Tag: Mental Health

Categories
Family Recovery

Visions’ Three-Day Family Intensive Program

Beginning in June of 2014, Visions will launch our Three-Day Family Intensive program. It is a small, intimate program, which will facilitate therapeutic and clinically supported opportunities to help parents view their current roles and reactions within their family systems. To heal, all pieces of the familial puzzle need to come together.

 

Terra Hollbrook, MSW, LCSW, CADC and her husband, Jeff Hollbrook, BRI-III, have been working closely with our clinical staff to review and expand our family program. Their experience ranges from personal to professional, and as a result, their contribution to the Family Program has added experiential depth and weight. Within the context of the Three-Day Family weekend, families, with the help of clinical staff, will address:

 

  • Dis-Ease;
  • Shame;
  • Trauma, and;
  • Powerlessness

 

The Three-Day Family Intensive will provide experiential learning meant to facilitate the recognition of similarities while adeptly addressing differences within the family dynamic. Visions’ Three-Day Family Intensive program will also provide the family with the experience of being the identified patient, a necessary tool when one is doing this kind of work. Understanding what it’s like to be in someone’s shoes can create a profound paradigm shift.

 

Day one is designed to be purely educational in which participants will gain a more salient understanding of their own powerlessness.

 

Day two will allow for a deeper divulgence into that powerlessness as families are broken up into small groups facilitated by clinicians guiding them through the emotional process of looking inward.  On days one and two, parents are without their teens.

 

On day three, families come back together so parents and teens can reconnect in a therapeutic and supportive environment. Families will do group work together, which will include sculpting a more therapeutic and functional family environment from that point forward. In addition, families will participate in group activities together. Finally, the weekend will culminate in a closing circle and a therapeutic process facilitated by a clinician where families are able to discharge from the emotional stimulation.

 

Family work takes time and dedication. There are no magical buttons that will make everything suddenly line up the way we want them to. However, with practice, and consistent work unpeeling the layers of internal stories and traumas, healing will happen. Families do find their way back together.

 

The heart is an amazing thing: it heals even when we believe it’s broken beyond compare. Our goal with the Three-Day Family Intensive Program is to teach families that they can heal and that they can create new, healthier root systems from here on out—that their hearts can, in fact, heal.

Categories
Feelings Mental Health Recovery

My Child is Emotionally Disconnected – Is it Alexithymia?

There is a clinical term for someone with the inability to correctly identify or describe his or her feelings.  It’s called Alexithymia, a term introduced in 1972 by Peter Sifneos. It’s important to recognize that alexithymia isn’t a diagnosis, but rather a construct used to describe someone that demonstrates the inability to understand or articulate his or her feelings.  Someone affected by alexithymia literally cannot put words to their feelings, despite the desire to do so. It’s difficult for someone with alexithymia to relate to his or her own experiences or even grasp the experiences of others. This can be frustrating for everyone – for those lacking in their emotional response and for those expecting an emotional response.

Someone with alexithymia usually experiences these symptoms:

  • Difficulty distinguishing between feelings and the physical sensations of emotional stimulation
  • Difficulty identifying different types of feelings
  • Difficulty expressing feelings
  • Difficulty recognizing facial cues in others
  • Limited or rigid imagination
  • Constricted style of thinking
  • Hypersensitive to physical sensations
  • Detached or tentative connection with others

According to this article in Psych Central, emotional distance and alexithymia often accompany various levels of autism as well as post-traumatic stress disorder, eating disorders, panic and anxiety disorders, and sometimes substance abuse. It is important to note that affectionate communication (hugs, touch, and body language that is open and welcoming) can all have a positive impression on someone working with alexithymia. For some, alexithymia is an acute problem, resolving after the core causal factor has been managed (for example, substance abuse) while for others, it’s something one has to learn to live with and manage throughout their lives.

