Teachers

Worried a pupil might have an eating disorder? When should you say something?

Once you’re aware of the risk factors and warning signs for eating disorders you may find yourself noticing pupils in your class who cause you some concern. You might be anxious that they could be in the early stages of developing an eating disorder - but when should you say something? Should you sit back and monitor the situation until you’re sure there’s a problem or should you speak to them as soon as possible? It’s a difficult question and as much as anything it will depend on your relationship with the pupil. Here are my tips for working out what to do next, once you have that niggly feeling that something’s not quite right. Read the rest of this entry »

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Bullying can trigger and fuel eating disorders – it’s time to take it seriously

When I surveyed 800 young people about their experiences of eating disorders in UK schools, only 20% said that their school felt like a safe and supportive environment for someone suffering from an eating disorder. There were several reasons for this but the number one reason was teasing, rumours and bullying.

And not just from their peers. From the staff as well.

“You might as well go around with ‘freak’ written on your head. Everyone treats you like one. Even if they’re not being horrible then they’re freezing you out ‘cos they don’t know what to say.”

Kelly, Year 9

“My maths teacher joked about me being fat. Now I’m better I can tell it was a joke, back then I was skin and bones but I took him seriously and ate even less that day. Everyone made ‘jokes’ like that the whole time but it’s not funny.”

Michael, Year 11 Read the rest of this entry »

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12 Tips for Writing an Eating Disorders Policy for Your School

An effective eating disorders policy can ensure that students causing concern don’t ‘fall through gaps’:

“A boy in year 10 was suffering badly from anorexia and ended up in A&E – when staff were debriefed several of us realised that although we were very concerned about him, we had all assumed someone else was dealing with it – but nobody was. We now have a policy with a named member of staff who all these concerns are passed to.” (Secondary School Geography Teacher)

According to my research, less than a quarter of schools have an eating disorders policy in place. I’ve developed one that you can download and adapt, but if you’d like to write your own, here are my 12 top tips.

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Eating Disorders Policy for use in your School

As many as one percent of school aged children meet, or nearly meet the criteria for anorexia or bulimia. Yet most schools don’t have a policy in place – of 800 schools I recently surveyed, only 40 schools had a specific eating disorders policy in place. In 540 schools, eating disorders were not referred to at all in any of their policies.

Why have a specific eating disorders policy?

My research with schools has shown that majority of school staff would not know what to do if they became concerned that a student was suffering with an eating disorder. And many more felt that they wouldn’t know what warning signs to look out for at all. Read the rest of this entry »

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How and Why You Should Alter Your Academic Expectations for Eating Disorders Sufferers

The stereotype tells us that eating disorders sufferers are A* students, perfectionists and generally succeed at all they do. Superficially, this often appears to be true - so their academic work may be the least of your concerns. But this is a mistake. It’s really important for us to revise our expectations of pupils with eating disorders because encouraging a constant strive for perfection can be damaging, especially if their illness makes them unable to succeed like they’re used to.

 

Aiming for perfection

Whilst it’s not a universal truth, many eating disorders sufferers are high achievers. One of the key risk factors for developing an eating disorder is a perfectionist personality. As such these young people are the type who will be expecting to achieve very highly across the board and would probably consider anything less than perfection failure. This point of view is likely to become more and more extreme as the illness takes grip and their thinking becomes more and more black and white.

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Why do people suffer from eating disorders?

Well the first thing to point out is that it’s not all about trying to be as skinny as the models in Vogue. Oh no, there’s a whole heap more to it than that. Those skinny models don’t help and they give sufferers some might slim standards to aspire to but there are a whole host of reasons why people suffer from eating disorders – the best way to help you to understand is to share the words of sufferers themselves.

Control

“Everything was going wrong. My family was falling apart, I was getting in trouble at school, my life felt like a great big mess and it felt like food was the only thing I could control. So I did.”

 

Punishment

“I hated myself so much and constantly felt a need to be punished for not being perfect at school, for being a bad daughter, for not being popular enough. I used to love food so depriving myself of it felt like a good punishment.”

 

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What should you say when a young person confides in you about an eating disorder?

However you feel, take the news calmly

The most difficult way to hear the news of an eating disorder, is directly from the sufferer themselves. Perhaps they’ve been secretly making themselves sick for months and you didn’t have the slightest clue. As they confess what they’ve been up to, as their teacher, friend or parent you might feel disgusted, angry, frustrated or any one of a number of other emotions. Please try not to let those emotions show. If you possibly can, try to take the news calmly and openly. You have no idea how hard it was to make this disclosure and a negative reaction is likely to completely shake their confidence and more or less instantly break down the trusting relationship you’ve built up.

Don’t talk, listen

Listening is the very best thing you can possibly do right now. If a sufferer has come to you it’s because they trust you and feel a need to share their secret with someone. Just let them talk. Ask occasional questions if you need to in order to encourage them to keep exploring their feelings and opening up to you. Just letting them pour out what they’re thinking will make a huge difference and marks a huge first step in recovery. Up until now they may not have admitted even to themselves that they have a problem.

Try to understand, even if it’s hard

The concept of an eating disorder can seem completely alien if you’ve never suffered from one. You may find yourself wondering why on earth someone would do these things to themselves, but don’t explore those feelings with the sufferer. Instead listen hard to what they’re saying, try to understand why they feel the need to use food as a coping mechanism and slowly start to understand what steps they might be ready to take in order to start making some changes. Read the rest of this entry »

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5 Warning Signs that a Young Person might have Bulimia

None of these warning signs on its own means that a young person has bulimia but if they are exhibiting several of these signs then you are right to be concerned.

Excessive chewing of gum/drinking of water

Chewing gum, and drinking can be used both to cover the smell of vomit in a bulimic and as a distraction for any eating disorders sufferer trying to prevent themselves from eating. Read the rest of this entry »

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Physical Warning Signs that a Young Person might have an Eating Disorder

You wouldn’t expect to see all of these signs as some are related to different types of eating disorders and even just one or two of them can indicate a serious underlying problem so it’s really important to take them seriously.

 

Weight loss

This is probably the most obvious warning sign to look out for. Any pupil who rapidly loses a large amount of weight should be followed up on. Occasionally there will be an alternative medical explanation, but in many cases it is a classic symptom of anorexia. Read the rest of this entry »

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Social Factors that might put a young person at risk of developing an eating disorder

It’s important to remember that none of these factors mean that a young person WILL develop an eating disorder – they’re simply risk factors and a young person who has a combination of the different factors that we’re going to discuss may be more likely to develop an eating disorder than their peers, so it’s worth being aware of them.

 

This post looks at social factors – how social factors such as peer influences, group involvement and so on, might contribute to a young person developing an eating disorder. You might also be interested in reading the posts about Family Factors and Personality Factors.

Being bullied, teased or ridiculed due to weight or appearance

Bullying or teasing generally can make a young person more likely to develop mental health issues. If that bullying is specifically orientated around their weight then it is far more likely to act as a contributing factor towards the development of an eating disorder. Read the rest of this entry »

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