Guest Writers, Love, Me, Mental Notes

Supporting a Loved One with an Eating Disorder

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Written by Rebecca Zundel, Brigham Young University
I’ll never forget the moment when Brooklyn turned to me and said, “Becca, I have something I’ve been needing to tell you.” 
First, I felt relief. Brooklyn was finally opening up to me about her nearly year-long challenge with an eating disorder. Then came hope—maybe this was the beginning of recovery. Next, love and a desire to protect my friend flowed out in the form of tears and hugs; I would do anything for Brooklyn. But finally, fear presented itself. Eating disorders were new territory for me. 
Although they were new to me, eating disorders are not uncommon. For every eleven Americans, one will face an eating disorder at some point in their life (Arcelus et al., 2011). That one in eleven may be a friend or family member, and watching them suffer with an eating disorder can be discouraging and frightening. However, you can support your loved one by learning how to approach them, seeking to understand eating disorders, and finding ways to assist in their recovery. 
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Approaching Your Loved One

I’ve often wondered what would have happened if Brooklyn had not told me that she was struggling with an eating disorder. I now understand that speaking up may, in a very literal sense, save a life. Brooklyn came to me before I ever built up the courage to talk to her about the changes I had noticed, but your case may differ. The following points may help if you find yourself needing to approach your friend or family member about an eating disorder (National Eating Disorders Association, 2013):
  • Be prepared. Realize your purpose in approaching your loved one, then set up a private time to speak with them. You may even consider rehearsing what you want to say. 
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  • Honestly express your concerns. Explain your concerns in an open and caring way without condemning or judging your loved one. One way to do this is to avoid “you” statements like “You’re not eating enough!” Instead, use “I” phrases like “I’ve noticed you are eating less.” 
  • Refrain from “simple” solutions. Avoid suggesting “simple” solutions to their trial. Telling someone struggling with an eating disorder to “just eat” is rarely, if ever, helpful.
  • Avoid stigmas and encourage professional help. Help your loved one understand that having an eating disorder and getting necessary help is not shameful. Assist them in getting professional help.
These suggestions can help you lovingly approach your friend or family member. However, they may react negatively at first because mental disorders affect your thinking (Zaitsoff et al., 2020). Brooklyn explained it this way: “While I was in the depths of an eating disorder, I didn’t want help because I knew that ‘help’ would mean potentially giving up everything that my disordered mind considered important in life.” Fear of receiving a negative reaction is understandable. I was afraid. But I now understand that I would rather face my fear than lose my best friend. 
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Understanding Eating Disorders

After our first conversation, I realized that I had much to learn about eating disorders. While Brooklyn’s health was suffering, she didn’t have what I originally thought of as an eating disorder. Her eating and exercise habits were definitely disordered, but Brooklyn ate. Understanding Brooklyn’s experience with an eating disorder was my first step in supporting her, and the following steps can help you on your path to understanding: 
  • Do your research. Accept that multiple variations of eating disorders exist, and eating disorders are more complex than simply not eating. Eating disorders include any condition involving eating and other behaviors that negatively affect physical, emotional, and functional health (“Eating Disorders,” 2018). While Brooklyn ate, her obsession with healthy eating and exercise was still an eating disorder.
  • Listen to your loved one. One of your best resources for understanding eating disorders may be the person you know who is actually suffering with an eating disorder. Sometimes, their current mindset may not elicit helpful comments, but when they do open up to you, be ready to listen and learn. 
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  • Seek the help of medical professionals. If a medical professional is assisting in your friend’s recovery, then seek the professional’s advice. They likely have insights on how you can personally help your friend. 
  • Apply what you are learning. As you better come to understand your loved one’s trial, be willing to adjust and apply the strategies provided by the medical professionals.
With the help of these steps, I learned that multiple factors affect the formation of eating disorders. Brooklyn’s eating disorder actually stemmed from struggles with perfectionism and anxiety. When I finally understood this, I was better able to support my friend in the ways that she personally needed. 

Assisting in Recovery

Later in the recovery process, Brooklyn helped me understand that having support in recovery is extremely beneficial, even for someone as strong and determined as she is. The following are a few of the best ways to support loved ones through recovery (Fleming et al., 2020):
  • Listen. Whenever your loved one talks of their experiences with an eating disorder, listen intently. This is not the time to discuss your own difficulties with body image or dieting. Doing so may actually discount your loved one’s struggles or trigger a relapse (Saxey, 2020). Instead, when they talk, simply listen and love.
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  • Show loving determination for accountability. Some days, the love you show will simply include providing company or understanding. Other days, however, your love may need to consist of firm accountability. Help your friend or family member keep their commitments to steps of recovery, and do not enable self-destructive behaviors.
  • Remind your loved one of the joys of life. Brooklyn explained that an eating disorder is “completely mind-numbing. Life became bland and full of numbers and checklists, rather than the spontaneity and excitement that should encompass it.” Help your friend or family member enjoy different activities so that they can remember the joy of life.
  • Remain hopeful. Most individuals recovering from an eating disorder will relapse, face emotional days, and experience other challenges along their road to recovery (“Relapse and Reoccurrence”). This does not mean that hope is lost. Remain hopeful and encourage them to do the same.  
Recovery is different for each individual, but having support is actually one of the most consistent helpers (Linville et al., 2012). To support Brooklyn, I became more educated about nutrition and intuitive eating. I accompanied her to joyous activities and helped her navigate her eating disorder triggers. As determined as Brooklyn is, she needed support and so does your loved one. 
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Overcoming Their Challenge

