Learn how to honor hunger cues and fullness during a potentially triggering and re-traumatizing mealtime. Note that this episode may be particularly triggering as it discusses in-depth behaviors during meal-time that may distract from/inhabit or aid communication with your body. If you feel that discussion of this topic may be harmful, please do not listen. ⁠

Bibliography (show notes):

Mcgurk, Jennifer. “All about Hunger and Fullness in Ed Recovery.” Eat With Knowledge, 12 May 2021, eatwithknowledge.com/hunger-and-satiety-part-1/.

Shelton, Haylee. “Dealing with Extreme Hunger in Eating Disorder Recovery.” Hope・Full Nutrition, Hope・Full Nutrition, 26 Aug. 2021, www.hopefullnutrition.com/blog-1/dealing-with-extreme-hunger-in-eating-disorder-recovery.

Smith, Monica. “Reconnect with Your Hunger Cues.” MSU Extension, 25 Sept. 2018, www.canr.msu.edu/news/reconnect_with_your_hunger_cues.

Trundle, Hanna. “Myth: Meal Patterns Don't Affect Our Hunger and Fullness Cues.” Integrated Eating, Integrated Eating, 23 June 2020, www.integratedeating.com/blog/2020/6/23/myth-meal-patterns-dont-affect-our-hunger-and-fullness-cues.

Wagner, Hilmar. “What to Know about Hunger and Fullness Cues.” The Emily Program, 9 Jan. 2020, www.emilyprogram.com/blog/what-to-know-about-hunger-and-fullness-cues/.

The last episode of season two teaches how to communicate to someone with an ED without harming or triggering them. 

Bibliography (show notes):

“How to Be and Ally: To a Friend with an Eating Disorder.” LOVE SQUAD, LOVE SQUAD, 24 Feb. 2020, www.lovesquad.com/blog/2020/2/how-to-be-and-ally-to-a-friend-with-an-eating-disorder.

Lundy, Kursteen. “5 Ways To Be An Ally To Someone With An Eating Disorder.” Society19, 26 Mar. 2019, www.society19.com/ways-to-be-an-ally-to-someone-with-an-eating-disorder/.

Margherita Mascolo, MD. “Getting Involved as a Recovery Ally.” Alsana®, Alsana®, 7 July 2020, www.alsana.com/getting-involved-recovery-ally/.

Prentice, Emily. “How I Practice Allyship in the Eating Disorder Community.” Emily Prentice Yoga, Emily Prentice Yoga, 9 Mar. 2021, www.emilyprenticeyoga.com/blog/eating-disorder-allyship.

Anorexia collapses two extremes: martyrdom and survival, self-expression and silence, life and death. It says that the answer to being seen is to disappear. Today's episode discusses the contradictory nature of anorexia, in addition to the dominant cultural discourse and literature that craft false narratives of the illness. 

Bibliography (show notes):

Bellafante, Ginia. “Disappearing to Be Seen.” The New York Times, The New York Times, 19 Sept. 2008, www.nytimes.com/2008/09/21/books/review/Bellafante-t.html.

Chu, Paige. “Illness as Aesthetic.” The Varsity, 3 Sept. 2018, thevarsity.ca/2018/09/03/illness-as-aesthetic/.

Gregory, Alice. “Anorexia, the Impossible Subject.” The New Yorker, www.newyorker.com/books/page-turner/anorexia-the-impossible-subject.

Jamison, Leslie. “Grand Unified Theory of Female Pain.” VQR Online, www.vqronline.org/essays-articles/2014/04/grand-unified-theory-female-pain.

Rigl, Alexandra Haley. “The Anorexic Aesthetic: An Analysis of the Poetics of Glück, Dickinson, and Bidart.” Vanderbilt University, 2014. 

Waldman, Katy. “We Need to Reject the False Narratives Around Anorexia. I Can Start by Telling My Story.” Slate Magazine, 7 Dec. 2015, www.slate.com/articles/double_x/cover_story/2015/12/we_need_to_reject_the_false_narratives_around_anorexia.html.

Recovery usually means weight and bodily change. This is a reality hard to face, which is why today's episode focuses on how to celebrate physical changes in recovery. I discuss the difference between the movements of body positivity and body neutrality, in addition to the HAES model of recovery, BMI as bs, and set point theory. 

 

Bibliography (show notes):

Bacon, L. (2010). Health at Every Size: The Surprising Truth About Your Weight. Texas: BenBella Books, Inc.

