MENtal Health Monday - All About Eating Disorders With Dr Nicholas Farrell

Monday, August 13th

Ever heard the phrase "eating your feelings"?  While this may be true for a quick fix, if it becomes an obsession and a regular thing - you may be at risk for an eating disorder.  This week we talk with an eating disorder specialist, Dr. Nicholas Farrell from Rogers Behavioral Health about the stigmas surrounding eating disorders, the different types of eating disorders, how and when to seek treatment.  Grab a healthy snack and your earbuds for this week's edition of MENtal Health Monday.  

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

Mental health Monday as an information on podcasts and should not be used to replace the specialized training and professional judgment of healthcare or mental health care professionals until Monday can't be a responsible for the use of the information provided please always consult a trained mental health professional before making any decision regarding treatment of yourself or others self help information and podcasts and information on the Internet is useful but it's not always a substitute for professional assistance unless otherwise noted guests of mental Monday or not doctors are licensed and anyway our hopes to make the connection with you and be more open and honest about everyone's mental health. Into the podcast. Yeah. What's about race from brings an Alley mornings in Milwaukee on 100 point seven kiss FM welcome to another mental health Mondays this week it's all about food but not on the good way to really because. Eating disorders are serious things we've all heard the phrase leading your feelings and you know what for once in awhile when you get bombed out a great job. Maybe you're just lazy for that day anyway just eat a whole lack of wins or hold baggage he goes once in awhile. What ever its wind turns into a serious mental illness. He needs to talk about getting help when you start obsessing over the food stamp obsessing over your body starts to becomes something that affects your life. At home at work when it starts to consume your life. That's what they can become an eating disorder you think about. Depression anxiety. And obsessive compulsive disorder bipolar disorder those are the types of things I mean that I normally think oh when I think of a mental illness. You don't normally see give an eating disorder as a mental illness but it is so this week we talked to doctor Nicholas Farrell with Rogers behavioral health. Who's an expert. Knows quite a bit about eating disorders and eating disorders can affect demand just as much as they can affect women. We'll jump into the stigma as the causes and what exactly and eating disorder is all this week and a brand new episode of mental health Monday welcome to the show doctor Nicholas Farrell so first question to you I guess is. How did you get started. Dealing with eating. Orders well hump I write my first kind of political passion was working with individuals with anxiety disorders and one thing this really fascinated me is T. High degree of overlap between anxiety disorders in eating disorders so. Individuals who struggle with both conditions kind of struggle with the same set of key factors right on and so. To put simply treating him eating disorders actually looked similar to treating and anxiety disorders like silk. My interest and anxiety disorders may just kind of naturally extended into treating individuals of those conditions. Now is obviously everybody eats spaghetti trophy you'll get so something McCoy impacts against anybody sure men women. Does it. Lean one way Indiana between manner women's. We do see some higher rates of women being diagnosed with eating disorders and come however. You know kind of far from I think it's been mysterious tech for decades now that eating disorders are you know exclusively disorders that we see in females. We're seeing. Eating disorders being diagnosed increasing rates we can with meals. It's now estimated that about one in three individuals who. Meets diagnostic criteria for an eating disorder is meal which is you know really come along along the way you were right it was only about twenty years ago that. In large part we thought well he and it's it's all but impossible for a male to have an eating disorder. Bullets it was always associate with females and the modeling industry sure that you thought colleges demolishing each of those throws up that type of thing absolutely. In a big part of that you know with. The emphasis on body in the kitchen in eating disorders what we unit knew for decades was that. Individuals who struggle with eating disorders many of them were trying desperately to kind of you know conform to and you're thin slender ideal Mets and the modeling side and it's probably exactly what we've meals daily it's not always. The emphasis on you know extreme thinness. More so in a lean athletic kind of muscular. And still be. You would look like for you look like Chris Hemsworth has consistently ranked absolutely. Mom out what are some of the signs that somebody could have an eating disorder armed. Kind of pre existing traits are variables that we announced. You know a really high degree of emphasis and valuation placed on body image is kind of a marker of social status or even just kind of you know worth to society. That. That we know to be kind of one of the core features that central to eating disorders. And we see it unique even kind of prior to diagnosis that pirates and individuals from a pretty young age can start from dining as well a lot of blood if you look at it dives and adds the actions that it was a big one for awhile sure you'd like a Sam Clinton now Darian cannot cars so how does that come into a discussion with eating disorders and when is when is becoming eating disorder she just being a healthy lifestyle. The dining places. Really crucial role in the development of many answers no but I think you'd be surprised by all the stories that you're telling about how many people's severe eating disorder began very innocent. With just you know. Going to lose a few pounds here or there are just the general things I'm assuming a lot of people do