2021: A Year In Review

What a year! 2021 was our second year in a pandemic, and seemed just as chaotic and challenging as 2020 was. Take a moment to pat yourself on the back for making it to the end of this year, it certainly hasn’t been easy, but I’m so glad you’re here. This too shall pass, and until it does, I’ll be here to support you virtually to stop feeling out of control and gain a sense of calm in relationship with food and your body

This year, more than ever, people experienced anxiety and burnout. If you’re feeling like you’re running on empty, you’re not alone. I hope you get some quality time to rest and recuperate this season. It’s always important to rest, but with the constant chaos of existence right now you might be feeling the need to slow down more than ever. I encourage you to lean into it!

You’re allowed to have periods of rest, and it’s important to listen to your body when it’s trying to tell you something. Consider this your permission slip to do nothing but self-care for the rest of the year!

Every year, I like to round up all of my blog posts from the year in one place. It’s fun to look back on the year through these posts, and I hope you find them useful as you work toward peace with food.

Here’s what I wrote about this year:

5 Reasons not to Diet in 2021 (or Ever)

“Unless you are taking a break from social media and the news, you most likely have been bombarded with messages about dieting and weight related New Year’s resolutions. Diet programs are promising the magic bullet for good health and weight loss in the New Year.

Maybe this year you are re-thinking your New Year’s resolutions. Perhaps you are beginning to notice that dieting is taking up too much space in your life or you are tired of worrying about what you eat or what you look like. It could be you are looking to “get off the diet roller coaster” permanently and heal your relationship with food and your body.

If you are ready to give up dieting, you’re not alone. Consider these five reasons to quit dieting for good.”

Anorexia Nervosa: One Size Does NOT Fit All

“Unfortunately, there are many incorrect assumptions associated with eating disorders. One I see a lot is the assumption that in order to have an eating disorder, particularly anorexia nervosa, one has to have very low body weight. This is simply not true.

Sadly these assumptions block those suffering from eating disorders from getting the life-saving treatment they need. In fact, most people with eating disorders don’t necessarily fit neatly into an eating disorder category.

Eating disorders are more about how the person relates to food, exercise, and body than what a person looks like.”

The Body Image-Eating Disorder Connection

“How we perceive our bodies is influenced by many factors, including family, friends, media, gender identity, culture, and the health-care system, to name a few. Body image is not static. It may change depending on our mood, situation, stage of life, or the season.

The majority of those who suffer with eating disorders have a negative body image. One of the key features of eating disorders is the overvaluation of weight, shape, and eating habits on self-worth.

Self-worth is how and what we think about ourselves. In other words, those who struggle with eating disorders equate much of their self-worth with their ability to control their weight, shape, and eating habits. Having a negative body image often keeps the eating disorder going.”

Maintaining Eating Disorder Recovery as a College Freshman

“College can be a difficult transition for anyone, but if you’re in recovery for an eating disorder, it can be a particularly stressful transition!

Some of the challenges of maintaining your recovery while returning to school include change in routine, increased demands and independence, and exercise/diet culture.

Remember: it’s normal for eating disorder symptoms to recur in times of high stress and periods of transition. But by taking time to consider how your recovery will be impacted in this period of transition, you can create a plan to cope with stress and continue with your recovery.”

Why You Should Try Body Acceptance Over Body Positivity

“The idea of body positivity has its roots in fighting diet culture, but the term doesn’t resonate with everyone. After all, feeling positive about your body is a tall order for a lot of people.

First of all, there is a multi-billion dollar diet industry that uses its considerable resources and influence to convince us all that there is something wrong with our bodies. Feeling insecure about how our bodies look is a surefire way to get us to buy products that will “fix” us. However, consider the idea that there was nothing wrong with your body in the first place.

People who are chronically ill or disabled might not feel like they can be positive about a body that is constantly in pain or not able to move through the world easily. People who are recovering from eating disorders might not trust their body’s cues or might feel distress when thinking about their bodies.

Body acceptance might feel like a more attainable goal than body positivity.”

4 Tips for Anyone Who Loves an Adult in Eating Disorder Recovery

“It’s possible for eating disorders to initially develop later in life, not just during adolescence. It’s also possible that adults suffering from an eating disorder developed it during adolescence and never fully recovered. Life stressors (like a pandemic, for example!) later in life can also cause a relapse of eating disorders.

