Categories
Mental Health Parenting

Splitting: Mom Said I Could!

Two proud zebras (Photo credit: Wikipedia)

In Psychology, Splitting refers to black and white thinking and is according to Wikipedia “the failure in a person’s thinking to bring together both positive and negative qualities of the self and others into a cohesive, realistic whole.” According to Dr. George Simon, PhD., it is “an unconscious ego defense mechanism by which a fairly complex entity cannot be accepted into consciousness in its entirety because it contains aspects that are both acceptable to a person as well as unacceptable.” It is a common defense mechanism in people suffering from personality disorders, whose modus operandi is endless patterns of unstable and intense interpersonal relationships.

 

For the purpose of this particular blog, however, I am addressing the behavioral issue of splitting we most commonly see amongst kids in relation to authority figures. I’m referring to the common use of the phrase, which is used loosely in reference to kids and teens attempting to separate their parents with the intention of getting what they want. The behavior is similar in that it is an attempt to create a “good guy/bad guy” scenario. Splitting is an often misused term, and even I am misusing it in this blog as I am not referring to its true psychological meaning. This divisionary behavior is what we refer to as “staff splitting” and is loosely used by parents and staff members in the culture of treatment environments.

“No” is difficult to hear for most of us. It evokes a sense of disappointment and perhaps even a sense of loss. If we’re being honest with ourselves, none of us really likes a “no.” It’s difficult to accept such an answer to a request, as it tends to be attached to the outcome. When we can’t accept an answer we’ve been given, then our request is, in fact, a demand. Driven by the cravings of selfishness, our perspective can become skewed and we will often search out the justification we need for indulgent and often unhealthy behavior. Here is where we begin the search for the answer or answers we want, intent on defying the one we have been given. Kids tend to do this all the time, which is what we refer to as “splitting.” It typically looks like this: “But Mom lets me,” or “Dad said it was OK.” It’s a way for kids to find control in a situation that feels unacceptable to them, or to avoid feelings of dissatisfaction.

 

Not all kids behave in this way, however. The more aggressive personality types are more prone to this behavior, and they lean toward bullying one parent or staff member as they attempt to get what they want. Some key things to remember are:

  • Firm boundaries
  • Clear communication
  • Clear set of rules and expectations
  • No is a complete sentence.
  • Maybe isn’t an option.
    • Remember, backing out of a “No” is far easier than backing out of a “Yes.

No one said raising kids was easy. Remember, it didn’t come with a manual! The individuation process is smelly and rude and full of adventures and testing of limits. As the adults in this scenario, we have to try and remember what it was like. We also pushed boundaries (some of us pushed harder than others –ahem), but, once we lose it, the scale tips in the wrong direction. It is our responsibility to stay grounded.

 

If you are dealing with a legitimate psychological situation where the truest form of splitting is an issue, I encourage you to seek the appropriate care. You can find more information on splitting here and here. If you need help with mental health issues, please contact us; we are here to help.

Categories
Adolescence Feelings Holidays Mental Health Parenting Recovery

Healing the Heart: Father’s Day

Healing. (Photo credit: WolfS♡ul)

Father’s Day came and went, but I was struck by the aftermath of the day, nonetheless, when my son sat in the midst of his anger and disappointment after his own father didn’t show up for him. When my son said, “Not only did my dad not show up, he only spent 2 minutes with me on the phone,” I felt his deflation. I felt the letdown and longing for a father that would never be. And I had a visceral memory of what that was like. However, as a parent, my role isn’t to project my past onto my son’s present. Rather, my role is to hold space for him to feel and experience that which ails him, allowing his emotions to safely ride though his body. As a parent, I have to do my work on my own. Not via my son.

 

Father’s day, like Mother’s day, can elicit a varied set of emotions for our kids and for us as parents. They can range from untended loss, or expectations, abandonment, and deep grief rising internally around parents that were never available for us, be it physically or emotionally. When I first became acutely aware of this in my own life, I did what many of us do: I spiritually bypassed the situation and filled my time with practices of avoidance. At that time, my outsides appeared to be ok, but my inner voice remained devastated. The scary part is finding our voice amidst that loss. Sometimes it wobbles. Sometimes it screams. But it’s there, waiting to come out.

 

My son found his voice yesterday; he used it well. He leaned into his resources and shared his frustrations and sense of loss. He really discovered how available his step-dad is for him, finding grounding in the emotional presence and support that has been made available to him over the last 5 years. I had the honor of baring witness to such splendor.

