Practical Tips on How to Support a Positive Relationship with Food

How you feed, move and rest

Note from Rebecca: Parents and caregivers have so much pressure these days. Trying to make ends meet, juggling busy schedules while giving the best care to their kids is simply A. LOT. Read the following post by Megan Holt, DrPH, MPH, RD and listen to what nuggets tug on your heart with grace and compassion. Caution against reading this and letting the “I am a good/bad parent” critic run rampant and instead think about what is working and what areas re: this subject may be good to focus on making a change. One at a time. And commit to not doing any of this perfect but messing it up a lot as you seek to care for you and your family well – one bite, one step, one thought, one prayer at a time.  

How do family and friends influence your relationship with food, exercise and body image?

Perhaps surprisingly, peer influence on eating behaviors is much less pronounced than that of parents.

Kids raised in an obesogenic home environment (easy and regular access to foods consistent with a poor quality of diet, sedentary living quarters and/or limited access to safe outdoor play areas) are more likely to adopt these poor eating habits, but modeling intake of so-called ‘healthy’ foods does not necessarily model a healthy relationship with food.

A few examples of eating behaviors and other measures that are heavily influenced by habits of parents:

  • Fruit and veggie consumption of kids increase proportionately with parent’s intake
  • Tendency to lean on fast food/drive thru’s versus cooking at home increases in later adolescent years (and beyond) if parents model this behavior

On the flip side….Parents and caregivers who diet chronically or focus on weight or shape or fatness (even if only theirs) are more likely to experience the following with their children:

  • poor self-esteem
  • disordered eating patterns
  • body image issues and body dysmorphia
  • weight cycling (versus achieving and maintaining a stable weight)
  • orthorexia, or obsession with healthy/perfect/clean eating

What’s a parent to do?!

Given that obesity prevention is indeed a primary target of public health interventions, how is it possible that such an environment overly focused on weight and size may be less than helpful at times?

Authors Brooke Kantor and Hannah Borowsky hit the nail on the head in this excerpt from “The Obesity-Eating Disorder Paradox” from Harvard Political Review:

“Failing to deal with the reality of America’s obesity problem for fear of perpetuating an unhealthy obsession with body image would be a disservice to the public and perilous for the health of the nation.
 However, it is equally detrimental to attempt to tackle obesity by promoting restrictive diets and extreme exercise regiments.
 Adopting approaches that focus on positive attitude and lifestyle changes not only protects against eating disorders and issues of body image, but also is actually more successful in preventing obesity.
Therefore, America need not choose one fight over the other. The solutions to both issues are actually one in the same.”

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Within the disordered eating treatment bubble, we often hear parents eating patterns described as follows by the person struggling (particularly early on in treatment):

  • “My parents are health nuts. I NEVER see them eat dessert.”
  • “We never had ‘bad’ food in the house growing up”
  • “Mon/Dad never missed a day of exercise”
  • “Mom/Dad was always on a different diet, and Dad/Mom would eat just about anything.”
  • “Mom/Dad never sat down for a meal…s/he would skip breakfast and just pick at food, but s/he did drink a lot of coffee.”

A few words of wisdom when it comes to promoting a healthy relationship with food with any of the young people you care for:

  • Avoid characterizing food in moral or black/white terms (‘good’/’bad’)
  • Sit down whenever possible to meals, and enjoy meals with minimal distractions (emails, TV, etc.)
  • Model breakfast eating and honor hunger and fullness (versus leaning on caffeine to ‘pull through’ and dull the appetite….kids pick up on this.)
  • Avoid introducing movies such as “Supersize Me” or “Food Inc.” (even with the best of intentions) too early on, as teenagers are too young to manage these concepts without thinking in extremes
  • Promoting exercise for the sake of weight loss/burning calories, especially for kids or parents with orthorexic tendencies can be detrimental
  • Do not use food as reward or punishment. Ex: Kid gets in trouble at school and parents withhold dessert that night as part of disciplinary effort.

Call to action:

Journal/write about the following:

Design an eating style for yourself with the assumption that weight will not be influenced in either direction. 

What would it look like?

Consider the following: quality of life, energizing nature of foods chosen, food availability, flexibility and enjoyment/palatability of food. 

How would you go about meeting your body’s needs? How might this be different if you were also considering potential weight shifts?

