What is Eating Disorders???

Overview

Eating disorders area unit devastating mental sicknesses that associate degree effect on} an calculable twenty million yank girls and ten million yank men someday throughout their life. Approximately 85 percent to 95 percent of the people who suffer from the eating disorders anorexia nervosa and bulimia nervosa are women.

Although ingestion disorders revolve around ingestion and weight, they’re typically additional regarding management, feelings and expressive style than they’re regarding food. Women with ingestion disorders typically use food and fast as ways in which of handling life’s stresses. For some, food becomes a supply of comfort and nurturing, or how to regulate or unleash stress. For others, losing weight might begin as how to achieve the approval of friends and family. Eating disorders aren’t diets, signs of private weakness or issues that merely can escape while not correct treatment.

Eating disorders occur all told socioeconomic and ethnic teams. They usually develop in women between ages twelve and twenty five. Because of the shame related to this complicated malady, many ladies do not get treatment or get facilitate till years later. Eating disorders additionally occur in young youngsters, older girls and men, however abundant less oftentimes.

Anorexia is a disorder in which preoccupation with dieting and thinness leads to excessive weight loss. If you suffer from this unwellness, you will not acknowledge that weight loss or restricted ingestion may be a downside, and you may “feel fat” even when you’re emaciated. Women with eating disorder purposely starve themselves or exercise too in an exceedingly relentless pursuit to be skinny, losing more than 15 percent of their normal body weight. Roughly half all girls plagued by eating disorder ne’er come to their pre-anorexic health, and regarding twenty % stay inveterately sick. The death rate for anorexia is among the highest of any psychiatric illness. The deaths area unit regarding equally divided between suicide and medical complications associated with starvation.

Women with bulimia regularly and sometimes secretly binge on large quantities of food—often between 2,000 and 5,000 calories at a time and, on rare occasions, even up to 20,000 calories at a time—then experience intense feelings of guilt or shame and try to compensate by getting rid of the excess calories. Some individuals purge by inducement regurgitation, abusing laxatives and diuretics, or taking enemas. Others fast or exercise to extremes. If you suffer from this unwellness, you feel out of control and recognize that your behavior is not normal but often deny to others that you have a problem. Women combating bulimia is traditional weight or overweight and should expertise weight fluctuations.

Women with binge upset (BED) additionally binge on massive quantities of food briefly periods, but unlike women with bulimia, they do not use weight control behaviors such as fasting or purging in an attempt to lose weight or compensate for a binging session. When the binge is over, an individual with BED will often feel disgusted, guilty and depressed about overeating.

A fourth kind of upset, eating disorder not otherwise specified, refers to symptoms that don’t fit into the other three eating disorders diagnoses. Individuals combating EDNOS, might have components of BED, or be close to a diagnosis of anorexia or bulimia, but don’t quite meet full diagnostic criteria. EDNOS is simply a catchall term for anyone with significant eating problems who doesn’t meet the criteria for the other diagnoses. The majority of these United Nations agency get treatment for ingestion disorders represent this class.
Although it has become synonymous with eating disorders, anorexia is relatively rare, affecting between 0.5 percent and 1 percent of women in their lifetimes, according to the National Alliance on Mental Illness. Another two % to three % develop bulimia and three.5 % develop binge upset.

Yet, statistics don’t tell the whole story. Many more girls United Nations agency do not essentially meet all the factors for associate upset area unit preoccupied with their bodies and area unit caught in harmful patterns of fast and gluttony that can seriously have an effect on their health and well being.

There is no single cause of eating disorders. Biological, social and psychological factors all play a role. Evidence suggesting a genetic predisposition reveals that eating disorder is also additional common between sisters and in identical twins. Therefore, a lady with a mother or sister United Nations agency has eating disorder is twelve times additional doubtless than the overall public to develop that disorder and 4 times additional doubtless to develop bulimia. Furthermore, among identical twins, whose genetic makeup is 100 percent the same, there is a 59 percent chance that if one twin has anorexia, then the other twin will also develop an eating disorder. For fraternal twins sharing only 50 percent of their siblings’ genes, there is an 11 percent chance that the other twin will have an eating disorder.

Other research points to hormonal disturbances and to an imbalance of neurotransmitters, chemicals in the brain that, among other things, regulate mood and appetite.

