2018 Year In Review

Posted on December 18, 2018December 5, 2018 by Crowncreatives

As we come into the end of the year, I wanted to reflect on the posts I’ve published here in the last year, so here is 2018 in review!

If you’ve read the blog before or visited my site, you’ll know that my mission is to help people make peace with food & their bodies. My goal is to help people challenged with ED and other food & weight-related concerns to move from constantly worrying about food and their weight to being free to create the lives they want.

This year, I wrote a lot about recovery, intuitive eating, and supporting loved ones with eating disorders, to name a few topics. I’ve compiled every single post from this year, so you can catch up if you missed a post or refresh your memory if you’d like!

Are you already feeling diet culture pressure?

Before the new year, read why you should Forget About Diets To Improve Your Health This Year. Another concept to become familiar with is how Rejecting the Diet Mentality is Key to Healing Your Relationship with Food.

How can you support the people in your life to develop positive body image and/or work through disordered eating?

Here are 5 Surprising Ways to Support Your Loved One with an Eating Disorder and a post especially for Dads: 6 tips to Help your Daughter Develop a Positive Body Image.

Recovery from an eating disorder is not an easy process.

This year I wrote about 4 Tips to Cope with Weight Gain in Recovery from Anorexia Nervosa, Tips to Support Eating Disorder Recovery this Semester, 5 Steps to Reconnect with Exercise in Eating Disorder Recovery, and How to Stay on Track with Eating Disorder Recovery during the Summer: Tips for College Students.

Are you curious about Intuitive Eating?

Here are 3 Important FAQs about Intuitive Eating that you should know.

Recognizing that it’s time to get treatment for your eating disorder is a huge step.

Here are 5 Signs That It Is Time to Get Treatment for Your Eating Disorder.

And finally, a treatment team can make all the difference.

Here are my tips on how Building a Treatment Team to Help You Conquer Your Eating Disorder, and 5 Ways a Dietitian Can Help Reduce Binge Eating.

I hope you have enjoyed all of the posts from this year! Please let me know if there are any topics you would like for me to cover in 2019. If you’re looking for even more resources, make sure you’re following me on Facebook and Pinterest – I share tons of resources from me + other experts in the field on both platforms!

4 Tips to Cope with Weight Gain in Recovery from Anorexia Nervosa

Posted on December 4, 2018May 7, 2019 by Alison Pelz, LD, RD, CDE, LCSW

Let’s face it – our society gives us strong messages from social media, print media, our schools, and the health care system that weight gain is bad. Wherever we turn we are given the message that weight gain is a death sentence. (Which, by the way, is not true! If you want to learn more on this subject I highly recommend reading Health at Every Size).

Folks who are in recovery from an eating disorder have a double whammy to contend with. One of the key features of anorexia nervosa (or really any eating disorder) is the fear of gaining weight. This fear plus societal pressure to look a certain way can make recovery from an eating disorder feel like an uphill battle.

Therefore, if you are in recovery from an eating disorder, it would make sense that you have an intense fear of gaining weight. However, weight restoration is a must in recovery in order to maintain your physical and mental health.

Helping clients improve body image while restoring weight, nutrition, and health can be the hardest part of the recovery. But it is possible with perseverance, patience, and hope.

I have gathered some wisdom from around the web from other treatment professionals and those in recovery to help you along with the process.

1. You are gaining weight that you shouldn’t have lost in the first place.

The weight gained in eating disorder recovery isn’t just regular weight gain–it’s weight restoration. You are healing through the weight gain – giving back what you shouldn’t have taken from your body in the first place.

Weight restoration can be complicated and difficult, and shouldn’t be a journey you embark on alone. To better understand the process, read this article on what weight restoration is, what it’s comprised of, and what you should expect when going through it. It also includes a discussion of particulars you might not be familiar with, like refeeding syndrome (the complication of increasing food intake too quickly) and hypermetabolism (the increased rate of metabolic activity that often comes along with an eating disorder).

It also covers how difficult the process of weight restoration can be in recovery–and why it is critical to not only have a meal plan for weight restoration but a therapist to help throughout the journey.

Read the whole thing here: Working Through the Weight Restoration Phase of Anorexia Nervosa

2. Accepting weight gain as part of recovery takes time (and lots of it!).

Accepting your body takes time. In fact, it can be one of the slowest parts of recovery. The author of this article provides several useful ways to cope with weight gain, including thanking your body! It is a must read.

