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[Music]
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Middle School is where these
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conversations really need to start
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happening and so Dana shared that she
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wished when she was in Middle School she
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knew that bodies came in all shapes and
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sizes she wished that she knew that all
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bodies were good bodies that um she knew
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that in puberty you need to gain weight
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before and during puberty um in order to
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have a healthy body she wish she knew
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that children should not be on diets she
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wished she knew that the BMI calculator
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was created in
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1830 by a scientist and was designed to
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track um body man mass index for white
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males she wished that her Middle School
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provided her with this
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information she wished that she knew
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that she didn't need to have a scale um
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that Eating Disorders are dangerous and
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even though she didn't have the
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opportunity to know those things when
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she was uh dealing with her eating
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disorder in middle school and high
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school this is our opportunity Unity to
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share this information with as many
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students as possible so that they won't
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have to not know these things as well um
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Dana described uh herself as hitting
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puberty early she said that by the time
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she was 13 years old she was 5'1 which
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is the height she was today um and when
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she went to the doctor her
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mom uh was was told that she needed to
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change Dana's eating um that it was a
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problem that she was intuitively eating
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just eating what she wanted when she
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wanted listening to her body when she
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thought it was full when it was hungry
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um and
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that by stopping eating intuitively
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which is what children do most of the
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time she started to not trust her body
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when it told her it was full and not
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trust her body when it told her that she
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was hungry and that kind of was the
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epicenter and or or the Catalyst for her
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disordered eating which led to her
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eating
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disorder um and it felt like paralysis
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it felt like she was frozen constantly
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thinking about food con constantly
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thinking about her body it became a life
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thief and it took years away from her um
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and it took many many many years um for
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her to recover and to feel fine with
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food um and so she needed a lot of help
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uh I think when she was in eighth grade
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She fainted when she was at school her
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friends found her went and found an
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adult the adults at the school contacted
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her parents and she needed to go um
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inpatient for a special unit for eating
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disorders and then after getting
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inpatient care she stepped down to
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partial
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hospitalization then intensive
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outpatient and then um did outpatient
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Psychiatry and worked with a dietitian
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for many many many years until she be
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became pregnant with her daughter and
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she didn't know she was having a
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daughter at the time but she found out
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that she was pregnant and that was the
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moment that she realized that she can't
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keep doing this
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anymore so um it's been a process and a
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journey but everybody's story starts
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somewhere and it usually starts with
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their relationship with food and I think
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that's why it's so important for us to
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come together and talk about these
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things um openly publicly and in a safe
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way so that um a lot of the
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misconceptions that Dana and I grew up
