Almost Anorexic: Is My or My Loves Ones Relationship with Food a Problem?

Almost Anorexic.fin.FC.LR

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ALMOST ANOREXIC makes clear that serious widespread eating problems are often ignored by assessment tests, health care professionals, media coverage, insurance companies, and even the person who is suffering. This book will help millions—including men!” –Leigh Cohn, M.A.T., C.E.D.S., editor-in-chief, Eating Disorders: Journal of Treatment and Prevention, and coeditor of Current Findings on Males with Eating Disorders

ALMOST ANOREXIC is a vibrant read with a fresh perspective on the perilous gray zone between healthy and anorexic.” –Cynthia Bulik, Ph.D., F.A.E.D., author of Midlife Eating Disorders: Your Journey to Recovery and director of the University of North Carolina Center of Excellence for Eating Disorders.

“I wish I had a touch of anorexia.”

Authors Jennifer J. Thomas, Ph.D., and Jenni Schaefer hear this all the time. Why does a serious, life-threatening illness with one of the highest mortality rates of any psychiatric disorder inspire such cachet? Data suggest that the flip side of our national obesity epidemic is a serious problem with disordered eating. Aside from the 1 in 200 adults with full-blown anorexia, a shocking 1 in 20 adults (or 1 in 10 for teen girls) exhibit key symptoms of anorexia, bulimia, or binge eating disorder but never address the issue because they don’t fully meet the diagnostic criteria.

Drawing on case studies and the latest research, ALMOST ANOREXIC: Is My (or My Loved One’s) Relationship with Food a Problem? combines the clinical expertise of Jennifer J. Thomas, Ph.D., along with Jenni Schaefer’s personal recovery story to help readers understand and overcome “almost anorexia” and live normal, healthy lives.
Some common warning signs and symptoms of almost anorexia are as follows:

  • Eating large amounts of food while feeling out of control
  • Experiencing significant weight shifts, often as a result of intentional attempts to drop pounds
  • Compulsively exercising or fasting to “make up” for a donut or another high-calorie item
  • Consistently restricting certain foods or carefully measuring portions
  • Having a closet full of clothes too big that you hide in because you feel bad about your body—or clothes too small for when you are “thin enough”
  • Standing in front of a mirror and telling yourself that certain aspects of your body are “ugly”
  • Comparing yourself to others, thinking your life would be better if you could be as thin as they are

ALMOST ANOREXIC reveals why unhealthy relationships with food are much more prevalent than full- blown anorexia and that they can be very dangerous as well as emotionally painful. Dr. Thomas and Jenni Schaefer show you not only how to get better but how to recover fully and have a more balanced and content life.

Jennifer J. Thomas, Ph.D., is an assistant professor of psychology in the department of psychiatry at Harvard Medical School and on staff at Massachusetts General Hospital specializing in eating disorders.

Jenni Schaefer is chair of the Ambassadors Council of the National Eating Disorders Association and an internationally known author and speaker whose work has helped change the face of recovery from eating disorders. Her books include Life without Ed and Goodbye Ed, Hello Me.

ABOUT THE ALMOST EFFECT SERIES

The Almost Effect™ (thealmosteffect.com) series presents books written by Harvard Medical School faculty and other experts that offer guidance on common behavioral and physical problems falling in the spectrum between normal health and full-blown medical conditions. These are the first publications to help general readers recognize and address these problems.

Craving by Omar Manejwala, M.D.

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Chocolate, sex, travel, a glass of wine, a new pair of shoes, french fries—these are all things people may indulge in from time to time.  For the most part, feeding these desires is a simple way to enjoy life, but what happens when a little pleasure becomes an overwhelming need that cannot be satisfied?  Omar Manejwala, M.D., the chief medical officer at Catasys and the author of the new book CRAVING: Why We Can’t Seem to Get Enough (Hazelden Publishing; April 2013; $14.95; Original Trade Paperback), defines craving as a “strong desire that, if unfulfilled, produces a powerful physical and mental suffering.”  A true craving can lead to a serious problem. According to Manejwala, current research shows that psychology, culture and brain chemistry hold the clues to why we may never be satisfied—but they also show how we can overcome these urges and compulsions.

In CRAVING Manejwala explains that the brain can turn against us, undermining our goals.  Using our experiences, habits and biology, our brain influences what we crave—and whether we will be able to stop—by pulling the strings of pleasure and pain, thereby creating a cycle that is hard to break.  All sorts of factors can be involved in the creation of this pattern. Some are genetic, and others come from the environment in which we were raised. But one thing doctors now know is that we can change what we want by “teaching” our brain how to think differently.  Eventually, Manejwala maintains, we can lose interest in the very thing that used to control us.  A desperate need has the potential to fade—not to be completely forgotten, but certainly not to continue to dominate our everyday life.

Some of the questions Manejwala covers in CRAVING are:

  • How and why do our brains drive our behavior?
  • What are the warning signs that a craving is evolving into an addiction?
  • Why is craving the most difficult component of addiction to address?
  • How can we change the parts of the brain that fuel our cravings?
  • What are some beliefs about cravings that recent research has disproven? (For example, it’s not necessarily true that we want what we can’t have.)
  • What simple steps can we take that can aid in the longer-term process of living without constant craving?

CRAVING will help everyone, from the person who just wants to manage their cravings to prevent them from getting out of control, to an addict (alcoholic, compulsive overeater, shopaholic, gambler, sex-addict, etc.) who has crossed the line and needs to completely reeducate his brain.  Manejwala believes that everyone can get satisfaction by learning what it is they really need and how to get it.