in terms of going to eat healthier. Exercise more than kind of things are wrong or and they have great great great com. But you know what happens innocent citizens folks who you know begin diet. With the intentions of maybe just losing a few pounds. Being flexible in increasing strength or something like that is. If it's kind of slippery slope. Race progresses into something that's more rigid and inflexible. And eventually something the individual feels powerless to exert any control over trying to reverse so as it is a better to have more of a lifestyle of eating rather than sticking to a certain regimented diet. I think so and I think that you know the way people. In nature basically been eating disorder is. Just two to trust their body's cues in terms of eating you know when we're hungry in Stockton wonderful mom put simply our body's cues are not gonna lead it's a strange that we you know they're there. Serve kind of a very important biological and evolutionary function force a somewhat different types of eating disorders and others I think at. The one that was in my research. You're an expert. I citing three or four different ones okay and when was anorexia in a row so lenient or us. Binge eating disorder and other specified eating disorders it was a safe saying those of the four main categories of eating disorders warming categories one that's from left off that list is in newer eating disorder diagnosis known as of Sweden restricting food intake disorder what we call are fit for short okay Tom which is. Again and you're eating disorder diagnosis where we see. Extreme avoidance of eating that on the surface looks not very different from kind of classic anorexic avoidance of eating. And yet the the motivation that's fueling the avoidance of eating for these folks is not necessarily concerns about body supersize. But more kind of global concerns about future consequences of eating so I worry if I eat it's going to cause you know uncontrollable styles of vomiting. Or I might you know unexpectedly choke on food or something like that so this. A lot of kind of extreme avoidance of food surrounding had a few consequences are also. Pretty pronounced come. Can versions to the sensory characteristics of food CU to give it is like extreme forms of picky eating or even having. Yeah a lot of aversion to visit the texture of the touch of certain foods people suffering fit it in that would include touch and we and to what are that sort of thing. But I mean again you know. Some of that we're bound to see it pretty normal every it's just in the general populace at some people I don't like my match but it doesn't touch my parents the exact and I just an okay thing is not a eating disorder it's just a preference exactly as well and again you're saying when it becomes something that. It's just become a mental almost an obsessive. Almost OC deep right center well I mean you know we. I don't wanna underscore the youth. You know severely beaten these these are very very serious psychiatric illnesses absolutely however it's defensible to think about them as exacerbation of normal behavior. Don't know who hasn't. Made a choice at a restaurant. Based on food preferences and on it I don't like greens I'm not in order anything green or something like that normative when taken. To access can cause you know significant problems in a person's dignity functioning so anorexia verses millenium what are the two what's the difference between those two there's this new. I guess most commonly known yeah. Pursuant anorexia we see the hallmark feature is. You know restraint. In one's dietary intake in in many many cases. What that leads to significantly lower body weight seemed to think of it is being. Really unhealthy. Extreme dieting not a lot of muscles there in right right right exactly and there's often. And fearing print that you mentioned who CD really isn't really pronounced obsession. Or in need to be seen her need to have an economy animal body after something like that palm. Millenium nervosa looks very different in the sense that the hallmark features are. Binge eating. Combined with. We call compensatory beavers welcome back to those in the second book what I really want to spell out is actually what they shared common more than what differentiates them. He could think of anorexia and believe me as being different sides of the same point about in the sense that both are fueled by. Really extreme. He continued over over valuing the importance of weight size in shaping and defining oneself concept soon. You know from from a broad point of view we don't look at anorexia. And bullying and even binge eating disorders being that diagnostic testing program. Armed. Getting back to kind of the key features too lenient as close as we're talking about binge eating which we think it is within a pretty discrete period of time about an hour or so. A person consuming a quantity of food that most of us would look at and say. Objectively that's that's abnormal and you're doing this on a regular basis not just one night and wings won attitudes eating your face off. Breaking race right so and stuff and heating their feelings sure sure sure of that in this armed. Different from those kind of situation where it might be more of a planned you know episode of overeating like a medical care of some wings or something like this this is something that comes on. Kind of outside the individuals expectation or control that oftentimes these situations seemingly come on about the blue we were talking about. The connection between anorexia and Nina earlier there's another critical link what fuels that binge eating OK in most cases. Is often that is their region patterns of dietary restraint from Anther person trying so desperately to not eat. They lose control that control breaks down and he succumbed to you know over eating episodes right. And then to come back to the other kind of component of pulling the bit on TV that the compensatory behaviors. That's who we see some behavioral action in it used to try to compensate for the agency individual might in a self induce vomiting. Maybe it is do compensatory exercise OK just eat too much against an extra hour on