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15 Things To Remember When You Love A Person With an Eating Disorder

15 Things To Remember When You Love A Person With an Eating Disorder

I met my friend, “Maria,” (not her real name) in high school.  She was beautiful, sweet, and I enjoyed spending time with her.  One time the I didn’t see Maria, however, was at lunch time.  She was very thin, and I always suspected that food was an issue for her.

My suspicions were confirmed when Maria disappeared for three months, to enter an inpatient program at the hospital.  She was diagnosed with anorexia nervosa and felt very awkward about returning to school once she was discharged.

When she came back, she was still the same Maria that I had enjoyed spending time with.  But there were some things that we both had to learn.  I learned–through trial and error–how to be a good friend to someone with an eating disorder, and how to help Maria through her recovery.

Supporting someone with an eating disorder can be challenging, but it can make a huge difference in your loved one’s recovery.  Here are some things to remember if you love a person with an eating disorder:

1.  They may not be underweight.

According to this article in the Natural News, clinicians are beginning to notice a new eating disorder, called orthorexia, which is an obsession with eating the “right” foods.  People with orthorexia do not necessarily eat less, so they may be a healthy weight or even overweight.  So be understanding if a loved one has been diagnosed with an eating disorder, and do not assume that they are not telling the truth about their diagnosis, just because they are not underweight.

Maria said that the worst thing for her was when people would tell her that there was no way she had anorexia, because she was not that thin.  This was when she was in recovery.  She was gaining the weight back, but she still had a number of issues to work through.  The weight comes back first, but there is still a lot for the person to work through once they have started gaining weight.

2.  They tend to avoid gatherings that center around food.

According to this article in NY Mag, people with eating disorders tend to show up to parties after the meal has been served, claiming that they have already eaten.  They may also suggest outings that do not involve food.  This is because eating is stressful for them, even if they are in recovery.  You can help by suggesting activities that do not involve food.  People with eating disorders tend to isolate themselves, and providing an opportunity to socialize without the focus being on food can be quite helpful.

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Maria avoided lunch for most of the time I knew her.  Even when she was in recovery, she preferred to eat in a teacher’s classroom.  I was respectful of this, and found a lot of fun, food-free activities for us to do after school.

3.  They may be very sensitive to comments about their appearance.

The National Association of Anorexia and Associated Disorders (ANAD) states that even well-intended compliments, such as, “You look really healthy now,” may be misinterpreted as meaning “you look fat.”  People with eating disorders are very self-conscious about their physical appearance, and many times when someone looks recovered, they still have a lot of recovery work to do.

Maria found it very triggering when people told her she didn’t “look” anorexic.  She said that she often felt competitive with other people who had eating disorders, trying to be the “best” anorexic.  These comments triggered those patterns of thinking and weren’t helpful to Maria in her recovery.

4.  They don’t need you to be a therapist.

ANAD cautions friends of people with eating disorders not to try and be that person’s therapist.  If your loved one has been diagnosed, they are likely working with a team of professionals to help them recover.  Your job is to be a caring friend.  Be supportive, but understand that your role is not to “solve” their problems.

This was something I learned through trial and error with Maria.  It wasn’t my job to make sure she ate enough.  We had an argument once, because I was asking her how much she was eating.  My job was to be her friend, as I had always been.

5.  They want you to know it’s about more than just food.

According to ANAD, eating disorders are about much more than just food, so telling your loved one to “just eat” is not going to solve the underlying issues.  There are many complex issues involved in eating disorders, and recovery can be a time-consuming process.  Be there for your friend, and be supportive and understanding.  Ask your friend how their day is going, and how they are feeling.  Don’t keep the conversation limited to food and eating.

This is why being Maria’s friend was so helpful.  While our interactions were not centered on food, Maria did confide in me about a lot of her fears and doubts.  Being able to have someone with a sympathetic ear there to listen to her helped her tremendously.

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6.  They may feel ashamed of their condition.