Some of the tips covered are:

remembering our bodies changes are never as visible as we fear
keeping perspective & remembering that the alternative is worse

Read the whole thing here:

5 Ways To Deal With Weight Gain When You Are In Recovery From An Eating Disorder

3. Fear of weight gain usually reduces as your eating normalizes.

I have seen this in my clinical practice. As clients start to feel better physically because they are feeding themselves more regularly throughout the day, the fear of weight gain can lessen.

As weight gain also naturally redistributes after the initial gain, the prospect of weight gain becomes less overwhelming. Once your body has come out of life-saving mode, the weight you’ve gained back won’t just sit in one place. It will spread across your body, and will not be nearly as visible as someone in recovery might worry about when starting the process.

“Will I gain weight forever?”: What we know about weight trajectory during recovery from an eating disorder

Yes, Weight Gain Is Hard. Thankfully, We Have 8 Ways to Cope With Weight Gain For You

What this article shows us is that the odds of perpetual weight gain after the initial restoration, are actually pretty low. Your body will adjust back to a stable, healthy weight, and for the most part, stay stabilized.

4. Weight restoration allows you to enjoy life more fully.

“Going to concerts has always been one of my favorite things to do. The atmosphere, the music — I can go on about it for hours. Ever since my eating disorder came to peak, I’d lost this love.”

Dietary restriction and malnutrition often occur pretty slowly, and sufferers from eating disorders may often not notice that their sense of joy and zest for life is blunted and dulled. Without proper nourishment, your body just isn’t able to sustain you through life as well.

With proper nutrition, you will begin to get feel more like your old self. Your body will have the nourishment it needs to keep healthy, to keep energy sustained, and you will be able to once again be an active participant in your life & hobbies.

How I’m Learning to Love Weight Gain in Eating Disorder Recovery

With your renewed energy, your emotions will feel full and vibrant again–allowing you to enjoy life in a way you may have not even realized you were missing out on. With weight gain comes this capacity to feel full and alert and restored.

Accepting weight gain in eating disorder recovery can be a long and difficult journey. It isn’t something that happens overnight. Work and support are necessary components to the journey. Keeping these four key things in mind can help you on your journey to recovery and weight restoration.

Please call for a free 15-minute phone consultation to learn how I work with clients with eating disorders.

5 Signs That It Is Time to Get Treatment for Your Eating Disorder

Posted on October 16, 2018October 8, 2018 by Alison Pelz, LD, RD, CDE, LCSW

Anticipating getting treatment for your eating disorder can be daunting for many reasons.

Maybe your friends and family are worried about you and pushing you to get treatment, but you feel like they don’t understand.

Perhaps you have gotten treatment and feel like it hasn’t helped.

Or you may feel like you can beat the eating disorder on your own.

You are not alone.

Most clients I see are often unsure if a) they want to recover, b) they can recover, or c) Their eating disorder is “bad enough” to need treatment.

Furthermore, you may feel ambivalent about getting treatment because your eating disorder may have helped you. What I mean by this is that your eating disorder may have stuck by your side, given you a sense of control, or provided feelings of safety. You may even feel like it is who you are.

On the other hand, treatment can offer new ways of coping, improve your self-confidence and self-esteem, and help you achieve goals that you never thought were possible.

Eating disorders don’t go away without professional treatment.

Untreated eating disorders usually get worse and harder to treat as time goes on. They can cause serious medical problems, some of which can result in death.

Here are 5 Signs that it is time to get treatment for your eating disorder:

1. You think about food a lot.

If you’re planning out your day around food as soon as your feet hit the ground-what to eat (and what not to eat), when, and how much- you might have an eating disorder. Thoughts about food take up so much head space and can be exhausting.

For example, you may have thoughts similar to these: “Did I make the right decision about what to eat?”, “She didn’t eat a snack. Should I be eating a snack?”. Your thoughts about food can be so pervasive at times that they lead to poor concentration, feelings of worry, sadness, and/or guilt.

2. You have problems concentrating on tasks.

Whether you are at school, work, or at home, it is hard for you to stay focused on the task at hand (or maybe hard for you to even get started). Your brain needs adequate fuel to function properly, and if you have an eating disorder, chances are you are not properly nourished. Poor concentration can be the result of inadequate and/or poor quality nutrition and erratic eating.