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with you are not falling victim to that
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as
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well yeah I know that um like today it
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Eating Disorders are talked about
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sometimes but we can always like there's
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sometimes misinformation and myths that
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are going around right and it's really
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important that we get all the correct
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facts so next I think that we have some
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myths that we'd like to debunk um so
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that everyone can get some accurate
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information I do think that there are
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times and ways in which people try to
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get attention that may not be you know
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the healthiest way but this is not that
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this is not an example of that I think
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that there are definitely easier ways to
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get someone's attention than to develop
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an eating disorder it is it's a horrible
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thing to live with um I wouldn't wish
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that on on on anyone at all the next
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myth is people choose to have an eating
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disorder um I think that this kind
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of marries or hugs the the the first
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myth a little bit but just like when we
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talk
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about anything let's say alcohol for
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example consuming alcohol is a choice
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having an addiction that's that's not a
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choice right Eating Disorders are very
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genetic and biological in nature there
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are also sociological factors at Play
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um with the onset of Eating
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Disorders um but if there is a family
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history of disordered eating or eating
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disorders then there's a higher
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likelihood that you can develop one so
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there is definitely a genetic and
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biological link um the next myth is
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people with eating disorders are very
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thin um that's definitely not true
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because um I mean in general our body
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types are just so different right and
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you don't have to be like there are
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varying degrees of Eating Disorders as
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well um so it's um it's it's
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unscientific in a way to categorize um
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this disorder by saying that every like
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you you have to be thin in order to have
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um an eating disorder which is just
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completely not true you can be at any
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stage of um like any stage of body
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weight any stage of disorder you're um
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like it doesn't matter what you look
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like from the outside or anything it's
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just what matters more is your personal
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relationship with food and I think
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that's really important to have that
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distinction between like the
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physiological possible physiological
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symptoms but it's more so about the
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mentality and um it's
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Alan what do you think do Eating
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Disorders only affect women and girls no
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not at all they can H it can happen to
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anybody because it's not
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something like it's not something that
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um only a certain category of people can
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have exactly um Eating Disorders don't
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discriminate socioeconomic status um
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gender body shape body size
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um uh age like it really it doesn't
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discriminate one in three males are
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um it's like a ratio of 1 to
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three men to women uh but that's also a
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little bit skewed because men are just
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less likely to seek
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treatment than than females so I think
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that that definitely play plays a role
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in the data there um transgender
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nonbinary and gender diverse youth
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report higher rates of eating disorder
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symptoms than cisgender youth um so I
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think that's important to
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note and also men boys and gender
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diverse individuals may experience more
