tag:blogger.com,1999:blog-8003047839302943262024-02-20T13:13:25.557-08:00Deanne TalksWhats hot and need-to-know about eating disorders and obesity from the founder of NCFEDeatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.comBlogger123125tag:blogger.com,1999:blog-800304783930294326.post-68380169968736988592015-06-08T04:10:00.000-07:002015-06-08T04:10:14.622-07:00Fat Camps For Obese ChildrenMother is asking us to pay for her obese child to go to a Fat Camp, run by Professor Paul Gately. <br />
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The child is blaming the mother for making her fat, perhaps the child is right and perhaps it is just bad luck. There are many reasons why a child is fat. But looking at the mum the child might be right, mum looks like she needs help as well.<br />
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There are thousands of obese children out there, who have obese parents who haven't taken a look at their own relationship with food. Nothing will change unless everything changes in the family.<br />
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If you know someone in the NHS who has anything to do with this family, get them to have a word with me. I can give them some advice.<br />
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Changing a weight problem in the family is long term, it is an enormous ask, it takes a village to heal a child and her parents, not just a fat camp. Perhaps I should write a longer article about how to help overweight children on our website, its sorely needed. But fat camps have to be the last resort.<br />
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see my blog on <a href="http://www.eating-disorders.org.uk/">http://www.eating-disorders.org.uk</a><br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com1tag:blogger.com,1999:blog-800304783930294326.post-62324602518257223792015-03-28T07:09:00.000-07:002015-03-28T07:09:47.439-07:00Overeating As Addiction<a href="http://eating-disorders.org.uk/emotional-eating-addiction/">I</a> have spent some lively hours debating with others on the Facething whether compulsive eating is an addiction; which asks for some reflection on the nature of the term "compulsive".<br />
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Then I did two BBC Radio stints on overeating, debating with two people who were relying on Overeaters Anonymous to help with their food addiction. It seemed that both participants had become "addicted" to eating as a way of dealing with different forms of loneliness, at different times in their lives.<br />
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There are not many eating disorder experts who buy into the notion that compulsive eating is an addiction although they agree the following;<br />
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1 You can sort of become addicted to sugar because it affects the same parts of the brain as the other suspects like drugs and alcohol.<br />
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2 Eating disorders share some features with addictions.<br />
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3 People who overeat speak in the language of addictions. <em>"I can't carry on with my day until I have had my fix... I can't stop at one.... I can't stop when I have had enough".</em><br />
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<strong>On our website blog </strong>I have made a very short case in favour of not leaping to the conclusion that overeating, even quite horrible variants of it, is addiction. It doesn't help our patients to consider themselves addicts. There are lots of reasons for overeating, even the most compulsive forms. We can free people from their destructive relationships with food without you needing all the paraphernalia of overeating fellowships like group meetings, endless talking about food, sponsors and a lifetime of thinking of your self as "In Recovery". Thousands of us used to overeat and don't now. We are not "In Recovery." We can help you to stop.<br />
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Check out <strong> </strong><a href="http://eating-disorders.org.uk/emotional-eating-addiction/"><strong>http://eating-disorders.org.uk/emotional-eating-addiction/</strong></a><strong> </strong><br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-86159207965255208952015-02-24T09:12:00.002-08:002015-02-24T09:23:09.404-08:00A Severe And Enduring AnorexiaI had a very anguished time this week writing to the mother of a young child who has been refusing food and water for quite a while. Obviously the child is on a section and has spent months on a feeding tube. There has been some progress and this is quickly followed by setbacks. The child says that she does not want to live with mum for reasons we cannot understand, but there is nowhere else to go. The mother is now shattered with the strain of it all and has broken down.<br />
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I have decided to write something for parents and carers whose loved ones have a severe and enduring eating disorder. There is a lot out there telling parents what to do, what kind of caring to offer, and how to speak to someone who clearly hates herself, himself and probably everybody else. When a loved one is lying passive on a hospital bed, and when we cant get through to them, how do we really reach out to help their carers.<br />
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So I have written a guide and I will publish it on our website when I have had a chance to get some ideas from all the other lovely members of our Network. Basically what I have to say is this. Recovery from a severe and enduring eating problem is an existential struggle that may take a very long time to resolve if it ever will. A therapist will only reach down to the pain inside the anorexia when the patient is ready, but when will that be? We must always love the sufferer but we also have to live and help other members of the family to connect to what is good in life.<br />
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This may involve changing something in ourselves rather than expecting someone else to change. What are our own black holes and deficits? What do we need to grow as human beings? We need to pay heed to these and let our loved ones see that we are also accepting change. Then by the grace of secret communication they will learn that they aren't the only ones who need to be fixed. And we have to hope that this understanding will help them to be healed in the fullness of time; hope without expectation and a willingness to be very, very patient.<br />
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Look for my article in the Carers section of our website <a href="http://www.eating-disorders.org.uk/">www.eating-disorders.org.uk</a> anytime soon.<br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-29477064682719835242015-02-11T08:55:00.003-08:002015-02-11T08:55:35.874-08:00Obesity As DisabilityI also can't let this pass without comment and please excuse the f (fat) word.<br />
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In Northern Ireland and also in Europe, Obesity is now qualified as a disability and our counsellors are having some thoughts about that. With obesity levels now running at over 50% of our population are we all going to be happy if obese persons apply for disability benefit putting pressure on things like<br />
