Anorexia And Metabolic Set Point

Developing Powerful Public Awareness Campaigns

A NEDIC Bulletin discussing the inclusion of exercise in eating disorders treatment, guidelines, and risks of doing so.

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When you’re worried that your child has an eating disorder, figuring out how to get help for them can be very overwhelming. Primary care providers (family doctors, pediatricians, and nurse practitioners) play an important role in addressing eating disorder concerns, which can span diagnosing, referring to specialized eating disorder programs, and providing regular medical supervision.

It’s recommended that you arrange for your child to be assessed by their primary care provider as one of the first steps in getting help. As it’s often difficult for people with an eating disorder to admit to or be open about their difficulties, consider speaking with your child’s primary care provider privately before they see your child.

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When you’re worried that your have an eating disorder, figuring out how to get help can be very overwhelming. Primary care providers (family doctors and nurse practitioners) play an important role in addressing eating disorder concerns, which can span diagnosing, referring to specialized eating disorder programs, and providing regular medical supervision.

It’s recommended that you arrange to be assessed by your primary care provider as one of the first steps in getting help.
You may find this discussion guide useful to have on hand when you visit your primary care provider.

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The information in this resource addresses behaviours and warning signs associated with eating disorders and should not replace evaluation and treatment by a qualified professional. For additional support, please refer to our contact information, as well as other recommended resources, listed on the back of this booklet.

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AboutFace’s mission is to promote and enhance positive mental and emotional well-being of individuals with facial differences and their families through social and peer support, information, educational programs and awareness.

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The Academy of Nutrition and Dietetics is the world’s largest organization of food and nutrition professionals. Members of the Academy play a key role in shaping the public’s food choices, thereby improving its nutritional status, and in treating persons with illnesses or injuries. Members offer preventive and medical nutrition therapy services in a variety of settings.

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A Bulletin describing the use of Acceptance and Comittment Therapy. “ACT is a therapy approach that uses acceptance and mindfulness processes, and commitment and behaviour change processes, to produce greater psychological flexibility.”

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This webinar by Debbie Anderson, Art Therapist is an opportunity for anyone interested in the benefits of journaling as a support for ED healing to see in more detail why the art journaling option can be a powerful ‘other voice in the room’ for group discussion, and for internal change for the art-maker.

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A NEDIC Bulletin discussing autonomy and beneficence in an eating disorder context. In general terms, the principle of autonomy recognizes that an individual who is competent has the right to make an informed choice about medical treatment.

This choice must be made without coercion or undue influences from others. The principle of beneficence requires that health care providers do that which is considered “good”, or in the best interests of the person for whom they are providing care.

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Seven small studies were identified; four placebo-controlled trials did not find evidence of efficacy of antidepressants in improving weight gain, eating disorder or associated symptoms, as well as differences in completion rates.

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The use of a single antidepressant agent was clinically effective for the treatment of bulimia nervosa when compared to placebo, with an overall greater remission rate but a higher rate of dropouts. No differential effect regarding efficacy and tolerability among the various classes of antidepressants could be demonstrated. This article is provided by Cochrane Canada.

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Psychotherapeutic approaches, mainly cognitive behavior therapy, and antidepressant medication are the two treatment modalities that have received most support in controlled outcome studies of bulimia nervosa.

Psychotherapy appeared to be more acceptable to subjects. When antidepressants were combined with psychological treatments, acceptability of the latter was significantly reduced. This article is provided by Cochrane Canada.

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A NEDIC Bulletin discussing eating disorders from an addictions perspective.

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Les jeunes qui ont une piètre estime de leur image corporelle tendent à devenir des personnes qui hésitent à exprimer leurs opinions et qui peuvent en venir à éviter certaines opportunités académiques, sociales et économiques.

Développer sa résilience dès la petite enfance est la clé pour acquérir une meilleure image corporelle et estime de soi.

Révisé en 2016! Comprenant maintenant cinq leçons par niveau, allant de la 4e année du primaire jusqu’à la 2e année du secondaire, le programme Au-delà de l’image a été actualisé afin de bien outiller les enseignants et enseignantes pour aider les élèves à mieux comprendre les messages véhiculés dans les médias et les médias sociaux.

