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For those living with an eating disorder, food-centric holidays, such as Christmas, can be exceptionally challenging. With over 1 million Australians living with eating disorders and less than a quarter receiving treatment or support, the need for support is more crucial than ever.

In the lead up to the holiday season, Butterfly Foundation – the national charity dedicated to supporting all Australians living with eating disorders and body image concerns – is bracing for a surge in calls to their National Helpline.

The ‘eating disorder voice or noise’ – experienced by approximately 75% of those living with an eating disorder – is a persistent inner dialogue revolving around weight, shape, and eating behaviours, which amplifies during stressful events like Christmas with potentially damaging consequences.

Recognising the signs of an eating disorder: Tips for parents

It can be challenging to know if or when a child or teen’s attitudes and behaviours towards eating is developing into something more serious, or if it is just part and parcel of their development. However, early intervention is key in reducing the duration and severity of an eating disorder, so it is important for parents to be aware of the warning signs so they can ensure their child receives timely support and treatment.   

  1. Look out for these warning signs

Some physical signs may include rapid weight loss or frequent weight changes, loss or disturbance of menstruation, fainting or dizziness, feeling tired and not sleeping well, low energy, and feeling cold even in warm weather.

Psychological warning signs can include preoccupation with eating, food, body shape and weight, feeling anxious or irritable around mealtimes, using food as a source of comfort or as self-punishment, a distorted body image, or feeling ‘out of control’ around food.

Behavioural warning signs to look out for include dieting behaviour (ie. Fasting, counting calories, avoiding food groups), eating in private and avoiding meals with other people, frequent trips to the bathroom during or shortly after meals, compulsive or excessive exercising, changes in food preferences, or extreme sensitivity to comments about body shape, weight, eating and exercise habits.  

2. Establish open communication, be compassionate and non-judgemental

 If you are concerned, be informed, and seek guidance on how to approach your child.  Aim to be compassionate, gentle, and non-judgemental and strive to better understand what’s going on for that young person, for example “I’ve noticed you’re not eating much at dinner, is there a reason for this?” or “How are things, I feel that you don’t seem yourself. Can I help in anyway?”. Aim to focus on their feelings, rather than their weight or size. Avoid discussing their eating behaviours or your concerns during mealtimes, or when they are surrounded by their peers or other family members. 

3. Seek professional help

If you notice persistent warning signs or suspect an eating disorder, reaching out to a trusted GP or Butterfly’s National Helpline are good places to start.

Butterfly is appealing for donations to sustain their virtual and in-person support groups and programmes for people experiencing an eating disorder or body image issue and for the carers, friends, and family, as well as supporting the launch of their new virtual intensive outpatient programme – a much needed step-down care for people with eating disorders on leaving hospital.

To access more information, resources, or donate, please visit www.butterfly.org.au/quietthenoise

Anyone needing support with eating disorders or body image issues is encouraged to contact:

  • Butterfly National Helpline on 1800 33 4673 (1800 ED HOPE) or support@butterfly.org.au
  • Eating Disorders Victoria Helpline on 1300 550 23
  • For urgent support call Lifeline 13 11 14

Harmful health and fitness advice has the habit of infiltrating social media landscapes, and it looks like TikTok is the newest – and potentially most dangerous – vessel for this advice to run rife.

The average TikTok user spends 52 minutes of their day on the app. That’s over 850 minutes a month, and 18,928 minutes a year. With these statistics in mind, it’s no wonder that TikTok has become the cultural phenomenon it is today – with popularity skyrocketing during the peak of widespread lockdowns, and now garnering approximately 1 billion monthly users – 60% of those belonging to Gen z. Clearly, TikTok has become an indispensable asset in the lives of many children and teens across the globe – but as parents, have you ever questioned the kind of harmful messaging this app could be sending your kids?

At the end of 2019, I opened TikTok for the first time. Periodically opening and closing the app every day, I consumed dance videos, funny skits, ‘daily vlogs’, and other light-hearted content that was inundating my feed. At first it seemed harmless, but it wasn’t until 2020, when plunged into the first of many lockdowns here in Melbourne, that I realised how much TikTok content I was subconsciously absorbing.

Face-to-face with reoccurring bouts of ‘lockdown boredom’, I was continually sucked into the TikTok quicksand of mindless scrolling. I wasn’t alone in this. For 4–15-year-olds, the average scrolling time per day is 80 minutes – a significantly longer chunk of the day than our 52 minutes. Although these statistics may seem shocking, the unlimited stream of consecutive, relatively short videos to scroll through – a 3-minute option only recently introduced – makes extended periods of scrolling much harder to consciously limit.

It’s all in the algorithm.

For a relatively new platform, TikTok has managed to generate a large cultural standing, carving out a previously unmatched space for mass influence.

The addictiveness of the app – a reason it is so popular – can be partly attributed to its cutting-edge algorithm – highly developed in its ability to shape users’ ‘For You’ pages to their unique ‘level of interest’. Indicators like finishing a video from beginning to end, user location and the types of videos users interact with, all contribute to the personalisation of user feeds. However, when the algorithm is pervasively feeding health advice, regardless of its validity, to impressionable children and teens – without their explicit consent to do so – this personalisation has the potential to turn sinister.

Health and Fitness advice is well established in the social media ecosystem. Beginning in Youtube communities, it eventually bled into Instagram feeds and now more recently,  TikTok has taken the reigns.