An article by Caltech states that people with eating disorders are often ashamed.  This can lead them to be very defensive about their eating and find conversations about food consumption to be very upsetting.  Understand this, and understand that they are working with professional to help them with their diet.  The role they need you to play is that of a supportive friend.

Coming home from the hospital was very awkward for Maria.  She was embarrassed that she had lacked to “willpower” to keep her condition under control. She was worried that seeking professional help meant she was “weak.”  Of course none of these were true.  Eating disorders are not about willpower, and it takes a great deal of strength and courage to seek help professionally.

7.  They will experience good days and bad days.

According to an article by NHS, recovery is a long and bumpy process.  Part of your loved one wants to get better, while another part is afraid to let go of the old habits.  Understand that not every day will be easy, and does not mean that your friend is not getting better or that they are backsliding.  Be there for them through the ups and downs.

This was something that surprised me with Maria.  Some days, she would seem very confident and even eat lunch with me.  Then the next day, she would be absent from school because she felt so challenged.  Recovery is a roller coaster, and being there for her and the good and bad days was very important.

8.  They may at times come across as angry or aggressive.

NHS states that this is because people with eating disorders are often fearful and insecure.  Learning to cope with and redefine these fears is a part of recovery, so be patient with your loved one.  Understand that it is not about you, and take care not to take it personally.

Maria would sometimes become angry and lash out at me for no reason at all.  Learning not to take this personally was an important lesson, and it helped me to be there for her when she calmed down and felt embarrassed about her outburst.

9.  They still want to be included.

According to the Butterfly Foundation, people with eating disorders may feel isolated and alone.  Even if they try to isolate themselves, continue to invite them to participate in the activities that they used to enjoy with you.  This can help them a great deal in their recovery.  Invite them, but don’t push it if they say “no.”  Just keep inviting.

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Anytime I went out with friends on the weekend, I invited Maria.  Sometimes she came, and sometimes she did not.  But later on she said that always being a part of the group and always having a place where she belonged was very helpful.

10.  They need you to set boundaries for yourself.

The Butterfly Foundation states that it is necessary for you to set the boundaries, as far as being supportive of your friend.  It is not possible for you to be on call 24/7, but when someone is lonely and struggling, it can be hard–if not impossible–for them to realize this.  It is not only perfectly fine for you to set boundaries for when and how long you are available, it is also helpful to your friend in the long run.  By taking care of yourself, you will be more able to be patient and understanding of your loved one.

11.  They likely learned their habits as children.

According to Eating Disorders Online, children are especially at risk.  One study conducted by the Agency for Healthcare Research and Quality found that hospitalizations for eating disorders in children under 12 increased 119 percent between 1999 and 2006.

My friend Maria went on her first diet at age 10, and had her first hospitalization at age 16. She said a lot of her misunderstandings were learned in childhood.

12.  They want you to know that men can have eating disorders as well.

According to Eating Disorders Online, 20% of women and 10% of men will have an eating disorder in their lifetime.  That means 1/3 of eating disorder sufferers are male.

Maria did meat a surprising number of men while in treatment, and she said they encountered a great deal of misunderstanding, because they were not skinny women.

13.  They want you you to know that eating disorders kill.

Eating Disorders Online states that one in five people diagnosed with anorexia will die from the disorder.  People with anorexia are 50% more likely to die by suicide than people without the condition.

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Maria said that she did think of suicide, but she sought help right away.  This is not always the case though.  If your loved one seems depressed or talks about ending their own life, seek professional help immediately.

14.  They want you to know that there is not a lot of funding for treatment.

According to Eating Disorders Online, the government allocates 93 cents in research funding per eating disorder patient, while the average autistic person is designated $88.  So while it is getting more expensive to hospitalize an eating disorder patient, the money to pay for it is not there.

The important thing to remember from this is that your loved one might not be fully recovered when they are released from treatment.  There is a great deal of red tape, and they will need your support as they work their way through it.

15.  They want you to know that most people don’t get treatment.

Eating Disorders Online states that only one in ten people with eating disorders get treatment, due to insurance issues.  This is because eating disorders are hard to diagnose but also because healthcare laws largely consider eating disorder coverage to be non-essential.

