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AV Flox is a Peruvian transplant living in Los Angeles. She is the editrix-in-command of Sex and the 405, a site that shows you what your newspaper w...
 
 
 
 

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Does Your Child Have an Eating Disorder?

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Eating disorders affect five to ten million young and adult women and one million men in the United States. What is a parent to do when we suspect our child may be exhibiting symptoms of disordered eating? Come to think of it -- what are symptoms of disordered eating?

To answer these questions, I called up Liza Feilner, a licensed professional counselor and senior therapist at the Eating Recovery Center's Child and Adolescent Behavioral Hospital who for nine years has been working inpatient with individuals suffering from eating disorders.


Photo by Leonid Mamchenkov (Flickr).

A lot of us don't always have the opportunity to observe our children's eating behaviors throughout the day, meeting up with them only at dinner time. In the following list, Feilner offers some tell-tale signs that a child may be exhibiting symptoms of an eating disorder.

"Remember, you're looking for changes to previous patters that they've set with their eating," says Feilner.

Symptoms of disordered eating

Weight loss or weight fluctuation. These are well-known indicators, though Feilner warns that neither of these in themselves are the only determinant that somebody is struggling with an eating disorder.

Significant changes in food behavior. "If suddenly they're cutting out a particular food group, that may signify a change in food behavior," warns Feilner. "For example, they may cut out fats or carbs or certain foods and begin getting more rigid with what they are willing to eat."

Limiting intake. "I already ate." "I'm not very hungry tonight." If your child is consistently skipping meals or otherwise trying to limit their food intake by pushing food around the plate or taking really small bites to make it seem like they are eating, watch closely for other symptoms of disordered eating.

Ritualistic behavior. Eating disorders tend to turn the consumption of food into a very rigid ritual. Any peculiar eating behaviors -- such as finishing one item on the plate before moving on to another, for example -- should signal a parent to become more observant.

Overindulgence. If your child is getting several helpings of something -- and this is a change from their previous behavior -- it might indicate binging. "Usually people who are binging will be drawn to what they have identified in their minds as 'bad' foods, so overindulging might involve desserts or carbs, of whatever they believe to be 'worse' for them," says Feilner.

Increased time spent in the bathroom. Any increase in the amount of time spent in the bathroom, or going to the bathroom immediately after a meal could be a sign that your child is purging. "Vomiting is a way to purge," says Feilner. "But you also need to be aware of other forms of purging. Is there any evidence of laxative use or diuretics?"

Rigidity in exercise behaviors. There is healthy working out and disordered working out. If a child is prevented from working out, does it cause them a disproportionate level of distress? "Most people would be inconvenienced if they couldn't do their normal workout routine, but they would get on with their day," says Feilner. "Somebody with an eating disorder has so much anxiety -- they're using exercise to alleviate their guilt around food -- that they'll become very agitated if they can't exercise."

Changes is style of dress. "You see this go both ways," says Feilner. "Some kids might start wearing more revealing clothes, showing off what they have accomplished, and other kids may start wearing really baggy clothes to hide weight loss."

Negative evaluations. You might hear your child talking more about their bodies, making comments about being fat or giving a generally negative evaluation of their appearance.

Obsession with health. It's important to mention that disordered eating doesn't always look like a disorder. An emphasis on healthy eating can also lead to an increased preoccupation with food. "It almost is socially acceptable, because it looks like self-control or discipline, when in reality it might be making food increase in importance until their rules surrounding food and general preoccupation begin dominating their lives," says Feilner.

Increased involvement in food purchasing decisions. "Some kids will insist on going to the grocery store or going over the food labels," says Feilner. "They want to exert some control over what is bought and consumed."

