Through the Looking Glass A P R I L 2 0 1 2 Binge Eating Disorder Inside this issue Editorial 2 Coordinator 3 Finding your way to freedom form binge eating 4 What is binge eating disorder? 6 Learning to manage moods 8 Things you may not know about BED 10 Strategies to overcome BED/ Helping someone with BED 11 Research/Survey 12 Questions to help prevent a binge 13 Training/Research 14-15 In the Media 16-17 EDA Groups 18 Professional Advertising 19 ED peer volunteer line and ED links on the web 20 EDA Membership 21 Copyright © 2012 The Eating Disorders Assoc Inc. Individual copyright remains with the authors ISSN 1440-804X NEXT ISSUE: Perfectionism and Body Dysmorphic Disorder (BDD) The EDA Resource Centre Phone : 07 3394 3661 12 Chatsworth Rd., Greenslopes. Q. 4120 www.eda.org.au email: [email protected] Newsletter for the Eating Disorder Association Inc QLD From the Editor Hello everyone and welcome to another edition of Through the Looking Glass. This month’s edition is on Binge Eating Disorder (BED) and includes excellent articles from Karla and Bodymatters. Just a reminder to our service users that we would love to hear from you, not only in feedback but in contributing to this newsletter. At present we have an awesome editorial committee who are passionate about sharing their stories and if anyone else would like to join this exciting group of people, please give me a call. You don't have to write each month and can include stories, poems, drawings or a strategy you found useful in your recovery. It can be immensely therapeutic to hear another’s recovery story or tips. Journaling is quite often a useful tool in recovery, so maybe it might be time to start writing a public journal for Through the Looing Glass! Binge eating disorder can often be the ‘forgotten’ eating disorder, as most people are familiar with Anorexia and Bulimia. As not all people who are overweight have binge eating disorder, some people’s illness may go under the radar and do not get diagnosed or the person may not seek the necessary help and support. The Diagnostic and Statistical Manual (DSM-IV) currently places BED into the category of EDNOS, however changes to the DSM-V will see BED as a separate disorder. This will hopefully allow more people to get diagnosed and access support in attempts to lead a life free of the constraints of an eating disorder. It is also worth noting that binge eating can in fact occur across all spectrums of eating disorders including Anorexia and although each disorder has its individual symptomology, the causes and triggers of eating disorders remain very similar. Another point to consider is the use of other terms associated with binge eating including compulsive eating, over eating, emotional eating etc. This can sometimes complicate things unnecessarily. It might not be helpful to get bogged down by terminology, but rather taking the brave and courageous step of reaching out for support. Like recovery, a journey starts with a single step One does NOT chose to have an ED but one CAN chose what they want to do about it…...as Captain Planet says…..the choice is YOURS!!!! Take care, enjoy the read and the month. EDA Board Merting Arpil 25th at 6.30pm 12Chatsworth Rd, Greenslopes. All Welcome FREE FAMILY INFO GROUP Saturday 21st of April 121 Pinelands Road Sunnybank Hills 9am-3pm Come and meet Eating Disorder Specialists and other carers! RSVP: EDA 3394 3661 EDA Service Feedback….. Dear Mary-Ann I still cant express enough how wonderful your centre is.. you have very down to earth advice that makes people feel like recovery is possible.. i just wish i found your site a few years ago... as you are so much on my level of thinking on how to approach this fragile situation. so a big thank you again.. Ann Mel Marks Resource and Support Worker (Mon-Wed) The EDA would like to say a BIG thank you to Tanya Kretschman who fundraised an amazing $300 for the EDA. Tanya contacted Grill’d restaurant in Newmarket, who have a local charity donation drive as part of their contribution to the community. In fact all Grill’d restaurants do, and it is up to passionate people (like Tanya) to make contact with these services to nominate local charities. Well…..Tanya we are stoked you chose us and even more stoked that people in the community chose us as their chosen charity to donate to. So once again Tanya and Grill’d Restaurant at Newmarket THANK YOU!!!! The EDA Inc Board of Management: President :Maree Bennett, purposes. The contents of this newsletter may be Vice President: Marcia Watts, Secretary: Nicole Yarham, reproduced freely (providing the source is acknowledged), except material which has come from other publications (and where an appropriate reference has been given). The EDA Inc has made every effort to ensure the information in this newsletter is accurate, however, we accept no responsibility for any errors, omissions or inaccuracies in respect of the material provided. The EDA Inc is an educational institution for copyright purposes. Information presented in this publication is for educational purposes only, and should not be used as a substitute for the advice of a qualified medical or mental health professional. The EDA Inc accepts no responsibility to persons who may rely upon this information for whatever purpose. Treasurer: Suzi Scholey, Members: Maree Yarham, Kathryn Mullen, Steph Pryor Through the Looking Glass is produced monthly by the Eating Disorders Association Inc Resource Centre. Subscription is free with Membership of the Association. The opinions expressed within are not necessarily those of the Association or the Resource Centre. All material herein is the intellectual property of the authors, and is presented here for educational CONSUME goes on line….. From the Coordinator…... Hello! It has been another incredible month here at the EDA and in the Eating Disorder Sector in General!! Some great news is that the National Eating Disorder Collaboration website has had an up-date! Check it out www.nedc.org.au The Eating Disorder Outreach Centre (EDOS) in collaboration with the Eating Disorders Network of Queensland is having a morning breakfast with Carolyn Costin, Executive Director of Monte Nido & Affiliates & Christine Morgan, Director, National Eating Disorders Collaboration The EDA is pleased to announce that our wonderful teen magazine CONSUME is now available to download at www.consumemagazine.com and it now has its own facebook page. Please check it out and “like”! It’s on at 7.30am on Monday, 21 May 2012 at Eating Disorders Outreach Service (EDOS), 14 Cartwright Street, Windsor RSVP: [email protected] The Butterfly Foundation and the EDN also present Carolyn Costigan Eating Disorder Recovery Workshop Recipe for Recovery From an Eating Disorder—8 keys For carers and community professionals 21st of May, 6pm FSG @ 121 Pinelands Rd., Sunnybanks Hills $25 for an individual or $50 for a family RSVP: EDA [email protected] or 07 3394 3661 Thanks to all the participants that came to the recovery and carer groups! The rooms were full!! And from the feedback you all provided a lot of connection and support was provided. I hope many of you can make it to see Carolyn Costigan!! Also thanks to the campaign group!! Wow!! What amazing energy and ideas! Look forward to our next meeting here at the EDA on April the 18th at 10am!! I hope you all enjoy this months read! Desi Achilleos FREE EDA Email Membership for the month of April!!!! With EDA membership comes loaning rights to our library and receiving the EDA monthly newsletter Through the Looking Glass for free for a whole year! Call us now! Other Eating Disorder Services National Toll free Eating Disorders HELPLINE 1300 550 236 Butterfly Foundation 1800 ED HOPE 1800 33 4673 ISIS– The Eating Issues Centre Inc (Self referral) 58 Spring St, West End 4101. Ph: (07) 3844 6055 EDOS-Eating Disorders Outreach Service (Need a GP referral) Rosemount, Building 14, Windsor Ph: (07) 3114 0809 Queensland Over eaters Anonymous Ph: 3030 3619 www.oabrisbane.org Child and Youth Mental Health Service(CYMHS) Assists young people under 18years. Info line for closest CYMHS: 07 3310 9444 Mater CYMHS: 07 31638188 Royal Brisbane Hospital CYHMS: 07 33109444 Gold Coast CYHMS: 0756671714 Headspace 3727 5000 Assists young people 12-25yrs who experience a mental health and/or drug and alcohol problem . Self or family referral. Crisis Support Services Eating Disorders Adult Service (Gold Coast) Parentline 1300 301 300 (Need a GP referral) Kids Helpline Ph: 1800 551 800 Ashmore : (07) 5667 2000 Lifeline Ph: 131114 Palm Beach: (07) 5525 5661 Sexual Service (24hr)PROFESSIONALS Ph: 1800 010 120 CONTACT THE EDA FOR INFORMATION, SUPPORT andStatewide REFERRALS TOAssault PRIVATE HEALTH including Psychologists, Groups, Domestic Violence Support Service (24hr) Ph: etc 1800 811 811 New Farm Clinic - Private Clinic Doctors, for AdultsDietitians, Counsellors, [email protected], 07 3394 3661, www.eda.org.au Crisis Care Ph: 3235 9999 22 Sargeant St, New Farm 4005 Ph: 32549100 Finding Your Way to Freedom from Binge Eating by Karla Cameron I used