The Eating Disorder Recovery Podcast

The Eating Disorder Recovery Podcast header image 1

Restrictive Eating Disorders and hoarding

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Link to YouTube video on anorexia and hoarding here: https://www.youtube.com/watch?v=CDxPWT_TuV4&t=2s

Link to Blog post on anorexia and hoarding here: http://tabithafarrar.com/2018/05/brain-malnutrition-hoarding/

Recovery Stories: Unrestricted eating and freedom

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In this podcast, Tabitha talks to Drake, who is in recovery from an eating disorder and wanted to share some hope. 

May 2, 2018  

Recovery Stories: The dangers of diabulimia

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In this podcast Tabitha talks to a person in recovery about her struggles with diabulimia. 

 

link to the BBC diabulimia documentary mentioned:
 
 

The Eating Disorder Recovery Podcast

Recovery Stories: The Dangers of Diabulimia

Tabitha: Hello there, welcome to this weeks podcast. This week I'm going to be talking to somebody who would like to remain anonymous. We are talking about her experience with diabulimia. Diabulimia is a type of eating disorder, that happens when a person has type one diabetes and then they start to use eating disorder behaviours or insulin control to control their weight. We start this conversation by my anonymous friend telling us a little bit about herself.

Anon: I was diagnosed as type 1 diabetic when I was 9. A week before my 10th birthday. Then due to some treatment I received for the eating disorder when I was 12, I had quite a few other medical tests and things done because my diabetic control was so good because the lack of food, I didn't need a lot of insulin, I wasn't having very low or very high blood sugar levels and as a result of those tests they found out I had actually had quite an unusual form of diabetes called MODY which is, I think it's categorised more akin to type 2 diabetes but it's treated in the same way as type 1 and it's quite unusual.

So for all intents and purposes I'm treated in the same way as a type 1 diabetic and I guess my eating disorder history is that I developed plain vanilla classic anorexia when I was 12 and then the anorexia really spiralled when I was going on 13 at which point in about 6 months I'd lost about a third of my body weight and I was towards the lower end of the healthy BMI scale as it was. I became very very unwell and was on the verge of being sectioned by CAMS, the Child and Adolescent Mental Health Service in the UK. I remember sitting in my bed at home on the evening after my parents had taken me home from the outpatient hospital and brought me this bowl of cereal, bran flakes or something, but they brought me this bowl of cereal and they said, my mum was there saying you have to eat this you have to eat this. I don't know what it was but I was so distressed and so upset that I just ate it.

And that started a three month period of what you refer to as feast eating. So I ate and I ate and I ate for 3 months and I ate no diabetic friendly foods at all. All cakes and chocolate and all of the things I'd been restricting and one of the things that the medical team had tried to get me to drink when I was underweight and I'd feigned drinking and poured away and done all the usual anorexic guise getting out of eating were these things called Scandishakes. They are basically like these meal replacement shakes. But they are actually really nice ones in terms of they are just full of sugar basically. So they just taste like McDonald's milkshakes so they are really quite enjoyable but when I started having those initially my blood sugar just went absolutely off the scale because I hadn't been having them before and so the medical team just assumed well those are fine for people with diabetes. But when I actually started drinking them, the sugars went off the scale and I didn't put on any weight. So I was eating a huge volume of food, a lot of calories, really a lot of food and I wasn't putting on an ounce. And at one point I was actually losing weight despite being extremely underweight.

I suppose that was the first experience I'd have of what's referred to as Diabulimia which for any listeners who aren't aware, Diabulimia refers to when predominantly type 1 diabetic patients do not take insulin which is something they need to take to break down carbohydrates and sugars. They don't take their insulin because they know if they don't take it they can eat whatever they like, which if they are restricting is probably high fat, high carb, high sugar food and not put on any weight at all and in some cases lose weight. So that was my experience, it was completely in inadvertent at first and at that point I assumed that my brain was being nourished to some extent because I didn't put 2 and 2 together and think this is nice, I'm going to carry on doing this.