“Body Positivity vs Body Neutrality.” The Female Lead Society, 3 Aug. 2020, www.thefemaleleadsociety.com/body-positivity-vs-body-neutrality.

“Health at Every Size®.” Health At Every Size Community Resources, haescommunity.com/.

“How To Cope With Weight Gain In Recovery.” The Recover Clinic, www.therecoverclinic.co.uk/weight-gain-in-recovery/.

Muenter, Olivia. “7 Wellness Experts Explain ‘Body Neutrality’ and Why It's Worth Exploring.” Byrdie, www.byrdie.com/what-is-body-neutrality-5075038.

Naftulin, Julia. “Body Neutrality, Not Body Positivity, May Be the Best Way to Fight Unsustainable Beauty Ideals. Here's How to Channel It.” Insider, Insider, 1 Sept. 2020, www.insider.com/what-is-body-neutrality-explainer-2020-8.

Oliver, J.E. (2006). Fat Politics: The Real Story Behind America’s Obesity Epidemic. (pp. 16-22). New York: Oxford University Press.

Penney, Tarra L, and Sara F L Kirk. “The Health at Every Size paradigm and obesity: missing empirical evidence may help push the reframing obesity debate forward.” American journal of public health vol. 105,5 (2015): e38-42. doi:10.2105/AJPH.2015.302552

Raypole, Crystal. “How to Shift from ‘Body Positivity’ to ‘Body Neutrality’ — and Why You Should.” Healthline, 20 Jan. 2021, www.healthline.com/health/body-neutrality.

“Size Diversity & Health at Every Size.” National Eating Disorders Association, 22 Feb. 2018, www.nationaleatingdisorders.org/size-diversity-health-every-size.

“Understanding Weight Gain in Recovery.” The Emily Program, 12 Mar. 2019, www.emilyprogram.com/blog/understanding-weight-gain-in-recovery/.

“Yes, Weight Gain Is Hard. Check out These 8 Ways to Cope With It.” Recovery Warriors, 31 Mar. 2021, www.recoverywarriors.com/8-way-cope-weight-gain/. 

https://www.instagram.com/p/CNZoS-XJgw4/?utm_source=ig_web_copy_link

https://www.instagram.com/p/CNgb3AHLTh_/?utm_source=ig_web_copy_link

https://www.instagram.com/p/CIFtBGQpxIx/?utm_source=ig_web_copy_link

https://www.instagram.com/p/CHOTNMUFGlE/?utm_source=ig_web_copy_link

https://www.instagram.com/p/CGzsP6bl0VA/?utm_source=ig_web_copy_link

https://www.instagram.com/p/CGF9BZTJWYo/?utm_source=ig_web_copy_link

Body dysmorphic disorder (BDD) is a chronic mental health condition that is characterized by intrusive worries about perceived defects or flaws. It occurs in about 2.5 percent of males and 2.2 percent of females. It is listed in the DSM-5 under the heading "Obsessive-Compulsive and Related Disorders”. It is not classified as symptomatic of an eating disorder, despite these disorders’ shared core feature of disturbed body image. Researchers have estimated that as many as 12% of people with body dysmorphic disorder also have anorexia or bulimia. Learn more about the intersection between BDD and EDs in today’s episode!

 

Bibliography (show notes):

Screening Questionnaire: https://bddfoundation.org/helping-you/questionnaires-do-i-have-bdd/

Anglia Ruskin University. "Study links eating disorders with body dysmorphia: Research finds rate of body dysmorphia is 12 times higher among gym goers with eating issues." ScienceDaily. ScienceDaily, 13 October 2020. .

Body Dysmorphic Disorder. 29 Oct. 2019, www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/symptoms-causes/syc-20353938#:~:text=Body%20dysmorphic%20disorder%20is%20a,may%20avoid%20many%20social%20situations.

Body Dysmorphic Disorder. www.hopkinsmedicine.org/health/conditions-and-diseases/body-dysmorphic-disorder.

Cowden, Susan. “How Body Dysmorphic Disorder and Eating Disorders Are Connected.” Verywell Mind, 1 Dec. 2020, www.verywellmind.com/body-dysmorphic-disorder-eating-disorders-1138186.

Grant, Jon E, and Katharine A Phillips. “Is anorexia nervosa a subtype of body dysmorphic disorder? Probably not, but read on...” Harvard review of psychiatry vol. 12,2 (2004): 123-6. doi:10.1080/10673220490447236

Hunnicutt, Carrie. “How Body Dysmorphia Affects the Development of Binge Eating Disorder and Bulimia Nervosa.” Monte Nido, 30 Sept. 2020, www.montenido.com/binge-eating-disorder-and-bulimia-nervosa/.