to think of my binge eating as much like a huge vulture descending onto me without any warning, cloaking me in darkness, taking over my mind and directing me to run to the fridge and eat NOW! There was no sense of time involved - only an urgent, out of control shovelling in of food. My bingeing would finish when the vulture released me from its vice-like grip and dropped me back into the ugly reality of the kitchen and what I had just done. So how does a person escape from this living hell and find themselves in a much more natural, Suddenly coming back into consciousness, I would intuitive and nourishing place with their eating? be aware of a very bloated stomach, sticky fingers, I found myself here with lots and lots of practise at the smell and taste of cheap, trashy food around developing an awareness of myself, my thoughts, my feelings, my triggers, understanding the my mouth and just an overwhelming feeling of emotional need I was trying to fill with food and disgust in myself as I looked down at the kitchen eventually working on resolving the true underlying bench and all that remained. emotional and self-esteem issues that kept me What did remain wasn’t much food; mainly empty feeling like a deprived victim with binge eating. biscuit packets, chocolate wrappers, mauled custard or ice cream containers, and always the There is no right or wrong way to find freedom white paper packets of sugar coated, white flour from binge eating – but it must be Your Way. You products I may have picked up from a bakery will be surrendering all external attempts at earlier. I’ve been in some pretty low and control and going with Your Flow - not your best shameful places with my eating: I have eaten food friends flow, not your dietician’s flow and not your out of the rubbish bin, burnt food, frozen food and international eating guru’s flow either. Real even food my dog wouldn’t eat – and our dog was freedom cannot be found on pieces of paper or known to eat anything. intellectualised in any way. It must be experienced first hand by the individual and the The after effects were crazy mood swings, process is actually a very kind and gentle one, headaches, body aches and a desperate desire to which is in stark opposition to the way we usually climb out of my own skin, I was so uncomfortable. treat ourselves with food. I also remained 10 – 15 kilos overweight. Then I would isolate myself in my house and the dance of In freeing ourselves, we cannot be told what to do self-contempt would begin “I can’t believe I just or told what to eat because this is just another did that! What is wrong with me? Why can’t I eat way of disempowering ourselves and looking like a normal person? I am such a disgusting pig!” outside ourselves for answers. The message we followed by solemn promises that I would be very, feed ourselves in this process is a very loud and very good from tomorrow onwards and this will clear “I can’t be trusted. Just tell me what to do never happen again! because I’m hopeless and I don’t know”. After a frantic clean up to dispose of all the evidence, (should my boyfriend arrive home unexpectedly) I would immediately begin planning my new extreme, restrictive diet to make up for the binge. At this point I was no longer compensating by purging or over exercising, so my life for 7 years was dieting, bingeing or hating myself - and nothing in between. Occasionally I’d have a run of a few weeks sticking to my diet before I would again lose control and binge. PAGE 4 A very natural human response to being told what to do is to rebel. And so we lay our own foundations for lots more rebellious eating to follow. This doesn’t make any sense on a logical level, but we are not logical beings, we are emotional, feeling beings and we need to find a way to work with our feelings, rather than against them (by avoiding them as we do). We need to embrace them with a loving kindness. THROUGH THE LOOKING GLASS When we begin to trust ourselves and our feelings, we reconnect with our bodies. When we use our intuition, honour our hunger and respect our bodies as the house we live in, we will surely create dramatic changes within. This is the internal revolution you have been seeking. This change then flows on to showing up externally, • eventually as weight loss and purely as a long-term side-effect. Weight loss cannot be the goal; for while ever it is, it will never happen in a sustainable way. WITHOUT JUDGMENT. I started saying to myself: Ok, so I’ve eaten a lot of food, I don’t understand why I did that right now but on some level my body needed that food and I allowed myself to have it. A key piece of research that helped me understand • that none of my binge eating was actually my fault (as in, it wasn’t conclusive proof that I was a weakwilled, useless, fat failure) was something I discovered through the EDA called The Minnesota Experiment. Please Google it and find out for yourself that every time we binge, it’s not our fault. Every time we restrict our food (or diet), • it’s only a matter of time before we end up losing control and overeating as a normal, healthy, biological, survival response. This is an expected outcome of dieting and has been known since 1944 – but no weight loss organisation will ever tell you that. Understand that whenever we binge, it is always an attempt at self-soothing. There is an emotional need that is aching to be filled and we keep looking in the fridge for answers. (Sorry, there are no answers to be found in the fridge!) Head researcher of this study, Professor Ancel Keys, proved that other normal, natural responses to dieting is depression, mood swings, tiredness, lethargy, angry outbursts, loss of libido, obsession with food and our weight, a narrowing of interests, loss of humour and spontaneity, self-contempt when we do break our diet as well as weight gain and for some people like us, a much higher risk of developing an eating disorder. Take on more personal responsibility for your own life, no one else can do this for you. Seek whichever form of therapy helps you to heal – a cute saying I read recently is “face your stuff or stuff your face”. Healing is our choice. Looking within, with a great deal of honesty and touch of vulnerability will provide all the answers we need, if only we can allow ourselves go there. Yes it can be absolutely terrifying for a few seconds to feel our feelings instead of numbing them with food, but what’s the alternative? A lifetime of binge eating and feeling out of control? No thank you. I chose freedom and I haven’t once looked back over my shoulder and wished I could again be binge eating. The pain of change has always been worth the effort. “The journey of a thousand miles begins with a single step” Ancient Taoist mantra. There are a few guidelines I can share with you to help you on your journey to freedom: • Let go of all forms of dieting – dieting is what causes us to binge eat in the first place. Extreme dieting causes extreme bingeing. • If it has taken a few years to develop a hardcore diet mentality that’s all about deprivation and scarcity, give your self the time and space it takes to replace that with a mentality of abundance, comfort and safety around food. Practise trusting yourself, practise eating in response to your body’s hunger, practise listening to your body, practise resting when your body is tired. • Try self-compassion instead of self-contempt. It’s a pointless waste of emotional energy beating ourselves up when we do binge. Practise observing your own behaviour THROUGH THE LOOKING GLASS PAGE 5 What is Binge Eating Disorder? Binge Eating Disorder is another common form of Eating Disorder that currently sits under the category of 'Eating Disorders Not Otherwise Specified'. Binge Eating Disorder is, in many ways, similar to Bulimia Nervosa in that the individual feels a sense of lack of control over their eating, but they do not engage in purging as a means of weight control. This means that the individual is overwhelmed with the fear of gaining weight and the consequent physical and medical complications that exist. Not all people with Binge Eating Disorder will however be overweight. In fact, only about half will be considered overweight. It is believed that there is a higher prevalence of Binge Eating Disorder than Bulimia Nervosa, and more males will have Binge Eating Disorder than any other Eating Disorder (Fairburn, 1995). People with Binge Eating Disorder will meet the following criteria: Recurrent episodes of binge eating. An episode of binge eating is characterised by both of the following: • • Eating, in a discrete period of time (eg within any two hour period) an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances. OUR 1st CAMPAIGN MEETING A big thank you to all those who attended our first campaign focus group meeting on 21st A sense of lack of control over eating during March and what a meeting it was!! the episode (eg a feeling that one cannot stop eating or control what or how much one is eating). Many great ideas were explored and shared with many more ideas continuing