3. You feel alone.

Eating disorders can be isolating. Eating and food can be a big part of family and social engagements. You may find yourself avoiding social situations because the food associated with these engagements is too anxiety provoking. Or you may attend the social engagement, but feel distracted or not fully present because you feel worried about food or fitting in.

Poor body image may also cause you to avoid social situations. Feeling worried about how you look and what others are thinking of you may cause you to stay home. Isolation can make the eating disorder worse, increase feelings of depression and anxiety, and erode your self-confidence.

4. You find yourself being dishonest with others.

Most of us value honesty. Trustworthy and honest may be words that you use to describe yourself, except when it comes to your eating disorder. Often, eating disorder behaviors such as purging, binge-eating, and restriction are done in secret because you have feelings of guilt and shame around the behaviors.

5. You want to stop your eating disorders behaviors but can’t.

It is not unusual for people with eating disorders to try to get better on their own. You may have had success for short periods of time, maybe even months. But then life happens and the behaviors come back. Trust me, it is not because of lack of effort, intelligence, or motivation that you can’t stop your eating disorder on your own. It is the nature of eating disorders. They are complex, consisting of psychological, biological, and social factors. Adequate treatment by experienced clinicians is needed to help support you in your recovery.

This is a very short list of signs. Even if you experience one of them (or none of them but know that you are struggling), please talk to a professional. I know taking that first step to seek treatment is hard and scary, but if you have any inclination to improve your situation, seek treatment. The National Eating Disorder Association is a great resource.

Please call for a free 15-minute phone consultation to learn how I work with clients with eating disorders.

5 Surprising Ways to Support Your Loved One with an Eating Disorder

Posted on September 25, 2018August 30, 2018 by Alison Pelz, LD, RD, CDE, LCSW

Knowing what to do to help your loved one with an eating disorder can be confusing, worrisome and at times downright frustrating. But, you can’t just sit back and watch them suffer because you are concerned about their health and well-being.

You may feel like you don’t know what to say or do for fear of making their disorder worse. Or, you say well-intended words of encouragement only to result in a screaming match.

You are not alone.

You have probably heard the expression “Put on your oxygen mask before assisting others“, right? This rings true for caring for a loved one with an eating disorder. I am not suggesting that you don’t get treatment for your loved one with an eating disorder. But, taking care of yourself is a must.

This post is not going to tell you exactly what to say or do to make the eating disorder magically disappear. Instead, I’ll go over what you can do for yourself so you can be emotionally & physically available to support your loved one in their recovery.

Tips to support a loved one with their eating disorder:

Learn about eating disorders.

Oftentimes eating disorders are misunderstood, even by well-respected medical providers. Although eating disorders appear on the surface to be about food, they really aren’t. Eating disorders help the suffer manage stress, uncomfortable feelings and give a sense of control.

Learning about the particular type of eating disorder your loved one has, the medical and psychological factors associated with it most likely will leave you feeling less overwhelmed.

The Eating Disorder Sourcebook by Caroline Costin is a great starting point because it gives a comprehensive overview of eating disorders. Gurze Books is a publisher that exclusively publishes eating disorder books – they have books as well as workbooks. Lastly, the National Eating Disorder Association has a wealth of information on their website.

Encourage treatment.

Unfortunately, eating disorders don’t go away on there own. Often suffers initially don’t want to go to treatment because it can feel scary and overwhelming. Or perhaps they are in denial about having an eating disorder. Sufferers may try to recover from their eating disorder on their own, but it rarely works.

Adequate treatment is a must for full recovery. Treatment is important to reduce medical risks associated with eating disorders and even death (Anorexia Nervosa has the highest mortality rate of all psychiatric conditions).

To learn more about what treatment involves read Building a Treatment Team to Help Conquer your Eating Disorder and treatment options.

Practice Good self-care.

Self-care is more than just a mani-pedi or a massage. While those things may be part of your self-care routine, self-care means deliberate acts that you do to take care of your physical, mental and emotional health.

Examples of self-care could include: getting enough sleep, engaging in hobbies, spending time with friends, taking breaks, and setting limits at work and home.