Maria was lucky in this respect, but she knows that things would not have gone so well for her, had her family not had adequate insurance coverage.

Maria is now a healthy woman in her 30’s, happily married and the mother of two beautiful children.  She emphasizes that recovery is possible and that most people with eating disorders do eventually get better.

Eating disorders are challenging and often misunderstood.  By better understanding your loved one’s struggles and challenges, you will be a much-appreciated source of support for them in their recovery!

Featured photo credit: BFF/Flickr Creative Commons via flickr.com

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Last Updated on September 30, 2020

How to Live in the Moment and Stop Worrying About the Future

How to Live in the Moment and Stop Worrying About the Future

We often hear people talk about the importance of living in the present and the different ways it will benefit us. It all sounds wonderful, especially the lower levels of stress and anxiety, but how exactly can we live in the moment when our mind is constantly worrying about the past or plans for the future?

In this article, we’ll discuss some of the benefits of living in the moment you may not be aware of. Then, we’ll look at some of the obstacles and why we worry. Finally, and most importantly, I’ll show you how to live in the moment and stop worrying using some simple practices that you can easily incorporate into your busy schedule.

The result: a happier and more fulfilling life.

The Importance of Living in the Moment

“The secret of health for both mind and body is not to mourn for the past, worry about the future, or anticipate troubles, but to live in the present moment wisely and earnestly.” -Buddha

While it can be difficult to live in the moment, it has innumerable benefits.

Here are just a few that will enhance your life tremendously:

Better Health

By reducing stress and anxiety, you avoid many of the associated health consequences, such as high blood pressure, heart disease, and obesity. Studies have shown that being present can also improve psychological well-being[1].

Improve Your Relationships

Have you ever been with someone who is physically present, but mentally s/he’s a million miles away?

Being with unavailable people is a struggle, and building relationships with them extremely difficult.

How about being with someone who is fully present? We enjoy being with her/him because we can make a much deeper connection.

By living in the moment, you can be that person other people enjoy being with, and you make relationships much easier.

Greater Self-Control

You have greater control over your mind, body, and emotions. Imagine how much better your life would be if it weren’t at the mercy of a racing mind and unpredictable emotions. You would certainly be more at peace, and much happier[2].

Why Do We Worry?

Before we answer this question, it’s important to distinguish between worry and concern.

When we are concerned about something, we are more likely dealing with a real problem with realistic solutions. Then, once we do whatever we can to address the problem, we’re willing to live with the outcome.

Worrying, on the other hand, involves unrealistic thinking. We may worry about a problem that doesn’t really exist, or dwell on all the bad things that can happen as a result. Then, we feel unable to deal with the outcome. Either way, we have difficulty dealing with uncertainty, which is a normal part of life.

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Certainly, some of our problems may not have desirable outcomes, such as a serious health issue. Some problems may be beyond our control, such as civil unrest or economic downturn. In such cases, it can be hard to avoid worrying, but not impossible.

3 Steps to Start to Live in the Moment

Step 1: Overcome Worrying

In order to overcome worrying, we need to do two things:

Calm Your Mind

When you calm your mind, you are able to see more clearly.

The reason some problems seem so daunting is that our mind is racing so fast that we cannot see things as they truly are. Then, we make up a bunch of possible scenarios in our mind, most of which are unlikely to come true.

In addition to seeing more clearly, a calm mind will help us think more realistically. Unrealistic thinking is fueled by confusion and uncontrolled emotions. Calming your mind will reduce confusion and calm your emotions, allowing you to live in the present.

Focus on Solutions Instead of Problems

Some people tend to be more solution-oriented, and others more problem-oriented. Some of the factors that may determine this are gender, upbringing, and education.

People with more education tend to be problem-solvers. That is what their years of education train them to do. In addition, their jobs probably reinforce this way of thinking.

If you’re not problem-solving oriented, don’t worry. You can train yourself to worry less. We’ll discuss that soon.

