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Rita Arens authors Surrender, Dorothy and Surrender, Dorothy: Reviews. She is BlogHer.com's senior editor.  Her parenting anthology and BlogHer'...
 
 
 
 

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This Ain't My First Rodeo: How Dr. Phil Got Anorexia Wrong

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This post was originally published on my personal blog, Surrender, Dorothy. I appreciate any help you can provide to share this message with a broader audience. The misinformation about anorexia needs to stop.

My DVR contains a little Dr. Phil. I'm particularly obsessed with the eating disorder shows, having recovered from anorexia and bulimia about ten years ago. Last week, Dr. Phil interviewed two families with 26-year-old anorexics.

Dr. Phil got Meagan, a 26-year-old anorexic, in his chair, and he basically read her the riot act.

It's the same thing he did to 26-year-old Jennifer a while back. Jennifer left treatment.

How's that working for you, Dr. Phil?

You've got it wrong. You have clearly never suffered from anorexia. I'm going to set the record straight.

You're right. Anorexia is a serious mental illness. Accusing an anorexic of being manipulative and controlling of her family hands the reins back over to her disease. Telling her she's tearing her family apart pushes her back to the chaos of her own mind.

Chastising an anorexic works about as well as telling your teenaged Juliet not to take Romeo to the prom. You never made Romeo look better until you told her he was bad news.

This summer I read I Never Promised You a Rose Garden, by Joanne Greenberg, a severe schizophrenic who recovered with the help of therapist Dr. Fried. Dr. Fried helped Deborah Blau, Greenberg's doppelganger, see that the kingdom of Yr was a creation of her own mind. I thought for a long time after reading the book that Dr. Fried could have helped me: She convinced Deborah that Yr was a creation of her own doing. And that is what anorexia is.

An anorexic truly believes that different rules apply to her than apply to the rest of the world. An anorexic -- no matter how she got there -- has created an alternate reality for herself, one in which she can't eat normally, she isn't allowed  to eat normally. Anorexics are not pleased with these rules. They are infuriated by them. I was. I wore my anger like a shield. And anyone who tried to change my behavior bounced off that shield like paper arrows.

What worked, what finally worked, was realizing that I myself had created that alternate reality, that kingdom of Yr. I had created those rules. 

Anorexic-rita

Me at my senior prom. Probably around 30 pounds underweight.  Heart palpitations.

Just as no one else in my life really gives a shit whether or not I ever publish another word, no one in my life cared if I gained weight once I was healthy -- except me.

I was the enemy. Not them.

But the way to make an anorexic see that is not to come down on her, to bash into her head in about how much she is hurting those around her. No good person wants to see their loved ones hurt. But anorexics live in their heads -- they can't fathom the hurt around them because they don't see an alternative. The rules won't bend, no matter how much they hurt anyone else. The way to combat anorexia is within the mind of the anorexic.

It's not a pretty disease. There's often laxative abuse, restriction and vomiting, an inability to retain calories for fear they will destroy all the hard work the anorexic has done. There is a sense of purity in hunger that can't be explained to anyone who hasn't gone through it.

And clearly, Dr. Phil's methods aren't going to work. They aren't.

The fear is too real. The fear is as great as the kingdom of Yr.

The mind is a powerful tool.

Anorexics aren't stupid. We know -- I knew -- that I was unhealthy. There were days when a heavy door would take me out, and I would think, "Oh my God, I might die today." It wasn't something I wanted.

I read cookbooks relentlessly, trying to imagine what the food would taste like. Every bite I did eat was both a blessing and a curse. I knew I needed the food, but the food felt like a sin.

How do you explain this to someone who never experienced it? How do you explain the voices in your head that tell you everything you've ever done will come undone if you ingest a "normal" amount of food?