The day Brooklyn told me about her struggle with an eating disorder was years ago. The Brooklyn I knew then was not the bubbly, care-free, and healthy Brooklyn that I know now. She still has her difficult days, but with the support of friends and family, Brooklyn recovered. Approaching your friend, understanding their experience, and assisting in their recovery can help your loved one as they face their own challenge with an eating disorder. 
One of the best ways you can help a loved one with an eating disorder is by getting informed about them. Check out the link from the National Institute of Mental Health to read about different kinds of eating disorders, the signs and symptoms associated with them, and what treatment options might be available for your loved one.

References

Arcelus, J., Mitchell, A. J., Wales, J., & Nielsen, S. (2011). Mortality Rates in Patients with Anorexia Nervosa and Other Eating Disorders. Archives of General Psychiatry, 68(7), 724. https://doi.org/10.1001/archgenpsychiatry.2011.74 
Fleming, C., Le Brocque, R, Healy, K. (2020). How are families included in the treatment of adults affected by eating disorders? A scoping review. International Journal of Eating Disorders. https://doi-org.erl.lib.byu.edu/10.1002/eat.23441
Linville, D., Brown, T., Sturm, K., & McDougal, T. (2012). Eating disorders and social support: Perspectives of recovered individuals. Eating Disorders, 20(3), 216–231. https://doi.org/10.1080/10640266.2012.668480
Mayo Foundation for Medical Education and Research. (2018). Eating disorders. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/eating-disorders/diagnosis-treatment/drc-20353609
National Eating Disorders Association. (2018). How to Help a Loved One. NEDA: Feeding Hope. https://www.nationaleatingdisorders.org/learn/help/caregivers
Relapse & Recurrence. National Eating Disorder Collaboration. https://nedc.com.au/eating-disorders/treatment-and-recovery/relapse-and-recurrence/
Saxey, M. (2020). Empathy v. sympathy: Are my attempts really helping others? Family Perspectives, 2(1).
https://scholarsarchive.byu.edu/familyperspectives/vol2/iss1/7
Zaitsoff, S. L., Pullmer, R., & Coelho, J. S. (2020). A longitudinal examination of body‐checking behaviors and eating disorder pathology in a community sample of adolescent males and females. International Journal of Eating Disorders, 53(11), 1836–1843. https://doi.org/10.1002/eat.23364

 

Rebecca Zundel was born and raised in a small, Midwestern town with her three older brothers. She now studies human development and editing at Brigham Young University and recently married her best friend. She loves traveling, trying new foods, and is constantly craving a big bowl of ice cream.
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Guest Writers, Love, Me

3 Principles to Help You Become the Expert on Your Own Body

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Cover photo by Megan Markham from Pexels

Written by Kylee Marshall, Licensed Associate Marriage and Family Therapist
Let’s reflect on the week, shall we? How many comments have you heard this week moralizing food? (“I’m so good, I just ate half of my meal.” “Ugh, I’m so bad for eating this, but it’s so good.” “Cheat day!”) How many comments have you heard this week about weight loss? How many comments have you heard about hunger/fullness (“I’m so hungry, I haven’t eaten all day.” “I ate way too much.” “I can’t believe she ate all that.”) If you’re like me, I often found myself surrounded by comments about body and food that I didn’t like, and at times even participating myself. What if I told you it didn’t have to be this way? What if I told you that research actually promotes a different, more peaceful way of relating to yourself and your food choices? In this article I’m going to share a few principles that will help you find more food and body freedom.

Your Body Isn’t the Problem. 

