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Eating disorders have the highest mortality rate of all mental illnesses and are only becoming more common in our society. Melbourne mum of three, Jeanie, speaks on her experience watching her daughter develop an eating disorder at only 15 years old. She offers insight into how to heed the warning signs in your child.

For most, eating is a pleasant and sociable experience. However, this is not the case for one million Australians who suffer from an eating disorder. As a parent, it can be your worst nightmare watching this illness take control of your child’s life. 

This was the unfortunate reality for the loving mother of three, Jeanie, who lives in outer Melbourne along with her husband, where they spend their time going for walks with their two dogs and enjoying their quiet country town. Raising two sons and one daughter, Jeanie’s household was full of laughter and love. However, life became daunting once Jeanie began to experience the deterioration of her daughter, who developed an eating disorder at the early age of 15. 

Jeanie speaks openly about how it felt watching her daughter’s sudden switch in behaviour towards food and life in general. She shares her pain, “You feel like an absolute failure at parenting because this precious child was obviously suffering right in front of you and you just let it happen”.

“You feel like an absolute failure at parenting because this precious child was obviously suffering right in front of you and you just let it happen.”

The most lethal eating disorder, anorexia, is known for having one of the highest mortality rates of all psychiatric disorders, making it the most deadly mental illness. An Arcelus study recorded that there are 5.1 deaths per 1000 people with anorexia each year and it continues to grow. 

Jeanie’s daughter was diagnosed with anorexia nervosa in 2016, after expressing concern in regards to her extreme weight loss.

Now more than ever, the after-effects of experiencing a pandemic and dealing with multiple lockdowns in Australia, has had an extreme influence on the number of eating disorders since pre-COVID. The number of new eating disorder cases increased by 34%, rising from a weekly average of 654 in 2020 to 878 in 2021. The Butterfly Foundation, a helpline for those struggling with eating disorders or body image issues, stated they have experienced “High volumes of calls due to the challenges of COVID for many people experiencing eating disorders”.

The unfortunate reality of this mental illness is that you cannot prevent it from taking over your child’s mind. Many parents, including Jeanie, have little control over their child’s eating disorder and how they choose to cope. However, it is possible to pick up on warning signs in the early stages of an eating disorder and provide help for your child before it spirals further. Disordered eating habits can be the first indicator/gateway into an eating disorder. 

Disordered eating vs Eating disorder

According to assistant professor Katie Loth, “Disordered eating is the most significant risk factor for the onset of an eating disorder.” It is important to distinguish the difference between both disordered eating and eating disorders. Those who have disordered eating habits do not always spiral into an eating disorder. However, it is still an extremely dangerous habit and can have similar lasting effects that of an eating disorder. 

“Disordered eating is the most significant risk factor for the onset of an eating disorder.” 

Disordered eating habits have become more normalised in society as people, including young children, find different ways to lose weight in hopes of achieving an unrealistic body standard. Jeanie speaks of warning signs she picked up on from her own experience with her daughter. “She had always been a great eater growing up, it wasn’t until a couple years into high school at her All Girls college when she started to shift.” Jeanie recalls moments where her daughter slowly stopped joining in on a family cheese platter, food she used to enjoy and asking for salads in her lunch. At first this may seem completely normal and somewhat healthy. However, it is essential to pay close attention to your child’s eating habits at all times and keep an eye out for warning signs. These signs can range from anything between physical and emotional indications. 

Physical signs

  • Noticeable fluctuations in weight
  • Stomach complaints
  • Hair thinning
  • Changes in menstrual cycle (for girls)
  • Increased fatigue

Emotional signs

  • Preoccupied with food, calories and their body image
  • Limiting specific food groups (eg. carbs)
  • Withdrawing from social activities and any activities involving food (eg. dinners)
  • Anxious prior to or during eating times 

At first, Jeanie didn’t suspect her daughter’s actions to be an alarming behavioural change, but assumed she was “trying to act older” and was simply “too sophisticated for a sanga, banana and a little chocolate in her lunch”. 

Eventually, Jeanie started noticing that her daughter had grown a sudden willingness to take control of the food she was putting into her body, through diet and restriction.