And anorexics aren't blind. We see other people putting food in their mouths like it's no big deal. We wonder, honestly, why we can't

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svanijssel 5 pts

watching it right now on television in the Netherlands and wondered if I was the only one who found his attitude ignorant and manipulative and harmful. But no, others who have survived, not only the AN and BN but also of the BS that so-called professionals dumped on them....  Why does a simple mind like his has so much influence?

Rita Arens 128 pts

 svanijssel I've noticed he's had anorexics on his show since this show aired and has been more sensitive in his approach. I've certainly never heard from him or his staff, but I do think he heard from SOMEONE that his style didn't go off well with a lot of viewers and made a change.

Mama One to Three 18 pts

ugh I can't stand pop psychology. UGH. thanks for sharing your experience. I was anorexic, bulimic, a compulsive eater and exerciser from age 12 to 31 when I finally had grace in my life--my recover was long and intense and the hardest thing I had done before having kids! It is a tricky, manipulative, self centered disease. It robs you of all perspective and joy and it takes you out of the world of the living. Eating disorders are truly illnesses that we wear on the inside and outside--recovery is complicated for most of us. It is not tough love nor is it "deciding" to be healthy. I pray my own daughters never experience this.

staceys_girl 5 pts

...hate pop psychologists who have hidden (or in Dr. P's case, not-so-hidden) agenda. Whatever happened to "first do no harm"?

His "advice" falls into the same category of telling someone with depression to "cheer up," or suggesting that an insomniac's problems are her own fault because she doesn't get enough sleep. Duh!

The sad thing is that his heartless and thoughtless comments are taken seriously by a lot of people, who then use them to justify their own continuing ignorance.

At least you had both the courage and the good sense to stand up to this kind of arrogant, uninformed, prejudicial "advice."

Dr. Phil, to me, deserves to be called "doctor" only in the same way that Dr. Pepper deserves to be called "doctor."

Bad Luck Detective 185 pts

Thank you Rita! My youngest daughter suffered with anorexia and those years were complete hell for my family and more so for my daughter. I'm glad she never saw the Dr. Phil show you mentioned. It would have been devastating for her.

Rita Arens 128 pts

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

MsAdventuress 6 pts

Good for you. And thanks for taking a stand against a television talk show host who's handling something in a damaging way. When I saw Dr. Phil ganging up on a teen girl (while allowing the teen's generations-older-boyfriend join in and gang up on her, too), I thought, "Do these adult males not see they're abusing a young teen girl...in front of the entire nation?" No, apparently not. I've not watched since. Keep up your great work.
Ms. Adventuress ( http://www.msadventuress.com ) is where we honor and inspire the desire to adventure ( http://msadventuress.blogspot.com/p/about.html )...

kbojar 7 pts

Although mental illnesses differ in symptom patterns, trajectory, and treatment options, there is one common theme: the way families react.

I have seen this pattern of denial—-the belief that persons with mental illnesses could get over it if only they wanted to do so, that’s it’s somehow a matter of will power.

I have a close relative who suffered from a major mental illness. I don’t blog about it (although I’d like to) because I don’t want to violate my relative’s privacy.

The stigma is still really powerful and, Rita, I’m sure you've helped a lot of people just by speaking out.

Karen Bojar

http://www.the-next-stage.com/

Rita Arens 128 pts

I agree that shaming someone into awareness of their disorder is not the way to go. It is simply not that easy to change the way your mind functions. It's possible to relearn, but it's not like just yelling at you is going to make you sit up and say, "oh, gosh, you're right. I should really eat."

Thanks for your comment!

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

Every time I hear about a story of recovery, I feel better. Thanks for sharing.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

I think that's a pretty strong word. But I agree on this particular subject, he really doesn't seem to have a clue what he's talking about.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Writergirl2010 5 pts

I don't know you, but I'm proud of you. You fight every day, and you are winning. The best thing any of us can ever do is be honset with ourselves and love ourselves no matter what any one says, even if it is the dark side of our own psyches. Keep going, don't ever stop.