I took the insulin, I got things under control again and it was all a bit up and down anyway because of the types of foods I was having to eat at that point to get to weight restoration. But when my BMI reached I think it was 18 the medical profession thought she's out of the woods, she's clearly put on this weight, she's fine and at that point, my parents were scared by the amount that I was eating as well because they didn't understand what was going on, they didn't think I had an eating disorder at that point. So they were very much OK great, so you can stop all of the eating now, you don't have to eat so much food, you can just go back to normal, eating normal foods and normal potions and go back to caring your diabetes and what's healthy for that.

Because at that point I was in no way mentally recovered, nowhere close, I hadn't received any psychological support at that point because I was hell bent on not getting any mental help at that point and my parents, because I'd assured them being in the eating disorder mindset, I'm fine, I've got this under control they didn't compel me to go and get treatment and to be quite honest with you the only treatment that was offered to me was an inpatient facility that was 100s of miles away, I think it was in Scotland. It was 100s of miles away from them anyway and that was the last thing they wanted. They were really so concerned for me to then be whisked off away to the other side of the country wasn't something that they were keen to do at all.

So I reassured them and I was going back to this regular quote pattern of eating with what I now realise was very much quasi recover and then I suppose at that point it was a conscious effort to pursue, for a lack of a better word, the diabulimia. So I would be craving all the high sugar, I don't like the term junk food, but processed foods and I'd be craving them and I didn't feel able to give myself permission to have those foods and take my insulin at the same time. It went in dribs and drabs.

I did that for a couple of years and then after that time I just worked out that it felt so rubbish to abuse the diabetes in that way because I don't know what the experience is like for anyone with an eating disorder particularly anorexia without diabetes because that hasn't been my experience because it set in at 9 and I developed the eating disorder at 12 so I only ever had an eating disorder with the diabetes but I can not convey how weak and tired and how horrendous it feels to have low blood sugars and then how tired and just faint and unwell I felt when my blood sugars were high as well. When the blood sugars were low and I was very much in the anorexia stage there was this immense fear of having to eat in order to bring the blood sugars up again because I was taking next to no insulin but there was this huge fear of if my blood sugars go to low and I could go into the coma I'm going to have to eat something that wasn't planned for.

Looking back on at, that is hugely scary because I would, and I think as well that the issue I had was that I was getting a lot of positive reinforcement from my diabetic team until my weight became a concern I was getting a lot of positive reinforcement because my blood sugar control was exemplary because I wasn't eating, I was having next to no insulin and my blood sugar control was excellent and so from their prospective I was the model diabetic patient which definitely plays into my plain vanilla anorexia type personality or susceptibility. Because I'm very type a, perfectionist want to please people. From a purely physical perspective if I don't eat my blood sugars go extremely low because I have to take a certain amount of insulin my body doesn't produce that and so I need take long acting and short acting insulin several times a day.

If my blood sugars go too low, I become shaky, faint can not function when I've had they are called hypos, or hypoglycaemia which I know that a lot of people with anorexia deal with anyway, but I think with diabetic people it is just amplified because alongside the anorexia  they are also dealing with this chronic health condition and so extremely weak, to the extent that if I was trying to get food when I had a very low blood sugar I would have to hold on to the work surfaces and things in order to not fall over, just to get some food. I actually am very fortunate in that I feel unwell whereas I know that for a lot of diabetic people sometimes they don't and it's just case of one minute they are walking around and then then next minute they are out cold on the floor.

From the other end of the spectrum when the blood sugars were high and I weren't to take insulin then, I become extremely tired, extremely thirsty, unable to sleep through the night, because I will be drinking so much I needed to get up to use the bathroom. And I suppose the invisible signs if you like, that can't be seen when the blood sugars are high, that's when things like damage to the retina occur so blindness and because of the circulatory issues can lead to amputations in fingers and toes are quite common.

T: I didn't know about the blindness.

A: Oh yes, that's very common and diabetic people have to have retina screenings every year to check to photograph the retina to see if there are any signs of diabetic retinopathy. That is quite a common side effect of mismanaged diabetes, inadvertently. But obviously with diabulimia if someone is doing that in such an extreme level then that can be accelerated quite substantially so people that are quite young can lose their sight.

T: Did you know at the time that that was a risk?