the treadmill tonight or something like that you know cutting. Cutting eating out all together for 24 to forty hours going on prolonged dietary fat censored thing but if different behaviors. All have the same function I have to compensate. For the calories taken from the fringe episode right now. What is that do you draw a line them win because most people would say when your training or just working on generally if when. How to what his side when he went oh that's an issue. Yeah it culminates when it becomes the body usually becomes an internal almost mantle who think they're really telltale sign is when the futures that the symptoms start to him cause. Significant disruptions that responsibility function I mean who who hasn't died here short. Who hasn't you know looked in the near instant way that'd be happier if I lost ten pounds or something right. And yet. Some experience event. You know to kind of a mild or moderate extent as normative sure when those features become obsessions and start to dominant life I can focus it worked because I'm thinking about it the next time. Eat right you brokered an example it's you know so comfortable for me to be the dinner table with my family to family meals anymore. That's when you know these these tendencies released her to do. And we of public response to put their life. Think and other mental illness has kind of piggyback on top of this eating disorder as well and anxiety obsessive compulsive disorder like that you touched on earlier in its doesn't it it's a big ball of yarn of kind of mental illness going on up there ten was eating disorder and anxiety when we have court Curran. Conditions you diagnoses go along with these losers and fortunately I feel that is the expectation that the exception right. It is actually quite career in my practice to. Treat someone with any disorder and only you can sort those censor unicorn in my opinion we can't seem to come we often seen. We're cream anxiety disorders obsessive compulsive disorder in a very common one depression as well. Our best current estimates and fortunately suggests that. Amongst individuals who struggle with eating disorder is about a seven in ten chance at some point through that person's lifespan they're gonna deal about a major depression as well. What is a treatment for eating disorder when some realize as well this might be neat. And return them to reach out to somebody. What's the process like for that person. Getting treatment for eating disorder and in most cases that individuals for stuff is gonna be with their primary care physician and a just to kind of get some input on the medical side of things because. And one thing we haven't spoken about this but that this substantial medical complications that come along with starvation which reflect itself and is coming a lot of them. Key features of eating disorders really unfortunately lend themselves to a lot of medical problems. So you know contact with the medical professionals often a good first step. Primerica position with Denver for them to somebody like you were one of your people yes and they live or worse you know somebody ideally who. Com has some special position with eating disorders I say it because. There are several kind of treatment interventions are strategies that have shown. In scientific study to be effective in the treatment of eating answers I'm one of those and we use this. In our programs at Rogers is known as cognitive behavioral therapy receiving T depend. Major thing that we're doing in that therapeutic modalities. Helping people to identify. Behavioral tendencies and thinking patterns that. Might feel helpful. But also served to fuel and maintain even smokers who are looking to identify. What it was and healthful behaviors and think I'm thinking styles are open and helping individuals to replace those with healthier more adaptive behaviors and thinking tendencies do you think men are more reluctant to admit to needing a sort of a woman and women. Absolutely. I think unfortunately we're talking about meals in the context of eating disorders. It's kind of it a double stigma going on here for so here's just the general stigma of men. In and not in it. Being shy come forward with any kind of mental health struggle if they're going through them and then secondly we think it eating disorders. I think for a lot of guys and you know we considered common stereotypes it's about the last problem that you want to admit to having he needs more manly to see that you're struggling with. You know little substance abuse or something like sure and eating disorders something that we have construed for decades is being primarily female disorders. And here you basically you know handing over your man card or something like that but that I agree with that statement don't listen for just a lot of guys see it join us this. My around it right the Dallas Mavericks and the fact of the matter is that guys as you mentioned earlier very in the early in the beginning of a conversation that men are. Part of the bigger half of the eating disorders sure we'll think isn't so much for coming on today. Sure I would hope that somebody listening can actually reach them it's about the somebody like you or anybody Rogers you guys are great or just talk to doctor anybody. Since thank you very much for coming on appreciate it's my pleasure. Thanks again to our guest this week doctor Nicholas Farrell from Rogers behavioral health Rogers has been amazing end. Hitting some pretty awesome guests that no. But they're talking about so we can actually talk to some doctors instead of just do simple Thurgood top ten stories is good to get information as did some. If you think you need help if you think you need you know somebody that. That needs help with eating disorder or anything ever reach out for help Nebraska if they need help don't assume that someone else is talk to run the earlier person receives treatment the greater the likelihood of full recovery. As with any mental illness for anything in general. Thanks for checking out another episode of mental health Monday he would join the rest of your day unite your weekend your morning whatever you do and. Get my decisions.