So what are some things a parent can do when they come across these behaviors? Communication, seeking support and being a good role model are key to responding to your child's unhealthy eating behaviors:

Response tactics

Don't take a heavy handed approach. Eating disorders are about

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Barbarahughes 7 pts

This is a fine post about a serious problem. You outline the symptoms well and your suggestions for ways to respond are very thoughtful. I am a food and diet addict in recovery. I found Overeaters Anonymous extremely helpful. It deals with binging, purging and dieting. I now can use a food plan one day at a time with the help of a Higher Power. I have a good friend who is in recovery from anorexia in OA.  It is one tool among many and I agree that professional help is also needed. Thanks for doing this, Barbara

SunbonnetSmart.com 1063 pts

 Barbarahughes Hello there, Barbara! I am interested in your contact with Overeaters Anonymous. Oddly enough, I had a friend mention going to a meeting the other day. I will send her to this post and your comment. Thanks for sharing, Fondly, Robin

somewhatsinglemama 5 pts

As a recovering anorectic, I would like to add that an eating disorder is not necessarily about weight loss. The weight loss is a symptom of the problem, not the problem itself.

ayoungnewsgirl 5 pts

Wow, I never realized how common eating disorders are or what the symptoms were. Lately, I've been cutting back on fast food and trying to stay away from empty calories but sometimes I reward myself for a strenuous workout. All of these tips are very helpful and allow us to see the difference between wanting to be healthy and having a disorder.

syoung17@mix.wvu.edu

Becky@hopenetwork.info 5 pts

Thanks for sharing a very thorough list of what to look for and tips on what to do if your child shows signs of an eating disorder. I would also add that you be sure and take this list with you and do some research before taking your child to the doctor. Unfortunately our health professionals have a lot of diseases to learn about and eating disorders often don't make the list of things to cover.

There are some great websites that will give you tests to ask for and questions to ask. And parents need to know what to say if your doctor dismisses a potentially deadly eating disorder as simply a choice of lifestyle.

Becky Henry

Becky@hopenetwork.info 5 pts

Such important information, thank you for so clearly sharing helpful tips from a trusted source. Many parents are so afraid of these things or afraid of their kids getting fat that they are living in denial. They need to know these are serious life threatening illnesses that can lead to suicide and organ failure rather quickly. As the coach for parents of kids with eating disorders I see how desperate for information they can be. Thank you for providing such a thorough list of things to look for.

Another thing parents can watch for is something I learned from Dr. Ed Tyson at the Center For Change Conference last week. He said we can shake a client/child's hand or simply press on the skin and if the color doesn't immediately return to the normal color then there is a need for immediate medical attention.

Becky Henry

Hope Network, LLC

Carly Thurman 8 pts

I love this post! What a great subject to hit on. I love your step by step and thorough approach to handling these types of situations. Another thing to be mindful of is who your kids are hanging out with, because many times "you are who your friends are".

Rita Arens 130 pts

Great post. Ritualistic behavior is very telling, and I'm glad she pointed out that extends to exercise. If your kid is at the point he or she becomes enraged or paralyzed if rituals around food or exercise are disrupted, get help immediately.

Conversation from Twitter

RawporterGirl
RawporterGirl

blogher excited to see the #BlogHer conference is in NYC this year. Jumping up and down in excitement actually

BlogHer
BlogHer

rawportergirl Wonderful! So, I guess we'll see you there? -Momo #blogher12

RawporterGirl
RawporterGirl

blogher of course! with camera ready to live blog and report.

avflox
avflox

BoraZ, how can I ever thank you for all the link juice you give me? You're the best!

avflox
avflox

fiainros, yes, it really is. I'm very glad Liza Feilner had the time to speak with me about them. It's an important topic.

fiainros
fiainros

avflox Thank you for addressing this topic.

avflox
avflox

fiainros, my pleasure. Feel free to let me know if you ever think of a topic that you think I should cover!

Conversation from Facebook

Lori Corby-Brown
Lori Corby-Brown

the entire country has an eating disorder the chemicals that are banned in other countries run amock in ours so the pharmaceuticals make millions trying to get us well as they make us sicker `JMO

Kettlebell Moms
Kettlebell Moms

It's so important that we as parents promote a healthy lifestyle -- and even more important that we recognize the signs oif an eating disorder in our children!