Five Eating Disorder Truths and Tips for Parents

Five Eating Disorder Truths and Tips for Parents

Written By: Adrianna Rodriguez, MS, MFT, CFBT

Coming to the realization that your child has an eating disorder can be overwhelming.

It’s daunting and scary. Learning how to navigate the ups and downs of an eating disorder requires a great deal of self-awareness and patience. I have found that parents most certainly have the power to help their child begin to heal – even if the child isn’t fully ready.


In family therapy, we explore not only the best ways to communicate with one another but also identify and practice the most effective ways to show up for and support your child.

In this blog post, I will highlight the top five things to focus on as you walk alongside your loved one on the path to full recovery from their eating disorder.

1. Recovery is Long and it is not a Linear Journey

Recovery comes in waves like a roller coaster, involving progress and setbacks – both of which are normal. It’s important to set realistic expectations for what recovery will look like. Parents are eager to see their child return to being their true selves. It’s important not to rush the process to avoid relapse.

2. Be Strong, Calm, and Consistent

Most importantly, do not negotiate during meals. The eating disorder is masterful at manipulation, so it’s imperative that parents are on the same page and show up as a united front against it. Eating disorders thrive off heightened emotions and overreactions, so remaining calm is crucial. Maintaining a sense of calm during mealtimes will help your child have the confidence to recover. Additionally, being consistent with meal expectations can help alleviate anxiety and fear.

3. Maintain Clear Mealtime Rules

One way to minimize stress is to keep your child out of the kitchen when cooking and serving meals. This can alleviate anticipatory anxiety around the upcoming meal. Incorporating distractions at mealtimes, such as games or watching television, can diffuse tension and shift the focus away from the food. Encourage the completion of meals and avoid engaging in power struggles. By providing firm and loving support, you are sending the message that you will not let the eating disorder take hold and that recovery is the only option. A non-shaming approach can be much more effective than a shaming one, so encourage meal completion in a non-judgmental and tempered manner.

4. Externalize the Disorder

Externalization of the disorder is a critical tool that allows the parent to temper their anger and frustration towards their child. It involves separating the child from the chaos and ravages of the eating disorder. This is most helpful when the eating disorder is driving disruptive behaviors, anger, abuse, etc. It helps prevent getting pulled into power struggles and reminds parents that the behaviors stem from the disorder itself. Your child has not consciously chosen this; rather, they want and deserve help.

5. Steer Clear of Blame, Guilt, and Shame

Blaming yourself or your child does not serve either of you. It is common for both parents and children to experience guilt. One thing is certain: guilt reduces your self-efficacy as a parent and your ability to remain grounded. It also poses challenges to your ability to help your child overcome the eating disorder. Just as it is unhelpful to place blame or guilt on yourself, it is also important not to blame or guilt your child. Just like you would not blame your child if they developed diabetes or any other physical illness, the most important thing to do is to be involved in your child’s recovery and offer them compassion and unconditional love.

Supporting your loved one with an eating disorder is a challenging task. At Prosperity Eating Disorders and Wellness Center, our team is committed to walking you through and providing you with all the tools you need to help your child successfully reach full recovery from their eating disorder!

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!

Empowering Your Path: 10 Vital Reminders on the Road to Eating Disorder Recovery

Empowering Your Path: 10 Vital Reminders on the Road to Eating Disorder Recovery

Eating disorder recovery is a journey that encompasses physical and emotional healing. Each meal becomes a crucial step on the path to reclaiming your strength and nurturing self-love.

As you navigate this transformative journey, carry with you these 10 gentle reminders:

1. You Deserve Nourishment:

You deserve to honor the nourishment your body craves. All bodies, no matter their weight, shape, or size, deserve proper nourishment. There’s no need to postpone providing your body with what it needs. Don’t allow your eating disorder or societal pressures to persuade you otherwise. Embrace this essential truth!

2. Listen to Your Body:

Trust your body’s signals. It knows when it’s hungry, full, and what it craves. Tune in and honor these cues.

3. Release Judgement:

Food is not a moral compass. There are no ‘good’ or ‘bad’ foods. Embrace variety and allow yourself to savor the flavors of life. Food is meant to serve two purposes: nourishment and enjoyment. That’s it. You are not “bad” because you had a dessert.

