Admissions Call: 1-800-863-7224 x 803 Fax: 703-649-3599 information@prosperityedwell.com

Weight Loss Pills and Surgeries for Kids! Are you kidding me?

 

On January 9, 2023, the American Academy of Pediatrics (AAP) published a statement regarding their guidance for treating children in higher-weight bodies, where they recommended the clinical use of pharmacotherapy medications to assist in weight loss for children as young as 12 years old in addition to bariatric and metabolic surgery for children as young as 13 years old. As an organization of Eating Disorder experts with over 100 years of combined professional experience, we voice our profound opposition and concern regarding this statement, and we feel that it is our ethical duty to share our outrage and fear on behalf of the clients and families whom we serve. Prosperity Eating Disorders and Wellness Center operates from a weight-inclusive model, where we believe that weight is not a disease, nor a predictor of health and that health can be pursued in any sized body. We also believe that words such as “obesity” and “overweight” are stigmatizing and pathologizing and that they cause further harm to children in developing bodies. We fear that the recommendations put forth by the AAP will lead to an increase in Eating Disorders in children and adolescents, as children and adolescents are at an increased risk of developing Eating Disorders when they are exposed to discussions around weight, dieting, weight loss, and body judgment. Currently, there is no clinically significant evidence for long-term sustained weight loss as a result of the pursuit of weight loss; rather, evidence points to chronic dieting and intentional weight loss as risk factors for additional weight gain and for the development of Eating Disorders with a 95% failure rate for long term weight control. As an organization, we seek to teach our clients that their bodies are not a problem to be solved and health includes more than weight alone. We implore the AAP to allow children and adolescents to be just that: developing children and adolescents, whose bodies are still growing and whose relationships with their bodies are still developing. We fear that these medical guidelines will make life more difficult for children in all sized bodies, as these guidelines will continue to perpetuate medical fatphobia and weight stigma not just for children in larger bodies, but in children of all sizes. It also places children at risk of the complications of bariatric surgery, which include malabsorption, particularly of concern in growing bodies as well as weight cycling with comes with associated osteopathic and cardiac risks. We are so grateful for the solidarity and collaboration among pediatricians and medical practitioners who are also working towards promoting body acceptance, normalization of all shapes and sizes of bodies, and rejection of dieting and weight loss surgery as an effective treatment for health conditions. As we are committed to creating a world without Eating Disorders, we strongly request that the AAP rethink the guidelines put forth in their statement and seek the insight and counsel of Eating Disorders professionals in creating future guidance for weight-neutral and body-affirming care.  

 Written by Allison Gasko-Backman, LCSW and Mary Dye, MPH, RD, CEDS-RD

References:

Emmer, C., Bosnjak, M., & Mata, J. (2019). The association between weight stigma and mental health: A meta‐analysis. Obesity Reviews, 21(1). doi:10.1111/obr.12935

Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: important considerations for public health. American journal of public health, 100(6), 1019–1028. https://doi.org/10.2105/AJPH.2009.159491

Weight Stigma. (2019, June 27). Retrieved September 23, 2020, from https://www.nationaleatingdisorders.org/weight-stigma

Can Your Doctor’s Office Trigger Bad Body Image?

Can Your Doctor’s Office Trigger Bad Body Image?

Can Your Doctor’s Office Trigger Bad Body Image?

