Resources for Helping Others
Articles, Reports, and More on Anorexia, Bulimia and Binge Eating
If you’re looking for information on eating disorders for someone you’re concerned about – here you’ll find free articles and free reports on anorexia, bulimia and binge eating (also known as compulsive overeating).
Subjects discussed in the free articles and free reports on eating disorders provided below include anorexia, bulimia and compulsive overeating definitions, symptoms, causes and statistics.
Knowing the truth about eating disorders is the most important step an anorexic, bulimic or binge eater can take in getting on the road to recovery. This comprehensive collection of information on anorexia, bulimia and binge eating disorder is a great place to start – free articles and free reports compiled by The Center are helpful for people with eating disorders, and also for friends and family members of those suffering.
Possible Overt Signs of an Eating Disorder
by: Capital Region Association for Eating Disorders
- Unusual redness and puffiness around the eyes caused by purging, binge eating and overeating.
- Irritation and swelling of the salivary glands in the neck, caused by purging, binge eating and overeating.
- Poor dental hygiene, bad breath, dryness of the mouth area and cracked lips, caused by purging and the inability to replenish the body with liquids, resulting in dehydration.
- Abnormal sleeping patterns.
- Erratic or absent menstrual cycles.
- Coldness or numbness, even in warm temperature. (Poor circulation and menstrual arrest result when the body slows its metabolism and enters the starvation mode.)
- Sudden weight loss not due to illness.
- Obsessive tendencies concerning body weight: over training, denying feelings of hunger, constantly weighing oneself, etc.
- Refusal to eat meals with family.
996 Capital Region Association for Eating Disorders, Albany, NewYork(518) 464-9043. For more information, contact: Eating Disorders Awareness and Prevention, 603 Stewart Street, Suite 803, Seattle, WA 98 101, 206-382-3587
How To Help A Teenage Friend with An Eating Disorder
Experts say the peak time to develop an eating disorder is between the ages of 11 and 13. So, if you are a teenager, you may have a friend that has an eating disorder. Here are some tips on how to help a friend that you suspect has an eating disorder.
- Learn as much as you can about eating disorders before confronting her. Be careful to not assume she has an eating disorder.
- Tell her you are concerned about her and suspect she might have an eating disorder. Offer specific observations, like, "I heard you throwing up in a bathroom stall twice last week at school."
- Suggest she be evaluated by an expert. It's doubtful she'll be receptive but it is important that you tell her. Offer to go see someone with her.
- Hand her a list of resource numbers. The National Associated Disorders (ANAD) has a toll-free hotline (1-847-831-3438). They provide Treatment over the phone, a network of free support groups, and referrals to health care professionals. The National Eating Disorder Association has a toll-free Referral Helpline at 1-800-931-2237. Another excellent resource is the website Caringonline.com.
- If your friend gets angry and refuses to talk about the problem, don't push her. End the conversation immediately.
- Tell a professional (nurse, guidance counselor, coach, teacher) that you suspect your friend has an eating disorder.
- Realize you've done what you can at this point. You can't force help on someone who doesn't want it.
- Know that simply telling your friend you're worried, and that you love and support her, definitely matters! When she is ready to get help, you may be the very person she goes to. You can then share the contact information listed in this article.
How To Help A Friend With An Eating Disorder
1. What Is An Eating Disorder?
Anorexia nervosa is characterized by restricted eating and refusal to maintain normal body weight; persistent fear of being fat; feeling fat when one is not; absent or erratic menstrual cycles in females.
Bulimia nervosa occurs when there are recurrent episodes of binge eating and a feeling of lack of control over eating; regular use of self-induced vomiting, laxatives, diuretics, fasting, or exercise to prevent weight gain; persistent over-concern with weight.
Eating disorders are often associated with high achievement orientation and perfectionism, a need for control, poor self-esteem, and feelings of shame. The person (female or male) may become depressed or suicidal. The causes are still unclear, but are probably complex and multiple, including psychological, biological, and social factors. Without treatment, eating disorders can become chronic and progressive and may threaten life and health.
2 . What Can I Do?
If you and others have observed behaviors in your friend or roommate that are suggestive of an eating disorder, you are in a position to help.
- Make a plan to approach the person in a private place when there is no immediate stress and time to talk.
- Present in a caring but straightforward way what you have observed and what your concerns are. Tell her or him that you are worried and want to help. (Friends who are too angry with the person to talk supportively should not be part of this discussion.)
- Give the person time to talk and encourage them to verbalize feelings. Ask clarifying questions. Listen carefully; accept what is said in a non-judgmental manner.
- Do not argue about whether there is or is not a problem - power struggles are not helpful. Perhaps you can say, "I hear what you are saying and I hope you are right that this is not a problem. But I am still very worried about what I have seen and heard, and that is not going to go away."
- Provide information about resources for treatment. Offer to go with the person and wait while they have their first appointment with a counselor, physician, or nutritionist. Ask them to consider going for one appointment before they make a decision about ongoing treatment.