4. Progress, Not Perfection:

Recovery isn’t linear. There will be ups and downs, and that’s okay. Celebrate your victories, no matter how small.

5. Challenge Negative Thoughts:

Replace self-criticism with self-compassion. Remind yourself of your worthiness and the progress you’ve achieved.

6. Practice Mindful Eating:

Engage all your senses during meals. Appreciate the textures, flavors, and aromas. This deepens your connection to the nourishment you’re providing.

7. Set Realistic Goals:

Break down your recovery into manageable steps. Each day is a new opportunity to progress.

8. Patience is Key:

Recovery takes time. Be kind and patient with yourself. You are worth the effort.

9. Celebrate Non-Food Related Achievements:

Acknowledge and applaud your accomplishments outside of your relationship with food. Remember, you are a multi-faceted individual with talents, dreams, and unique qualities that extend far beyond your dietary choices. Celebrate your achievements in all aspects of your life. You are more than what you eat; you are a person of remarkable depth and potential.

10. Remember, You Are Enough:

Regardless of what you eat or how you look, you are inherently valuable, just as you are.

Remember, this journey to recovery from your eating disorder is about reclaiming your life, your joy, your relationship with your body and food, and your sense of self. You are not defined by your struggles. 

 

Eating Disorders Among College Students – A Deep Dive Into the Statistics

Eating Disorders Among College Students – A Deep Dive Into the Statistics

Unveiling the Hidden Battle: Exploring Eating Disorders Among College Students.

College life is a transformative experience filled with academic challenges, newfound independence, and personal growth. However, beneath the surface, many college students face a lesser-known struggle – eating disorders.

In this blog post, we will explore the significant connection between eating disorders and college students, delving into compelling statistics that shed light on this critical issue.

The Prevalence of Eating Disorders Among College Students

Eating disorders are not uncommon among college campuses, affecting students from various backgrounds and academic pursuits. According to several recent studies, the statistics reveal a concerning reality:

The Prevalence of Eating Disorders Among College Athletes

  • In a study of 204 female college athletes from 17 sports at 3 universities, 2% were classified as having an eating disorder and another 25.5% exhibited symptoms at a subclinical level (Greenleaf, 2009).
  • The prevalence of eating disorders in college athletes is higher among dancers and the most elite college athletes, particularly those involved with sports that emphasize a lean physique or weight restriction (e.g., figure skating, wrestling, rowing), (National Center on Addiction and Substance Abuse, 2003).
  • Though most athletes with eating disorders are female, male athletes are also at risk—especially those competing in sports that tend to emphasize diet, appearance, size, and weight. In weight-class sports (wrestling, rowing, horseracing) and aesthetic sports (bodybuilding, gymnastics, swimming, diving) about 33% of male athletes are affected. In female athletes in weight class and aesthetic sports, disordered eating occurs at estimates of up to 62% (Bonci, 2009).
  • One study found that 35% of female and 10% of male college athletes were at risk for anorexia nervosa and 58% of female and 38% of male college athletes were at risk for bulimia nervosa. (National Center on Addiction and Substance Abuse, 2003). 

Eating disorders represent a pressing issue on college campuses, profoundly affecting students’ physical and mental health, academic success, and overall well-being. The statistics shed light on the concerning reality of the prevalence of eating disorders among college students, emphasizing the need for proactive and comprehensive measures to address this hidden battle.

Introducing Prosperity's Virtual IOP for College Students

 

At Prosperity Eating Disorders and Wellness Center, we are committed to providing accessible and effective treatment for eating disorders to college students. Our Virtual IOP for College Students breaks down barriers, ensuring that every student has the opportunity to heal and thrive. With Telehealth accessibility, students can seek help and support from the comfort of their dorm rooms or apartments.

Our Virtual Adult IOP offers personalized care, matching all individuals with a therapist and dietitian best suited for their unique needs. We specialize in treating various eating disorders, including binge eating disorder, anorexia, bulimia, and OSFED, guaranteeing tailored support on the journey to recovery. We prioritize meal planning on campus, ensuring a balance between recovery and academics while fostering a recovery community in the midst of a diet culture. Additionally, we collaborate with Student Health departments to provide comprehensive care and manage health factors.

