New Model Guidelines

The Council of Fashion Designers of American has recently released new guidelines for models who work Fashion Week and other industry events.

As a whole, I applaud the group's focus to educate the industry and encourage healthy eating and treatment, if necessary.  Do you think these guidelines will help?  Do you see any limitations to the guidelines?  Take a minute to read the new guidelines and let me know what you think. . . .

Georgia. . .

A new campaign in Georgia targeted at childhood obesity has raised significant alarm  in the eating disorder community.  Specifically, many of us who treat eating disorders are concerned that the campaign focuses more on body size than on the promotion of healthy eating and exercise behaviors.  It is negative, shaming, and could actually encourage the development of eating disorders in those who may have such tendencies.

As such, the Binge Eating Disorder Association has developed an online petition, with the hopes of arresting the campaign.

What do you think?  Will you sign?

Losing the Battle

If, for some reason, you missed the fact that we recently celebrated a new year, you surely cannot miss the barrage of weight-loss advertising appearing in our media this week.  By now, you've probably viewed commercials from our nation's power players, each starring its own celeb:  Jennifer Hudson for Weight Watchers, Janet Jackson for Nutri-System, and Mariah Carey for Jenny Craig (can someone please help me identify exactly what Mariah is doing in this commercial?)  


Upping the ante in cyberspace is a new site that allows dieters to gamble on how much weight they lose.


What I know is that if I had $100 riding on my weight loss, I'd somehow make it happen. What might happen after, though, is likely what happens to most dieters after the fact, highlighted by a recent study among adolescents, which appeared in the Journal of Adolescent Health and which concludes in its abstract, “Findings clearly indicate that dieting and unhealthy weight control behaviors, as reported by adolescents, predict significant weight gain over time.”


If you begin a diet, chances are that you'll lose weight.  Chance are also that if you end the diet (which you may do after a pre-specified time or earlier, due to difficulty in adhering to the diet), you will gain the weight back.  In many cases, you will gain even more.  The statistics have spoken loud and clear, and not one product, plan, or gimmick has shown the ability to compete successfully with them.   

(Photo)shopping for the Holidays

By now, you've probably heard about H & M's recent advertising snafu, in which the Swedish retailers plugged real-life faces on computer-generated bodies.  The story was exposed earlier this month.

And what about the notorious Faith Hill photoshopping job on Redbook magazine?



Revealed several years back, the side-by-side comparison spoke volumes about what the industry will do to sell a star.

But, in all of this, we're reminded of what this re-imaging does for the every woman--setting an unrealistic, unattainable standard.  H & M models do not exist in reality.  Not even Faith Hill can look like Faith Hill. Let's continue to expose the myths that fuel the fire.  It's so important that we do.

Happy holidays. . .

Let's Say. . .

Scenario 1:  Let's say that there's this young woman who comes to therapy.  We'll call her Diana.  Diana doesn't have an eating disorder.  What brings her into treatment is panic attacks.  In the course of her anxiety, let's say Diana loses weight.  She's panicky, on edge, and she's not eating enough.  Let's say that Diana was "at a normal weight" (whatever that is) before and that when she loses weight, she looks unhealthy.  Let's also say she has a psychiatrist who's treating her for her anxiety.  Then, let's say that Diana's therapist expresses concerns about her weight loss and discusses with her how she can get adequate nutrition even with low appetite.  Remember, Diana doesn't have an eating disorder, so this isn't the most complicated thing.  Next, let's say that Diana starts to feel less anxious.  Some combination of medication and therapy is helping her, and her panic attacks remit.  Let's say, that in the process of this, she gains back the weight she had lost.  Let's say again "at a normal weight" (whatever that is).  Finally, let's say that she visits her psychiatrist after some time, who mentions Diana's weight gain and states that 1) Diana needs to lose weight and 2) She needs to do so by their next visit.