Need help or are stuck with these calls to action? Please let me know how I can be a resource to you and your family. It gives me great joy to help people make sustaining lifestyle changes while pushing back on the toxic culture around food, exercise and body image.

In good health,

Megan, DrPH, MPH, RD + Potentia’s Coordinator of Nutrition and Wellness megan@potentiatherapy.com

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A Not So Celebration of the History of Popular Diets

I Choose Respect Over Body Shame
I Choose Respect Over Body Shame

“Insanity: Doing the same thing over and over and expecting different results” – Albert Einstein

In honor of Respect Your Body Month, Potentia’s Coordinator of Nutrition and Wellness – Megan Holt, DrPH, MPH, RD – compiled a timeline and unpacked the history of  fad diets and their many claims. Somewhat humorous and ridiculous at times, this list is not an endorsement of any of these trends but is intended to reflect the the constant ebb and flow of claims on what is true health. We support a non-diet, intuitive eating approach to feeding – when appropriate – and are passionate about educating the community on the dangers of fad diets and the diet mentality. – Rebecca

1863 Banting’s Diet: One of the first documented low carbohydrate diets. William Banting was a carpenter and undertaker. “Bad” foods included sugar/starch, butter, milk and beer.

1830 Graham’s Diet: A Presbyterian Minister, Sylvester Graham, touted a ‘bland’, vegetarian diet free of milk, meat, alcohol, white bread and ‘excitatory’ spices (which, upon intake, cause a person to become ‘lustful’).

1920 Inuit Diet: Vilhjalmur Stefannson, an Arctic explorer, noted improved health and quality of life among persons living in Arctic regions by eating a diet consisting predominantly of whale blubber, raw fish and caribou, with minimal fruit and vegetables.  Thus, the Inuit Diet was born.

1930 Dr. Stoll’s Diet Aid: One of the first liquid supplement diets, shakes were given out as meal substitutes in local beauty parlors in efforts to popularize this diet.

1930 Hay’s Diet: Dr.Hay warned of ‘digestive explosion’ from consumption of fruit, meat and dairy at the same meal. He urged separation of foods into alkaline, acidic and neutral meal/snack categories.

1950 Grapefruit Diet: Consists of having ½ grapefruit daily, and minimal caffeine. Fatty meats, particularly bacon, may be consumed liberally, as the combination of grapefruit and saturated fat is “claimed” to accelerate the burning of body fat.

1980 Cabbage Soup Diet: This plan advises the consumer to consume cabbage soup at meal times for seven consecutive days, with the stepwise addition of beef, fruit, vegetables, brown rice and skim milk.

1980: Fat free/very low fat: Emphasized elimination of fat in the diet, given its caloric density and link to development of cardiovascular disease. Manufacturers quickly adapted by producing fat reduced versions of our favorite foods, using sugar to enhance palatability.

1990 Atkins Diet: Popularized by Dr.Robert Atkins, initial phases demand a carbohydrate intake not greater than 20g/day, and exclusion of fruit, starches/grains, added sugar, starchy vegetables and beans/legumes. Caffeine and alcohol are forbidden, but meat, eggs and oils may be consumed liberally.

2000 South Beach Diet: Essentially a tamer version of Atkin’s, partakers are allowed to include a greater percentage of calories from carbohydrates in the form of fruits, vegetables and whole grains in later stages, and are discouraged from over consumption of fatty meats/foods rich in saturated fats.

2000 Master Cleanse: Users are ‘detoxified’ by adhering to a strict regimen that includes a mixture of water, lemon juice, maple syrup and salt. The diet was originally publicized in the 1940’s by an alternative healer by the name of Stanley Burroughs.

Present day fad: The Paleo Diet, also referred to by some as the ‘Caveman’ diet, advocates a diet mimicking that of our Paleolithic ancestors. The Paleo diet features exclusion of processed grains/oils, legumes and dairy.  This sort of an eating style is not new, as it was initially popularized in the 1970’s, though it’s made a comeback in recent years.

Despite their obvious differences, many of these diets all share a few common features (aside from the lack of credentials or expertise of behalf their wealthy creators): They erroneously suggest that we can manage health/weight through black and white thinking, they don’t ‘work’, they aren’t sustainable and they lack supporting evidence.

What do you think about this list? Would you add to it?

How do you respect your body through how you feed yourself?