Sometimes I get tired of all the subtle ways women are told they’re not good enough. I’ve gotten used to it happening in magazines, commercials, and in all the ads that tell us how to look younger, prettier, sexier, and skinnier. So I expect to see those messages in certain settings, which I can mostly avoid.
I just never expected to see that in my OB-GYN’s office.
Today when I walked in, (after a nice long Covid hiatus of which length we won’t mention) I was greeted with not one, but two full-sized standing banners advertising liposuction and laser therapy. Literally flanking the front of the check-in counter, with a whole table of anti-aging skin products laid out in between. With “You deserve to feel like yourself again!” slogans next to life-size pictures of smiling, women without wrinkles or cellulite anywhere. So, as I walked up to check in for my appointment (where I planned to discuss the various fun things one might discuss when she’s 48 and has had 3 kids, etc etc) I had to reach across all of this in order to check in with the receptionist! Even in the bathroom, there were more ads up with before and after pictures advertising wrinkle removal- right up next to that cute little silver cupboard where you deposit your urine sample. These were also spread out in my patient room. Really?!
I guess things had changed in the practice during those years when I was away.
One might say that I’m just a cranky middle-aged woman that’s having a hard time getting older and is taking this too personally. That’s actually not the case at all. My 40’s have been a pretty incredible decade of learning to love myself with all of my imperfections, and I feel more beautiful now than I did back in my 20’s- even with all my gray hairs and wrinkles. I also have nothing against the beauty product or cosmetic surgery industries, as they can be sources of wonderful help and healing for people of all genders. I just think there’s a time and a place for this kind of advertising, and it’s not the kind of thing I’d expect or want to see at my OB’s or any other of my doctors at any age.
– not when I went in expecting to hear my first baby’s heartbeat and heard… nothing
– not when I went in for a post-D&C appointment after my miscarriage
– not when I was pregnant with my firstborn.
– not when I had my first breast exam after a lumpectomy
Not for a whole host of other reasons that so many women have to navigate and work through when they come in for their OB appointments for less than happy reasons.
For those of you still reading, thanks for staying with me through this rant.
And if you just so happen to have the name of a great OB practice in NOVA, go ahead and pass that my way.

Shannon Wise

When I read my friend Shannon’s post, I knew I needed to address this with the community. There’s just so much to unpack here.

In my years of seeing and treating hundreds of teens and adults struggling with eating disorders, poor body image, and shame, after a while, I begin to see a few trends along the way.

In no particular order, below are the triggers that are typically expressed by clients that have led to their eating disorders
1. Bullying
2. Severe dieting
3. Caregivers that diet, hyper-focus on eating overly healthy, and being thin.
4. Comments made by pediatricians and other physicians
5. Advertising and Social Media
6. Depression and Anxiety

Yes, you read that right, comments made by doctors. For a field that’s supposed to “first do no harm”, why is it that we’re seeing them on this list? Physicians ONLY need to take 1-1.5 credits focused on eating disorders during their studies. While it’s great that they can identify and diagnose an eating disorder, shouldn’t prevention and treatment be some of the focus? So often doctors suggest weight loss programs, tell patients they are overweight, that the cause of their illness is weight related, and praise them when they come back in a smaller body. This praise and the need to lose weight to be taken seriously can ultimately lead to one of the deadliest mental health disorders facing people. So when and how do we start expecting more from our providers? When do we start to hold them accountable and open their eyes to the microaggressions found in their offices? When will fat phobia and bias be left at the door and physicians start treating the person as a whole? Because right now, just telling people to lose weight isn’t helpful, it’s harmful.

About a year ago, one of my employees went to a gastroenterologist due to ongoing stomach pain, cramping, and heartburn. After coming out of anesthesia due to getting an endoscopy, the doctor’s only suggestion was……………you guessed it weight loss. This normally happy woman left the office that day and relayed the story to us in tears and looking defeated. She felt ashamed, embarrassed, and self-conscious, and still had no answers as to how to fix this problem.

Now I have lost count of how many of my clients have described when they first started to have eating disordered thoughts, that one of the causes of them was the way their pediatrician commented on their body size, and each time these clients quoted their doctors told them “you’re overweight”. If a patient continues to hear that from someone who they believe to be an expert in health, it’s not too hard to expect the patient will begin to think of themselves in a negative light. “I’m not good enough”, “Something’s wrong with me”, “I’m clearly doing something bad and wrong”. This narrative needs to change, help not hinder.

So lo and behold – I went to my OBGYN for my yearly appointments last week and opening the entrance to the waiting room my stomach dropped to my ankles. I was flooded by the images that Shannon described. Ads to look better by getting liposuction and more.

As I teach my clients how to advocate for their needs and rights, how to see themselves with neutrality and with loving kindness, and to reject the need to conform to the  – I must do so myself and I hope you do too.  The doctor at my practice helped deliver my baby 16 years ago. She is a wonderful doctor. But I can NEVER refer to this practice to any of my clients or any person for that matter.

Have you had similar experiences? Did this affect your body image?

I know I am going to hear from my colleagues that I shouldn’t post these pictures,  as they are triggering. Yes. I know.  Exactly.

None of us are spared from this reality and it is everywhere we go.

Will you join me in allowing yourself to take up space in this world and use your voice?

