Recognizing Anorexia Nervosa

I read an article today that made me incredibly sad. It was about a six-year-old little girl named Sophie, who developed anorexia in kindergarten. Kindergarten. She started restricting her portions of food more and more, exercised compulsively on the monkey bars, and even began throwing away her lunch and snacks at school.

And because the beginning stages of anorexia nervosa are not immediately physically apparent, no one knew. “She was slim, but not skeletal,” recalls her mother.

Be kind to your body. You'll only have one.

One night, Sophie told her mother about her problem, telling her, “Mommy, I have a problem… I am hungry all the time and I can’t eat. A voice in my head is telling me not to eat.” She was diagnosed with anorexia nervosa in the first grade, after not gaining weight for ten months straight and dropping from the 60^th percentile to the 19^th percentile for her weight.

Sophie is eight now, and is doing well. Her parents got her treatment from a specialty center and continually monitor her eating at home and school. Sophie was also diagnosed with mild obsessive-compulsive disorder and anxiety.

I’ve always thought of anorexia as a mostly society driven problem; I knew that there was a psychological component to eating disorders, but I never realized that sometimes they can manifest without the individual even really understanding what’s going on. Sophie, at six, didn’t know why she felt she couldn’t eat.

Many people believe that eating disorders are a choice for individuals… but the truth is, I think it’s less of a choice than we realize. Anorexics can realize what’s going on, can fear for their life, can see that what they’re doing to themselves is wrong—but they can’t always stop doing it. And as a society, I think we could be a lot better at understanding that and being more supportive to those who suffer from eating disorders.

The girl with the eating disorder is often the last to know she is ill.
Becoming the new feminine ideal requires just the right combination of insecurity, exercise and anorexia.

According to the National Institute of Mental Health, over 10 million Americans suffer from eating disorders, which have the highest mortality rate of any other psychiatric illness. But despite this, the thinspiration movement continues to grow online, promoting eating disorders as a way of life.

Anorexia isn’t always immediately visible to us, especially at the beginning. Many individuals who suffer from anorexia may never look like that skeletal image we hold in our minds, but that doesn’t mean it’s not there. Here are some of the behavioral signs and symptoms of anorexia:

• Obsession with food, weight, calories, dieting, or exercise
• Constant anxiety of gaining weight or being fat even when healthy or losing weight
• Refusal to eat with or around others
• Extremely self critical, anxious, depressed, or irritable. Is a perfectionist
• Self worth is determined by appearance and weight, loss of desire to engage in social relationships or activities

"You are imperfect, permanently and inevitably flawed.
And you are beautiful."
Image from Tumblr.com

I am certainly someone that values eating healthy, exercising, and generally being aware of overall health—but I hope that I’ve never given the impression that thinner is better, no matter the cost. Because it isn’t. We were all made differently, and more important than being “thin” or “skinny” is being healthy and happy.

Love yourself. Love your body—and be nice to it. You only get one.

Living Healthy: Knowing Your Key Indicators

I often ponder the thought that each of us is unique, both in body and mind. Yet we continually make mass generalizations of what is “right” or “wrong” for our health, without any respect to individuals. Of course, there are things that are generally good for most people, and I can understand why we fall into the habit of applying those truths to everyone. But I think the single most important key to living a healthy life is knowing your unique situation.

Image from dare-mighty-things.tumblr.com
"Health is a relationship between you and your body."

For example, my workout buddy and I run together several times a week and attend exercise classes one to two times per week. She also lifts weights and does core strength training at home. She stretches every morning, as well as before and after our runs and classes. I would like to say I am as vigilant as her, but I’m not—which is part of the reason she is more fit than I am.

But though she has a stronger core and body in general, she is constantly hurting herself. Not the pushed-too-hard kind of hurting. The “I sat down and now my back is tweaked out” kind. She is a thousand times more careful than I am, yet she is always getting injured.

Another friend has cut most carbs, grains, and sugars out of her diet because when she eats them more than occasionally, she finds that she puts on extra weight. I have been on a low-carb, low-grain, and low-sugar for the better part of a year and it doesn’t affect my weight at all.

One of my roommates can’t eat or drink anything with aspartame in it because it gives him bad migraines. I also get migraines, but aspartame doesn’t have that affect on me—but alcohol does, if I drink more than one. He can drink several and not end up with a headache.

Image from exp.lore.com
"Self knowledge is no guarantee of happiness.
But it is on the side of happiness
and can supply the courage to fight for it."

I think as we grow, we learn more about ourselves, and sometimes that includes learning about our health. But too many people rely on the doctor when they are feeling down and out rather than proactively managing their health. I read about an interesting program the other day that is coming out of Henry Kravis’ company, Kohlberg Kravis Roberts. It works with employees to help them recognize and understand their own key health indicators and better manage their health.

Now, I’m lucky enough to have health insurance, but there is certainly no program like this that helps me understand my health. What’s my normal blood pressure? No idea—they never tell me so I assume it’s normal. It’s things like that which I should know but don’t.

What do you think? Is it our doctors’ jobs to essentially fix us when we’re sick, or should they be working to help us understand our own health? Do you know of any other programs out there like KKR’s that work with employees to do this? I’m interested to find out what people know and want to know about their own health.