Bulimia

5 useful phrases when talking to someone with an eating disorder

It can be difficult to know what to say when you’re talking to someone with an eating disorder, especially if you’re discussing the eating disorder itself. Many of us fear that using the wrong words will make things worse and it’s common to shy away from saying much at all. But if you put yourself in the shoes of the sufferer you’ll realise that would make for a lonely existence. There are things that you can say that are useful. Here are a few…

“How can I help you?”

It’s really, really hard to know how to help someone with an eating disorder. Maybe you’ve been wracking your brain to no avail. Well here’s a secret… the best way to find out is to ask them. This can be a real conversation starter and you’ll be amazed at some of the suggestions you’ll get back, anything from, “Sit with me when I eat, but please don’t talk” to “Don’t pretend there’s nothing wrong with me” to “Just keep asking, it’s helpful to know you care.” Don’t ask unless you’re genuinely willing to help and support though. Read the rest of this entry »

Practical Listening Skills when talking to someone with an eating disorder

If a young person chooses to talk to you about their eating disorder, it’s a real sign of trust and it demonstrates that they’re ready to be listened to. The most important thing you can do is provide them with the opportunity to talk. No one expects you to know all the answers, but simply by actively listening you’re doing a really important job.

This post gives you a few ideas to make sure you’re listening as effectively as possible.

Make sure there’s no time pressure

A pupil will have to build up quite a lot of courage to have a conversation with you about their eating disorder, so if you suddenly have to dash off to do lunch duty after five minutes it can really shake their confidence. Although you may legitimately need to be somewhere else, the eating disorder is likely to make the pupil interpret the situation negatively and assume that you aren’t interested in what they have to say or you don’t want to help them or are disgusted by them. Read the rest of this entry »

The importance of early detection of eating disorders

You wouldn’t ignore a broken leg - please don’t ignore eating disorders either

There are several reasons why it is advantageous to detect, support and treat eating disorders cases as early as possible and to help you understand them I’ll bring you back to my trusty broken leg analogy.

If a pupil had a broken leg and it went unnoticed and untreated, a few things would happen:

The injury would cause pain and suffering in the short term
The injury would prevent the pupil from participating in sport and athletics until it was treated
The pain of the injury would distract the pupil from their academic work and make them less inclined to socialise
The injury would worsen, perhaps healing incorrectly, meaning that there might be a need for more serious intervention in the long term such as an operation or a long course of physiotherapy
The pupil may never fully recover from the injury, perhaps being prone to further breaks, or being left with a limp

And it’s almost exactly the same with an eating disorder. Like a broken leg, if it’s picked up right at the start and treated appropriately, the chances are that the pupil will make a fairly quick and full recovery, but left untreated, the impact of an eating disorder both short and long term worsens. Read the rest of this entry »

Understanding Barriers to Eating Disorder Disclosures in School

As well as you or your colleagues picking up on eating disorders warning signs, it is also possible that pupils will raise concerns about a peer if they’re worried, or a pupil may even talk directly to a teacher or other member of school staff if they’re concerned about themselves.

Whilst knowing the risk factors and warning signs is a real help in spotting problems, there is nothing more reliable than a disclosure from a pupil or their peers. But unfortunately, our research has shown that less than 10% of pupils would feel confident in talking to a member of staff at school about their problems – for a range of different reasons. By understanding these reasons and thinking about whether they apply to your school, you can begin to think about how you might put measures in place to overcome these barriers and make pupils more likely to confide in a teacher about their concerns. This is vital because if a pupil or their peers disclose their concerns to you about a possible eating disorder (or other mental health issues for that matter) you will be in an excellent position to offer early help and the best possible support. Read the rest of this entry »

Developing an eating disorders support programme for schools

Thank you to everyone who came to hear me speak at EDIC 2012 - and thank you in particular to the people who have taken time to feedback.