 

Sometimes, we find ourselves grappling with the reality of having what we need but still wanting something we cannot have: my son wanting his father to be a dad but having a step-father who gives him everything he needs. On Father’s Day, we ventured to the beach, and when Joseph dried him off and kissed his head, my son giggled and said, “My dad would never do that.” It is in these moments where we hold space for that grief I was speaking of; here is where we can allow this young man the time to process the weight of his loss while reveling in the joy of the experience itself.

 

Parenting is a process and being a kid is a process. Somewhere, we meet in the middle, knees and hearts bruised along the way. But if I’ve learned anything, it’s this: our hearts have a tremendous capacity to heal. The heart, I know, is a muscle of great resilience. It can even open to the tumult of holidays, learning to forgive and/or navigate the foibles of clumsy parents and the awkwardness of adolescence.

Categories
Anniversary Blogs Recovery Service Treatment

Mie Kaneda, Counselor, CADC

Mie Kaneda is one of our magnificent CD counselors and licensed CADCs  who also happens to be a California native. Mie is a remarkable ball of energy and service: she has a background in gymnastics as well as personal training. She currently spends her time at our residential facility but can also be found at our outpatient facility working with clients  or training folks at Burn 60. Mie is facilitates groups in addition to meeting with individual clients and also helped start the Teen Love group aimed to support teens struggling with love addiction.  Mie loves to use movement with the clients to get them back into their bodies and show them how much fun they can have in recovery. In her youthful, spunky way, Mie imbibes her recovery and the recovery of others with joyful fire.

 

As always, the Visions family has wonderful things to say about Mie, so please read on: 

 

“Mie is the most upbeat spirited counselor I know. She is always willing to help out in all areas! She’s taught me so much as a counseling intern. Thank you!” – Chloe Huerta

“Mie has a great energy about her! It’s that same positive energy that glows in her work when it comes to our kids in treatment.” – Janette Duran

“Mie is a fireball of energy and enthusiasm.” – Heather Colligan

“It is great to have Mie on the Visions team. Mie’s energy is contagious and she is always ready to pitch in wherever needed. Mie believes that recovery is more than just not using or not doing negative actions. Mie believes that recovery is about positive action. Mie shows the kids how movement and exercise tie into recovery.” – John Lieberman

“Mie is one person with the energy of 10!  She is always looking at the bright side and trying to do everything she can to help reach the kids who need extra attention.  Mie has added so much to our team.  She is an amazing physical trainer, and helped start our Teen Love group that was so needed by our clients who tend to focus on the members of the opposite sex as opposed to their personal recovery plan.  Mie is someone who will show up, no matter what, with a smile on her face, ready to help.  We are so grateful for her dedication to not only the clients, but to Visions as well.” – Chris and Amanda Shumow

 

 You know Mie had to answer 10 questions, so here are her answers! 

 

1: Where is your favorite place to run?

Anywhere and everywhere

2: If you were to select a food that best describes your character, what food would it be?

Sushi (duh!) because it is small, colorful, tasteful and HOT when you add wasabi! 

3: Do you play any instruments?

Piano

4: What’s your favorite song to sing along to?

Drops of Jupiter by Train and anything Adele

5: Yoga or Pilates?

Both.

6: Are you the queen of the kitchen or master of take-out?

Princess of kitchen and queen of take out.

7: What is your Starbuck’s order?

Double short soy latte ( for real!)

8: Favorite way to motivate adolescents.

Help them love and believe in themselves, focus on their strengths and talents and teach them to have sober fun!!!

9: How do you start your day?

Pg. 86 in BB, women’s meditation, coffee and a smile!

10: Why do you choose to work for Visions?

Because my employers are the bomb, therefore everyone that works for and with them shine brightly. I had a challenging time as a teenager and young adult. If I can help them through their rough patches OR help then to not go through what I did, help them have a healthier life filled with joy and promise, I have fulfilled my dreams and possibly my destiny.