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Care for senior citizens,<br />
The provision of nursery places,<br />
Help in hospices for the aged ill - thus freeing up much-needed beds in our beleaguered hospitals<br />
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While I would give every bone in my body to help someone with a weight issue, and I deplore fat -teasing and bullying, I can't muster any enthusiasm for this crazy decision. <br />
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As one of my counsellors put it...<strong>with rights come responsibilities. If someone is too fat to work / has problems controlling food, perhaps they might seek informed help from an obesity or eating disorder specialist. Go see a doctor and ask for psychological help. This with the proviso that benefits might become available when they can demonstrate that they have taken some steps to deal with the problem.</strong><br />
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Watch this space for more.eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-35707908736807450092015-02-11T08:37:00.000-08:002015-02-11T08:37:05.110-08:00Anorexia Porn: The Good, Bad And Ugly.During the last 6 months I have read 3 manuscripts of anorexic suffering written by people who have partially recovered and 4 books about anorexic suffering which have actually found a publisher.<br />
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Our staff here at the National Centre for Eating Disorders, who know about a lot about eating disorders, have also read these works (no confidentiality requested) and we have all ended up dismayed and overwhelmed by the grisly details of what people have done and thought as a result of their illness often for years on end. <br />
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We have Post Traumatic Anorexia Disorder for which the cure is rest, compassion for ourselves and others, and taking care of ourselves.<br />
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But as we move in to eating disorders awareness week must ask for whom is this useful, for Sufferers? The Public? Therapists? No one?<br />
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You may know me by now, I say what I think and I don't play the party line. If you really want to know about the good, the bad and the ugly anorexia porn, check out what I have written on our website blog (I don't want to write it twice). The bad anorexia porn might be a reality star posting bony pictures of herself on Instagram.<br />
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But are these accounts any better? If you want to know what I really find valuable, follow this link.<br />
<a href="http://eating-disorders.org.uk/anorexia-porn-who-needs-all-the-grisly-details/">http://eating-disorders.org.uk/anorexia-porn-who-needs-all-the-grisly-details/</a><br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-48804705423816850662015-01-27T11:21:00.002-08:002015-01-27T11:21:22.993-08:00Anorexia And Auschwitz: A Cry From A SpecialistI cannot let the 70th Anniversary of the Liberation of Auschwitz pass without mentioning it in my eating disorder post. <br />
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To honour the suffering of those who endured torture, starvation and murder in the concentration camps, I bring myself to watch the film records and listen to the individual stories of heinous crimes, sometimes the small individual torments impacted on me more than the gross depictions of the crimes of Nazi Germany.<br />
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When people describe hunger that was so unimaginably painful, I think of my anorexic patients whose starvation is arguably - "self imposed", and I quail.<br />
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Self Imposed I hear you say! Well, I've read many, many accounts of anorexia and I have ministered with compassion to many of anorexia's prisoners, and a lot of you are going to say <u>OF COURSE it's not self imposed</u>, it is a mental illness. But it is self imposed, because the self has been imprisoned by the anorexic Voice, in the same way as the selfhood of the concentration camp victims was imprisoned by their captors. The Voice captured me for a short while many moons ago, until I made my great escape.<br />
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So when I see the hollow eyes of the inmates of Auschwitz, Belsen and all the other Hells, I think of my anorexic people. But the weeping of a starving man in Auschwitz, caught for just a moment on camera has rent my soul.<br />
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What has become of us in this free and wealthy age where people willingly, proudly and insistently starve themselves into skeletons. People with anorexia do lie, do cheat, pretend that they are allergic, evade and often uncaringly torment their loved ones who just wish to see them live. It's what the illness is about.<br />
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So how can I, an eating disorder specialist, come to terms with the willing, compulsive starvation of my unhappy clients while my heart and soul is full of the starvation and suffering of a generation of innocent men, women and children. I sigh, I sigh and sigh; I bring myself back to my work, haul in my compassion and carry on.<br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com7tag:blogger.com,1999:blog-800304783930294326.post-28154609575878325942015-01-21T09:01:00.000-08:002015-01-22T04:37:19.898-08:00Emma Woolf Letting Go Like Elsa In Frozen?Letting Go: How to Heal Your Hurt, Love Your Body and Transform Your Life.<br />
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A new memoir of recovery from the girl who wrote An Apple A Day a century ago. Emma does what we therapists find hard to put into words, finding recovery not just in weight gain but in healing the mind, body, heart and soul of someone who has been caught in the claws of an eating disorder. As one of my patients put it, Letting Go, is like restoration of a stately home.<br />
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Can it help someone who is still sick and listening to the unforgiving anorexic Voice? Perhaps it can. I hope it can. You can see a short review on our website <a href="http://eating-disorders.org.uk/emma-woolf-lets-go-and-heals/">http://eating-disorders.org.uk/emma-woolf-lets-go-and-heals/</a><br />
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but better still, read this book, a gift for therapists and patients alike. <br />
<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-69652701232115768072015-01-16T06:25:00.000-08:002015-01-16T06:25:09.014-08:00Katie Hopkins Says It As It Is About ObesityI'm not one for looking at reality TV shows of any kind but one late night found me meandering over Katie Hopkins and her strange quest to gain and lose weight to prove that if you have the will it can be done.<br />
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In part of the programme she ran the gauntlet of 4 large ladies for committing a hate crime by insisting that at their size they couldn't possibly be healthy, or at least not for long.<br />