A: Yes, I did and I can honestly say I didn't think about it at the time. On a logical level, I knew what all the risks were because other risks like kidney damage, damage to organs are really serious and in some cases organ transplantation. But to me, because the anorexia was so strong, at that point none of it mattered. It was, I want to be thin and I don't want to eat more than I'm eating now. And if I do eat then I can't take insulin and that's just the way it is.

T: I know that when I had active anorexia sometimes I think it's part of that not knowing how sick you are or how risky things are but you can sort of know that something's a risk and do it anyway. You feel that you're special and it won't happen to you.

A: Yeah sure and I think as well with me, I was pulled up on it by my medical team because I was so underweight but diabulimia can happen, like anorexia in someone at any shape, any size body. So someone doesn't have to be massively underweight and because mismanagement of diabetes can happen quite innocently as it's quite a difficult condition to manage. The management of it differs hugely between individuals so it can quite easily slip under the radar of medical professionals, unless someone actually comes out and asks for help which as you say, if someone is so hell bent on restricting then that may never happen.

T: So what helped you to understand that you couldn't continue to do what you were doing?

A: Honestly I think the only thing that got me out of the diabulimia was kind of moving into Othorexia. Which is horrendous, but I got into this mindset of, I feel really bad when I eat all this junk food because I'm not taking my insulin so I equated that with, if I eat all this processed food it doesn't matter if I take my insulin or not it's definitely the food and so I can eat as much as I like provided it's healthy.

And then that went down a whole other rabbit hole so the diabulimia became kind of irrelevant at that stage because I'd found this other way of restricting and so that wasn't really required any more. It's only when I looked back on it and I'd managed to get myself to a point enough physical recovery to think, I don't want to do any of those things that I can see, there wasn't any conscious effort on my part to think, oh I'm really scared of the potential of going blind, or losing my foot or something, there wasn't nearly that rational, it was very much like, this is the way to go because look at all these people in Instagram or whatever that are eating clean and this is why I should be doing.

T: But many people do that, most of us cycle through every type of fad diet or stage and you do something maybe for a year or so and it gets tired and you look for something else that's going to help you feel safe, but allow you to change what you're doing. S it sounds likes that move to othorexia was a way that helped you feel safe but it enabled you to change to do something different which isn't ideal either.

A: No, far from it.

T: OK, so anything else that you think is relevant on the Diabulimia?

A: Having a quick look at that documentary that I mentioned to you which is the BBC 3 Diabulimia, it's called something like The Worlds Deadliest Eating Disorder, but they quoted a study which said that 60% of type 1 diabetic women have experienced an eating disorder by the time they are 25 so I think it's extremely common and I also think it's extremely difficult to not only diagnose but get help because I know people who are clinically very underweight, they should meet the threshold of inpatient treatment just as an eating disorder stand alone illness but nobody inpatient facility will take them because they are diabetic. They don't have the diabetes knowledge and they don't know how to adapt the standard meal plan that they give to everyone and everyone has to eat the same.

T: Right, so they say there is a risk that they can't take on.

A: Yes, absolutely

T: So what do you think needs to happen in the treatment field in order to be able to serve what sounds like quite a high percentage of people with type 1 diabetes who also have an eating disorder or be using that to control their weight. So what do you think in your experience could have been offered and what do you think could have helped you maybe earlier on?

A: I think that the first step with anything is awareness because at the time that I was suffered with diabulimia it wasn't a thing. It wasn't recognised particularity and I think that a lot of women and men too. There haven't been any stats on it but I'm sure men as well deal with the same issue and young boys as well.

Just to raise it as an issue and really monitor them closely in terms of every diabetic child, adolescent and adult even, should have regular diabetic appointments. Their average glucose level, their HBA1C level which is their average blood sugar taken over I think 3 or 6 months will show if they've had high blood sugar levels for that period so that will kind of give away if they've been abusing or taking their insulin or not.

Raising awareness among the diabetic consultants that this is a thing and then interdisciplinary discussions so have the diabetic dietitians work with the eating disorder dietitians and help people manage things in a way that isn't obsessive because I know with me, asking me to count carbs was not helpful because saying you can have X number of carbohydrate portions a day for this insulin wasn't helpful. So maybe just taking a more relaxed to it, saying you're taking this amount of insulin at the moment and you did this amount of insulin with this meal, so how were your blood sugars after that? Oh OK so maybe you need a bit more insulin if it was high or OK maybe that was a bit too much insulin so maybe we need to dial it down a bit. Don't go into this carb counting thing.

