For some people, like Anne Lee*, 21, having an eating disorder wasn’t a conscious decision. She just turned off her stomach, she said. Eating wasn’t a priority and that was the way she wanted it.
Lee, a Lake Forest, Ill. native, dealt with her anorexia throughout eighth and into ninth grade before her parents intervened. Her mom, Mary, and dad, Joe, noticed she was sick a lot, seemed unhappy, and didn’t want to go to school.
After going to gastroenterologists, and not coming home with a diagnosis, her pediatrician, Dr. Martini, finally figured out what was wrong. Together, her mom and Martini decided that she should go to an eating disorder clinic in the neighboring town of Highland Park, Ill.
At the clinic, Lee went to group therapy and realized how her irregular eating patterns became an eating disorder. Other then that, she didn’t like the sessions because the other girls said they had disorders because they wanted to fit in with their friends. This was not the case with her. Lee convinced her parents that she was fine after only two group meetings.
Her mom and dad continued to monitor her eating habits until they were convinced that her frame of mind had changed.
Their intervention changed her daily routine. Going to college changes the routines and habits of many students. According to the scholarly article, Effectiveness of and Internet-Based Program for Reducing Risk Factors for Eating Disorders, 25 percent of college students are thought to be susceptible to eating disorders.
Amy Neeren, who has her doctorate in clinical psychology, said that some common causes of eating disorders are life transitions, extreme stress, socio-cultural factors, peers, family members, the media, and parental pressures in the home environment.
Along with these factors, Amy Henning, the Associate Director of Counseling and Director of Training and Drexel University’s Counseling Center, explained, “Having body image concerns doesn’t necessarily lead to the development of an eating disorder, those emotional/psychological issues runs a lot deeper and can include a genetic predisposition, significant family chaos, poor self-esteem, and societal pressures.”
For Lee, issues with eating began when she started to feel unhappy with her group of friends in eighth grade. She had been with the same friends since she started school and didn’t feel fulfilled. On top of that, her older brother, Joey, became sick and her dad switched jobs, which made her mom unhappy.
At this time she started skipping meals and working out a lot in addition to playing water polo and joining the swim team at her high school. Lee wouldn’t eat all day until she had a small dinner with her family. Afterwards, she was so exhausted she went right to bed.
Lee’s family intervention might have saved her life. At Drexel, the Counseling Center does have options available for concerned friends and family of someone who may have an eating disorder.
The Counseling Center is always available for consultation for concerned parties, Henning said. They can call or stop in to talk to a counselor. The center also has resources such as brochures, handouts and online information for those interested. Due to confidentiality limitations, counselors can not talk about a student’s treatment without their permission. However, the staff at the center can listen to all concerns from friends and family and make recommendations.
For students battling disordered eating and eating disorders, the Counseling Center offers various forms of help.
Besides individual counseling, there is a body image support group, psychoeducational presentations for faculty, staff and student organizations and an online screening process. In addition, the Peer Counseling Helpline can direct students to get the help they need. The Counseling Center participates in the National Eating Disorder Screening Program and offers free and confidential eating disorder screenings one day every year, Henning said.
As a counselor, there are many steps to treating a patient, Henning said. First, the nature of the problem needs to be assessed through an intake exam. Then, the severity of the symptoms and how they interfere with the student’s daily functioning must be determined. If appropriate, a student may be seen for therapy in the Counseling Center, or if he or she has full-blown eating disorder, they may be referred to an off-campus treatment facility.
A ‘team approach’ is usually the most effective when working with someone with an eating disorder, Henning said. The student may be referred to other professionals such as a psychiatrist, who may prescribe medication such as antidepressants and a nutritionist who specializes in eating disorders. A medical doctor and psychotherapy through the Counseling Center may also be employed.
“Treating someone with an eating disorder can be an intensive process that may take a long time, and it is sometimes necessary to refer a student to an off-campus intensive out-patient program or in-patient program,” Henning said.
Neeren, who is also a research fellow at Drexel, said that Cognitive Behavioral Therapy, a type of psychotherapy, is often used to treat students seeking help. During this type of therapy, a counselor works with the patient to change their thinking about their body image.
This is often done by exposing them to fearful situations around food. For example, the therapist may have the person with an eating disorder eat a cookie and then weigh themselves to show that they didn’t gain ten pounds like they feared.
While these approaches have been effective in the experience of both counselors, they think more could be done to further aid the student body at Drexel who may suffer from body image problems and/or full-on eating disorders.
Neeren said she believes increased awareness can come in the form of flyers, ads and more classroom presentations about eating disorders. She wants the Drexel community to know that there is help out there.
Henning would like to see a community effort to ease apprehensions many students have about going into the Counseling Center, before their issues get out of control. This is especially true for body issues, because disordered eating can spiral out of control quickly. Educating people without disorders would also be beneficial so they don’t contribute to a suffer’s torment.
Increasing the awareness of eating disorders is another one of her goals. Beyond the symptoms, people need to know how complicated this psychological disorder really is. Henning would also like to see more programs that deal with body image to give people realistic ideals, not what is prevalent in Hollywood.
Neeren said that from her experience, some people will go to great lengths to get as thin as some of the models and people they see on TV. What these people don’t realize is that this is unrealistic and people get touched up a lot.
Though dealing with an eating disorder can be a lifelong challenge, there are success stories.
Lee began to get better around her sophomore year of high school when her older sister Katie developed anorexia too. At this time, Joey was also not doing well with his illness. Lee felt disgusted in herself for being so self-absorbed when her family members really needed her support. She decided to really make an effort to get better.
“Ultimately, being stick skinny isn’t what’s going to make me happy. When I start to steer back into my old habits, I reinvest my energy in helping someone else. That’s what makes me feel good about myself,” Lee said.
* Name changed to protect identity.
– Check out my Q&A Session with counselor Amy Henning!
– Watch this video about one girl’s battle with her eating disorder.