More women suffer from anorexia and bulimia than breast cancer. Eating disorders (ED’s) affect women, men, and children of all races and ages and have the highest mortality rate of any other mental illness.
The beginning of the end
From a very young age my father criticized every woman who was not model thin. From their weight, to their clothes, to their restaurant meal choice, nothing was off limits. I recall his comments and disgust with uncanny clarity. My mother made disparaging remarks about herself and never seemed to be satisfied with how she looked.
While they meant no ill will, I grew hypersensitive to what I imagined other people thought of me. In elementary school I spent hours in front of the mirror, picking out my “flaws,” thinking if they were gone everything bad would go away. In middle school I developed quirky eating habits. In high school I had to wear a bikini in front of the whole school for a fashion show.
Needless to say, that moment was the true beginning of the end. I spent over half of my life starving, running, hiding, analyzing, worrying, counting, weighing, wanting, and hoping.
Halfway through college I realized that I needed help. What I thought I had control over had completely taken over my existence. However, I was not ready to give it up and was so far gone I didn’t quite see the point. I had no idea who I was without my ED. I began treatment, but was still holding on tightly to my ED and in denial about the seriousness of my problem.
Our society is masterful at normalizing the pursuit of thinness.
We equate thinness with happiness, which couldn’t be further from reality.
I couldn’t concentrate or think about anything other than what I would or wouldn’t eat, or when I could run it off. My ambition for absolute perfection was on overdrive. But it was a road to nowhere.
Needless to say, at this point treatment didn’t help because I was not ready. Therapy, nutritionists, doctors – it was all a game and laughable at the time because I thought I was winning. So I quit.
The end of the beginning
I graduated from college and decided to pursue a Masters Degree in School Counseling. I loved everything about the field and excelled in a way I never had before. I began speaking at conferences, writing, and for the first time I felt like I was good at something besides being thin. 
One day a graduate school professor sat me down, and told me her “story.” She said if I didn’t take the appropriate steps to really recover that I wouldn’t be allowed to continue in the program. That was the end of the beginning.
I used to go to bed each night promising myself “I’ll do better tomorrow.” I had done this for years and could easily convince myself it would work. Tomorrow never came. I finally went to The Renfrew Center after I was kicked out of another treatment center for refusing to gain weight.
Being asked to leave the first program was my “ahh haa – I am really sick” moment. Admitting I needed help and walking into a full –fledged, hardcore ED treatment center as an adult was the hardest decision I have ever made. This time it worked, not only because I wanted it to, but I needed it to. I was at a rock bottom point and was sick and tired of being sick and tired. I didn’t want to drop dead and was finally ready to begin the life I never thought I deserved.
You will never hear me say, “I wasted my life” because I truly believe that everything happens for a reason. It has definitely been a long road. For the past few years I’ve had to literally relearn how to live.
The media, society, and general ignorance aren’t exactly conducive to recovering from an ED.
But to this day, the better I feel, the more I realize how trapped I was. Life isn’t dichotomous and is so much easier.
I normally don’t share my story, but am certainly not ashamed of it. I wouldn’t be where I am if my journey had been different. I am grateful that I have been afforded the opportunity to use my struggles to benefit others. I use both my professional and personal knowledge to try to instill glimpses of hope, education, and feelings of self-worth in my students and audiences when I speak. Too many people suffer in silence and don’t have to.
Although it outwardly doesn’t seem possible, in reality we do have the power to change the culture. It starts with you. I have been a school counselor for six years and have published three curricula and a children’s book. It’s empowering to know that everyday I make a difference (or at least I try.) On my last day at Renfrew I read the draft of my children’s book, Perfectly You. I told the group I would publish it when I believed every word that I was asking of my little readers. And I did.
Here are a few ways you can begin to help. Whether you are a parent, educator, teen, or a random reader, you can make a difference – I promise.
- Eliminate “Fat Talk.” Just do it.
- Talk to your kids and/or students about the media and society’s unrealistic standards.
- Compliment your children/students/partner/friends for things other than looks.
- Don’t diet. The dieting industry is a multibillion industry with a 99% failure rate. Would you let a heart surgeon operate on you if they have killed 99% of their patients? I think not.
- Not everyone with an eating disorder is the stereotypical emaciated white “girl” you see on talk shows. In fact, the majority of people suffering don’t “look” like anything is wrong. Men, Hispanics, African-American’s, Asians, homosexuals, Mom’s, Dad’s, Coaches, CEOs, personal trainers, doctors, counselors, and even your local Starbuck’s barista. Nobody is immune. Know the signs and symptoms of ED’s and don’t be afraid to reach out.
- I cannot stand it when I hear someone say, “but he/she eats.” Of course they do. If they didn’t they would be dead within weeks. ED’s are about so much more than food. Don’t ever tell someone with an eating disorder to “just eat” and don’t assume someone does not have a problem.
- If you work in a school educate yourself. If you are worried about a student, talk to the school counselor and/or voice your concern the parent/s. Always follow up.
- Put the focus back on health. I do realize that obesity is an epidemic and weight loss is necessary for some – but again, it’s about achieving and maintaining a healthy lifestyle. There isn’t a means to an end when it comes to health.
- If you or someone you know has a diagnosable eating disorder, get help. Find a therapist who specializes in eating disorders. I have heard countless stories about ridiculous things that therapist and doctors have said that were not only unhelpful, but also extremely triggering. Some cultures scoff at treatment, but it is important and absolutely necessary. The sooner the better. Trust me.
- From time to time my friends and family tell me now how afraid they were. My response is always “Why didn’t you say anything? They were all was afraid of my reaction. I think that statement precisely sums up NEDA’s theme of “It’s Time to Talk about It.” Would it have mattered to me if they voiced their concern? We will never know. So my last tip – TALK ABOUT IT!