T: Yep don't play into things that eating disorders really like to do. So I like what you said the interdisciplinary things there. It seems like it's a no brainer that it should happen anyway if somebody has diabetes and they also have an eating disorder that people work together but I guess maybe it's probably even harder in the US than it is in the UK because at least in the UK you have the NHS and I did find when I lived in the UK, things were more interwoven on the NHS because it;s one organisation trying to work together whereas in the USA it does feel more difficult that doctors don't talk to each other and aren't necessarily working in t he same organisation even.

A: I agree, I think as well each NHS trust in the UK will have a segregated area, each trust will have a diabetic dietitian and an eating disorder dietitian and so it should in theory be possible for them to liaise. But I don't know why that doesn't, I guess because it's not picked up on.

T: Right, the importance isn't understood is it? I guess a lot of people who maybe are diabetic specialists are not an eating disorder specialist, so it's just not on their radar that people can use being a type 1 diabetic to control their weight. As much as it should be. To me it seems really obvious but my head is in eating disorder world, so it would do, I guess maybe if you were not in eating disorder world especially if you work in a health system that is obsessed with what they call the obesity crisis then maybe that is also a factor that plays into it.

A: Absolutely. I definitely agree with that, particularly with something like diabetes because what I've experienced a lot, just among the general population there is a lot of confusion between type 1 and type 2 diabetes. If you say your diabetic they just assume you are type 2 diabetic and they don't really understand what type 1 diabetes is. I think what's also tied up in diabetic dietitians in particular is this whole weigh management paradigm when they get a patient their objective is to get them to get their insulin levels under control primarily through dieting behaviours. It can be difficult when as you say, when people aren't really acquainted with the eating disorder world as it were that they don't understand why someone wouldn't take their insulin if it makes them feel really bad.

T: Do you think there was anything anyone could have done or said that would have helped you out? Because I know that we may have family members listening to this and it's a really tricky subject. Like you said you were pretty resistant to hep and support initially just wondering what your thoughts are if you can think back if anybody could have said something that might have helped you?

A: You have to reach a certain point of just being sick and tired of it and wanting help. I think if someone is in that frame of mind that they don't feel like they can give themselves permission and just go ahead and in the early stages of recovery, eat all the food. Just giving someone the permission to do that because that's all I wanted when I went to see dietitians. There's nothing that they could have taught me about nutrition or about diabetes management that I didn't know already. I was obsessed and so I think all I wanted was somebody to give me the permission and say you know what? If you want to eat 5 boxes of Krispy Kremes you can go for it and we will help you manage the insulin with that.

T: So a big thank you to my anonymous friend there. Some of you might be wondering how she's actually doing so I asked her and she said in terms of where I am with my recovery, I have recovered fully from diabulimia and have been fully recovered for 10 years and I am in the later stages of recovery from both anorexia and othorexia. Mentally I feel as if I am very close to being fully recovered.

I also asked her if there was anything that she would say with somebody with type 1 diabetes who was also dealing with an eating disorder and she said the thing she would tell them would be to reach out for support. Please tell someone, family, a friend and eating disorder therapist or anyone on the diabetes treatment team preferably someone who ascribes to a HAES model. Taking that first step asking for help can be terrifying but you reach out and the amount of support and love you could be shown would surpass any expectation you have.

Diabulimia is a lethal illness and addition to all the long term complications of an eating disorder it has all of the long term side effects of poorly managed diabetes such as amputation, blindness and organ damage and failure. This is no joke and anyone struggling deserves a life so much better than they currently have, they are worthy of recovery. Never underestimate the courage and the strength you have just living with diabetes every day it's a real achievement just living with it. A life doesn't need to be made harder by introducing an eating disorder into the mix, not that an eating disorder is a choice. If they feel unable to give themselves permission to seek help, I am giving it to them now. Go and get help so that you can live a wonderful, free life. You so deserve it.