                                                                                                               

Categories
Anniversary Blogs Recovery Service Treatment

Lianne Domingo: Logistics Coordinator

Lianne Domingo is our stupendous Logistics Coordinator, making sure all of our facilities have their I’s dotted and their T’s crossed, and also well-stocked with everything we need. One of the things I adore about Lianne is her infectious personality and sense of humor. She can make the mundane fun and she brings light and laughter into everything she does, even if it’s simply loading the printer with paper. Throughout the years, Lianne has worn many hats at Visions, and as a result, she understands the deep inner workings of what makes us tick. She is the ultimate problem solver and eternal enthusiast. Lianne would be an ideal teammate in a zombie apololypse. I can’t say enough about her, and neither can the staff. Check it out:

“Lianne started out as my tech and ended up being an amazing coworker. I love that Lianne is approachable and so willing to help. She’s truly a team player and I’m happy I’ve gotten the chance to know her.” – Chloe Huerta

“She is like the encyclopedia of Visions and if you need something handled, she is the person to take charge and get it done! As well as being warm and compassionate with the teens, she has an infectious laugh that sets all at ease and brings up the energy!” – Heather Colligan, MA, MFT

“Lianne is always willing to go the extra mile. Lianne can walk into any situation and provide support and help for the staff and the families at Visions. Lianne continually takes care of many of the behind-the-scenes tasks that can go unnoticed. Lianne is always encouraging and a partner in helping Visions provide great care to the kids and families we serve. Lianne’s positive and disarming personality always makes my day a little happier.” – John Lieberman

 

“Lianne is our new Logistics Coordinator because she is the boss of all of us!!  Lianne is able to step into any position at Visions and look at the situation with a critical eye for what is best for the client or company.  Lianne has risen through the ranks of Visions because of her kind ways, sense of humor, and work ethic.  (We overlook the Disneyland addiction!) We look forward to Lianne getting married and love that her fiancée is also a part of the Visions family. Lianne is just the right balance between fun and business and is just the kind of person we want for the future of Visions. Thank you for all you do…(and thanks for getting me addicted to Snapchat.  I’m pretty sure that you are not supposed to have this much fun at work!)” – Chris and Amanda Shumow

 

Continue to read on for Lianne’s amazing answers to our 10 questions:

1: If you could have invented anything from history, what would you pick?

Post-its… What a great concept. Semi adhesive sheets of paper that you can write on and put anywhere. Genius!

2: Cats or dogs?

Definitely dogs. I’m allergic to cats and it’s pretty bad.

3: Do you sing in the shower?

Yes I do. I totally recommend it.

4: What is your favorite ride at Disneyland?

The Haunted Mansion would have to be my favorite ride. My favorite part of the ride is the room with the dancing ghosts. There’s also a Hidden Mickey in this room. I haven’t had too much experience with the supernatural. If I ever do, I hope it’s just as fun!

5: Which Avenger would you be?

I think I would want to be the Hulk. Not even sure why. He’s just really cool. Maybe it’s the calming green color.

6: What is your inspiration?

My brother Aron is a big inspiration. He is a physical therapy student at CSUN right now and totally rocks at the school thing. He’s one of the most dedicated people I know.

7:  If you were to perform in the circus, what would you do?

Flying trapeze. There’s something freeing about flying through the air and having total trust that the other person will catch you.

8: Roller skates or roller blades?

Roller skates. Although, I would probably be a complete mess if I tried to roller skate now.

9: Are you following your dreams?

Growing up, I always knew I would be helping people. So, yes. I believe I am following my dreams. Ten years ago, I would never have thought I would be helping people in this capacity. One thing I have learned is that God will give you what you ask for. It just may not be how you planned it.

10: Why do you choose to work for Visions? 

When I started at Visions, I had no idea what I was getting into.  I fell into the job with no experience in recovery or treatment. I choose to work at Visions because my ideals about people are challenged all the time and I am challenged to be open to the different people I deal with everyday. Seeing that “click” when a kid is finally willing and surrenders to the process is amazing. I get to be a small part of that process along with the wonderful people I work with.