So often people that have a rocky relationship with food and body work tirelessly to fix this by changing their bodies. People spend precious time, money, and mental/physical energy into shrinking, toning, morphing, shaping, etc. their bodies into something else. This makes sense; most people do this because they want to fit in and feel like they belong. Adjusting their body seems like it would be a way to get to this goal. However, not only is this not a very helpful goal in terms of getting to a place of peace with food and body, but changing one’s body doesn’t need to be the goal at all. This might sound too good to be true, but what if your body isn’t the problem? What if the way you THINK about your body is the problem? Stick with me here. 
Photo by Anna Shvets from Pexels
Many people hope that if they lose weight, their negative body image will be lost with it. However, studies on weight loss and mental health have concluded that calorie restriction can lead to unplanned side-effects that are damaging to mental health, such as mood swings, increase in preoccupation with food and hunger, anxiety, social isolation, and emotional deadening (Dirks & Leeuwenburgh, 2006; Stice, Burger, & Yokum, 2013). Even those who participated in plastic surgery as an unrealistic method of feeling better about themselves often fared worse in the long run (Honigman, Phillips, & Castle, 2004).
Photo by Tim Samuel from Pexels
Instead of focusing on changing our bodies, it might be more important for us to work on our mental health. Eating disorders are highly correlated with mental health disorders. In fact, some studies show that as many as 97% of individuals with severe eating disorders have one or more co-occurring mental health conditions and around 66% of people with anorexia showed signs of anxiety several years before the start of their eating disorder (Tagay et al., 2014). Spending time with some of the mental health difficulties, emotional pain, and cognitive distortions that have contributed to the development of eating disorders and disordered eating patterns will be significantly more helpful for overall well-being than simply changing our bodies. 
I would argue that losing weight or changing our bodies is our way of attempting to fix deeper issues such as a desire to fit in, be accepted and loved, and to feel good enough. However, I would suggest that we need less fixing and more healing. We don’t need to fix ourselves or our bodies, we need to heal our relationship with ourselves and our bodies. This is not always a quick fix, but the results and peace are much more long-lasting.
Photo by Charis Gegelman on Unsplash

Learn to Reconnect with Your OWN Body.

Have you watched a toddler eat? It is so fun to watch littles be presented with many options and move through them eating what tastes good at the time. They typically finish eating when full and do not know principles of restriction, so simply eat what their body is asking for. We are all born intuitive eaters! As we age, we disconnect more and more from our bodies as we learn what we “should” and “shouldn’t” take into our bodies, what food is “good” or “bad” and learn rules about when to eat, how much to eat, etc. In my field as an eating disorder therapist, I see so many people who are looking to outside sources for how to control their bodies better. However, I would make a radical suggestion that our bodies are wise and we can trust them. It is the factors in society that have disconnected us from our bodies that we need to combat! From toddlerhood to old age, our bodies have built in systems to help us feel our hunger and fullness, ask for nutritious food that we need, and move in ways that feel beneficial and energizing. 
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Becoming the expert on your own body means taking time to get to know and understand it. Dieting is unhelpful in this process because it moves you away from connection and towards an arbitrary set of rules. Research has found that 95% of dieters will regain their lost weight within five years (Grodstein et al., 1996; Neumark-Sztainer, Haines, Wall, & Eisenberg, 2007). There are many potential reasons as to why this is. One might be that our body fights hard to keep us safe and healthy, meaning that it is hard to ignore and pacify our body’s natural signals for more than a short period of time. 
Instead of viewing your body as something to control and fix, try approaching your body and its signals with curiosity. My husband and I just had a conversation as I was writing this article about our day old Chip cookies on that counter. We talked about how sometimes we would walk by and eat a piece of cookie even though they were stale and hard just because they were there. This is a conditioned response to want cookies because they’re a “yummy treat” even though in that moment they were not so tasty. We can use this experience as information when making food-related decisions moving forward. I’ve also been on the opposite side of the spectrum, wanting to eat cookies but being governed by the idea that cookies are “bad,” and then getting very psychologically wrapped up in the cookie! Instead, if my body is asking for a cookie, perhaps I eat the cookie and move on. If my body is not asking for the stale, hard cookie on the counter, I can practice mindfulness and tap into my body’s signals and leave the cookie in its box. It’s not about food rules or dieting here, it’s about listening to my body and trusting what it is saying.
Photo by Mikhail Nilov from Pexels

All Foods Fit!

As you begin the journey of listening to your body, try adopting the mindset of “all foods fit.” All foods can be enjoyed when our bodies ask for them! Food is neutral and has no moral value and so we don’t need to avoid it unless it is actually harmful for our bodies because of disease or allergy. If we purposefully cut out or restrict certain types of food, our bodies and minds go into deprivation mode and the scarcity mentality kicks in, leaving us wanting those foods even more! This is why dieters are 12 times more likely to binge than non-dieters (Neumark-Sztainer, 2005). When we allow all foods to be a part of our daily eating patterns we are able to better tap into our body’s signals, free of shame. In fact, being more intuitive and allowing all foods to fit actually has been linked to less disordered eating, better body image, and greater emotional functioning (Bruce & Ricciardelli, 2016). What does it look like for all foods to fit for you? What foods do you have rules around? How can you listen to your body as you allow them to more fully “fit” into your lifestyle?
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Conclusions + Application.

