
hi I’m Veronica with watchmojo.com and today we’re speaking with dr. Howard
today we’re speaking with dr. Howard
today we’re speaking with dr. Howard Steiger to better understand anorexia
Steiger to better understand anorexia
Steiger to better understand anorexia nervosa and to clear up some common
nervosa and to clear up some common
nervosa and to clear up some common misconceptions what is an eating
misconceptions what is an eating
misconceptions what is an eating disorder we’re talking something that’s
disorder we’re talking something that’s
disorder we’re talking something that’s structured around a constant
structured around a constant
structured around a constant preoccupation with eating weight body
preoccupation with eating weight body
preoccupation with eating weight body image and as a result usually involves
image and as a result usually involves
image and as a result usually involves problem behaviors around eating too much
problem behaviors around eating too much
problem behaviors around eating too much dieting starving oneself or feeling the
dieting starving oneself or feeling the
dieting starving oneself or feeling the need to compensate for everything that’s
need to compensate for everything that’s
need to compensate for everything that’s eaten so people wind up purging food
eaten so people wind up purging food
eaten so people wind up purging food through vomiting through abuse of
through vomiting through abuse of
through vomiting through abuse of laxatives through too much exercise the
laxatives through too much exercise the
laxatives through too much exercise the best known ones are anorexia nervosa and
best known ones are anorexia nervosa and
best known ones are anorexia nervosa and bulimia nervosa they’re kind of close
bulimia nervosa they’re kind of close
bulimia nervosa they’re kind of close cousins they both share this kind of
cousins they both share this kind of
cousins they both share this kind of idea of in real fear of losing control
idea of in real fear of losing control
idea of in real fear of losing control over weight gain the constant obsession
over weight gain the constant obsession
over weight gain the constant obsession with weight and a desire to lose it in
with weight and a desire to lose it in
with weight and a desire to lose it in anorexia it’s literally like a phobia of
anorexia it’s literally like a phobia of
anorexia it’s literally like a phobia of weight gain so people feel a terror of
weight gain so people feel a terror of
weight gain so people feel a terror of eating anything that’s unfamiliar or new
eating anything that’s unfamiliar or new
eating anything that’s unfamiliar or new or where they don’t know the ingredients
or where they don’t know the ingredients
or where they don’t know the ingredients aren’t known or eating in a place where
aren’t known or eating in a place where
aren’t known or eating in a place where they’re not going to be able to
they’re not going to be able to
they’re not going to be able to compensate in some way by exercising or
compensate in some way by exercising or
compensate in some way by exercising or by purging in some cases and so on this
by purging in some cases and so on this
by purging in some cases and so on this is often thought of as the rich girl’s
is often thought of as the rich girl’s
is often thought of as the rich girl’s disease is that true no that’s really
disease is that true no that’s really
disease is that true no that’s really one of the myths about anorexia in fact
one of the myths about anorexia in fact
one of the myths about anorexia in fact that’s got two of them in it because I
that’s got two of them in it because I
that’s got two of them in it because I know actually VOSA doesn’t it doesn’t
know actually VOSA doesn’t it doesn’t
know actually VOSA doesn’t it doesn’t only happen in young women or young
only happen in young women or young
only happen in young women or young teenage girls in fact the peak
teenage girls in fact the peak
teenage girls in fact the peak prevalence the largest number of people
prevalence the largest number of people
prevalence the largest number of people affected by anorexia is more in an adult
affected by anorexia is more in an adult
affected by anorexia is more in an adult age group you see it around the age of
age group you see it around the age of
age group you see it around the age of 28 and it’s certainly not a disorder of
28 and it’s certainly not a disorder of
28 and it’s certainly not a disorder of affluence there’s a slight you know some
affluence there’s a slight you know some
affluence there’s a slight you know some of the pressures that may have
of the pressures that may have
of the pressures that may have contributed to anorexia may be rooted in
contributed to anorexia may be rooted in
contributed to anorexia may be rooted in kind of upper-middle class culture or
kind of upper-middle class culture or
kind of upper-middle class culture or you know chiefly orientation always
you know chiefly orientation always
you know chiefly orientation always trying to look good kind of stuff but
trying to look good kind of stuff but
trying to look good kind of stuff but that’s not the only factor that causes
that’s not the only factor that causes
that’s not the only factor that causes that irax yeah and really anorexia
that irax yeah and really anorexia
that irax yeah and really anorexia nervosa cuts across also full
nervosa cuts across also full
nervosa cuts across also full you used to think it only happened in
you used to think it only happened in
you used to think it only happened in kind of industrialized societies that
kind of industrialized societies that
kind of industrialized societies that have that thinness value and in fact
have that thinness value and in fact
have that thinness value and in fact most of the evidence we have suggests
most of the evidence we have suggests
most of the evidence we have suggests that any accident also happens just
that any accident also happens just
that any accident also happens just about on every surface of the planet
about on every surface of the planet
about on every surface of the planet it happens all over the world it has
it happens all over the world it has
it happens all over the world it has happened throughout history and it
happened throughout history and it
happened throughout history and it certainly happens at times and places
certainly happens at times and places
certainly happens at times and places that really in which no social pressure
that really in which no social pressure
that really in which no social pressure towards thing this exists a culture
towards thing this exists a culture
towards thing this exists a culture that’s crazy about thinness and dieting
that’s crazy about thinness and dieting
that’s crazy about thinness and dieting like ours is of course helps you know
like ours is of course helps you know