Good self-care is needed by everyone but is particularly important to prevent burnout from caring for someone with an eating disorder. Furthermore, you are setting a good example by modeling good self-care for your loved one because self-care is a skill that is taught in eating disorder recovery.

Set boundaries.

In the literal sense of the word, boundary means a dividing line. Boundaries are often associated with dividing geographical space, for example, the boundary line between two countries.

In the world of psychology, boundaries mean the physical and emotional limits that separate your needs from others. Boundaries make us feel safe and teaches others how to treat us. Being honest about how you feel and asking for what you need (and don’t need) are signs of healthy boundaries. Setting firm boundaries can also help you manages stress, avoid burnout and improve personal relationships.

When someone struggles with setting firm boundaries it can leave the person feeling like a “doormat”, manipulated and used and erodes self-esteem.

I see all too often that caretakers take on too much, or feel they have to help control their loved one’s eating disorder behaviors. This is a lose-lose. This can make the caretaker feel exhausted and it doesn’t allow the person with the eating disorder to take full responsibility for their own recovery.

Just as with self-care, learning how to set boundaries is a key component in eating disorder recovery. So when you model firm boundaries you are helping your loved one!

Find support for yourself.

Having a loved one with an eating disorder can be challenging at times. Additionally, the course of treatment for an eating disorder can be lengthy. You probably have heard the phrase,”This is a marathon, not a sprint“. This certainly holds true for eating disorder recovery. According to the National Eating Disorder Association, recovery can take months and even years. Although there is no specific timeline for recovery my clinical experience informs that recovery takes at least a few years.

Finding support for yourself can help promote a healthy relationship with your loved one, reduce stress in the household or family and get unstuck from patterns of behavior that may be reinforcing the eating disorder.

Many parents, families, partners or spouses find it helpful to get professional support through support groups, group counseling or individual therapy.

Supporting a loved one with an eating disorder can be challenging, but can yield great rewards in your personal growth as well as your loved one.

I know I didn’t give you a cure-all to help your loved one recovery from their eating disorder. But, I hope a gave you tools to help manage your stress, worry and make you a more effective support person for your loved one.

Remember: taking care of yourself will help your loved one by leaps and bounds in their recovery!

Are you looking to learn how to better support your loved one with an eating disorder? Call now for a free 15 minute consultation.

Tips to Support Eating Disorder Recovery this Semester

Posted on September 4, 2018August 30, 2018 by Alison Pelz, LD, RD, CDE, LCSW

It’s that time of year again—back-to-school! If you are in eating disorder recovery, sometimes transitioning back to school can be challenging. But with a little planning, patience, and resolve, you can continue to make progress in recovery.

I know my kids are excited about going back to school, sort of. They are looking forward to seeing all of their friends and being involved in sports, but not necessarily looking forward to the school work.

Hopefully this summer you have had a much-needed rest from writing papers, taking exams, and late-night study sessions. Maybe you did some traveling, worked, or just spent time with family and friends.

No matter what you did this summer, you can prepare yourself for a smooth transition back to school without interrupting your eating disorder recovery.

Pitfalls of eating disorder recovery when returning back to school:

1. Change in routine.

Returning to school, of course, can be exciting with seeing all of your friends. You may be even excited to start new coursework. However, change in routine when in recovery can be tough. Routines make us feel comfortable because we know what to expect. Routines can help you stay on track with your meal plan, treatment appointments, and sleeping habits. Disruption in routine can mean a disruption of established patterns of recovery.

2. More demands.

Returning to school is associated with an increase in demands and deadlines due to coursework plus navigating relationships, social life, extracurricular activities, and for some, a part-time job. It is not unusual to see an increase in eating disorder thoughts and even symptoms when stress increases.

3. Increase in independence.

You probably love the independence of living on your own or with roommates and making your own choices when at school. If you spent a good portion of your summer with loved ones, you may have their support in your treatment and recovery. Of course, as an emerging adult, having your parents’ input may feel somewhat annoying after a while. But in any case, as you ease your way back into school, you may have increased stress because your support system isn’t readily available.

4. Comparison Trap.

It is in our DNA to compare ourselves with others. Evolutionarily, comparison helped us decipher threats from safety. As our brain has evolved, comparison has been used to help with our social-neural network. It helps us learn more about ourselves—for example, what we are good at and what we are not.