Dieting

National Eating Disorders Collaboration (NEDC) affirm that “Dieting is one of the strongest predictors for the development of an eating disorder.” This can include anything from your child simply replacing meals for ‘healthier’ alternatives or restricting specific foods. This supports the false notion that certain food groups are ‘bad’ and should be avoided. It is important to stay mindful of this and ensure that food groups are not labelled as good or bad when educating children on the importance of nutrition and health. 

Motivation Behind Disordered Eating

It can be collectively agreed upon that the main intention behind disordered eating is the pressure to ‘look’ a certain way. Jeanie explains that once her daughter lost her “Pre-adolescent weight,” she began receiving an influx of compliments, which inevitably fed the motivation behind her disordered eating. Jeanie believes the focus on the “Selfie” and the “Beginning of the instagram age,” puts an immense amount of pressure on teenagers to focus on their appearance in ways that are damaging.

Pressure on Parents

Not only does disordered eating affect the lives of those who fall victim to the illness, but for their loved ones too. Jeanie expresses her times of hardship dealing with emotions of guilt, stress and worry regarding her daughter’s illness. “Of course, I blamed myself. There were times in my life where I had ‘cut carbs’ or fasted or whatever. Had she watched me do that and learned dieting behaviour?” Not only did this cause Jeanie an extreme amount of anxiety, but she also found herself growing annoyed with her daughter during this time. “It was very, very frustrating. There were times when I wanted to yell, ‘Just f****** eat the cake!!!’ or whatever it was”. 

“Of course, I blamed myself. There were times in my life where I had ‘cut carbs’ or fasted or whatever. Had she watched me do that and learned dieting behaviour?”

Fortunately, Jeanie’s daughter is slowly recovering after six long years of dealing with this horrible illness. Despite still struggling with health issues related to liver function and a weakened immune system as a result of her eating disorder, Jeanie’s daughter is growing stronger mentally and physically every day. 

No one is safe from this illness. Anyone can fall victim to disordered eating and can eventually develop an eating disorder at any stage in their lives, despite their relationship with food. Disordered eating habits are all around us and it is our responsibility as a society to pick up on these unnatural behaviours, put a stop to it and ensure it does not progress any further.

Jeanie shares a piece of advice she urges parents to take on board: “Jump on it! Educate yourself and trust your instincts. The earlier the intervention, the earlier you can start removing this monster from your loved ones’ heads, because it can spiral so quickly”. 

Jeanie and Phoebe, January 2019.

If you or a loved one are struggling with any of the issues discussed in this article, please contact Butterfly Helpline. Be sure to confide in your friends, family or anyone willing to listen for support.

We rely on health advice from an industry that simply promotes the latest fad, designed to exploit the vulnerable out of their money. Diet culture wants us to feel bad about our bodies, leading us down a dangerous path of disordered eating behaviours and exercise misuse, inevitably, only profiting those who fool us.

Weight loss TV shows, stick thin celebrities, the ‘obesity epidemic’, Body Mass Index (BMI), bad foods and ‘skinny’ jeans. As a millennial, these were terms and images I was heavily exposed to throughout my childhood and teenage years.

I was a 15 year old girl, eagerly jogging on my treadmill in front of the TV while watching The Biggest Loser. I would dream of living a life like the contestants, exercising for hours on end and following strict eating regimes to ‘transform’ my body.

At school we learnt about BMI, and were required to calculate our own measurements; an activity becoming a petri dish of comparisons and judgment.

The influences that I grew up with were seen as normal, and even healthy, but have resulted in detrimental and dangerous outcomes. I am not alone in my history of disordered eating.

Close to 1 million Australians are living with an eating disorder, with less than one quarter of those receiving treatment or support. A 2012 report commissioned by The Butterfly Foundation, found that females make up 64% of the total.

Eating Disorders

An eating disorder is a mental illness which can be identified as an unhealthy preoccupation with exercise, body weight or shape, and eating habits. Eating disorder behaviours can include restricting, bingeing, compulsive overeating and purging. Purging can extend to vomiting, laxative abuse and excessive exercising.

