Trending this Week at The Meadows Ranch
By Libby Neal, MA, LPC
Eating disorders
are more fluid than fixed. It seems the course of
an eating disorder is
progressive in nature, changing in severity over
time. Eating disorder professionals
who have worked long enough with one person will see the type of
behaviors move from one end of the spectrum to another.
One
example of the ever-changing nature of an eating disorder would
be when a person starts with restricting calories then moves into
purging food. Once the person realizes they can eliminate their
calories while still consuming food, they may turn to purging
calories with laxatives or vomiting. This could take a few years, and
it is often the reason eating disorders
seem to “sneak” up on family members and loved ones.
Parents
often say that the eating disorder just
showed up one day when, “all of a sudden my loved one was very sick
and had an eating disorder.”
The progressive nature of an eating disorder is
subtle and easy to attribute to developmental expectations or
adolescent quirks. Some of the natural personality tendencies are
enhanced. It is easy enough to hide calorie consumption for fairly
long periods of time, through meal-time manipulation, clothing
selection and food avoidance. Parents seem quickly to notice the
activities associated with binging or purging of foods.
Parents
may not think much about a child who is an introvert staying in their
room longer, or a child who tends towards dark humor becoming more
interested in vampire books, or a child who is interested in cooking
now reads recipe books yet never eats the recipes.
And
while the eating disorder is
evolving, it makes sense that the personality of the child is also
changing. Perhaps the child’s demeanor has become edgier, angrier
or confrontational. This can be intimidating for parents who wonder
how to help, but instead take the high road in hopes of it “going
away.”
So,
if an eating disorder is
progressive, it seems possible to encourage the good side of the
developing habits that may turn from disordered eating into
an eatingdisorder.
Could it be that parents and loved ones can forge the positive side
of these interests so they can become more involved with family and
friends rather than feeling like an outsider?
Certainly
it is not the parents fault if a loved one is developing
an eating disorder,
nor does this suggest an eating disorder is
“stopped” by looking at the positive side of new habits, but it
seems that we, as loved ones, can make subtle interventions along the
way. This may encourage a progression into health rather than
a disorder.
Here
is a list of ways to incorporate interests that later improve
the eating disorder:
-
Encourage social time with the family
-
Find the time for one on one with a loved one
-
Allow for alone time but encourage quiet time around the family
-
Read recipes together
-
Shop for meals together
-
Cook new meals together
-
Create old favorite meals together
-
Create a schedule in the house so meals and activities are predictable
-
Take leisure walks together, maybe in the park and with the dog
-
Go clothes shopping together, encourage positive body image
-
Attend your child’s sports activities
-
Learn about their favorite subjects at school
-
Offer help for subjects that are hard for them
-
Go to church together
-
Offer to take them to appointments
-
Help with ideas for proms, homecoming or questions about dating
-
Recognizing increased negative changes in their child’s demeanor or habits.
Parents
may feel overwhelmed by all their responsibilities in life, and their
loved one may say they are fine; however, it is important to remain
open to “gut” instincts and to continue an open dialogue
concerning how their loved one is “progressing.”
An eating disorder is
not “contagious” so the parent does not necessarily make it worse
by talking with their loved one about it. Remain open, curious and
supportive all while looking to outside professionals if you find too
many indicators of an eating disorder.
About the Author
Libby
Neal, MA, LPC, is in private practice on the western slope of
Colorado. Specializing in eating disorders
and trauma, Libby utilizes psychodynamic therapy, evidence-based
practices, equine assisted therapy and art therapy. Libby has fifteen
years of experience with eating disorders
working as a clinician, administrator and educator.