Heather Baker, LCSW, CEDS
Founder of Prosperity Eating Disorders and Wellness
www.prosperityedwell.com

Communication Tips for Families in Eating Disorder Recovery

Woman on the Beach

Families play such a vital role in eating disorder recovery.  Your loved one(s) can benefit greatly from your support and involvement in their journey to recovery.  Below are some communication tips for families to keep in mind as they embark on the road to healthily recovering from an eating disorder.

Avoid making any comments (positive or negative) about physical appearance and weight.

There are comments that we say like “You look really good today” – from the mind of someone with an ED – they might think – I must have gained/lost weight. ‘You look thin” can mean to the ED that they are doing a great job and to keep it up. It is best to not make any comments that relate to how they look. 

 

Be an empathetic listener.

“I can hear that this is really scary and overwhelming for you.”

 

Have conversations that do not include talk about diets, calories, or exercise. 

It is always best to have a strong support system of people that you can trust and be open with about your feelings and struggles while in eating disorder recovery. You can rely on your support system, whether it may be a friend, family member, or even your therapist to be there for you in times that feel stressful. Your support system of trustworthy allies can help you breathe through stressful situations, help you redirect your focus, and be there for you when you need them most. Whether they be the people you call on the phone to discuss your thoughts and emotions or be the people that you ask to attend an event with you so that they can assist you in engaging in conversation that isn’t revolving around diet talk, they will be there for you when you need someone to lean on for support when you need it.

 

Express that you understand how eating disorders are very complicated. Recovery is hard work.

Eating disorders can change the brain. The altered brain from an eating disorder can suffer from anxiety, depression, adverse effects on emotions, weakened response in reward circuitry, shrinkage in overall size, as well as difficulty thinking and switching tasks. The mending process of the brain can’t happen overnight, but by making recovery a priority, the brain will heal over time. Eating disorders also tend to get in the way of personal values, making your loved one believe that the values of the eating disorder are their own. The eating disorder values food choices, weight, and appearance and will set goals related to these values. These values are not your loved one’s values. Eating disorders are incredibly complex mental illnesses. 

Remember that your child is not going through a phase and that this will pass.

We see our children constantly changing and having many successes and setbacks. Seeing your child depressed, anxious, feeling worthless, or not good enough is heartbreaking for us to watch. We never want to blame them or tell them all the things that they could be doing differently. It is our job to really listen, validate and let them know you are there for them. When they hear “you just need to…” they might be hearing that they aren’t good enough. 


One thing that I have heard a lot from children is that they have been suffering for a while and it wasn’t until they got really sick did their parents notice. I am not sure if this is accurate. I think what often happens as parents is that we feel helpless, confused, and at a loss for how to connect. So the best thing we can do is not assume that their emotions, thoughts, and behaviors are just phases. Take this time when you notice, to truly connect and give loving-kindness.

Very importantly, being a parent of someone going through an ED is so extremely hard. You are not alone. There are resources for you.

Prosperity invites you to come join our virtual Parent Support Group that meets on Monday nights at 6 PM. This is a safe and open space where we will answer any and all of your questions about eating disorders and mental health while providing you with an open forum to make validating supportive connections with others who are sharing this experience.

To register, please email information@prosperityedwell.com 

 

Virginia’s Premier Day Treatment And Intensive Outpatient Treatment Centers

Prosperity Eating Disorders & Wellness Center specializes in the treatment of eating disorders while offering evidence-based, comprehensive, ethical, and individualized treatment to all ages, ethnicities, genders, and eating disorders. Our goal is to help sufferers find a full recovery by meeting their psychological, nutritional, emotional, and relational needs. We specialize in treating Anorexia, Bulimia, EDNOS, Orthorexia, and Binge Eating Disorder. With locations in Herndon and Norfolk, Prosperity is equipped to serve the needs of adolescents and adults throughout Virginia. 

Get started with Prosperity Eating Disorders & Wellness Center today!

Adjusting to Summer in Eating Disorder Recovery

Woman on the Beach

The Sun is beaming down on us way more than what we have been used to, people are wearing lesser clothing, and we are starting to hear the phrase “bikini body” said way too much… Summertime is here.

Summer is an exciting time for many people, but the people in eating disorder recovery are not always feeling the same levels of excitement.

Here are some ways to help adjust both mentally and physically to the sunshine-filled season of Summer while in recovery from your eating disorder.

