Would You Rather Be A Mermaid or a Whale

October 19th, 2011 jrust

I was sent this by my dear friend from British Columbia, Tracy Lambeth. It is wonderful!

A while back, at the entrance of a gym, there was a picture of a very thin and beautiful woman. The caption was “This summer, do you want to be a mermaid or a whale?”

The story goes, a woman (of clothing size unknown) answered the following way:

“Dear people, whales are always surrounded by friends (dolphins, seals, curious humans), they are sexually active and raise their children with great tenderness.

They entertain like crazy with dolphins and eat lots of prawns. They swim all day and travel to fantastic places like Patagonia, the Barents Sea or the coral reefs of Polynesia.

They sing incredibly well and sometimes even are on cds. They are impressive and dearly loved animals, which everyone defend and admires.

Mermaids do not exist.

But if they existed, they would line up to see a psychologist because of a problem of split personality: woman or fish?

They would have no sex life and could not bear children.

Yes, they would be lovely, but lonely and sad.
And, who wants a girl that smells like fish by his side?

Without a doubt, I’d rather be a whale.

At a time when the media tells us that only thin is beautiful, I prefer to eat ice cream with my kids, to have dinner with my husband, to eat and drink and have fun with my friends.

We women, we gain weight because we accumulate so much wisdom and knowledge that there isn’t enough space in our heads, and it spreads all over our bodies.

We are not fat, we are greatly cultivated.

Every time I see my curves in the mirror, I tell myself: “How amazing am I ?! “

Are Insurance Companies Just Going to Let People Die?

October 18th, 2011 jrust

I have to mention again the article in the New York Times that discusses insurance companies in California appealing a decision in the lower courts that would make insurance companies pay for eating disorders treatment, and other mental conditions just as they pay for medical treatment. I’ve also read a several articles where a couple of psychologists maintained that people with eating disorders can be treated just as well on an out-patient basis.

Have they done a thorough literature review on the recovery rates of people from eating disorders? Stuart Agras tells us that only 32% of all people who have had treatment are eating disorder free at the end of a year. This included inpatient, residential, and outpatient therapy. Anorexia is the leading cause of death in young women. 20% of people with anorexia will die.

I see the women who admit to Mirasol for treatment. A good number of these women wouldn’t live if they didn’t receive the care they need. A couple of days in the hospital for refeeding doesn’t cut it. I’m talking about treating them nutritionally, physically, emotionally — real mind/body treatment because that is the way someone recovers from an eating disorder much more quickly than they would in outpatient therapy.

I remember the court case in Minnesota where Kitty Westin sued Blue Cross of Minnesota because they refused treatment for her daughter, Anna, who died from an eating disorder. Anna was only 16. Now Minnesota pays for eating disorder treatment.

A few lawsuits that would cost the insurance companies $1,000,000 or more will get their attention and paying for treatment will seem much cheaper in comparison to paying out large amounts in lawsuits.

Insurance companies are making huge profits. They need to care for the women in our society who suffer from these conditions.

We all need to get behind the lawsuits. We need to write or call our congressmen. We need to shout loud and clear. We need to let people know that we will not accept this kind of treatment — or should I say non-treatment?

Grrrrrr………….

Nine Reasons Not to Get Treatment

October 12th, 2011 jrust

Nine Reasons Not to Get Treatment

I love to answer the phones at Mirasol and speak with people who are calling us for information. Some people have been to several different treatment centers and are old pros at the admission process. Some people have never been to treatment but have been seeing a therapist. Other people are simply out there, very ill, and they’ve never attempted to get any help.

When I talk to people about previous treatment or lack of previous treatment, I get the comment, “I don’t think I’m sick enough for treatment.” They have an unbelievable list of reasons they shouldn’t get treatment.
See if you can identify with anything on this list:

1. I don’t want to. Wow, what a concept. I think I’ll wait. I’d rather have a root canal!

2. I’m not sick enough. Everyone (yes, everyone) has used this excuse at some point. Other variations include:
a. I’m not thin enough. My weight is okay. I’ll be the
heaviest person in treatment.
b. My labs are okay. I’m really healthy.
c. I don’t have serious health consequences.
d. If it were really a problem, my spouse / doctor / friends / parents would have said something.