Motherly Law 5 pts

Just reading about Dr. Phil & his approach made me angry. My sister-in-law suffered from anorexia about 14 yrs ago. She very nearly died. Her rehabiliation took several years and 4 months of intense,in-patient care in AZ. Thankfully, she has never relapsed, and went back to school to become a counselor to help other girls suffering from this illness.

The family suffered along with her, not knowing how to help or what to do or say. I remember wanting to take her withered, fragile 80 pound body and hold her and shelter her from the world. Just thinking about it now, 14 yrs later,is bringing tears to my eyes.

No, yelling at person suffering from anorexia, threatening them, telling her how terrible she is - not going to work, Dr Phil!

Thanks for your honest, hearfelt post!
Anna
www.MotherlyLaw.com ( http://www.MotherlyLaw.com )

The Frugal Girl 5 pts

I'd never seen a photo of you like that either! I'm so glad that you've recovered so well.

Klutz Capacitor 11 pts

I despair that so many people give him an authority he hasn't earned and doesn't deserve.

Visit my blog: http://blog.FeeFiFoto.com

Rita Arens 128 pts

I've had a few overeaters e-mail me since I wrote this and tell me they have similar issues that result in overeating. I think overeaters need just as much support and help as undereaters. The mind decides how much to eat -- the body just displays the results of those decisions (unless there is some sort of physical thing going on with glands, etc., I realize that's a huge generalization).

But I do believe -- for most people -- you have to address the mind first.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

But that is what my therapist told me when I told him about my eating disorder.

"Just choose to eat."

"Just choose to regulate your cholesterol."

"Just choose to see 20/20."

About the same, my opinion.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

The more I think about that show, the more angry I get. Argh.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

If my daughter was having trouble, I'd try to find a therapist or treatment center that was staffed by people who had recovered from it. I realize that's probably hard to do, but I really think this is one area in which it's very difficult to understand the mentality without having gone through it yourself.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

that not everyone knows what I used to look like. :)

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

You're absolutely right that no one person is the same. I am definitely not a trained psychologist or counselor. I hope everyone realizes that. I'm sharing my personal story in an effort to raise awareness.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Kathryn W. 5 pts

I come from a tough love kind of family. Dr. Phil is not tough love, Dr. Phil is an idiot. It's different.

Also, as someone who has battled the other end of the spectrum (I am an over-eater - and no, I'm not lazy or dumb, food is like a crutch and I am STILL learning how to treat it like what it is supposed to be) I have had time when I was jealous of bulimics and anorexics (isn't that crazy?!), but even I knew they were in need of help, guidance, and care.

It's not like a person wakes up and says "I think I'll start having an eating disorder today." It happens over time, and it must likewise be cured over time. You can't just snap your fingers and have it be over.

Thank you for talking about your experience. I only wish we could send this one directly to Phil.

----------------------------

The Soap Box ( http://www.blogher.com/andthatsmysoapbox.blogspot.com )

rayvingraychel 6 pts

Thank you for sharing your personal story. Not enough survivors of eating disorders are open and willing to talk about their experiences and more often than not are ashamed of their past. It's important to help dissolve that notion of shame, which I think your post helped do.

I do think, though, that eating disorders are a sensitive subject and it is important not to generalize symptoms or recovery patterns. Please be aware that not all who suffer from eating disorders (you specifically mention anorexia...but seem to refer to other disordered eating as well) put on tons of weight when they begin eating normally- some have trouble putting weight on at all despite years of starvation-, some don't purge, some don't exercise, etc. All, however, have messed up relationships with eating.

It is also important to remember that many people don't understand eating disorders they way they should. There isn't nearly enough educational information out there about what it's like to suffer and what it's like to recover in this diet-obsessed obesity hating world of ours. So thanks again for bringing this to our attention!

Read Rachel's Tel Avivian rambles, raves ( http://therayve.blogspot.com ) and rave reviews at: http://therayve.blogspot.com

JennaHatfield 157 pts

Your statistics about recovery and relapse are freaking scary. I don't even want to think about it.

