The Eating Disorder Recovery Podcast

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Defining Mental Hunger And Why It Is Important In Anorexia Recovery

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In this Podcast Tabitha talks about mental hunger. We look at:

- What mental hunger is

- What mental hunger represents

- Why responding to mental hunger is important

- Why physical hunger cues are not reliable in Anorexia recovery

- How mental hunger will naturally reduce during the refeeding process

 

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Male vs Female Treatment Experiences in Eating Disorder Treatment

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In this podcast Tabitha talks to Philipa Hay about recent research that looked into male autobiographies of eating disorders and recovery experiences. 

Link to the full research paper --> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485468/

Study Abstract

Eating disorders are increasingly recognized as a problem for men but help-seeking is low and little is known about their treatment experiences. This paper sought to determine the treatment experiences of men who have suffered from an eating disorder using autobiographical data. Inclusion criteria were autobiographies of men who had experienced an eating disorder and sought any form of treatment for this, written in the English language, published between 1995 and 2015, and available for purchase in 2016. The search resulted in six books that were thematically analyzed. Analysis of data resulted in two broad themes (1. Positive experiences; 2. Negative experiences) with sub-themes. With regards to the first theme, factors such as concern of staff members, therapist’s expertise (in treating eating disorders in men), and a collaborative treatment approach were considered favorable for treatment. In contrast to the first theme, apathy of staff members, the authors’ own negative preconceptions, treatment providers being perceived as prioritizing financial concerns, perceived as incompetent and judgmental behavior of therapist(s), and time limitations of sessions were considered unfavorable treatment experiences. In this study, the perceived success of treatment depended on therapist’s features and the form of treatment provided. Further research examining these is indicated.

 

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October 6, 2017  

Before recovery vs. after recovery

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In this podcast Tabitha answers questions about life before recovery versus life after recovery from Anorexia. 

Topics covered include:

- Dining out

- Social life

- Feeling cold

- Eating with others

 

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Defining Restriction. Defining Unrestricted Eating

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In this podcast, Tabitha talks about restriction, and unrestricted eating. Restrictive eating disorders such as Anorexia are often misrepresented as total restriction and not eating. This is often not the case. Many people with Anorexia can eat seemingly "normal" amounts of food and still be operating under rules of restriction. The key is understanding that unrestricted eating is required in order to allow the brain and body to fully exit the Anorexia response. 

Redefining how you think of restriction is often the key to understanding what unrestrictive eating means for you 

 

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Dr G: Tummy Troubles in Eating Disorder Recovery

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Tabitha talks to Dr. Jennifer Gaudiani about all things gastrointestinal in eating disorder recovery! We talk about bowel movements, irritable bowel syndrome, delayed gastric emptying, and so much more! 

 

 

Medical Minute Videos: 
Blog Posts: 
 
 
 
 
 
 
AED Guidelines: 
September 14, 2017  

Science: Variants in neuropeptide signaling are associated with disordered eating behaviors

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In this podcast Tabitha Farrar talks to Micheal Lutter about the recently published paper titled: Novel and ultra-rare damaging variants in neuropeptide signaling are associated with disordered eating behaviors

 

From the paper:

Abstract

Objective

Eating disorders develop through a combination of genetic vulnerability and environmental stress, however the genetic basis of this risk is unknown.

Methods

To understand the genetic basis of this risk, we performed whole exome sequencing on 93 unrelated individuals with eating disorders (38 restricted-eating and 55 binge-eating) to identify novel damaging variants. Candidate genes with an excessive burden of predicted damaging variants were then prioritized based upon an unbiased, data-driven bioinformatic analysis. One top candidate pathway was empirically tested for therapeutic potential in a mouse model of binge-like eating.

Results

An excessive burden of novel damaging variants was identified in 186 genes in the restricted-eating group and 245 genes in the binge-eating group. This list is significantly enriched (OR = 4.6, p<0.0001) for genes involved in neuropeptide/neurotrophic pathways implicated in appetite regulation, including neurotensin-, glucagon-like peptide 1- and BDNF-signaling. Administration of the glucagon-like peptide 1 receptor agonist exendin-4 significantly reduced food intake in a mouse model of ‘binge-like’ eating.

Conclusions

 

These findings implicate ultra-rare and novel damaging variants in neuropeptide/neurotropic factor signaling pathways in the development of eating disorder behaviors and identify glucagon-like peptide 1-receptor agonists as a potential treatment for binge eating.

 

http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0181556

 

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Anorexia Fears: Using Migration Science to Explain Fear of Eating and Weight Gain

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This week I speak to Shan Guisinger again, and this time we are talking specifically about fear in Anorexia. Fear of weight gain. Fear of eating more. How could a fear this great have possibly had an evolutionary advantage? Find out! 

 

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Anorexia recovery while managing a young family.

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Recovery from Anorexia is often a time of heightened anxiety and stress. Managing recovery while looking after a young family is a reality for many adult sufferers. In this podcast Tabitha talks to an adult in recovery, Erin, about managing recovery with young children. 

About Erin:

I am 36, and have lived in Colorado my entire life. I currently live in Highlands Ranch and have two children, 11 and 6. I have been married for 15 years. I studied sociology, philosophy and women's studies in college. I have struggled with issues around food and body image since I was a preteen. My eating disorder became severe at the age of 33. I want to help people of all ages, backgrounds, and weights understand that they can indeed develop this illness and that it is a life threatening disorder that needs to be taken seriously. I hope my experience can help others know they are not alone if they are struggling to recover while also being a parent. 