Eating disorders develop for a variety of reasons including genetics, temperament, gender, and dieting history to name a few.

It is less important why and how the eating disorder developed, and more important to focus on supporting your loved one in their eating disorder recovery.”

I’ll be back in 2022, writing more about ED recovery, food peace, and weight bias. If there are any topics you want me to cover next year, let me know. You can send me a message here, and you can also follow me on Facebook. Every week, I share resources from myself + other eating disorder experts, so follow if you’re looking for more information.

4 Tips for Anyone Who Loves an Adult in Eating Disorder Recovery

by Alison Pelz, LD, RD, CDE, LCSW

When you hear the words “eating disorder” what comes to mind? More often than not, eating disorders are associated with teenage girls. While it is true eating disorders often develop in adolescence, adults can have eating disorders, too.

It’s possible for eating disorders to initially develop later in life, not just during adolescence. It’s also possible that adults suffering from an eating disorder developed it during adolescence and never fully recovered. Life stressors (like a pandemic, for example!) later in life can also cause a relapse of eating disorders.

Eating disorders develop for a variety of reasons including genetics, temperament, gender, and dieting history to name a few.

It is less important why and how the eating disorder developed, and more important to focus on supporting your loved one in their eating disorder recovery.

If you love someone in eating disorder recovery, here are four ways to show your support:

1. Think about an eating disorder like a physical illness.

An eating disorder, like cancer, is not a choice. This is often misunderstood. If it was as simple as just choosing to eat more food, far fewer people would suffer with eating disorders.

If your loved one was going through treatment for cancer you may do some of the following: learn about their diagnosis, take them to treatment appointments, provide support, and check-in with them more frequently.

You can do the same with eating disorders. Eating disorders are dangerous and can cause long-term health effects and even death, and they should be taken seriously. See what you can do to understand that eating disorders (EDs) are a physical as well as mental illness.

2. Get educated on eating disorders.

Learning as much as you can about eating disorders is another way to support a loved one in recovery. Eating disorders on the surface appear to be about food. But, make no mistake, while food issues are part of the eating disorder, eating disorders are psychiatric illnesses that must be treated by experienced clinicians. Here are some resources to learn more about eating disorders:

The National Association of Eating Disorders
The Eating Disorder Sourcebook by Carolyn Costin
Eight Keys to Recovery from an Eating Disorder by Carolyn Costin and Gwen Schubert Grabb
Skills-based Learning for Caring for a Loved One with an Eating Disorder by Janet Treasure, Grainne Smith and Anna Crane

You can also ask your loved one if they would like for you to attend treatment appointments with them so you can get a better understanding of their treatment plan and goals.

There are also resources on social media sites like Instagram that offer helpful information about eating disorders, diet culture, and recovery. Make sure to check that the information you’re getting is coming from a reliable source – there are lots of folks out there who borrow language from body positive and anti-diet circles but who are still pushing intentional weight loss or food restriction. It can be really eye-opening to learn about the root causes of eating disorders, in addition to being a great way to support someone you love with an eating disorder.

3. Learn how to communicate with your loved one in a supportive way.

As with most things, supporting someone in eating disorder recovery requires communication. The best way to find out how to support them is to ask! Ask them directly what would make them feel supported or what they’re struggling with. Find out what they would find helpful or for ways you can provide support (or adjust your support if necessary).

It can be tricky to communicate about such emotionally charged topics. Statements such as these can feel supportive to your loved one.

“I know this is hard.”
“You can do hard things.”
“I am here if you would like to talk about it.”

There are a lot of ways to be supportive, but some statements aren’t helpful for folks in ED recovery. Unhelpful statements that you may be tempted to say (remember the ED is not only about the food)

“Just eat.”
“I don’t know why this is so hard…do what I do [insert advice about food, exercise].”

Remember, eating disorders are not just about the food. Everyone’s body is different, and most of us aren’t qualified to give out medical or nutritional advice anyway – we can leave that to the folks on the treatment team.