Scenario 2:  Let's say that another woman who has been in therapy for many years for anxiety, depression, and a sub-clinical eating disorder, is seeing a relatively new psychiatrist.  We'll call her Sharon.  Sharon likes her new psychiatrist because she seems compassionate and responsive to her.  Like many psychiatrists she's had in the past, Sharon's current psychiatrist is eager to try out new medications and doses of medications with her, in order to alleviate her symptoms.  During one appointment, Sharon, who is "at a normal weight" (whatever that is), expresses concern about her psychiatrist's recent recommendation that she up the dosage of her medication in order to address her residual anxiety.  "Doesn't that cause weight gain?," she asks.  Sharon is concerned because she has a history of binge eating, and she doesn't want to be on anything that exacerbates this condition.  "It could," her psychiatrist replies, "But that's when you just need to focus on portion control."  To Sharon, who again has a history of binge eating, hearing the phrase "portion control" creates such anxiety in her that she actually wants to binge.  She's had many attempts at trying to restrict what she eats (in fact, that's what led to her binge eating, according to her understanding of it all), and this does not seem to be an adequate solution.  

Do you have any reactions to these scenarios?  They can and do occur, highlighting the importance of consulting with professionals who have specific education and training in the field of eating disorders.  A simple, innocuous comment as processed by someone with an eating disorder can do significant, unintended damage.  Ideally, those struggling with eating disorders can arrive at a place in their recovery where a single comment isn't so threatening (as they may come from various sources), but until and unless this happens, it's important to select a treatment team sensitive to these concerns.

Celebrities with E.D.'s

A while back, a reporter asked me my position regarding celebrities disclosing that they have struggled with eating disorders.  She asked if I thought the disclosure was helpful or hurtful for the general public.  I went with "helpful," and here's why:  Obviously, I wish that no one had to suffer the physical and psychological damage of an eating disorder.  But, since people do develop them, and since we're still learning how to best treat them, pay for treating them, etc., I think any type of public awareness is beneficial.  For fans who struggle with eating disorders, learning of someone else's struggle may help with feelings of shame or isolation around the disorder.  Moreover, I think it's important for the public to understand that a number of the singers, actresses, and models they admire are not as naturally thin as they appear.  In many cases, they must go to drastic measures, in order to conform to our current body ideal (see Adriana Lima's recent revelation to the Telegraph for proof).  For some, these measures may lead to the development of full-blown eating disorders.  In my opinion, the more information we have that counteracts the idea that skinny (for all women) is healthy and effortless, the better.

What are your thoughts?

Come Back to Carbs

Can one woman hail the return of entire macronutrient?  I'd like to try.

We live in a carb-free, low-carb, healthy-carb country.  We're encouraged by experts to up our protein intake and lower our carbohydrates, with the premise that this is the key to arriving at a healthy (read: aesthetic) weight.  

Recently, I went to a dinner party and brought a lovely quinoa.  It went untouched.  Because of the carbs.

Later that week, I stopped at my gym's snack bar to pick up a sports drink prior to yoga class.  Amidst a sea of no-carb, high-protein drinks (many infused with artificial sweeteners in order to claim the title), I finally stumbled on some fruit juice that fit the bill.  

I get it.  We realized that we'd weigh a little less if we cut back on carbs.  But, what we didn't realize is that we'd be eliminating a major energy source, one that fuels our muscles, organs, and brains.  Carbohydrates have a significant impact on mood, as well.  Just ask someone who's going carb-free.  

Your trainer tells you to cut out bread.  Your gossip magazine shows you a day in the life of your favorite celebrity, proving that lean protein and vegetables for lunch and dinner is not only doable, but leads to the intended results.  Your coworker went low-carb and quickly dropped 15 pounds.  

The thing is. . . not one nutritionist I respect has ever recommended this type of diet to anyone I know.  They understand the importance of all three macronutrients.  They understand what cutting carbs does to one's energy and mood.  And then understand, as I do, that the weight-loss benefits of going low-carb are temporary (only for as long as you're on the diet), and that depriving ourselves of something (anything, really) often backfires, obfuscating the point entirely.  

I wish that I had a dollar for every person I meet who complains of an inability to ward off mid-afternoon candy runs, or who shamefully confesses to late-night binges on chips, cookies, or cake, who, by the way, is also restricting her carbs.  When she begins to reintroduce this necessary nutrient, she finds that her carbohydrate cravings remit.  It's her body's way of saying, "Thanks for giving me what I need."