Denial of the seriousness of illness.

Inpatient care (including hospitalization and/or residential care in an eating disorders speciality unit and facility) is necessary when an eating disorder has led to phsyical problems that may be life-threatening, or when an eating disorder is causing severe psychological, social or behavioral problems. Inpatient stays typically require a period of outpatient follow-up and aftercare to address underlying issues in the individual's eating disorder.

Feeling out of control during the binge.

Child Trends’ original analyses of data from the National Survey of Children’s Health.

[4]Gibbs, N. (2006). The magic of the family meal. Time.

Exercise is the number one activity that helps people maintain healthy weight. Muscle continually burns fat. More muscle mass means more calories are used during the day. The metabolic rate rises during exercise and can extend for six hours post-exercise. One pound of muscle burns 35 calories whereas one pound of fat burn 2 calories.

Death, of course, is the ultimate life-altering complication.

Only 20% of Americans exercise three times a week or more; 80% do it less than that. For all the information on exercise programs and equipment, we as a culture aren't exercising on a consistent basis.

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National Eating Disorders Association

Part of your role is educational. You’ll provide accurate information to dispel the myths patients hold about the nutritional value of foods, the effectiveness of dieting, or that they can pick a weight and force their bodies to go there without repercussions. At the same time, you’ll incorporate behavior change techniques to alter dysfunctional eating habits, destructive purging behaviors, and excessive or nonexistent exercise routines.

Eating Disorders Information Network

Although the four areas are written about separately, you will not be doing therapy in a linear fashion. You will be addressing all the selves during the course of treatment, bouncing back and forth depending on what your patient brings to you.

[12]Executive Office of the President: Council ofEconomic Advisers. (2000). Op. cit.

Many people who want to change their weight under-eat for a while

Thinking about unresolved issues from the past often produces depression. Worrying about the future stirs fear and anxiety. Making peace with past events opens the door to concentrating on the “now.” Patients also have to work on building trust: in themselves and the universe. Trust and fear are opposites. If someone is trusting that things will work out somehow, there is little fear. Worrying is really about fearing something important will be lost (e.g., love, job, esteem).

Many individuals with eating disorders display a number of the characteristics listed below.

Recovery & Relapse | National Eating Disorders Association

Group therapy gives people a dependency on being in the group. They feel OK while they are in the group but loose all sense of self-control when they are at home.

The parents of young people with eating disorders are often described in similar terms.

Eating disorders are serious medical illnesses

To create a new, lifelong style of eating and exercise, patients must make a number of changes that are incredibly frightening. Ultimately, these changes offer structure, consistency, and predictability each day. Your task is to discuss and walk your patients through each step in the process. You don’t need to tell them the whole laundry list at once; instead, work it into the conversation as they bring up related topics.