Woah, this is a lot of information! You might feel like you’re unsure how to apply some of these ideas. Start now by becoming the expert on your own body/food through one of the following:
  1. If your eating patterns are disordered or you recognize eating disorder symptoms in your own life, seek some outside professional help. These issues are really painful and often difficult (and potentially dangerous) to manage on your own. You are not alone. Find a therapist trained in eating disorders and reach out for one-on-one assistance A helpful website to find those who are best suited to help with your specific case is PsychologyToday.com. Feel free to reach out to me directly as well and I’ll do my best to get you connected to the resources you need.
  2. Allow all food to fit this week. Listen to your body. Does a burger sound good? Let’s do it. Are you feeling salad for lunch? Fabulous. Does pasta sound like it’ll really hit the spot? Let it hit the spot. Notice what your body asks for and honor it! Take note of how your body responds and what it asks for as your own personal research for becoming more in-tune with your body and its signals. Begin breaking away from the scarcity mentality. Let your body be the guide. Eat like a toddler this week.
  3. Read Intuitive Eating by Elyse Resch and Evelyn Tribole or More Than a Body by Lexie Kite and Lindsay Kite
  4. Pay attention to your thought patterns. Recognize and question your unhelpful thoughts about food and your body. Where did those thoughts come from? Are they true? Do they fit with your value system? Do they help promote your becoming the expert on your own body? Be mindful and remember that your thoughts are not always true!
  5. Open up with someone you love about struggles you may have in these areas. See if you can work together to better your relationships with food and body.
  6. Unfollow accounts on social media who do not promote healthy relationships with food and body; follow accounts who do. Here are some suggestions:
    • @diet.culture.rebel
    • @no.food.rules
    • @evelyntribole
    • @chr1styharrison
    • @balancehealthandhealing
    • @beauty_redefined
Choose one of the above applications to begin becoming an expert on your own body and developing a healthier relationship with food!

References

Tribole, E., & Resch, E. (2012). Intuitive eating. New York: St. Martin’s Griffin.
Kite, L., & Kite, L. (2021). More than a body: Your body is an instrument, not an ornament.
Tagay, S., Schlottbohm, E., Reyes-Rodriguez, M. L., Repic, N., & Senf, W. (2014). Eating disorders, trauma, PTSD, and psychosocial resources. Eating disorders, 22(1), 33-49.
 Neumark-Sztainer, D. (2005). I’m, Like, SO Fat!.New York: Guilford.
Dirks AJ, Leeuwenburgh C. Caloric restriction in humans: potential pitfalls and health concerns. Mechanisms of ageing and development. 2006 Jan 1;127(1):1-7.
Stice, E., Burger, K., & Yokum, S. (2013). Caloric deprivation increases responsivity of attention and reward brain regions to intake, anticipated intake, and images of palatable foods. Neuroimage, 67, 322-330.
Honigman, Roberta J. B.Comm., B.Soc.Work., A.A.S.W.; Phillips, Katharine A. M.D.; Castle, David J. M.Sc., M.D., M.R.C.Psych., F.R.A.N..C.P.
Plastic and Reconstructive Surgery: April 1, 2004 – Volume 113 – Issue 4 – p 1229-1237 https://doi.org/10.1097/01.PRS.0000110214.88868.CA
Grodstein, F., Levine, R., Spencer, T., Colditz, G. A., &Stampfer, M. J. (1996). Three-year follow-up of participants in a commercial weight loss program: Can you keep it off? Archives of Internal Medicine 156(12), 1302.
Neumark-Sztainer D., Haines, J., Wall, M., & Eisenberg, M. ( 2007). Why does dieting predict weight gain in adolescents? Findings from project EAT-II: a 5-year longitudinal study. Journal of the American Dietetic Association, 107(3), 448-55

 

Kylee Marshall is a licensed associate marriage and family therapist at Balance Health and Healing in Lindon, UT where she primarily sees clients who struggle with eating disorders, body image issues, anxiety, relationships issues, and depression. She is also an adjunct faculty instructor at Brigham Young University in the School of Family Life. She was married last week and is enjoying life with her husband and mini-golden doodle pup, Frodo. She is passionate about floral and home design, ice cream, hand-lettering, lifting weights, social justice, acai bowls, and promotes healthy relationships with others, yourself, food, and body. She could also probably make you the world’s best chocolate chip cookie. 
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commUNITY, Project Parent

How Current Food Trends are (Negatively) Affecting our Families

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Written by Shirley Anderson
Let’s talk about food. The relationship between food trends and family life is rarely discussed but it’s an important topic that affects our lives and relationships daily. Think about it, most of our relationships regularly revolve around sharing a meal together. Whether it’s catching up with a friend, a business negotiation, family traditions, or trying to build a relationship (aka dating), food is usually at the heart of it all. For the purpose of this article, I will solely focus on how food trends affect our families. And in order to understand the food trends and family life of today, we first need to look back on one particular event in our history. 
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Photo by Hal Gatewood on Unsplash
Current family life and food trends can largely be traced back to two massive societal shifts springing from the industrial revolution. During the dawn of modernization, women took on entirely different roles in society which dramatically changed both daily family life as well as food in the home (Nielsen, Siega-Riz, & Popkin, 2002). As women left the home to join the working class, many of the traditional daily tasks associated with child-rearing and food preparation were abandoned (Guthrie, Lin, & Frazao, 2002). As people began to work longer hours in more rigorous conditions, diets shifted away from traditional starch and grain centered meals to stimulant fueled meals on the go, with coffee, tea, and sugar taking center stage. These events in our history fundamentally altered the construct of family life and food and continue to impact modern society and our lives as individuals every single day.