Shut Down The Diet Talk

Warmer weather means people will be wearing less clothing to remain comfortable outdoors. This time of year, diet talk seems to come up more and more everywhere you go. First off, what exactly is diet talk? Diet Talk is exactly what it sounds like. It is the conversation among others on restrictive dieting, working out, and nutritional adjustments made in someone’s life to change their body shape/size/weight. Diet talk can also be as subtle as someone saying that they are “so bad” for eating dessert last night or that they’re going to need to “work off all the calories” after a meal. When people are wearing lesser clothing, they tend to drop diet talk around A LOT. We often hear the phrase “Summer Body” come out a lot at this time of year, as people are concerned with feeling that they must look a certain way for others due to having to wear less clothing. The truth is that we already have our Summer bodies. We have our Summer bodies just as we do our Fall, Winter, and Spring bodies. There is absolutely nothing that changes in between the seasons besides how you dress to keep your body comfortable!

So, what do you do when small talk gets too “diet-y”?

Tune it out and simply change the subject.

For example, you’re at a cookout and a friend brings up the new diet that they started for the Summer. They are mentioning that they are doing this to look good in a bikini. Here’s what you can say: “I’d really like to talk about something new with you! I would love to hear what you have been up to these days! Have you done anything fun lately or gone on any trips that you can tell me about?” By doing this you’ve tuned out the diet talk and have switched the conversation over to a new focus on catching up with your friend. Or, if you’d like to be more direct, you could say, “I have struggled with body image issues before and I don’t feel comfortable discussing this. Can we talk about something else?” By being direct with how you feel about the conversation, you have made it clear to your friend that you will not be partaking in any sort of diet talk with them. It’s not rude to switch the subject or completely avoid it, you are doing this for your well-being. Always remember that diet talk belongs to our very broken diet culture, not to you.

 

Wear Clothing That You Feel Comfortable In

Your physical comfort is a priority! If you don’t want to wear a bikini to the pool or beach, you don’t need to! If you feel more comfortable in shorts and a tee-shirt, then wear that! Summertime might involve having to wear lesser clothing, but that doesn’t mean that you must stick to a certain dress code. Clothing should never make you feel constricted either. If something is too tight or the fabric just doesn’t feel right, opt out for something different to wear that you can move freely in! Comfort is always key!

 

Unfollow Social Media Accounts That Are Negatively Affecting Your Body Image

If you’re seeing posts on your feed that trigger negative thoughts about your body image, you can unfollow them to protect your mental health and well-being. Being exposed to content involving weight loss stories, fitness routines, or people in their bathing suits can trigger those in eating disorder recovery. Being envious can come naturally when taking a look at other people’s lifestyles. This feeling of envy can quickly become very destructive and damaging to your feelings of self-worth and how you view your body! If an account is making you anxious or questioning how you feel about yourself in a negative way, it’s time to hit “unfollow.” Your mental health will thank you in the end.

 

Secure A Trustworthy Support System

It is always best to have a strong support system of people that you can trust and be open with about your feelings and struggles while in eating disorder recovery. You can rely on your support system, whether it may be a friend, family member, or even your therapist to be there for you in times that feel stressful. Your support system of trustworthy allies can help you breathe through stressful situations, help you redirect your focus, and be there for you when you need them most. Whether they be the people you call on the phone to discuss your thoughts and emotions or be the people that you ask to attend an event with you so that they can assist you in engaging in conversation that isn’t revolving around diet talk, they will be there for you when you need someone to lean on for support when you need it.

 

If you or someone you know is struggling with an eating disorder this Summer or beyond, please reach out for help. 

Virginia’s Premier Day Treatment And Intensive Outpatient Treatment Centers

Prosperity Eating Disorders & Wellness Center specializes in the treatment of eating disorders while offering evidence-based, comprehensive, ethical, and individualized treatment to all ages, ethnicities, genders, and eating disorders. Our goal is to help sufferers find a full recovery by meeting their psychological, nutritional, emotional, and relational needs. We specialize in treating Anorexia, Bulimia, EDNOS, Orthorexia, and Binge Eating Disorder. With locations in Herndon and Norfolk, Prosperity is equipped to serve the needs of adolescents and adults throughout Virginia. 

Get started with Prosperity Eating Disorders & Wellness Center today!

Subscribe to Our Newsletter
We respect your privacy.