to filter through, so The binge-eating episodes are associated with once again thanks and keep them rolling in. three (or more) of the following: We have also had conformation that renown local photographer Beth Mitchel has agreed to do the photo shoot. Anyone who has not seen Beth’s work is urged to do so as it is simply incredible and highlights our theme of underwater (below the surface is the eating disorder and above the surface is recovery). ⇒ Eating much more rapidly than normal. ⇒ Eating until feeling uncomfortably full. ⇒ Eating large amounts of food when not feeling physically hungry. ⇒ Eating alone because of being embarrassed by how much one is eating. ⇒ Feeling disgusted with oneself, depressed, or very guilty after overeating. AND • Marked distress regarding binge eating. It was so exciting to see so many heads collaborating together including professionals, consumers, carers etc. all bound by a common goal; the importance of prevention and early Intervention. • The binge-eating episode occurs, on average, at least 2 days a week for six months. If you missed this meeting, don’t worry we have another one scheduled for Wednesday 18th April at the EDA. (Taken from the Diagnostic and Statistic Manual [DSM] Version 4) Please note that the DSM Version 5-due out this year, is making BED a separate disorder to EDNOS THROUGH THE LOOKING GLASS Hope to see you there!! These really are such exciting creative times, so please jump on board the EDA express & hold on! PAGE 6 Mental Health Professionals Network Brisbane Eating Disorders Network Meeting Date and time: Coordinator: Facilitator: Guest speakers: Date: Time: Venue: RSVP: Monday, 21 May at 7:30am Amanda Dearden, ISIS Carmel Fleming, EDOS Carolyn Costin, Executive Director of Monte Nido & Affiliates Christine Morgan, National Director, National Eating Disorders Collaboration Monday, 21 May 2012 7:30am breakfast, 8:00am to 10:00am presentation Eating Disorders Outreach Service (EDOS), Building 14 Rosemount, Cartwright St, Windsor By reply email to Lydia at [email protected] Please note that due to venue capacity, places are limited to the first 30 RSVPs. If you would like to attend via a video conference link-up, please contact Carmel Fleming at EDOS via [email protected] with the following information: Site name (eg Cairns TPHU), VC Asset # (eg.10025879), Contact person/ phone / e-mail, NB link-up starts at 8am The Eating Disorders Network of Queensland is made up of not-for profit organisations, community and consumer representatives, health practitioners and key stakeholders who develop initiatives to raise awareness and provide information and training on eating disorders and related issues. The Eating Disorders Network started the Queensland Eating Disorders Interagency Networking Breakfasts in 2004 to provide a forum for networking as well as opportunities to showcase current programs, initiatives and research. Eating Disorder Recovery Workshop Recipe for Recovery From an Eating Disorder—8 keys By Carolyn Costin For carers and community professionals Date: 21st of May, 6pm for a 6.30pm start Workshop content will include: • • • Key activities that parents, friends, spouses, and mentors can do to help • people recover. Things that patients can do between sessions. How to talk to your child with an eating disorder. PAGE 7 • How to contact and transform the eating disorder self. Tips for community treatment professionals. Q&A session Venue: FSG @ 121 Pinelands Rd. Sunnybanks Hills Cost of Workshop: $25 for an individual or $50 for a family RSVP: Eating Disorders Association [email protected] or 07 3394 3661 THROUGH THE LOOKING GLASS Learning to Manage Moods It is common for people with eang disorders to report that, when the going gets tough, they feel they have no alternave but to resort to, say, binge eang. Binge eang has become their way of coping and they see no alternave. It is really important to realise that there ARE other ways of coping with distress. There are various skills to be learned for overcoming mood intolerance effecvely and learning to deal with intense mood states. As with all new things, it will take me and energy to learn these new skills. The “How” skills of mindfulness: Mindfulness Skills • Being non-judgemental. This means accepng each moment as it is, not how you think it ‘should be’. It is focusing only on the facts and not assigning a ‘value’ or any ‘worth’, not saying something is “good” or “bad”. This is hard, because we all tend to judge rather than describe things. We might say “The sun is shining, that’s lovely!” Being non-judgemental would be: “The sun is shining; I can feel its warmth on my face”. Noce what is helpful and balanced, as well as what might be unhelpful or unbalanced, but don’t judge it. If you find yourself judging, don’t judge yourself for it! Just gently Mindfulness skills can be divided into the “What” skills and remind yourself to let go of judging and return to being the “How” skills. It is about observing, describing, and non-judgemental. parcipang (the “What”) in a way that is nonjudgemental, focusing on one thing at a me, and doing • Focusing on one thing at a "me. Work on doing one what is effecve (the “How). These are described in more thing at a me! Focusing on one thing at a me means that detail below. we can give ourselves and our a7enon fully to that acon. So, when you are walking, walk. When you are eang, eat. The “What” skills of mindfulness: When you are watching TV, focus on what you are watching. Do each thing with ALL of your a7enon. If • Observing. Noce what you are experiencing, without feelings or thoughts (e.g., remembering what you have to ge2ng caught up in the experience. Just observe and be do later) distract you, do your best to let go of those aware of your feelings and any physical sensaons. distracons and bring your a7enon back to what you are Imagine your mind as a non-sck pan, and allow the doing. You may find that you have to do this again and feelings and thoughts to come (be observed) and go (slip again. This is because your mind has a habit of taking a away), like clouds in the sky or leaves floang away in a li7le ‘journey’ of its own and wandering. Just noce that stream. your mind has wandered and gently bring your focus back to what you are doing. If you find yourself doing more than • Describing. As you observe your experiences, you need to put words to them. For example, you might say in your one thing at once, gently direct yourself to doing only one thing at a me. mind, “I noce a ghtness in my chest as I breathe. The thought ‘I’m very tense’ comes to my mind”. Just noce and describe what is in your thoughts – don’t get involved • Doing what is effec"ve. This means doing only what in the content of your thoughts. needs to be done in whatever situaon you are in. • Par"cipa"ng. When you do something, do it with all your Somemes we get caught up with doing what we “should” a7enon. Don’t do things on ‘automac pilot’ – parcipate do or what is “right”. Focus on your goals in the situaon in the acvity with awareness. For example, when you are and do what is necessary to achieve them. For example, a soccer player might believe that the referee ruled unfairly vacuuming the carpet, don’t start thinking about cooking against him in a match, but decides to let go of his anger dinner. Noce the sound of the vacuum cleaner, which and focus on scoring a goal. If you noce yourself ge2ng muscles you are using. Noce your feelings and any thoughts that come annoyed and find yourself having thoughts such as, “This is to mind. Noce if a7enon strays, then gently bring it back unfair” or “That’s not right”, idenfy these as thoughts, let them go, and bring your a7enon back to the task at hand. to the task. Mindfulness is about living with awareness. It helps to be aware of what you are doing so that you can change your behaviours. It is impossible to change a behaviour when you aren’t aware of even doing it! How many mes have you been half-way into a binge before you ‘catch’ yourself? When you become more aware of your acons, you will find it easier to change. Mindfulness skills involve taking a step back and observing yourself neutrally. Mindful Eang is one strategy to gain control over your binges. THROUGH THE LOOKING GLASS PAGE 8 4. If thoughts or parcular emoons enter your mind, acknowledge that they are there and then, as best you can, let them go and return your a7enon to observing the food and to the experience of smelling the food. 5. ADer a while you may wish to begin describing to yourself some of the more prominent aspects of your experience. For example, if there is some feeling of hunger, you might say to yourself “hunger is here” or “tummy grumbling”. See if you can noce these feelings with a gentle curiosity. If you feel a li7le tense or bored, you might say “tension is here” or “boredom is here”. Or if your mind is wandering into thinking about your experience or something else, try Basic Instruc"ons for Mindful Ea"ng Prac"ce to see if you can noce the type of thoughts they are. If they are judging or fantasy