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23 - Eating disorders and body dysmorphic disorder

from Part IV - Women and specific disorders

Published online by Cambridge University Press:  02 January 2018

Sandeep Ranote
Affiliation:
Consultant Child and Adolescent Psychiatrist
Andrea Phillipou
Affiliation:
Postdoctoral Research Fellow at St Vincent's Hospital, Melbourne
Susan Rossell
Affiliation:
Director of the Centre for Mental Health and a Professor of Cognitive Neuropsychology at Swinburne University
David Castle
Affiliation:
Psychiatry at St Vincent's Health Australia and the University of Melbourne
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Summary

‘Who wants to recover? It took me years to get that tiny. I wasn't sick; I was strong.’

– Laurie Halse Anderson (2011)

Jo's story

Looking back, I didn't think I was ill at the start. I felt in control and I felt good because I was thin, which made me feel strong and successful. Aren't all successful women thin and beautiful?

That was when I was 15 years old; at 19, I know that none of that is true. I did have an illness, a real illness that hit me in secondary school, preparing for important exams while also breaking up with my first boyfriend.

I thought I wasn't beautiful enough for him and the breakup meant that I also lost my peer group at the time. I felt alone, under pressure and hated myself. I started to diet, like most people do, and joined the gym. I started getting results, which for me was important, in the same way exams were. I lost weight and saw this as positive, so I began to do more exercise, eat less and stopped eating sugary and fatty foods. I didn't see my headaches and dizziness as a problem, I just thought I needed to sleep more. But eventually I wasn't sleeping and my grades began to drop. I felt tired and low and remember sometimes having thoughts that I no longer wanted to live.

I didn't understand why my parents were anxious and arguing with each other about me. They could see something was wrong but I couldn't see it; they tried to talk to me but I couldn't hear them. When I fainted, I was taken to hospital, and this was when I accepted and started treatment with a specialist eating disorder team, who became almost part of our family. They gave not only me much needed support but also the whole family.

My message to you all is that there is hope and you can get help. Don't delay, share your concerns, get the treatment and don't let this illness steal your life.

Eating disorders

Self-starvation in women is not a modern phenomenon. Medieval women in the 13th century believed it would lead to sainthood, sometimes referred to as ‘anorexia mirabilis’.

Type
Chapter
Information
The Female Mind
User's Guide
, pp. 146 - 154
Publisher: Royal College of Psychiatrists
Print publication year: 2017

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