With Prosperity’s Virtual IOP for College Students, every student can receive the support and guidance they need to thrive during their college journey and beyond. Take the first step toward recovery and contact us today to learn more about this transformative program.

Get started with Prosperity Eating Disorders & Wellness Center today!

References:

  1. Greenleaf, C., Petrie, T., Carter, J., Reel, J. (2009). “Female Collegiate Athletes: Prevalence of Eating disorders and Disordered Eating behaviors.” Journal of American College Health, 57(5), 489–496.
  2. Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: prevalence, persistence, correlates, and treatment-seeking. Journal of American College Health, 59(8), 700-707. doi: 10.1080/07448481.2010.546461. PMID: 21950250; PMCID: PMC3721327.
  3. National Eating Disorders Association (NEDA). (2013). Collegiate Survey Project. Retrieved from https://www.nationaleatingdisorders.org/sites/default/files/CollegeSurvey/CollegiateSurveyProject.pdf
  4. Bonci, L. (2009). Sport Nutrition for Coaches. Human Kinetics.
  5. Byrne, S., McLean, N., Trotter, M., & Mazanov, J. (2001). Prevalence of eating disorders in female athletes. Social Science & Medicine, 52(7), 1045-1051.
  6. Sundgot-Borgen, J., & Torstveit, M. K. (2004). Prevalence of eating disorders in elite athletes is higher than in the general population. Clinical Journal of Sport Medicine, 14(1), 25-32.
  7. The National Center on Addiction and Substance Abuse (CASA) at Columbia University. (2003). Food for Thought: Substance Abuse and Eating Disorders. The National Center on Addiction and Substance Abuse (CASA) Columbia University; New York

3 Often-Missed Signs of Binge Eating Disorder in Teens

3 Often-Missed Signs of Binge Eating Disorder in Teens

What is Binge Eating Disorder?

Binge Eating Disorder (BED) is a severe and treatable eating disorder that affects many teenagers across the United States. Recognizing the signs of BED is crucial for timely intervention and support. Unfortunately, these signs can be easily missed, and affected teens may keep their struggles hidden from both parents and peers.

In this blog post, we will shed light on three often-missed signs of Binge Eating Disorder in teens and explore why parents may overlook them.

1. The teen hoards food.

Teens with Binge Eating Disorder may engage in secretive behaviors, such as hoarding food. In preparation for their binge episodes, they might collect substantial amounts of food in their rooms or other hidden places. As a parent, it can be challenging to notice this behavior if you do not regularly inspect your child’s personal space. Additionally, during the early stages of binge eating disorder treatment, teens may continue to hoard food as they struggle with the recovery process.

To address this sign, parents can try to have open conversations about their child’s eating habits and emotions. Building a supportive and non-judgmental environment can encourage teens to share their struggles, making it easier to identify signs of BED.

2. The teen prefers to eat alone.

For many families, mealtime is a social occasion that allows parents and children to bond and share experiences. However, a noticeable change in your teen’s eating habits might indicate an underlying issue, such as Binge Eating Disorder. If your child starts eating alone instead of joining family meals, it could be a potential red flag.

Teens with BED may feel ashamed or embarrassed about their binge eating behavior, leading them to eat in solitude to avoid scrutiny. As a parent, it’s essential to pay attention to any shifts in your child’s eating patterns and emotional well-being. Encouraging open communication and expressing concern in a compassionate manner can help teens feel comfortable discussing their feelings and struggles.

3. There are hidden food packages around the house.

Another subtle sign of Binge Eating Disorder in teens is the presence of hidden food packages around the house. After engaging in binge eating episodes, teenagers may attempt to conceal their actions by discarding empty food containers or wrappers in hidden places.

To address this sign, parents can take an active role in understanding their child’s emotional state and overall well-being. Supporting open dialogue about mental health and body image can help teens feel comfortable discussing their struggles and seeking help when needed.

Recognizing the signs of Binge Eating Disorder in teenagers is vital for early intervention and successful treatment. By understanding these often-missed signs and fostering open communication, parents can offer crucial support to their teens during their recovery journey. If you suspect that your child may be struggling with Binge Eating Disorder, seeking professional help from eating disorder specialists or healthcare providers is essential for their well-being and long-term recovery.