3. I can’t take the time off from work – This excuse is not unreasonable, but what about having a life-threatening disorder? What about getting fired from your job because you can’t do the work? What about getting treatment, coming back, and doing super work for your boss? You need to be around to do your job and to do a good job.

4. It’s too expensive – Clients say this and parents say this! However, there are ways to find money. Some treatment centers have sliding scales. There are free, research-run programs in some areas. I know of a behavioral health lender that has very reasonable terms for the borrower. Many other people borrow money from family members. I remember one patient I had who borrowed $5000 from 10 different family members. Still, finances are a barrier for many people.

5. I had treatment before, and it didn’t work – This is another excuse that I hear frequently from people. How about saying this? “I didn’t fail treatment, but the kind of treatment I had failed me!”

6. I can do this on my own — This is another one that everyone has used, usually to put off therapists, doctors, and parents. If you could do it on your own, you would have done it by now.

7. There’s no treatment near me — You’ll have to be creative. You can find treatment of some kind, even if you’re going to AA or Al-Anon meetings.

8. I’m too old – Adolescent females are not the only people in the universe who have eating disorders. At Mirasol, my oldest client was a woman who was 74! More and more older women are showing up with eating disorders.

9. Shame — So many people with eating disorders feel a lot of shame. “What will everyone say if they know I’m going for treatment?” It’s none of their business first of all. You tell them you’re going to a retreat center. Sometimes it seems like jumping off of a cliff without any idea of where you’ll land! But take a risk and do it!

There are lots of reasons to NOT seek treatment, and many of them are valid. However, reasonable or not, they are still excuses and they help keep you sick.

Hospitals Offering Alternative Therapies

October 2nd, 2011 jrust

October 2, 2011. Does anyone out there know where the time is going? I have so many things that I’ve planned on doing. I have a list of articles to write and a huge list of blogs, but somehow I end up working with prospective clients during the day. I absolutely love doing that. I answer the phone that is strictly for admissions and I love telling people about the magic of Mirasol. I love telling people about how I literally can see people, after two weeks of treatment, begin to light up like little light bulbs. I get to see the roses in their cheeks as they’re making eye-contact with me when we say hello.

What could ever be better than that?

However, I have so much knowledge that I have to get out to all of you who are in recovery, in early recovery, or are still suffering. I would also appreciate it if there is something you particularly have questions about or if there’s something you want to learn about eating disorders. I’m your gal.

I saw an article the other day in our local paper, the Tucson Daily Star, titled More Hospitals Offer Alternative Therapies. The article was a reprint from the Los Angeles Times.

Hospitals today are offering meditation and relaxation training. Medical, clinical hypnosis is offered as well and is a god-send in helping release some of the patients fear and stress. Over 65% of all hospitals offer alternative therapies for pain management. Massage therapy and body work in particular are effective.

It’s not only hospitals and treatment centers that want alternative therapies but the patients themselves want the best that both conventional and alternative medicine can offer.

I remember when I opened Mirasol in July of 1999. In August of that year, my husband and I went to an IAEDP (International Association of Eating Disordered Professionals) conference in Phoenix. At that time, I had a staff of 4 people including myself. I was doing biofeedback with finger temperature sensors. The programs were only 2 weeks long. I still talked extensively about integrative treatment and people thought I had holes in my head.

They weren’t laughing in my face but almost. Who ever heard of something called neurofeedback? Whoever thought about using body work and acupuncture with eating disorders? Even the terms Mind/Body/Spirit was still rather new and not embraced by the treatment community. At that time the only therapeutic modalities were cognitive-behavioral therapy and interpersonal therapy. Maybe a facility would throw in a horse.

No one is even thinking about laughing now. Today everywhere I look, I see the words holistic, alternative, and organic, and I see a huge list of therapies. I see even programs that are strictly medical model talking about Mind, Body, Spirit.

I used to feel resentful as the years went by and more and more centers began to use alternative therapies. “They’re just copying me,” I thought.

Now I look upon all places using alternative therapies with joy! People need to heal from the tops of their heads to the bottoms of their feet (or tippy-toes). I can’t imagine any person truly healing without healing their whole selves – Mind/Body/Spirit.

How to Help a Friend

September 15th, 2011 jrust

How to Help a Friend

I have always tried not to use another person’s material when writing my blog, but this article is so exceptional, I need to share it with everyone!! It comes from a website, www.eatingforlife.org.

