches and parents may unwittingly contribute to eating disorders by encouraging young athletes to lose weight.
Borderline Personality Disorder (BPD) is associated with self-destructive and impulsive behaviors. People with BPD tend to have other co-existing mental health problems, including eating disorders
A few studies indicate childhood eating problems – such as pica , picky eating, and digestive problems – as predictors or eating disorders
Researchers are investigating the link between childhood abuse and the development of eating disorders. Some studies have found an association between women who have been sexually abused and bulima
Q3: What are some treatment options/EBT for those struggling with an ED?
There may be a range of treatment approaches, including motivational therapy, cognitive behaviour therapy, DBT, interpersonal therapy, drama therapy, art therapy and occupational therapy.
Very good Review and synthesis of available evidence http://www.psychiatryonline.com/content.aspx?aID=139844
General Treatment Overview: Treatment Depends on level of care needed
most effective treatment depends on the duration and severity of the ED
Get a patient medically stable
Integrative treatment, Individualized care, Out Patient (OP), In Patient (IP), Intensive Out Patient (IOP), Individualized Therapy
Treatment team: Psychiatrists, therapists, parents, nutritionists/RD, and others
Support team: Support groups, online and in person; Mentors, coaches
For bulimia, cognitive behavioural therapy (CBT) is the psychological therapy most often used and guided self-care using CBT techniques is often the first step in treatment
Another project is looking into manual-based and computerized CBT based therapies for young people with bulimia
DBT participants reported significantly less binging or purging behavior than patients awaiting treatment
FBT (family based treatment) is well established as a good first line treatment option for Adolescent Anorexia Nervosa (AN)
I believe in strong media literacy: I dont “cut” out media. I become a smarter consumer. I share about topics. Help get awareness & critical thinking – bring to light issues/concerns in the media. We do NOT have to accept BS messages
Thank you ALL sooooo much for a wonderful chat!!! Would you all be interested in a weekly chat for EDs? I am creating one
Just remember – You all have a valuable voice. It is important. This is an important topic. Thank you ALL for participating
I will let everyone know when I start the ViR weekly Pro Recovery chat on Twitter. It will be soon! Maybe two weeks