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Detecting Eating Disorders - By Chris Gearing

Friday, February 22, 2013

Watch Dr Sylvia Gearing describe a few ways you can detect an eating disorder - click here.

Eating disorders affect millions of Americans every year.

Not only are they painful and disruptive to productive lives, they are very difficult to overcome, especially without professional help.

But part of what makes eating disorders so challenging they are to define, especially when they are just beginning. They are on a continuum and the early symptoms are usually intermittent. It is very confusing to really understand when the disorder cross the line into something more serious.

Here are some tips to guide you in knowing when to reach out to professional help:

Unintentional:

First of all, no one who develops an eating disorder really intends to do so. At some point, there is a psychological shift that causes us to use these behaviors to manage food and to deal with stress. We often do not fully realize the impact of our behavior until we are fully involved in the eating disorder.

Progressive Slide Down:

It is usually a progressive disorder and most of us back into them using the behaviors occasionally at first. Once it becomes a habit, the slide downhill into a full blown eating disorder is difficult to stop.

Planning My Life Around Food

Since eating disorders are so addictive, they often begin to interfere with our planning of food, time, and even our social interactions. Our lives and our schedules are often built around food, and they begin to change their lifestyle to center around the eating disorder.

Justified Reasons:

Those of us who develop eating disorders are great at creating justification for our maladaptive habits, and we find it difficult to think of ourselves as unreasonable. After all, everyone says we look great! We excuse and permit ourselves to return to these behaviors repeatedly, reinforcing their presence in our lives.

Emotional Seesaw:

Many of us with eating disorders vacillate between self loathing and denial. Our emotions shift back and forth as our devotion to the eating disorder increases. Depression may become a part of our daily life as we descend into the world of the eating disorder.

Eating disorders are very serious conditions, and they can even be lethal. If you think you or someone you know may have an eating disorder, please seek the assistance of a clinical psychologist.

Sources:

National Institute of Mental Health (www.nimh.nih.gov)

The work of Dr Christopher Fairburn

How Eating Disorders Begin - By Chris Gearing

Wednesday, February 20, 2013

Watch Dr. Sylvia Gearing describe how eating disorders begin and what you should watch out for - click here.

Eating disorders are a tenacious mental health disorder that can be highly lethal if left unaddressed.

The disorder usually begins in adolescence and can last a lifetime. Current researchers recognize that the earlier the eating disorder develops, the more serious and stubborn the condition.

Society’s Message of Perfection:

One of the chief reasons that eating disorders persist is that our society continues to value being thin as a desirable characteristic, for women especially. Others who view the decreased weight as a sign of self-discipline or ambition tend to reward very thin people, often unintentionally. When the social environment is so reinforcing, the young man or woman learns to focus on external approval of appearance rather than creating a more mature, internally derived sense of self.

At a Young Age:

Another reason that eating disorders persist is that they often occur at such a young age. According to authors, Dr. James Lock and Dr. Daniel Le Grange, most cases of anorexia begin between the ages of 13 and 14 but can occur as young as 8 years old. The authors emphasize that the eating disorder usually begins casually with dieting. The progressive elimination of foods leads to pronounced weight loss and social approval, which reinforces the potentially malignant eating habits. Once firmly entrenched, the eating disorder can begin to disrupt a young person’s life with stress. Over the years, it will come and go at times of peak anxiety and challenge.

Thin Equals Power:

Tragically, weight becomes a scorecard of adequacy and many women equate being excessively thin with being in control and powerful in their own lives. The eating disorder is likely to linger into young adulthood especially if there has not been a strategic intervention by parents and psychologists. During this pivotal time, stressors that should be handled with healthy coping skills are dealt with through weight and rigid eating habits. Young men and women do not learn the coping skills required for handling food competently and for living a mature life. Instead, they are defeating stress and adversity through the eating disorder. Developmentally, they are not progressing as their same age peers and may continue to act out with food for years.

Older Women Also Affected:

Eating disorders are not only an affliction of the young. Current estimates of eating disorders in older women indicate that it is on the rise with up to 13% of older women reporting an eating disorder. The International Journal of Eating Disorders reports that 13% of women ages 50 and older stuggle with the problem and that the eating disorder may be a new phenomenon in older women. According to the author, Dr. Cindy Bulik, 79% of the women polled reported that their shape and weight affected how they viewed themselves.

Eating disorders are very serious conditions, and they can even be lethal. If you think you or someone you know may have an eating disorder, please seek the assistance of a clinical psychologist.