McConville, Sharon. “Body Dysmorphia and Its Link to Eating Disorders: How Do They Relate?” Eating Disorder Hope, 11 June 2019, www.eatingdisorderhope.com/information/body-image/body-dysmorphia.

McIsaac, Nicole. Pandemic Has Increased Body Dysmorphia Disorder While Decreasing Sexual Encounters. 30 Mar. 2021, quchronicle.com/72616/arts-and-life/pandemic-has-increased-body-dysmorphia-disorder-while-decreasing-sexual-encounters/.

Mental Health: Body Dysmorphic Disorder. www.webmd.com/mental-health/mental-health-body-dysmorphic-disorder.

Montague, Kelly. “Learning to Love Your Body: How Body Dysmorphia Can Lead to Eating Disorders.” Mission Health Blog, 25 Apr. 2019, blog.mission-health.org/2019/02/25/how-body-dysmorphia-can-lead-to-eating-disorders/.

Questionnaires – Do i Have Bdd? bddfoundation.org/helping-you/questionnaires-do-i-have-bdd/.

Schaefer, Jenni, and Katharine Phillips. “The Body as a Prison: Eating Disorders and Body Dysmorphic Disorder.” BDD, bdd.iocdf.org/expert-opinions/the-body-as-a-prison-eating-disorders-and-body-dysmorphic-disorder/.

Schaefer, Jenni. “Is It an Eating Disorder or Body Dysmorphic Disorder?” Eating Recovery Center, 23 Mar. 2017, www.eatingrecoverycenter.com/blog/signs-symptoms/Eating-Disorder-Body-Dysmorphic-Disorder.

Susan McQuillan. “What It's Like to Suffer Daily With Body Dysmorphic Disorder.” Psycom.net - Mental Health Treatment Resource Since 1996, 24 Oct. 2019, www.psycom.net/body-dysmorphic-disorder.

Symptoms & Related Disorders. adaa.org/understanding-anxiety/body-dysmorphic-disorder/symptoms-related-disorders.

Does having an eating disorder complicate fertility for young women? Is infertility a problem after recovery from an eating disorder? What about EDs during pregnancy? ⁠⁠These are all questions answered in today's episode. Also featured is a letter our host Kiera wrote to her body exploring the future that she might face. 

 

Bibliography (show notes):

"Anorexia Took Away My Ability to Have Children, and i Don't Know If i Will Get It Back". 14 Nov. 2019, www.cosmopolitan.com/uk/body/health/a29624622/anorexia-infertility-eating-disorder-side-effects/.

Boyles, Salynn. Eating Disorders Affect Fertility, Pregnancy. 5 Aug. 2011, www.webmd.com/mental-health/eating-disorders/news/20110805/eating-disorders-affect-fertility-pregnancy.

Crossman, Mittsi. Fertility and Pregnancy in Eating Disorders. 27 Feb. 2020, www.edcatalogue.com/fertility-pregnancy-eating-disorders/.

Eating Disorders and Infertility - Anorexia - Bulimia - Austin Fertility Doctors. 25 Aug. 2020, txfertility.com/female-infertility/eating-disorders-and-infertility/.

Heidi, Murkoff. Eating Disorders and Infertility. 5 Mar. 2019, www.whattoexpect.com/getting-pregnant/ask-heidi/eating-disorders-and-infertility.aspx.

Hoffman, Elizabeth R et al. “Reproductive issues in anorexia nervosa.” Expert review of obstetrics & gynecology vol. 6,4 (2011): 403-414. doi:10.1586/eog.11.31

Miller, Anna Medaris. The Lasting Toll of an Eating Disorder: Fertility Issues. health.usnews.com/wellness/articles/2016-03-31/the-lasting-toll-of-an-eating-disorder-fertility-issues.

Norré, J., et al. “The Management of Eating Disorders in a Fertility Clinic: Clinical Guidelines.” Journal of Psychosomatic Obstetrics & Gynecology, vol. 22, no. 2, 2001, pp. 77–81., doi:10.3109/01674820109049957.

Ward, Veronica Bridget. Eating Disorders in Pregnancy. 10 Jan. 2008, www.bmj.com/content/336/7635/93.short?casa_token=Zk71cqAd58sAAAAA%3ALXxKdy8n-AjEvsyMi5EcHOEeYPUcnFmqhTHoQEswuWwzeFG0sbjuIifCSCNfIpOUriIZgOaSsJY-.