thoughts, you might say to 1. Pracce doing mindful eang for about 5 minutes at a me at first, and then gradually increase to longer periods. yourself “judging” or “fantasising”. Then returning back to observing mode. It is important to adopt a posture that is relaxed, alert, 6. When you are ready to start eang the food, becoming a7enve, and interested. If possible, do the exercise in a aware of your intenon to eat the food, the movements room where there are few distracons. Proceed through the pracce in a slow, careful, and gentle manner. Start by for eang, and the tastes and textures in your mouth as just spending a li7le me bringing your awareness to your you eat. Observing the movements and feelings as you chew and swallow the food, from moment to moment. posture and your relaonship to the food you intend to 7. Again, if any thoughts or emoons arise while you are eat. eang, you may wish to give them a descripve name. If 2. ADer a li7le me of being aware of your posture, start there are thoughts, see the thoughts as just thoughts, moving your focus of a7enon to observing the food. noce how they will come and go, and then as best you Observe the visual sensaons for about a minute or so, nocing the detailed shapes, colours, and textures. Move can return your awareness to the process of eang. your focus to parcular aspects of the food. 8. When you have spent some me observing and then 3. Then move your focus of a7enon to the qualies of the describing, you can become aware of fully parcipang in the task of eang. Expand your awareness to experience all parcular smells. Allow yourself me to be fully aware of the smells that may be there and the detailed sensaons in the sensaons, smells, and movements together as you eat. your nose (you may need to move a li7le closer to the 9. During the previous aspects of mindfulness, it is food). important to adopt a non-judgmental stance, and bring all of your a7enon to the parcular experience you are focusing on, from moment to moment. Lastly, try to adopt the view that you’re doing the pracce because it needs to be done and mindfulness is a skill that works, rather than doing it because of more loDy thoughts like “it should” be done, or “it is the right thing to do”. Let’s review again how mindfulness skills help in addressing problems with managing moods, and how this can help with your disordered eang. Intense negave feelings build up over me but many people think that they come out of the blue. This is because people are not aware of the thoughts, feelings and sensaons they are experiencing and get caught up in them. By being more mindful of your experiences, feelings, sensaons, thoughts, and behaviour, you will be more in control of your eang and less reacve and impulsive. We encourage you to pracce doing other things mindfully as well, such as going for a walk, having a bath, cooking, watching TV, doing housework, dressing, having coffee with a friend, etc. Keep praccing and use the worksheet or a journal to record your experiences. Don’t be disheartened if these skills don’t work perfectly the first me you try them. It is best to approach the pracce with a gentle curiosity and without too many expectaons. Set-backs and slip-ups are to be expected, and can be used as part of your pracce to culvate greater mindfulness and understanding of the obstacles of being mindful. There are many ways to pracce mindfulness, so be flexible and keep praccing regularly to help build your skill. For full arcle please go to h7p:// h7p://www.cci.health.wa.gov.au/docs/7%200910% 20Moods%20&%20Disordered%20Eang.pdf THROUGH THE LOOKING GLASS PAGE 9 Information sourced from various sites including: www.kidsinaustralia.com.au/parent-8/Body-Image,-Eating-Disorders-andyour-Teen-63.html; http://www.eatingdisorders.org.au/key-research-a-statistics THINGS YOU MAY NOT KNOW ABOUT BINGE EATING DISORDER The prevalence of Binge Eating Disorder in the general population is estimated to between 37% of the general population • • The incidence of Binge Eating Disorder in males and females is almost equal. • A study of 15,000 18-22 year old Australian women found that 20% had symptoms of Binge Eating Disorder. • Young Australian women who start dieting before the age of 15 are more likely to experience depression, binge eating, purging, and physical symptoms such as tiredness, low iron levels and menstrual irregularities. Women who diet frequently (more than 5 times) are 75% more likely to experience depression. In a study of 106,000 Australian women, 20% used eating to cope with stress while 12% either smoked or used drugs • Dieting to control weight in adolescence is not only ineffective, it may actually promote weight gain A study of adolescents showed that after 3 years of follow-up, regular adolescent dieters gained more weight than non-dieters. • • Australians spend about $1 million a day on weight loss attempts with little success • BED often develops during late adolescence and early 20’s • People with binge eating disorder are at risk of developing a variety of different medical conditions including diabetes, high blood pressure and cholesterol levels, gallbladder disease, heart disease, and certain types of cancers Potential risk factors include obesity, being overweight as a child, strict dieting, and a history of depression, anxiety and low self esteem • • Poor or inadequate nutrition can effect the composition of our brains including the amount of serotonin (the chemical that makes us happy/feel good), which can have an impact on our depression and anxiety levels • Not all people who are obese have BED-only 10-30% of obese people have been diagnosed with having this disorder • BED is not the same as ‘emotional eating’. It may contain aspects of eating whilst in an emotional state, but BED is more about eating in an out-of- control manner coupled with large amounts of food and marked distress. ‘Binge eating’ is often a symptom of eating patterns that can be present across all eating disorders including Anorexia and Bulimia Nervosa. Having BED means you need to meet the diagnostic criteria as set out by DSM-IV (soon to be updated DSM-V) • • BED is a mental health condition and can have serious physical and mental consequences • BED can also be known as Compulsive eating BED can be caused by a number of factors that often affect one another including physiological factors (brain chemistry), social and cultural factors (thin ideal), dieting and negative mood states • • THR OUGH BED is similar to Bulimia except that there are no compensatory behaviours THE L OOKING GL ASS PAGE 10 10 Strategies for Overcoming Binge Eating Helping someone with binge eating disorder Manage stress. One of the most important aspects of controlling binge eating is to find alternate ways to handle stress and other overwhelming feelings without using food. These may include exercising, meditating, using sensory relaxation strategies, and practicing simple breathing exercises. • Eat 3 meals a day plus healthy snacks. Eating breakfast jump starts your metabolism in the morning. Follow breakfast with a balanced lunch and dinner, and healthy snacks in between. Stick to scheduled mealtimes, as skipping meals often leads to binge eating later in the day. • Avoid temptation. You’re much more likely to overeat if you have junk food, desserts, and unhealthy snacks in the house. Remove the temptation by clearing your fridge and cupboards of your favourite binge foods. • Stop dieting. The deprivation and hunger of strict dieting can trigger food cravings and the urge to overeat. Instead of dieting, focus on eating in moderation. Find nutritious foods that you enjoy and eat only until you feel content, not uncomfortably stuffed. Avoid banning certain foods as this can make you crave them even more. • Exercise. Not only will exercise help you lose weight in a healthy way, but it also lifts depression, improves overall health, and reduces stress. The natural mood-boosting effects of exercise can help put a stop to emotional eating. • Fight boredom. Instead of snacking when you're bored, distract yourself. Take a walk, call a friend, read, or take up a hobby such as painting or gardening. • Get enough sleep. If you're tired, you may want to keep eating in order to boost your energy. Take a nap or go to bed earlier instead. • Listen to your body. Learn to distinguish between physical and emotional hunger. If you ate recently and don't have a rumbling stomach, you're probably not really hungry. Give the craving time to pass. • Keep a Journal. Write down what you eat, when, how much, and how you're feeling when you eat. You may see patterns emerge that reveal the connection between your moods and binge eating. • Get support. You're more likely to succumb to binge eating triggers if you lack a solid support network. Talking helps, even if it’s not with a professional. Lean on family and friends, join a support group, and if possible consult a therapist. Warning signs that a loved one is bingeing include finding piles of empty food packages and wrappers, cupboards and refrigerators that