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Then she made mincemeat of a psychologist claiming to specialise in eating disorders. I think that this expert was trying to change Katie's views about people's failure to lose weight. The best that this psychologist was able to do was declare Katie as lacking in compassion.<br />
<strong><br /></strong><em> "Would I employ you if you were obese? No I would not. You would give the wrong impression to the clients of my business. I need people to look energetic, professional and efficient. If you are obese you look lazy."</em><br />
<br /><em> "To call yourself ‘plus size’ is just a euphemism for being fat. Life is much easier when you’re thinner. Big is not beautiful, of course a job comes down to how you look."</em> <br />
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This set me to thinking and I did a straw poll here at our offices. We would employ people who are overweight but the larger the person, the more the hesitation. They say that when we make decisions about staff, the decision is made in the first 15 seconds. We have about 15 seconds to make an impression on an employer. There is a tipping point between yes, perhaps, and no. The larger a person is, the more something else has to be there, like a fabulous smile, radiant hair, and a sparkle in their eyes.<br />
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Is this right? Maybe yes and maybe no, it is how it is, the world was never fair.<br />
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I deal with this controversial issue at our trainings. Can we have an obese eating disorder therapist or an obese therapist helping someone to lose weight. Everyone wants to say <em>yes</em> of course, good therapy is not about what someone weighs. But they are probably <em><strong>thinking</strong></em> NO. This applies to therapists who are underweight just as much as it applies to therapists who are overweight. Would you want your anorexic daughter to be treated by a skinny minny who lives on mung beans and salad?<br />
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I found myself leaning toward Katie for her ability to say what she thinks. It's controversial but it should lead to honest debate. I work with people who can't lose weight and I often find that many people do what is easiest because discomfort of any kind is hard to bear. To walk instead of sitting in front of the TV, to give up drinking alcohol which is laden with calories, to refuse to pander to children who demand their daily dose of crisps ......<strong>is just too hard</strong> so we give in to a need for comfort that is VERY, VERY deep. <br />
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The current focus of science is to try and find reasons for obesity which are not anyone's fault like genes or hormones. This demonstrates that some people have a harder job to maintain their weight than others so they look at people who are slimmer and say they're lucky. But that isn't true, many people who are normal weight work at it all the time like, learning how to cook, and it has become their habit. At the heart of it all, some people cannot tolerate discomfort.<br />
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Katie hasn't said that obesity is anyone's fault ... I think....but I think she is saying that you can run but you cannot hide. The Health At Every Weight philosophy is one way of hiding, because if you are too thin or too fat you probably aren't very healthy. The <strong><em>it's in my genes</em></strong> approach is another way of hiding. Some parts of us must be accountable; and if you cannot be accountable you are........ unaccountable with whatever that implies. Or you prefer to live your life with less discomfort.<br />
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<strong>Oh heavens, Katie got inside my head. Take her out someone before I lose my friends!</strong><br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-37501702735998519852015-01-15T03:50:00.001-08:002015-01-15T03:50:46.269-08:00More About The Personalised DietThe more I look at this programme the more worried I am becoming. There is some good stuff in it. There are strategies that benefit everyone, like eating slowly and mindfully, teaching people to eat while doing nothing else, finding out that many normal people compensate for exercising by doing less later -hoho!<br />
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<strong>But I am still absolutely flummoxed by the science behind putting constant cravers on an intermittent fasting programme. Where is the research behind this? </strong>We learn that this group of people are always looking compulsively at food, at people eating it, at shops selling it. I think we need to know more about it. It is like an obsession. Is it just about lacking leptin sensitivity? Perhaps the ancestors of the constant cravers were trapped in a famine. <br />
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<strong>Perhaps the constant craver is behaving like an addict</strong>. Perhaps the constant craver has problems in the opioid centres of the brain. Experts call it Reward Deficiency Syndrome. Why didn't they think about that? The so called experts have PICKED OUT BITS OF THE PHYSICAL PUZZLE which suit their programme. But have they looked at the whole map?<br />
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<strong>Either way if you are a constant craver it seems to make sense that you need to eat frequently</strong> <strong>but a diet very high in protein and complex carbohydrate too. You need to wear an elastic band on your wrist and snap it whenever you NOTICE you are looking at food. You need to keep binge food out of the house.</strong><br />
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Intermittent fasting will make the cravings even WORSE. Oh sure you will lose weight while you do the diet, but you will become even more sensitive to the sights and smells of food. I've a lot of research to prove this point.<br />
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OK I'm not trying to dismiss the whole programme, but I'm also something of an obesity expert and I'm asking valid questions. You people out there also need to be asking questions and wondering if these world class experts may have sold their souls to the BBC for the money they will be making out of this programme. <strong>They are telling a sort of lie, which is that a particular DIET suits different types of people while the work they do in the background suggests that many more psychological interventions are necessary for someone to lose weight and keep it off. And these other strategies are not just "CBT"</strong><br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-77063337668739888322015-01-14T04:42:00.001-08:002015-01-15T03:51:57.643-08:00In Search of The Best Diet For You<div class="MsoNormal">
<span lang="EN-US">In Search Of A Personalised Diet BBC
Horizon January 2015. <o:p></o:p></span></div>
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<span lang="EN-US">Have we finally found the Holy Grail of
weight loss?<span style="mso-spacerun: yes;"> </span>Is this the way to
personalize eating plans which fit the individual and will help them lose
weight? An army of world famous weight loss experts cannot surely be wrong. Can