HTIL is a space of healing, recovery, and storytelling. These words appear together on purpose, becoming nearly synonymous. As our trauma-informed care models continue to develop, studies demonstrate that self-expression in art is powerful in recovery.⁠⁠Learn more about the indigenous origins of storytelling and how to become an active agent in your own healing in today's episode!⁠

 

Bibliography (show notes):

Brown, Jennifer. “Perspective Switch: Healing Trauma through Healthy Storytelling.” Medium, Medium, 20 Feb. 2019, medium.com/@jenniferbrown_97699/perspective-switch-healing-trauma-through-healthy-storytelling-dbd3c670343d.

Dionne, Renda, et al. Storytelling As A Healing Modality, www.cibhs.org/sites/main/files/file-attachments/wed_130_mr3_madrigal_madigal_bogany_ruhs_cimh_storytelling_send.pdf?1539965816.

Fontaine, Zita. “How Storytelling Helps You Heal.” Medium, The Startup, 15 Oct. 2019, medium.com/swlh/how-storytelling-helps-you-heal-9ed3290c95a9.

Jackson, Sha. “The Healing Power of Storytelling.” Coming To The Table, comingtothetable.org/the-healing-power-of-storytelling/.

Nsn. “NSN.” National Storytelling Network, storynet.org/what-is-storytelling/. 

Raab, Diana. “Writing and Storytelling for Healing.” Psychology Today, Sussex Publishers, 8 Oct. 2018, www.psychologytoday.com/us/blog/the-empowerment-diary/201810/writing-and-storytelling-healing.

The Science Behind the Healing Power of Storytelling, Native Hope, blog.nativehope.org/the-science-behind-the-healing-power-of-storytelling.

Understanding The Healing Power of Storytelling, Native Hope. 

Der, Kolk Bessel van. The Body Keeps the Score. Penguin, 2015.

Kaplan, Ellen W. "Going the Distance: Trauma, Social Rupture, and the Work of Repair." Theatre Topics, vol. 15 no. 2, 2005, p. 171-183. Project MUSE, doi:10.1353/tt.2005.0024.

The commonality of gastrointestinal complications in those who have recovered from or suffer with eating disorders is astounding. Most studies demonstrate upwards of 95 percent of those with a documented eating disorder (ED) fit the criteria for a functional gut disorder (FGD) and upwards of 50 percent for Irritable Bowel Syndrome (IBS). In this episode, we discuss how digestive issues differ in types of EDs and how the trauma caused by an ED may predisposed one to develop a FGD. I also discuss my recent diagnosis of IBS and how healing has become infinitely more complicated with concomitant disorders. 

 

Bibliography (show notes):

Decker, Carrie A. “Digestive Issues - The Overlap of Anxiety and Eating Disorder Struggles.” Eating Disorder Hope, 12 Feb. 2015, www.eatingdisorderhope.com/treatment-for-eating-disorders/co-occurring-dual-diagnosis/anxiety/digestive-issues-the-overlap-of-anxiety-and-eating-disorder-struggles.

Der, Kolk Bessel van. The Body Keeps the Score. Penguin, 2015.

“Digestive Disorders and Eating Disorders: A Complicated Mix.” Marci R.D., 21 Oct. 2020, marcird.com/digestive-disorders-eating-disorders-a-complicated-mix/.

Fenkanyn, Stephani. “Digestive Issues & Eating Disorders: How to Ease Discomfort without Obsessing.” BANA, 7 May 2020, bana.ca/digestive-issues-eating-disorders/.

Harer, Kimberly N. “Irritable Bowel Syndrome, Disordered Eating, and Eating Disorders.” Gastroenterology Hepatology, www.gastroenterologyandhepatology.net/archives/may-2019/irritable-bowel-syndrome-disordered-eating-and-eating-disorders/.

Judge, Erin. “The Connection Between Eating Disorders and IBS - Gutivate - IBS & SIBO Nutrition Counseling & Coaching.” Gutivate, Gutivate - IBS & SIBO Nutrition Counseling & Coaching, 15 Mar. 2021, gutivate.com/blog/eating-disorders.

Leon, Erica. “GI Symptoms in Eating Disorders - Mirror.” Mirror, 18 June 2020, mirror-mirror.org/gi-symptoms-in-eating-disorders.