Food Trends

Current food trends are deeply rooted in the societal shifts arising from the industrial revolution. Where, what, and how we are eating today is very different from our ancestors of yesteryear and the traditional paradigm of gathering around the family table for mealtime no longer exists as the societal norm. Research shows that we are increasingly consuming more food outside of the home (Guthrie, Lin, & Frazao, 2002; Nielsen, Siega-Riz, & Popkin, 2002) and while many of us still eat at home, what we are eating continues to trend toward the ‘center stimulant diet’ of high calorie, low prep foods (Poti, & Popkin, 2011). One of the biggest obstacles families face is the feeling that we don’t have the time to prepare nutritious meals. Life can get busy! The number of activities that we ourselves and our families are involved in continues to mount and “eat up” the time previously dedicated to preparing and sharing a meal together (Asp, 1999; Larson, Perry, Story,  & Neumark-Sztainer, 2006). Because of this dilemma, we tend to buy convenience foods that are pre-processed and ready to eat with a zap in the microwave (Capps, Tedford, & Havlicek, 1985) or a phone call to the nearest food delivery service. The convenience of pre-packed and prepared foods fits well into our busy ‘on the go’ lifestyles but research shows that we’re eating less of that pre-processed food together as families as well. Instead, we often take it to go and eat it in bite-size portions alone over the course of a day, substituting social meals for solitary grazing (Hamermesh, 2010) and snacking (Piernas, & Popkin, 2009).
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Photo by Marcel Heil on Unsplash

Effects on the Family 

So where does all this food nonsense leave us? Unfortunately, it can leave us with full bellies and empty relationships. Obesity, diabetes, heart disease and other food-related illnesses are on the rise keeping pace with loneliness, estranged families and general feelings of anxiety. Why? Because we are neglecting two of our most basic needs as human beings- connection and nourishment. The point is, FOOD MATTERS. Food matters because family matters. There is an interconnected, cyclical relationship between food and family that have lasting consequences and the great news is we get to decide whether they’re detrimental or beneficial. Families who eat together regularly reap the benefits of greater resilience and more satisfying familial relationships. Families who eat together well by investing time into preparing meals together will benefit not only socially but also physically with decreased exposure to many food-related health risks that are so prevalent today. 
two-person-eating-pancake-on-white-wooden-floor-3692876
Photo from pexels.com
If you’re like me, this research can feel overwhelming as I reflect on the many ways I can improve my mealtime habits. Remember, perfection is not the goal! Experts have reminded us, “It doesn’t have to look like a Norman Rockwell painting.” Not every meal will be especially nutritious, prepared by you or shared with someone and that’s okay. As we commit to doing better and making the necessary changes to get there, the benefits of connection and nourishment will be ours. Start by creating a specific goal to have more impactful mealtimes both socially and nutritionally. My goal is to prepare my family’s snacks ahead of time so when we’re out running errands and low on fuel, we can re-fuel on something nutritious. How about you? 
Personal Practice 1Option 1: Review your meals for the last week. Write down what you ate and who you ate with. 
Option 2: Plan and prepare a nutritious meal and share it with someone you love. 
Option 3: If you’re anticipating a long day, plan ahead and prepare your own healthy meals and snacks that can fuel you throughout your day. 

References

Asp, E. H. (1999). Factors affecting food decisions made by individual consumers. Food Policy, 24(2-3), 287–294. doi: 10.1016/s0306-9192(99)00024-x
Capps, O., Tedford, J. R., & Havlicek, J. (1985). Household Demand for Convenience and Nonconvenience Foods. American Journal of Agricultural Economics, 67(4), 862–869. doi: 10.2307/1241827
Guthrie, J. F., Lin, B.-H., & Frazao, E. (2002). Role of Food Prepared Away from Home in the American Diet, 1977-78 versus 1994-96: Changes and Consequences. Journal of Nutrition Education and Behavior, 34(3), 140–150. doi: 10.1016/s1499-4046(06)60083-3
Hamermesh, D. S. (2010). Incentives, time use and BMI: The roles of eating, grazing and goods. Economics & Human Biology, 8(1), 2–15. doi: 10.1016/j.ehb.2009.12.003
Larson, N. I., Perry, C. L., Story, M., & Neumark-Sztainer, D. (2006). Food Preparation by Young Adults Is Associated with Better Diet Quality. Journal of the American Dietetic Association, 106(12), 2001–2007. doi: 10.1016/j.jada.2006.09.008
Nielsen, S. J., Siega-Riz, A. M., & Popkin, B. M. (2002). Trends in Energy Intake in U.S. between 1977 and 1996: Similar Shifts Seen across Age Groups. Obesity Research, 10(5), 370–378. doi: 10.1038/oby.2002.51
Piernas, C., & Popkin, B. M. (2009). Snacking Increased among U.S. Adults between 1977 and 2006. The Journal of Nutrition, 140(2), 325–332. doi: 10.3945/jn.109.112763
Poti, J. M., & Popkin, B. M. (2011). Trends in Energy Intake among US Children by Eating Location and Food Source, 1977-2006. Journal of the American Dietetic Association, 111(8), 1156–1164. doi: 10.1016/j.jada.2011.05.007

