Sunday Smorgasbord

It's once again time for your weekly Sunday Smorgasbord, where I trawl the web for the latest in ED-related news, research, and more, so you don't have to.

Treatment of binge eating disorder.


An eleven site national quality improvement evaluation of adolescent medicine-based eating disorder programs: predictors of weight outcomes at one year and risk adjustment analyses.


Eating disorders seem to be as prevalent in Asia as they are in the U.S.


Neuroscience and eating disorders: The allocentric lock hypothesis.


Young Children Not Immune From Eating Disorders.


Treatment of anorexia nervosa against the patient's will: ethical considerations.


"Dieters can be so preoccupied with rules that they lose touch with feelings of hunger and fullness."


Restraint of appetite and reduced regional brain volumes in anorexia nervosa: a voxel-based morphometric study.

“But you don’t LOOK anorexic...”

Food Addiction, Nutritionism, & Intuitive Eating in the Prevention & Treatment of BED: From Science to Application.

Recovering from an Eating "Oops".
 
Keeping One's Eyes On The Goal Despite Stress.
 
Watch Cindy Bulik's talk on YouTube: "Hip Hop or Viennese Waltz? The Complex Dance of Genes and Environment in Eating Disorders."
 
A mother’s food choice can shape baby’s palate, research shows.
 
Bacteria that live on the Atkins Diet.
 
Impulsivity, addiction, and your synapses.
 
Farm-Fresh Food May Have Shaped The Modern Mouth.
 
For Some, Psychiatric Troubles May Begin With the Thyroid.
 
In Anorexia Nervosa, Inner Conflicts Over The 'Real' Self Have Treatment Implications.

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Building mastery

It's something I've been noticing lately in my own life: a growing mastery of basic recovery skills. You know, the things other 31-year-olds take for granted, like the regular consumption of breakfast and not exercising myself half to death. In the beginning of recovery, I couldn't do any of these things unless someone was sitting right there and giving me death eyes to make sure I wasn't misbehaving. Preferably with an Ensure for any infractions.

There's nothing to deflate your ego quite like flipping through your friends' wedding and baby pictures on Facebook while realizing that you one even trusts you to, like, you know, eat.

When I first attempted to eat with no real supervision after attempting recovery, it was kind of laughable. I'd start off getting a small, nonfat cappuccino (more air, less milk!) and say I had some massive, calorie-laden drink. Then I'd switch to coffee or tea while simultaneously maintaining I had that beverage. After all, I wanted that drink. I even might have actually intended to order it, on some subconscious level. But faced with the gargantuan menu and the knowledge that there were calorie-free options just waiting for me, I caved to the anxiety. Then, ashamed that I couldn't do something as simple as order a simple snack, especially after promising on my kitty's tail that I would Behave Myself and Actively Choose Recovery, I lied about it.  I justified this by telling myself that I wouldn't cheat again, that next time, I would have the massive calorie-laden drink.

Repeat ad nauseum.

All during this time, I would have sworn up and down that I could easily handle everything on my own. Easily. "I've got this," I said.  After all, I could publish long feature stories in magazines. Surely I could eat adequately.

Except I couldn't. Each time I tried, I would bite off more than I could chew (is that pun intended? I'm not sure...).  Sometimes, I would be forced to be ready because the insurance company said I was ready, dammit. Others, my treatment team thought I was ready.  And still others, I convinced my treatment team I was ready to take on more responsibility for my own recovery. Each time, the result was the same: it was too much, too soon.  The eating disorder triumphed again.

Ultimately, I began to lack confidence that I could ever feed myself properly again. Maybe I was just one of those few who would struggle forever. Maybe I would never get better.

The problem wasn't me or my (seeming) inability to recover. The problem was the complexity of the task and my available skills to master it. It's like asking a five-year-old to do calculus. I'm sure there are a few Einsteins out there who can, but most of us can't. Not that we won't ever be able to do calculus after we learn addition and subtraction and algebra and infinite sums, just that we can't yet do calculus. We don't consider a kindergartner a mathematical failure if they can't figure out a differential equation. Yet I would be discharged from treatment with a sheet of paper containing a list of foods I was supposed to eat and a pat on the back and have no freaking clue where to go from here.

