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Joanna answers your questions...
Question: When should I be worried?
"If your child’s eating habits change in a way that seems significant to you. For instance, s/he may begin to restrict food intake or change her diet entirely, may start skipping meals, or may begin to take meal replacement ‘shakes’ and skip meals. Or you may notice s/he now takes only half the portion s/he used to, for no good reason that you can see. Or you notice your child now cuts food up in small pieces and eats very slowly. These are just some examples." Read More
Question: Is my child’s eating disorder my fault?
"No. An eating disorder is not anyone’s fault. It’s important to remember that an eating disorder is a coping mechanism for your child to help create some control because s/he is feeling out of control. Do you need to be involved in your child’s recovery? Yes. Research increasingly points to family involvement in a child’s recovery as the single best predictor of a positive outcome. " Read More
"Weight fluctuation is a healthy part of growing up. A teenager needs more calories during times of rapid growth (i.e. puberty). If your child eats when hungry and stops when satisfied, then s/he will learn to eat according to internal hunger and fullness cues. It is important to know that children gain weight in advance of the rapid growth period that occurs during puberty, and that this weight gain is quite normal. " Read More
Question: As a parent, how involved should I be?
"Eating disorders are a family problem, and there is growing evidence to suggest that family involvement is crucial to recovery – for everyone. " Read More
"The spectrum ranges from healthy eating on one end, where food isn’t given a whole lot of focus, except as something that is both pleasurable and functional to good health. Disordered eating sits in the centre of the spectrum, characterized by preoccupation with weight and shape, calorie restriction, use of weight-loss supplements, Yo-yo dieting (cycles of losing and then gaining weight), and finally, with Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorder at the other end of the spectrum. Health can be very compromised with engagement in disordered eating. " Read More
"It depends. Sometimes a change in diet, even to what seem to be healthy foods, can be an indicator of disordered eating, but it isn’t always. For instance, a child who suddenly declares s/he is Vegan could just be using that as an excuse to explain away what is really happening, which may be that she is engaging in unhealthy calorie restriction. With a closer look, you may notice that your child is restricting the healthy foods she eats and really not getting the well-rounded nutrients s/he needs for healthy body growth and maintenance." Read More
Question: Do you have any suggestions to deal with the guilt my eating disorder makes me feel for having tried a ‘higher calorie’ meal that I’m not used to?
"First of all, congratulations on trying new foods! In early recovery, it’s normal to feel guilty when challenging the “eating disorder rules”. I once had a client describe this feeling as positive guilt — a sign that they were making progress, facing their fears, and exploring uncharted territory. Try writing down those guilty feelings. Talk to someone … Read More" Read More
"It can be very difficult for families when a child goes through treatment and then re-engages in the eating disorder. This is a difficult disease and progress can be much slower than anyone, including the individual with the eating disorder, wants it to be. What it takes is continual patience, understanding and empathy, along with a good therapeutic approach that works for your child and your family. " Read More
Question: With summer approaching, I find myself comparing my body to others. I seem to really struggle when I see skimpy clothing advertisements and conversations about body image begin to surface. How can I get myself to stop this comparing habit?
"Comparing is a difficult habit to break because it’s natural to observe others when in our environment. What is most important is tackling the automatic negative thoughts you have about yourself when you go out. First, know that you are part of a beautiful, vast, and diverse world that is yours to appreciate. Notice how … Read More" Read More
"Excellent question! Here are some tips I like to give parents and kids to use in order to create a more positive body image environment at home: When talking about your own body – be kind, don’t speak negatively about it. Remember, you are a role model. Show your child that when you want to make … Read More" Read More