What to do if you think someone may have an eating disorder
Eating disorders are not about the food. There is always a deeper problem that is causing the person to focus so intently on food. The eating disorder is the outward manifestation signaling that there is an inner problem (e.g. self-esteem, family issues, depression, anxiety). An eating disorder is a person’s attempted solution to that problem. The eating disorder will begin to go away when the inner problem is addressed, and usually counseling is helpful in this process.

Make sure you approach the person one-on-one. If a group of you is concerned, it is very important that one person be chosen to talk with the friend. Group confrontation can make a person feel “ganged up on” and can cause a friend to feel betrayed, as if everyone has been talking about them. The goal is to support your friend, and often a group confrontation can leave a person feeling like they have been betrayed by their support system.

Make a plan to approach your friend in a private place. Try to choose a non-stressful environment where you will have time to talk at length, if necessary.

Present what you have observed and what your concerns are in a non-confrontational, caring way. Tell him or her that you are worried because of what you have noticed and that you would like to offer some help. Stay away from saying “we’ve been talking and are worried” – focus on what you yourself have seen, it is less threatening. (Friends who are too angry or hurt to talk supportively should not be the ones to confront.)

Offer human company and empathy. You don’t need to agree with the person’s feelings or stance. There is a place for challenge, advice, information, pep talks, jokes, and confrontation. Generally, that place is after she or he feels her or his experience is understood and accepted for what it is.

Listen carefully and non-judgmentally. Give the person time to hear what you have to say and to verbalize their feelings. Ask clarifying questions and then accept whatever they have to say without judgment. Encourage him or her to talk about their feelings.

Do not argue about whether or not there is a problem. Power struggles are not helpful. You could say, “I hear what you are saying and I hope that you are right and that this is not a problem. But I am still concerned about what I have seen and heard because I care about you.” (It is best not to say what other people feel or what they have noticed. Speak with “I” statements.)

Do not lay guilt trips, like “Look what you are doing to your family or roommates”. We are each responsible for our own feelings. Bear in mind that people with eating disorders yearn to know that someone could both know the worst about them and love them and care about them anyway.

If the person denies the problem, becomes angry, or refuses treatment, understand that this is often a part of the illness. They have a right to refuse (UNLESS their life is in danger). You may feel helpless and angry. You might say, “I know you can refuse to go for help, but that won’t stop me from being concerned. I may bring this up again later – maybe we can talk about it then.” Follow through on this, and other promises you might make. Your friend may need time to process what you have said to them. Don’t expect an immediate positive response, the important thing is to follow through and be consistent.

Provide information and resources for treatment. Make sure that you brush up on your knowledge of eating disorders before you talk to your friend, and be sure to offer resources to your friend. Encourage her or him to see a counselor, nutritionist, or physician and offer to go with them to the first appointment. Remember that recovery is a long process. It may take a while before your friend is feeling better and it is important for you to remain supportive throughout the entire recovery process.

Do not try to be the hero or rescuer – you may be resented. If you do the best you can to help on several occasions and the person does not accept it, stop. This does not mean stop being aware of their behavior, but you have done all it is reasonable to do. Eating disorders are stubborn problems, and treatment is most effective when the person is truly ready for it. You may have planted a seed that helps them get ready.

Make sure you get support for yourself. It can be difficult to live with someone who is dealing with an eating disorder. Get the information and support that you need.

For continuing support of your friend:
Remember that she or he is more than the eating disorder. Don’t let it become an identity – focus on his or her other characteristics that make them great. The more you help him or her identify his or her positive attributes, the easier it will be to let go of the “eating disorder” identity.

Don’t be afraid of conflicts or problems. These areas need to be brought out into the open, not hidden. Be sure to keep lines of communication open.

Do not focus on weight gained or lost. Focus more on their mental state. If you say, “you look thin” you are focusing on appearance and feeding into their behavior. If you say, “you look healthy” she or he may think you are saying, “you look fat.”

Don’t focus on achievements – grades, promotions, etc. Instead, talk about his or her inner qualities and strengths. Set an example – be good to yourself and she or he will see that it is possible.

Stay positive! People do recover from eating disorders. Many people who recover acknowledge the importance of friends who believed in them and kept trying to reach out to them.

Women’s Resource Center
Boston College