Skip to main content

Tag: anorexianervosa

Back to School!

We are a few weeks into the 2019-2020 school year.  With returning to school comes a set of new stressors, deadlines, and social activities.  How do we maintain recovery when taking on the role of “student”?  Eating Disorder Hope recently released an article on this topic exactly, and we couldn’t have written it any better ourselves.  Therefore, we’ve provided the article for you here in this blog post!  Keep reading for some top-notch tips on staying recovery-forward in the midst of transitioning back to school.

 

Best Practices for Returning to School

Here are the best practices for returning to school in eating disorder recovery:

Make time for recovery. Even with a busier schedule, it’s important to prioritize recovery. This includes continuing to attend appointments with your treatment team at a frequency that will continue to support your recovery. This also includes keeping your long-term health and wellness in mind in spite of the stressors that come with school.

Identify your triggers. Before returning to school, identify what may trigger disordered eating thoughts and behaviors. Triggers may be things like overhearing classmates talk about their bodies, eating with others in the lunchroom, or the amount of math homework you’ll be facing.

Have a go-to list of coping skills and self-care plans that will help you manage these triggers. This will help reduce any risk of relapse.

Develop a healthy daily structure. Finding a daily structure means finding balance. It’s having a routine that provides regular sleep and regular meals.

It’s a schedule that includes social activities that make it difficult to isolate, as well as things like making time for academic efforts to prevent school work from “building up.”

Self-care is an important part of the daily structure — as part of the best practices for returning to school, be sure to build in time each day to take care of yourself and manage daily stressors.

Get support. Know that when things get difficult, you don’t have to figure it out all on your own. Call in your support system — whether it be parents, friends, teachers, the school counselor, or a formal support group — for support around whatever is troubling you.

Many students in recovery need support around academic workload, time management, stress management, meal prep, and/or mealtime support.

Consult with your treatment team. Work closely with your treatment team to address any triggers or challenges that may arise. If you have any concerns, be sure to share them with your treatment team, as they will be able to support you and offer up individualized recommendations.

If you begin to feel like things are getting on top of you, like you’re not coping as well, or returning to old disordered eating thoughts or behaviors, it’s important that you reach out to your treatment team as soon as possible.

Special consideration for student-athletes. Work closely with your coach.

For students in recovery who are returning to athletics along with school, it’s important that your coach understands how to support you in your recovery.

Coaches should be aware of any recommendations being made by your treatment team and be willing to support you in following those recommendations.

This is important for both your short-term and long-term health and wellbeing.


About the Author:

Chelsea Fielder-JenksChelsea Fielder-Jenks is a Licensed Professional Counselor in private practice in Austin, Texas. Chelsea works with individuals, families, and groups primarily from a Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) framework.

She has extensive experience working with adolescents, families, and adults who struggle with eating, substance use, and various co-occurring mental health disorders. You can learn more about Chelsea and her private practice at ThriveCounselingAustin.com.

Anorexia Nervosa: The Signs, Symptoms, & Impact

Anorexia Nervosa

According to the National Eating Disorder Association

Anorexia nervosa is a serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss.

Symptoms

  • Inadequate food intake leading to a weight that is clearly too low.
  • Intense fear of weight gain, obsession with weight and persistent behavior to prevent weight gain.
  • Self-esteem overly related to body image.
  • Inability to appreciate the severity of the situation.
  • Binge-Eating/Purging Type involves binge eating and/or purging behaviors during the last three months.
  • Restricting Type does not involve binge eating or purging.

Eating disorders experts have found that prompt intensive treatment significantly improves the chances of recovery.  Therefore, it is important to be aware of some of the warning signs of anorexia nervosa.

Warning Signs

  • Dramatic weight loss.
  • Preoccupation with weight, food, calories, fat grams, and dieting.
  • Refusal to eat certain foods, progressing to restrictions against whole categories of food (e.g. no carbohydrates, etc.).
  • Frequent comments about feeling “fat” or overweight despite weight loss.
  • Anxiety about gaining weight or being “fat.”
  • Denial of hunger.
  • Development of food rituals (e.g. eating foods in certain orders, excessive chewing, rearranging food on a plate).
  • Consistent excuses to avoid mealtimes or situations involving food.
  • Excessive, rigid exercise regimen–despite weather, fatigue, illness, or injury, the need to “burn off” calories taken in.
  • Withdrawal from usual friends and activities.
  • In general, behaviors and attitudes indicating that weight loss, dieting, and control of food are becoming primary concerns.

Health Consequences of Anorexia Nervosa

Anorexia nervosa involves self-starvation.; The body is denied the essential nutrients it needs to function normally, so it is forced to slow down all its processes to conserve energy. This “slowing down” can have serious medical consequences:

  • Abnormally slow heart rate and low blood pressure, which mean that the heart muscle is changing.  The risk for heart failure rises as heart rate and blood pressure levels sink lower and lower.
  • Reduction of bone density (osteoporosis), which results in dry, brittle bones.
  • Muscle loss and weakness.
  • Severe dehydration, which can result in kidney failure.
  • Fainting, fatigue, and overall weakness.
  • Dry hair and skin, hair loss is common.
  • Growth of a downy layer of hair called lanugo all over the body, including the face, in an effort to keep the body warm.

About Anorexia Nervosa

  • Approximately 90-95% of anorexia nervosa sufferers are girls and women.
  • Between 0.5–1% of American women suffer from anorexia nervosa.
  • Anorexia nervosa is one of the most common psychiatric diagnoses in young women.
  • Between 5-20% of individuals struggling with anorexia nervosa will die.  The probabilities of death increases within that range depending on the length of the condition.
  • Anorexia nervosa has one of the highest death rates of any mental health condition.
  • Anorexia nervosa typically appears in early to mid-adolescence.