Sources:

National Institute of Mental Health (www.nimh.nih.gov)

The work of Dr Christopher Fairburn

What Is An Eating Disorder? - By Chris Gearing

Monday, February 18, 2013

Watch Dr. Sylvia Gearing explain what eating disorders are and when you should get professional help - click here.

Eating disorders affect millions of people every year.

They happen to people across all socioeconomic levels, all ages, to both genders, and they can vary in intensity and duration. Fundamental to all eating disorders is the presence of unhealthy eating habits that are disruptive to a person’s health.

Eating disorders take over peoples’ lives and become central to how they define themselves. They’re often difficult to detect since they start with small changes that become large problems, and they are usually well hidden – particularly when they start. The chief reason that eating disorders begin and flourish is heavy doses of denial. They come out of nowhere and can become very serious, very quickly.

From my clinical practice, I’ve learned that patients develop their eating issues for a variety of reasons including the following:

Trauma Disorders:

Eating disorders can be triggered by a trauma like the loss of a loved one, the loss of a stable life style (like the divorce of parents or the loss of income), or an event or series of events that threatened their safety or even their lives.

Perfectionism:

The psychological need to be perfect can be overwhelming. These individuals are excessively dependent on the opinions and the approval of others. In their own minds, they are only as good as their last success.

In Control:

Some people have a relentless need to be admired and an entitlement to being the center of attention. Controlling their weight is a method of controlling others.

Affective Disorder:

In some cases, affective disorders like depression and anxiety are the basis of the eating disorder. An underlying depression can cause abnormalities in many areas of life including eating and self-regulation.

Family System:

Certain families emphasize performance and weight can become a central focus, especially in females. Issues of adequacy emerge and the eating disorder becomes a defining way to control anxiety.

Eating disorders are very serious conditions, and they can even be lethal. If you think you or someone you know may have an eating disorder, please seek the assistance of a clinical psychologist.

Sources:

National Institute of Mental Health (www.nimh.nih.gov)

The work of Dr Christopher Fairburn

Talking To Your Children About The Sandy Hook Elementary Shooting - By Chris Gearing

Saturday, December 15, 2012

Watch Dr. Sylvia Gearing on CBS 11 discuss how to explain to your children about the terrible school shooting at Sandy Hook Elementary in Newtown, CT - click here.

Coping With The Empty Nest - By Chris Gearing

Thursday, December 13, 2012

Watch Dr. Sylvia on KTXD Channel 47 discuss how empty nesters can cope with their new found freedom and their kids returning home for the holidays! click here.

Handling Freshman Stress - By Chris Gearing

Thursday, November 15, 2012

Dr. Sylvia Gearing on Texas Living discussing how to handle college freshman - click here.

The Back To School Bullying Epidemic - By Chris Gearing

Thursday, September 06, 2012

Watch Dr. Sylvia Gearing on CBS 11 discuss Back To School Bullying and what you can do about it - click here.

Bullying has become a serious mental health issue for millions of American families with up to 30% of students reporting their involvement in some sort of bullying as either the bully, the victim, or a bystander. The devastating consequences of bullying can turn deadly with 2/3 of school shooters reporting that they were being chronically bullied at school.

What are the specific characteristics of bullying?

Intentional Harm: Bullying in childhood is an aggressive form of intimidation that marginalizes the best of children while deeply scarring them psychologically. It is a repeated attempt to harm and to emphasize a humiliating imbalance of power and influence.

Bullying Begins Early: Research reports that almost 34% of elementary school students reported being frequently bullied at school.

Middle School Peaks: Bullying peaks in middle school. Seventh grade is the worst year.

Group Bullying: Bullying is usually a group activity. Studies show that a single child does not usually victimize kids. Bullying involves both active and passive participation by a group. The kids adopt a mob mentality as they team together to ridicule or emotionally torture another child.

Popular Kids Often Bully: Kids use the bullying of others to gain status and to exhibit their intimidation skills.

Here's why a child would begin bullying others in the first place:

Modeling their Parents: They are often victims of physical and emotional bullying at home and have parents who have problems with anger and self control. They identify with the aggressor and inflict pain to establish internal self-control.

Intimidation and Revenge Justified by Parents: Parents who tend to intimidate others rear kids who do the same. Bulling others becomes a justified behavior. Family values that include rudeness, entitlement, the intimidation of others, revenge, character assault of others or deliberate treachery create children who are much more likely to engage in bullying.