they?<o:p></o:p></span></div>
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<span lang="EN-US">Well let’s see.<o:p></o:p></span></div>
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<span lang="EN-US">We are now in the dieting months and I’m
already sick and tired of all the diet plans I’m seeing.<span style="mso-spacerun: yes;"> </span>There is the Ice Diet being promoted by Peta
Bee in the Times – sorry Peta, bad science. And even a diet called EAT! Which
is just another variant on the low carb diets.<span style="mso-spacerun: yes;">
</span>These diets are one size fits all and take no account of personal genes
and nutrient responses. They are designed to fail in the long run, as all
fervent followers will discover.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span lang="EN-US">A few years ago, the BBC ran a diet trials
experiment at the University of Surrey which compared different types of diets
for success. There was a clear winner which I won’t mention now but the take- home message in the long run is that different types of diet suit different
people. People who don't like detail do well with a diet like Atkins, while
some types of people do really well with a group approach. But in the long run
it’s pretty much all the same. Failure, that is, for most.<o:p></o:p></span></div>
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<span lang="EN-US">So here we have an all-singing-dancing world
expert scientific approach that is new. Do people really divide
themselves into three obesity types?<span style="mso-spacerun: yes;"> </span>The
first “cant-stoppers” who are low on gut hormones. The second “constant cravers”
who probably lack a good leptin response (science here) to tell their brains
they aren’t hungry.<span style="mso-spacerun: yes;"> </span>The third, “comfort
eaters” who meet the day to day stress in life by using food as a feel-good
drug.<o:p></o:p></span></div>
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<span lang="EN-US">Perhaps. They have all lost weight, HURRAY <span style="mso-spacerun: yes;"> </span>- but that proves very little; it was poor
research design, and the proof of the obesity pudding must surely be in how
well they are able to keep it off.<span style="mso-spacerun: yes;"> </span>Oh
well, it makes good TV but probably very little else.<o:p></o:p></span></div>
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<span lang="EN-US">Professor Susan Jebb is an expert-expert on
obesity but has said that losing weight is not a matter of will, but of habits.
People have to change their habits for life. I know that, and part of the
therapy I do is to help change habits from very deep inside.<span style="mso-spacerun: yes;"> </span>This is useful for everyone and flexibility training was missing
from the treatment given to these subjects.<o:p></o:p></span></div>
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<span lang="EN-US">But there is a whole new science of
willpower – known as self-regulation theory which is available to obesity
specialists and which is helping people to use their willpower to change their
lives.<span style="mso-spacerun: yes;"> </span>This can help comfort-eaters, constant-cravers
and cant-stoppers too.<span style="mso-spacerun: yes;"> </span>Why was this
ignored?<span style="mso-spacerun: yes;"> </span>So what’s going to happen to
these happy weight losers?<span style="mso-spacerun: yes;"> </span>Will they
have to stay on their diets for life, an impossible task surely, unless they
learn how to exercise their WILL.<o:p></o:p></span></div>
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<span lang="EN-US">I like it when people feel they have done
something valuable and positive. Who could fail to be moved when men weep real tears by having help and support. But is this real science when it ignores
real psychological strategies that work, like flexibility training and self-regulation
training. Is the Intermittent Fasting Regime really the right approach for
constant cravers - WHY- and is group work alone correct for people who have failed to develop better ways of managing the stress of
life and living with other people?<span style="mso-spacerun: yes;"> </span>Who
said it was?<o:p></o:p></span></div>
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<span lang="EN-US">So for me the jury is out.<span style="mso-spacerun: yes;"> </span>Some bits of this interesting programme hold
out hope for people who cannot lose weight. <span style="mso-spacerun: yes;"> </span>It's good for someone to know that they may be
lacking in a gut hormone that helps them to feel full.<span style="mso-spacerun: yes;"> </span>Its good to suggest that an emotional eater
is not just weak-willed and greedy. It may be useful to know that a constant
craver might not be feeling leptin in their brain.<o:p></o:p></span></div>
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<span lang="EN-US">But I’m waiting for 18 months down the line
to see if you can change habits (as Susan Jebb suggests) by putting people on a
diet that suits their “obesity phenotype.” <o:p></o:p></span></div>
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<span lang="EN-US">World experts should know better than to
suggest that what they have done is a solution. It is just one of a number of
things that must be properly explored in properly designed clinical trials
before we can truly discover a personalized solution for obesity. And we
experts know better than to think that any single diet can provide a quick fix even when the experts say "genes".<o:p></o:p></span></div>
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eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-50472967984520089992014-09-08T05:34:00.000-07:002014-09-08T05:35:56.631-07:00Sugar AddictionAre you a sugar addict?<br />
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Can you be addicted to sugar?<br />
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There is a robust review on the subject commissioned for the National Institute of Mental Health in the USA which should settle the matter. There is only weak association of attachment to sugar among people who diet or restrict carbs, while sugar given freely in a balanced diet may have no influence on behaviour such as escalation, tolerance and withdrawal. <br />
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<em> Evidence for Sugar Addiction: Behavioural and neurochemical effects of intermittent excessive sugar intake. Neuroscience Bio behavioural Review 2008 32(1) 20-39 published online 2007 Avena, N., Rada, P. and Hoebel, B.</em> <br />
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Psychologically speaking, work on the subject of sugar addiction by Terence Wilson published in <em>Binge Eating, Nature and Treatment edited by Fairburn</em> suggests that the so-called addiction to sugar is largely psychological. People only lose control of eating sugar when they BELIEVE they have eaten sugar, demonstrating NO evidence of intrinsic addiction to the substance at all. <br />
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The role of sugar in the hedonic systems of the brain are not equivalent in effect or severity, as drugs like cocaine and nicotine, even though there is an effect on endogenous dopamine. <br />