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!

6 Myths of Eating Disorders

6 Myths of Eating Disorders:

 

1. It’s all about how I look and what I eat.

Eating disorders are a complex issue that is rooted in emotional, psychiatric, and physical components that are often genetic.

 

2. I must be really skinny to have an eating disorder.

The majority of people with eating disorders are a normal weight for their bodies. People of all body sizes can have an eating disorder.

 

3. I will grow out of this.

Eating disorders are not phases. They are formed due to having the inability to manage emotions, situations, and stress levels typically due to trauma, major life transitions, or other major stressors. Early treatment is critical.

 

4. I choose to have an ED and I can choose to stop it.

Like all mental illnesses and diseases, eating disorders are not a choice. People with eating disorders have the highest mortality rate of all mental health concerns.

 

5. I really need the attention.

Most people with eating disorders become isolative and ashamed.

 

6. My parents are to blame.

Eating disorders can be genetic and are typically not the cause of one’s eating disorder. They can be powerful resources in their loved one’s healing.

Expanding Access: Introducing Our Virtual Adult IOP Program for Clients in West Virginia!

Expanding Access: Introducing Our Virtual Adult IOP Program for Clients in West Virginia!

Prosperity Eating Disorders and Wellness Center is thrilled to announce a significant milestone in our commitment to providing comprehensive care and support for individuals struggling with eating disorders. We are excited to extend our services to clients in West Virginia through our new Virtual Adult IOP Program. This expansion is a testament to our dedication to expanding access and ensuring that those in need have access to quality care, regardless of their location.

With the rise of telehealth and the increasing demand for virtual treatment options, we recognized the need to reach individuals who may not have easy access to specialized eating disorder treatment centers. Our Virtual Adult IOP Program allows clients in West Virginia to receive the support they need from the comfort and convenience of their own homes.

Why Choose Our Virtual Adult IOP Program?

1. Comprehensive Care: Our Virtual Adult IOP Program offers a comprehensive treatment approach, combining evidence-based therapies, nutritional counseling, individual therapy, and support groups. We provide a structured and supportive environment designed to promote healing and recovery.

2. Experienced Professionals: Our team of experienced clinicians, including licensed therapists, registered dietitians, and medical professionals, are dedicated to providing compassionate care and individualized treatment plans. They bring a wealth of expertise in treating eating disorders and understanding the unique challenges faced by individuals on their journey to recovery.

3. Flexibility and Convenience: We understand that seeking treatment while balancing other commitments can be challenging. Our virtual program eliminates the need for travel, allowing clients to participate in therapy sessions and group activities from the comfort of their own homes. This flexibility enables individuals to receive the care they need without disrupting their work, education, or personal life.

4. Connection and Support: Despite the virtual nature of the program, we prioritize fostering a sense of connection and community among participants. Group therapy sessions provide a supportive environment where clients can share their experiences, gain insights from others, and build meaningful connections. We also offer additional resources, such as online support groups and educational materials, to enhance the treatment experience.

 

How to Get Started:

Taking the first step toward recovery is a brave decision, and we are here to support you every step of the way. If you or a loved one residing in West Virginia are interested in joining our Virtual Adult IOP Program, here’s how you can get started:

1. Reach Out: Contact our admissions team through our website or by phone to express your interest in the Virtual Adult IOP Program. Our caring staff will guide you through the intake process, answer any questions you may have, and provide the necessary information.

2. Initial Assessment: Our team will conduct an initial assessment to better understand your unique needs and determine if the Virtual Adult IOP Program is the right fit for you. This assessment helps us create a personalized treatment plan tailored to your specific goals and challenges.

3. Enroll and Begin Your Journey: Once the assessment is complete and you decide to move forward with our Virtual Adult IOP Program, we will work with you to finalize the enrollment process. Shortly after, you will embark on a transformative journey toward recovery, supported by our expert team and a community of individuals who understand your experiences.

At Prosperity Eating Disorders and Wellness Center, we believe that everyone deserves the opportunity to heal and thrive. By expanding our services to clients in West Virginia through our Virtual Adult IOP Program, we are taking a significant step towards breaking down barriers to eating disorder treatment.