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barriers to accessing uh support for
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eating disorders um and they might even
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be less likely to be diagnosed with an
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eating disorder so all of those things
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skew the the data a little bit but uh
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basically I think it's really really
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important to know that it doesn't
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discriminate and I want to talk about
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the four most common types of Eating
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Disorders but what I don't want to do is
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spend too much time on this um because
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that is not our primary takeaway from
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today um our first type of eating
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disorder is um anorexia nervosa that is
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the technical name for it but it is most
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commonly known by just anorexia and this
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mental illness is characterized by
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behaviors that interfere with
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maintaining adequate weight um bulimia
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nervosa or bulimia uh is characterized
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by periods of food restriction followed
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by binge eating with recurrent
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compensating beh behaviors such as
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purging or um other compensatory
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behaviors like fasting or compulsive
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exercise then we have binge eating
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disorder um which can seriously affect
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psychological and physical health and
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it's characterized by recurrent episodes
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of eating large quantities of food
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followed by
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intense um shame distress or guilt
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afterwards but that's
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also kind of silly because most people
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experience large um or immense shame
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distress and guilt after any disordered
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eating episode um and then lastly arfid
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which is the acronym for avoidant and
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restrictive food intake disorder this um
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involves limit the amount or type of
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food consumed and unlike anorexia this
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does not have anything to do um with
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distress about body shape body size fear
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fear of gaining weight instead this is a
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sensory based disorder where um people
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have a preference or an aversion to
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certain qualities of food like textures
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smells and colors and this pervasive
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pickiness leads to inadequate
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nutrition um but like I said that's not
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really what I want us to focus on
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today Dr M if I could just jump in
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quickly and say if anybody's having a
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hard time seeing the presentation you
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can just click on the presentation to
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zoom in or you can click on any one of
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the speakers to zoom in and then you
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know click outside of that to zoom back
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out
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thanks yes oh
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sorry oh okay I so so sorry I just
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wanted to say um that I know that we've
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been referring to um like eating
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disorders in general as EDS or like
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disorders but is there a difference
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between eating disorders and disordered
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eating like are they the same things can
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we use them interchangeably that is a
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really good question and that is the
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number one takeaway I want everybody to
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walk out of here with is knowing the
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difference between an eating disorder
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and disordered eating
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um because the truth is
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that eat disordered eating leads to
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eating
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disorders let's start with eating disord
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disorders they are problems that affect
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a person's uh eating behaviors their
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attitude about
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food and the way that they see
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themselves the way that they they see
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their bodies um and it really impacts
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their mental health um but it can cause
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serious serious harm to their physical
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health as well Eating Disorders are
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treatable illnesses they are treated