have been cleaned out, and hidden stashes of highcalorie or junk food. If you suspect that your friend or family member has binge eating disorder, talk to the person about your concerns. It may seem daunting to start such a delicate conversation, and your loved one may deny bingeing or become angry and defensive, but there’s a chance that he or she will welcome the opportunity to talk about their painful struggle. • THROUGH THE LOOKING GLASS If the person shuts you out at first, don’t give up; it may take some time before your loved one is willing to admit to having a problem. And remember: as difficult as it is to know that someone you love may be have an eating disorder, you can’t force someone to change. The decision to seek recovery has to come from them. You can help by offering your compassion, encouragement, and support throughout the treatment process. If your loved one has binge eating disorder Encourage him or her to seek help. The longer an eating disorder remains undiagnosed and untreated, the more difficult it will be to overcome, so urge your loved one to see a health professional. • Be supportive. Try to listen without judgment and make sure the person knows you care. If your loved one slips up on the road to recovery, remind them that it doesn’t mean they can’t quit binge eating for good. • Avoid insults, lectures, or guilt trips. Binge eaters feel bad enough about themselves and their behaviour already. Lecturing, getting upset, or issuing ultimatums to a binge eater will only increase stress and make the situation worse. Instead, make it clear that you care about the person’s health and happiness and you’ll continue to be there for him or her. • Set a good example by eating healthily, exercising, and managing stress without food. • Take care of yourself. Know when to seek advice for yourself from a counsellor or health professional. Dealing with an eating disorder can be stressful, and it will help if you have your own support system in place. • For full article please visit: http://www.helpguide.org/ mental/binge_eating_disorder.htm PAGE 11 RESEARCH OUTPATIENT TREATMENT FOR ANOREXIA NERVOSA Two outpatient treatment studies are currently being offered to people over 18 years of age with anorexia nervosa. The trials involve expert researchers and clinicians in the field of eating disorders from around Australia and the U.K. The studies are testing promising new therapies for anorexia nervosa. People in the studies will be randomly allocated to therapies. Treatment consists of 25 – 40 outpatient sessions. For referrals or for further information please contact Ms Andreea Heriseanu, Study Co-ordinator. Phone: 02 4620 3726 or Email: [email protected] a randomised control trial that aims to compare the relative effectiveness of three outpatient treatments for anorexia nervosa and atypical anorexia nervosa. The study is suited to men and women aged 18 years and older with current anorexia nervosa or atypical anorexia nervosa (Body Mass Index < 18.5). Location of Project: Camperdown (Sydney CBD), Campbelltown and Westmead. Participation-What is involved: A research assessment involving questionnaire completion and interviews at pretreatment, mid-treatment and post-treatment; between 25 and 40 free outpatient treatment sessions with a registered psychologist over 10 months; posttreatment follow-up sessions over 12 months; and medical screening with a GP pre-treatment, mid-treatment and post-treatment. There are no costs associated with participation other than any GP fees not covered by Medicare. Eating Disorder Specialist Survey 1. Taking a LEAP forward in the treatment of Anorexia Nervosa Researchers: Prof Phillipa Hay, Prof Stephen Touyz, Dr Caroline Meyer, Dr John Arcelus, Dr Sloane Madden, Dr Ross Crosby, Dr Kathleen Pike Project Information: The LEAP study is being conducted by researchers from New South Wales, England and the USA and is funded by the National Health and Medical Research Council (NHMRC PG634922) of Australia. It is a randomised control trial that aims to compare the relative effectiveness of an enhanced cognitive behaviour therapy for anorexia nervosa. The therapy addresses symptoms that have been found to be important in preventing or impeding recovery. The study is suited to men and women aged 18 years and older with current anorexia nervosa (Body Mass Index < 18). Location of Project: Camperdown (Sydney CBD), Campbelltown and Westmead. Participation - What is involved: A research assessment involving questionnaire completion and interviews at pretreatment, mid-treatment and post-treatment; 34 free outpatient treatment sessions with a registered psychologist over 10 months; post-treatment follow-up sessions over 6 months; and medical screening with a GP pre-treatment, mid-treatment and post-treatment. There are no costs associated with participation other than any GP fees not covered by Medicare. 2. Strong Without Anorexia Nervosa (SWAN) Study Researchers: Associate Professor Susan Byrne, Professor Tracey Wade, Professor Phillipa Hay, Professor Stephen Touyz, Professor Christopher Fairburn, Professor Ulrike Schmidt, Professor Janet Treasure, and Dr Virginia McIntosh Project Information: The SWAN Study is being conducted by researchers from three Australian states and is funded by the National Health and Medical Research Council (NHMRC) of Australia. It is PAGE 12 Hi, my name is Lauren and I'm a PhD student at the University of Pennsylvania. I'm involved in a research study that aims to understand how job commitment, work engagement, and organizational commitment arise amongst eating disorder specialists. I'm fascinated by the effort and dedication that go into helping clients with eating disorders, and I want to better understand how truly great work arises amongst eating disorder specialists. If you are willing, I would love to have counselors/therapists/psychologists/psychiatrists participate in this study. I would share the results with the EDA. Participating simply means clicking on an electronic link to the survey click here for electronic survey or cut and paste this address in your browser https:// sasupenn.qualtrics.com/SE/? Questions to Help Prevent a Binge Am I hungry at the moment? It is important to eat a regular balanced diet. Many interventions for Bulimia or Binge Eating Disorders ensure that regular mechanical eating is in place before attempting to work through any psychological issues. Is there something else that I am craving? If you are not hungry, maybe you are trying to achieve something else by eating. This might include anything - from craving love or attention to coping with stress, or simply killing time. Examples other people have found helpful include: a movie or good book music doing something such as origami or knitting completing a puzzle or card game with others calling a friend to chat or talk about how you are feeling go for a walk or do something else you enjoy Ask yourself: How much better will binge eating actually make me feel? Often the answer is not much. This is often because you are actually hungry for something else. It can be helpful to use a thought diary to capture how you are feeling. Have I remembered why I want to get better? Many people experience Bingers Remorse- shame, guilt, and hopelessness- immediately following a binge. Often people vow to never to binge again. However the sensations immediately prior to a binge are quite the opposite. People often experience a sense of excitement, sometimes to the point of dissociation. The fact is that binging becomes a practiced coping strategy and motivation to stop a binge is usually very high after a binge and very low beforehand. Needless to say, this makes it difficult to stop at the very time you need to. This being the case, it is important to write down and explore why it is you want to stop binging so this information is accessible at that critical moment. Similarly, people often experience difficulty remembering strategies that can be employed at this time- so we recommend having a “binge survival tool kit” where this information is written down also. If you do binge, don’t despair. Consider afterwards what things you could have done differently to prevent the binge from occurring. Do so in a neutral and nonjudgemental manner as this is a learning process: look for lessons rather than mistakes. Are there thoughts that contribute to or maintain binging? Common thinking patterns unfold before and during a binge. This often includes thoughts such as “Here we go again”, “I’ve blown it” and “I will never get better.” Consider how to diffuse these negative thoughts through a range of techniques including mindfulness, NLP, Act Therapy among others. Other things can be helpful: Calling or talking to someone for support instead. Who are good support people for you? Relaxation exercises such as positive visualisation, deep breathing, meditation or progressive muscle relaxation; Structured problem solving (if the urge to binge has resulted from something unpleasant or that may have just happened); Talking and communicating about