Long, Jessica. “The Intersection of Anxiety, Eating Disorders, and IBS.” Sunny Side Up Nutrition, 1 Aug. 2019, sunnysideupnutrition.com/anxiety-eating-disorders-ibs/.

Mahoney, Ben. “How Eating Disorders Affect the Digestive System - MEDA - Multi-Service Eating Disorders Association.” MEDA, 22 May 2018, www.medainc.org/eating-disorders-affect-digestive-system/.

MBA, Reid J. Robison MD. “The Body Keeps Score.” Medium, Beat Eating Disorders, 21 Nov. 2017, medium.com/beat-eating-disorders/the-body-keeps-score-14790ec3fae7.

Rodriguez, Tori. “Expert Q&A: Low-FODMAP Diet Risky in Patients With Eating Disorders.” Gastroenterology Advisor, 8 Oct. 2019, www.gastroenterologyadvisor.com/irritable-bowel-syndrome-ibs/expert-qa-low-fodmap-diet-risky-in-patients-with-eating-disorders/.

Santonicola, Antonella, et al. “Eating Disorders and Gastrointestinal Diseases.” Nutrients, vol. 11, no. 12, 2019, p. 3038., doi:10.3390/nu11123038.

Sato, Yasuhiro, and Shin Fukudo. “Gastrointestinal Symptoms and Disorders in Patients with Eating Disorders.” Clinical Journal of Gastroenterology, Springer Japan, 26 Oct. 2015, link.springer.com/article/10.1007/s12328-015-0611-x.

Eating disorders are largely characterized as feminine, and thus males or omitted from research, diagnosis, and treatment. Yet, studies have demonstrated that one in three of those struggling with EDs identify as male. To learn more about the nuances and challenges that accompany the experience of being a male with an eating disorder, listen to epsidoe eighteen.

Karen Carpenter, one-half of one of the biggest American musical acts of all time, sensitized the public to the seriousness of an eating disorder. Today’s episode discusses her tragic life and death, in conversation with Todd Haynes’ film entitled “Superstar: The Karen Carpenter Story”. Our cultural response to her suffering and eventual death is heightened because of her perceived untouchability and her very existence as a spectacle who is exploited by the media. Carpenter’s life was in and of itself its own screen at which to view anorexia; an object to gawk at, trivialize, and dehumanize. 

 

Bibliography (show notes):

Banerji, Atreyi. “The Tragic Story of Karen Carpenter: An Artist Failed by a Faltering Society.” Far Out Magazine The Tragic Story of Karen Carpenter An Artist Failed by a Faltering Society Comments, faroutmagazine.co.uk/karen-carpenter-tragic-story-mental-health/.

 

Chu, Paige. “Illness as Aesthetic.” The Varsity, 3 Sept. 2018, thevarsity.ca/2018/09/03/illness-as-aesthetic/.

 

Eames, Tom. “The Tragic Story of Karen Carpenter, One of the Greatest Vocalists of All Time.” Smooth, 27 Mar. 2019, www.smoothradio.com/artists/carpenters/karen-carpenter-death-story-solo-album-husband/.

 

Gilbert, Sophie. “'To the Bone' and the Trouble With Anorexia on Film.” The Atlantic, Atlantic Media Company, 19 July 2017, www.theatlantic.com/entertainment/archive/2017/07/to-the-bone-review-netflix/533517/.

 

Haynes, Todd, director. Superstar: The Karen Carpenter Story. Youtube, 1988, www.youtube.com/watch?v=H13d1nOorJM. 

 

Latson, Jennifer. “Karen Carpenter: How Did She Die?” Time, Time, 29 Dec. 2016, time.com/3685894/karen-carpenter-anorexia-death/.

 

Person. “The Real Reason Karen Carpenter Was Driven to Anorexia.” Independent, Independent.ie, 18 Mar. 2016, www.independent.ie/life/the-real-reason-karen-carpenter-was-driven-to-anorexia-26703889.html.

 

Rose, Megan. “It Begins And Ends With Empathy; Remembering Karen Carpenter. • National Association of Anorexia Nervosa and Associated Disorders.” National Association of Anorexia Nervosa and Associated Disorders, 6 Apr. 2020, anad.org/begins-ends-empathy-remembering-karen-carpenter/. 

 

Schmidt, Randy. Karen Carpenter: Starved of Love, by Randy Schmidt | Extract. 23 Oct. 2010, www.theguardian.com/books/2010/oct/24/karen-carpenter-anorexia-book-extract.