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with um a psychiatrist Psych atric Care
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Medical Care um in addition to your
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primary um care doctor you'll probably
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be working with a
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dietician um and then um mental health
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support as well so all three medical
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psychiatric and mental health um and
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then these disorders can be serious can
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be chronic sometimes life-threatening if
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not recognized in treat it appropriately
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when it becomes life-threatening that's
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when somebody would need inpatient care
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like Dana
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did but then there's disordered eating
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disordered eating is this umbrella term
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for when someone has one or more
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disordered beliefs or behaviors but they
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don't exactly match all of the criteria
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for this clinically and
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medically um relevant diagnosis
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um so the only person that can make a
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diagnosis of an eating disorder is a
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clinical or medical
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professional but you don't have to have
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met all the criteria for any one
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disorder in order to be engaging in
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disordered eating the other thing I
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think is really important to know is
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that you can definitely have more than
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one um eating t of eating disorder at
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the same time so you can be engaging in
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a multitude of disordered eating
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behaviors I previously spoke with
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another um therap now therapist former
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um formerly struggled with eating
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disorders um as as a late teen and uh
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she was a dancer so it was kind of
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always around her World um um
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and she said that it was kind of like a
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pendulum where the more that she
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restricted the more that she would tilt
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back that pendulum the more that she
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would tell herself no or what she can
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and cannot do and put herself in a box
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the hard and the harder it be came to
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follow through with those expectations
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and then at a certain point you kind of
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let go of that pendulum once you reach
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your threshold and then that pendulum
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swings all the way to the Other Extreme
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which is why when we have restriction we
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can then see binging
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behaviors and so the the
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more you force yourself into one extreme
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the greater likelihood you will then
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experience The Other Extreme
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as well so disordered eating can look
00:17:02
like eating less or avoiding certain
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types of foods um rigid patterns around
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Foods um like where you eat Foods in a
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certain order for example eating more
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than normal eating when you're not
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hungry eating your feelings eating to
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feel avoid eating to not feel empty
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inside right um
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um developmental changes like puberty or
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change in activity level eating alone or
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eating in secret um intense and
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ritualistic exercise habits or finding
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yourself socially
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withdrawn
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um
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during food related things so not going
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out to eat with your friends not wanting
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to join the table at Thanksgiving giving
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that kind of stuff yeah I think it's
00:18:02
really important that we recognize um
00:18:05
like all the different types of eating
00:18:07
disordered uh disorders or disordered
00:18:09
eating because I feel like right now
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there's kind of a um like a general
00:18:15
connotation where it's centered around
00:18:18
just eating less um to preserve body
00:18:22
image but I think that it's really
00:18:23
important that we realize that there's
00:18:25
many different facets to um like the
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sort of eating and eating disorders
00:18:31
because it's not always um and like that
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brings I'm going to bring up the myth
00:18:35
from earlier that we debunk that um
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everyone like everyone who has Eating
00:18:40
Disorders are women or girls or have to
00:18:43
be skinny right like we should
00:18:45
definitely stray away from that because