There are also secondary eating disorder behaviours, which can often fly under the radar due to the influence of diet culture, which creates a sense of normalcy when it comes to obsessing over wellness.

Secondary Eating Disorder Behaviours

Carolyn Costin is a clinician, author and speaker, well-known for her expertise in the eating disorder field. In her book 8 Keys to Recovery from an Eating Disorder, she discusses food rules, food rituals and exercise dependance.

Food rules:
  • Being unable to trust internal hunger and fullness cues without a ‘rule’ or ‘guide’.
  • Limiting choices of foods or food groups based on rules.
  • Measuring foods based on numbers such as calories or time.
  • Feeling a sense of control over food, and therefore out of control when food rules cannot be followed.
Food rituals:
  • Participating in food behaviours that create a sense of ‘safety’ around food.
  • Preparing food in a specific way.
  • Consuming foods at the same time every day.
  • Eating foods in a particular order.
  • A feeling of anxiety if the food ritual cannot be followed.
Exercise misuse:
  • Compulsive exercise is a commonly justified behaviour.
  • Exercise is no longer a choice, but an obligation.
  • Exercise is linked to self worth.
  • Exercise is continued through injury and illness.
  • Social engagements are cancelled for exercise.
  • Exercise is used to compensate for eating.

Diet Culture

Diet culture has a long history, and its roots are embedded in the media, science, medicine, religion and racism today. The anti-diet movement has been established to fight back against an industry that we are conditioned to believe has our best interests at heart.

Christy Harrison is an intuitive eating coach, anti-diet dietitian, and author of Anti-Diet: Reclaim Your Time, Money, Well-Being and Happiness Through Intuitive Eating.

She describes diet culture as a system that:

  • “Worships thinness and equates it to health and moral virtue, which means you can spend your whole life thinking you’re irreparably broken just because you don’t look like the impossibly thin “ideal”.
  • Promotes weight loss as a means of attaining higher status, which means you feel compelled to spend a massive amount of time, energy, and money trying to shrink your body, even though the research is very clear that almost no one can sustain intentional weight loss for more than a few years.
  • Demonizes certain foods while elevating others, which means you’re forced to be hyper-vigilant about your eating, ashamed of your food choices, and distracted from your pleasure, your purpose, and your power.
  • And oppresses people who don’t match up with its supposed picture of “health,” which means you experience internalized stigma and shame—and perhaps external stigma and discrimination as well—for all the ways in which you don’t meet diet culture’s impossible standards.”

Diet culture is cunning and clever, we may not even realise when it is meddling with our lives. The identifying trends and behaviours are so normalised in society today, that it sneaks up on us in workplace lunch rooms, at social events, even through our internal voice, which may echo the food rules from our dieting pasts. Diet culture is inescapable.

“The implication is clear: eating anything other than the correct diaita made people less than fully human. The term diet, then, was bound up from the start with ideas about morality, restriction, the renunciation of pleasure, and the superiority of certain races.”

The Anti-Diet Approach

Anti-diet is anti-diet culture. The approach has a focus on overall wellbeing, rather than weight loss, and it shows us how the foods we eat and what our bodies look like, are not tied to moral virtue or social status.

Diet culture makes us believe that we have to ‘beat’ our hunger and change our bodies in order to find happiness and self worth.

Christy says, “Diet culture is a form of oppression, and dismantling it is essential for creating a world that’s just and peaceful for people in ALL bodies.”

Research supports this notion and confirms that diet’s don’t work. A 2019 study concludes: “The increases in BMI and WC were greater in dieters than in non‐dieters, suggesting dieting attempts to be non‐functional in the long term in the general population.”

To adopt the anti-diet approach, we need to keep our wits about us. Organisations know that diets don’t work, and have been moving away from language such as ‘diet’ and ‘weight loss’, instead, changing their language to terms like ‘wellness’. The diets have not ceased, they have just changed forms.

Diets are often disguised through buzz words such as ‘protocol’, ‘clean eating’, ‘health reset’, ‘nutrition challenge’ or ’lifestyle change’.

How can we adopt the anti-diet approach and fight back against diet culture? We can keep an eye out for diet culture red flags.