your feelings in a clear and assertive manner (if your urge to binge-eat has resulted from a disagreement with someone) Can I identify/ manage “at risk” times? For many people, binging can be quite predictably mapped in terms of what “triggers” a binge. This might range from eating a “bad” food; to certain social situations such as parties with alcohol; to times/ places eg at home, in the evening, immediately after work/ school. Binges can be prevented by putting behavioural strategies into place. For example, if you drive home from work via the shops to purchase “binge food”, try to drive home a different route. If a binge morphs from eating a meal, have clear practices such as eating from a plate, sitting down, and followed immediately by a planned activity. If it is when the rest of the family is watching TV, work out how you can remain in view. Could I be managing my feelings another way? Often there are other ways to feel better apart from binge eating. Distraction can be helpful- is there anything else you could be doing? The trick is often to Thanks ‘as always’ to Sarah and identify some things that are engaging. This might mean something that is emotive, involves deep thought Lydia from Bodymatters for use of or involves others. this fact sheet!! PAGE 13 This exciting program not only draws from the most current world research in the field of weight management and eating behaviour, but incorporates Dr Rick Kausman’s 20 plus years The Person Centred Approach to Healthy Weight Management of practical and unique experience in this field, and importantly, presented by Dr Rick Kausman & Co-Facilitated by Louise from the experiences of thousands of his patients. The content of the training program also has input from other members of Adams (Psychologist) the ‘If not dieting’ team including psychologists, dietitians, a Thursday 13th & Friday 14th of September 2012 social worker, nurse and physiotherapist. If not dieting® Health Professional 2-day Training Program The Treacy Conference Centre, 126 The Avenue, Parkville, Melbourne The If not dieting® health professional 2-day training program is full of practical information and is delivered through a variety of innovative formats. The program is designed to give particiEarly bird registration fee: $660.00 (includes GST) pants an understanding of how patients feel about this health Normal registration fee after August 7th: $715.00 (incl GST) issue, and provide the best possible information on how to asRegistrations close Friday 7th of September, 2012. sist patients to make achievable and sustainable changes. There will be plenty of time for discussion, patient quotes, and About the Training Program patient stories. Handouts of key materials and a training manuThe If not dieting® health professional training program assists al containing important references and copies of some journal Doctors, Nurses, Dietitians, Psychologists, Social Workers, and articles will be given to participants. all other Allied Health Professionals to effectively support their To register or for more information visit patients to be the healthiest they can be, and as a result of www.ifnotdieting.com that, achieve and maintain a healthy weight for them. based on the potential participant’s availability. The group will meet once for about two hours to discuss the research topic in a little more depth. If you are a dietitian working in the field of eating disorders, you may join the focus group via Skype. Institute of Food Nutrition and Human Health Data Management Once completed, online survey data will be separated from your contact information (if you choose to provide it) Data only identifiable by a participant What is the study about? code. The information with your name and participant code, along with the Eating disorders are becoming increasingly recognized as a serious illness in focus group transcripts (if you choose to participate in a focus group), will be kept in a locked cabinet at Greenlane Clinical Centre for the duration of the New Zealand. Lifetime prevalence of all eating disorders in New Zealand is study. No material that could personally identify you will be used in any re1.7%, rising to 2.9% for females (RANZCP, 2006). Normalizing eating behavior is one of the primary goals for recovery from eating disorders. Howev- ports on this study. The results of this study may be published in a peerer, there is no consensus or working definition of what “normal eating” is and reviewed journal and presented at conferences. only limited research as to what actually encompasses normalised eating. I would like to get people’s opinions on what is considered normalised eating. Compensation I am hoping that this research will help eating disorder clinicians and patients Upon completion of the online survey, all participants will be entered into a prize drawing of $100 value. All focus group participants will receive a $10 set relevant and helpful eating goals when working towards recovery. petrol voucher. You will also be given the option to receive a summary of the project findings. Who can participate? Clinicians, including dietitians, in New Zealand & Australia with over one year Committee Approval Statement This study has received ethical approval from the Health and Disability Northexperience working in the field of eating disorders and still working in the ern X Regional Ethics Committee, ethics reference number NTX/12/ESP/025. field People who have recovered from an eating disorder. Women aged 18-60 Get Involved who are not dietitians currently not working in the field of eating disorders or If you would like to be participate, please visit clinicians with previous (not current) eating disorder experience www.surveymonkey.com/normalisedeating What is involved? As a participant, you will fill out a series of online surveys. You may complete If you have any questions about the project, please feel free to contact myself Garalynne Binford at 09 623 4650 or [email protected]. or my superthem in any internet accessible location you choose. In total, they should take you no more than ninety minutes to complete. A small number of people visor Janet Weber at 06 356 9099 ext. 4403 or [email protected]. who have filled out the survey will be asked to visit a facility in Auckland for a Thanks so much for your consideration. Garalynne Binford Lead Researcher focus group of 5-10 people. The location, date and time will be decided You are invited to take part in the Normalized Eating study. Apply for a Carer retreat in 2012 If you are an adult Carer in the Moreton regional area caring for a family member, and are interested in attending one of the Carer ‘Get-A-Way’ Retreats in 2012, please phone Carers Queensland –Ipswich (07) 3202 1852 for an application form. Retreat 1: Thursday 26th April to Saturday 29th April 2012 Retreat 2: Monday 21st May to Wednesday 23rd May 2012 Spaces for the two retreats are limited so please submit an application form as soon as possible. EVALUATION OF A WEB-BASED MULTI MEDIA INTERVENTION FOR CARERS OF PEOPLE WITH ANOREXIA This project examines whether an internet-based intervention for carers (or significant others) of people with anorexia nervosa is effective and useful. The interactive web programme aims to give carers information and skills to help them help their relative, cope with care-giving and reduce distress, which may in turn help the individual with anorexia nervosa. The programme includes information on how to communicate with a person with anorexia; how to support them at meal times, facilitate weight gain and re-establish healthy eating; how to manage crises and conflict; and how to assess and manage risk. How is the research being undertaken? We are looking to recruit 60 carers. Carers will be randomly allocated (i.e. as in the tossing of a coin) to one of two treatment interventions: the web-based programme or the web-based programme + weekly support either by telephone or by email from a trainee psychologist. Carers will also be required to complete questionnaires on three occasions: when the intervention starts, at the end of the intervention, as well as 3-months a,er the intervention has been completed. We will also invite the person with anorexia nervosa to answer questions about how they perceive their relationship with the carer. Am I eligible to take part? If you are currently taking care of a loved one suffering from a form of anorexia nervosa and have the ability to read and understand English, you are eligible to participate. To find out more Contact Danielle Hoyle: Ph: 0450 956 733 or email: hoyl0014@flinders.edu.au Professor Tracey Wade, School of Psychology, Ph: 08 201 3877 or email: tracey.wade@flinders.edu.au This project has been approved by the Social and Behavioural Ethics Commi1ee. If you wish to discuss the study with someone not directly involved, in particular in relation to policies, your rights as a participant, or should you wish to make a confidential complaint, you may contact the secretary of the Social and Behavioural Research Ethics Commi1ee at Flinders University