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Sugar is present in many foods such as vegetables, potatoes, tomatoes, lentils and other pulses so eliminating sugar from the diet seems impractical. Sugar is not equivalent in its physical effects as fructose including high fructose corn syrup further confounding the evidence. <br />
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Sugar-fat combinations are as potent in promoting the surges of endogenous dopamine as sugar alone if not more so. Thus there is danger in focusing solely on the so-called addictive properties of sugar. Based on a macronutrient analysis of binges by Susan Yanovski in 1998, it seems that it is fat which binge eaters really crave when fat is made palatable by sugar. <br />
<br />
Thus while clients talk in the language of addiction to sugar, the evidence-based success of cognitive and cognitive-emotional / behavioural treatments for compulsive eating warn us of the dangers of focusing on sugar as an addictive substance. Addiction approaches to treatment which ask you to remove sugar and white flour from the diet might be unhelpful. It keeps people well only when they continue to restrict their diet. This approach merely fosters the all or nothing thinking that pervades eating disorder work.<br />
<br />
I used to get sugar cravings long ago, but I know now that it was just too much dieting. I now eat a broad diet which contains all nutrients including a reasonable amount of refined sugar. And I'm fine.<br />
<br /><br />
But if you think you are a sugar addict and need help, call us on 0845 838 2040 OR visit <a href="http://www.eating-disorders.org.uk/">www.eating-disorders.org.uk</a><br />
<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-41867672010555562072014-07-22T03:58:00.004-07:002014-07-22T03:59:20.577-07:00Intermittent Fasting: Our Professional OpinionHello everyone.<br />
<br />
<br />
For an in depth overview of our latest opinion of Intermittent Fasting, follow this link.<br />
<br />
<br />
<a href="http://eating-disorders.org.uk/intermittent-fasting-if-our-version/">http://eating-disorders.org.uk/intermittent-fasting-if-our-version/</a><br />
<br />
<br />
We can tell its summer here, the phones have gone quieter. Does this mean that people aren't worrying about their weight and their eating? I don't think so, this is the time of the dreaded swimming costume; this is the month of ice cream and holiday splurging.<br />
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<br />
What have I been doing? I've been reading two separate accounts of anorexia which the writers wish to publish. I have been immersed in their private and intense suffering. What a terrible illness anorexia is, I'm so ANGRY with it and so SAD about it. <br />
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<br />
What is clear to me that Anorexia is the tip of the iceberg. The ONLY reason anorexia comes in to someone's life is that there is a fundamental weakness in someone's ability to manage life and other people. Life is stressful. Relationships are the source of joy and also pain. We need a web of confidence and inner strength to be able to cope with it all. Anorexia is a story of holes in this web. We all have some holes but if there are too many holes the web caves in.<br />
<br />
<br />
Different stories, but the same symptoms, the same presentation, the same pain. Do we need more accounts of anorexia to help us KNOW what to do about it? Your thoughts appreciated.<br />
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<br />
Happy holidays...<br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-77175729795515352172014-06-30T14:41:00.002-07:002014-06-30T14:41:43.224-07:00Anorexia Recovery Guest BlogHannah Brown has posted a guest blog about anorexia recovery which she equates to restoring a stately home. What a beautiful metaphor.<br />
<br /><br />
You can read it here at <a href="http://eating-disorders.org.uk/weight-restoration-guest-blog/">http://eating-disorders.org.uk/weight-restoration-guest-blog/</a><br />
<br /><br />
If you can read this and share it with someone you know, you might save their life, or save your own.<br />
<br /><br />
Love to alleatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-38826648348170102732014-05-30T03:54:00.001-07:002014-05-30T03:54:48.526-07:00Obesity And NICE or, One Gramme Of GoldLots in the press this week about NICE guidelines for Obesity and sleeping in the light makes you fat. And, British girls are the fattest in Europe and they wear less clothes than any other Europeans as well which it is obvious to anyone going to Benidorm.<br />
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<br />
Sorry about that, but I think it's true. And as for the boys (but that's another story).<br />
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Then the Times today publishes findings that low fat foods full of sugar have more calories than normal foods, as if some of us didn't already know. Because some of us do read the labels.<br />
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<br />
But many people don't. (Read the labels, not wear less clothes). So the advice to visit the slimming clubs on the taxpayer's account to lose 3% of body weight might make sense if you are delivering information and wisdom to the ignorant and the cheated.<br />
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But I genuinely (based on real sound evidence) do not believe that people will sustain 3% weight loss, much of which will not be fat at all. People won't look better and they won't feel better which is why they want to lose weight in the first place. And, many people who are prescribed the slimming club at the cost to taxpayers don't really want to control their eating in the long term. They just want to lose weight so that they can start eating and drinking their favourite foods again.<br />
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They must be another way, which has been ignored. I'm training 70 obesity professionals this week about ways to help people lose weight and keep it off. There is, sadly, no quick fix. We will all be fatter until society begins to change. Or, like the Qataris, give each weight loser one gramme of gold for every kilo they can keep off ....in one year.<br />
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I've written a bit more on our website blog at <a href="http://eating-disorders.org.uk/obesity-and-nice/">http://eating-disorders.org.uk/obesity-and-nice/</a><br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-759517513713614682014-04-22T06:57:00.000-07:002014-04-30T05:20:20.968-07:00Men Hiding Eating Disorders TooToday I've published an article on my website contributed by Anthony Organ who is interning at a journalism project called The Conversation. Nice name.<br />
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You will find it published here <a href="http://eating-disorders.org.uk/men-get-eating-disorders-too-guest-blog/">http://eating-disorders.org.uk/men-get-eating-disorders-too-guest-blog/</a><br />
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<br />
I wish a had a tenner for all the men I've met who have eating disorders. Not in treatment mind you, journalists ask me if I am seeing more men in treatment and I say <strong>no I don't</strong>, but I meet them everywhere else, at dinner parties where they confess their struggles or in my day to day life outside the office.<br />