Diet Culture Red Flags

  • Wellness programs with a weight loss focus.
  • The use of before and after photos.
  • A program that gives food a moral value such as ‘good’ or ‘bad’, including ‘traffic light’ systems and the like, that categorise foods.
  • Eliminating foods or food groups, without a medical reason.
  • Focusing on numbers such as calories, percentages, or time.
  • Buzz words like ‘cleansing’ or ‘detoxing’.
  • Tracking of calories, exercise or steps.

What can we do now to start adopting the anti-diet approach? We can identify diet culture through it’s red flags, notice our own internal dialogue when it comes to food, say no to fad and perfectionistic diets, and unfollow social media accounts that make us feel bad about our bodies or food choices. When we stop engaging in diet culture, diet culture loses its power.

“Weight loss doesn’t heal people from their internalised weight stigma. Bad body image is not cured by weight loss.” – Lisa DuBreuil in Anti-Diet.

As Australia’s cosmetic surgery rates surpass America’s, our obsession with social media and the current COVID-19 pandemic creates a minefield for those who struggle with disordered eating and body image issues.

 So far, 2020 has been a lot to process. In what will most likely be a once-in-a-lifetime historical event, the world has been totally affected by COVID-19 – a virus which has so far killed more than 264,000 people.

As Australia combats this, most of us have found ourselves on leave, unemployed or working from home. As the lockdowns have progressed many businesses have shut down and the nation’s gyms have not been immune.

In recent weeks, there has been a lot of content online focused on exercising from home, especially on Instagram, which has become flooded with posts about ‘body goals’, losing weight and becoming ‘healthier’ in quarantine.

The COVID-19 pandemic offers numerous triggers for those who are struggling with an eating disorder or those with distorted body image and low self-esteem.

“We understand that the prevalent discussions around stock-piling food, increased hygiene measures, food shortages and lock-ins can be incredibly distressing and triggering for people experiencing disordered eating or an eating disorder,” states The Butterfly Foundation in relation to COVID-19. 

When you combine these triggers with an increase in spare time to spend scrolling social media, such as Instagram, this can create the Perfect Storm.

Instagram and its tribe of entrepreneurs and models is no stranger to criticism from body positivity advocates, largely because the app is focused on images, a majority of which are highly edited. The concept of Instagram is the ideal social media app- share images and see images of your family and friends – plus your favourite celebrities, bridging the gap between fan and friend.

Instagram launched in 2010 and had 1 million users within two months, it has since been purchased by Facebook and become one of the largest social media platforms in the world.

The New Yorker journalist Jia Tolentino has talked extensively concerning the phenomenon of Instagram models, and their strikingly similar looks in ‘The Age of the Instagram Face’. 

She writes, “The gradual emergence, among professionally beautiful women, of a single, cyborgian face. It’s a young face, of course, with pore-less skin and plump, high cheekbones. It has catlike eyes and long, cartoonish lashes; it has a small, neat nose and full, lush lips.”

The commodification of women was once selling the products to make us beautiful, but as ‘Instagram Face’ rises and social media continues to excel, cosmetic surgery becomes more commonplace than it ever has been before.

Presently Australia’s cosmetic surgery numbers have surpassed America’s; in 2017 Australian’s spent more than 1 billion dollars on plastic surgery, surpassing America’s procedures per capita numbers, a feat considering America is often considered the ground zero for enhanced beauty.

Since when did this new prototype of a woman, a mish-mashed version, a high light reel built to bend over; a tiny waist, big lips, no blemishes- become the new standard of beauty, and how achievable is this?

Claire Finkelstein has been a clinical psychologist for fifteen years and is co-founder and co-director at Nourish.Nurture.Thrive, a multidisciplinary practise based in Melbourne and the Mornington Peninsula that specialises in helping young people who struggle with eating disorders and body image.

Claire and fellow clinical psychologist, Ainsley Hudgson, started Nourish.Nurture.Thrive after years working in the public health system and seeing how overwhelmed it had become with a “growing population with eating disorder concerns,” says Claire.

Isolation, quarantine and an increase in social media can be very triggering for not only those who struggle with eating disorders but anyone who finds themselves feeling out of control in this stressful time.