Thank you for listening to this weeks podcast, if you have a recovery story to share or if you have something you think you would like to hear covered in this podcast, please email me at info@tabithafarrar.com or you can tweet me it's @love_fat_ Cheers and until next time cheerio.

Ask Dr G: Edema

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In this podcast Tabitha talks to the wonderful Dr Gaudiani about the important and often misunderstood topic of edema. 

In this podcast we cover:

  • pitting edema
  • dangers of long-term edema
  • triggering aspects of edema
  • edema and purging
  • medications for edema if long-term
  • edema in the abcess of purging
  • the importance of specialised advice 

The Gaudiani Clinic provides superb expert outpatient medical care to adolescents and adults of all sizes, shapes, and genders with eating disorders or disordered eating. The Gaudiani Clinic also offers comprehensive person-centered care to those who are recovered from an eating disorder. Through a collaborative, communicative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values.

Under the care of Jennifer L. Gaudiani, MD, CEDS, FAED, patients receive expert medical care provided in a comfortable and highly discreet private practice setting. Dr. Gaudiani is one of the only outpatient internists in the United States who carries the Certified Eating Disorder Specialist designation and is internationally recognized as an expert in the eating disorder field. In her role as an expert outpatient medical doctor, Dr. Gaudiani can function as a patient’s primary care physician or as an expert adjunctive physician as part of a multidisciplinary team.

The Gaudiani Clinic is located in Denver, Colorado with both local and telemedicine treatment plans available.

Dr. Gaudiani also offers professional services including private and group consultation, professional webinars, and presentations.

For more information about the Gaudiani Clinic, please visit www.gaudianiclinic.com, call 720.515.2140.

Recovery Stories: Recovering despite weight stigma in eating disorder treatment

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In this podcast Tabitha talks to Sarah Thompson about her recovery, and her journey into body positivity. We also discuss:

  • Being queer and having an eating disorder
  • Weight stigma in eating disorder treatment
  • The Be Nourished retreat and certification 
  • Recovery in an environment that encourages restriction and weight loss
Sarah Thompson is an eating disorder recovery coach, certified Body Trust® advocate, consultant and speaker.  As a recovery coach, she supports you on your eating disorder, disordered eating, and/or body image recovery journey. This includes if you want to ditch dieting. She supports you in healing your relationship with food and body in the ways that you want, at the pace that you want. Sarah will hold space for hope in your healing even if you can't imagine it yet. Sarah has a particular interest in the intersection of gender, sexuality, size, and eating disorders. 
 
For info about working with me, the group I mentioned, and my blog: www.resilientfatgoddess.com 
For the retreat I did: https://benourished.org/events-classes/ 

Dr Colleen Reichmann on recovery, HEAS, body diversity, and advocacy.

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In this podcast Tabitha chats to Dr Colleen Reichmann about her recovery, health at every size, body diversity, and advoacy and activism. 

Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Williamsburg, VA. She works in her private practice, Wildflower Therapy, and is a staff psychologist at the College of William and Mary. She is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She is an advocate for feminism, body liberation, fat acceptance, and health at every size.  She writes about body image and eating disorders for morelove.org, Project Heal, The Mighty, Recovery Warriors, and more.
 
instagram: @drcolleenreichmann

 

 

Podcast: Study shows diet talk and behaviour passes down through generations

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In this podcast Tabitha Farrar talks to Jerica Berge about a new study illistrating how diet talk and encouragement to diet can be passed down through generations

Parent Encouragement to Diet From Adolescence Into Adulthood May Cause Intergenerational Harm

Study: http://www.practiceupdate.com/content/parent-encouragement-to-diet-from-adolescence-into-adulthood-may-cause-intergenerational-harm/65474

  • In this longitudinal study 556 adolescents were surveyed when in school and again after 15 years in adulthood and/or parenthood to evaluate the association between parental encouragement to diet in adolescence and health outcomes in adult life. Significant association was observed between parent encouragement to diet in adolescence and an increased risk of overweight or obesity, dieting, binge eating, unhealthy weight control behaviors, and lower body satisfaction in adulthood. In addition, the authors noted an intergenerational transmission of encouragement to diet in the home environment.

  • Clinicians should inform parents about the potentially harmful and enduring outcomes associated with encouraging their children to diet.