- If you are concerned that the eating disorder is severe or life-threatening, enlist the help of a treatment center staff member, or a relative, friend, or roommate of the person before you intervene. Present a united and supportive front with others.
- If the person denies the problem, becomes angry, or refuses treatment, understand that this is often part of the illness. Besides, they have a right to refuse treatment (unless their life is in danger). You may feel helpless, angry, and frustrated with them. You might say, "I know you can refuse to go for help, but that will not stop me from worrying about you or caring about you. I may bring this up again to you later, and maybe we can talk more about it then." Follow through on that - and on any other promise you make.
- Do not try to be a hero or a rescuer; you will probably be resented. If you do the best you can to help on several occasions and the person does not accept it, stop. Remind yourself you have done all it is reasonable to do. Eating disorders are stubborn problems, and treatment is most effective when the person is truly ready for it. You may have planted a seed that helps them get ready.
- Eating disorders are usually not emergency situations. But if the person is suicidal or otherwise in serious danger, GET PROFESSIONAL HELP IMMEDIATELY.
Reprinted with permission by Dr. Morcia Herrin. For more information please contact: Dartmouth college Nutrition Education Program (603)650-1414 or: Eating Disorders Awareness and Prevention, Inc., 603 Stewart Street, Suite 803, Seattle, WA 98101. 206-382-3582
She Has an Eating Disorder! Now What Do I Do?
- Know the signs of anorexia nervosa and bulimia nervosa.
- Discuss your concerns with the individual before deciding she does have an eating disorder (i.e., make sure she just hasn't had a bout of the flu).
- Discuss your concerns with a resource available to you such as nutritionist, counselor or other health professional.
- In discussing your concerns with the individual, be compassionate and open and try to do it in an informal manner rather than a structured interview so that she doesn't feel you are talking to her as a "professional," but as a concerned person to whom she can turn.
- In your discussion, convey your concerns about her health and functioning -don't just focus on weight loss or body size. Let her know the ways in which you may be able to help her (by getting literature or the name of a counselor or nutritionist).
- Have patience - expect to be rejected at first. (It's frightening to admit you have a problem that is out of control and the thought of giving up the behavior is even more frightening). Make sure you leave her with the impression that you do think the situation is serious and that you'd like to speak to her again about it.
- Throughout the whole process of detection, referral, and recovery, keep the focus on the goal of feeling healthy (physically, emotionally, psychologically, relationship wise) .
- Don't make promises you can't keep. (i.e. don't promise you won't "tell," if you feel the person's health is in danger.)
- Be aware of community resources and what to do in an emergency.
- Know your limits. Do not get over-involved in terms of trying to offer "therapeutic" advice. These are complicated, dangerous, and often difficult-to-treat disorders that generally require a whole team approach to treatment. You do no want to become a substitute for professional care.
Reprinted with permission by Dr. Marcia Herrin. For more information please contact: Dartmouth College Nutrition Education Program at (603) 650-1414, or Eating Disorders Awareness and Prevention, Inc. (EDAP) at 603 Stewart Street, Suite 803, Seattle, W A 98101. (206) 382-3587.
Rules for Family Members of a Person Recovering from an Eating Disorder
- Accept your limitations. Encourage your loved one to get professional help.
- Accept the other person's right to an independent life. Don't take charge.
- Don't purchase (or avoid purchasing) food solely to accommodate the eating-disordered person.
- Each household member decides individually what he or she will or will not eat. No one should be forced to eat anything or be restricted in what can be eaten.
- Don't make mealtimes a battleground. Keep discussion about food issues to a minimum.
- Be willing to negotiate household chores involving food.
- The person with the eating disorder is responsible for their behavior whenever it affects others.
- Do not monitor someone else's behavior for them (even if you are invited to).
- Do not use money to control another person's eating behavior.
- Do not anticipate someone else's needs.
- Don't make eating out a battle of the wills.
- Do not play therapist.
- Do not comment about, someone's weight and looks.
- Seek support for yourself.
After Surviving an Eating Disorder: Strategies for Family & Friends. Siegel, M., Brisman, J. & Weinshel, M., 1997. New York, NY: Hamper Collins
HOW TO HANDLE AN ANOREXIC CHILD AT HOME
by: Capital Region Association for Eating Disorders
1996 Capital Region Association for Eating Disorders, Albany, New York (518) 464-9043. For more information, contact: Eating Disorders Awareness and Prevention, 603 Stewart Street, Suite 803, Seattle, WA 98101,206-382-3587, Website:
Nutrition DO’S and DONT'S For Friends and Family
Reprinted with permission by EDAP for Eating Disorders Awareness Week. EDAP 603 Stewart St., Suite 803,Seattle, Washington 98101. (206) 382-3587 Courtesy of Nebraska Dietitians, Working With People With Eating Disorders
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