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In most people's minds, "eating disorder" (ED) conjures images of a thin, white, upper-middle-class teenage girl. The ED landscape has changed. Countless men and women in midlife and beyond, from all ethnic backgrounds, also struggle with anorexia nervosa, bulimia nervosa, purging disorder, and binge eating disorder. Some people have suffered since youth; others relapsed in midlife, often after a stressor such as infidelity, divorce, death of a loved one, menopause, or unemployment. Still others experience eating disorder symptoms for the first time in midlife.
Primary care physicians, ob-gyns, and other practitioners may overlook these disorders in adults or, even worse, demean them for not having outgrown these adolescent problems. Treatments for adults must acknowledge and address the unique challenges faced by those middle-aged or older. Midlife Eating Disorders-a landmark book-guides adults in understanding "Why me?" and "Why now?" It shows a connection between the rise in midlife ED and certain industries that foster discontent with the natural aging process. It also gives readers renewed hope by explaining how to overcome symptoms and access resources and support. Renowned eating disorder specialist Cynthia M. Bulik, Ph.D., helps partners and family members develop compassion for those who suffer with ED-and helps health professionals appreciate the nuances associated with detecting and treating midlife eating disorders.
- Sales Rank: #960910 in eBooks
- Published on: 2013-03-12
- Released on: 2013-03-12
- Format: Kindle eBook
From Booklist
First, the bad news. The prevalence of some adult eating disorders is increasing, and these disorders can be deadly. But the good news, according to Bulik, a clinical psychologist and director of the University of North Carolina Eating Disorders Program, is that remission and even recovery from eating disorders is possible at any age. She reviews the causes, features, and age-appropriate treatments of midlife eating disorders from anorexia nervosa to binge eating, bulimia nervosa, and purging. She explores some of the challenges facing adults with eating problems, including parenting, intimacy, pregnancy, and breast-feeding. Low self-esteem often accompanies this set of illnesses, and personal relationships are impacted. Psychotherapy and medication are treatment options. Bulik lays lots of blame on such billion-dollar industries as Big Food, Big Beverage, Big Diet, Big Fashion, and Big Pharma for creating a culture where people feel bad about themselves no matter their age. Her sensitive and steady approach to eating disorders comes with prudent advice: be patient and compassionate; eat regularly and in moderation; practice honesty; seek support. --Tony Miksanek
Review
Bulik offers hope that freedom from the unrealistic ideals of beauty can be achieved through disciplined self-scrutiny and a will to change damaging ways of thinking and being. Kirkus Reviews (for Crave) A pain-for-gain challenge to self-awareness that may be the only hope we have to change a troubling trend. Publishers Weekly (for Crave) Bulik has a life-changing message for women and delivers it well. Library Journal (for Crave)
About the Author
Cynthia M. Bulik, Ph.D., is Distinguished Professor of Eating Disorders in the Department of Psychiatry at the University of North Carolina School of Medicine and director of the UNC Eating Disorders Program. She has been featured or quoted in Vogue, Newsweek, the New York Times, and the Wall Street Journal. She is author of The Woman in the Mirror: How to Stop Confusing What You Look Like With Who You Are and Crave: Why You Binge Eat and How to Stop. Bulik lives in Chapel Hill, North Carolina.
Most helpful customer reviews
9 of 10 people found the following review helpful.
A light and a lifeline for midlife eating disorders
By Deb
Based on how much I loved Cynthia's previous books of Crave: Why You Binge Eat and How to Stop and The Woman in the Mirror: How to Stop Confusing What You Look Like with Who You Are, it wasn't too much of a surprise that I ate up her most recent treat of a book! As was the case with her other books, Cynthia delivers a wealth of information in such a well-organized and engaging way: it feels like she's sitting right there talking to you!
With its focus on midlife eating disorders, this book stands out among the others on the shelf that tend to be focused more on teenagers and young adults. (This is not your teenage daughter's eating disorder recovery book!) After painting the unique picture of the face of the eating disorders of anorexia, bulimia, purging disorder, and binge eating disorder (BED) in midlife, Cynthia looks at the challenges specific to this age group. She even devotes much-needed attention to the presentation and treatment of eating disorders in men. The final section of the book provides valuable guidance for staying on the path of midlife eating disorder recovery.