Another thing to keep in mind is that mealtime can be particularly stressful for those with eating disorders. Some meals and foods may be easier or harder for your loved one to eat. If you eat with your loved one at mealtime it may be helpful to focus on light conversations that have nothing to do with their eating disorder.

4. Be patient.

Eating disorder recovery is a marathon, not a sprint. Recovery is not linear, in fact, it can get quite messy. It requires lots of learning and unlearning, as well as patience and self-compassion.

Don’t give up, and keep checking in with your loved one. Get support for yourself if you need a space where you can process the emotions of supporting someone through recovery. It’s okay to recognize that supporting someone sometimes means asking for help yourself. The National Alliance for Eating Disorders has free support groups for loved ones.

If you are looking for more ways to support your loved one in eating disorder recovery, talking to a therapist may help. Please schedule a free 20-minute telehealth consultation to learn how I work with clients with eating disorders and loved ones.

Maintaining Eating Disorder Recovery as a College Freshman

by Alison Pelz, LD, RD, CDE, LCSW

College can be a difficult transition for anyone, but if you’re in recovery for an eating disorder, it can be a particularly stressful transition!

Some of the challenges of maintaining your recovery while returning to school include:

Change in Routine

When in recovery, changes in routine can be tough. Routines allow for some comfort and dependability, because when we have them, we know what to expect. Routines also have very practical uses in recovery–they affect meal planning, treatment appointments, sleeping habits, etc. All of which play a role in recovery! Navigating a new routine can be challenging, and can feel overwhelming, so giving care and consideration to what your new routine will be is important.

Increased Demands + Independence

Going to college is an exciting time because it is the first taste of independence so many of us have! However, gaining independence is also a lot of responsibility–especially if we’re not used to it. It can be easy to not set any boundaries for yourself, but that’s not a sustainable way to take care of yourself. At the same time, you’ll also need to use some of that newfound independence to balance the demands of your school work, which might be more intense than you’re used to. It can be extremely stressful navigating that responsibility for the first time, and increased stress can lead to an increase in eating disorder symptoms.

Exercise + Diet Culture

On a college campus you’ll be surrounded by other young people, who are also surrounded by the constant messaging on social media about diet and beauty standards. Additionally, gyms on campus may be full of college level athletes training in ways that other folks who don’t need intense conditioning for a sport shouldn’t be pushing themselves to compete with. You might be surrounded by fear of the “freshman fifteen” or feel pressure to skip meals to study for exams with other students. The culture around food and exercise on a college campus may not be the healthiest one–and it’s important to prepare for that with a counselor beforehand so you have coping mechanisms you can use when need be.

What can you do to maintain your recovery?

Consider your schedule

Be gentle with yourself as you adjust! College is a big change and you don’t need to try to do it all at once. This means, don’t push yourself to take too many classes your first semester while you’re still getting used to the new expectations. Really think about what your limit is before you feel yourself burning out.

Consider also taking classes that you wouldn’t consider as the most challenging. It’s a whole new style of learning in college, there’s nothing wrong with taking it slow to figure out what you can handle. That way you’re not overworking yourself and you are reducing the amount of stress you might experience.

When thinking about your schedule, consider any habits you have that are helpful to your recovery (social meals, treatment appointments, etc.) and what will be needed for those in your regular routines.

Make a recovery plan before you go

Are you working with a therapist right now? Will you continue to work with them? Or will there be someone on campus to connect with? Have group supports been part of your recovery plan? What is available in terms of group support at your school? Does your current therapist have plans or ideas on what will be important to your recovery at school?

Be sure to set up any regular appointments and checkups with your treatment team ahead of time, to help provide you the professional support you may need to stay “on track.”

Are you working with a dietitian right now? Work with them to help you maintain recovery.

You might want research on what mealtimes are like at school. Consider questions like: What food is available when? Where are the places to eat? What are their hours? Do you know what food do they provide? What are the meal plans like? Is there one that is more conducive to your recovery? Together with your dietitian it might be helpful to gather some information about what the different meal plans are, and make some pros and cons for each of them.

If you don’t have a treatment team, go to the student health center on campus and they will be able to assist you.

If you need help in your eating disorder recovery or not sure if you have an eating disorder or not, please click here to schedule a free 15-minute phone consultation with me.