Please join the conversation over on Potentia’s Facebook page on Choosing Respect Over Body shame.

In good health –

Megan

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2013 in Review: Top 10 Potentia Blog Posts

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2013 has been quite a year! We celebrated Potentia’s 5th birthday, launched our signature workshop, (re) Define Courage: Dare to Show up+Be Seen, and added three therapists to our team to meet the clinical demand. I’m grateful to have had you along for the journey – I value your support and encouragement. In today’s year in review, I put together a list of the most-read blog posts of 2013.

This year we started a Q&A Series with Potenita’s  Megan Holt, DrPH, MPH, RD and Kayla Walker, MFT Intern that proved to be most popular – you can look forward to seeing more of these posts in 2014! Here are some of the favorites:

Q&A Series: Paleo Unpacked 

“Many of the Paleo principles are far from evidence-based. The cavemen, for example, didn’t suffer from the diseases that we suffer from in the western society like stroke, heart disease, or cancers, but their lifespans were very short. They didn’t tend to live long enough to experience these chronic diseases…so we’re unable to draw strong conclusions or make a fair comparison. Also, the emphasis on animal products like meat, beef, is problematic.”

Read the full blog post https://potentiatherapy.com/health-in-the-media/qa-series-paleo-unpacked/

Q&A Series: Cleanses

“Actually, there’s no evidence that a cleanse or fast would [cleanse the body of toxins]… There seems to be nothing about a cleanse that is as beneficial as adopting a good quality of diet consisting primarily of plants and whole foods. But there isn’t much research out there; there haven’t been many high quality studies on cleanses because higher preliminary studies show no benefit. Cleanses are typically promoted by testimonials given by celebrities or people who have no training/educational background (major red flag).”

Read the full blog post: https://potentiatherapy.com/health-in-the-media/qa-series-cleanses/

Q&A Series: Gluten-Free Diet Unpacked

“Most of the people I see are just starting to pay attention to quality of diet or trying to improve their quality of diet and may feel like one the markers of improving their diet would be excluding gluten. When I see people who want to follow a gluten-free diet, what I typically ask them to do is see their physician to check if they can get a test to confirm non-celiac gluten sensitivity or celiac disease if that’s what they suspect.  If there’s no confirmation, we work for a few weeks to clean up the overall quality of diet and I ask them to pay attention to the appreciable benefits they experience from simply improving the quality of diet.”

Read the full blog post: https://potentiatherapy.com/health-in-the-media/qa-series-gluten-free-diet-unpacked/

Another popular series in 2013 was our Fat Talk Free Week series:

Fat Talk Free Week 2013: Interview with Natalie Lynn Borton

“For me, fashion has provided so much freedom for me in terms of embracing and loving the body that I have. Style has become my personal creative expression, and a way for me to be more authentically myself, rather than try to fit a mold. It’s counterintuitive, I suppose, but that’s just how it’s played out in my life. I don’t worship high end brands and expensive products, but rather let style be something that is playful, fun, authentic and enjoyable.”

Read the full blog post: https://potentiatherapy.com/health-in-the-media/fat-talk-free-week-interview-with-natalie-lynn-borton/

Fat Talk Free Week 2013: Interview with Rebecca Bass-Ching, LMFT

 “’Fitspiration’ is a wolf in sheep’s clothing and triggers fat talk big time. It can be like cocaine to the brain and can deplete your self-worth when you come down from the high. These images are most often photoshopped and they only fuel comparing, dissatisfaction, and feeling not enough. Yuck.”

Read the full blog post: https://potentiatherapy.com/health-in-the-media/fat-talk-free-week-2013-interview-with-rebecca-bass-ching-lmft/

No surprise, posts on the body – how we move it, talk to it and care for it, rounded out the most popular posts of the year:

Getting More Comfortable in Your Skin: Action Steps to Take Now

 “Respect your body, even if you do not like it. You have people in your life that you don’t like but you still treat with respect. Give your body the same respect even if you are not a fan of it at the moment. Everyone has a bad body image day (week, month…); it is normal.  Your body can serve you better when you treat it with respect instead of constantly trash talking it.”

Read full blog post: https://potentiatherapy.com/redefining-health/actions-steps-to-getting-more-comfortable-in-your-skin/

Do You Need a Prescription for Play?