Parenting someone with alexithymia is not without its challenges. We want our children to be able to communicate with us and with their peers. We want to see them thrive emotionally and have long-lasting, meaningful relationships. Again, it’s important to note that affectionate communication will have positive effects. For example, if you notice your child has a facial expression that is a visual display of anger, it would be helpful to say something like, “You look angry. Is something bothering you?”  Or perhaps something major is coming up for them, like their first job interview, or a big test. Saying something like, “You have your interview coming up, are you feeling nervous?” can help him or her begin to label emotions. It’s helpful to understand that your loved one isn’t able to recognize emotional cues the way you do. This understanding will help with your own frustration when conflict or discord arises and it will allow you to facilitate a healthier means of communication.

The person living with alexithymia will also need to work toward strengthening his or her ability to recognize and understand feelings and emotions. This is something that can be learned by watching others and learning about what an emotion or feeling is supposed to feel like. This process is not easy and some of these tools may be of help:

  • Keep a journal in which you write every day, noting your observations or lack thereof.
  • Sink into literature and read as much as you can. Reading and processing language painted by a skilled author is a wonderful tool for learning and beginning to understand expressive language.
  • Take an acting class, or an art class. These types of classes will help someone with alexithymia begin to externalize emotive expression.
  • Dialectical Behavioral Treatment: this is a form of psychotherapy built around skill-building and mindfulness techniques in order to recognize personal feeling states.

Having alexithymia is something that affects children and adults alike, and it can present in various levels of severity: mild, moderate, and severe. Once identified in someone, the work can begin toward learning to identity and experience emotive responses. They can then work toward having reciprocal relationships, which will ease the loneliness of being perpetually misunderstood.

Categories
Adolescence Parenting

The Rocky Ride of Adolescence

Entering adolescence is serious business; it evokes rapid change and confusion for parents and teens alike. From a parenting perspective, sometimes it seems your child is suddenly unrecognizable. From the teen perspective, the sudden physiological and emotional changes are confusing and perhaps even frightening at times. There can be an internalization of, “What is happening to me” but sharing that would be significantly “uncool,” or so it seems.

 

We know that adolescence is a time of great transformation. Teens are individuating, their hormones are raging, and things are moving faster than even they can grasp. Try and remember what it was like when YOU were a teenager. Do you remember how you felt?

 

This generation of teens is faced with even higher pressure. I have seen parents pressuring their elementary kids to perform better for the sake of college, or the perception of prestige. I have had a 13-year-old tell me they she was having an existential crisis – that she didn’t know what she was going to do with her life – all because of parental pressure to look toward college. Between parental pressures and the sheer nature of adolescent metamorphosis, the teen years can be intense.

 

But does adolescence have to be as disruptive?

 

Can we as parents take things less personally and develop a healthy way to show up for our teens? Yes, I believe we can. It requires that we educate ourselves in the ways of adolescence, and it also involves remembering and holding space for our own adolescent experience, without projecting it onto our teens.  This may mean getting involved in a support group, or seeing a therapist and beginning the transformative process of unraveling any traumatized roots within oneself. Allow your teen to have their own adolescent experience rather than interpreting it as your own. You are not your teen’s experience; you are a guide and a representative of safety and security.

 

If you find yourself in a situation where your adolescent is perpetuating harmful behavior via drugs and alcohol, or if they are displaying significant emotional dysregulatory behavior, it’s important that you seek help.  There’s adolescent angst and then there’s addiction and mental health issues. There’s help if you need it.

Categories
Addiction Alcoholism Mental Health Recovery Spirituality

What is Refuge Recovery?

Noah Levine’s Refuge Recovery provides another approach to recovery–one seeped in Buddhist practice. We were inspired by his talk at this year’s Innovations in Recovery conference. Since 1935, Alcoholics Anonymous has been a foundational component of recovery for millions of alcoholics and addicts. It is free, it is available for all ages, it is simple in the way it’s shared and processed, and it also hasn’t really changed. When I take sponsees through the steps, they often comment on my old, tattered copies of the Twelve and Twelve and Big Book of Alcoholics Anonymous.  Over the years, however, my perception and process around the steps has shifted. It has evolved, if you will, to include another path, one that I share with those willing to begin the process of uncovering, discovering, and discarding old behaviors in a new, approachable way.