“Everybody is showing their exercise routines at the moment, everybody is making those jokes about putting on weight during lockdown and I think it’s just incredibly triggering even for people with a fairly robust sense of self-confidence and body image but particularly for people who are in the eating disorder space,” says Claire.

The showing of exercise routines is found on Instagram amongst other social media, promoting diet culture.

Diet culture is defined as a system of beliefs that worship thinness and oppress people who don’t meet this beauty standard and idea of health. The one underlying fact for nearly all diets and wellbeing programs is that thin is best, demonizing certain food groups and body types, all while promoting the most important idea of them all; if you weren’t so lazy you’d have the body of your dreams.

“It feels like you can control your weight, so in a time when you feel out of control you try and control your weight and what we know is that your weight is biologically determined within a set point and that’s one of the difficulties – all these messages around ‘this is something we can do’ and if you’re not doing it successfully you’re inadequate and that is such a damaging, damaging story that is part of diet culture,” says Claire.

The infamous ‘beauty is pain’ mantra handed down to young girls from their mothers has a whole new meaning, the pain having grown from a waxing strip full of pubic hair to a surgery scar or a vigorous training regime.

Earlier this year glamour magazine Girls Girls Girls collaborated with Sex and the City’s Cynthia Nixon to create a video titled ‘Be a Lady they said’. The piece included various clips from movies, news, and glamour shots to tell the story of the myriad of requests and expectations women are meant to be adhering to, ironically the women featured in the video are beautiful, thin and passive.

One of the most impactful lines reads,

‘Be a size zero, be a double zero, be nothing, be less than nothing.’

Cynthia Nixon spits these words at the screen as it turns dark and the sound of someone’s heart flatlining takes up the darkness. It is powerful commentary on the notions behind our desires for female perfection and the gruesome control it creates.

As Naomi Wolf states in her classic, The Beauty Myth, published in 1990, obsession with beauty and thinness is a form of control and oppression.

“A culture fixated on female thinness is not an obsession about female beauty, but an obsession about female obedience. Dieting is the most potent political sedative in women’s history; a quietly mad population is a tractable one,” says Wolf.

The US health and weight loss industry is worth an estimated $72 billion and Australians are estimated to spend $452.5 million on weight-loss counselling services (and the low-calorie foods and dietary supplements that go with it) in 2019-2020.

These figures show what has been in the shadows all along – this business is big money built off the back of diet culture. A truth hid underneath the bright lights of Instagram, the ‘life updates’ and the relatable posts – the influencers who make you feel like a family, like you could look like them if you had the grit – when you’re just a customer.

 Resources and coping mechanisms

For those who are spending a lot of time online and feel triggered by the change in routine, there are ways to seek help, guidance and support.

The Butterfly Foundation suggests that stretching, light exercise, talking to a loved one, drawing, being creative and mindfulness techniques can help you support your health and wellbeing during this crisis and stop negative body thoughts.

Their Helpline is also open on webchat, email or phone from 8am-midnight, 7 days a week.

Claire Finkelstein from Nourish.Nurture.Thrive admits boycotting social media is unrealistic, especially as it is one of our main sources for communicating with the outside world, however, she does recommend an ‘audit’ of who you follow.

“Use social media to connect rather than compare, use it to engage with people who are important to you, who you feel supported by, who give you a laugh who make you smile, who make you more connected and less alone and try to engage less with social media that leaves you feeling terrible afterwards,” says Claire.

Unfollowing accounts that make you feel inadequate or leave you feeling unhappy and starting to follow body positive accounts instead can stop that downward spiral of self-loathing many of us find triggered by social media.

“Research shows if you have a diverse imagery, diverse bodies, diverse beauty, or other images like architecture, animals or whatever makes you feel good – that that can really dilute the impact, the negative impact of imagery that doesn’t make you feel good,” says Claire.

Below are resources for those who need help.

The Butterfly Foundation:

T: 1800 33 4673

W: https://thebutterflyfoundation.org.au/

Beyond Blue:

T: 1300 22 4636

W: https://www.beyondblue.org.au/get-support/national-help-lines-and-websites