 “Play has not always come easy for me. For so long, play felt to me like a luxury or a sign of slacking. Play often seemed uncool and not put together. Perfectionism beat the heck out of my desire for spontaneous or planned play. Making space to play is often still vulnerable because I have to walk away from my to-do lists and internal shoulds that can get loud when I am working too much.”

Read the full blog post: https://potentiatherapy.com/redefining-health/play-is-not-a-luxury/

I Have a Confession to Make to You

“I now know I am enough even on days I do not feel enough.  I can hold that space while I feel yucky and not attack my core worth. Some days it is a bit of a knock down, drag out fight – but shame resilience has helped me run the marathon of living life reflective of my values and my true worth.”

Read the full blog post: https://potentiatherapy.com/redefining-health/i-have-a-confession-to-make-to-you/

Holding the Numbers Lightly

 “While I believe our emotional, relational, and spiritual health are deeply enmeshed with our physical health, I want to address these numbers — particularly the number on your scale — and how you use them as you seek to make changes in your physical well-being. When it becomes clear to me that these numbers are toxic to my clients and are preventing any real change from happening, I often ask them to take a big risk and leap of faith. I ask them to get rid of their scale.”

Read the full blog post: https://potentiatherapy.com/redefining-health/holding-the-numbers-lightly/

Potentia’s 5 Year Celebration Giveaway also drew a lot of attention – which was especially fun for me, since Potentia and I have the same birthday!  Stay tuned for more Potentia giveaways in 2014 that are both fun and meaningful – including another birthday celebration in July!

Five Year Celebration and a Giveaway

“Words cannot do justice to the courage, the sacrifice, the character, the growth, and the miracles we get to witness at Potentia. Thank you to my friends, family, colleagues, mentors, contractors, and all those who have helped shaped Potentia from dream to thriving practice. You all simply amaze me. (You rock!) I am also grateful for this calling God has put on my heart which daily strengthens my faith.”

Read full blog post: https://potentiatherapy.com/redefining-health/five-year-celebration-and-a-giveaway/

What were your favorite Potentia blog posts of 2013? What would you like to see more of in 2014? What kinds of questions should be address? Who would you like to hear from?

Stat tuned for my new Skype Interview series with writers, leaders, artists and others who are daring to show up + be seen in their work, family, art, faith and community.

Thanks for following with us on our journey.

Cheering you on –

Rebecca

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Q&A Series: Should We Care About BMI?

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In our Q&A series we’ve unpacked the paleo diet, the gluten-free dietcleanses, and yoga therapy. This week, Kayla Walker, MFT Intern, spoke with Megan Holt, MPH, RD, Potentia’s Coordinator of Nutrition and Wellness to learn about using BMI as an indicator of health.

Note from Rebecca: The following post may be triggering for some who are early in their recovery or struggling with their recovery, so please pause here if this information will not be helpful for you right now. There is some frank talk about numbers in this post because we want to offer some accurate information about the BMI, what it is, why it is not an accurate or helpful indicator of health and how its use is fueling the disordered eating spectrum.

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Kayla: What is BMI?

Megan: BMI stands for body mass index. It’s an equation commonly used in healthcare venues to estimate risk of developing chronic diseases that often accompany increases in body fat, such as diabetes, heart disease, and many forms of cancer.

Kayla: How do you calculate BMI? How do you know whether your BMI is in a healthy range?

Megan: The formula for BMI is:

BMI = weight in pounds/(height in inches x height in inches) x 703
or
BMI = weight in kilograms/height in meters squared

CDC recommendations categorize BMI in ranges of underweight, ideal weight, overweight, and obese, as follows:

Below 18.5 = Underweight
18.5 to 24.9 = Ideal
25.0 to 29.9 = Overweight
30.0 and above = Obese

Note from Rebecca: In 1998, the FDA changed the ranges for the BMI and overnight millions of people became “overweight” and “obese.” In his movie America the Beautiful, Darryl Roberts noted this changed was approved by a board that was directly connected to the dieting industry. Given the annual 50+ billion dollars which are spent on diets and diet related products, the BMI is regularly used as a marketing tool to support the use of various products in this industry. And since diets do not work – and in fact set you up to regain the weight and often more within 1-2 years – it seems the BMI is more of a marketing tool than a predictor of true health.

Kayla: Where did the idea of using BMI as a marker of health originate?