Step 2: Identify Obstacles to Living in the Moment

In today’s busy world, it can be a challenge to live in the moment. The reasons revolve around how our mind works, as well as outside influences.

Racing Mind

Many busy people have a racing mind that never seems to slow down. Their mind gets so agitated from too much sensory stimulation.

You see, anything that stimulates any of our five senses will trigger a thought, and that thought leads to another, and then another, and so on.

If you have a busy life, all your activities will overstimulate your mind and make it seemingly impossible to slow it down.

Unpleasant Situations and a Troublesome Past

None of us want to be in unpleasant situations, or remember those of the past. They can bring up painful emotions, which we don’t want to feel.

So how do most people cope with painful emotions?

By doing whatever we can to avoid them, we can take our mind to another place and time where things are more pleasant.

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In other words, we avoid living in the present moment.

Some people resort to things that stimulate sensory pleasure, such as food, alcohol, or sex. Others will consume substances that dull their mind and keep them from thinking about unpleasant or stressful situations.

A Wandering Mind

From the moment we are born (likely sooner) until the time we die, our body and mind are active performing some function. Therefore, it’s natural for our mind to have some level of activity, whether conscious or unconscious.

Generally, a wandering mind is unproductive. One thought starts an endless chain of thoughts, and this process can go on until we need our mind to perform a specific function or get distracted with something else.

Now, there are times when a wandering mind can be productive, such as when creating works of art, or trying to find creative solutions to problems. In such cases, we need our mind to explore different possibilities[3].

Outside Influences

Most of us are not fully aware of how our environment and social norms influence our thinking and behavior. People and institutions are constantly competing for our attention. The media draws our attention to the past, and advertising usually to the future[4].

Many people around us who dwell on the past or future try to draw us to their way of thinking. Even the whole concept of the American dream is geared toward the future. It tells us that if we acquire things like a good career, family, and house, then we’ll be happy.

Step 3: Practice Mindfulness

So how can we live in the moment in a world that is constantly trying to draw our attention to the past and future?

Before we get into concrete actions you can take, it’s important to understand what mindfulness is. You’ve probably heard the term before, but may not fully understand what it means.

Understand Mindfulness

The concept of mindfulness is actually quite simple. To be mindful is to live in the moment.

When you are mindful, your attention is focused on what is happening in the present moment, and you are fully in touch with reality[5].

You are aware of what is happening in your body, mind, emotions, and the world around you. This is different than thinking about these things. To develop greater understanding, you don’t have to think about them so much, but rather just observe them.

This may be counterintuitive to many people, especially intellectuals, because they’re so used to using logic to develop greater understanding. With mindfulness, we calm our mind and emotions so we can see clearer. Then, much of our understanding will come from simple observation. When we develop mindfulness, we literally expand our awareness.

To develop mindfulness, we need to train ourselves to observe things more objectively, that is, without our emotions or preconceived ideas influencing our views.

If you’re ready to live a better life, read on for some simple mindfulness practices that you can incorporate into your daily routine to help you live in the moment.

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You don’t have to do all of them, but rather choose the ones that appeal to you and suit your lifestyle.

Mindfulness Meditation

Mindfulness meditation is the mainstay of developing mindfulness and living in the moment. To practice mindfulness meditation, all you really have to do is sit quietly and follow your breathing. When your mind wanders off, just bring it back to your breath.

Notice how your lungs expand with each in-breath and contract with each out-breath. Let your breathing become relaxed and natural.

You don’t have to do it perfectly. The idea is to start spending time away from the constant sensory stimulation of all your activities, and just allow it to settle down naturally. Start with about 5 to 10 minutes per day and work your way up to about 20 minutes or longer.

This practice is highly effective, and can have both short-term and long-term benefits.

If you want to learn more about mindfulness meditation, take a look at this article: What Is Mindfulness Meditation? 7 Ways to Start Meditating

Mindful Breathing

While this may sound the same as mindfulness meditation, all you’re really doing is taking short breaks occasionally (10 to 15 seconds) to observe your breathing. Stop whatever you’re doing, and take a few mindful breaths, then resume your activity. That’s it.