 

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Anorexia as an evolved genetic response to famine

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In this podcast we talk about the Adapt to Flee Famine Perspective of Anorexia evolution with Shan Guisinger. 

The Adapt to Flee Famine Perspective puts forward convincing evidence for the case that Anorexia is an evolved genetic response to times of famine. A migratory response that makes people with the genetic predisposition for Anorexia respond to energy deficit by wanting to exercise more and eat less. 

You can find out more about Shan Guisinger here: http://www.adaptedtofamine.com/

Paper on The Adapt To Flee Famine Perspective: https://www.ncbi.nlm.nih.gov/pubmed/14599241

 

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Anorexia Recovery: Energy Deficit | Energy Debt | Target Weights | Weight vs State Restoration

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Just me in this podcast! Responding to questions that I get frequently around Anorexia recovery and weight restoration. How to know when you are really weight restored? Let me tell you it is not something that you can calculate via a math equation or estimate via looking on a height/weight chart. 

Weight restoration is a process of gaining weight until you are within a healthy weight range (I recommend a BMI of 22 at least) and continuing to eat without restriction until you no longer fear further weight gain. This podcast fully explains my position on that weight restoration, target weights, and weight versus mental state restoration. 

 

 

 

 

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The importance of recognizing Anorexia in people in larger bodies

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In this podcast Tabitha Farrar talks to Dr. Rachel Millner about Anorexia and people in larger bodies. This podcast was inspired by an email from a mother of a patient who has Anorexia and is in a larger body. Topics discussed include:

  • The dangers associated with energy deficit in people in larger bodies
  • Problems with diagnosis and practitioner ignorance 
  • Weight stigma in the medical field
  • Parent advocacy and strength
  • Embracing weight diversity

Find out more about Dr Millner here: http://www.rachelmillner.com/ 

 

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Challenging intake guidelines — Dr Graham Redgrave

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Tabitha Farrar talks to Dr Graham Redgrave about the research done at Johns Hopkins looking into higher weights and a faster rate of refeeding patients with Anorexia in an inpatient hospital setting. The conversation includes:

  • Refeeding intakes, traditional expectations versus new developements
  • Problems with low target weights
  • Relapse prevention programs
  • Lower rate of relaspe for patients who reach higher BMIs in treatment
  • The case for higher caloric intakes once the risk of refeeding syndrome is past
  • What refeeding syndrome is, and research around this
  • How and when treatment fails patients. 
  • Why we need to challenge the current guidelines pertraining to refeeding intakes

 

 

Link to the orginal study: https://www.ncbi.nlm.nih.gov/pubmed/25625572

 

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Exercise Trackers, BMI, Obesity, and Anorexia Treatment

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In this podcast Tabitha Farrar talks to Courtney Simpson about the work that she is doing looking at fitness tracker use amoungst people with eating disorders. We cover a lot of topics in this podcast that was originally about fitness trackers and the number of people with Anoreixa who use them to count calories and exercise. 

 

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June 12, 2017  

Won’t stop or can’t stop? Science expolring habitual nature of Anorexia

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In this podcast, Tabitha Farrar talks to researcher Kathryn Coniglio about the latest study exploring the habitual aspects of Anorexia Nervosa. In the paper titled, Won't stop or can't stop? Food restriction as a habitual behavior among individuals with anorexia nervosa or atypical anorexia nervosa, the intent behind restrictive behaviours was looked at.

Link to the original paper: https://www.ncbi.nlm.nih.gov/pubmed/28388511

 


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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

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Dear Dietitian … what we want you to know about treating Anorexia

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In this podcast we hear from adults with Anorexia, parents of people with Anorexia, and dietiticans treating adults and children with Anorexia about their experiences with dietiticans in the field of eating disorders. This podcast is a mixture of Tabitha Farrar reading out notes sent in from listeners, and audio files from listeners that have been sent in. 


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

 

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Cynthia Bulik: Genetics of Anorexia Nervosa

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In this podcast, Tabitha Farrar talks to professor Cynthia Bulik about the research underpinning the genetic locus for Anorexia Nervosa. In this podcast we discuss:

  • Past and present research on the genetics behind Anorexia Nervosa and other eating disorders
  • Implications for treatment
  • Anorexia Nervosa and OCD links
  • History of Anorexia Nervosa back to the starving saints
  • Importance of parents and family support in eating disorders
  • Anorexia and energy deficit
  • Anorexia and money
  • Genetics of Anorexia Nervosa

Cynthia M. Bulik, Ph.D., FAED, is Distinguished Professor of Eating Disorders in the Department of Psychiatry in the School of Medicine at the University of North Carolina at Chapel Hill, where she is also Professor of Nutrition in the Gillings School of Global Public Health, and founding director of the UNC Center of Excellence for Eating Disorders. She is also Co-Director of the UNC Center for Psychiatric Genomics. Dr. Bulik is also professor of Medical Epidemiology and Biostatistics at the Karolinska Institutet in Stockholm, Sweden. She is passionate about translating science for the public.

May 15, 2017  

Hunger in Anorexia Recovery

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Hunger is a fascinating and crucial topic in Anorexia recovery. Navigating hunger can be difficult when hunger signals are either nonexistent, sporadic, or unrelenting.

At times of under-nutrition, most people with restrictive eating disorders such as Anorexia experience a vast reduction in hunger cues — this is a very normal result of the body moving into starvation mode. When we start to eat in recovery, hunger signals can be all over the place! In this podcast, Tabitha Farrar gives some insight into hunger based on her own experience and also those of the people with whom she was worked.

 


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!

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

Community Links:

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