I knew early on in life I was not going to be a mathematician, and I am sure comparing myself to others helped me understand that. But I did understand that I was good in the sciences. This is an example of how comparisons can be helpful, not harmful.

Conversely, comparing ourselves with others all of the time can be detrimental. During adolescence and young adulthood, it is easy to fall into the comparison trap, constantly comparing yourself to others as you are trying to figure out who you are away from your family. The comparison trap can be especially challenging for those in recovery because it can make you second guess what you are eating, how you are exercising, and other health behaviors.

5. Diet culture.

In the world of eating disorder treatment, the constant barrage of messages about dieting and how we should look is termed “diet culture.” Diet culture is alive and well in our country. It feels like on college campuses, diet culture is “on steroids,” so to speak. It reinforces the habit of comparing ourselves to others to see how we are supposed to look and feed ourselves. Instead of teaching us to listen to what our own body needs, it makes us question how we feed ourselves. It makes us feel disconnected from our bodies and food. Conversely, a key component of eating disorder recovery is to tune into our bodies and tune out societal messages. Diet culture can easily make you feel like a fish swimming upstream.

Although there are some potential obstacles to eating disorder recovery when returning to school, there are several ways to keep the momentum of recovery going over the fall semester.

5 tips to stay on track with eating disorder recovery during the fall semester:

1. Get support from your treatment team.

Seek support early on in the semester, even if you think you don’t need it. You may have made strides over the summer in your recovery. Extra support during schedule changes can help you move light years ahead in your recovery. Whatever your fall schedule looks like, strategize ahead of time. How are you going to keep on top of your meal plan, self-care, and treatment appointments? Collaborate with your treatment team in advance about your schedule.

2. Say no to perfectionism.

There is a quote that goes, “Strive for progress, not perfection.” I love this quote and often say it to myself. Most folks with eating disorders do struggle with perfectionism. As perfectionists, we can want to do a good job and put in lots of effort in our work. However, striving to be perfect when we live in an imperfect world can be paralyzing, exhausting, and it can erode our self-esteem. Perfectionism can flare up eating disorder symptoms as well.

School and peer groups can also trigger some of those thoughts of having to be perfect or the best. So as you are setting academic, social, and personal goals this semester, focus on progress and doing a “good enough” job rather than a perfect one.

3. Self-care.

Often, folks think that taking care of themselves is an act of selfishness. Self-care is not being selfish. Self-care is about paying attention to your physical and emotional needs in order for you to avoid burnout, whether it be from school, in recovery, or in life.

Practicing self-care helps you to have the physical and emotional energy to thrive. Self-care could include: taking a bath, getting a pedicure, getting adequate sleep, connecting with a friend, setting boundaries (saying “no”), doing something creative, spending time alone, and giving yourself permission to simply be.

4. Ask for help.

Talk with your family, loved ones, or support person about how you plan to stay on track with your eating disorder recovery. Discuss potential areas of concern, learn how to ask for help, and communicate areas of success to loved ones. Interact regularly with your treatment team, particularly if you feel like you are struggling.

5. Learn to say no.

Taking on too much, particularly early on in eating disorder recovery, is an easy way to get derailed. This may mean saying “no” to fun social engagements, taking less coursework, or working fewer hours at a job. Do you want to learn how to say no confidently?

Sign up here to get my free guide “25 Ways to Say No Politely For Those in Eating Disorder Recovery“!

While there are ways to hinder eating disorder recovery over the semester, with planning and persistence, you can keep recovery front and center!

5 Steps to Reconnect with Exercise in Eating Disorder Recovery

Posted on July 17, 2018May 15, 2018 by Alison Pelz, LD, RD, CDE, LCSW

If you have an eating disorder or have chronically dieted, your relationship with exercise may be complicated. Most folks would agree that exercise is a good thing, but in our thin-obsessed world, a well-intended trip to the gym can wreak havoc on one’s mental and physical health.

The following are warning signs that your relationship with exercise may be problematic:

1.Exercise is used exclusively to change your body weight or shape.

Exercise can start out harmless enough. Maybe you were working out to improve heart health or to be a better athlete. In any case, your intentions for exercise were good.

We are bombarded with messages about how, when, and why we should exercise. Exercise gurus are selling programs that try to guarantee we will look a certain way upon completion. With these types of messages, our relationship with exercise can start to change.

