Gut feelings: EDs and the microbiome

Consider this thought experiment: Drop a person in a blender (since it’s all hypothetical, go ahead and make it someone you don’t like. Feel better? I bet you do!). Then, count all the total number of cells that are produced. Only one in ten of these cells will be human. The other 90%? Those are [...]

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Treating co-occurring EDs and OCD

Obsessive-compulsive disorder (OCD) is one of the most frequently diagnosed psychiatric disorders in people with eating disorders. It is known to make eating disorders more severe and harder to treat, leading to a longer time until remission is achieved. Recently, more and more researchers are beginning to recognize the significance of the overlap between EDs [...]

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Recovery A-Z

My friend Kathleen MacDonald shared this on Facebook earlier today, and she graciously gave me permission to share it on my blog. I hope you enjoy. ‎”So how did you turn things around?” is one of the most common questions I get about my recovery-process. I wish there was an easy/short answer…but there isn’t. (don’t [...]

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The myth of the "non-compliant" patient

I’ve engaged in several email and chat conversations with eating disorder patients recently, and one of the things that keeps coming up is that people with eating disorders are frequently labeled “non-compliant” and then kicked out of treatment. My first thought is: so where the hell are the compliant patients?!? I remember discussing medical non-compliance in [...]

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Re-thinking mindfulness during mealtimes in ED treatment

In psychology, mindfulness is a really hot topic. It’s everywhere, and plenty of research is showing that it can be helpful in managing anxiety, depression, and many of the other woes of modern living. Not surprisingly, mindfulness has also become extremely popular in the eating disorder field. We need to learn how to “be in [...]

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Cuts both ways: Binge/purge and self-harming behaviors in adolescents

Besides the (obvious) binge/purge behaviors, one of the most common features of bulimia is self-harm. A recent study of adolescent ED outpatients found that, overall, around 40% of patients engaged in self-injuring behaviors (Peebles, Wilson, & Lock, 2011). When they broke the data down, the researchers found that approximately 60% of patients with BN self-harmed, [...]

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Through a door sideways: Body size distortion in anorexia

When I was a grad student in Baltimore, I lived in a 400 square foot studio apartment. Two of the doors were normal sized (the front door and the one to the bathroom), but one that opened off from the bedroom into the back bathroom area was narrow. As in, I had to be careful when [...]

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Why I don’t believe my insurance company cares about me

I recently did a guest blog for Kantor & Kantor about insurance barriers to ED treatment. It’s something I know a little a lot about. I wrote this piece for them, and I’m re-sharing it here. Happy reading!   A few years ago, I received a postcard in the mail from my health insurance company. [...]

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Rethinking survivorship: What the ED community can learn from those who still struggle

The eating disorder community loves personal narratives (especially of celebrities). Generally, the research and advocacy community prefers narratives of people who are well–or at least on their way to wellness. Some of this preference is strategic- sturm und drang stories don’t generally achieve donations or the message of hope that family and friends are looking [...]

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Finding better genes- the Anorexia Nervosa Genetics Initiative

Recently, the University of North Carolina Eating Disorders Center announced the beginning of ANGI: the Anorexia Nervosa Genetics Initiative. The goal is to gain a better understanding of the genes involved in AN. When I heard this announcement, I immediately wanted to know more. So I got in touch with lead investigator Cynthia Bulik and [...]

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Are EDs really on the rise? No, 10% of teen girls DON’T have an ED

It’s a question I get a lot: how many people out there have eating disorders? I can take some reasonable guesses, but there’s not much in the way of good, population-wide prevalence studies. But new estimates of ED incidence (the number of new cases diagnosed in a particular population in a specific time period) and [...]

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Do we need better ED role models?

Search for “eating disorders” on Google News, and I guarantee you that over half of the coverage will be about celebrities with EDs. Some of that is our culture’s serious addiction to celebrities that does no one any good. But some of this coverage has to do with celebrities sharing their stories of EDs or [...]

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The stories we tell ourselves: Narratives and EDs

I’ve written volumes about eating disorders over the years–beginning before I was even diagnosed. Most of the writings were personal, private- scribbled by dim desk light as my roommate (any of them) snoozed in the bunk a few feet away. I didn’t create them as stories. They were more the semi-deranged ravings of someone who [...]

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Mixing it up–The role of food concoctions in EDs

Spend time in an eating disorder treatment center, and you will see some pretty strange stuff go down. Mealtimes, due to the stress-inducing nature of the situation and the presence of food, can bring out some of the most bizarre. We all probably have some amount of unusual food habits, most of which fall into [...]

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