 

 

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Shirley Anderson is a Utah native and the youngest of five children. She has been married to her sweetheart for three years, and together they have recently begun the journey of parenthood to a darling little girl and are currently living in Stuttgart, Germany. Shirley graduated from Brigham Young University with a Bachelor of Science in Family Life and Human Development. 
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Guest Writers, Love, Me

Intuitive Eating (Not Just for Dummies)

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Written by Erin Palmer, Body Image Coach and Certified Intuitive Eating Counselor
Keto. Intermittent Fasting. Whole 30. Low-carb. Vegan. Weight Watchers. Juice fasts. Clean Eating. There is no end to the variety of diets that are competing for your attention when it comes to your weight and health. Many of them tout guidelines and science-backed principles that openly conflict with one another. While they differ in some ways, all diets come back to the same principle of restriction. They require meticulous counting and measuring, eradication of certain food groups, as well as other rules and regulations to guide the eating experience. Add that to all of the social expectations about how your body “should look” and it is no wonder that so much of our time and energy is consumed by dieting and body thoughts. Registered dietician Christy Harrison aptly calls dieting “the life thief”. (Harrison, 2017) 
At its core, the idea of dieting for the purpose of improving one’s health seems harmless. However, contrary to what the diet and fitness industry is telling us, studies show that dieting has a 90-95% failure rate. (Grodstein, et al., 1996) An additional study also documented that dieting as a result of weight stigma poses a significant threat to psychological and physical health and presents significant risk factors for depression, low-self esteem, and body dissatisfaction. (Andreyeva, Puhl, & Brownell, 2008)
The more you diet, the more your confidence and self-trust gradually erodes. 
barbecue-bbq-berries-1667580
Photo from pexels.com
In 1995, two registered dieticians published a new book, Intuitive Eating: A Revolutionary Program that Works. Evelyn Tribole and Elyse Resch were working independently but had both noticed that no matter what they did to help their clients lose weight and keep it off their clients kept coming back, filled with guilt and shame, having regained the weight. They realized that dieting was not working and they decided to dive deep into the data. What resulted from their research were the life-changing principles that are found in their book. Now they teach about the importance of rejecting the diet mentality and making peace with food. They teach how to cope with your emotions without using food and learn to respect your body and find joy in movement and exercise. (Tribole, & Resch, 2019)
But intuitive eating is so much more than a new “plan.” At its core, Intuitive Eating is about taking your power back. It’s about learning to trust your natural instincts and to ignore all the different outside messages telling you who you need to be, what you need to look like, how much you should weigh, what you can eat, when you can eat it, how much of it you can eat, etc.. Intuitive eating is about tuning in to your body and re-learning how to trust and truly take care of yourself. It is about finding pleasure and satisfaction in food again while living your most fulfilling life, free of the shame and guilt that often accompanies dieting. 
There is a large misconception that when we let go of all the diet rules and practice intuitive eating that we are “letting ourselves go.” This could not be more opposite from the truth. When you truly give yourself permission to eat and to rely on your body’s signals of hunger, fullness, and satiety, you are allowing yourself to be! You are giving yourself permission to take up space and to live a purposeful life without measuring your worth by the number of calories you consume or whether or not you were able to achieve ketosis. Eating intuitively requires that you are present in your life and are aware of your emotions and thoughts surrounding food. The more you come to know and value your own inner voice, the more you will learn to give your body what it truly needs, whether that be cake or kale. Many people I have worked with have been surprised at what happens when they begin to trust themselves. While they originally thought that they would end up living off a diet of candy and chips, they learned that when they took the time to listen to their body their body provided them with cravings for a variety of nutrients and foods. In my opinion, learning to listen to and trust your body with food is one of the most powerful and effective means of self-care.
If you have spent a good part of your life on a diet, it may feel really intimidating to dive into intuitive eating. But know this: unlike a diet, you cannot fail at intuitive eating! (Tribole, & Resch, 1995) It is all a learning process and it looks different for every person. Your journey will be different, but even moments of cleaning out an entire carton of ice cream in one sitting can provide an opportunity to check in and reconnect with yourself.
Here are some steps that you can take towards learning how to trust your own intuition with food and make peace with your body:
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1. Learn to ask questions

We have been sold a lot of ideas about health and wellness that at first glance may seem like good things. But it is important to ask yourself questions like, “Who decided that _____ is the way that we should all look?” “Who benefits from me buying that product/participating in that diet?” “Why do I believe that changing my body in this way will allow me to feel ____? Is that true?” You can also use this tool to help you as you navigate intuitive eating and re-learn what your body needs, what foods truly taste good to you, what type of exercise and movement brings you joy. 