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there's many other people out there who
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are suffering from totally
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bodybuilders athletes especially Sports
00:18:58
where there are certain weight classes
00:19:01
in wrestling there's a lot of unhealthy
00:19:05
eating habits with wrestling gymnastics
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dance
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um yeah all sorts of stuff so as I
00:19:16
mentioned before there's a genetic
00:19:18
predisposition towards specific traits
00:19:21
such as you know addiction
00:19:24
alcoholism
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perfectionism so family history is going
00:19:29
to play a huge role in the
00:19:33
predisposition and or the development of
00:19:36
an eating disorder um we typically pick
00:19:40
up disordered eating habits from our
00:19:43
family of origin and the people that we
00:19:47
associate ourselves with so um people
00:19:50
who have family members who have
00:19:52
experienced an eating disorder may be at
00:19:54
a greater risk of developing an eating
00:19:56
disorder themselves because they have
00:20:00
witnessed disordered eating
00:20:03
um I think that one thing people don't
00:20:07
realize is that 50% of all your adult
00:20:12
body weight you gain during
00:20:16
puberty and that we can't grow in height
00:20:20
if we don't grow in weight weight gain
00:20:23
is
00:20:24
necessary in
00:20:27
puberty um and so I think that there's a
00:20:33
not enough detailed information that is
00:20:37
discussed disclosed about puberty um and
00:20:42
the way that it impacts
00:20:45
um your body shape your body size the
00:20:49
amount of calories you need all that
00:20:52
kind of stuff and instead of viewing
00:20:56
food as good and bad
00:20:59
healthy unhealthy or who's who's heard
00:21:02
junk
00:21:04
food
00:21:06
right but when I think junk I think
00:21:09
trash I don't eat
00:21:12
garbage right
00:21:15
like there's nothing wrong with french
00:21:18
fries there's nothing wrong with ice
00:21:20
cream there's nothing wrong with
00:21:21
brownies there's nothing wrong with
00:21:24
chips that are all those are examples of
00:21:28
what people would say is junk food but
00:21:32
it's not about what we
00:21:35
eat right we don't always need to eat
00:21:40
for nutritional
00:21:42
content sometimes we can eat to enjoy
00:21:45
the
00:21:47
experience like for my birthday my kids
00:21:49
and I went out for ice cream there was
00:21:52
nothing nutritional about it but it was
00:21:55
fun right it's it's it's a c
00:21:59
and how did we experience
00:22:03
food um we had a lovely nurturing
00:22:08
bonding experience around
00:22:11
it I think that kind of goes um I think
00:22:14
that kind of goes back to the like the
00:22:17
relationship with food thing right
00:22:19
because um it's it's really how your
00:22:22
mind um like perceives it and instead of
00:22:27
having all of these like like
00:22:28
stereotypes or societal expectations of
00:22:31
oh only eating healthy and this many
00:22:35
calories and stuff like that um I think
00:22:37
that kind of instills a sense of um like
00:22:40
if I'm not fitting into this mold um
00:22:43
with regards to what I'm eating or how
00:22:46
I'm eating it then that just leads to
00:22:47
the shame and the emotions that lead to
00:22:51
disordered eating right which is why I
00:22:54
don't like seeing junk food or unhealthy
00:22:57
choices because if we tell ourselves
00:23:00
that certain things are bad or that we
00:23:02
should avoid it or only allow a certain
00:23:06
amount and and give that like
00:23:08
connotation of your your you're dancing
00:23:11
with fire type of thing then and and we
00:23:16
start engaging in restrictive behaviors
00:23:18
oh I'm only allowed a little bit of
00:23:22
that then then that's how we can fall
00:23:26
victim to binging
00:23:29
right and then there's the notion of
00:23:32
moderation but who's to say what's in
00:23:36
appropriate enough amount right it's
00:23:39
arbitrary it is it's what we're
00:23:43
inundated with
00:23:45
right it's not just the messages that
00:23:48
we're receiving but it's all the things
00:23:51
that we see as well yeah um and to jump
00:23:55
off of that I think um like a really big
00:23:59
contributor to well you have it pulled
00:24:01
up but the really a really big
00:24:02
contributor to like unrealistic images
00:24:06
and um like
00:24:09
unhealthy habits I guess I'm going to
00:24:10
throw that Under the Umbrella of
00:24:13
unhealthy but um like perhaps messages
00:24:16
that promote um disordered eating comes
00:24:18
from social media um could you talk a
00:24:21
little bit more about that absolutely
00:24:24
social media is
00:24:26
gross right all of the stuff that we see
00:24:30
all of
00:24:31
these messages that we're receiving of
00:24:35
what beauty and healthy is supposed to
00:24:37
look like um
00:24:41
just make everything so confusing
00:24:45
because while they
00:24:47
are
00:24:49
promoting healthy bodies and a healthy
00:24:52
lifestyle they're getting
00:24:55
airbrushed right and you know gosh at
00:25:00
the like um Men's Health magazine
00:25:05
or like People magazine you'll see
00:25:09
towards the back of the magazine they'll
00:25:11
highlight One Celebrity and say this is
00:25:15
what I eat in a day
00:25:17
yeah right like shaming
00:25:22
people who eat differently than that who
00:25:27
have a different lifestyle than that um
00:25:30
for whatever reason you know not
00:25:33
everybody has a chef that can make Sol
00:25:37
organic meals um and a personal trainer
00:25:40
that works with them multiple hours a
00:25:44
day on a daily basis
00:25:47
and those are it's just not real it's
00:25:51
not
00:25:53
realistic so um research on social media
00:25:58
is just clear across the board that its
00:26:02
use is associated with increased body
00:26:05
image concerns um increased in
00:26:08
disordered eating there and therefore
00:26:10
Eating Disorders um decrease in
00:26:15
self-esteem and Body
00:26:17
Image I mean
00:26:20
just the data is astounding and so it
00:26:24
does I mean there's there's definitely
00:26:26
things that we can do like removing apps
00:26:31
from our
00:26:32
phone especially ones that make you feel
00:26:34
bad about what you look like or who you
00:26:37
are putting limits on your social media
00:26:40
use um
00:26:42
unfollowing certain people that aren't
00:26:45
make you aren't making you feel great
00:26:47
about yourself um or following accounts
00:26:51
or people that aren't focused on
00:26:56
appearance um
00:26:59
and but really it it impacts body image
00:27:04
it's it's the thoughts and the feelings
00:27:06
that we have about our body yeah and and
00:27:10
the way one person
00:27:12
feels about it it fluctuates a different
00:27:17
stages and ages and Times of of our life
00:27:21
it's influenced by our personality by
00:27:24
our environment by our culture and our
00:27:27
family but really it boils down to the
00:27:30
way you see your
00:27:31
body um it's not and the way you see
00:27:38
yourself um the way that you perceive
00:27:41
yourself it's
00:27:45
um feelings
00:27:49
of not associating value or
00:27:53
Worth to the sh the shape and the size
00:27:58
of
00:27:59
you yeah right the way you think about
00:28:02
your body is your cognitive body image
00:28:05
and it can lead to what we think
00:28:09
about if we have a positive image of
00:28:15
ourselves then we're not going to be