 

Several years ago, Noah Levine, author of Dharma Punx, Against the Stream, Heart of the Revolution and founder of Against the Stream Meditation Society, started formulating the ideas behind his program called Refuge Recovery – a way of approaching recovery from addiction via the Buddhist path. This is a path fraught with self-inquiry, curiosity, dedication, and a call to put these actions into practice. Refuge Recovery views recovery as a process that heals the underlying causal factors that led to addiction in the first place.  His latest book, Refuge Recovery: A Buddhist Path to Recovering from Addiction, outlines his adaptation of the Buddhist 4 Noble Truths and Eightfold Path to use as an approach to recovery.

 

Refuge Recovery requires that practitioners practice renunciation: a formal rejection and abstinence from harmful behavior, including using drugs and alcohol. One is required to start with an in-depth personal inventory: a thorough, inquisitive investigation of one’s behavior, traumas, and resulting consequences and how they have manifested in one’s life. One is asked to take refuge in their community, and in the practices of meditation and renunciation. Here, taking refuge means we are taking shelter or finding safety and protection in recovery and community. In many ways, addicts and alcoholics have been attempting to take refuge via substances for years, only to find there is no real sanctuary there.

 

Refuge Recovery is based on Buddhist principles, which integrate scientific, non-theistic, and psychological insight.  Addictions are viewed as cravings in the body and mind; using meditation to create awareness can alleviate those cravings and ease one’s suffering.  It is done through this adaptation of the 4 Noble Truths:

 

1. Take inventory of our suffering: that which we have experienced and that which we have caused. (Uncover)

2. Investigate the cause and conditions of our suffering. (Discover) Begin the process of letting go. (Discard)

3.  Come to understand that recovery is possible, taking refuge in the path that leads to the end of addiction and suffering.

4. Engage in the Buddhist Eightfold Path that leads to recovery.

 

What follows is the Buddhist Eightfold Path.

 

The first two address the development of Wisdom.

 1. Wise understanding

2. Wise intentions

These three address Moral Conduct:

 3. Wise speech/community

 4. Wise actions

 5. Wise livelihood/service

These three address Mental Discipline

6. Wise effort

7. Mindfulness

8. Concentration

 

Another difference between Refuge Recovery and the 12 Steps is there is not a specific order: this is not a linear path. Through this process, one develops compassion and wisdom: two sides of the same coin, if you will. Compassion is equated with love, charity, kindness, and tolerance—qualities of the heart; Wisdom represents the quality of the mind: our ability to concentrate, make wise choices, and to critically think. However, compassion without wisdom, leads to foolishness, and wisdom without compassion leads to stoicism. The two must interweave.

 

I share this with you not to berate AA, but to provide a view outside of what we are familiar with and to open the doors of the mind and heart to see a way of broadening one’s path.  Bill W encouraged a broadening of the spiritual path: Refuge Recovery is that broadening. This is an opportunity to really look deeply into ingrained habits and patterns that prevent us from being truly free from our suffering. Visions began taking our teens that are on our mental health track to Refuge Recovery meetings with much success. Of late, our teens that usually go to AA meetings are also enjoying Refuge Recovery meetings.  It’s important to note that one is not better than the other: AA and Refuge Recovery can complement each other, leaving space for curiosity and introspection from a theistic or non-theistic path.

We leave no stone unturned in treatment: we provide what is necessary to recovery and we are grateful that the options for support are expanding.

Categories
Addiction Mental Health Recovery Wellness

Finding Hope in Recovery and Beyond

Hope is fleeting or nonexistent for someone locked in the downward spiral of mental illness and substance abuse. In many ways, the transient quality of hope in the mind of the sufferer creates a sense of dissonance; it always seems to be out of reach. Recovery makes space for a more tangible kind of hope to develop and take root.  The hope we do have when we are in our diseases is hope for an escape. However, the hope we have in recovery is revised to resemble its true meaning: a desire for something good to happen and the capability to see its fruition.

 

We need to integrate hope into our lives as part of our recovery, viewing it as an action rather than as a “thing” to grasp. If we are going to recover, we have to have a life worth living, and building a foundation for hope is one of the actions needed to create such a life. This provides us with something to reach for and hope becomes something actively fostered in our lives.