Au-delà de l’image, invite les jeunes à pénétrer le monde des médias armés d’un esprit critique! Les élèves apprennent la mécanique et la symbolique utilisées dans la construction des messages médiatiques, pour ensuite apprendre à créer leurs propres messages sur la beauté au-delà des apparences.

Au-delà de l’image explore les concepts actuels de beauté masculine et féminine et ce que cela signifie d’y correspondre, aidant ainsi les élèves à comprendre et à développer leur capacité de résilience vis-à-vis de ces messages stéréotypés.

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Many patients, however, do not respond as well as hoped to these treatments. Using cognitive and behavioural therapies in combination with certain medicines, for example d-cycloserine (DCS), is one option that may improve treatment response. This article is provided by Cochrane Canada.

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A NEDIC Bulletin discussing what bariatric surgery is and its relationship with eating disorders.

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A NEDIC bulletin discussing critical media literacy and the importance of research.

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Whilst antidepressants remain the mainstay of treatment for depression in healthcare settings, psychological therapies are still important alternative or additional interventions for depressive disorders.

Nowadays, a diverse range of psychological therapies are available (such as cognitive-behavioural therapies, behavioural therapies, psychodynamic therapies, humanistic therapies and integrative therapies). This article is provided by Cochrane Canada.

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Poor body image and self-esteem in youth can significantly impact their ability to interact with their world and pursue academic, social and economic opportunities. Building resilience and developing critical media literacy skills are two key components of teachers’ toolkits for supporting today’s youth.

Beyond Images is a grade 4-8 curriculum that invites youth to engage in the world of media on their terms! Join two of the educators who created the Junior-Intermediate curricula as they share with you some of the ideas, strategies and resources that educators need in their classrooms today!

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Studies show that how we feel about our bodies affects how we do socially, academically and physically. Understanding how body image is impacted in the school environment is fundamental to building resilience and positive self-esteem.

Join Helen Vlachoyannacos OCT in exploring school-based experiences of body image and how to build resilience and self-esteem in the whole school community. Helen will address how to build community around body image issues among educators, parents, families and community members.

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This session will provide an introduction to the subject of body image, and share tips for educators who wish to weave it into the classroom. Heather Thompson and Helen Vlachoyannacos wrote the Beyond Images curriculum for NEDIC, and will share their advice and perspectives on teaching body image to youth.

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NEDIC’s brochure discussing binge eating disorder

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A video produced by Shire Pharma Canada discussing binge eating disorder, a complex, prevalent, and under-served mental health condition.

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A NEDIC Bulletin discussing body image and self-perception of women who have disabiliities.

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A NEDIC Bulletin discussing body dissatisfaction and eating disorders in transgender individuals.

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Body Image is an international, peer-reviewed journal that publishes high-quality, scientific articles on body image and human physical appearance. This is an external resource, and NEDIC is linking to it for informational purposes only.

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It is increasingly understood that there are individuals of diverse body size, gender identity, race, ability, sexuality and socioeconomic status who struggle with an ED. This Bulletin explores the strengths and the gaps of the existing ED literature as it relates those living in poverty food insecurity

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A summary of the findings of an Ipsos Reid opinion poll from November 2014.

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CCSA works with its partners to address issues related to substance use and addiction that affect the health and safety of Canadians.

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CMHA facilitates access to the resources people require to maintain and improve mental health and community integration, build resilience, and support recovery from mental illness.CMHA branches across Canada provide a wide range of innovative services and supports to people who are experiencing mental illness and their families.

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To advance and promote psychology for the benefit of all, one of the CPA’s four objectives is to improve the health and welfare of all Canadians.

Psychology is an important part of the social fabric of Canada. Canada is a big and diverse country.

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An overview of Canadian research on eating disorders, prepared by the Ontario Community Outreach Program for Eating Disorders
(2011) www.ocoped.ca and updated by the National Initiative for Eating Disorders (2017) www.nied.ca

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Co-hosted by NEDIC and CWHN, this informative webinar recorded on February 4, 2010 covers the impact of media imagery on girls and women. The particpants’ discussion was moderated by Shari Graydon, award-winning author, media educator and critic.

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When most people think about women struggling with eating disorders, women with physical disabilities are rarely considered, despite the fact that studies and clinical observations have suggested that women with physical disabilities are actually at increased risk for developing an eating disorder.

