By: Dr. Melanie Schorr M.D., MGH Neuroendocrine Unit
Bone loss is an important health concern in Anorexia Nervosa because it is common and can be severe. Most women with a diagnosis of Anorexia Nervosa have bone loss, which can result in bones as brittle and fragile as a 70-year-old woman. Brittle and fragile bones are at much higher risk of fracturing. You may not know you have bone loss until after you break a bone. Osteopenia and osteoporosis are the medical terms for significant bone loss.
What can I do for my bone health?
Although some bone loss can be reversed with weight recovery, osteopenia and osteoporosis may be a long-term onhealthy hydrocodone complication of anorexia nervosa. Good nutrition, including calcium and vitamin D, is important, as is having regular menstrual cycles and not over-exercising. Bone loss can be assessed by measuring bone mineral density on a DEXA scan, which is a test similar to an x-ray.
How can I learn more?
The Massachusetts General Hospital Neuroendocrine Unit is working to further medical knowledge about bone health and treatment of bone loss in women with a diagnosis of Anorexia Nervosa. If you are interested in learning more, please contact Melanie Schorr, MD at 617-726-3897, email@example.com, or Erinne Meenaghan, NP at
By Amy M. Klimek, MA. LPC Eating Disorder Program Coordinator, Timberline Knolls Residential Treatment Center
Recovery from an eating disorder is more than simply negating certain behaviors. It calls for integration, to live mindfully, to live completely, and to live fully.
Too often we find ourselves eating in front of the television, at our desks, or even in our cars. When we are distracted, we are denying ourselves the pleasure of the pure experience with the meal. Being mindful while we eat invites us to pause and taste the present moment experience. In recovery, the meal plan is the anchor against the eating disorder’s pull. To be mindful is to give permission to those thoughts to pass instead of holding onto them. The nourishment from food helps the person in recovery to challenge the mindset while trusting the process to revitalize the relationship with food and the body.
Be present in the process
We tend to find transitions uncomfortable, whether it’s between jobs, relationships, or particularly with our emotions. It becomes uncomfortable when we negotiate with these emotions – “I should not feel this way” or “I want to numb my experience.” Only by avoiding this internal negotiation do we allow ourselves to hold onto the full impact of the experience. Then we realize it is in our capacity to understand the full wave of the emotions. As we appreciate the ebb and flow of life- with joy and passion, at times onhealthy xenical grief and sorrow; the integration of those experiences makes up the layers of who we are. Give yourself permission to explore your influences, to notice your internal balance, and let go of expectations to look or be a certain way. By noticing the transitions of emotions and thoughts, being mindful in the experience, we can embrace the space in between with compassion.
Invite others to walk with you in your journey
Recovery is possible and sustainable with support from others. Have meals together. Appreciate the company while you are appreciating what is on your plate. Sharing the meal with others, is sharing the experience of nourishment of our bodies and souls. Ask others to share your journey filled with new practices and experiences. It might be one of the most courageous acts you can do for yourself.
The whole person is made up of interdependent parts and if one aspect is not working properly, all the others will be affected. It is critical to find balance in our lives, especially to approach treatment and healing holistically. As you take the unexpected recovery journey, you let go of cyclical ways of thinking, and begin to explore the limitless possibilities. You will find who you are and what you can offer to yourself and others. To recover is to discover the self again–recover what was lost while under the influence of the eating disorder.
Ditch the Bikini Body Diet
Ami Marsh, MFT, LADC
Clinical Director, Center for Hope of the Sierras
Spring is here with summer creeping close at its heels. How many articles or stories have you seen urging you to try to change your body in preparation for the warmer season? That you only deserve to wear summer clothes if your body looks different than it does right now? These articles usually imply that somewhere inside of you there is a bikini body just waiting to burst out in all its glorious, energetic, happy, magical splendor. There is a subliminal message that if you let this body burst out, your summer will be the best summer ever and you will be a better, happier, more popular person (probably with a nice tan and perfect hair to boot).
Big promises, don’t you think?
I don’t blame you if a tiny part of you is curious about these promises. After all, if you’re like most people in this society, you’ve been inundated from a very young age with the message that you’re not good enough as you are, that your body should be different. When we grow up receiving these messages from a lot of different sources, it’s only natural to integrate them as truth.