 

There are some basic things one can do to work toward bringing hope into their lives:

 

Connection: Connect with others and begin to develop healthy relationships with people. The fellowship in 12-step meetings is helpful in creating connection with others. Fellowship provides opportunities to build new relationships with people who are on the same path. Within that context, one can begin to heal old relationships and build new ones.

 

Have fun: How often does someone come into recovery and assume that because they aren’t drinking and using that “fun” is off the list? Guess what—it’s not. When you realize you can laugh, and I mean, a stomach-clutching-falling-over kind of laugh all without the use of drugs or alcohol, it is liberating.

 

Get an education: This is a positive step to building hope for a fuller, better future.  Feeding your mind with knowledge and realizing your potential is a powerful thing. An education provides fertile soil for hope to take root and blossom.  It puts our foot on the path toward building a future that we want to be a part of.

 

We recognize that many of our teens and their families have lost hope. We support families in developing courage to change, and we foster the desire to heal. Every week, Visions facilitates Recovery Fun outings where we encourage teens to have fun, to laugh, and to find joy in their recovery.  We host yearly alumni and client events such as: the Big Bear ski trip, our staff vs. alumni softball game, our Catalina Adventure, and Halloween Fright Night. Fostering joy and laughter breeds healing and it leads to hope. Having fun reminds us that we are alive!  Just because we are dealing with heavy issues doesn’t mean that joy doesn’t exist.  We won’t let kids give up on themselves—we want them to start to recognize their potential. We give them skills that provide them with the knowledge that they are capable, and with that, they build an environment of hope.

 

Categories
Adolescence Feelings Mental Health Recovery

Willingness: A Condition of Recovery

Willingness means: “The quality or state of being prepared to do something.” 

 

Finding willingness to take a leap into the unknown is a feat that is often met with great resistance. Early on, one is asked how willing they are to change their behaviors, their circle of friends, or their reactions to difficulty. They are asked to find the willingness to take that first step toward healing, because the truth is, no one can make you take that step—you have to do it yourself. It takes the willingness of the person seeking change. And it’s scary. There is a perceived safety in our dysfunction but what that really is, is familiarity.

 

How often have we found ourselves doing the same thing over and over again even though we know we shouldn’t? Where is our resolve? For starters, that resolve is wrapped up in the dysfunction of addiction and untreated mental health. However, it is our willingness to seek out our resolve, which ultimately invites real change to occur.

 

Someone who shows a lack of willingness does so by perpetually making excuses, redirecting themselves to something more familiar and less uncomfortable, and fundamentally getting in their own way. Often, the message received is that one needs to be ready to recover, but readiness is not synonymous with willingness.  For example, imagine your family member has just completed detox, and they are now clear headed enough to begin the healing process. Essentially, they are ready. But instead of taking action, they start making excuses: “I’m good now. I will go to a meeting tomorrow,” or “What do you mean you don’t trust me, I’m clean now!” And in cases where mental health is the issue, we hear,” I feel fine. I’m taking my meds. I can see my therapist next week.” Or, “I am good! I don’t need my meds today.” Readiness is a moot point; in these scenarios, its willingness that is absent.

 

What does it take?

 

  • Take contrary action – Go to a meeting, even when you don’t want to. Take a commitment. No one wants to clean up after a meeting, but we do it anyway.
  • Ask for help – Feeling overwhelmed, stressed, frustrated? Call someone! Reach out. And keep those therapy appointments. They are there to help you, regardless of how uncomfortable they can be at times.
  • It is ok not to be ok – At some point, we learn that feeling our feelings is part of the recovery process – accepting that is another story. However, when we move against our feelings in an attempt to run away from them, we suffer more.

Willingness is action, and it is the key to the door of recovery. What are you waiting for?

Categories
Family Mental Health Recovery

Ways A Family CAN Pick up the Pieces and Recover

Healing a family from addictive behaviors and emotional dysregulation takes work.


It takes willingness from all parties involved and a moment of clarity from the addict as well as the family in order to get the ball rolling. It takes dedication and a commitment from the entire family system. When someone says, “I’m sick and tired of being sick and tired,” it helps us to recognize that this is the brain’s way of taking a breath of fresh air. That “breath of fresh air” is the internal shift an addict or alcoholic needs to embrace and encourage them to move toward the next level. In our last blog, we noted the following 4 things a family needs for recovery. I thought it wise to break it down further:

 

1. A healthy home

2. Mental and physical health

3. Sense of purpose

4. To have and build a sense of community

 

What does a healthy home look like?