Lastly, here are my favorite resources – check them out.
The first step toward change is awareness. The second step is acceptance.
~Nathaniel Branden
Tagged as: Body Image, Eating disorders, self-esteem
February 27th, 2011 at 4:03 pm
Thank you for highlighting this devastating and horrible disorder. There is significant current research that eating disorders are organic in etiology meaning individuals are predisposed for one. For example, many with eating disorders are perfectionists, high achievers (academically and often in sports), and anxious. Perhaps in your situation your parents played a role as you strongly suggest in the beginning of your blog, but, but, but research shows that nearly every girl diets before she turns 20 and those with the “target on their backs” will develop an eating disorder. It is essential that this message, that parents don’t cause eating disorders, gets attention. Why? Therapists will spend precious time trying to convince the individual to eat and trying to get to the root of the problem (there isn’t one). Full nutrition is what heals. For some that is in a hospital while a small number are using the Maudsley method from England here now. Essentially that is refeeding at home. Only when an individual is weight restored can the true healing of the obsessions, anxiety, and other co-morbid issues be addressed. So glad that you have recovered; it’s clearly not easy. Please consider using her influence to help young girls and boys receive effective researched-based care. Thank you!
February 28th, 2010 at 12:05 pm
Excellent Post! I have a cousin who is incredibly skinny and definitely has an eating disorder. However, her mother is in COMPLETE denial and says that “she eats.” To make matters worse, my family seems to be obsessed with physical appearance and constantly tells my cousin how petite and beautiful she is. It drives me nuts! They reinforce these terrible behaviors and make those of us who are healthy in the family feel like we are the “unhealthy” ones of the bunch. I should forward your blog onto them. Maybe it would open their eyes.
February 25th, 2010 at 5:30 pm
Julia, I’m glad you talked about it.
What a moving and powerful story you’ve told. I hope it inspires someone else who doesn’t think they can recover from an ED — or doesn’t want to admit they have one. Thank you for sharing that.
February 25th, 2010 at 8:21 am
Julia, thank you for sharing your story! You are such an amazing person and a true “3:00 a.m.” friend! You have really inspired me to help End Fat Talk and educate the people around me. I am so lucky to have you in my life, you are very important to me. Please continue writing, speaking and informing our society about eating disorders, you are making a difference!
February 23rd, 2010 at 11:54 am
Thank you, thank you, thank you – for writing about you! You’ve come so far in your career and now in your personal ambitions to get healthy. From two old roommates finishing up at GMU almost 10 years ago to a DC Health Coach (me) and a NC School Counselor (you), I’m always here for you in every way, every day.
Your career experience speaks has always spoken for itself, but your personal journey is beginning to take shape and truly inspire others. It’s your journey that will resonate with others who struggle w/ED and help them take further steps to a healthy lifestyle. Keep it going!
February 22nd, 2010 at 8:44 pm
Julia, thank you! You are an inspiration to me and you help so many people every day. As a society, in addition to eliminating “fat talk”, we need to eliminate “thin talk” too and focus on valuing “healthy”.
February 21st, 2010 at 9:04 pm
Hi Julia, Thank you for sharing your personal journey with ED. As the mother of two wonderful young women with eating disorders, I can only say that I appreciate your plea to parents and friends to NOT BE AFRAID to bring up the subject of the eating disorder to the affected person. I can guarantee that speaking up will not be comfortable and will likely be met with anger and denial, and perhaps even with rage, but it WILL be appreciated and it may save a life. Although I have never had an eating disorder, I would be lying if I said that I haven’t had body issues…I cringe every time I think about asking my husband “if my butt looked big in these jeans” or sat back after eating a big piece of cake and complained that I felt “like a pig”. I have struggled for years now, wondering how I contributed to my girls’ issues. Cynthia Bulick, at UNC, helped me understand that an ED is probably 60-70% genetically, but it is society and our experiences that “pull the trigger”. In our family’s case, there is an aunt that had bulimia and our family tree is full of anxiety issues and other mental health diagnoses often found in people with eating disorders. Until we, as a nation, as citizens of the world, acknowlege that an ED is a disease and not a choice, people WILL continue to die from this disorder. Treatment is expensive and most residential treatment is not covered by even “good” insurance policies. Our family was fortunate to have a home to mortgage and grandparents with resources so that we could afford treatment. However, over $250,000 later, the girls are still in treatment. The financial stress of an eating disorder affects the entire family and adds to the patients anxiety and shame. What happens to those who cannot afford treatment? Sadly, I know of two women who passed away after leaving treatment when their insurance benefits ran out… One was a young mother of 2 children. Lastly, I am pretty outspoken about eating disorders and other mental health issues. If we cannot take the shame away from these disorders, we will never have the potential for a truly open dialogue about treatment options and best practice, etc. I am not throwing a pity party here, but do want to say that if my daughter had cancer and treatment was not covered by insurance, there would be fund raisers and perhaps the neighbors would arrange for hot meals to be brought in during her hospitalization. And noone would ask me what I might have done to cause my child’s disease. If you are reading this and have an ED, my heart is with you. If you are a parent of a child with an ED, my heart is with you, as well. Stay strong. Speak up. Godspeed.
February 19th, 2010 at 2:16 pm
This is such a moving blog. You are so brave for sharing this and I will be passing it along to a lot of people. It’s so cool to hear about how your struggles inspired your work. I am sure you’re a better teacher because of what you’ve endured. Thank you.
February 18th, 2010 at 10:33 pm
Thank you so much for sharing your story! I saw my own weaved throughout and was blessed by your openness. Thanks for being willing to talk about it – to join the effort of getting the word out that eating disorders are serious and need to be faced.