Thank you for sharing your story, debunking Dr. Phil's myths (is he EVER right?) and shedding light on something that is still generally taboo in most trains of thought. I got the, "Well, you chose to not eat, so just choose to eat," line more times than I can count.

Contributing Editor Jenna Hatfield (@FireMom ( http://twitter.com/FireMom )) blogs at Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com ). She is a freelance writer and newspaper photographer.

onlygodbringsjoy 5 pts

Thank you for posting this! I totally agree! I'm usually a huge Dr. Phil fan and my family watches his show almost every day. I watched this one and afterwards was like, wow, he was so mean and rude to her! All that he did was make her feel even more horrible about herself which will cause her to use ED symptoms even more! I struggled with anorexia and bulimia for over 7 years so I could definitely relate to her and to what you said. It feels like your head is just screaming at you all the time so you will do whatever it takes to quiet them for even a moment! No one wants to hurt the loved ones around them, we feel extreme guilt for doing so, but the eating disorder is so strong we can't help it. That poor girl was way too sick to understand that her actions were affecting everyone that much. And Dr. Phil kept saying that she wasn't being honest with him when she really was. I really believe she really believed she was telling him the truth. She's not manipulative or a tyrant or anything else Dr. Phil said. She's a beautiful young girl who is sick, hurting, terrified, lonely, and longing for somebody to help her... NOT yell at her. I'm praying that girl does well in treatment despite all this. She deserves a life of freedom and happiness. I'm currently in recovery for my eating disorder and even though it's still hard at times, freedom is so worth it! I'm so glad you posted this because many people need to hear what you have to say. Thank you!!

Catch 5 pts

A great article. Information about anorexia and bulimia is very confusing. Even the medical profession can't agree on the right treatment. Meanwhile, parents are left hanging wondering what to do. Your insights, as someone who's recovered, are so valuable. Thanks.

Lisa Stone 49 pts

...that you recovered Rita. It's shocking to see this photo of you, I just want to wrap my arms around you. Almost as shocking as it is to see Dr. Phil treat these young women this way.

Thank you so much for this post.

Lisa Stone, BlogHer Co-founder ( http://www.blogher.com/member/lisa-stone )

BlogHer is non-partisan but our bloggers aren't! Follow our coverage of Politics & News ( http://www.blogher.com/topic/politics-news ).

Rita Arens 128 pts

I have spent years asking myself what, if anything, anyone could've said to speed my recovery. And they may have said those very words to me when I was unable to hear. I don't remember.

I do remember the fear on their behalf, the anger they had for me, the worry. I know I put them through hell. I didn't know how to articulate what was going on with me. I didn't want to admit anything WAS going on. I hid things.

A good way to keep your kid from telling you what's going on inside is to yell at them for the external manifestation of those thoughts. Which is why I'm so furious with that show -- people all over America will think that's okay, and it is NOT okay.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

I can't help but wonder how anyone thinks yelling at a mentally ill person would make them cure themselves.

Like you could yell at a diabetic to regulate their blood sugar already -- everyone else does! God!

It is that ridiculous. And dangerous.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

I look in the mirror all the time and point out the parts of me that I like to my daughter and ask her to point out the parts of her she likes. Then I tell her we are beautiful.

My mother always told me I was beautiful, as did all my family and friends, so I don't know if this will help. But I will stack the deck as high as I can for my girl. She will never see me disparage my weight in front of her.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

I am tempted to fight back against any mindset I feel is too rigid, because it brings back my Yr. Rules for the sake of rules are not good. Everything must be led by common sense and an eye for the overall good.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

I will check her out.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Rita Arens 128 pts

It's becoming obvious to me that those of us who have suffered from eating disorders need to share what it was like to be in our heads. Otherwise, it's really just a guess, and people have a tendency to look to the physical instead of the mental.