Omar Manejwala, M.D., is the senior vice president and chief medical officer of Catasys in Los Angeles and is the former medical director at Hazelden Foundation.  Dr. Manejwala is a transformative public speaker and appears frequently in the national media to address the topic of addiction and compulsive behaviors.

White Out by Michael W. Clune

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“It’s not the feeling of doing the drug that stays new. The drug high starts to suck pretty quickly. Pretty soon it sucks so bad you quit. Never again. Then you see a white top. Or even imagine you’re seeing one. And it’s the first time you’ve ever seen it.”

It is a desperate chase that lasts the rest of your addiction or your life, whichever ends first. After Michael Clune was introduced to drugs for the first time, his life became a series of ill-fated attempts to capture the ultimate high. The irony of heroin addiction is that it does not get better with time or experience—the best fix is always the first. With black humor and quick, rhythmic prose, Clune’s gripping literary memoir, WHITE OUT: The Secret Life of Heroin (Hazelden Publishing; April 1, 2013; $14.95), reads like no other as we go inside the heroin underground, enter the mind of the addict, and navigate the world therein.

Clune says that his heroin abuse created a hole in his memory, a “white out,” so that every time he used it, it seemed to be for the first time. His descriptions of what it was like and the things he and his friends did while high, are vivid, even poetic. But in reality his life was a mess as his relationships failed and he found himself in increasingly dangerous situations—all in the name of getting another white top.

In WHITE OUT, Clune discusses the culture of heroin. Whether he was buying it at the side of the road through his car window or on a street corner in a strange city, Clune knew what to look for in order to score. During his many attempts to quit the cravings were so intense, he confesses, that he abused drugs the entire time he was taking medication to counter the effects. Amidst the police busts and time spent in a jail cell packed with addicts, he faced the ultimatum that saved his life: get clean or go to prison for felony possession.

Today, clean and sober, Michael W. Clune is an assistant professor at Case Western Reserve University. He has successfully published a scholarly work on American literature with Cambridge University Press. He has a life full of color and contrast, no longer just a “white out.”

With heroin abuse dramatically increasing across America, and heroin named one of last year’s most harmful drugs, WHITE OUT is timely, eye-opening look at the life of a heroin addict and the larger population of users all around us. One white top is the entrance fee, and Clune hopes that more and more people will be able to pass it by without a second look back.

Blind Devotion by Shariene Prinsen

Blind DevotionPublisher: Hazelden Publishing
October 2012

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To what lengths should a woman go to keep her family together?  Sharlene Prinsen stood by her man even when he sat in the yard in the middle of the night armed with a rifle, daring the S.W.A.T. team to shoot at him.  Even when she started to lose the support of family and friends who believed she was out of her mind for staying, she remained firm.  Sharlene Prinsen, a teacher from Wisconsin had no idea of how her life would turn out, but her story is one of hope and an undying faith that saw her family through inexplicable situations.  In BLIND DEVOTION (Hazelden Publishing; October 1, 2012; $14.95; Original Trade Paperback) she courageously shares what her husband and her family endured, and how they had to find their own answers in the face of a medical system that is still, in the 21stcentury, ill-equipped to handle mental illness.

Sharlene was introduced to Sean by a neighbor in her apartment building.  He was handsome and charming, and had served in the military in Bosnia.  They fell in love, got engaged, and planned their wedding.  There were red flags for Sharlene that something wasn’t completely right for Sean—his panic and anger when faced with ghost decorations hanging from trees on Halloween; his violent reaction to Sharlene’s picking something up from the ground on the roadside; the fight they had before the wedding where Sean irrationally offered to call it off.  It was difficult for Sharlene to reconcile the angry, unpredictable Sean with the warm, engaging, and interesting man she thought she knew.  Eventually, her happy memories won out, they were married, and two children were born.

But the story in BLIND DEVOTION is not so simple.  For seven years Sean and Sharlene fought a battle with depression, pain killers, and alcohol.  Then finally after many trips to doctors and facilities—including jails and hospitals, they came face-to-face with the root cause of their problems—Post Traumatic Stress Disorder (PTSD).  This insidious condition and the perfect storm of war injuries and narcotic pain remedies made their lives a living hell and it was not until they found a savvy Veteran’s Administration counselor that their world started to turn around for the better.

PTSD, a condition that has been covered somewhat in the media, is still a disorder that lacks support and apparently many doctors do not even recognize it or consider it when diagnosing their patients.  One surprise from BLIND DEVOTION is that Sean’s problems did not originate with any of the more popularly broadcast wars like Vietnam, Iraq or Afghanistan—there is no variety of war that breeds more stress than others.   Also, PTSD does not go away, if accepted and recognized as a disorder, the symptoms have to be managed like epilepsy or diabetes.  Once a soldier, always a soldier, and for Sean this means he is always battle ready whether the behaviors that go along with that are appropriate for civilian society or not.  It is perhaps this conflict that rages inside some ex-military personnel, that leads them down a path of depression and addiction to kill the pain.

BLIND DEVOTION is full of warm moments juxtaposed against horrifying situations that are extremely moving.  Sharlene’s story, her belief in God and her ability to look at her own behavior and mishandling of situations in order to change herself for the better, makes her telling exceptional.  For any marriage in crisis or a family going through a tough time, BLIND DEVOTION has a strong message that may heal as much as it inspires.

Sharlene Prinsen and her husband Sean have been married for nine years and have two children.  She is a teacher in Northern Wisconsin.  This is her first book.