What I really needed was fewer sheets and more time and practice.  I needed to start way more slowly than most people thought. This grated both my ego and my patience (like I said, nothing like a good career to contrast your epic catastrophes around eating).  So I started with tasks I felt confident about, things like putting milk in my coffee (yes, caffeine is a massive theme in my life) or spending short times unsupervised and not exercising. Then I began to build on that. I could figure out an entire snack or spend a whole afternoon by my lonesome and not lace up my gym shoes.

It took years for me to get where I am now, which is that I can eat independently and not overdo the exercise (though the latter is still the largest struggle for me) even if no one is the wiser. I'm not always perfect, but I can be honest about that, too.  I have mastery over basic recovery skills, whether it's feeding myself or calling a support person.  I'm doing calculus.  It took me a little over 11 years to get there from my 2+2s(kindergarten until junior year of high school), but then I ended up a math minor in college. The successes, whether in recovery, math, or even figuring out how to program your DVR, snowball. They build upon themselves. That's what things tend to do, whether successes or failures.

It took me a long, long time to be able to slow down and take recovery one step at a time. To stop feeling that I "should" be able to do something because everyone else could and it sounded easy, ergo, I should be able to do it.  It's still hard for me to admit that I couldn't do these things, and not always for lack of effort. I can't juggle or do those silly Magic Eye things, either, despite a plethora of people who do have those capabilities. I've accepted that, more or less.  It is what it is.

I guess, in the end, recovery is a process. A long, hard, difficult, pain-in-the-ass process. But I tackled it one step at a time, and I did, eventually, get there.

Sunday Smorgasbord

It's once again time for your weekly Sunday Smorgasbord, where I trawl the web for the latest in ED-related news, research, and more, so you don't have to.

Check out this great article for dealing with food gatherings during the holiday season while recovering from an eating disorder.

How food became food – a fascinating read from Adam Gopnik on roots of modern food culture.

Association Between Illegal Drug Use and Abnormal Weight in Teens.

BBC History of the Brain podcasts are now available for a short time. They're on my "to listen" list!

Patrick Kennedy Initiative Launched To Encourage Neuroscience Collaboration for Brain Disorders.

How Melanie Klein stopped waging a war against her body and made peace with her body.

Motor inhibition and cognitive flexibility in eating disorder subtypes.

Enough With the ‘Slut Gene’ Already: Behaviors Ain’t Traits.

Wisconsin parents accused of starving infant daughter because they feared she'd become obese.

Early onset eating disorders in male adolescents: a series of 10 inpatients.

What? Use science to combat fat phobia? Why did nobody think of that before?

An angel on my shoulder: a study of relationships between women with anorexia and healthcare professionals.


The Secret Life of Pronouns – computational linguistics and what our word choice reveals about us. (Nothing to do with eating disorders, but it's so stinking cool I just had to share it!)

Parental expressed emotion of adolescents with anorexia nervosa: Outcome in family-based treatment.
Eating disorders in youth: Diagnostic variability and predictive validity.


The importance of the family dinner.

Disordered eating behaviors in type 1 diabetic patients.


Restricting your meals sets you up for craving snack foods.

Abnormal Eating Behaviour in People with a Specific Phobia of Vomiting (Emetophobia).


Google Earth for the human body.

Clarifying Exercise Addiction: Differential Diagnosis, Co-occurring Disorders, and Phases of Addiction.


Self-harm, from adolescence to young adulthood.

Treating teen bulimia in the family context.

Synchronized Anxiety: how synchronized communication between brain areas affects (rodent) anxiety.

News piece on eating disorders in men.

Eating disorders more common than diabetes among young children.

Tips on How to Fight for Eating Disorders Health Insurance Coverage.

Uncertainty, fear, and eating disorders linked.

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A request for my nerdy friends

I know plenty of my blog readers are self-described nerds like myself. As such, if you have access to a university library system and can obtain any of the following journal articles, I would deeply appreciate it.  It's for an article I'm working on for Scientific American Mind, and I need to submit the full-text journal articles with my draft.

So here's the list:

Reduced perception of bodily signals in anorexia nervosa

Brains of anorexia nervosa patients process self-images differently from non-self-images: an fMRI study

Self-Objectification, Disordered Eating, and Depression

Thank you ever so much! Please email any pdfs to carrie@edbites.com

Edited to add: Thanks everyone! I have all my files (not to mention the best readers on the face of the planet).

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FEAST Symposium Summary

Lots of people have posted fantastic, detailed, wonderful summaries of the FEAST symposium. When my internet is not being stupid, I'll even share some of those links!