Exercise becomes more about how you look rather than the enjoyment of exercise itself. The truth is that body size and shape are determined mainly by genetics. Furthermore, our bodies are constantly changing because of the aging process.

2. Exercise is used to “make-up” for eating “mistakes”.

Many public health campaigns promote messages like “If you eat a donut it will take this many minutes of exercise to burn the donut off.” This line of thinking disconnects us from both the eating and the exercise experience.

It is hard to enjoy what you are eating if all you are thinking about is how many laps around the track you will need to run in order to compensate for it. These types of messages often lead to feelings of guilt if a workout is missed. They make us mindless, not mindful, eaters and exercisers.

The bottom line is: food is needed in order to survive. It is not a privilege earned.

3. Exercise is initiated when a new dieting or “lifestyle” is also started.

Contrary to popular belief, exercise is not an effective method for weight loss, but it is a positive influencer of health.

Many diets come along with a plan for movement. The problem is that once you go off the diet (which isn’t your fault, by the way, diets fail, not the people on them) then movement stops too. This leads to a habitual pattern of exclusively exercising when dieting, reinforcing the use of exercise to change the size or look of our bodies.

Unfortunately, many diet programs, so-called health experts, and public health campaigns promote these problematic thought patterns which can lead to the misuse of and disconnection from physical activity.

A troublesome relationship with exercise can lead to:

1.Over-exercising.

Over-exercising is often associated with eating disorders. It entails rigidity around movement (including intensity, type, and amount), exercising in order to give yourself permission to eat, and missing other obligations because of your exercise regimen. Over-exercising can lead heart problems, dehydration, stress fractures, loss of menstrual cycle in females, and muscular-skeletal problems.

2. Avoidance of exercise.

There are several reasons why you may not exercise. Trust me, if you have chronically dieted, laziness is not one of them.

Maybe you subscribe to the belief that movement dramatically changes your body size. However, studies show that exercise is not an effective weight loss method. Therefore, you may feel fed-up with exercise and stop as it fails to provide the intended weight loss.

Unfortunately, weight stigma is alive and well in our society. Weight stigma is associated with a decrease in exercise. So if you live in a larger body (vs. the culturally prescribed thin ideal), most likely you have experienced weight stigma.

Being physically uncomfortable, not feeling like you are good at exercise, or having had a traumatic experience around exercise are frequent reasons why people avoid exercise.

Whether you avoid exercise, over-exercise, or fall somewhere in between there are things that you can do to improve your relationship with exercise.

Before starting an exercise routine make sure that you have had a physical exam. If you are in treatment for an eating disorder talk with your treatment team first before starting exercise. If you have experienced trauma, bullying, or humiliation around physical activity it may be helpful to explore past experiences with a therapist.

I love to use the word “reconnect” when talking about exercise. In the same way dieting or an eating disorder disconnects us from our experience with food, rigid exercise patterns or avoidance of movement also disconnects us from the possible joy and benefits of physical activity.

Tips to reconnect with exercise:

Experiment with different types of movement. Ask yourself: Do I like to be outside? Are classes something I enjoy? Do I like to sweat? Is listening to music something I enjoy? Do I like to be social during movement? Do I like to play sports instead of going to the gym or hiking? Answering these questions may give you clues about what types of movement you may find most enjoyable.
Notice how movement makes you feel. Ask yourself, “Do my body and mind like this type of movement?” Different types of movement may feel different to different people. Notice if the movement makes you feel less stressed, anxious, or uncomfortable.
Be flexible. Don’t impose rules on the amount, type, and frequency of exercise you do. Go by how you feel. For example, if you have been sitting all day it may feel good to get up and do some movement. If you have been on your feet all day, it may feel better to do some gentle stretching or to put your feet up and relax.
Give yourself permission to rest. Sometimes your body and mind won’t feel like exercising. That’s more than okay. Give yourself permission to rest when your body needs it.
Be patient. If you have struggled with food, body image, and exercise issues for a while, it may take time and practice to build a more connected relationship with movement.

The bottom line is that through listening to your body, patience, and practice you can find the type of movement that is right for you to promote both your mental and physical health.

Would you like to receive helpful tips for eating disorder or diet recovery? Click here!