What is Orthorexia Nervosa?

Orthorexia

You’ve heard of Anorexia Nervosa and Bulimia,  right? Anorexics restrict their eating whereas Bulimics go through cycles of binge eating followed by purging. But what is Orthorexia Nervosa? An eating disorder currently not recognized in the Diagnostic Statistical Manual of Mental Disorders, Orthorexia was first coined in 1996 by a physician who used it to describe patients who were overly concerned with their health. Orthorexia, which literally translates into “fixation on righteous eating,” begins with one’s attempt to eat healthy foods. But orthorexics then become obsessed with food quality and how much to eat. The more restrictive the diet, the greater one’s health suffers. Like anorexia and bulimia, there is no exact cause to orthorexia. Though the desire is to eat healthfully, there are other deeply rooted motivations, such as the hunger to be thin, the determination to be in control, and the need to improve self-esteem.

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Rachel Levine, a kindergarten teacher in Denver, Colorado, and an advocate for those suffering from eating disorders, has been in recovery from both orthorexia and anorexia for more than seven years. In the March 2015 issue of Self Magazine, she shares her raw story of how orthorexia “almost killed her,” starting from the very beginning, when her heart nearly stopped beating from nutritional deprivation. To learn more about how Rachel got her appetite for life back, I invite you to read her story, “What it’s Like to Care Too Much About Eating,” here.

 

 

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Eye Movement Desensitization Reprocessing: Taming the Inflammation

taming_the_inflammation

Eye Movement Desensitization Reprocessing, or EMDR, was first discovered in 1987 by Psychologist Francis Shapiro.  One day, she felt anxious by negative thoughts, so went for a walk in the woods. Sure, you might say, sounds like a great way to shed some stress – walk it off. But as she moved her eyes from right to left, taking in nature’s greens, yellows, and browns, she noticed that her level of anxiety decreased. She tried a similar eye movement process with her clients, and it worked. They, too, experienced a reduction in anxiety. That’s how EMDR was born. Initially used to treat individuals with PTSD and other anxiety disorders, it is now used to treat other conditions like depression, schizophrenia and eating disorders.

When you cut your finger, cells race to the site and clump together to stop the bleeding. Your body’s nutrients then heal the wound. If it continues to get irritated, it will become inflamed and may open up again. Once the source of irritation is removed, the wound can finally heal. PTSD symptoms are like festering wounds; the goal of EMDR is to remove what is blocking those wounds from healing.

Here’s how EMDR works: The client recalls a vivid image from the trauma experienced, such as a lying on the pavement after being hit by a car while thinking about a negative belief about the self, such as “I’m going to die.” The client notes the visceral sensations and emotions she is experiencing like a tight chest, shortness of breath and increased fear. She then thinks of a positive image like taking a warm bath, then a thought: “I’m safe.” Following this, the client conjures the negative thoughts and images while undergoing 15-20 seconds of bilateral stimulation: lateral eye movements, where the client follows the back and forth movement of the therapist’s fingers. Even though lateral eye movements are the most common form of stimulation, other stimuli may be just as effective, such as tapping or tones. The therapist who treated me used walkie-talkie like devices that vibrated beneath the backs of my thighs.

The same bilateral stimulation is then used while the client focuses on the positive images and thoughts. Over time, these will become embedded in the client’s memory, blocking the negative images and thoughts – the wounds. Eventually, PTSD symptoms will lessen when exposed to sounds, smells, or sights reminiscent of a trauma or threat.

EMDR is different from exposure therapy, which involves prolonged exposure to a stimulus that triggers thoughts, emotions, and sensations about the traumatic event. Some therapists believe that prolonged exposure is necessary to produce effective treatment outcomes. But others believe that this type of therapy will cause fearful memories to outweigh the joyful ones in people who have experienced extreme trauma, then encounter a particularly stressful situation in the future.

http://www.emdr.com

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