Anorexia Nervosa: One Size Does NOT Fit All

by Alison Pelz, LD, RD, CDE, LCSW

Unfortunately, there are many incorrect assumptions associated with eating disorders. One I see a lot is the assumption that in order to have an eating disorder, particularly anorexia nervosa, one has to have very low body weight.

This is simply not true.

Sadly these assumptions block those suffering from eating disorders from getting the life-saving treatment they need.

In fact, most people with eating disorders don’t necessarily fit neatly into an eating disorder category.

Eating disorders are more about how the person relates to food, exercise, and body than what a person looks like.

Let’s take a closer look at an eating disorder called “Atypical” Anorexia Nervosa (AAN). I put the word atypical in quotes because it is my understanding that more people suffer from AAN than anorexia nervosa, so there is really nothing atypical about it. Basically, AAN is the same as anorexia nervosa with one exception – those with AAN don’t meet the criteria for being underweight like those suffering from anorexia nervosa. In fact, some with AAN may live in a large body.

Symptoms of ANN are exactly the same as anorexia nervosa. AAN includes significant caloric restriction, intense fear of gaining weight, and overvaluation of body size and shape (ie. evaluating self-worth based on weight and shape).

Typical signs of Atypical Anorexia Nervosa could include:

Extreme concern about weight and shape
Preoccupation and worry about food
Restriction of total calories consumed
Avoidance of eating certain types or categories of food
Avoidance of social situations that involve food
Misuse of exercise or overexercising.

Often the assumption is that only white, young, female, and very thin people experience eating disorders. Because of this assumption, many eating disorders go undiagnosed. It is not uncommon for people with eating disorders, particularly those who live in large bodies, to get prescribed weight-loss diets which actually makes the eating disorder worse.

Is AAN as dangerous or serious as other eating disorders?

All eating disorders can be harmful to both physical and mental health. Eating disorders can be associated with isolation, rigid thinking, poor self-esteem, anxiety, depression, poor focus, and sleep disturbance.

What to do if you think you have an eating disorder:

Because of the abundance of misleading and harmful nutrition, weight, and exercise information, sufferers of eating disorders are often led to believe that they can recover from their eating disorder on their own. Sadly, this often prolongs the eating disorder and the suffering. If you think you have an eating disorder, here are some next steps to take:

Find a treatment provider who has experience in treating eating disorders.
Find a therapist and/or dietitian. This can be a good place to start. In your search make sure the clinician has expertise in treating eating disorders.
Read about eating disorders.
Listen to podcasts.
Know that recovery from eating disorders is possible!

If you’re looking for more support in eating disorder recovery, I can help you make peace with food and your body. Drop me a note today.

Diet Culture, COVID-19, and Weight Stigma: 2020 in Review

by Alison Pelz, LD, RD, CDE, LCSW

At the end of every year, I like to put together a post that collects everything I’ve published on my blog over the last year. And what a year it’s been. This year is nothing like we imagined it would be. We have lost almost a year of being with family and friends, experiencing new things, and living our ‘normal’ lives. If you’re feeling grief about this year, the lives lost and changed, and what could have been, you’re not alone.

This year has been hard, sad, lonely, scary, weird, and pretty much any other adjective out there. It can be hard to hold space for all of those things at once, so be gentle with yourself as you work through your feelings about 2020.

Here’s what I wrote about this year:

This year, I wrote a lot about the COVID-19 pandemic and how that interacts with folks in eating disorder recovery.

When things get hard, communities thrive. The eating disorder recovery community is more important than ever with many of us isolated and unable to connect with other ED survivors in real life. I wrote about 5 Ways to Stay on Track With Eating Disorder Recovery During COVID-19, Virtual (and Free) Eating Disorder Support Groups During COVID-19, and Coping With COVID-19 and Eating Disorder Recovery: Tips for College Students.

Rejecting Diet culture

One of my favorite ways to learn about rejecting the diet mentality is through podcasts! I put together a list of my top podcasts to help you break free from diet culture. (I also included a tip for how to find anti-diet resources: “It’s easy to be wary of what you find related to body positivity and anti-diet resources, since the movement has been flooded with people trying to cash in without spreading the actual message of the anti-diet movement. When looking for a trusted resource online, make sure that they mention on their website (hopefully prominently!) that they believe in dismantling diet culture, center larger bodies, and don’t mention weight loss anywhere on their site.”