 

 

Jerica M. Berge, Ph.D., MPH, LMFT, CFLE is an Associate Professor in the Department of Family Medicine and Community Health at the University of Minnesota Medical School. Dr. Berge is both a behavioral medicine clinician and researcher. Dr. Berge is a licensed mental health therapist and supervisor who specializes in integrated care and community-based partnerships to address family health issues. She has developed and evaluated several family-focused models of care within family medicine clinics including, group prenatal care for high risk pregnant mothers, integrated care clinic, and childhood obesity prevention and treatment interventions via well-child visits. Dr. Berge is one of the most cited authors on family dynamics and childhood health with over 100 publications and book chapters and 300 presentations. She has an impressive funding trajectory including K12, R21, R03, R56, and R01 grants from the National Institutes of Health.

March 16, 2018  

Recovery Stories: Kayla K and why all diets should be damned!

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In this podcast, Tabitha chats to Kayla Kotecki about her path to recovery, and the story behind damnthediets.com. 

We talk about:

  • unrestricted eating
  • diet culture
  • obcessive and complusive exercise
  • bikini contest culture
  • social pressures to lose weight and exercise
  • extreme hunger

 

Learn more about Kayla here:

http://damnthediets.com/

Rehabilitate, Rewire, Recover: Force feeding yourself as an adult.

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In this podcast I talk about the skill of being able to force feed yourself as an adult in recovery from anorexia. 

In the process of making yourself eat food you are afraid of you achieve both nutritional rehabiliation and neural rewiring goals. You train your brain that these foods are not a threat to you, and you eat the types of food that your body really needs in order to get out of malnutrition. 

When you are faced with food that you are not used to eating, or in larger quantites that you usually allow yourself to eat, you go into your sympathetic nervous system -- that's the fight or flight one. Food doesn't taste that good when you are stressed about it! But, if you continue to force yourself to eat, your brain learns that the food is not a threat, and in time, you remain calm when eating. This is what leads to the neural rewiring of your brain that these foods are not a threat to you. 

Recovery Stories: Recovery with kids

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In this podcast, Tabitha Farrar talks to an adult in recovery from anorexia who has young children. We talk about things children pick up on, dealing with children when you are going through recovery stress, and ways of talking to young children about eating disorders. 

Recovery Stories: Allow for body diversity when setting target weights

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In this podcast Tabitha talks to the fabulous Carrie Arnold about the problems associated with setting target weight too long:

Topics covered:

- Body diversity

- What happens in patients minds when target weight are set too low

- Anorexia in larger bodies

- Overshoot vs. recovery weight

 

About Carrie Arnold

Carrie Arnold is an award winning blogger, freelance science writer, and author living in Virginia. She writes on a variety of topics from microbiology to evolution. Carrie is in recovery from anorexia, and is very active in the eating disorder community as an advocate for better research and treatments.

Carrie’s Webiste

Decoding Anorexia



Support this podcast via Patreon!

You can support this podcast and ensure the continuation of it by pledging a patreon donation here: https://www.patreon.com/Eating_Disorder_Recovery_Podcast

 

We want your feedback!

Please take a second to fill out this survey with feedback so we can make these podcasts even better:

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Cheers!

Recovery Stories: Elisa Oras, feast eating, and coming out the other side

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In this podcast Tabitha talks to Elisa Oras about recovery. 

Topics covered include:

- Anorexia in people in larger bodies

- Bulimia, and binge/purge subtypes

- Feast eating in recovery

- Eating lots of food!

- Non-traditional recovery routes

- The important of listening to your body and allowing yourself to eat and rest. 

If you would like to learn more about Elisa:

Youtube: https://www.youtube.com/channel/UCxWY-0as5iyX36Uy7gPLyBg

Website: http://followtheintuition.com/

Book: http://followtheintuition.com/book/

Instagram: https://www.instagram.com/followtheintuition/

 


Support this podcast via Patreon!

You can support this podcast and ensure the continuation of it by pledging a patreon donation here: https://www.patreon.com/Eating_Disorder_Recovery_Podcast

We want your feedback on these podcasts!