2. Get rid of external measuring sticks

Have you ever watched a young child eat? When you were a toddler, you ate when you were hungry and you stopped when you were full. You found joy and satisfaction in food. Your body was created and developed from a small group of cells into a full human infant without any kind of external influence. Your body still has every system and regulator it needs to continue to help you thrive and grow. The problem is that we have learned to ignore those internal regulating systems and intuition and instead rely on food pyramids, fitness trackers, and scales to tell us what, when, and how we should be eating. Go back to the basics, learn to trust yourself by how you feel and experience food. You are your own best measuring stick.

3. Practice self-acceptance

Have you ever told yourself “I’ve got to work off that extra cookie I ate last night” or “As soon as I am ___ lbs, then it will be easier to love myself.” Punishing yourself out of disgust or waiting until a future day to love yourself are rooted in the idea of fear. Fear that you won’t be accepted by others as you are, fear of gaining weight, or fear of not measuring up to our own self-inflicted standards. The antidote to fear is love, but proclaiming “I love my body and I love myself” can sometimes be a hard jump for some people. The small starting step is to practice acceptance for who you are at this moment and recognize that nothing is going to change your body in that instant. Don’t allow the ever-fluid future to rob you of the beauty happening in your life today. Start living and experiencing the life you are waiting for right now!  
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Photo from pexels.com

4. Give yourself grace

Starting something new can be hard. Unlearning years of diet lies and gimmicks can be especially tricky. It is most definitely a process that takes a lot of time and intention and you can’t measure or compare your journey to anyone else’s. Each day you will need to give yourself grace and be curious instead of critical. Give yourself permission to feel sad or angry at the lies that you have been sold about your body. Offer kindness and patience to yourself as you navigate learning how to trust yourself again. We are often so much more charitable to those around us than we are to ourselves but in the end, one of the most important relationships we have is with ourselves and investing in self-kindness and self-compassion is key. 

5. Read the book Intuitive Eating

Intuitive eating has become somewhat of a buzzword in the social media community. While it is incredible and exciting that it is finally getting the attention it deserves, there are many sources that claim to be intuitive eating focused while still holding on to dangerous aspects of diet culture. Go to the original source! If you have spent part of your life caught up in diet culture and experiencing poor body image, implementing the principles from that book has the power to help you make peace with food and your body and has the potential to ultimately change your life.
Personal Practice 1This week, spend at least one meal eating mindfully. Before you take your first bite, notice the smell and look of your food. Anticipate what it will taste like. As you tuck in, chew slowly. Notice the texture and feel of the food. Really relish in the taste. Eating in this mindful way can help you be more in-tune with the needs and desires of your body. Be sure to pay attention to when you feel full!

References

Harrison, Christy. “The Life Thief.” 2017, https://christyharrison.com/thelifethief
Grodstein, F., Levine, R., Spencer, T., Colditz, G. A., & Stampfer, M. J. (1996). Three-year follow-up of participants in a commercial weight loss program: Can you keep it off? Archives of Internal Medicine 156(12), 1302.
Andreyeva, T., Puhl, R. M. & Brownell, K. D. (2008). Changes in Perceived Weight Discrimination Among Americans, 1995–1996 Through 2004–2006. Obesity, 16: 1129–1134. doi:10.1038/oby.2008.35
Tribole, E., & Resch, E. (2019) The Principles of Intuitive Eating. https://www.intuitiveeating.org/10-principles-of-intuitive-eating/ 
Tribole, E., & Resch, E. (1995). Intuitive eating: A revolutionary program that works. pg 53
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Guest Writers, Project Parent

The Dinner War – Battling a Picky Eater

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Written by Dietitian Danika Dunn
It’s five thirty and your five-year-old walks into the kitchen saying he’s hungry. “Good, it’s dinner time!” you say, cheerfully, hoping to prevent an explosion. The three-year-old starts to whine and you slip him another fruit snack as you guide the two to their seats, bracing yourself. They mope. You encourage. They grumble. You barter. They pout. You bribe. They scowl. You threaten. They cry. You go make chicken nuggets.
There are few things that stress a parent out more than mealtime with picky eaters. What if you could just stop it? End the battle; call a truce – is that even possible?
Luckily there is a tried and true method to prevent problems and encourage healthy attitudes, AND it will calm the dinner battles right now! In the 1980s, a dietitian named Ellyn Satter wrote a number of books about feeding healthy families. Since then her principles have been tested over and over again and they are still the gold standard that dietitians use in preventing and dealing with eating difficulties. Here’s what you need to know to get started:

1. Trust that your children want to grow up

Your biggest goal for your children’s eating is that they become healthy adults with healthy relationships with food. Guess what? That’s their goal, too! Deep down, underneath those toddler impulses or preteen attitudes, they want to grow up and be mature adults, including in how they eat! Trust your child to grow up. Trust him, even when he’s acting like, well, a three-year-old. Even when he’s acting like a three-year-old when he’s ten. He still wants to grow up.