If you or someone you know in West Virginia is struggling with an eating disorder, don’t hesitate to explore the possibilities of our Virtual Adult IOP Program. Together, we can embark on a path of healing and help you reclaim a life of prosperity.

Contact us today to learn more about our Virtual Adult IOP Program and begin your journey toward recovery!

How Black People are Underrepresented in Eating Disorder and Treatment

How Black People are Underrepresented in Eating Disorder and Treatment

Written By: Taylor Hutchinson, BS

Eating disorders have long been seen as a disease that only affects young white women. Whether through research or marketing, this group of individuals often appears as the face of this disorder. Few studies have been conducted on how eating disorders affect the black community. However, what we do know is that black individuals are far more likely than their white counterparts to have bulimia (over 50% to be exact) or present with binge eating disorder symptoms. However, research also shows that they are less likely to be diagnosed, receive treatment, or have this even discussed with them by their doctors. Eating disorders in non-white individuals often present differently, though since doctors continue to measure the symptoms through a euro-centric viewpoint this leads to underdiagnosis. As an eating disorder treatment facility, it’s important for us to continue education and training on how this disease affects individuals from all varying cultures and backgrounds. This will allow us to break down barriers including stigmas (ie: the perception that eating disorders are a “white woman’s disease”) and access to resources. It will also allow us to increase our cultural competency and serve a much-needed community of individuals who are suffering.

If you or a loved one is suffering from an eating disorder, please know that you are not alone. We see you and we will be here for you every step of the way. Take the first step today and learn more about the eating disorder treatment programs that we offer.

Additional readings:

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

Tea Party Exposure at Prosperity

Prosperity Tea Party

By: Kelly Wilson, BS, BA, DTR, Nutrition Tech

Here at Prosperity we provide a variety of services to our clients, including multiple types of therapy and nutrition interventions. The clients participate in group and individual sessions with their team of providers, but typically the most difficult work is done at the dining room tables. Exposure is a tool we use often in treating eating disorders due to its proven benefits in the client’s recovery journey (2018). The American Psychological Association defines exposure therapy as a psychological treatment developed by therapists to help people confront their fears and anxiety by breaking the pattern of fear and avoidance (2017). Types of nutrition-related exposures provided at prosperity include a weekly challenge snack, inning meals from restaurants and more. We also include the occasional special exposure like what we did for our Holiday challenge meal this year.

This holiday season we organized a tea party themed meal for our clients. We served an array of finger foods that were placed on serving platters on the table along with a sparkling cider and sherbert drink. The clients were encouraged to grab food from the middle of the table to build their own meal in the moment with the support of our staff. This type of “party appetizer” or “finger food” meal building can be triggering for our clients which is why we arranged to do this exposure in a controlled and supportive environment. Exposing clients to this experience allowed them to practice self-portioning at the table and encouraged them to break the pattern of avoidance (Yetman & Saripalli, 2021). In PHP at Prosperity clients participate in a weekly “build your own” lunch where they plate and portion their own meals. For example, in the past we have had clients build their own taco bowls, salads, loaded baked potatoes and more. What made this tea party themed meal different was having the clients serve themselves at the dining table as opposed to a “buffet style” set up where they build their plates one at a time with the assistance of nutrition staff. All the food-related exposures that we do at Prosperity have the same goal; to create realistic beliefs about the fears that clients have around certain foods and situations while making sure that they feel safe and supported.

At Prosperity any chance to do something special for our clients is exciting to us. We strive to provide an environment for clients to work on recovery but also enjoy coming into everyday. While eating disorder treatment can be challenging we hope that our expert staff and compassionate treatment will guide clients on their journey to full recovery.

American Psychological Association. (2017, January). What is exposure therapy? American Psychological Association. Retrieved December 30, 2022, from https://www.apa.org/ptsd-guideline/patients-and-families/exposure-therapy

Yetman, D. (2021, June 21). Exposure therapy: Types, how it’s done, and more. Healthline. Retrieved December 30, 2022, from https://www.healthline.com/health/exposure-therapy

What to expect from treatment. National Eating Disorders Association. (2018, August 3). Retrieved December 30, 2022, from https://www.nationaleatingdisorders.org/what-expect-treatment

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!

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

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