Megan: A mathematician (not a clinician) from Belgium by the name of Lambert Adolphe Jacques Quetelet came up with the BMI in the early 1800’s. His aim was to come up with an inexpensive proxy for measuring degree of obesity. Named the Quetelet index (and later BMI), it was used as a means of assessing “appropriateness” of weight for height.

Kayla: Why is BMI used?

Megan: After WWII it was noted that obese and overweight life insurance policy holders were at higher risk for morbidity and mortality were getting increasingly fatter.

It’s easy to understand and compute, it’s inexpensive, and gives us some helpful feedback in terms of anthropometric assessment, though this holds true mainly in the extremes (very underweight and very overweight/obese).

Note from Rebecca: Recent studies are showing a lower death risk for those who are considered “overweight” according to the BMI  furthering doubt the BMI ranges are not helpful in indicating true health.

Kayla: What are the limitations of using BMI as a marker of health?

Megan: BMI does not account for differences in bone mass/structure, fat mass and lean body (muscle) mass, nor where fat is stored (visceral vs. subcutaneous).

Visceral fat (fat around the abdomen/vital organs) is much more inflammatory and problematic in terms of health risks than subcutaneous fat (under the skin).

It implies that thin or normal weight individuals are healthy and have lower risk of developing preventable disease relative to their overweight (according to BMI) counterparts, and this just isn’t the case.

Athletes are an excellent example of persons who tend to have higher BMI’s but carry lower disease risk. Similarly, body fat is underestimated in the elderly, as they typically carry very little lean body (muscle) mass. Remember, one can be thin and simultaneously unfit and/or unhealthy.

Kayla: What should we be using instead, or at least in conjunction with BMI, to predict health risks? What are other markers of health?

Megan: Waist to hip ratio, for one, needs only a measuring tape, and has more predictive power than BMI. Women should have a waist-to-hip ratio of 0.8 or less, and men 0.95 or less. Women are advantageously pear shaped, and thus carry lower risk for preventable diseases. Think of this next time you’re cursing your curves, and please STOP hating on your body!

Other methods exist that are quite costly and/or intrusive, but may be more accurate, such as requesting a lipid panel (which requires blood work) from your physician, or assessing body fat through use of skin fold calipers, underwater weighing, or bioelectrical impedance. However, assessment of percent body fat alone still does not account for ‘location’ of fat-visceral versus subcutaneous.

Kayla: How do you assess your clients? Do you use BMI as a health indicator?

Megan: I rarely, if ever, calculate BMI when working with clients, whether they are athletes or people struggling with disordered eating.

Rather, I use an assessment of their current diet and lifestyle behaviors and blood work results from their physician to measure risk.

When working with individuals who do fall in the extremely obese category, I find that they are well aware of where they fall in terms of BMI categories, and that calling attention to this is not helpful.In fact, it often deters these individuals from wanting to make changes to lifestyle, as they likely will remain in the ‘obese’ category even with a fairly significant weight loss.

We know that even mild weight loss, 5-10%, for example, is enough to significantly decrease risk of “Western” diseases, such as diabetes, heart disease, and numerous cancers.

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Thanks for reading our Q&A on BMI!

What are your thoughts about using BMI as an indicator of health? Has it been helpful or harmful in your journey to health? What additional questions do you have about health, weight, or body image?

We would love to hear from you and address your questions on health and wellness in a future Q&A blog post.

In good health –

Kayla & Megan

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Weekend Wonderment: Inspiration from the Interweb 9/22/13

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Happy Weekend! Here is a dose of light, hope and courage to push back on darkness, cynicism and fear. And do not forget to laugh and breathe deeply.  Because it is good for your soul.

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Will.i.am + Sesame Street tell it like it is.

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Soap box issues alert! This article sums up the negative impact of weighing yourself frequently. If you are using your scale to make sure you are “ok”, you are probably giving the scale too much power over your mood and your wellness. What is keeping you from trusting your body? Reach out for specialized help if you find your worth and value are fused with the numbers on the scale

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I am sooo delighted with this new workbook by Mike Foster of People of the Second Chance.  I saw him speak earlier this year and his story, his passion for grace and for pushing back on unhealthy perfection filled my heart with joy. Stay tuned for some cool opportunities to through Freeway together as a Potentia community.  Yes. Please.