My summary is going to be somewhat less detailed. The main reason? I got to be co-Master of Ceremonies, which meant that I was very, very busy during the whole conference.  Everything was a blur, really.  I was paying attentiona and absorbing the information, yes. The speakers were fantastic.  But I also had to have part of my brain watching the clock, keeping an eye on the audience, making sure the speakers had their slides loaded and time cues, and so on. {{The upside was that I got to hand Dr. Insel some magnetic buckeyballs.}} It meant that I was constantly thinking of what might happen next rather than what is happening right now.

I loved doing the MC thing. It was a tremendous honor and kind of fun, considering I got to play Oprah for a while. But it also means my memory of both days is a little fuzzy.

It reminds me a lot of how I've been living my life: constantly worried about the future (and obsessing about the past) without actually paying attention to what was going on around me. So when people reminisce about high school or college, I just feel rather baffled. First of all, having several serious mental illnesses during this time does tend to make your experiences less than stellar. As well, I was so focused on achievement and getting the right grade/internship/whatever so that I could do XYZ that I didn't actually experience things. It was about what's next not what's now.

Which, the more that I think about it, is a pretty sad way of experiencing life--or rather, not experiencing life. Much of this is, for me, related to anxiety. I get so worked up about what might happen that I feel I need a contingency plan for anything that might happen. And so I'm constantly thinking about that rather than, say, taking a hike with my friends. Of course, if an emergency did happen, I would probably be the person you'd want to be stuck with (assuming you wouldn't stab me because of all my fretting).

The problem is that I've really missed out on a huge chunk of life because I'm not really there. It's hard to come to terms with, and it's something I know I need to work on, but sitting down and trying to summarize the FEAST symposium really got me thinking and let me actually put my finger on what was going on in my life.

I do have some further thoughts that I will share tomorrow as well.

Have any of you experienced this there-but-not-really syndrome? How did you get better at staying in the moment? Please share in the comments!

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Sunday Smorgasbord

It's once again time for your weekly Sunday Smorgasbord, where I trawl the web for the latest in ED-related news, research, and more, so you don't have to.

Study Finds Disordered Eating Combined With Heavy Drinking Is Common Among College Students.

Super memory, obsessive behavior: Do they share brain space?

Flexible Brains Are Habit-Forming.

Serotonin and food motivation.

Scientists genetically alter mice so they can run longer without requiring extra food.

Clarifying Exercise Addiction: Differential Diagnosis, Co-occurring Disorders, and Phases of Addiction.


Study in Psychology and Sexuality looks at how LGBT women experience eating disorders.

Body image dissatisfaction versus over-evaluation in a general population sample of women.



"It's easy to forget that eating is, by definition, a social activity."

Eating disorders in youth: Diagnostic variability and predictive validity.


Facebook-like portal helps teens with Crohn's Disease collaborate on medical research. I think there should be one for people with eating disorders!

Therapeutic factors affecting the cognitive behavioral treatment of bulimia nervosa via telemedicine versus face-to-face delivery.


The Process of Discovery for Women: Exercise vs Body Work.

An investigation of the joint longitudinal trajectories of low body weight, binge eating, and purging in women with anorexia nervosa and bulimia nervosa.


The Antidote to Depression (or, changing our behaviors can change our thoughts).

Critical appraisal of the provisional DSM-5 criteria for anorexia nervosa and an alternative proposal.



Tips to Rest an Anxious Mind.

Change in binge eating and binge eating disorder associated with migration from Mexico to the US.


Calories Depend On Food Preparation.

A study of neurocognition in bulimia nervosa and eating disorder not otherwise specified-bulimia type.


Adolescents report weight as a primary reason for bullying at school.

Eating habits, physical activity, consumption of substances and eating disorders in adolescents.



Five Things Teachers Should Know About Eating Disorders, Resources and Prevention.

Assessing rumination in eating disorders: Principal component analysis of a minimally modified ruminative response scale.


Carl Warner's food landscapes – whimsical miniature vignettes made out of edible ingredients.

Consent to treatment in adolescents with anorexia nervosa.



Should scientists fight misleading anecdotes with data--or with anecdotes of their own? (as someone who runs into resistance in getting some clinicians to accept ED science, perhaps I'm taking the wrong approach...)

Therapist in your pocket--monitoring mental health with a smartphone.

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Major Milestone

Just six weeks before ED Bites turns five (Yes, I will be having a blog birthday party), I checked my stats and found that sometime in the last week, my blog hit a massive milestone.