 

 

Categories
Anniversary Blogs Recovery Service Treatment

Roxie Fuller: Mental Health Recovery Mentor

Roxie Fuller is a remarkable Mental Health Recovery Mentor who brings a sense of calm compassion and kindness to everyone she engages with. Roxie has the innate ability to carry a sense of serenity with her wherever she goes, regardless of circumstance. There’s something truly wonderful about Roxie: her quiet calm, the gleam in her eye, and her subtle, yet hilarious, sense of humor. Roxie is really a gem of a human being. We are grateful to have someone of this caliber as part of the Visions team. The staff wholeheartedly agrees with me:

 

Roxie is the sweetest old soul that you know is always listening. She’s hard working and is truly passionate about the well-being of the kids. I’m so grateful I’ve had the opportunity to work with her. – Chloe Huerta

Roxie: in that moment you think of her, it’s like a million words to describe joy, happiness, and kind-hearted come rushing your way, and yet you can’t pinpoint any perfect word to describe her–she’s just that amazing. – Janette Duran

Her gentle presence provides much serenity to the houses. It is a pleasure to have her assisting mental-health clients as a mental-health recovery mentor. – Heather Colligan

Roxie The ROCK! Do not ever underestimate Roxie. Through my time at Visions, I have been touched by how much Roxie cares for the kids and families. Roxie wears her heart on her sleeve and is always willing to give her time and energy to help. Even during the most challenging times, Roxie is aware of the emotional needs of the kids. Roxie has a quite presence that has a calming effect on the atmosphere whereever she is. – John Lieberman

Roxie!  Who doesn’t love Roxie?!  She has been a constant at Visions for years.  She is so kind to the clients and staff alike and truly cares about all of us.  Roxie has taken the steps and initiation to work with clients who are struggling with AlAnon issues and is a mentor to all of the females in our program.  Her sense of humor and compassion are just two of the things that we truly appreciate about her.  She is always looking at the best way to do things and offers support without question.  We love us some Roxie!! – Chris and Amanda Shumow

 

Without further adieu, let’s continue for Roxie’s answers to our wacky 10 questions!

 

1: If you could be a superhero, who would you be?

Catwoman? Or Meryl Streep

2: What’s your favorite part of a road trip?

Photographing random roadside novelties

3: Cake or Pie?

Cake!!!

4: Are you a landlubber or seafaring lass?

Landlubber, I love forests. Lakes are great but the ocean intimidates me. I won’t go in past my thighs.

5: If you could have a song written about you, what musician would you want to compose it, who would perform it, and what would it be called?

Thom Yorke, “The Greatest Actress l know, and Love of My Life”

6: What did you want to be when you grew up?

Kim Zmeskal, story teller, vet.

7: If there were one magical power you could have, what would it be?

The ability to be invisible.

8: Favorite book.

“Prep” by Curtis Sittenfeld and Salinger everything.

9: What makes you laugh with abandon?

30 Rock, Strangers With Candy, my Mom, my BFF.

10: Why do you choose to work for Visions?

I have so much faith and respect for my coworkers and Visions as a whole. I see miracles happen all the time when our residents become happier, when genuine life comes back to their eyes. The fact that I get paid to witness this is insane. I was a very depressed and anxious teenager but there were no great inpatient treatment centers for adolescents in the 90’s (at least none that myself or my parents knew of) I could only wish Visions had started back then. I’m so honored to be a part of something great, where it’s core is to help/save adolescents and their families.

Categories
Addiction Prevention

Dr. Omar Manejwala: Craving

Dr. Omar Manejwala is a an addiction psychiatrist, SVP/CMO at Catasys, former Hazeldon Medical Director and the author of the new book Craving: Why We Can’t Seem to Get Enough. He is an addiction expert, with a strong background in psychiatry and addiction medicine, making him a remarkable resource for mental health professionals. In Craving, Dr. Manejwala digs deeply into the phenomenon of craving and provides real insight into what makes the addictive mind tick in a way that is accessible to everyone from the layperson to the mental-health practitioner.

 

Craving is that biting sensation in the mind and body, often relentless in its power. In the addictive mind, craving acts as fuel to the fire, creating a maelstrom of negative behaviors resulting in a bottomless, and often hopeless pit of dissatisfaction. This book is a timely interjection into the state of craving and addiction. Dr. Omar Manejwala provides tools to understand the root cause of our craving, providing useful tools and means with which to overcome them.

 

Tonight, we are honored to sit with Dr. Omar Manejwala and talk shop, ask questions, and engage in the process of gaining a deeper understanding of Craving and what that means for those of us working in the addiction field. Stay tuned for a follow-up blog.