on (08) 8201 3116 or human.researchethics@flinders.edu.au PAGE 15 THROUGH THE LOOKING GLASS In the Media…. It is so refreshing to see the media and personalities take on the issue of promoting diet culture to our school children! The weight-loss industry has no place in our schools Nina Funnell March 28, 2012 Teenage girls are under great pressure to conform to a hyper-thin body ideal. I was 12 years old when I first came face to face with a set of body-fat calipers. It was year 7 health class and we were learning about weight management and body image. The teacher produced a pair of calipers and asked for a volunteer to be measured. No one moved. She scanned the room and eventually landed on me. Next thing I knew, I was lying down on the teacher's desk as she measured the fat on my thighs. I suspect she picked me as the guinea pig because I was neither dangerously thin, nor heavily overweight. But as she read out my thigh-fat percentage to the class and declared it to be ''normal'', I frowned. By age 12 I had well and truly internalised the idea that ''normal'' meant ''not thin'' and anything other than ''thin'' was undesirable. When I returned home that day I weighed myself and resolved to lose five kilograms. Today, the pressure on teen girls to lose weight and conform to a hyper-thin body ideal is greater than ever. While we often hear that celebrity culture is to blame, the dieting industry - a billiondollar industry that profits off body dissatisfaction - is also responsible for the extraordinary pressure placed on girls. Every time girls turn on the TV or go online, they are bombarded with ads spruiking weight-loss products. The message they receive is not simply that ''thin is in'' but that body transformation leads to a happier life. Many techniques endorsed by the dieting industry actually mimic and encourage eating-disordered behaviour. Obsessive calorie counting, restricting or skipping meals, denying hunger, weighing food, measuring exercise (with pedometers or other devices) and rigid routines are all associated with eating disorders. According to eating disorder specialist Lydia Jade Turner, dieting is the biggest predictor of eating disorders and unhealthy weight loss practices are becoming the norm in schools. By age 17, 90 per cent of girls will have been on a diet of some kind. Eight per cent of teen girls smoke to control their weight. It is no secret that the dieting industry has a vested interest in recruiting young girls in order to make them lifelong customers. So why has Amy Smith, the chief executive of Jenny Craig, been invited to give the keynote address at a prestigious girls' schools conference to be hosted in May this year? Regardless of what she speaks about, why would anyone who directly profits from female body dissatisfaction be given a platform at a girls' school event? According to Catherine Misson, the principal of Melbourne Girls Grammar School, which is hosting the event, Jenny Craig's chief executive is a ''champion of women's health'' who will ''inspire'' attendees at this year's Alliance for Girl's Schools Australasia conference. Others are not so convinced. Numerous eating disorder experts from around the world have now made contact with the conference organisers to voice their disapproval over the decision. A petition has also been drafted calling for the replacement of Smith as a speaker. Signatories to the petition include prominent eating disorder experts. Still more letters have been sent to the organisers and at least one sponsor has withdrawn their support. The former Minister for the Status of Women, Kate Ellis, has retweeted a letter criticising the decision to include Jenny Craig's chief executive in the line-up, but despite all this the conference organisers have refused to back down. Regardless of the outcome in this particular case, when 12-year-old girls hate their thighs, the only one who wins is the dieting industry. The diet industry should be kept out of our schools, not given a platform within them. Nina Funnell is a freelance writer and social commentator Read more: http:// www.theage.com.au/opinion/ society-and-culture/the-weightloss -industry-has-no-place-in-ourschools-201203271vwf8.html#ixzz1qqycTjgO Jenny Craig, You’re Expelled Source: http://thehoopla.com.au/offjennyjack-bill/ Schools Australasia to dump Amy Smith from the line-up of speakers at its twoyearly conference for educators on May By Wendy Harmer 25-27, claiming the weight-loss industry March 27, 2012 contributed to girls’ poor body image and Believe me, it’s the call no-one ever eating disorders. wants to get from their agent: “Er… “An online petition gathered 1000 people Jenny Craig have rung and asked…” in 48 hours.” The petition was gathered I’ve been on the telly and in the public by Lydia Jade Turner from eating disoreye for about 25 years now and in that der clinic BodyMatters Australasia and time my weight has gone up and down said in part: “’Eating disorder experts with the birth of two kids and my various report dieting to be the biggest predictor sporadic fitness regimes. of eating disorders, with unhealthy At the moment I’m much heavier than I’d weight loss practices becoming the norm like to be (my weight’s always a work in in schools.” progress, a bit like my beloved Oprah) but even at my thinnest – 73 kilos – I still got emails and letters telling me I was fat. (Thank God there was no Twitter back then.) Many women on TV are tiny. I mean astonishingly tiny. Sometimes I meet a presenter who I think looks a fairly regular, average size on the telly and I’m gobsmacked to find she is about the same size as my 12 yearold-daughter. And funny that Mel B, Jenny Craig’s latest recruit boasts that she’s now able to fit in the same size jeans as her 13year-old daughter.) And me with my chunky figure? Well, as I say, I didn’t take kindly to getting a call from Jenny Craig asking if I’d ”Global giant Jenny Craig thrives on like to star in one of their weight-loss women’s body dissatisfaction and the campaigns (it’s happened twice). It’s idea that their bodies are not good demoralising and embarrassing. enough. It beggars belief how Jenny It kind of feels as if you are being Craig’s CEO could possibly be seen as stalked.(Of course I have to an appropriate choice for educators of acknowledge that Magda Szubanski said young girls.” it was just the thing she needed to kickDamn right it beggars belief. start her weight loss journey and other Our kids and their bodies are not the celebrities have taken up the offer.) playground of global companies like JenBut memo to Jenny Craig: If I want to ny Craig (owned by Nestlé, and I menuse your services, I’ll ask. OK? And that tion this because Jenny Craig is not a goes for my daughter, double. real person) and indeed fast food comI mention all this because according to a panies like Hungry Jacks and Taco Bell. report in today’s Fairfax newspapers by They are making money by fattening ‘em Jewel Topsfield: “A GROUP that proup in primary school and then slimming motes the education of girls in single-sex ‘em down in secondary school. schools has come under fire for inviting Last year in Australia it was reported that the chief executive of dieting firm Jenny Hungry Jacks and Taco Bell were sendCraig to speak at its conference at Meling direct mail to the under 12s. The idea bourne Girls Grammar. “Health experts was for children to visit one of their outhave called on the Alliance of Girls’ JENNY CRAIG, YOU’RE EXPELLED lets, sign up to a “Kid’s Club” and then be mailed offers for finger puppets, free birthday meals and ice cream and the chance to “upgrade your meal size, absolutely free”. The Australian Obesity Policy Coalition, which includes the World Health Organisation and Diabetes Australia, called on the Federal Government to amend the Privacy Act to outlaw advertising directly mailed to children. The coalition said nine out of 10 Australian parents wants more control of these feral companies. I’m one of them. Recently I was with my daughter when she greeted a younger friend who was wearing a soccer jumper emblazoned with a huge Hungry Jack’s logo that made her look like a hamburger on legs. I was ashamed to think that her sports club was so starved of funds they’d been forced to sacrifice her to a fast food company. I’d be even more alarmed to think that my daughter would come home from secondary school with a brochure for Jenny Craig. And, by the way, parents should keep their eyes open for this latest ploy in France where Dr Pierre Dukan has sold 4.5 million copies of his diet book. Earlier this year he recommended that students in their final two years of high school be awarded extra marks if they manage to maintain an acceptable Body Mass Index (BMI), a measure of body fat based on height and weight. He is accused of failing to take into account how his recommendation might affect anorexic or overweight students. As the author of the play “What Is The Matter With Mary Jane?” about one women’s journey with anorexia ( which I am proud to say has been performed in many Australian