1. EATING DISORDERS ANRED- Anorexia Nervosa and Related Eating Disorders http://www.anred.com/causes.html

2. Definitions Anorexia nervosa: the relentless pursuit of thinness- Weighs 85% or less than what is developmentally expected for age and height. Is terrified of gaining weight even though s/he is alarmingly underweight. Bulimia nervosa: the diet-binge-purge disorder- Person diets, becomes hungry, and then binge eats in response to powerful cravings and feelings of deprivation, THEN VOMITS Binge eating disorder- The person binge consumes large amounts of food frequently and repeatedly. Tends to be depressed and obese ED-NOS: Eating disorders not otherwise specified- An official diagnosis. The phrase describes atypical eating disorders.

3. STATISTICS About 1% of females suffer from Anorexia. Risk is 3x higher in women than in men. about 10% of people with anorexia and bulimia are male- 25 percent of adults with eating disorders are male About 72% of alcoholic women younger than 30 also have eating disorders RECOVERY:  Without treatment, up to twenty percent (20%) of people with serious eating disorders die  With treatment, about sixty percent (60%) of people with eating disorders recover  In spite of treatment, about twenty percent (20%) of people with eating disorders make only partial recoveries.

4. Unrealistic Expecations Unrealistic expectations: Magazine pictures are electronically edited and airbrushed. Many entertainment celebrities are underweight. How do we know what we should look like? It's hard. The table below compares average women in the U. S. with Barbie Doll and department store mannequins. It's not encouraging. Average woman Barbie Store mannequin Height 5' 4" 6' 0“ 6' 0" Weight 145 lbs. 101 lbs Not available Dress size 11 -14 4 6 Bust 36 - 37“ 39“ 34“ Waist 29 - 31“ 19“ 23" Hips 40 - 42“ 33“ 34"

5. WARNING SIGNS-ACTIVITY! Food behaviors Appearance and body image behaviors Exercise behaviors Thoughts and beliefs Feelings Self-harm and self-injury Social behaviors Other behaviors

6. CAUSES Biological  Genetic factors account for more than half (56 percent) of the risk of developing anorexia nervosa.  Biological link between stress and the drive to eat Psychological  Perfectionistic/lack identity/often angry/can have pride in achievement Family  May feel smothered or abandoned by families. May learn disordered eating from parents (daughters to mothers)  Also, if parent’s preach and nag about junk food and try to limit their children's access to treats, the children will desire and overeat these very items.

7. Causes continued Social  Sometimes appearance-obsessed friends or romantic partners create pressure that encourages eating disorders. (all peer groups)  People vulnerable to eating disorders, in most cases, are experiencing relationship problems, loneliness in particular Cultural  In Western cultures the competitive strive for success drives women to experience unrealistic cultural demands for thinness.  They respond by linking self-esteem to weight. Media  In those media, happy and successful people are almost always portrayed by actors and models who are young, toned, and thin.  The vast majority are stylishly dressed and have spent much time on hair styles and makeup.  http://www.youtube.com/watch?v=omBfg3UwkYM&safe=active http://www.youtube.com/watch?v=omBfg3UwkYM&safe=active

8. FACTOIDS Factoid: According to Health magazine, April 2002, 32% of female TV network characters are underweight, while only 5% of females in the U.S. audience are underweight. Factoid: Again according to Health magazine, only 3% of female TV network characters are obese, while 25% of U.S. women fall into that category.

9. A panel at the 2004 International Conference on Eating Disorders in Orlando, Florida, suggested the following spectrum of risk factors. The more any one person has, the greater the probability of developing an eating disorder. High weight concerns before age 14 High level of perceived stress Behavior problems before age 14 History of dieting Mother diets and is concerned about appearance Siblings diet and are concerned about appearance Peers diet and are concerned about appearance Negative self-evaluation Perfectionism No male friends Parental control Rivalry with one or more siblings Competitive with siblings' shape and/or appearance Shy and/or anxious Distressed by parental arguments Distressed by life events occurring in the year before the illness develops Critical comments from family members about weight, shape and eating Teasing about weight, shape and appearance Multidimensional risk factors

10. Treatment and Recovery Is recovery possible? What is recovery? What is the best treatment for an eating disorder? Where to find help Questions to ask a potential therapist  Lets look at the ANRED websitehttp://www.anred.com/tx.html

11. HELP A FRIEND When you want to help a friend or loved one