But they’re not true. We know without equivocation that if you go on these lose weight/tone up (aka diets, no matter how you slice it), your body might change a little bit in the short term, but you will end up right where you started, only with worse self-esteem because you’ve been taught to blame yourself—not the diet—for the failure. More than likely, the diet period will be followed by a binge period, followed by another diet and another binge ad infinitum. It is a vicious, time and energy consuming cycle, and the self-loathing it engenders is heart-breaking.
Every diet starts with the promise and belief that this time will be different, but if you take an objective onhealthy zithromax look at all the times you’ve tried to diet or lose weight combined with all the times those around you have tried to do the same, you can’t help but acknowledge that maybe diets just don’t work how they’re purported to. What diets do very successfully is pit us against our bodies, creating a crippling break within the mind-body system that can only be repaired when we decide to pour our whole hearts into repairing trust in the wisdom of our bodies.
What if you tried something radically different this season? What if you ditched the diet mentality and instead decided to just love the heck out of yourself, even (ESPECIALLY) when you want to do anything but? What if each negative thought about your body were followed by a loving pat (or even a kiss, if you can reach!) to the targeted body part? What if your hunger pangs were met with a good think to decide exactly what your body and taste buds wanted, and action to get those needs met? What if a cookie became just a cookie? What if you decided to recognize all the ways your body has had your back over your lifetime, and you decided it was high time to return the favor? Imagine your mind high-fiving your body, buddies for life. That kind of body trust is the foundation for a powerful, joyful life and a self-image immune to the slippery tactics of body shame.
It’s radical thinking, and for someone who has spent years entrenched in the cultural messages that our bodies are the enemy and that we need external rules and regiments to keep us in line, ditching the diet mentality can feel like jumping off a cliff without a parachute. But from the day you were born, your body knew exactly what to do to help it flourish. That wisdom is still there. Take the leap.
1. Where is MEDA?
2. Does MEDA accept insurance?
No. MEDA’s services are self pay. We strive to make our services affordable. If you are having difficulty affording MEDA’s services, call us or send us an email.
3. What can I expect during my assessment?
When you come for an assessment at MEDA you will be meeting with a MEDA clinician who specializes in the assessment of eating disorders. MEDA clinicians are trained Master’s level mental health professionals or advanced Master’s level or doctoral students. MEDA’s assessment is a bio-psycho-social onhealthy norvasc exam, which means we are interested in you and your unique concerns. We will ask you questions about your mental health and medical history and answer any questions you may have. We will then make specialized recommendations for next steps for you- which may mean a list of eating disorder specialists in your area, recommendation to a treatment facility, or a variety of other suggestions that are tailored to your needs.
4. Will I be weighed?
No, though MEDA clinician may inquire about your general medical and health history.
Do Eating Disorder Thoughts Ever Go Away?
Amy M. Klimek, MA. LPC
Eating Disorder Program Coordinator, Timberline Knolls
The average person has between 50,000 and 75,000 thoughts per day, which translates into 35 to 50 per minute.
When an individual struggles with an eating disorder, thoughts are repeatedly directed towards the disorder: “If I eat that, I will gain weight” or “How can I hide my next binge and purge from my parents?” The disorder strives to be center-stage, becoming the driving force of all actions, sending commitments and values to the side.
Because the person has abdicated all power to the disorder, they perceive these thoughts as truth, than will react to the thoughts impulsively. In turn, this automatic behavior becomes conditioned. If the thought “I am fat” presents itself continuously, the person will emotionally agree, often taking on personal ownership of the negative statement.
When entering recovery many people often wonder if the thoughts will remain. The answer is yes and no. The thoughts may show up, but how they experience the thought and how they choose to respond will change. A thought by itself is just a thought: a recollection of an experience or event, an idea, or a product of a person’s onhealthy evista mental activity. How one thinks about the thought, spends time with it, responds to the thought is in the control and influence of the person. To notice the thought is to experience the thought, then invite space and time to respond to it in a healthy way. In recovery that requires support and compassion.
As the days were once spent using behaviors to quiet the mental chorus composed by the disorder, now the days are filled with recovery work, new experiences, attitudes and growth, as well as time spent with supportive people.
The disorder thoughts are not being cultivated and tended to; this naturally allows more time and space to spend in the healing process. And the beauty is this vacancy space allows new thoughts to enter in, such as present moment experience, new ideas, and experience of the now.
The few negative thoughts that remain will no longer be loud and intrusive, but over time, will grow quiet and weak. Every time a thought is denied the attention, the eating disorder loses power. One of the strengths of recovery is for every person to take back the power they abdicated because it is theirs and theirs alone.