 

Check out the video sneak of Dr. Manejwala talking about the book. You can also follow him on Twitter and on Facebook.

https://youtu.be/vkav7_wyh40

Categories
Recovery

Aleksandra Petrovic, LMSW — Trauma Specialist

Aleksandra Petrovic, LMSW, is a trauma specialist, coming to Visions via New York where she worked with underprivileged children and their families. Aleksandra’s work led her to a hospital outpatient program for dual-diagnosed adolescents, which used DBT (Dialectical Behavioral Therapy) as their primary modality of treatment. Continuing to help underprivileged youth, Aleksandra went on to work at a state-run adolescent recovery center with children ages 5-16 who had been shuffled through the foster care system until they could no longer be placed due to their behavior. Aleksandra earned her B.A at Columbia University, double majoring in psychology and French literature, with a minor in neuroscience. She went on to earn her masters degree in social work at Hunter’s School of Social Work in NYC.

Aleksandra has completed her training in EMDR at the EMDR Institute under its founder Francine Shapiro. She uses EMDR (Eye Movement Desensitation and Reprocessing) and TF-CBT (Trauma Focused Cognitive Behavioral Therapy) regularly when working with clients and their trauma(s).

EMDR is a

“one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. (via SAMSHA)

TF-CBT is a

“psychosocial treatment model designed to treat posttraumatic stress and related emotional and behavioral problems in children and adolescents. Initially developed to address the psychological trauma associated with child sexual abuse, the model has been adapted for use with children who have a wide array of traumatic experiences, including domestic violence, traumatic loss, and the often multiple psychological traumas experienced by children prior to foster care placement.” (via SAMHSA)

Aleksandra will use TF-CBT by having a client paint or write their story several times until there is a full range of emotions expressed. The repetition of reading and writing eventually desensitizes the severity of the impact of one’s memories. Aleksandra also uses Internal Family Systems (IFS) to help her clients safely access their trauma, helping them “go back” into the traumatic scene and “save” their younger selves. Processes such as these require a commitment to doing difficult work, but they are worth the efforts.   Deep trauma work employed in the modalities Aleksandra uses is extremely beneficial for treating trauma in adolescents and helping them process their trauma in a safe, therapeutic way.

Aleksandra uses the treatment modality most beneficial to her client’s needs whether it’s EMDR, TF-CBT, IFS, writing, movement, or art. Her approach and style are right in line with the Visions’ holistic, client-based approach to adolescent treatment. Her work with the kids at Visions is very individualized–Aleksandra first focuses on building a rapport with the kids, and creating a trusting, safe environment for them to express themselves. When she treats trauma, she assesses where the client is emotionally, whether their trauma was chronic or an isolated event, their awareness surrounding their trauma, if it is repressed or glaringly present, and whether or not there are any psychological issues like mood disorders, depression, or mania present resulting in a dual diagnosis.

Aleksandra has taken her own trauma recovery and transformed it into a path of being of service to adolescents struggling with their own deep traumas. She believes that treating trauma is a crucial step in working on one’s recovery from addiction, eating disorders and other mental health issues. Aleksandra recognizes the influence of major and minor traumas as often being the underlying cause of substance abuse and self-harming behaviors.  We are so fortunate to have such a compassionate, caring trauma specialist as part of our clinical team at Visions Our clients now have access to trauma treatment in both our residential and outpatient programs, as we recognize the deep impact unresolved trauma has on one’s recovery.

Categories
Mental Health Recovery Self-Care

Don’t Let Dysfunction Dim Your Light

When we come to recovery, one of the toughest realizations is the discovery of family dysfunction and the work it takes to heal those relationships. Sometimes when we heal, our families don’t heal with us. Being the addict or alcoholic or person suffering from mental illness typically makes us the focal point within the dysfunctional family. So when the healing process begins, it’s not uncommon for a family to try and divert their loved one back to their old behaviors or at least to their old emotional responses. It is what’s familiar, after all. It’s what allows the family to take the focus away from what’s happening within the family dynamic and redirect it onto the “problem.”

How often do we drink, use, starve, self-harm, et cetera, in an attempt to “manage” our discomfort and disconnection within our families? It’s not uncommon for these behaviors to be a direct response to a family’s dysfunction. Sometimes a family will continue to batter and abuse, or enable, all of which evidence their own negative interactions. In this case, the dysfunctional paradigm of the unhealthy family dynamic hasn’t changed, even though you may have. In recovery, we begin to set healthy boundaries with those who persistently spew harmful behaviors our way, but no one says creating those boundaries would be easy. It takes consistent and ardent work coupled with attention to our own reactions to our environments to effect real change.