In some girls, an event or series of events triggers the eating disorder and allows it to take root and thrive. Triggers can be as subtle as a degrading comment or as traumatic as rape or incest. Times of transition, such as puberty, divorce, marriage or starting college, can also provoke disordered eating behaviors. Parents United Nations agency area unit preoccupied with ingestion and too involved regarding or essential of a daughter’s weight, and coaches who relentlessly insist on weigh-ins or a certain body image from their athletes, especially in weight-conscious sports such as ballet, cheerleading, diving, wrestling and gymnastics, may also unintentionally encourage an eating disorder. Additionally, the pressure of living in a culture where self-worth is equated with unattainable standards of slimness and beauty can also perpetuate body image and/or eating issues.

Furthermore, the discrepancy between our society’s thought of the “ideal” body size for ladies and also the size of the common yank girl has ne’er been greater—leading many ladies to unreasonable goals where weight is concerned.

Diagnosis

Because the results of feeding disorders will be therefore severe, early diagnosing is crucial for lasting recovery. Eating disorders normally will disrupt physical and emotional growth in teenagers and may result in premature pathology, a condition wherever bones become weak and a lot of prone to fracture. Additionally, the triad of osteoporosis, amenorrhea and disordered eating behaviors has the risk of leading to hormonal imbalances, which could also contribute to increased infertility and a higher risk of miscarriages.

Anorexia nervosa

Anorexia nervosa, a serious, potentially life-threatening disease characterized by self-starvation and excessive weight loss, has the highest mortality rate of any mental illness. Its onset is usually in early to mid-adolescence, and it’s one among the foremost common psychiatrical diagnoses in young girls seeking treatment. Among the physical effects of anorexia are:

  • anemia, often caused by iron deficiency, which reduces the blood’s ability to carry oxygen and causes fatigue, difficulty breathing, dizziness, headache, insomnia, pale skin, loss of hunger and irregular heartbeat
  • elevated cholesterol, which occurs because eating disorders affect liver function, reducing bile acid secretions that contain cholesterol and enabling more cholesterol to remain in the body rather than being secreted
  • low body temperature and cold hands and feet
  • constipation and bloating
  • shrunken organs
  • low blood pressure
  • slowed metabolism and reflexes
  • slowed heart rate, which can be mistaken as a sign of physical fitness
  • irregular heartbeat, which can lead to cardiac arrest
  • slowed thinking and cognitive and mood changes secondary to long-term starvation

Women with eating disorder have associate intense worry of turning into fat and, therefore, square measure passionate about food, body shape and size. It is common for girls with eating disorder, for instance, to collect recipes and prepare gourmet meals for family and friends, but not eat any of the food themselves. Instead, they permit their bodies to wither away and “disappear,” gauging their hunger as a live of their self-control. Women struggling with anorexia diet because they want to improve their feelings of self-esteem and love, not to lose a few pounds. Depression and insomnia often occur with eating disorders.

Women struggling with anorexia may tend to keep their feelings to themselves, seldom disobey authority and are often described as perfectionists. These people square measure usually sensible students and glorious athletes. Anorexia is common in dancers and competitive athletes in sports like athletics and ice skating, where success is measured not only on athletic performance, but also on having the “ideal” body.

Symptoms of anorexia nervosa can include:

  • distorted body image and intense persistent fear of gaining weight
  • excessive weight loss
  • menstrual irregularities
  • excessive body/facial hair
  • compulsive exercise

Bulimia nervosa

Bulimia nervosa involves victimisation food and feeding for emotional calming or soothing. Bingeing becomes a way to relieve stress, anxiety or depression. Purging the calories, through self-induced vomiting, laxative or diuretic abuse or over-exercising, relieves the guilt of overeating and may also be a way of releasing emotional tension or stress until the binge-purge cycle becomes a habit. Women fighting bulimia square measure typically a lot of impulsive, more socially outgoing and exhibit less self-control than those struggling with anorexia. They are also more likely to abuse alcohol and other substances.

Only half-dozen p.c of these fighting bulimia receive mental state care. Eating disorders square measure implausibly uncommunicative diseases, and the symptoms can be hidden or appear subtle, even to friends and loved ones. For example, women struggling with bulimia are not necessarily thin; they can be at an average weight and even a little bit overweight. Even so, they may be starving nutritionally because they are not getting the vitamins, minerals and other nutrients they need.