The delicious servings of information, wisdom, and encouragement throughout this book certainly meet the nutritional requirements for learning about the causes, context, and treatment of midlife eating disorders. Each chapter is a satisfying meal in and of itself. At the end of the book, Cynthia serves up a delicious dessert in the form of the essential ingredients for recovery that she has gleamed during her thirty years of treating eating disorders...They're too good not to share some bites here, but you'll have to get your hands on the book to savor them in their entirety (pp. 286-289):
* Be patient and compassionate with yourself.
Treatment will not succeed if you are impatient. Eating disorders develop over time, and they go away over time. There is no perfect recovery.
* Eat.
Whether you have anorexia nervosa, bulimia nervosa, purging disorder, BED, or some variation on the theme, eating is your friend and critical to recovery...Not eating gets people with every conceivable eating disorder in trouble.
* Expect bumps along the road.
Recovery is not linear. If you expect it to be linear, you will be disappointed... Obstacles surely get thrown your way, but you get better at learning how to deal with them--because you learn from every obstacle and can respond in a more effective way the next time you encounter it.
* Find something about yourself you can love.
Patients who have done well have been able to lift their self-loathing sheath, if only a little, to recognize and come to love some aspect about themselves that they can view as positive. This is often the first foothold into developing the self-permission for recovery.
* Be persistent.
Don't give up. If a round of treatment fails, do not become defeatist. Try something else, or try another round of the same thing. Eventually, after enough turning and tapping, the lid is going to come off the jar, and you'll be free to progress in recovery.
* Practice radical honesty.
Radical honesty can feel like jumping off the high dive blindfolded, but giving up all of the eating disorder secrets is an essential piece of recovery.
* Rely on your support team.
Recovery is difficult in a vacuum. Define your support team, whether it includes your therapist, physician, partner, parents, friends, or siblings...Eating disorders prey on loneliness.
* Pat yourself on the back, and accept it when others pat you on the back.
Don't let treatment success fly by without acknowledgement. Recovery is hard work, and if you don't allow yourself to feel a sense of accomplishment when you make progress, it will not be a reinforcing experience.
* Don't sit back and expect recovery to come knocking.
No one ever said that recovery was easy. Recovery is not for the meek. You need to go out and seek recovery and put muscle into achieving it.
* Don't hold on to a nugget.
This is related to practicing radical honesty, but it refers to holding on to one last vestige of the eating disorder--not wanting to add that last "feared food" to your diet, allowing yourself one purge per week, skipping breakfast on Sunday...You have to let it all go and find healthier alternatives that allow you achieve the same endpoint--be it security, control, calm or whatever that nugget provides you with--in order to close the door on the eating disorder and move on to the next phase of your life.
Cynthia's groundbreaking book provides both a light and a lifeline for helping individuals and their loved ones navigate the path of midlife eating disorders.
5 of 5 people found the following review helpful.
Breaks The Mid-Life Stigma!
By Brian Cuban
As someone who was bulimic well into his 40's I found Dr. Bulik's book an excellent resource in helping me gain a better perspective in dealing with my disorder so late in life. Her book helps dispel the stereotype that young females are the only ones who suffer from eating disorders. As I moved into my 40's, bulimic and suffering from Body Dysmorphic Disorder, the pressure to looks a certain way was as great as it was when I first became bulimic in my early 20's. Even more, the shame in the act of binging and purging was just a great but with greater perceived consequences of being discovered. It is so important for treatment providers to recognize this and ask the right questions because often times the shame is too great to volunteer the information, especially when we are settled in our lives, with families, careers, etc. Dr. Bulik's book provides an excellent framework for this. I highly recommend it.
2 of 2 people found the following review helpful.
OK for research material, wouldn't recommend it for someone suffering with a disorder
By jazzsinger
I choose this book based on reviews as I needed a good tool for references for an article. I found it to be a bit dated, giving stats that are considered common knowledge with eating disorders and it really didn't address the specific concerns relating to women over 40 with the condition. The book is really not, according to me a tool for recovery, but it is a decent reference book for a paper or editorial.
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