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They are remarkable for hiding their struggles; maybe because they do feel ashamed at their lack of control over their food and their weight. They hide their struggles inside exercise compulsions, marathon running, daily visits to the gym to work out, taking lifestyle drugs or steroids, purging - but not thinking how serious this is - you name it, I've seen how they hide their terrible struggles with control of food.<br />
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I think it will always be the same despite all the publicity; looking into the future I can't really see that it will change, men finding a million terrible ways to control their eating behaviour but never accepting that they are out of control. It's really good that it has all come out into the open, like homosexuality.... but I still cant envisage a time when guys will willingly come forward for treatment if eating begins to rule his life.<br />
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So if you are a guy reading this blog, go and check out my website, if you don't want therapy we can offer you coaching to put your eating and body image difficulties behind you. So that you can be happier and more effective in your life.<br />
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<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-79783053554370095482014-04-07T04:36:00.001-07:002014-04-30T05:20:20.970-07:00Tips For Working with AnorexiaEveryone needs help with anorexia.<br />
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No one fully understands it. Even people who suffer don't really understand it. Anorexia doesn't happen because your mother didn't love you enough or because you were teased in your childhood.<br />
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Many people live with low level anorexia - perhaps we call them "orthorexics" or they just happen to run marathons every week. They are quite thin but they say that they just look after themselves. Since they aren't skeletal we just pretend that they don't have "issues". <br />
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Even people who had quite serious anorexia once upon a time find that it doesn't really ever go away.<br />
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So I'm going to write some of my thoughts about anorexia on my website blog. They are just to help us all think out of the box. I am not going to pretend that I have all the answers about helping people to stop starving, stop running marathons or going on long bike rides when the rest of us are happy to sit by the fire and rest. In fact if they don't want to stop doing what they are doing, I wouldn't have a chance.<br />
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So here we are, the first post on my lovely website is here at <a href="http://eating-disorders.org.uk/tips-for-working-with-anorexia/">http://eating-disorders.org.uk/tips-for-working-with-anorexia/</a><br />
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If you want to help me with your comments and ideas please do. I need and welcome your input.<br />
Love to you all.eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-19206701138556983952014-02-11T04:11:00.001-08:002014-04-30T05:20:20.930-07:00Go Enjoy Your ToastCarbohydrate phobia is now officially a new psychiatric disorder. No, I'm joking, but Hannah Devlin Science Correspondent of the London Times says that almost half of all women and men are scared to eat carbs, which are an essential part of a normal healthy diet.<br />
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Carbs do some very important things in our body which cannot easily be replicated by proteins and by fats. Not being nutritionally trained, few people really know what carbohydrates really do. They are swayed by rogue messages from daft so-called health professionals.<br />
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And few people know how much carb they should be eating. It is about 250 grams per day, but what does that mean? Its actually a bowl of cereal, some fruits and vegetables, a bit of pasta, some lentils and beans and a few bits of toast. Who is measuring? I don't.<br />
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If you drink alcohol, that's where the trouble creeps in since the carbs are dense and the body isn't quite so sure what to do with them.<br />
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I've written more about carbohydrate guilt in my website blog. Follow the link to <a href="http://eating-disorders.org.uk/carbohydrate-phobia-go-enjoy-your-toast/">http://eating-disorders.org.uk/carbohydrate-phobia-go-enjoy-your-toast/</a><br />
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And let me know what you think? If you want to fight your carb phobia and get your life back, I will support you in your fight. Its a crazy world we live in and your carbohydrate phobia might keep you thin and it might not and it will certainly make you less happy.<br />
<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-32427816111465922332013-12-13T05:10:00.001-08:002014-04-30T05:20:20.942-07:00Does Anorexia Ever Really Go?Reading an old account of a 10 year struggle with anorexia written by Lizzie Porter in The Times led me to wonder if anorexia ever really goes.<br />
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I was thinking about this because yesterday I was speaking to colleagues about their treatment of a 17 year old girl who was in hospital with anorexia but that was a while ago. The team feel stuck. Her body mass index is 19 now so she is relatively safe. Should they go on and on with therapy?<br />
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Endless therapy can teach a person that they cant cope on their own, so I worry a little about this. We all have times in our lives when we may need someone to support us But this support can be a double edged sword. A lot of therapists are guilty about keeping someone in an endless treatment loop.<br />
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Life is stressful and the old backups of tribes and old wise people just aren't there to keep us going any more. But do we have to keep treating people who are possibly OK for now?<br />
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I've had letters from people with anorexia who feel completely in thrall to their illness even after many years. If it is so bad that they barely function then yes, some kind of help is needed but which help will this be?<br />
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As for the rest, if we are coping and safe we may have to learn meet life on our own. Perhaps find friends to support us rather than "experts". I fear to convince people that the only way they can survive it to be with a therapist. Food for thought.<br />
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For my really main big blog about whether anorexia really ever goes, check out this link.<br />
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<a href="http://eating-disorders.org.uk/does-anorexia-ever-really-go/">http://eating-disorders.org.uk/does-anorexia-ever-really-go/</a><br />
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Enjoy your Xmas and have a Happy Flourishing 2014<br />