like ours is of course helps you know and so you’ll see more cases occurring
and so you’ll see more cases occurring
and so you’ll see more cases occurring how this affect their overall health
how this affect their overall health
how this affect their overall health well I mean you can’t starve yourself
well I mean you can’t starve yourself
well I mean you can’t starve yourself without affecting every system in your
without affecting every system in your
without affecting every system in your body
body
body I mean it’s unfortunate anorexia nervosa
I mean it’s unfortunate anorexia nervosa
I mean it’s unfortunate anorexia nervosa has the highest mortality rate of any
has the highest mortality rate of any
has the highest mortality rate of any mental health problem aside from such
mental health problem aside from such
mental health problem aside from such dramatic things it really has important
dramatic things it really has important
dramatic things it really has important consequences for fertility and women
consequences for fertility and women
consequences for fertility and women bone density problems you know people
bone density problems you know people
bone density problems you know people who are malnourished wind up having
who are malnourished wind up having
who are malnourished wind up having decalcification
decalcification
decalcification the loss of calcium through the bones so
the loss of calcium through the bones so
the loss of calcium through the bones so they’re going to become brittle they’re
they’re going to become brittle they’re
they’re going to become brittle they’re prone to stress fractures and other
prone to stress fractures and other
prone to stress fractures and other kinds of things like that
kinds of things like that
kinds of things like that especially in those who purge you have
especially in those who purge you have
especially in those who purge you have all kinds of effects on digestive tract
all kinds of effects on digestive tract
all kinds of effects on digestive tract the esophagus has how come you can get
the esophagus has how come you can get
the esophagus has how come you can get various kind of alterations and things
various kind of alterations and things
various kind of alterations and things like that which can sometimes be quite
like that which can sometimes be quite
like that which can sometimes be quite dangerous it does damage to dental
dangerous it does damage to dental
dangerous it does damage to dental health if the teeth gradually get eroded
health if the teeth gradually get eroded
health if the teeth gradually get eroded due to exposure to acid it affects all
due to exposure to acid it affects all
due to exposure to acid it affects all organ systems when you test somebody on
organ systems when you test somebody on
organ systems when you test somebody on standard medical tests you find
standard medical tests you find
standard medical tests you find abnormalities of liver function kidney
abnormalities of liver function kidney
abnormalities of liver function kidney function cardiac function digestive
function cardiac function digestive
function cardiac function digestive function so and we’re talking about a
function so and we’re talking about a
function so and we’re talking about a disorder that really messes you up
disorder that really messes you up
disorder that really messes you up psychologically and medically now if
psychologically and medically now if
psychologically and medically now if you’ve recovered from anorexia can you
you’ve recovered from anorexia can you
you’ve recovered from anorexia can you easily fall back into your old habit
easily fall back into your old habit
easily fall back into your old habit there’s no real rule there because you
there’s no real rule there because you
there’s no real rule there because you need your source come in all severity x’
need your source come in all severity x’
need your source come in all severity x’ all kinds of shapes and sizes and all
all kinds of shapes and sizes and all
all kinds of shapes and sizes and all kinds of durations you know so for some
kinds of durations you know so for some
kinds of durations you know so for some people it’s a relatively transient thing
people it’s a relatively transient thing
people it’s a relatively transient thing that kind of comes and goes during a
that kind of comes and goes during a
that kind of comes and goes during a period of life stress for other people
period of life stress for other people
period of life stress for other people it becomes a really anchored lifestyle
it becomes a really anchored lifestyle
it becomes a really anchored lifestyle that’s really really difficult to
that’s really really difficult to
that’s really really difficult to overcome
overcome
overcome so some people retain a kind of
so some people retain a kind of
so some people retain a kind of fragility that means you know it’s often
fragility that means you know it’s often
fragility that means you know it’s often the case you have to be careful like a
the case you have to be careful like a
the case you have to be careful like a former drug addict you don’t go back to
former drug addict you don’t go back to
former drug addict you don’t go back to the heroin people have anorexia nervosa
the heroin people have anorexia nervosa
the heroin people have anorexia nervosa have to be very careful you don’t go
have to be very careful you don’t go
have to be very careful you don’t go back to dieting dieting for some people
back to dieting dieting for some people
back to dieting dieting for some people is a dangerous behavior and we know that
is a dangerous behavior and we know that
is a dangerous behavior and we know that there’s a certain there are biological
there’s a certain there are biological
there’s a certain there are biological factors involved that mean that for some
factors involved that mean that for some
factors involved that mean that for some people dieting does very powerful things
people dieting does very powerful things
people dieting does very powerful things to brain chemistry and other things that
to brain chemistry and other things that
to brain chemistry and other things that locks them in to the disorder people say
locks them in to the disorder people say
locks them in to the disorder people say things like once you’re an anorexic
things like once you’re an anorexic
things like once you’re an anorexic you’re always an anorexic and that’s
you’re always an anorexic and that’s
you’re always an anorexic and that’s certainly not the case people overcome
certainly not the case people overcome
certainly not the case people overcome anorexia nervosa every day thank you
anorexia nervosa every day thank you
anorexia nervosa every day thank you very much it was great having you you’re
very much it was great having you you’re
very much it was great having you you’re welcome
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