1. Eating Disorders Anorexia Nervosa Bulimia Binge Eating https://www.youtube.com/watch?v=89-AoTzNgUw

2. Causes of eating disorders: Female Family history of eating disorders Perfectionist personality (“type A”) Low self-esteem Feelings of inadequacy or lack of control in life Depression, anxiety, anger, or loneliness Troubled personal relationships Difficulty expressing emotions and feelings History of being teased or ridiculed based on size or weight History of physical or sexual abuse Cultural pressures that glorify “thinness” and place value on obtaining the “perfect body” RISK FACTORS

3. Societal pressure to be perfect: According to Ideal Bite, 100% of pictures in magazines are photoshopped! https://www.youtube.com/ watch?v=VpM1-QHIr4M

4. Societal pressure to be perfect: Photo Transformation of Brittany Spears

5. Societal pressure to be perfect: Photoshop Extreme Make Over Reference https://www.youtube.com/watch?v=owQhZ2_jrm4

6. Societal pressure to be perfect: Celebrity Photoshop Before and After Reference https://www.youtube.com/watch?v=05c0jd66Xns

7. Societal pressure to be perfect: Celebrity Photoshop Before and After Harry Styles-One Direction Reference https://www.youtube.com/watch?v=05c0jd66Xns

8. Definitions: Anorexia Nervosa: self-starvation Bulimia: eat large amounts of food and then rids body of the food before it can be absorbed (binge and purge) Binge eating – frequent consumption of large amounts of food

9. Not just a female problem: https://www.youtube.com/watch?v=DHE5BTPjd3k

10. Similarities: Between Anorexia & Bulimia 1.Both are connected to a negative body image & perfectionism 2.People are secretive about their eating or lack of eating & spend less time with family and friends 3.Treatment involves professional help

11. Differences: Between Anorexia & Bulimia AnorexiaBulimia - often females 14-18-often females 15-24 -very thin-may have normal body weight -deny their behavior-aware of behavior, feel guilty, can’t stop -deny they are hungry-recognize hunger and want to eat -no menstrual cycle-irregular menstrual cycle -resist treatment-more likely to get help when confronted

12. What to look for: Anorexia -VERY thin (80-100 lbs.) -Cut food into small pieces -Play with their food -Chew food many times (develop rituals) to help keep mind off hunger -Exercise compulsively -Get extremely angry when exercise routine is missed -Spend less time with family & friends

13. What to look for: Bulimia -Binge in private, but eat regular around others -Hoard food (steal food also) -Have a secret place to binge (closet) -3,000-7,000 calorie binges -Binge until concentration is broken -Binge colors -Exercise and diet excessively between binges -Purges are from vomiting, laxatives, & diuretics

14. Effects on the body:

15. Binge Eating -Binges 2 or more times a week for 6 months -During a binge, person eats rapidly, eats until uncomfortably full, and feels guilty about binging -Treatment involves professional help https://www.youtube.com/watch?v=QSqtVDIwnHo

16. Treatment: -Individual needs professional assistance -Physician -Dietician -Mental health professional -If you suspect someone has an eating disorder, tell an adult (teacher, counselor, parent, etc.) Outcomes are much better when diagnosis happens early!

17. Discussion: 1.What causes some people to develop eating disorders? How do people with eating disorders feel about their bodies? Does the person they see in the mirror always match reality? 2.Describe anorexia and bulimia. What are some of the signs that a person may have one or both of these eating disorders? What else might you notice if a person has an eating disorder that involves exercise or sports? 3.What effects do eating disorders have on the body? In addition to causing major health problems, eating disorders can also affect other people’s lives. How might an eating disorder affect a person’s family and social life? How could it affect school?

18. Extension: Read the following scenarios of people with eating disorders. Pretend they are your friends. What advice would you give them? Alexis is 15. At 5’4” tall and 125 pounds, she looks in the mirror and sees a fat person. At dinner, she has started telling her parents, “I’m not hungry – I’ll eat later.” But Alexis doesn’t eat later because she has begun to starve herself in secret. For the past week, she’s been eating about 400 calories per day. Justin is a wrestler – the best in his weight class. But he needs to stay in that weight class. If he gains just 5 pounds, he’ll get bumped up a class and have to wrestle larger guys and possibly lose. Justin exercises obsessively. He also takes laxatives to lose weight, and he has thrown up a few times after friends dragged him out for fast food. Justin even stops drinking water a day before he gets weighed for a match. Emma is so fit and healthy, she doesn’t even get her period anymore – or at least, that’s how Emma sees it. As a top high school athlete, she trains all the time. Without the knowledge of her parents or coach, she has also dropped her intake to 800 calories per day. If she goes over, she makes herself throw up.