Bullies Know Difference Between Right and Wrong: The research about bullies reveals that most of the time they know exactly what they are doing. They simply lack a conscience. They understand the differences between right and wrong and commit the act anyway. They will lie, cheat and steal to avoid punishment and are deceptive with others. Although some studies suggest that around 40% of them have some mild empathy, another 40% are indifferent to the suffering of their victims and 20% actively enjoy the intimidation and control.

But what about the recent surge of online bullying?

Anonymous Bullies: The common denominator of all bullying is the intentional act to inflict pain on another person by emphasizing the imbalance of power. Unfortunately, the anonymity of the Internet is ideal for such vicious behavior. According to the Pew Internet and American Life Project in 2006, one third of students are targets at some point.

Cyber Bullying Turns Dangerous: Most of the time, cyber bullying involves gossip and rude comments that do not express direct intent to harm. Around 50% of online bullies report that they inflict such cruelty “for fun” and to “teach the target a lesson.” However, a study published in 2006 reported that 12% of teens were physically threatened online and 5% actually feared for their physical safety.

We all know that bullying can have life long traumatic effects on a victim, but research shows that bullies and bystanders are also deeply effected by the act of bullying:

Three Victims: Words are weapons and psychological harm is as severe as a broken bone. Bullying involves three victims—the bully, the recipient of the bullying and the witnesses to such cruelty.

Victims Develop Serious Depression and Helplessness: Victims report more internal problems such as depression and anxiety.

Bullies and a Lifelong Pattern of Oppositional Behavior: Bullies have more conduct problems, anger and develop alienation from school and the community. Chronic oppositional behavior is typical of such children leading to a lifetime of hardship.

Bystanders Grow Apathetic and Uncaring: Witnesses become desensitized to the suffering of others and do not take responsibility for allowing such cruelty to occur.

The long-term effects of bullying for all groups can be severe with protracted trauma, depression and resentment stretching into the adult years.

Increased Suicidal Ideation: Researchers at the Yale School of Medicine found a significant connection between bullying, being bullied and suicide in a review of 37 studies from 13 countries. Bullying victims were much more likely to think about suicide.

Here's what you can do to help your child with bullying at school:

Stop Denying: Many adults prefer to view bullying as a normal “rite of passage” through childhood. Nothing could be further from the truth. There are millions of victims who no longer believe that adults are going to protect them and they suffer in silence.

Bystanders Are Key: Research now argues that the bystanders of bullying are one of the vital keys to decreasing this growing problem. Teaching non-bullied kids to speak up, to refuse to be an audience, to label bullying publicly and to go and get help when the situation is out of control are essential steps for parents and teachers.

Empower the Victims: Believe your child about bullying. Victims are renowned for responding ineffectively through withdrawal, denial, silence and passivity. Such behaviors “feed” the bully’s control. We need to develop the victim’s talents, social skills, physical coordination and assertive abilities. He needs to be reassured that adults will take his complaints seriously and that he must report harassment. These are teachable skills and they increase self-confidence exponentially.

Sources:

American Academy of Pediatrics

"Bullying and Teasing: Social Power in Children’s Groups," Gayle Macklem, Kluwer Academic/ Plenum Publishers, New York, 2003. Cowie and Wallace (2006)

Patchin, J.W., and Hinduja, S. (2006) Bullies move beyond the schoolyard: A preliminary look at cyber bullying. Youth Violence and Juvenile Justice, 4, 148-169.

Swearer, S., Espeleage, D., Napolitano, S. "Bullying: Prevention and Intervention," 2009

Are Teenage Girls Getting More Violent? - By Chris Gearing

Wednesday, August 08, 2012

Watch Dr. Sylvia Gearing on CBS 11 discuss why teenage girls are becoming more violent - click here.

Team Players Are Better Players - By Chris Gearing

Monday, May 28, 2012

Watch Dr. Sylvia Gearing on YouTube.com discuss why team players are actually more effective overall - click here.

The business world can be a cut-throat environment. Many people resort to all kinds of back-stabbing and finger pointing just to protect their career.

However, a new study from the Journal of Sports Sciences has found that team players enhance not only their team’s performance, but also their own performance. The study found that if you focus on your team’s strength and utilizing everyone’s skills to achieve the goal, you will often feel more confident and less anxious. A great team atmosphere can lead to less wasted time, higher levels of focus, and ultimately higher performance! Team players can really draw out everyone’s abilities so that the team can really impress the boss. Truly, a win-win.

SOURCE:

Men’s Health, March 2012

Does Attachment Parenting Go Too Far? - By Chris Gearing

Friday, May 11, 2012

Watch Dr Sylvia on CBS 11 discuss the new TIME Magazine cover about Attachment Parenting and whether or not it goes too far - click here.


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