00:28:17
preoccupied with our weight and our
00:28:20
food um but our
00:28:23
behaviors the the the choices that we
00:28:27
make kind of of back to our myth slide
00:28:31
that we were at a while back um those
00:28:36
choices result
00:28:39
in your body
00:28:42
image your your behavioral body image so
00:28:46
when a person is dissatisfied with the
00:28:48
way that they look they might isolate
00:28:50
themselves they might employ unhealthy
00:28:53
behaviors as a means to change their
00:28:56
appearance um
00:28:58
but positive body image is associated
00:29:02
with higher
00:29:04
self-esteem higher self acceptance and
00:29:07
having a general healthier outlook on
00:29:11
life with more
00:29:13
balance yeah um I think that that's
00:29:18
really good advice and especially one
00:29:21
thing that's really helped me is like
00:29:24
it's not it's not always like a linear
00:29:26
path right and um and I have to keep on
00:29:30
reminding myself that it's normal um to
00:29:34
have like up and downs about how I'm
00:29:37
feeling about myself but um keeping like
00:29:39
that kind of open mind is really
00:29:41
important especially since um like
00:29:44
sometimes these you get these messages
00:29:47
um when other people are talking about
00:29:48
it even subconsciously like for example
00:29:51
um on social media and even in person
00:29:54
you know Summers Summers coming up
00:29:56
sometimes you'll see ads or messages
00:29:58
that are like oh here's my um here's
00:30:01
like how much I eat in a day in order to
00:30:02
tone down for the summer and messages
00:30:04
like that and um it may seem harmless
00:30:07
but those things can really affect how
00:30:11
like I view myself and it's embeded it's
00:30:14
inevitable that we'll run into like
00:30:16
these messages right but um I think just
00:30:19
remembering like all of these um these
00:30:22
facts and these things about disordered
00:30:24
eating and how and how um um just
00:30:28
remembering the importance of just
00:30:32
trying to accept yourself for the way
00:30:34
that you are as cliche as it sounds I
00:30:36
think it's really true um because
00:30:38
changing your perspective and just um
00:30:42
just trying not to get sucked in into
00:30:44
that like unattainable void I think is
00:30:47
really what helped um me with my journey
00:30:51
of trying to you know I just want to
00:30:55
jump in real quick um that was great
00:30:58
Point Ellen um and I just want to remind
00:31:01
people that if you have any questions
00:31:03
and Kyrie if you want to do another poll
00:31:04
question but if you have any questions
00:31:05
feel free to put them up in the chat
00:31:08
because I know we're coming up against
00:31:10
time and then before we end we're gonna
00:31:13
keep going with a couple more but be um
00:31:17
if anybody would like to meet Dr Mita or
00:31:20
Ellen and Kyrie after this feel free to
00:31:24
stay on Dr Mita if you're okay with that
00:31:26
and you can walk absolutely maybe you
00:31:28
can come to the center Dr M and anybody
00:31:30
who wants to come up you can unseat
00:31:33
yourself with the fourth icon there and
00:31:36
uh just use your arrow keys to move over
00:31:39
and uh come up and and talk to Dr Mita
00:31:42
if you have any questions for her I just
00:31:44
want to let you know you'll have the
00:31:45
opportunity to do that thank you for
00:31:47
allowing me to interrupt no of course
00:31:49
and if anybody happens to be in the
00:31:51
state of Illinois and wants to work with
00:31:54
a member of my team at therapy Etc you
00:31:57
can reach out to us at therapy-cognitive
00:32:10
[Music]
00:32:20
[Music]
00:32:43
I think um one thing I wanted to mention
00:32:47
um is that it's okay to not love every
00:32:51
single part of your body I don't love my
00:32:55
stretch marks right I don't love um the
00:32:59
scar I have from hip
00:33:02
surgery but I there are parts of me that
00:33:06
I do love right I love how thick my hair
00:33:10
is I've always been very fortunate to
00:33:13
have very thick hair um I don't love
00:33:17
that I need to wear glasses but I do
00:33:19
love my eyes um and I didn't used to
00:33:24
love the fact that um I'm five too but
00:33:28
now I've come to embrace that um I am
00:33:32
vertically challenged as I put it and
00:33:35
and I I I am too um so you know I just
00:33:41
kind of leaned
00:33:44
into but there's a chance that you might
00:33:47
still be growing I'm
00:33:54
done yeah so I think that it's important
00:33:57
to know know
00:33:59
that we we just need to accept our
00:34:03
bodies for what they are with our
00:34:06
strengths and and our limitations and
00:34:10
all of that makes us
00:34:14
beautiful KY can you share what the
00:34:17
results are of the poll
00:34:35
what do
00:34:38
you yeah that's I was gonna ask Dr Mita
00:34:41
what do you think if
00:34:43
that surprises you or if that's pretty
00:34:45
no that doesn't surprise me
00:34:49
especially with the diet culture that we
00:34:53
have
00:34:55
um it's the system of beliefs and ideas
00:34:59
which equate thinness with health um
00:35:02
telling us that a person's value is tied
00:35:05
to their body size and that's just wrong
00:35:46
yeah
00:35:48
um well thank you so much for having me
00:35:52
thank you so much for
00:35:54
um giving me this the space space and
00:35:58
the platform to speak with all of you
00:36:00
and to share all of this
00:36:01
information um I'm happy to answer any
00:36:04
additional questions that anyone may
00:36:07
have um but I also wanted to say the
00:36:11
national eating disorder website
00:36:13
nationaleatingdisorders.org
00:36:16
is a great place for you to go for um
00:36:22
additional information and
00:36:24
resources um on eating orders I'm also
00:36:28
going to put that
00:36:30
National just want to add too that I
00:36:32
think this is our fifth or sixth episode
00:36:34
of unfiltered emotions so if you haven't
00:36:37
already seen them check it out yeah
00:36:40
definitely Dr Mita has covered
00:36:42
everything from anxiety depression
00:36:44
suicide ideation bullying the next
00:36:47
episode is going to be
00:36:48
lgbtq topics so please find those on
00:36:53
interview or reach out if you don't see
00:36:55
those and Ellen will make sure we put
00:36:57
those back on interview yeah and if you
00:37:00
have any topics that you're interested
00:37:02
in learning more about please reach out
00:37:04
to us as
00:37:06
well absolutely and Kyrie if you want to
00:37:08
put that in the
00:37:10
chat and then for those of you who um
00:37:12
came in a little bit later or who
00:37:14
haven't created an avatar yet if you
00:37:16
want to experience that before this is
00:37:19
over if you want to walk up on stage or
00:37:22
or meet any of our speakers you can
00:37:25
unseat yourself with the fourth icon at
00:37:27
the bottom and again hit the c
00:37:33
key and on the C you'll have a screen to
00:37:36
create your
00:37:38
avatar and make sure you hit human and
00:37:41
then you can whatever closeth you'd like
00:37:43
or whatever you'd like to whatever you'd
00:37:45
like to do and then use your arrow keys
00:37:47
to move around and feel free to go up on
00:37:51
stage if if you have any questions you
00:37:53
could also turn your camera on you don't
00:37:55
have to and that's the third Ion at the
00:37:58
bottom and feel free to to play around
00:38:01
I'm G to play around with one of M for
00:38:03
about three minutes um so if anybody has
00:38:06
any questions that they'd like to speak
00:38:08
to me about um just let me know thank
00:38:10
you