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Asking for help spikes our sense of vulnerability. We draw on courage to take that risk and open ourselves up to disappointment but also to love, blessings and grace. Some new research suggests we are not so good at assessing who will in fact respond positively to our request for help. Check it out and practice asking for help from the safe people in your life. Sometimes it is just about showing up and asking for help  – not whether people say, “Yes.” or “No.”

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Heart explosion. Love, patience, kindness and hockey.  Swoon.

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It’s ok to be different. It also takes courage to be different; to be you.

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Kid President giving a rallying cry for teachers and students. Yes indeed, go get your awesome on!

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In awe and wonder –

Rebecca

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Obsessing about eating healthy is not healthy.

1. Beware of using...

This morning my beloved cousin and life-long friend, Lissa Rankin, sent me an email noting a post she wrote for Mind Body Green, titled 10 Signs a Juicing Habit is Hiding an Eating Disorder.  In it, she addressed an issue near and dear to all of us who work at Potentia: when eating healthy can mask the serious emotional and physical issues of an eating disorder.

I am so grateful for her post as it is important to continue the discussion around this often lightning-rod issue. A continued conversation helps push back on a common narrative in our culture that if you do not meet the criteria for an eating disorder and you are eating whole, fresh, organic food, you don’t have a problem. But when lifestyle change leads to obsession, it is this narrative that can keep people stuck in an emotionally paralyzing state.

Obsessions are connected to a multitude of factors: low sense of worth, traumas/distressing life events, family of origin, temperament, and even under-nourishment. And many people are genetically loaded to be more vulnerable to obsessive-compulsive traits, which are found on the anxiety spectrum.

The obsession with eating healthy is called orthorexia.  Orthorexia is a sub-clinical term coined by Steven Bratmen, MD who is also the author of Health Food Junkies: Orthorexia Nervosa – Overcoming the Obsession with Healthy Eating. I will explore orthorexia more deeply in an upcoming post, but for now,  it’s enough to know that the problem is not simply about the food (I say “simply,” since we need to eat to live), but mostly about the obsessions and related impact on your life based on how you respond to your food obsessions.

Any obsession, whether it be with food or otherwise, can be mentally and emotionally crippling. When the desire to make lifestyle changes and improve how you feed yourself is taken to an extreme, it can lead to orthorexia and eventually develop into more debilitating disordered eating and eating disorders.

In her post, Lissa noted key signs you may be using juicing as a mask to your disordered eating.  Below, I add some additional thoughts to unpack the important message of Lissa’s post. And thank you again, Lissa, for keeping this discussion going. It is a hot topic for sure, but I am so grateful for the conversation!

Here are Lissa’s 10 signs that you (or someone you love) is masking an eating disorder with juicing or cleansing:

1. Your BMI, or body mass index, reveals that you are underweight or normal weight, yet you replace meals with juice regularly.

Additional Thoughts: Yes, many people who are experiencing discomfort from negative body image want to lose weight or change their body. Restricting helps decrease the anxiety of this distress by the endorphins that are produced when their body is not getting enough nourishment. At Potentia, we use the BMI lightly. For most people, it is not an accurate indicator of ideal weight range. Plus, your worth is more than a number. Connect with Megan Holt for a consult to learn more about determining your ideal weight range.

2. You’re terrified of gaining weight, even if your BMI is normal or underweight.

Additional Thoughts: Regardless of your BMI, the fear of gaining weight needs to be addressed. Even if losing weight would be helpful to your overall wellness, a number of markers will be taken into account – not just your BMI. Your labs, your activity, physical pain, how you feed yourself, illnesses, medications, stress, social and emotional support and current life situation are all taken into account.

3. Other people think you’re skinny, but what you see in the mirror is a big fat slob.

Additional thoughts: Regardless of what other people think, if the image in the mirror triggers obsessive thoughts and behaviors, it is time to get help. And to those who are friends with someone struggling, be careful about compliments and encouragements around looks. If your loved one is in deep with this struggle, she will have a hard time trusting your words.  Validating her struggle and encouraging her to get help is a very loving support without feeding the obsessions.

4. For women, skipping periods or not menstruating at all can be a sign that you’re not getting enough calories. The body is genius. If it thinks you’re not at a healthy enough weight to have a healthy pregnancy, your periods will disappear.

Additional Thoughts: Yes – your body is genius! Osteopenia can lead to re-occurring injuries and is a sign your body is struggling. Getting your period back does not mean the recovery work is done. Until you do the deep soul work to manage your anxiety, this cycle of obsessions is likely to continue.