Eating Disorders

Eating disorders are a complicated subject. One of my goals is to help people challenged with ED and other food & weight-related concerns to move from constantly worrying about food and their weight to being free to create the lives they want. The first step here is understanding what eating disorders actually are. To help, I discussed 3 Important FAQs about Binge Eating Disorder on the blog. While some of us understand the basics of eating disorders and anxiety on our own, it’s rare to see a blog post connect the two and tell you what you need to know if you’re living with an eating disorder and an anxiety disorder. I wrote about frequently asked questions related to eating disorders and anxiety to share what I know!

Weight Bias + Stigma

Weight bias is everywhere we look in our culture. It’s led to systematic discrimination of larger bodies in many areas of life – medical care, job opportunities, social interactions, to name a few. So many folks railing against people in larger bodies don’t realize that what really causes negative health outcomes is a result of stigma, not a result of having a larger body, so I wrote about how weight bias and stigma are the real hazards to health, not body size.

If there are any topics you’d like me to cover in 2021, let me know! You can message me here. If you’re looking for even more resources, make sure you’re following me on Facebook and Pinterest!Every week, I share resources from myself + other experts in the field on both platforms!

FAQ: Eating Disorders and Anxiety

by Alison Pelz, LD, RD, CDE, LCSW

It is normal to feel worry and fear from time to time. We all have experienced worry before a big test at school, a deadline at work, or a big event. Anxiety is a normal part of life. In fact, fear can help us stay safe by alerting us to possible danger, and a little bit of worrying can be motivating for some to take care of tasks. However, if you frequently feel and have intense worry, this could be an indication of an anxiety disorder.

Q: How common is anxiety?

A: Anxiety disorders are the most common mental health conditions. It is estimated that worldwide, more than 264 million people have anxiety, and about 40 million Americans have it. Anxiety is more common in girls and women than in boys and men. There are different kinds of anxiety disorders including generalized anxiety, obsessive-compulsive disorder (OCD), panic disorders, phobias, and post-traumatic distress disorder (PTSD), to name a few.

Q: How do I know if I have an anxiety disorder?

A: The short answer is: Talk to your doctor to help determine if you have an anxiety disorder.

Let your doctor know if you experience any of these common symptoms of anxiety, including excessive and uncontrollable worry, feelings of nervousness, restlessness, and tension, trouble sleeping, gastro-intestinal upset, sweating, trembling, rapid heart rate, or a sense of panic or impending doom. Again we all experience anxiety from time to time, but if you frequently experience some of the symptoms above, it may be time to talk to your doctor.

Q: I have an eating disorder and I think I have anxiety. Can you help me with both?

A: Studies show that 50-80% of people who have an eating disorder also struggle with anxiety. It is not always clear which comes first – the eating disorder or anxiety – or if the anxiety and eating disorder emerged roughly at the same time.

Anxiety usually makes the eating disorder symptoms worse, so it must be treated simultaneously with the eating disorder.

It is standard in eating disorder treatment to also treat co-occurring conditions whether it is anxiety, depression, or another condition. Many therapies or methods used to treat eating disorders can also be used to treat anxiety.

Q: How is anxiety treated?

A: Anxiety is very treatable. Anxiety disorders can be treated with psychotherapy as well as medication. I use Cognitive Behavioral Therapy to help treat anxiety and eating disorders. In a nutshell, Cognitive Behavioral Therapy (CBT) is a well-studied treatment that proposes that thoughts, feelings, and behaviors are interconnected and greatly influence one another.

CBT helps identify and challenge thoughts that are distorted or inaccurate that often lead to intense and pervasive feelings such as anxiety and depression.

Practicing CBT skills with “homework” between counseling sessions is something that I use regularly with clients. It has been my experience that clients like to have tools that they can use outside of sessions to help them manage their anxiety and eating disorder, plus it can speed up treatment the more the skills are practiced.

To learn more about anxiety and treatment here are some resources to get you started:

If you have started to notice that your anxiety is getting in the way of your normal functioning, it may be a good time to talk to a therapist. Get in touch here!