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eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com3tag:blogger.com,1999:blog-800304783930294326.post-89906461418765268942013-12-09T09:41:00.002-08:002014-04-30T05:20:20.986-07:00Obesity Academics For SaleToday I found myself arguing quite passionately with a member of the NICE Obesity coordination team against the proposal that obese diabetics be put on a very low calorie liquid diet programme.<br />
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I suspect that there are interested commercial organisations who are interested in both the proposal and the research which has led to it. What about all the evidence that show the possible long term effects of these diets on weight maintenance, addictive behaviour, binge eating and subsequent ill health?<br />
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About a year ago I read a most favourable review about VLCD diets from Dr Ian Campbell who was a very prominent person in the National Obesity Forum. I wondered where this enthusiasm came from. Not one word about their potential side effects. Dear oh dear!<br />
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I would guess that most of these commercial weight loss operations - any of them, get an obesity academic on board to lend authority to their operations. Susan Jebb perhaps the most prominent was adopted by Rosemary Conley and by Weight Watchers in 2010. <br />
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Shame on individuals who take the Kings Silver which essentially prevents them from speaking out at any time against the practices of the organisations that they represent. Good treatment? The obese and sick hardly have a hope.<br />
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eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-9509162282800216342013-11-25T07:48:00.000-08:002014-04-30T05:20:20.990-07:00Rebecca Adlington's Body Image WoesRebecca Adlington is an inspiration and a star. She has an amazing body and mind which have worked together to give her two Olympic awards, including gold medals.<br />
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But she is being tormented about her looks on social media and her tormentors are making her sad. How can we all bear this?<br />
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I have written her an open letter which I wont repeat here, but you might like to follow this link. How can we all support her in distancing herself from Appearance Bullies who are nobodies in their own lives trying to pull down people who have put their heads above the parapet.<br />
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Anyone who thinks it is a useful life quest to look like a beauty queen of dubious talent needs to have their head examined. Lets celebrate something different.<br />
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For my open letter visit below<br />
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<a href="http://eating-disorders.org.uk/an-open-letter-to-rebecca-adlington-about-appearance-bullies/">http://eating-disorders.org.uk/an-open-letter-to-rebecca-adlington-about-appearance-bullies/</a><br />
<br />eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-48123994190848750602013-11-15T06:04:00.003-08:002014-04-30T05:20:20.955-07:00Anorexia NOT Increasing In Children?In 2013 there was a media storm about increasing rates of childhood eating disorders that was picked up and chewed over relentlessly by eating disorder organisations.<br />
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Except by us. At the National Centre for Eating Disorders, when asked to comment about these new terrible findings, we said. Are you sure this is true?<br />
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Denying exciting and terrible news stories doesn't make good press. But we let the tide wash over us and like every tsunami it all drained away.<br />
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Now our thoughts have been confirmed. It appeared that journalists have been using the wrong information. This is wrong, and the terrible headlines should be disconfirmed.<br />
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For the new evidence and for our more detailed thoughts about childhood eating disorders please follow this link to our website. <a href="http://eating-disorders.org.uk/anorexia-in-children-not-increasing/">http://eating-disorders.org.uk/anorexia-in-children-not-increasing/</a><br />
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Eating disorder organisations like us need not rely on alarmist stories to gain publicity. There is no need to shock the public in order to keep ourselves in profile. We must both respond to real need and also to calm things down when they are lies, distortions and misinformation.<br />
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eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-367269922458073842013-10-31T10:11:00.003-07:002014-04-30T05:20:20.947-07:00I Wouldn't Eat With YouA while ago I wrote a blog about carer burdens and someone thought that I was on the side of the carers. I wrote about my joy in eating and the lovely thing about sharing food with others. She said to me "I wouldn't eat with you."<br />
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When I had an eating disorder I wouldn't have eaten with me either. But now I don't have an eating disorder and I would love to hold out hope for recovery.<br />
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Writing about carer burdens does not mean I'm on anyone's side. Everyone in the grip of the eating disorder world lives in pain and in fear. I am not on the side of the Anorexic Voice but I am on the side of the person It talks to even though he or she cannot hear me.<br />
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I am on the side of healing and change. No one with an eating disorder is happy even if their eating disorder helps them to feel safe for now. <br />
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I saw two parents last weekend whose daughter is in the early ferocious grip of anorexia. She is cold, tired and fainting and her heart is failing and she insists that she really doesn't need help. She measures every single calorie she eats on her iPhone and she may be unable to complete her college education. <br />
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There aren't enough buckets in the world to catch the tears of parents who watch their child going through this and who wish it would simply end NOW. So, I am on the side of healing for parents and sufferers. Healing is possible and healing sometimes means confronting ones deepest fears. <br />
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The eating disorder won't ever leave of its own accord. There is no other solution other than to fight it with the right kind of help. I can help one sufferer and one carer at a time, and will, as long as I have the strength.<br />
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eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-73184890267180193282013-10-14T05:44:00.003-07:002014-04-30T05:20:20.967-07:00Scoffing And Starving KidsThis week I was at a meeting chaired by Rod Liddle about Childhood Obesity. To prepare for this event Rod had written a rather devastating overview of the situation which is not just about Britain, even in the so called health Mediterranean culture children are putting on weight an alarming pace.<br />