My growing suspicion towards TikTok didn’t begin until I decided to “get back into fitness” – like many did during lockdown – using TikTok’s search bar to source workout ideas and routines. It was then, that the content on my feed slowly began to change. All of a sudden, whenever I opened the app, I was flooded with videos about different workouts, “how to be in a calorie deficit”, and ‘what I eat in a day’ videos, often perpetuated by slim and toned creators, who often didn’t show a realistic amount of food.

 

Through looking at a couple of workout videos, I was unknowingly placing my “interest” in the health and fitness category on TikTok, which the algorithm then held onto, and adapted the content it showed me to reflect that. Eventually, the content on my TikTok feed extended beyond the workout ideas that I initially sought out, and onto advice about my diet, things I should or shouldn’t be eating or drinking, and different workouts to give me a particular desired body type. I was overwhelmed.

What’s wrong with health and fitness advice?

Although these types of videos may not strike some users as outrightly harmful, the pervasive nature of diet culture and the fitness industry when fed consistently to impressionable users, has the potential to garner harmful perceptions of body image and obsessive behaviours, far too young.

This largely stems from the widely engrained behaviour, of associating morality with different diets or lifestyles. Chocolate is seen as “bad” or “junk”, vegetables are “good” and “clean”, and going to the gym everyday will make you “better than” someone who does not.

 

By assigning so much moral value to the foods we choose to eat and exercise we choose to do, the likeliness of guilt when we don’t do these things, is much higher. This moral value is ultimately delineated from the fact that a large part of society continues to subconsciously perpetuate fatphobic narratives and maintain thinness as the gold standard for how a woman should look.

These ideals are further exacerbated on TikTok, due to the feedback economy of the platform, whereby comments and likes denote how videos are generally perceived. A recent example of this was called out by Emma Matthews (@sheismarissamatthewss on TikTok), who concluded that the many comments on TikTok “reinforce thin privilege and fatphobia”. She compared the comments of her ‘what I eat in a day video’ – where she got criticised for eating three eggs and using an “inappropriate amount of olive oil” – to the comments of ‘thin’ creators’ food videos, who were predominantly praised for what they eat – therefore demonstrating how users often idealise and favour those who fit into their preferred body type.

Therefore, if teens and tweens manage to get onto the “side” of TikTok swarmed with health and fitness advice, the persistent messaging of the “perfect” diet and lifestyle, has the potential to generate obsessive or harmful relationships with food and exercise, in an attempt to mirror what they see from their favourite creators.

Amid the more latent presentations of diet culture, although more hidden, are pro-anorexia accounts, particularly dangerous in their encouragement of starvation and extreme restriction around food. It was when one of these videos popped up on my TikTok feed, with the caption “If you ate over 1200 calories today you are fat”, that I recognised the true danger of TikTok’s personalised algorithm. I had never searched for this ‘pro-ana’ content, nor expressed any interest in videos on restrictive eating or diets. But it is accounts like these, despite efforts from TikTok to remove them from the platform, have the potential to be grouped into the health and fitness category, and find their way to the “For You Pages” of teens and tweens.

Body image isn’t a new issue.

Concerns around body image in children and adolescents are already an unfortunately common occurrence, with the Mission Australia 2020 Annual Youth Survey reflecting that 33% of participants saw body image as an area of major concern in their lives. Another survey in 2021 showed that out of 93 students, 45% showed a high level of concern for their body image. It is clear the ubiquity of body image concerns in children and adolescents – an issue that is arguably not improved by the persistent nature of TikTok’s algorithm.

Considering previous research that discovered girls ages 5-8, when simply looking at a Barbie Doll, experienced body dissatisfaction and a desire for thinness, it is important to recognise the capacity for TikTok – and social media in general – to project this bombardment of health and fitness advice onto their audience, without regard for the young and vulnerable nature of the users they are targeting.

If looking at a Barbie doll can cause that much harm, think about what a carefully curated selection of targeted health and fitness videos can do.

How do I talk to my kids about this?

The solution to this doesn’t come with banning your kids from TikTok or confiscating their phones upon hearing this information. Our society is saturated with potentially harmful information around health and fitness, and perpetuations of a thin-ideal – but it is the way that kids perceive this information that defines the harm it can cause.

One way that you can help reinforce positive relationships with health and fitness with your children, is by modelling that positive relationship yourself. Some ways parents can do this are:

  • Engaging in healthy eating habits yourself: consistently participating in fad diets or outwardly expressing guilt for eating certain foods are behaviours children can pick up on, and implement into their own lifestyles at a later point.
  • Making meals a positive and communal experience: research has shown that a frequency in family meals can lead to inverse effects of disordered eating, and better psychological outcomes for children.
  • Teaching kids about critical thinking: by explaining how to practice critical thinking while on social media, it becomes easier for children and teens to recognise the misinformation or unhealthy content that they might be exposed to, and purposely disengage with it. Often, parents are also encouraged to watch TikTok’s with their children, and openly talk about the misrepresentation that they see.

I, like many others, have been exposed to the more sinister side of TikTok health and wellness, but through educating myself and talking to others, I have become aware enough about diet culture and health advice, that I can recognise and ignore misinformation. By navigating TikTok with intention and purpose, seeking out trusted sources and shielding myself from the guilt-shrouded influence of diet culture, I am able to be largely unaffected by the persistent messaging of TikTok’s health and fitness community – and I encourage teens and kids using TikTok to do the same.

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.