Symptoms of bulimia include:

  • preoccupation with food, weight and appearance
  • binge eating, usually in secret
  • vomiting and extreme use of laxatives or diuretics after binges
  • menstrual irregularities
  • compulsive exercise

Among the physical effects of bulimia are:

  • dehydration
  • chronic diarrhea
  • extreme weakness
  • damage to bowels, liver and kidneys
  • electrolyte imbalance and low potassium levels, which lead to irregular heartbeat, and in some cases, cardiac arrest
  • tooth erosion from repeated exposure to stomach acid
  • broken blood vessels in the eyes and a puffy face due to swollen glands, which can be indications of self-induced vomiting
  • cuts and calluses across the fingers from self-induced vomiting
  • tears of the esophagus due to forced vomiting

Binge eating disorder

Binge disorder (BED) affects just about one p.c to five p.c of individuals within the u. s.. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), released in 2013, recognizes BED as an official eating disorder.

Similarly to bulimia, people with BED engage in binge eating, or a rapid consumption of large quantities of food, but they do not use compensatory behaviors such as fasting or purging to “undo” the consequences of binge feeding and management their weight. People with BED eat giant amounts of food even once they are not hungry. They struggle to differentiate between physical and emotional hunger, feel uncomfortably full after eating and often feel distressed about their binge sessions.

Like the other two official eating disorders diagnoses, BED can occur together with other psychiatric disorders, such as depression, substance abuse or anxiety disorders. Over time, women with BED tend to gain weight due to overeating, so the disorder is often (but not always) associated with obesity.

Symptoms of binge eating disorder include:

  • episodes of binge eating when not physically hungry
  • cycles of frequent dieting
  • feeling unable to stop eating voluntarily
  • awareness that eating patterns are abnormal
  • weight fluctuations
  • depressed mood
  • feelings of shame
  • antisocial behaviors
  • obesity
  • feeling “numb” or “spaced out” during a binge episode
  • feeling out of control while eating
  • losing track of time while eating

If BED is left untreated, it can lead to obesity, which has its own medical consequences such as:

  • high blood pressure
  • high cholesterol
  • gall bladder disease
  • diabetes
  • heart disease
  • certain types of cancer

Tests for Eating Disorders

Eating disorders are complex mental illnesses and there is no medical test that can diagnose an eating disorder. However, once seeking feeding disorders treatment, your health care professional may draw some of your blood to determine if you are suffering from any medical consequences related to an eating disorder. Here are some things that may be tested:

  • Electrolyte balance. This primarily checks for dehydration however may additionally be indicative of deficiency disease caused by self-induced physiological reaction or laxative and/or drug abuse. Electrolytes are a specific combination of minerals your body needs to maintain balance to function properly, such as sodium and potassium. Common symptoms of imbalance are leg cramps, heart palpitations, high or low blood pressure and swelling in the legs and feet. An electrolyte imbalance can lead to kidney failure, heart attack and even death.
  • B12 and folic acid intake assessment. Lack of B12 and folic acid can lead to, or be caused by, problems with the metabolism of protein, carbohydrates and fat, and with the body’s ability to absorb nutrients. Low levels of B12 or folic acid can contribute to depression and anxiety.
  • Blood glucose (blood sugar) level. Low levels of blood glucose can be the result of dehydration and malnutrition.
  • Liver function test. The malnourishment associated with eating disorders can lead to liver damage.
  • Cholesterol measurements. Anorexia or binge eating disorder can increase blood cholesterol levels.
  • Thyroid function test. This test rules out any problems with the thyroid, which can affect weight. It is an important test for someone in recovery who may be having a hard time gaining or losing weight. If necessary, medications would be prescribed to regulate the thyroid.

Your health care skilled can most likely conjointly perform a whole analysis of your excrement. This helps evaluate kidney function, urine sugar levels and ketone levels, as well as helps diagnose systemic diseases and urinary tract disorders. Ketones, which might accumulate within the blood rather quickly once the body is starved of food and nutrients, indicate the body is “eating its own fat” for energy. Accumulation of ketones within the blood will result in acidosis, which might cause coma and death.

Your health care professional may also take a blood pressure reading, provide a referral for a bone density test to evaluate for osteopenia or osteoporosis and perform an electrocardiogram to look for heartbeat irregularities.