 

We work with families all the time at Visions. Many, if not most of our families jump on board and get involved in Al-Anon, make efforts to shift their actions and parenting styles, actively go into therapy, and accept help and suggestions from our clinical staff. They honestly do their best to mend the familial fabric and understand that recovery is a family process. Still, there are some whose own dysfunction prevents the acceptance of help and promotes a culture of denial. In those cases, it’s imperative that boundaries are established and self-care is modeled effectively. In doing this, we allow our light to shine through; we allow our healing to flourish; we allow people into our lives that are safe, kind, and supportive. Being in recovery is a process, and within that process, our internal light gets brighter and stronger.

 

Visions offers family groups, parent groups, and multiple teen groups in our various facilities. These groups support the individual and their needs as well as the family and its needs. The wounds created by addiction and mental health can and do heal. Therapeutic groups provide a safe container for that process to begin. They build trust and encourage peer support, something urgently necessary in treatment and recovery. We really can’t figure this stuff out for ourselves! It takes a community of clinical and peer support, love, and patience, and healthy boundaries.

Categories
Mental Health Recovery

Mental Health Recovery: Lose the Stigma

Recovery (Photo credit: glenn~)

Addiction and mental health are deeply woven into the fabric of our culture. Rather than stigmatizing those suffering from the confines of their minds and addictions of their bodies, it’s clear we need to provide wider ranges of treatment for recovery. Over the Visions has broadened our treatment base, continued to step away from the prohibitive nature of limited thinking, and are continuing to encompass the whole person in treatment. I just read an article that talked about the use of antiquated treatment methods circa 1950, and I was pleasantly reminded of how forward we are in our treatment programs.

 

Our mental health track has broadened to include the treatment of trauma, provide DBT for all levels of treatment, and allow for alternative methods of support when the 12-step model isn’t appropriate. Recovery isn’t one-size-fits-all, and we recognize that. Our therapists and staff devise a treatment plan appropriate for each client, supporting their individual needs while also providing them with the treatment they need. We can begin to find solace in therapeutic care, safety in our own bodies, and space in our hearts to heal from the deep wounds of our hurts. We will find that there are answers to the most difficult questions if we are ready and willing to do the work. To give up when things are painful or when the shadows are looming cease being a choice when a skillful clinical and support staff supports you.

 

Remember, healing is a process, not an easy 28-day fix. Recovery is a life-long practice that we engage in one day at a time, and some days, one moment at a time. Many of us want everything right here, right now, supersized, and fast: the typical “quick fix.” Recovery isn’t like that. Allow yourself the chance to slow down and catch your breath. Allow yourself to let go and accept help. Our brains and bodies can recover and learn to hold space for our trauma and addictions in ways that are safe and kind to us as individuals.

 

Try this for good measure. Find a group of friends whom you trust and feel safe with; make a pact to text each other “.b” (stop-breathe) when you are feeling overwhelmed or when you want to have a unified moment of mindfulness between you and a friend. By doing something as simple as this, we can create a chain of positive healing instead of polishing the old standby chain of sickness. We can recover.

Categories
Eating Disorders Mental Health Parenting Recovery Treatment

Stress, an Eating Disorder, and Mental Health

…Eating Disorder… (Photo credit: ĐāżŦ {mostly absent})

A while back, I wrote about a child of 8 years old who was showing early signs of disordered eating behaviors. As noted at that time, the behavior was fueled by a father with his own poor relationship around food and a mother who is also victimized by his negative body and food talk. I’ve watching this child over the last year, hoping I was wrong, but knowing more and more that the signs I was seeing were none other than an eating disorder being nurtured and fed by self-hatred, stress, and a negative environment. Her organization of food has gotten more intense, as has her open disgust around whatever is on her plate. It’s not so much about being “fat” but more about her discernment around eating a growing number of “certain” foods.

There’s stress all around this kid: her father is impatient and fixated on his own weight and body image. Her mom is reacting to his actions by persistently apologizing when she eats, joining Weight Watchers, and choosing to ignore the cry for help at the dinner table. As a regular in their household, it’s been hard to watch and harder still not to say anything for fear of being shut out entirely. I’ve used my presence as an opportunity to change the dialogue when I can, but it’s hard speaking to a room full of deaf ears. I finally did say something when the negative talk was directed at me and as expected, my comment, despite coming from love, was met with a “Nah, I’m not worried about that.”