Rita Arens authors Surrender Dorothy and is the editor of Sleep is for the Weak. She is BlogHer's assignment and syndication editor.

Becky@hopenetwork.info 5 pts

Thank you so much for your insightful post. I find this so helpful from the perspective of both a family member and a coach who helps families navigate the journey of an eating disorder.

I especially love that you share these concrete tools, statements/questions for families to ask their ill loved one:

"If you want to help your anorexic child, don't tell her she's selfish. Don't tell her she's manipulating your family.

Ask her what it would feel like to live under the same rules as everyone else.

Then ask her why she can't."

I truly appreciate your insights from having been there. It helps us as the family to understand, empathize and be more helpful.

Becky Henry
Hope Network, Inc.

ModaMama 6 pts

I really want to thank you for sharing your personal experience. There are major maladies that effect adolescent girls who are often met with scorn or which are outright ignored to death (I unfortunately witnessed the later on several occasions).

Parents may feel helpless in treating their daughters but medical professionals should remember their oath, "FIRST DO NO HARM" Blaming someone who is mentally ill is not an answer, nor pushing them as it only forces them into their own world of abuse.

www.SaraInAkko.blogspot.com ( http://www.SaraInAkko.blogspot.com )

Life in the Middle East, with craft and spice

zsafavian 5 pts

I couldn't agree more with your post. I never shared my struggles with food, which really started as a young child. But, the anorexia and bulimia didn't start until I was in my 20s. I know just how much people's comments can make things worse. I was afraid of telling anyone because I knew how they would judge. The thing is people still managed to fuel my illness. No one, aside from my husband, has ever told me I look good except when I was grossly underweight with visibly protruding collarbones and ribs. I was keenly aware of this, and these seemingly positive comments pushed me deeper and deeper into the black hole. I can't imagine what would have happened if I had been attacked as these young women were by Dr. Phil. To this day, I am still hurt by the comments I heard. I mull over them and obsess about them, and it is a daily struggle for me to accept my current weight and to not slip back into old habits. But I look at my daughter's face, and I know I have to be healthy for her. The last time I ever purged a meal was the day I found out I was pregnant with her a little over 2 years ago.

bonstewart 8 pts

Rita,

well said. and important to say. i hid most of my eating disorder - at least as well as i could - because i was terrified of being further abused for what others saw as "behaviour" when i already knew i was abusing myself, just didn't know how to stop. it strikes me that that's the same kind of abuse Dr. Phil is perpetuating.

i've been pretty much recovered for about 15 years. i still have to fight the land of Yr in my head.

Bonnie Stewart is an educator, writer, and social media fortune teller tracing the epistemology of twitter for her Ph.D. Also fond of tea leaves and teaching. She blogs at http:cribchronicles.com ( http://cribchronicles.com/ ).

NotJustAnotherJennifer 7 pts

I have a friend who I danced with growing up. She went on to dance professionally. She was even a Rockette. She was bulimic and every day is a struggle for her to fight those demons. Her blog is http://lifewithcakeblog.blogspot.com/

Jennifer Barr is a wife and working mom of two beautiful girls, 3 going on 13 and 9 months, which means she's sleep deprived but constantly kept on her toes! Most of those experiences are chronicled on her blog, http://midwestmomments.blogspot.com.

Lisen Stromberg 7 pts

Rita,
Thank you for standing up to the tyranny of those who refuse to understand that eating disorders are a form of mental illness. Thank for sharing your own experience. My closest friend in middle school suffered from anorexia and her family blames her to this day. Tragic.
Lisen

Gloria Steinem once said, "The first problem for all of us, women and men, is not to learn but to unlearn." I am working on unlearning each and every day. How about you?
Lisen
www.prismwork.com ( http://www.prismwork.com )

ONE FUNNY LADY 5 pts

Thanks that was very helpful. And I know this about the disease of anoerexia but it really helped to hear the way you put it.