When when Visions’ Noelle Rodriguez, Psy.D. is working with families and helping them heal broken or disrupted family systems, she stresses the importance of “having an intentional culture in the home that supports open communication, boundaries that are well defined, and have mutual respect.” In this way, home can become a refuge instead of a place of commotion.

 

Mental and Physical Health:

If a mental health diagnosis has been made, it is imperative that there is consistency with medication, consistent medical and psychological follow-ups, and that the family as whole is on the same page. Recovery requires a broadening net of support. It often begins with the clinical support in treatment, and expands to include a network of sober, healthy peers, and often reparation of the family system.

 

Sense of Purpose:

Find something that inspires you:  Something that is positive and supports your path on recovery. Remember, purpose is another word for motivation: take commitments at meetings, be of service, volunteer somewhere that you love, take a morning walk. Joseph Rogers, Assistant Education Director at Visions’ IOP says, “If students/clients don’t have a light at the end of the tunnel, something to look forward to, it is hard for them to see why they should continue making an effort.”

 

To have and build a sense of community:

One of the most amazing things about treatment and the path to recovery is fellowship (community). Knowing that you have a net of like-minded people in your corner is a powerful salve. How often do we hear the John Burroughs quote, “Leap and the net will appear”? I have to tell you from my own recovery experience, building and sustaining a healthy community of support and care has shown me truth in that very quote. I have leapt often and each time, I have been met with an incredible “net” that I call community. Your community will tell you the truth, love you when you can’t love yourself, and hold you accountable when you make a fool of yourself. Community aka fellowship is a glorious thing.

 

I recently heard something I found revolutionary from an addiction psychiatrist about hitting bottom, saying that it’s important that we as professionals and families “eliminate rock bottom as a condition of recovery and find the right conditions for recovery.” This moved me because it encourages taking action sooner, it encourages destigmatizing what recovery can look like, and it provides a sense of hope. Families need hope. They need to believe that recovery is possible. They need to know and understand in the fiber of their being that there is light at the end of the tunnel. UCLA’s Dr. Tim Fong said, “Addiction and mental health are not necessarily curable conditions, but they are controllable conditions.” In other words, recovery is attainable.

 

Categories
Addiction Adolescence Mental Health Parenting Recovery

Addiction and Mental Health: Inspired by David Sheff

We recently had the opportunity to hear David Sheff, author of “Beautiful Boy” and “Clean“, speak about addiction and mental health at UCLA’s Friends of the Semel Institute’s Open Mind series.  Sheff is a journalist, and New York Times best-selling author who writes and speaks about addiction and recovery though the lens of a parent and as a well-researched journalist. Our family program is dedicated to approaching recovery from the eyes of the addict and those within the family system. David Sheff reminded me of the parental side of addiction and mental health that we don’t always hear.

 

Our kids are our babies: we see them as our innocent, silly, curious, innocent offspring. When it comes to addiction and mental health issues, parents often hang on to this ideology, telling themselves, “Not OUR kids. Addiction and mental health issues happen to other families.”  There is a natural contradiction that occurs, marking the innocence parents seek to hold on to and the utter despair and devastation that is actually taking place.  Addiction and mental health could care less about your financial status, race, religion, or gender, or age.  What David Sheff does is talk about it. He names the elephant in the room. He invites parents to face the shadow side of addiction and mental health and bring it into the fore. He challenges us as a culture to unabashedly squash the stigma associated with addiction and mental health.

 

This stigma I’m talking about increases the suffering families experience around addiction and mental health. It inhibits one’s ability to move through the processes required to heal. If worry and concern about what people migt say hangs over the head of a family, how willing will they be to do the work? How frequently will they suffer in silence? How long will they go before asking for help? Shame is the muzzle of addiction.