Please take a second to fill out this survey with feedback so we can make these podcasts even better:

https://www.surveymonkey.co.uk/r/BSQ7BBM

Subscribe to these podcasts in iTunes: https://itunes.apple.com/us/podcast/eating-disorder-recovery-podcast/id1138563928?mt=2

Recovery Stories: How allowing my parents to refeed me saved my life

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In this episode, I talk to "Simon's Cat" a woman in recovery from anorexia. She shares her story about going back home to live with her parents for 3 months in order to start her recovery and get though the thoughest parts of the refeeding process. 

 

Support this podcast via Patreon!

You can support this podcast and ensure the continuation of it by pledging a patreon donation here: https://www.patreon.com/Eating_Disorder_Recovery_Podcast

We want your feedback on these podcasts!

Please take a second to fill out this survey with feedback so we can make these podcasts even better:

https://www.surveymonkey.co.uk/r/BSQ7BBM

Subscribe to these podcasts in iTunes: https://itunes.apple.com/us/podcast/eating-disorder-recovery-podcast/id1138563928?mt=2

Rachel Millner: School Dinner Policing, BMI Report Cards, and the importance of a HAES approach for kids

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In this episode, Tabitha talks to the wonderful Rachel Millner about fat-phobia in schools:

  • BMI report cards
  • School dinner policing
  • Health at Every Size
  • Body Diversity
  • Fat-phobia 
  • How to trust kids to eat

Here is a list of useful books from Rachel

Ellyn Satter- Any of her books

Amanda’s Big Dream by Judith Matz

Body Respect by Linda Bacon and Lucy Aphramor (this is a more general book-not specific to kids, but gives a really good foundation of Health at Every Size®

Shapesville by Andy Mills

Your Body is Awesome by Sigrun Danielsdottir

Kathy Kater’s “health bodies” curriculum

Born to Eat by Wendy Jo Peterson

How to Be Comfortable in Your own Feathers by Julia Cook

Todd Parr- has several books

https://www.amightygirl.com/

Ask Dr G: Anorexia, malnutrition and your bones

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In this podcast, Dr Jennifer Gaudiani talks about your bones, and what the effects of malnutrition caused by a restrictive eating disorder such as anorexia, can be on your bone health. 

  • How malnutrition affects your bones
  • Bone density
  • Osteoporosis
  • Osteopenia 
  • The various treatment options 

 

About The Gaudiani Clinic

The Gaudiani Clinic provides superb expert outpatient medical care to adolescents and adults of all sizes, shapes, and genders with eating disorders or disordered eating. The Gaudiani Clinic also offers comprehensive person-centered care to those who are recovered from an eating disorder. Through a collaborative, communicative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values.

Under the care of Jennifer L. Gaudiani, MD, CEDS, FAED, patients receive expert medical care provided in a comfortable and highly discreet private practice setting. Dr. Gaudiani is one of the only outpatient internists in the United States who carries the Certified Eating Disorder Specialist designation and is internationally recognized as an expert in the eating disorder field. In her role as an expert outpatient medical doctor, Dr. Gaudiani can function as a patient’s primary care physician or as an expert adjunctive physician as part of a multidisciplinary team.

The Gaudiani Clinic is located in Denver, Colorado with both local and telemedicine treatment plans available.

Dr. Gaudiani also offers professional services including private and group consultation, professional webinars, and presentations.

For more information about the Gaudiani Clinic, please visit www.gaudianiclinic.com, call 720.515.2140.

 

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Dr Laura Hill: Motivation to Change in Anorexia Recovery

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In this podcast Tabitha talks to Dr Laura Hill about motivation to change in anorexia recovery. But this time we're talking about motivation to change on the side of the clinician, rather than the patient. 

 

Link to Dr Laura Hill's book,"A Brain-Based Approach to Eating Disorder Treatment" --> http://www.brainbasedeatingdisorders.org/

 

About Dr Laura Hill

Dr. Laura Hill is the President & CEO of The Center for Balanced Living, a free standing not-for-profit organization that specializes in the education, treatment and research of eating disorders. Dr Hill is the recipient of Muskingum University Distinguished Service Award in 2014, the National Eating Disorders Association 2011 Lori Irving Award for Excellence in Eating Disorders Prevention and Awareness and was a TEDx Columbus speaker in 2012. She is an original founder of the Academy for Eating Disorders in 1993 and was Director of what is now known as The National Eating Disorder Association from 1990 to 1994.