Treatment

Many women do not realize however damaging intake disorders ar to their health. Women scuffling with intake disorders could believe that their state of maceration is traditional and typically even engaging. Or they think that purging is the only way to avoid gaining weight. Therefore, it is critical that all health care professionals remain educated on the signs and symptoms of eating disorders and intervene if they become concerned.

People fail to understand that a probably serious upset could underlie their weight loss. Also, it’s straightforward to confuse intake disorders with alternative emotional issues. Although girls with depression could lose or gain weight, for example, that doesn’t necessarily make them anorexic or mean they are binge eating. Unlike those with eating disorder, bulimia or binge eating disorder, women struggling with depression do not have a distorted body image, a drive to be thin or a compulsion to binge and/or purge.

Eating disorders is fatal; really, they are the deadliest mental illness. If you’re thinking that you’ll have associate degree upset, you should seek treatment immediately. The sooner you acknowledge there’s a problem and value more highly to look for treatment, the greater your chances are for lasting recovery.

Depending on the severity of your disordered eating behaviors, there are various treatment options:

  • Inpatient treatment programs offer 24/7 support and medical monitoring and are designed for those whose eating disordered behaviors have led to extremely low body weight and/or serious medical complications.
  • Residential treatment programs also offer 24-hour observation and support, but individuals in residential eating disorders treatment do not require the same level of medical and psychiatric supervision as is available at the inpatient level of care.
  • Partial hospitalization programs are daytime treatment programs that allow people in treatment to practice recovery skills with guidance during the day and on their own in the evenings and at night.
  • Outpatient programs offer individuals struggling with eating disorders the opportunity to “step down” from a higher level of care while maintaining their daily activities. These types of programs provide additional support for anyone struggling with self-esteem or body image issues.

Insurance coverage for eating disorders treatment varies depending on the individual and their insurance policy. Eating disorders treatment centers work with patients and their families to secure the most effective doable choice to foster lasting recovery.

And treatment is no easy task. When a woman with anorexia starves herself, she feels better. When a lady with bulimia or binge upset binges, she feels less depressed. The upset serves a purpose within the mind of the lady WHO has it. It becomes a kind of companion that is hard to let go of.

Not astonishingly, relapses ar common and lasting intake disorders recovery usually comes solely once participating in multiple treatment approaches. You may notice it best to figure with a multidisciplinary treatment team. This team of dietitians, psychotherapists and physicians could use a range of treatment ways, including:

  • psychological counseling or cognitive-behavioral therapy to help you replace negative attitudes about your body with healthier, more realistic ones
  • medical evaluations to stabilize you physically
  • nutritional counseling to teach you good nutritional habits
  • medications, such as antidepressants, to address coexisting conditions
  • family therapy to establish the support system you need for lasting recovery

Treatment of anorexia is often approached as a three-step process:

  • restoring weight loss due to severe dieting and purging
  • treating psychological conditions such as distorted body image, low self-esteem and interpersonal conflicts
  • long-term remission and rehabilitation or full recovery

A one-year study published in the Journal of the American Medical Associationdetermined that there was no significant difference between those with anorexia who took antidepressants and those who received a placebo—evidence that there is no “magic pill” to make your disorder go away and keep it away.

The only antidepressant approved by the Food and Drug Administration for treatment of bulimia is the selective serotonin reuptake inhibitor (SSRI) fluoxetine (Prozac), but doctors may also prescribe other antidepressants for the condition, including the SSRIs sertraline (Zoloft) and paroxetine (Paxil), and the tricyclic antidepressants amitriptyline (Elavil) and desipramine (Norpramin). The antidepressant bupropion (Zyban) may also be used, although it is not typically recommended as individuals struggling with bulimia because they may experience seizures as a side effect.

While health care professionals may find it beneficial to prescribe various medications to their eating disorders patients, medications are primarily reserved for coexisting conditions.

Some physicians may also prescribe antipsychotic medications to help reduce the rigid and distorted thinking and agitation that can accompany anorexia, but these drugs can frighten patients by dramatically increasing appetite, so they should be used with caution. For folks scuffling with eating disorder WHO expertise extreme anxiety encompassing intake, antianxiety drugs, such as benzodiazepines, may be used.