 

Sheff pointed out some staggering facts:

 

  • 80% of children will try drugs or alcohol before age 18.
  • Addiction is the #3 killer
  • The #1 reason teens use drugs: Stress
  • 90% of addictions begin before 21
  • Only 6% of pediatricians are able to recognize drug use
  • There are 3000 addiction informed physicians and over 3 million addicts

 

But he also reminds us of this: these kids who are suffering from addiction and mental health issues aren’t bad kids; they are our kids. The focus needs to be on what is causing the use of drugs and alcohol, not the drugs and alcohol themselves.  Kids are using because of stress, anxiety, social situations, trauma, et cetera. Our kids live in an environment that resembles a pressure cooker. I teach yoga to teens and tweens and I can tell you from my experiences with my students, the main reason they are there is because of stress and anxiety. And part of my work with them is teaching them tools for self-regulation.

These kids, our kids, need a reprieve from their overwhelm. Sure, drugs might offer a quick fix, but they don’t offer a solution. The solution has to come in the form of recovery, stress management and developing healthier means of self-regulation that allow for a better approach to being overwhelmed, anxious, and stressed out.  If there are addiction or issues of mental health, it becomes imperative to give them a voice. Shame keeps us silent. Shame keeps us sick. Shame increases our suffering.

 

Dr. Tim Fong, an addiction psychiatrist at UCLA also had some salient things to say that evening, but one that really strikes home is this.  Families need the following 4 things for recovery:

 

1. A healthy home

2. Mental and physical health

3. Sense of purpose

4. To have and build a sense of community

 

I encourage parents to seek help if they recognize that their child is in trouble. You are not alone in your fear, your suffering, or your need to be heard. Your child needs to be seen and heard as well, and the sooner you can get them the help they need, the sooner the recovery process can begin. Remember this: if your child has some hiccups in their recovery, YOUR recovery doesn’t have to hiccup as well.

 

I will leave you with this, a quote from Anne Lamott: “Never compare your insides to other people’s outsides.”

Categories
Adolescence Dual Diagnosis Family Parenting Recovery

An Intensive Family Program Promotes Healing the Family System

Visions knows that a family in crisis needs requires an intensive family program. It doesn’t benefit a family to be viewed as having individual branches that need to be removed, trimmed or repaired. We are thrilled to be building out our 3-day intensive family program with the help of Jeff and Terra Holbrook. They have been doing family work for almost two decades and are deeply committed to healing the family system. Their insight and experience are invaluable and in line with the  culture of Visions. Visions wants the family to heal from the inside out; We require all families to go to:

  • Weekly parent support groups;
  • Weekly multi-family groups; and
  • Individual family sessions.

Families are also encouraged to go to outside support groups (Al-Anon, AA, ACA, Refuge Recovery, et cetera).  When we meet with families, we address issues of attachment, enmeshment, codependency, and we assist families in creating healthy boundaries. The recovery process requires a level of willingness and curiosity on everyone’s part and it is particularly important to do family work because addiction and mental health are rooted in the family system. It is not uncommon for parents and loved ones affected by their child’s addiction or mental illness to become angry, place blame, distance themselves from their child, or try to fix the problem themselves; often times, the focus remains on the addict. Here’s where an intensive family program comes in.

 

Think of the family system as a garden. Imagine the roots of everything in the garden weaving their way through nutrient rich soil containing love, respect, healthy boundaries, positive attention, and connection to healthy resources. Now imagine what happens when that same soil becomes fallow: The roots begin to suffer from neglect, abuse, abandonment, deprivation, and entanglement; the garden begins to whither away, grasping onto whatever is closest to try to survive. Family systems need to be nurtured from their root systems all the way up. Removing one unhealthy part won’t allow the entire system to heal. In fact, the entire root system will malfunction as a result.

 

Our intensive family program provides salient educational tools for parents to learn to face addiction and mental health in a healthier way. Families must begin to unpeel their own layers, and begin looking deeply within themselves and at the origins of their own root systems. Parents must also understand what they are asking their kids to do to recover, and more importantly, it’s invaluable for parents to show their kids they are willing to do the same hard work.  For example, if a family is asking their kids to look at how they are powerless, that same family needs to ask themselves the same question.  Addiction and mental health are a family disease; they are not isolated incidents wherein one family member goes rogue. As David Sheff, author of Clean says, “The addicted are not morally bereft, they are ill.”