Several people have asked if I could provide the slides of the session so I’ve attached them here. I’m afraid they don’t make a lot of sense without me there to talk them through though!

If you think I can be of help to you or your organisation or school, please don’t hesitate to be in touch.

Developing an eating disorders support programme for schools from Pooky Hesmondhalgh

Beat’s second Eating Disorders International Conference was a really impressive event, bringing together people interested in eating disorders from all over the world it was an honour to be a part of it - thank you to all of the organisers, other contributors and attendees.

Behavioural Warning Signs that a Young Person might be Suffering from an Eating Disorder

Some behavioural signs can be quite hard to pick up on but some are really strong clear indicators that a young person is suffering from an eating disorder. The thing with many of these signs is that on their own they can usually be explained away, but if you see them in combination, or you’re noticing them in someone who has personality, family or social factors that put them at higher risk of eating disorders, they could be a clear indicator that someone is suffering from an eating disorder.

It’s all about building up a picture of the individual and once you know all the different things to look out for you’ll have a much better idea of whether a student needs further support or help. In addition to the behavioural warning signs listed below, there are physical warning signs that a young person might be suffering from and eating disorder which you should also be on the lookout for.

Restricted eating

Restricted eating, or dieting can be an indicator of an eating disorder. Of course there could be dozens of students in any year group who are dieting at any one time and not all of these will develop eating disorders, but any student who seems to be on a very severe diet and appears to be excessively restricting what they eat should be a cause for concern. Read the rest of this entry »

Break the Silence - BEAT Eating Disorders

A special message from BEAT as it’s eating disorder’s week. This year the campaign encourages people to seek help for themselves of someone they care for.

BREAK THE SILENCE and help Beat Eating Disorders.

Eating disorders take many forms (Understanding EDNOS)

In the medical profession, we use a term ‘Eating Disorders Not Otherwise Specified’ (EDNOS) as a catchall for anyone who displays eating disorder like symptoms or thought patterns but who doesn’t meet the diagnostic criteria for the major disorders Anorexia, Bulimia or Binge Eating Disorder.

Not all eating disorders sufferers fit neatly into categories

It’s important to understand that not everyone who is suffering from an eating disorder will display the classic symptoms of the three major eating disorders. They may suffer from multiple disorders or from a form of a condition which is not extreme enough to warrant a diagnosis – but that doesn’t mean they don’t need help and support. Read the rest of this entry »

What can teachers do to help pupils with eating disorders?

Many teachers that I’ve worked with have felt that helping pupils with eating disorders was either beyond their remit, or something they felt totally unqualified to do. I feel strongly that school staff are in an excellent position to spot and support eating disorders and that with appropriate training, teachers and other school staff can do an excellent job of supporting these pupils, and don’t forget, there are plenty of external sources of support you can draw on as well such as your local CAMHs or charities such as Beat or Young Minds in Schools.

So what can you do to help?

Keep an eye on pupils at risk

Whilst eating disorders don’t discriminate and can affect anybody, there are some pupils who have a higher risk of developing an eating disorder than others. By making yourself aware of the social, family and personality factors that might put a young person at higher risk of developing an eating disorder, you’ll know which pupils you should keep an eagle eye on. Read the rest of this entry »

What’s the difference between a diet and an eating disorder?

These days, dieting is so commonplace that it’s often accepted as the norm rather than the exception. So if you’re a teacher, or a parent at what point should you be concerned that your pupil or child is suffering from an eating disorder rather than just dieting along with all their peers?

Here are 6 tell-tale signs – you may not be able to spot them all yourself but a chat with their friends may help you glean some more information.

Her diet is very restrictive, allowing consumption of only a few hundred calories a day

One of the key differences between a regular diet and an eating disorder is one of scale. Generally speaking, a young person with an eating disorder will restrict their calorie intake to only a few hundred calories per day. Allowing themselves to eat maybe half or maybe even less, the number of calories they are likely to expend in a day.

Read the rest of this entry »