Cognitive behavioural medical aid (CBT) is presently the first evidence-based treatment approach for bulimia and binge upset. By addressing each structured intake patterns and thoughts that interfere with self-worth and mood management, CBT teaches skills to help you manage triggering situations. Another often utilized treatment philosophy is dialectical behavioral therapy (DBT), which teaches self-regulatory skills and focuses on emotional management.

Another approach to treating intake disorders is family-based treatment. In a family-centered treatment program, the family assumes responsibility for making the patient eat. No one is “blamed” for triggering the illness; rather, the eating disorder is treated as a medical condition, and the family is taught to care for the sick person. The power shifts back to the individual after he or she reaches an acceptable weight. This method works best on people with anorexia, but it also works on some with bulimia. It is typically utilized in adolescents and is being researched for use in young adults.

 

Prevention

Eating disorders screening and prevention programs on college campuses across the country aim to educate young women and men about the signs, symptoms and dangers of eating disorders and teach them how to develop a healthy body image and self-worth and positive coping skills.

Screening is very important as a result of it’s therefore troublesome to vary body image attitudes and unhealthy intake patterns once they kind. Primary hindrance must crop up early, before young people learn to feel bad about their bodies. Therefore, eating disorder prevention efforts are beginning to occur in high schools, middle schools and even as early as elementary schools.

How a person perceives his or her body is only one component of a complete self-image, but too often it becomes the sole factor in determining self-esteem. When “how I look” becomes additional necessary than “who i’m,” the groundwork is laid for crippling and life-threatening eating disorders.

Parents, loved ones and other role models can help prevent poor self-images from occurring by examining their own attitudes about their bodies and by fostering a healthy, positive body image in their children. Take these steps, even with young women, to discourage unhealthy behaviors:

  • Accept that puberty will influence girls’ perception of their bodies, but be prepared to step in if certain behaviors become unhealthy.
  • Don’t reinforce the message that women have to look a certain way.
  • Teach girls how their bodies change during adolescence and that it is normal and healthy to gain weight during puberty.
  • Talk about images of women portrayed in the media and invite discussion on whether or not the images are realistic or create an unattainable “ideal” body shape and size.
  • Take women and girls seriously for what they say, feel and do, not for how slim they are or how they look. It is about what the body does, not what it looks like.
  • Encourage children to be active as a way to have fun and to enjoy what their bodies can do.
  • Exercise with your children to promote a healthy family lifestyle.
  • Model healthy attitudes about your own body. Girls need to see women who are satisfied with their bodies and appearance or who take positive and healthy steps toward making changes. Girls who see their mothers worrying about their own appearance and weight are more likely to believe that being thin will make them happy.
  • Don’t nag about eating or focus on eating habits, which could make a child more self-conscious and secretive about her or his relationship with food.
  • Don’t compare young children and teenagers to others and don’t be judgmental about other people’s weight.
  • Be on the lookout for the use of diet pills, which has been documented in children as young as 10 years old.

Most important, do not ignore disordered eating behaviors. Eating disorders are devastating and potentially fatal diseases. But people can and do recover from these illnesses, once they are accurately diagnosed and properly treated.

Facts to Know

  1. Eating disorders affect an estimated 20 million American women and 10 million American men sometime during their life. Eighty-five to 95 percent of those suffering from anorexia and bulimia are women.
  2. Eating disorders most often begin early, usually between the ages of 12 and 25, but are not limited to people within these ages.
  3. Between 0.5 percent and 1 percent of women suffer from anorexia, between 2 percent and 3 percent of women suffer from bulimia and 3.5 percent suffer from binge eating disorder.
  4. Women struggling with anorexia, though often well-liked and admired for their competence, often strive to seek approval and may have very low self-esteem and feel inadequate. They may use food and dieting as ways of coping with life’s stresses.
  5. An eating disorder usually does not go away without treatment. Eating disorders are mental illnesses that can be deadly if not treated and are difficult to recover from; however, recovery is possible. Many women have recovered successfully and gone on to live full and satisfying lives.
  6. Treatment for eating disorders encompasses a mixture of strategies, including psychological counseling, nutritional counseling and individual, group and family therapy.
  7. Thereis a high incidence of depression among women suffering from bulimia, thus the utilization of antidepressants for some people. But antidepressants are most effective when combined with cognitive-behavioral therapy.
  8. The self-starvation of anorexia can cause severe medical complications, such as: anemia; shrunken organs; low blood pressure; slowed metabolism and reflexes; bone mineral loss, which can lead to osteoporosis; and irregular heartbeat, which can lead to cardiac arrest.
  9. The bingeing and purging of bulimia can lead to liver, kidney and bowel damage; tooth erosion; tears of the esophagus and stomach lining; and electrolyte imbalance, which can lead to irregular heartbeat and, eventually, cardiac arrest.
  10. If obesity results from bingeing, medical consequences include high blood pressure, high cholesterol, gall bladder disease, diabetes, heart disease and risk factors for certain types of cancer.