Over 500,000 of you (half a stinking million!!) agree that ED does, in fact, bite.

I'm blown away. I never thought that anyone would really ever read my blog, let alone that I would still be blogging after five years. I thought I would get sick of blogging or you guys would get sick of ME long before I hit this mark. But that hasn't happened.

So hats off to all of my readers, for making these past five years possible.

posted under | 17 Comments

Monday Smorgasbord

It's once again time for your weekly Sunday Smorgasbord (this time appearing on a Monday since I fell asleep last night before I had a chance to finish the post!), where I trawl the web for the latest in ED-releated news, research, and more, so you don't have to.

The Truth About College Weight Gain. The Freshman 15 is a myth--the average person only gains 3 pounds.

Fear foods aren't exclusive to eating disorders. Duke University researchers help adult picky eaters introduce new foods.

Anorexia Is Not Only About What She Sees in the Mirror.

ACT and how we get stuck in the happiness trap.

Inequality, Health Disparities, & Obesity.

Recovery projects to help you tackle various stages of eating disorders.

Eating disorders in the twenty-first century.


An amazing pinboard of positive self esteem, body, recovery, confidence, and beautiful books.

Laboratory evaluation in patients with anorexia nervosa: usefulness and limits.


Treatment of Children with Mental Illness.

Prevalence of Personality Disorders and Their Clinical Correlates in Outpatient Adolescents With Anorexia Nervosa.


'Biggest Loser' Not Healthy. Stigmatizes overweight folks & offers redemption via drastic weight loss, says scientist. Blogger says "No shit, Sherlock."

An Update on Hospitalization for Eating Disorders 1999-2009. Free and full text.

Assessing rumination in eating disorders: Principal component analysis of a minimally modified ruminative response scale.


Defining What it Means to Be "Recovered."

Binge Eating Disorder and body image perception among university students.


Do Deficits in Brain Cannabinoids Contribute to Eating Disorders?

Starvation and emotion regulation in anorexia nervosa.

Objectified body consciousness in relation to recovery from an eating disorder.

Evaluating the quality of websites relating to diet and eating disorders.

Decoding eating disorder myths, risks.

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Whoever said money can't buy happiness never went on a yarn crawl

This past Saturday, I went with my knitting and crochet group on a yarn crawl to a nearby city. What's a yarn crawl, you ask? Well, it's like a pub crawl, where you visit a series of pubs (or yarn shops), one right after the other, sampling the wares (and fondling merino superwash at $35/hank) along the way. We had been looking forward to this for weeks, and the day did not disappoint.

I am not looking forward to getting the bills. But I did pick up some beautiful swag.

We hit three shops and lunch during the day, and made brief detours to two different cupcake places. Having to specify which cupcakes you're eating means it had to have been a good day.

The nice thing was that it made me feel so normal. I wasn't "Carrie the Girl with the ED." I was "Carrie the Crocheter" or "Carrie who has to fondle all the yarn." Or even just "Carrie." It was a nice change from my day to day life where the ED stuff is front and center. Yes, I have a fulfilling career and good hobbies and friends and family, but the ED, food, and recovery occupy a lot of my thoughts. Just for a few hours, I got to pretend I was normal like everyone else.

That was nice.

The irony is that I had to put so much work into recovery until I could actually get to this point. Not all that long ago, I wouldn't have gone because I would have had to navigate lunch and it would have interrupted my exercise routine. Then add the whole "spending money on myself" thing, and it would have been a disaster. So after placing all of my other obligations to the side (or at least demoting them on my to do list) and really doing all of the hard, seemingly unrewarding recovery work, I finally got to experience normalcy. Or the closest thing to it when your yarn bill for one day may very well have hit the triple digits.

I have to remind myself: I'm not destitute. I deserve good things. I can handle stressful situations. I will be okay.

It was a lovely day, and I know that all of the bills will have been worth it to feel like I'm part of the world again.

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About Me

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I'm a science writer, a jewelry design artist, a bookworm, a complete geek, and mom to a wonderful kitty. I am also recovering from a decade-plus battle with anorexia nervosa. I believe that complete recovery is possible, and that the first step along that path is full nutrition.

Drop me a line!

Have any questions or comments about this blog? Feel free to email me at carrie@edbites.com



nour·ish: (v); to sustain with food or nutriment; supply with what is necessary for life, health, and growth; to cherish, foster, keep alive; to strengthen, build up, or promote



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