This webinar will discuss the role of physical disability in the development, maintenance, and treatment of disordered eating in women. Join Dr. Jennifer Mills and Kaley Roosen as they identify the severity of disordered eating within the population of women with physical disabilities, and discuss possible differences in how eating disorders manifest in this population.

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For almost 20 years, Debbie Berlin-Romalis has facilitated support groups at Sheena’s Place, a non-residential, non-institutional centre for individuals, families, and friends affected by eating disorders.

Through her clinical work and observations, Debbie has developed “trademarked concepts” that illustrate and highlight specific phenomena related to the social determinants of health and the onset and development of eating disorders.

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CBT is significantly more effective than no therapy in reducing symptoms of anxiety in children and young people. No clear evidence indicates that one way of providing CBT is more effective than another (e.g. in a group, individually, with parents). This article is provided by Cochrane Canada.

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A NEDIC Bulletin discussing coping strategies for the families, partners, and caregivers of individuals living with an eating disorder.

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A NEDIC Bulletin discussing coping strategies for individuals living with eating disorders and food/weight preoccupation, especially surrounding the holiday season.

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A NEDIC Bulletin discussing body image among Aboriginal youth. Cultural sensitivity in the body image context is discussed

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Dance movement therapy (DMT) uses bodily movements to explore and express emotions with groups or individuals. This is the first review of the effectiveness of DMT for depression and will add to the evidence base regarding depression treatments. This article is provided by Cochrane Canada.

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A NEDIC Bulletin discussing dental issues that may arise as a result of eating disorders.

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A NEDIC Bulletin discussing strategies for developing public awareness campaigns.

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A NEDIC Bulletin discussing strategies for developing and implementing support programming in rural and under-served areas.

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What is Type 1 Diabetes? What is diabulimia? Lori-Short-Zamudio, a registered dietitian, explains and offers some ideas to reduce the risk and for treatment interventions.

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A NEDIC Bulletin discussing dialectical behavioural therapy, which is a treatment common in the treatment of eating disorders.

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A NEDIC brochure discussing myths and truths about dieting and weight loss.

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Dietitians of Canada (DC) is the professional association representing over 5,000 members at the local, provincial and national levels with regional offices in British Columbia, Alberta and the Territories, Saskatchewan and Manitoba, Ontario, Quebec and Atlantic Canada.

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A press release promoting No Diet Day 2015. Instead of dieting, NEDIC promotes body acceptance, and encourages individuals of all
ages to balance eating for health and eating for pleasure, while exercising for enjoyment.

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A NEDIC Bulletin discussing the intersections of body image and self-esteem in women.

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Do you know the warning signs? This article provides a starting point for reviewing your own attitude towards food and weight.

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Alyssa Durbin and Dr. Jennifer Mills discuss the results of their recent study investigating how presenter self-disclosure influences message and presenter ratings in a school-based universal prevention program.

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Educators and caregivers often try to protect children from falling victim to the “obesity epidemic”. Although they may have the best intentions, their attitudes toward food and weight may actually increase the risk of eating disorders and poor body image of the children in their care.

In this webinar, Susan Osher MSc, RD will discuss the latest research and share her clinical experience on creating a positive and nurturing food environment. She’ll focus on strategies that empower and educate children so that they are able to nourish themselves with self-love.

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This webinar will review the current state of eating disorder prevention research, what has been shown to work, and where future research efforts appear to be heading. Dr. Jennifer Mills is a full-time Associate Professor in the Department of Psychology at York University.

She conducts research on body image and eating disorders. Shasha Tse is a doctoral student at OISE at the University of Toronto. Her research interests include body image, eating disorders, and substance use.

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A NEDICBulletin considering the Standing Committee on the Status of Women’s report entitled «Eating Disorders Among Girls and Women in Canada» one year following the report’s issue.

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During this webinar Alma Naddafi, RN (EC), MA Ed, ACNPwill discuss the impact that eating disorders can have on fertility and infertility, and focus on how clinicians and eating disorder patients can be mindful of these impacts while working toward full healthy recovery.

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Eating disorders are not a choice. They are not about vanity, weight or even food. Eating disorders are a serious mental health condition and may have serious health consequences.