She is the lead author of the Family Eating Disorder Manual, 2012; and has conducted research and spoken internationally over the last 35 years.  She is a recipient of the national Feeding Hope award by NEDA, in collaboration with UCSD Eating Disorder and Research.

 

Find out more about Dr Laura Hill here: http://www.centerforbalancedliving.org/laura-hill/

 

 


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Recovery Feast Eating

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Saying goodbye to 2017, and looking back over the year and what I have learned. In this podcast I talk about what I call recovery "feast" eating, which is more commonly referred to as "binge" eating. Looking at eating a lot of food as a highly appropriate response to restriction. 

Why it is normal and appropriate to eat a lot of food when you are in recovery from anorexia

Why restriciton makes us desire to eat large amounts of food

The problem with psychoanalysing eating — especially recovery eating!

 

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Community Links:

Adults in recovery community Slack Group: http://tabithafarrar.com/slack-forum/

Facebook Community: https://www.facebook.com/EDMealSupport/

The State of Science: Sugar Addiction

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In this podcast Tabitha Farar talks to Maggie Westwater, one of the authors behind a study looking into misconceptions behind the notion of sugar addiction. 

We talk about:

- Animal studies into addiction and what they can tell us about human behaviour. 

- What studies into drug and other types of addiction can tell us about "sugar addiction."

- How restriction, not addiction, looks to be the driver behind binge eating behaviours. 

- Artificial sweetners and how they affect the way we desire foods. 

- Binge eating development and the role of restriction. 

- Why "food addiction" can be a problematic use of language. 

 

Paper we discussin in this podcast: Westwater, M.L., Fletcher, P.C. & Ziauddeen, H. Eur J Nutr (2016) 55(Suppl 2): 55. https://doi.org/10.1007/s00394-016-1229-6

 

Links to the study that Maggie Westwater spoke about: 

Twitter handle (@STRIvE_Study)

 

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Event Restriction

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In this podcast Tabitha talks about what she refers to as "event restriction." 

Event restriction is when you anticipate eating more or resting at an event or time in the future, and therefore try to create a "buffer" by restricting more or compensating more via exercise in preparation. 

Event restriction never works. Most people find that is actually makes eating and resting harder, so ironically you struggle even more when you actually get to the big day. Most commonly people event restriction in preparation for Christmas and the festive season. 

Support this podcast via Patreon!

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Please follow and like me :)
November 30, 2017  

Fundamentalist Religion and Eating Disorders

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In this podcast Tabitha Farrar talks to Wendy Marsman (from Woman Beyond Belief) about her experience with fundentmentalist religion and the diet culture that can exiest within some church communities. 

I want to make it clear that the aim of this dicussion is not to judge religion. Rather, we are looking into how religious intent and trying to do the "right" thing by the word of God can become troublesome when eating disorders are involved. 

We get into some sticky stuff in this discussion. It is not entirely comfortable to highlight the problems with religion and the opression of women. But it is important. 

 

Wendy Marsman was raised in a strict religious home. Also, being from a fundamental religious background, she was influenced by the Biblical interpretations that women had to submit to men. A “good Christian wife” needed to be thin to please her husband. So, after she got married and had 3 children, Wendy continued to go on yo-yo diets. There were many opportunities to be part of diet groups in the church which she participated in, always aiming to be better, aiming to not be guilty of the “sin of gluttony”.
Wendy has her own podcast called Women Beyond Belief Podcast where she mainly interviews women who have left religions and cults. Many women who have grown up in a religious background have been accustomed to suppression and inequality. She hopes to provide a platform for these women to have a voice.
 
Podcast Website: http://womenbeyondbelief.com/
 
YouTube Channel: https://www.youtube.com/channel/UCizIjQrmLqBSbPy0jqkEl3A
 
Facebook: https://www.facebook.com/WomenBeyondBelief/
 
Twitter: @WBBPodcast -  https://twitter.com/WBBPodcast
 

Email: womenbeyondbelief@gmail.com