5. You binge on unhealthy foods and then either induce vomiting, exercise excessively, misuse laxatives, or use juicing as a sort of penance to undo the damage.

Additional Thoughts: Binging does not just have to involve food deemed unhealthy. It can be any kind of food, even healthy food. Many people attempt to mask their shame of binging by eating food that is not shamed by our culture and “junk food”.  And on that note, there is room for all food, even something that is not organic, processed or corn-fed – if the majority of your body’s needs are met with whole, fresh and organic when available and affordable.

6. You embark upon juice fasts that last more than a week. For example, a month of nothing but juice just isn’t healthy.

Additional Thoughts:  Lissa referenced our popular Q&A post on juice fasts.  This is an important resource as you think about the meaning and the motivation of your cleanse or fast. Even if you do not have a clinical eating disorder but are struggling with body image issues or eating issues, we caution against trying a fast to help manage your emotional distress. This choice could send you to a dark place that could take years of recovery.

7. You find yourself avoiding meals out with friends and family “because I’m cleansing.”

Additional Thoughts: This is such  a common struggle for those with orthorexia.  When eating fuels isolation, this is a red-flag.

8. Other people worry about how often you skip meals or cleanse.

Additional Thoughts: When those who care about you are concerned, it is not because they are working against your goals for health and wellness. Your disordered eating thoughts want to isolate you and be your only friend. In truth, eating disorders are toxic BFF’s.

9. Being away from your juicer or a juice bar triggers anxiety or even panic.

Additional Thoughts: If you lose flexibility in your lifestyle, it is a warning you are becoming a slave to your eating patterns. This is not how we are called to live.

10. You obsessively weigh yourself, and change your cleansing behavior as a way to diet yourself back to your target weight.

Additional Thoughts: Your worth is more than a number and dieting does not work. No matter what you call it, trying to lose weight by restrictive eating will only set you up to regaining the weight, even more than you lost, sending you on the dangerous weight-cycling path of disordered eating.

What do you think about the obsession of eating healthy? Is it an important response to weight issues in our country? Have you or someone you cared about ever struggled with orthorexia?

Cheering you on as you (re) define your definition of health –

Rebecca

 

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Weekend Wonderment: Inspiration from the Interwebs 9/15/13

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“Being courageous requires faith.” Heartfelt words from a mother of a Sandy Hook victim to teachers and school employees as they start their school year.  Wow.

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“Failing forward means using mistakes or failures in the service of moving ahead.” via Karen R. Koenig.  And if you have not checked out Karen’s workbook, Food and Feelings: A Full Course Meal on Emotional Health, it is a worthy resource on your bookshelf.

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“It’s hard: to keep your eyes on your own paper; to not want what others have; to detach from outcomes.” Parenthood, unhealthy perfection, and faith all collide in this lovely, sweet, tender post by Andrea Mauer.

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Never underestimate the power you have on those who cross your path in life.  Moving ad captures this sentiment beautifully.  Have some tissues nearby.  You have been warned.

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Are we passing down to the next generation the relentless pursuit of perfection? On parenthood, the pressures of high school students today, work and juggling it all – this provocative interview with Debora Spar, president of Barnard College and the mother of three children, touches on a lot of tender/lighting rod issues around parenting, working and being a woman.

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1. Settling + Starting

Sometimes we hesitate to start deep soul work because we are uncertain of the out come or how long it will take to reach our desired outcome. Trauma and distressing life events – and if you have been through middle school, you have had a distressing life event – can keep us stuck in fear, uncertainty, depression, loneliness, unhealthy perfection and enslaved to the opinions of others. EMDR is a wonderful to support for many who are stuck and the quick fixes are not working. Find a specialized therapist you trust and feel understood and start. This may be one of the most important seasons in your life.

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In Awe and Wonder –

Rebecca

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Weekend Wonderment – Better Late Than Never!

1. Your Health -

No surprise those with weight issues are more vulnerable to developing eating disorders. As long as we make weight a primary factor in determining health – and rewarding weight loss over overall wellness – we are contributing to the serious food and body issues in our culture.

Spread the word: You cannot be replaced!

A refreshingly honest, hilarious, and a little bit frenetic look inside the tension of being seen, authentic and vulnerable.