Key Q&A

  1. How can I tell if I have an eating disorder?If you have lost a fair amount of weight in a short amount of time, you may have eating disorders symptoms. If you binge by consuming large amounts of food at a time, often in secret, and perhaps follow it by purging and feelings of guilt and shame, you may be struggling with an eating disorder. If you are preoccupied with your body and caught up in destructive patterns of dieting and overeating, these are signs of disordered eating behaviors. All of these behaviors can affect your health and overall well-being. Talk to a health care professional about your feelings and constant need to diet, control your food intake and/or your fixation on food. Have him or her assess the diets you are trying; if they do not offer enough nutrients or calories, they will be almost impossible to stick to.If you are concerned about your behaviors or those of a friend or loved one, it is important to seek an eating disorders assessment and talk with an eating disorders professional to determine an official diagnosis and proper course of treatment.
  2. My daughter is neither overweight nor underweight, but I have found evidence of secretive eating, like dozens of candy wrappers under her bed. What’s going on?Bulimia is often hard to recognize because individuals struggling with the disease do not tend to be at an extreme weight-high or low. However, if a person takes in a significant amount of calories at a time, as in a dozen candy bars at one time, for instance, then purges by making himself or herself vomit, taking laxatives or enemas, fasting or exercising to the extreme, he or she may have bulimia. If asked, there is a good chance that he or she will deny that fact. Parents and loved ones concerned for their children and their children’s health should speak to a health care professional, such as their children’s pediatrician, about the child’s eating behaviors.
  3. Is a compulsion to exercise to the extreme, such as several hours a day, part of an eating disorder?If the compulsion is driven by a desire to lose weight, despite being within a healthy weight range, or if the compulsion is driven by guilt due to bingeing, then, yes, this compulsion to exercise is a dimension of an eating disorder. There are also individuals who compulsively exercise because that has become their sole way of coping with stress or emotions. These individuals may not be as motivated by body image distortions or desires to lose weight, but rather by an inability to tolerate emotions and daily stressors. This is also a dimension of an eating disorder.
  4. How is anorexia treated? Does it require hospitalization?Your health care professional may hospitalize you if your anorexia has resulted in life-threatening complications that are best treated in a hospital, or if continued starvation will soon lead to such complications. In any case, you will likely be treated with a combination of psychological counseling, nutritional education, and individual, group and family therapy.
  5. How is binge eating treated?Frequent binge eating is a symptom of bulimia and binge eating disorder. Psychological counseling, nutritional education, medications and individual, group and family therapy can all play a role in recovery from these eating disorders.
  6. Who gets eating disorders?Eating disorders are mental illnesses that cut across the socioeconomic and ethnic spectrum; they know no gender, age or lifestyle. However, 85 percent to 95 percent of those suffering from eating disorders are women.
  7. What causes eating disorders?There is no single cause of eating disorders. Biological, social and psychological factors all play a role. A person may even have a genetic predisposition to eating disorders. In many people, an event or series of events-a degrading comment, traumatic event, a transition such as divorce or starting college-may trigger eating disordered behaviors and allow the eating disorder to take root and thrive. Parents or coaches who are preoccupied with eating and overly concerned or critical of a young child or teenager’s weight or body image may also unintentionally “encourage” an eating disorder, as can societal and cultural pressures.
  8. How do I prevent my young daughter from developing an eating disorder?The best thing you can do is start young. First, instill in her a healthy body image and good eating patterns by modeling these yourself and having open conversations with her. Teach her about how her body will change as she enters puberty so she will expect the changes in body shape and size. Show her that women of all body types and sizes can be successful and independent. Talk to her about the unrealistic expectations formed by constant exposure to models and actresses who starve themselves to look emaciated. Don’t nag her or focus on her eating habits, but, rather, set a healthy example and emphasize that it is what our bodies do for us that is important, not how they look.