 

Stress is a huge culprit here. According to the Eating Recovery Center, “childhood stress is typically: personal, interpersonal, interfamilial, or global (a stress reaction to national or world news).”

  • Age is not a factor: Children of all ages experience stress, though they may express it differently.
  • Children are vulnerable.
  • Children respond differently to the stress in their environment.
  • Stress is cumulative. Adults aren’t the only one’s who can “only take so much.”
  • Change is stressful. Even positive change. I am reminded here of reorganizing a room in my house and my son getting utterly overwhelmed even though the change was positive. Our nervous systems are indifferent to our whims and desire to pile on more and more and the fact that we all may have a different response is something to be noted and respected.

Parents and adults alike would be wise to open a dialogue with their kids about stress and one’s perceptions of how things are. In the case of my young eating disorder study, dad is never around and only available on weekends; when he is there, he’s impatient and obsessively exercising or on his computer—detached from everyone. This provides a huge source of stress for her and for the rest of her family. Unfortunately, this has been weaved into her negative self talk and commentary about her family and hinders her relationships with others and with food. She’s angry, stressed out, and starving herself in response.

What can we do? We can start with the following:

  • Be an example of positive body talk.
  • Talk to our kids. Be open and honest, but be loving.
  • Eat mindfully. Turn off the TV. Make mealtime a place of solace and connection.
  • Don’t talk about stressful subjects at the dinner table. In other words: keep it light.
  • Don’t use food or eating as a means of punishment. (You’re going to bed without dinner).
  • Encourage self-care and self-love: At dinner, ask each person to express one thing they are grateful for.
  • Cook together. Show them that food isn’t the enemy.
  • Go on hikes or family walks.
  • Have family meetings. We do them council style in my house. It makes a world of difference.
  • Don’t be afraid to ask for professional help.
  • Be honest with your therapist. They can’t help you if you hold back.
  • Find a support group—being alone with your child or family is in crisis is too much for anyone.
  • Take care of yourself so you can take care of those around you.

If you’re worried that your son or daughter might be developing an eating disorder (note: boys are not immune to this!), look out for some of these signs.

(Please note, certain behaviors are warning signs, but in combination and over time, they can become quite serious):

Behaviors specific to anorexia:

  • Major weight loss (weighs 85% of normal weight for height or less)
  • Skips meals, always has an excuse for not eating (ill, just ate with a friend, stressed-out, not hungry).
  • Refuses to eat in front of others
  • Selects only low fat items with low nutrient levels, such as lettuce, tomatoes, and sprouts.
  • Reads food labels religiously; worried about calories and fat grams in foods.
  • Eats very small portions of foods
  • Becomes revolted by former favorite foods, such as desserts, red meats, potatoes
  • May help with meal shopping and preparation, but doesn’t eat with family
  • Eats in ritualistic ways, such as cutting food into small pieces or pushing food around plate
  • Lies about how much food was eaten
  • Has fears about weight gain and obesity, obsesses about clothing size. Complains about being fat, when in truth it is not so
  • Inspects image in mirror frequently, weighs self frequently
  • Exercises excessively and compulsively
  • May wear baggy clothing or many layers of clothing to hide weight loss and to stay warm
  • May become moody and irritable or have trouble concentrating. Denies that anything is wrong
  • May harm self with cutting or burning
  • Evidence of discarded packaging for diet pills, laxatives, or diuretics (water pills)
  • Stops menstruating
  • Has dry skin and hair, may have a growth of fine hair over body
  • May faint or feel dizzy frequently

Behaviors specific to bulimia

  • Preoccupation or anxiety about weight and shape
  • Disappearance of large quantities of food
  • Excuses self to go to the bathroom immediately after meals
  • Evidence of discarded packaging for laxatives, diuretics, enemas
  • May exercise compulsively
  • May skip meals at times
  • Teeth may develop cavities or enamel erosion
  • Broken blood vessels in the eyes from self-induced vomiting
  • Swollen salivary glands (swelling under the chin)
  • Calluses across the joints of the fingers from self-induced vomiting
  • May be evidence of alcohol or drug abuse, including steroid use
  • Possible self-harm behaviors, including cutting and burning

If you notice even one of these, it’s time to address it. Talk to your daughter or son, talk to your doctor. If necessary, elicit the help of a treatment facility. In other words: Get help. Showing our kids that we care and are willing to stop our own negative behaviors in order to help them is invaluable. It’s a family problem, not an individual one.

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