2. Honor “The Feeding Relationship”

Satter suggested that children feel secure and able to grow up when there is a division of responsibility in the feeding relationship. The parents have their responsibility and the children have theirs. If nobody crosses the line, things tend to work out!
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Basically, the parents are responsible for the what, when, and where of eating, and the child is responsible for how much (if any) he eats from what is provided. I’ll explain.
What – Parents decide what is served. Choose mostly healthy foods. If you don’t want them eating it, don’t serve it. Or even better, don’t buy it! Make sure you provide three or four options for each meal, one of which is something that you know the child will eat, even if it is just fruit or bread.
When – Have meals and snacks at regular times throughout the day. For young kids, that means a snack every two to three hours. Besides regulating the child’s blood sugar and keeping her from getting hangry, this also allows you to more easily say, “It’s a bummer you didn’t eat anything at the last meal. We’ll have a snack in a couple hours.”
Where – Have meals at the table whenever possible. Provide a pleasant atmosphere – keep it light and cheerful as much as you can. Even though you can’t enforce how much they eat, you most definitely CAN enforce manners! Some children eat their fill (or at least say they are done) very quickly and want to run off and play. It is okay to set a timer (even five or ten minutes) to remain at the table and join the family in dinner conversation, even if she chooses not to eat any more.
How much – The child decides how much, if any, to eat. Sometimes they will eat like a bird and the next day will house three sandwiches. Children meet their nutritional needs over the matter of a week or two, not in a day. It is perfectly normal and fine if they don’t eat meat for a few days but eat a bunch a few days later. Overall if this division of responsibility is followed, they will tend to get what they need. However, if you are concerned about a very picky eater while they are working through this, talk to your doctor or dietitian.
Allowing your child to determine how much she eats also means no cajoling, bargaining, or persuading. Your child can smell an agenda a mile away, so if they sense that you are trying to get them to eat their brussel sprouts by talking loudly about how delicious they are, they may feel like you crossed their line and shut down.

3. What about sweets?

One of the first questions parents want to know is, “What about sweets?” Most dietitians give two options. Serve dessert only occasionally, but when you do, children may eat it ad lib (when it is on the table, it is part of the “meal” and therefore they get to decide how much to eat). The second option is to have a single serving of dessert pre-portioned, but to serve it with the meal, not after. Do not use dessert as a reward for eating more “healthy” food. Sometimes a child will even eat more dinner when they can go ahead and have their cookie first – then they won’t rush through and eat as little as possible to get on with dessert! The bottom line is that we don’t want sweets to become this forbidden thing. That is how we develop many unhealthy attitudes toward food.
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So that’s it! Now you can go and have instantly pleasant meals with happily eating children, right?! Okay, okay, it is one of those parenting principles that is simple, but difficult to implement. It is so hard to sit there and bite your tongue while your child ignores the veggies yet again and goes straight for the roll. It is equally hard to bite your tongue when your stubborn child finally tries the cabbage at dinner, and when he says he likes it, instead of dancing around the kitchen, saying casually, “Oh yeah, it’s pretty good.”  Just remember to take the long-term view. Your ultimate goal is not to get your child to eat his peas tonight. It is to have him grow up to be a healthy eater. Fixing nutrient issues is relatively easy compared to fixing an unhealthy mental pattern regarding food. Trust that they want to grow up. Give them the structure and freedom to do it, and be ready to be amazed!
Note: This article was written to address “normal pickiness.” Extreme pickiness may warrant help from an occupational therapist and/or dietitian. Sometimes there are underlying causes (sensory issues, anxiety, early feeding tubes, etc.) that make it more difficult for some children to overcome finicky eating. These principles still apply and are invaluable in overcoming it, but in these situations, special care must be taken and some tactics may need to be altered.

Personal Practice 1

Write down a meal plan for next week’s dinners. Planning ahead will help you feel less stressed at dinner time, and can even help you save money while at the grocery store!

 

 

file-1Danika Dunn graduated magna cum laude from Brigham Young University with a BS in dietetics and a one-year-old. Because she knows so well the practical stresses of feeding kids, she enjoys helping other families eat for better health – in mind and body.  Right now she spends most of her time homeschooling her five children, folding laundry, listening to podcasts, and taking care of her bees.
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