 

An intensive family program will also help parents move away from the stigma of mental health and addiction and move toward acceptance and healing.  Families are often surprised to find out that their feelings are in line with their child’s: Both may feel angry, betrayed, ashamed, scared, resentful, frustrated, tired, and so on. When parents are able to shed a light on these similarities, the willingness to look at the hows and whys of addiction and mental illness becomes more palpable. Recognizing this similarity also elicits compassion and empathy for their child and for themselves. When a family can recognize that everything is connected, recovery can truly bloom.

Categories
Eating Disorders Mental Health Recovery

Eating Disorder Awareness Week: Insight From Michelle Gross, MA, LMFT

Continuing our week of honoring Eating Disorder Awareness Week, I spoke to Visions’ Michelle Gross, MA, LMFT who has specialized in the treatment of eating disorders for over 18 years. Her passion is in treating the eating disorder community both individuals, and their families. Eating Disorder Awareness is something we encourage and support via groups, individualized therapy, and nutritional support. I asked Michelle for some insight into what she tells families with a loved one who is suffering from an eating disorder or disordered eating behaviors. She says,

 

“When assisting a family who have just learned that their loved one is suffering from an eating disorder, I want them to know that eating disorders are a coping mechanism that tend to occur in individuals who suffer from anxiety and/or depression. Eating disorders numb pain (overeating), release feelings (purging), and create a feeling of control (counting calories). Eating disorders, although not always identical in form, tend to run in families. Family members need to know that the way in which they respond to their loved one is critical to the recovery process; however, they are not responsible for the development of the eating disorder itself. Eating disorders are an illness. Eating disorders are not about weight.”

 

Families who are confronted with this issue have to re-learn how to communicate with each other in a non-triggering way. I recently had to have a discussion with someone about their perpetual food talk and how triggering it was. Every meal was punctuated with negative commentary about weight gain, etc. So, eating with this person was becoming treacherous. Michelle Gross has wonderful insight and suggestions for situations just like this:

 

“It is important for family and friends to know how to be supportive. Unfortunately, the best of intentions to assist the eating disordered individual tend to backfire. Telling an anorexic that recently gained weight: ‘You look so much healthier,’ is easily misconstrued as being told one is ‘fat.’  Attempts to make sure an anorexic eats or a bulimic does not purge, create feelings of powerlessness that intensify the desire to feel in control by minimizing calories or purging.  Innocently mentioning one’s own need to lose weight or recently enjoying a vigorous workout, leave the eating disordered individual feeling inadequate and more dissatisfied with herself.  Loved one’s need to learn the ‘language’ spoken by the eating disordered individuals. Eating disorders are competitive.”

 

And what about triggers? Remember, what triggers one person may not trigger another, but some things are similar across the board. Michelle provides some salient advice here. If we begin to understand the psychological mechanisms of the eating disorder, our awareness and ability to support someone who is suffering increases. By opening our eyes, we can be supportive without judging the individual.

 

Michelle tells us that, “Family and friends also need to learn what triggers or intensifies eating disordered thoughts and behaviors.  Shopping for clothes, going to restaurants, exercising to reduce stress, can all intensify the eating disorder.  Eating disorders are reactive. The more one learns how their loved one’s eating triggers them, the more helpful one can be.”

 

Recovery is a family process, and that includes recovery from substance abuse, mental illness, eating disorders, or processing disorders. Treatment must include all facets of the family system. Learning how to do this is a process and a practice; and as Michelle illustrates, it is not one-sided affair:

 

“It is extremely valuable for family members to be part of the treatment.  Family sessions in addition to the individual therapy offers all members the opportunity to learn how to be supportive, to share concerns in a controlled environment, and gives the eating disordered individual an opportunity to express their feelings in an appropriate way vs. through the eating disordered behaviors.”

 

We need to unite as a recovery community, championing Eating Disorder Awareness Week and encouraging others to do the same. We can facilitate supportive environments and spaces for healing so those suffering from an eating disorder can begin to recover and find freedom from the devastating anguish caused by their eating disorders.

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