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We will be spending more on obesity related illnesses than we are spending on education. Is the solution just to deal with fat stigma, as proposed by the Health At Every Size brigade?<br />
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Later during the week India Knight wrote about the emerging problem of two year old children who have been admitted to hospital for obesity. Now in some young children, there are physical problems which cause obesity and which can be treated. In most fat children there is nothing amiss other than their diet.<br />
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I've written more thoughts on my website blog - Id love to know what you think, and you can see it here. <a href="http://eating-disorders.org.uk/starving-and-scoffing-kids/">http://eating-disorders.org.uk/starving-and-scoffing-kids/</a>eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-53776486730375873452013-09-15T06:12:00.000-07:002014-04-30T05:20:20.961-07:00Diet Drug Kills Young ManA young male just over his A-Levels, living not far from me, has died taking DNP, an industrial chemical popular with bodybuilders to help them to lose body fat. Easily available online, this drug has recently killed a young female medical student who had been battling bulimia with the help of a counsellor.<br />
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How sad is this. How much a statement of our times. We don't only have pornography online, we have eating pornography with the entire paraphernalia of diet drugs, diet systems, crazy wacky weight reduction plans and pro anorexia websites that are intruding into our lives our peace and our well being.<br />
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This is all designed to make other people rich, this death is just collateral damage. Someone is laughing all the way to the bank.<br />
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I have written more on our website about young men who hate their bodies, young women who would rather die than FEEL overweight, and people who say that nothing bad will happen to me.<br />
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Please read more on <a href="http://eating-disorders.org.uk/diet-drug-kills-young-man/">http://eating-disorders.org.uk/diet-drug-kills-young-man/</a><br />
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And I repeat what I said on my website. Parents, teachers, coaches and sufferers take note.<br />
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Nothing and I mean NOTHING is more important than health or wellbeing. Not winning at sports, not being a good dancer or a pretty daughter or the thinnest person in the room. NOTHING IS MORE IMPORTANT THAN LIVING A HEALTHY LIFE IN A REASONABLY HEALTHY BODY.<br />
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End of story.eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0tag:blogger.com,1999:blog-800304783930294326.post-84054510867182777392013-08-16T03:20:00.003-07:002014-04-30T05:20:20.976-07:00How Times Change<br />
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EATING IN THE UK IN THE FIFTIES<o:p></o:p></div>
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Pasta had not been invented.<o:p></o:p></div>
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Curry was a surname.<o:p></o:p></div>
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A takeaway was a mathematical problem.<o:p></o:p></div>
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A pizza was something to do with a leaning tower.<o:p></o:p></div>
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Bananas and oranges only appeared at Christmas time.<o:p></o:p></div>
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All crisps were plain; the only choice we had was whether to put the salt on or not.<o:p></o:p></div>
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A Chinese chippy was a foreign carpenter.<o:p></o:p></div>
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Rice was a milk pudding, and never, ever part of our dinner.<o:p></o:p></div>
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A Big Mac was what we wore when it was raining.<o:p></o:p></div>
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Brown bread was something only poor people ate.<o:p></o:p></div>
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Oil was for lubricating, fat was for cooking<o:p></o:p></div>
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Tea was made in a teapot using tea leaves and never green.<o:p></o:p></div>
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Coffee was Camp, and came in a bottle.<o:p></o:p></div>
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Cubed sugar was regarded as posh.<o:p></o:p></div>
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Only Heinz made beans.<o:p></o:p></div>
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Fish didn't have fingers in those days.<o:p></o:p></div>
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Eating raw fish was called poverty, not sushi.<o:p></o:p></div>
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None of us had ever heard of yoghurt.<o:p></o:p></div>
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Healthy food consisted of anything edible.<o:p></o:p></div>
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People who didn't peel potatoes were regarded as lazy.<o:p></o:p></div>
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Indian restaurants were only found in India .<o:p></o:p></div>
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Cooking outside was called camping.<o:p></o:p></div>
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Seaweed was not a recognised food.<o:p></o:p></div>
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"Kebab" was not even a word never mind a food.<o:p></o:p></div>
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Sugar enjoyed a good press in those days, and was regarded as being white gold.<o:p></o:p></div>
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Prunes were medicinal.<o:p></o:p></div>
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Surprisingly, muesli was readily available, it was called cattle feed.<o:p></o:p></div>
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P ineapples came in chunks in a tin; we had only ever seen a picture of a real one.<o:p></o:p></div>
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Water came out of the tap, if someone had suggested bottling it and charging more than petrol for it they would have become a laughing stock.<o:p></o:p></div>
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The one thing that we never ever had on our table in the fifties .. was elbows!</div>
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and ......People didn't eat in public!<br />
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Do you want to add to this list? Please let me know<br />
eatingangelhttp://www.blogger.com/profile/03265006379603028397noreply@blogger.com0