Yesterday began the UK’s Eating Disorder Awarreness Week, flagged up by charity B-eat. the year is littered with various ‘awareness’ and appreciation days, weeks and months, making them all too easy to meet. Why should we pay attention to this one? Do eating disorders really need more awareness? Arguably they’re one of the most sensationalised mental health problems, providing women’s weeklies and gossip rags an endless supply of material, along with photographs of emaciated beings. There’s an argument that this publicity does more harm than good, teaching young people that throwing up and skipping meals is a viable way of losing weight. When you think of eating disorders, what kind of image comes to mind? Nicole Richie? Mary-Kate Olsen? Red-carpet shots of protruding ribs or an image of a supermodel nibbling on a lettuce leaf?
For the majority, this is not the true face of eating disorders, and this is what needs greater awareness. An eating disorder may exist in a stereotypical teenage girl who aspires to look like a model and goes on a starvation diet, but they could also be a middle-aged single mother, binging after her children are asleep and then overdosing on diet drugs and laxatives. Body-image campaigners Body Gossip have spoken about this far better than I could, so I’ll leave you with a few links to some fantatastic websites and a few stats.
- The stereotype of eating disorders is a teenager/young woman, white, heterosexual, middle-class, wanting to lose weight. But eating disorders occur in men and women of all ages and backgrounds. Suffers may have no obvious outward signs of their disorder and may be very successful in other areas of their lives, so the problem goes unnoticed. Not all sufferers want to lose weight, be thinner or be more attractive, the disorder can begin for many different reasons. Some sufferers may actively want to make themselves less attractive.
- The majority of individuals with eating disorders will be of ‘normal’ weight, or overweight. Many cases of obesity are due to a binge-eating disorder. Services for individuals who are not at a ‘dangerous’ weight can be very limited, adding to the stigma that one must be underweight to have an eating disorder and be ‘worthy’ of help. Ilona Burton’s fantastic article ‘But you don’t LOOK anorexic’ is well-worth reading.
- Anorexia is probably the best-known eating disorder, but only accounts for about 10% of cases. 40% have bulimia and the remaining 50% are often categorised as ‘Eating disorder not-otherwise specified’. These are disorders that do not meet the AN or BN criteria and may include: all symptoms of anorexia but being a ‘normal’ weight, binging and purging less often, abuse of diet-drugs, eating non-food items, purging without binging, binging without compensatory behaviour, eating a very selective diet such as avoidance or fear of a particular food/group, difficulties relating to swallowing.
- All eating disorders, regardless of the individual’s weight, are dangerous. Binging, purging, over-exercising, use of laxatives and diet-drugs can have very serious physical effects including electrolyte imbalance, risk of diabetes, fainting, osteoporosis, obesity, tooth damage amongst others. Sufferers of eating disorders are also at high risk of suicide, self-harm and problematic drug and alcohol use.
- Eating disorders have been seen in children of 6 and adults above pension age. Often these conditions are misdiagnosed or not picked up. Although age of onset is often between 15 and 30, many sufferers may take the disorder with them through their lives.
- An estimated 10-15% of eating disorder suffers are male, though the real figure may be greater as many do not come forward for treatment due to the stigma attached. Check out the wonderful MGET for more details.
- There is often overlap with Body Dysmorphic Disorder, where individuals have a distorted view of their body and may go to frantic and obsessive lengths to change or conceal it. Recently more attention is being given to Muscle Dysmorphia, a condition where individuals believe they are weak and ‘puny’ and may abuse steroids and over-exercise in attempts to build up muscle. This condition is seen more frequently in men than women.
- Eating disorders can be beaten! It often takes a lot of time, support, patience and determination from both the sufferer and the people around them. There will be set-backs and relapses, but recovery is very much possible and worth it.
More facts and figures at B-eat.
So there’s my bit! Don’t forget, the Re-Capture exhibition (which features one of my photos) launched today in Edinburgh and will be on at Scottish Parliament on the 27th February – 2nd March, in the Garden Lobby. More on the project here. You can also see my article on body image distortions and obsessions in our culture here.