You can do mindful breathing at any time of the day during your busy schedule. What it does is interrupt the acceleration of your mind. It is like taking your foot off the accelerator while driving. It’s a nice refreshing break you can take without anyone noticing.

Here’re some breathing exercises you can try to learn: 5 Breathing Exercises for Anxiety (Simple and Calm Anxiety Quickly)

Mindful Walking

Walking is an activity that you perform several times throughout the day. We often think we’re being productive by texting or calling someone while walking. But are we really?

Instead of getting on your cell phone or letting your mind wander off, why not use your walking to train yourself to live in the moment and focus on the task at hand?

Mindful walking is similar to mindful breathing, but instead of focusing on your breath, focus on your walking. Pay attention to each footstep. Also, notice the different motions of your arms, legs, and torso. When your mind wanders off, just bring your attention back to your walking.

You can even make a meditation out of walking. That is, go walking for a few minutes outside. Start by slowing down your pace. If you slow down your body, your mind will follow.

In addition to paying attention to your walking, notice the trees, sunshine, and critters. A mindful walk is enjoyable and can really help your mind settle down.

You can discover more benefits of walking in nature here.

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Mindful Eating

Eating is an activity that most of us perform mindlessly. The reason is that it doesn’t require your attention to perform. Therefore, many of us try to multitask while we eat. We may talk on the phone, text, watch TV, or even hold a meeting.

The problem with not eating mindfully is that we don’t eat what our body and mind need to perform at an optimal level[6]. We may eat unhealthy foods, or too much. This can lead to various health problems, especially as we get older.

Live in the present with mindful eating.

    Mindful eating has many health benefits, such as reduced food cravings, better digestion, and even weight loss[7].

    So how do you eat mindfully? Start by slowing down, and avoid the temptation to distract yourself with another activity. Here are 3 different aspects of eating where you can practice mindfulness:

    • Eating itself: Focus your attention on choosing a portion of food to insert into your mouth. Notice the smell, flavor, and texture as you chew it; then finally swallow it. As with following your breath during meditation, pay close attention to every aspect of eating.
    • Choice of foods: Although you’ve already chosen your food before you have begun eating, you can still take the opportunity to contemplate your choices. Think about the nutrients your body needs to sustain itself.
    • Contemplating the sources: Most of us don’t think about all the work it takes to provide us with the food we eat. While you’re eating, consider all the work by the farmer, shipping company, and the grocery store. These are real people who worked hard to provide you with the food necessary for your survival.

    You can find more tips about mindful eating here: 7 Simple Steps to Mindful Eating

    Mindful Activities

    Choose an activity that you perform regularly, such as washing dishes. Focus all your attention on this activity, and resist the temptation to let your mind wander,. When it does, just bring your attention back to washing dishes.

    Notice some of the specific movements or sensations of washing dishes, such as how the soapy water feels on your hands, the circular motion of scrubbing the dish, or the rinsing. You’d be surprised at how such a mundane activity can truly expand your awareness.

    You can choose any activity you like, such as ironing, folding clothes, mowing the lawn, or showering. Over time, you will begin doing all these activities with greater mindfulness.

    Final Thoughts

    Practicing mindfulness is like regularly putting small amounts of change in a jar. They will all add up over time, and this will add up to greater peace and happiness, as well as get you closer to achieving your goals.

    Remember, you don’t have to do the mindfulness practices perfectly to get the benefits. All you have to do is keep bringing your mind back to the present moment when it wanders off.

    Practicing mindfulness may be a bit challenging in the beginning, but I can assure you it will get easier.

    The benefits of living in the moment are well within your reach, no matter how much your mind is racing. If you stick with these mindfulness practices, you too will learn how to live in the moment and stop worrying. When you do, a whole new world will open up for you. This is what Zen master Thich Nhat Hanh calls the ultimate reality.

    More About Living in the Present

    Featured photo credit: Smile Su via unsplash.com

    Reference

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