Love this blog on everything rustic and vintage on a budget. I just scored some of their amazing mini bread boards. I plan on getting more for gifts. You can even have each board engraved with up to 10 letters.  Sweet!

This is inspiring me to get my creative via my i-Phone photos. Who knew creativity and tech could be so fun and easy?

I am SO grateful for this website as I now have both kids in school and my oldest is needing lunches everyday.  The lists of recommended lunch gear saved me hours of research and the meal ideas and pics help with quick and easy planning.  Exhale.

This is an important post on bright girls, bright boys, and (re) defining perfectionism and being good enough.

Props to Matt Knisley for the heads up this new platform for books.  While I will always be a fan of old school books-in-hand, I am embracing technology and books. Netflix for books: count me in!

Donald Miller never disappoints with his powerful and convicting words. Read and be challenged to be brave and love without conditions.

In Awe and Wonder –

Rebecca

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Weekend Wonderment 8.24.13

This was a week where the topic of loneliness went viral. Check out this incredible 3-D perspective on loneliness in our very “connected” world.

And here is a spot on article noting how loneliness is a bigger threat to our health than weight issues.  Truth.

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Raw, real and gloriously authentic, Dr. Brené Brown talks church.

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Interesting, informative insights on anxiety, eating disorders and schizophrenia.  Increased understanding about the spectrum of mental illness will ensure more people get the help they need.

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Swoon over this mash up of “Brave” by Sara Bareilles (a personal favorite) and Katy Perry’s new song, “Roar”.  Watch, be awed and left with a big smile on your face.

http://www.youtube.com/watch?v=c-wa1_y6uZQ

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An apology letter from a former weight loss consultant stirred up a lot of chatter on the interweb. Provocative, sincere, honest, this letter offers a unique perspective from the heart of the diet industry.

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Back to school must haves: These adorable “gentle reminders” pencils would be a wonderful gift to a student you know heading back to school or for anyone needing some fun encouragement.  And I am loving this sweater that screams fall in my favorite color.  How cool that you can have it custom made to fit you.  I am in line to order mine this week.

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Busy is the new “fine” but we are living at a pace that is unsustainable.  It is time to (re) define success and make wellness a priority as we follow our dreams and passions.

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My husband and I have been having so. much. fun with this cookbook.  I love Deb Perelmen’s blog, too.  Her latest post is full of peaches, glorious peaches which is appropriate for National Peace Month. She always uses real food that never sacrifices flavor with simple techniques = pure palette joy.

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Just because.  🙂

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In awe and wonder –

Rebecca

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Weekend Wonderment: Inspiration from the Interweb

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Be the Gift.  Give yourself the gift of forgetting about yourself, the to-do lists, the plans, the appointments, the shoulds and have-tos. Thank you, Ann, for this heartfelt reminder. I needed it this weekend.

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Never, ever, ever forget: You are Loved. Thanks to Jeanne Oliver Designs for bringing this to my attention.  Blessed.

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Beautiful, grounding, convicting.  Read this and then take note where you feel your heart tugged to redirect how you spend your time today.

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Yes, let’s change the world for Greyson, my daughter, all kids.

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Darling is taking orders for their fall issue.  Order now and receive their latest print magazine full of beautiful photo shopped-free pictures, lovely words printed on gorgeous paper and receive the digital version as a free bonus.

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Here is more brilliance from Barn Owl Primitives (where I purchased the We Can Do Hard Things sign seen as you enter my therapy office). These are words that I want to flow out of my heart to my kids – especially during this season of preparation for and transition to school and the big, big world.  May we all live these words and not just say them. Actions indeed speak louder than words.

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No, juicing is not an eating disorder but for some it can be a disordered eating ritual masked in the spirit of healthful living. I appreciate this honest and humorous perspective of a world where the efforts to be healthy are sometimes a bridge to orthorexia (the obsession with eating healthy) and, well, deep hunger.  Now head over to Kayla’s Q&A with Megan on juice cleanses for some facts on this practice.

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A common area of struggle I see in my office is managing the in-betweens of life: relationships, jobs, school, physical health, and so on. Jeff Goins’ new book will encourage and challenge you to savor your in-betweens. The tension created in times of waiting can be the catalyst for our best art, so slow down and do not rush your in-betweens.

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In awe and wonder –

Rebecca

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