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This year we are promoting the message that One Size DOESN’T Fit All, to shine a light on the fact that Eating Disorders can and do affect individuals of all genders, ages, races and ethnic identities, sexual orientations and socio-economic backgrounds.

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The NEDIC team discusses myths, facts and false stereotypes surrounding eating disorders.

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A NEDIC fact sheet with statistics about who is affected by eating disorders, how many people in Canada are affected by eating disorders, and that you cannot tell who has an eating disorder by looking at them.

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A NEDIC brochure providing information about the prevalence and identification of eating disorders in boys and men, and tips for supporting affected individuals.

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A resource prepared by NIED for Eating Disorders Awareness Week 2017, containing an overview of Canadian-centric facts and statistics about eating disorders.

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An infographic depiction of the summary of the findings of an Ipsos Reid opinion poll from November 2014.

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This video by Kelty Mental Health provides strategies to help parents and families provide structure and support to youth with eating disorders before, during and after meals.

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Eating Disorders Review provides news and original articles on diagnosis and treatment of all eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, other specified feeding or eating disorders, and obesity. This is an external resource, and NEDIC is linking to it for informational purposes only.

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Eating Disorders offers a multidisciplinary perspective on clinical issues and prevention research that considers the essential cultural, social, familial, and personal elements that not only foster eating-related problems, but also furnish clues that facilitate the most effective possible therapies and treatment approaches.This is an external resource, and NEDIC is linking to it for informational purposes only.

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A NEDIC Bulletin discussing the «burden of disease» cost of eating disorders in Australia.

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Eating disorders can affect anyone, contrary to stereotypes. Eating disorders can affect individuals of any gender, ethnicity, age, race, ability, or economic status.

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A NEDIC Bulletin discussing Emotion-Focused Therapy for eating disorders.

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The Professional Journal of beat, the leading UK charity for people with Eating Disorders and their families, European Eating Disorders Review is an international journal, publishing articles which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. This is an external resource, and NEDIC is linking to it for informational purposes only.

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A NEDIC Bulletin discussing the role of physical activity in health as well as the connections between activity, appearance, and self-esteem

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Eating disorders are complex and no single factor explains why some women develop chronic eating disorders that don’t seem to respond to treatment and why some women relapse following apparently successful treatment.

One potential factor is that “action-oriented” treatments that focus on making changes are not necessarily effective or appropriate for individuals who are not yet considering change. Motivational interviewing is an effective strategy that helps to resolve ambivalence and prepare women for action-oriented treatments such as cognitive behavioural therapy.

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F.E.A.S.T. is an International non-profit organization of and for caregivers of loved ones suffering from eating disorders.

F.E.A.S.T.’s Mission is to support caregivers by providing information and mutual support, promoting evidence-based treatment, and advocating for research and education to reduce the suffering associated with eating disorders.

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A NEDIC Bulletin examining the Maudsley family-based outpatient treatment for anorexia in adolescents.

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One form of intervention commonly utilised to treat patients with AN is family therapy. Overall there was some evidence to suggest family therapy may be effective compared to treatment as usual. However, there is not enough evidence to determine whether family therapy is effective compared to other psychological interventions for rates of remission. This article is provided by Cochrane Canada.

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A NEDIC Bulletin exploring the experience of fat women in therapy from a variety of perspectives. Cultural and psychotherapeutic prejudices against fat women are explored

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A NEDIC Bulletin discussing fat talk, or negative body-related ocnversations. The Bulletin discusses motivations and consequences of fat talk as well as strategies to stop it.

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There has been a growing recognition of the diversity of those who struggle with eating disorders across age, gender, sexuality, ability, race, class, body size and other lines of identity. Yet there remains a lack of research and understanding surrounding food insecurity and the impact this has on diverse, marginalized populations with eating disorders.

Presenter Christina Hyland is a second-year doctoral student at the Factor-Inwentash Faculty of Social Work at the University of Toronto. Christina’s scholarship focuses on the mental health implications of food insecurity and eating disorders as experienced by marginalized youth populations.

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A NEDIC Bulletin discussing eating disorders and body image for women in midlife.

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A NEDIC Bulletin exploring getting help, including how to select a therapist and what to expect from therapy as wella s common obstacles.

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