Eating Disorder Support for Your Students - PowerPoint Presentation

Slide1

Eating Disorder Support for Your StudentsSlide2

Types of Eating Disorders

Anorexia Nervosa: intense fear of gaining weight; may purge or restrict to keep weight off

Bulimia Nervosa: eating a large amount of food in a short period of time followed by self-destructive ways to get rid of the food (over-exercising, purging, laxative abuse)Slide3

Types of Eating Disorders (cont)

Binge Eating Disorder: “out of control” eating until uncomfortably full- no attempt to get rid of the food; Triggered by emotions, trauma, stress. Feels extreme shame/guilt after a binge

Orthorexia

: only allowing oneself to eat what they consider “healthy” avoiding all processed foods, sugar, animal product, fat,

etcSlide4

Important Facts about ED

Serious, life threatening physical and physiological complications

Can affect both men and women; athletes are high risk population

Weight is not the only marker of EDSlide5

Signs and Symptoms

Marked weight loss, gain, fluctuations

Cold intolerance

Weakness/Fatigue and Trouble Focusing

Dizziness

Hot flashes/sweating

Oral lacerations

Parotid enlargementSlide6

Signs and Symptoms (cont)

Chest pain, shortness of breath

Gastric discomfort, constipation

Reoccurring bone fractures

Depression/Anxious Behavior

Hair

loss

Target of weight bullying

Spends more time alone

Avoids cafeteria/excuses to skip lunchSlide7

Myths about ED

Eating Disorders are not an illness

Classified as mental illness, have a biologic basic and co-occur with other mental illness

Eating Disorders are Uncommon

3

rd

most common chronic illness among adolescent females

Eating Disorders are a Choice

Develop over time and require appropriate treatment to address underlying issuesSlide8

Impact on ED on Cognitive Ability and Functioning in School

Negative impact on behavior and school performance

Less engaged, less active and less social

Immune system weakens and can make students more vulnerable to illness

Perfectionist attitude may stil

l compel them to achieve high level of academics which is more difficult in malnourished stateSlide9

10 Phases of Eating Disorder Recovery

I don’t think I have a problem

I might have a problem but it’s not that bad

I have a problem but I don’t care

I want to change but I don’t know how and I’m scared

I tried to change but I couldn’t

I can stop some of the behaviors but not all of them

I can stop the behaviors, but not my thoughts

I am often free from behaviors and thoughts, but not all the time

I am free from behaviors and thoughts

I am recovered

Carolyn

Costin

8 Keys to Recovery from an Eating DisorderSlide10

Why is support from Counselors important?

The more members of a treatment/support team the better

Want

school to

be

a safe place

Can identify red flagsSlide11

How can you help?Proactive talks on campus, promoting positive body image

Fat Talk Free Week

Positive Affirmations

Sending out resources to

Families

Educate teachers and staff

Recognizing warning

signs

Knowing providers in your areaSlide12

How can you help? (cont)

Update school policy on anti-harassment and anti-discrimination to ensure they include provisions about appearance and body shape

Make it a policy not to weight students publicly

No labeling of food as good or bad in cafeteriaSlide13

SCOFFDo you ever make yourself throw up because you feel uncomfortably full?

Do you worry you have lost control over how much you eat?

Have you recently lost or gained more than 10-15

lbs

in a 3 month period?

Do you believe yourself to be fat when others say you are thin?

Would you say food dominates your life?

2 or more yes’s warrants further assessmentSlide14

Plan for Student in TreatmentMeet with student and parents before return to school

Have realistic expectations regarding cognitive ability

Recognize impact of peers

Provide in-school counseling

Discuss need for

meal monitoringSlide15

Empowered Eating TeamGroup of Registered Dietitians with a program designed to provide freedom from food struggles and hope for people struggling with eating disorders and their loved onesSlide16

What we do

Weekly appointments

Daily support

Weekly support group

Help with meal planning

Proper nutrition education

Blind Weight checks

Coordination of Care with treatment team

Normalize eating patterns and end food struggles

Trained in Family Based Therapy

Transitioning clients to and from higher level of careSlide17

Indicators of Recovery (Reiff & Reiff)

Metabolic Rate: increased to person’s genetically determined level

Variety of Foods

Food consumption patterns: discontinue binge/purge/restrict pattern

Hunger: Ability to recognize hunger and fullness

Decrease amount of time spent thinking about food and weight to less than 20% of day

Caloric Intake: amount necessary to achieve appropriate weightSlide18

Indicators of Recovery (Reiff & Reiff) cont

Food Fears: ability to eat a moderate amount of foods without fear, guilt, anxiety

Restored GI Function: absence of diarrhea, constipation and bloating

Weight: maintenance of body weight within a healthy range; restoration of menses without hormone therapy

Activity level: appropriate physical activity without feeling compulsive

Ability to eat outside the home at friends or restaurantsSlide19

Normal EatingSlide20

Resources

Eating Disorder Network

of Maryland

(http

://www.ednmaryland.org

/)

Academy of Eating Disorders (

aedweb.org

)

National Eating

Disorders Association (

http://www.nationaleatingdisorders.org

/

)

Gurze

CatalogSlide21

REBEL Against Diets ProgramAdditional program for students looking to have a healthy relationship with food. Our goal is to not let food get in the way of what really matters! Slide22

Empowered Eating TeamEmpoweredeatingblog.com

facebook.com

/

empoweredeating

Twitter: @

EmpoweredEating

Greenbelt&Columbia

MD