high schools), I say get your grubby mitts off our kids. It’s hard enough when a grown woman like me has to fend off Jenny Craig, but when girls are in their teens and extremely vulnerable and worried about their body image? It’s unconscionable conduct. Who’s with me? PAGE 18 Family Information Group The Family Information Group offers people with eating disorders, their friends, family and carers, the opportunity to hear guest speakers and ask them questions about their area of expertise. We aim to have a doctor, dietician, psychologist, and eating disorders support person who specialise in eating disorders as well as someone who has recovered and a carer who has supported someone to recover, to speak at the forum. Brisbane 9am—3 pm, Saturday 21 April 2012 FSG Building, 121 Pinelands Rd, Sunnybank Hills EDA Support Groups Recovery Group The key to Recovery Support Groups is to give people who have developed eating disorders an opportunity to meet with others who have recovered. Sharing our stories and strategies can be useful for individuals, regardless of where they are in their recovery journey. The Recovery Support Group is an informal group driven by what participants want to ask and share, & is supported by a group facilitator. Brisbane 10am—12noon, Saturday 28 April 2012 12 Chatsworth Rd, Greenslopes Cost: FREE. EDA membership encouraged Cost: FREE. EDA membership encouraged Carers Peer Support Groups Seeds for Change A support group for individuals with an eating disorder to talk about issues relevant for them. The eight week program covers a range of topics including the continuum of eating disorders, cycles and triggers, stages of recovery and goal setting, changing unhelpful thinking, sharing personal stories, treatment options, communication styles and skills, self-care strategies. The next Seeds for Change group starts October 2012. Please phone the EDA to register your interest. Cost: $80 or $40 concession (comes with 12 months EDA membership) We run a carer peer support group for carers of individuals with an eating disorder. Come and meet with other carers who have been on that journey and are keen to offer their support. EDA Carer Group 10am—12noon, Saturday 26 May 2012 12 Chatsworth Rd, Greenslopes Cost: FREE. EDA membership encouraged Peer Carer Group on the Northside 6pm—8pm, Wednesday 11 April 2012 Stoneleigh St, Albion Contact the EDA for the carer’s address Family Skills Based Training Program Registration “I thought I was a good parent, but when this eating disorder came into our daughters life, my wife and I felt so alone and out of our depth. This group helped us to connect with other parents and learn and practice techniques to help our daughter.” Participants must register to attend groups. To RSVP please call the EDA on 3394 3661 or email: [email protected] Starts Tuesday April 17th – May 27th, 6.30-8.30pm RSVP Cathy ph: 0412 629 787 Cost:$130 pp Venue: EDOS 14 Cartwright street, Windsor. Health Professional Advertising Marcia Watts Dr Heinz Albrecht Counsellor B.Soc.Sci QMACA Consultant Psychiatrist (DipMentH FRANZCP) Do you experience Olsen Avenue Specialist Clinic disordered eating? Are you looking for counselling support with your recovery? 146 Olsen Ave Arundel Qld 4214 32195963 Ph: 07 5574 4445 0413667139 Fax: 07 5574 4446 www.marciawatts.com Email: [email protected] ♦ ♦ Affordable, available counselling for all eating issues Private Sessions Small Group Workshops Private & Confidential Glenn Munt Specialising in the Maudsley Model www.LifeAfterDiets.com.au Family based treatment for Eating Disorders 25 Years Experience, Day /Evening Appts, Medicare Rebates Thinking Families 17 Harry St, Ashgrove 4060 Ph: 07 33710299 E: [email protected] 145 Days Rd, Grange B.Soc.Wk. UQ Social Work and Personal Counselling Social Worker and Family Therapist Phone: Karla Cameron 0411 224 609 Counselling www.LifeAfterDiets.com Sarah Dakhili B.Soc. Wk Accred. MAASW Specialising in Eating Disorders, Anxiety and Mental Well Being SKYPE and EMAIL Counselling Available M: 0416 727 695 E: [email protected] Dr Alison Christiansen Lesley van Hoffen Premium Psychology BA(Psych) DipHR Dip AdvCouns Cert IV MQCA MCDAA Child and Family Counsellor Associate Practitioner Brisbane (07) 3848 0060 0404 091 696 [email protected] 86/ 101 Wickham Tce, Brisbane Medicare rebate 3831 0933 [email protected] The Nest Shop 5 Annerley Arcade, Ipswich Road, Holland Park. Ms Michelle Maller Director, HEALTH ETIQUETTE Why see me? Because I have been there. Counselling Level 1, Nutritionist & Physical Activity Practitioner BTS, GcertHSc (HmNutr), Cert IV Fitness Instruction • • • • 37 Station Rd, Nutrition for women's health; Eating behaviour regulation; Nutrition and eating disorders (Bulimia and BED); Healthful eating in the later years; and Nutrition and exercise. Gold Coast 5667 9864/ 0438 800890 Indooroopilly 3378 0955 DISCLAIMER: This page is provided for Health Professional to advertise their services. EDA Inc is not responsible for the content of these ads and does not discriminate between these or any other service provided in the community. For other referrals, please contact EDA Web-Based Support & Information People with Eating disorders www.eda.org.au www.isis.org.au www.eatingdisorders.org.au www.butterflyfoundation.org.au www.recoveryispossible.com.au www.bulimiahelp.org www.smart-eating.com www.oabrisbane.og www.mentorconnect-ed.org Online Support Skype and email support : [email protected], http:// www.marinotherapycentre.com/ and [email protected] Chat Room: www.eatingdisorders.org.au and http://www.b-eat.co.uk/ Mentor connect : http://www.mentorconnect-ed.org/ Self Help site: http://healthy-reflections.org INTERESTED IN HELPING SOMEONE WITH AN EATING ISSUE ? The EDARC is calling on people in recovery who may want to assist those in need of support. We are seeking volunteer support workers from all regions of Qld for our Volunteer Telephone Support Network. If you are interested in becoming an after-hours contact for those in need of support please contact the EDARC on (07) 3394 3661 or [email protected] EDARC Volunteer Peer Support ED-Family/Carers www.maudsleyparents.org www.feast-ed.org www.eatingwithyouranorexic.com www.e-mental-health.eu/anorexia/website/ ED-Men www.mengetedstoo.co.uk www.ichosetolive.com www.namedinc.org ED-Young People www.reachout.com.au www.headspace.org.au Health www.womenshealth.org.au www.awhn.org.au www.beyondblue.org.au www.sane.org www.depressioNet.com.au www.pale-reflections.com/ www.dadsanddaughters.org www.manhood.com.au www.powerofmind.com.au Have an eating disorder and need to chat to someone who REALLY understands? Are you a parent who’d like to chat to other parents? Volunteer Peer Support Network Remember, these people are not trained counsellors. They are volunteers, having life experience in eating disorder recovery, who are offering peer support, not telephone counselling. These are home numbers so please ring before 9pm. People with an eating issue can email or call: Stacey at [email protected] Sunshine Coast Sally 0412546481 (anytime) Sharon email: [email protected] (Mon-Fri) 0468854684 (M, T, W 3pm-7pm) Cairns Cherie 0409227448 Toowoomba Body Image/Self Esteem http://www.beautyredefined.net/ www.selfesteem4women.com www.lifeafterdiets.com.au www.girlsinc.org/gc/ www.justthink.org Jaian 0421122370 Brisbane Lacey 0421 040 541 Parents can call: Brisbane Lesley (07) 3378 6730 / 0404 091 696, 6.00pm to 8.00pm weekdays, 9.00am to 1.00pm weekends Vicki 0400298818 (leave a message anytime) Jill 0405321292 (after 5pm Mon/Wed/Fri, w/ends any time) Judy 0412085303 Michelle (07) 3285 3083 Mon/Tues night 0411357167 any night Sunshine Coast The Eating Disorders Association resource centre takes no responsibility for the content of these websites Gill (07) 5478 2854 before 9 pm 7 days Donation, Membership and Newsletter Subscription Form To become a financial member of the EDA and receive a 11 free copies of the EDA monthly newsletter for a year, you will need to fill in a membership form and pay a small fee. You can fill in this form or email us at [email protected] and we can forward you a form. Alternatively you can download a form from our website at www.eda.org.au. If you would like donate to the EDA, all donations are tax deductible. You have the option of being an email or a mail member. Email members receive the newsletter through email and receive a $5 discount from the subscription fee. Mail members receive the newsletter as a New Membership hard copy through the post. Renewal Donation ( All donations are tax deductible) Subscription Type Amount Name ………………………………………………………. Individual $20.00 Organisation……………………………………………….. Organisation $45.00 Address…………………………………………………….. Concession $10.00 Add $ for hardcopy delivery $5.00 ………………………………………………………………. Amount $______________ Email………………………………………………………… ……………………………………………………………….. Please make Cheques/Money orders payable to: Eating Disorders Association Inc. Phone………………………………………………………. ………………………………………………………………. 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