dawn h. haaz, psy.d., psychology resident dara aronow, rd, ldn associates for counseling and...

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National Eating Disorder Awareness Week Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA 18901 123 Coulter Ave., Ardmore, PA 215.345.7868, [email protected]

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Page 1: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

National Eating Disorder Awareness

Week

Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN

Associates for Counseling and Educational Services, LLC200 S. Clinton St. Doylestown, PA 18901 123 Coulter Ave., Ardmore, PA215.345.7868, [email protected]©2015 Associates for Counseling & Educational Services, LLC

Page 2: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Eating Disorder Overview

They are serious psychological disorders

They can be fatal

They are almost always about CONTROL

They can be viewed as a form of addiction

They are complicated disorders & difficult to treat

Page 3: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

1 out of 5 women struggle with an eating disorder or disordered eating

Up to 24 million have an eating disorder in the U.S.

Up to 70 million have an eating disorder worldwide

Eating disorders have the highest mortality rate of any mental illness

Only 1 in 10 people with eating disorders receive treatment

Statistics

Page 4: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Anorexia Nervosa

◦Restricting Type

◦Binge-eating/purging type

Bulimia Nervosa

Binge-Eating Disorder

Types of Eating Disorders

Page 5: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Effects of Anorexia

Page 6: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Effects of Bulimia

Page 7: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Effects of Binge Eating Disorder Depression/suicidal

thoughts

Obesity

Insomnia

Headaches

Type 2 diabetes

Gallbladder disease

High cholesterol

High blood pressure

Heart disease

Certain types of cancer

Osteoarthritis

Joint & muscle pain

Gastrointestinal problems

Sleep apnea

Page 8: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Do you constantly calculate the number of fat grams and calories?

Do you weigh yourself often and find yourself obsessed with the number on the scale?

Do you exercise to burn off calories and not for health and enjoyment?

Signs of Eating Disorders

Page 9: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Do you ever feel out of control when you are eating?

Do you feel ashamed, disgusted or guilty after eating?

Do your eating patterns include extreme dieting, preferences for certain foods, withdrawn or ritualized behavior at mealtime or secretive binging?

Signs of Eating Disorders

Page 10: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Has weight loss, dieting, and/or control of food become one of your major concerns?

Do you constantly worry about the weight, shape or size of your body?

Do you feel like your identity and value is based on how you look or how much you weigh?

Signs of Eating Disorders

Page 11: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Causes of Eating Disorders

Page 12: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Medical Attention

Therapy

Medication

Nutritional Counseling

Treatment

Page 13: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Maintaining a balanced diet Consuming a variety of foods from all of the

different food groups Eating the right amounts of foods and at the

right times of the day Adding foods that are made with all natural

ingredients and not processed It’s really about:

Balance...Moderation...Education

What Does it Mean to “Eat Healthy”?

Page 14: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

We learned the following:

How Do We Know What to Eat?

Page 15: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

 Now we Follow The Balanced Plate

How Do We Know What to Eat?

50% produce; 25% Whole Grains; 25% Lean Protein

Page 16: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Vegetables◦ Eat a variety of colors and types

1 cup raw leafy vegetables (the size of a small fist) 1/2 cup cut-up raw or cooked vegetables 1/2 cup vegetable juice

Fruits ◦ Eat a variety of colors and types

1 medium fruit (about the size of a baseball) 1/4 cup dried fruit 1/2 cup fresh, frozen, or canned fruit 1/2 cup fruit juice

Food Groups

Page 17: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Whole Grains ◦ At least ½ of your servings should be whole-grain

1 slice of bread Dry cereal (check nutrition label for cup

measurements of different products) Rice, pasta, or cereal (about the size of a baseball)

Proteins ◦ Lean meats, poultry, and seafood◦ Nuts, seeds, and legumes

Food Groups

Page 18: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Fat-free or Low-fat Dairy Products ◦ 1 cup fat-free or low-fat milk◦ 1 cup fat-free or low-fat yogurt◦ 1 and 1/2 oz fat-free or low-fat cheese (about the

size of 6 stacked dice)

Fats and oils ◦ 1 tsp soft margarine◦ 1 Tbsp mayonnaise◦ 1 tsp vegetable oil◦ 1 Tbsp regular or 2 Tbsp low-fat salad dressing

Food Groups

Page 19: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Teenagers need to get the right balance of nutrients so that their bodies have what it needs to perform everyday and be healthy◦ There is a lot going on…

School Activities Hanging out with friends 

◦ Bodies are changing... Growing Puberty You may feel hungry all the time!

Why???

Teens Need More!

Page 20: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Special Nutritional Needs for Teens

CaloriesDue to all the growth and activity, adolescent boys need 2,500-2,800 per day,

while girls need around 2,200 per day. It’s best to get these calories from lean

protein, low-fat dairy, whole grains, and fruits and veggies.

ProteinIn order for the body to grow and maintain muscle, teens need 45-60 grams

per day. Most teenagers easily meet this need from eating meat, fish, and

dairy, but vegetarians may need to increase their protein intake from non-

animal sources like soy foods, beans, and nuts.

CalciumMany teens do not get sufficient amounts of calcium, leading to weak bones

and osteoporosis later in life. Encourage teens to cut back on soda and other

overly-sugary foods, which suck calcium from bones. The 1,200 mg of calcium

needed per day should come from dairy, calcium-fortified juice and cereal, and

other calcium-rich foods such as sesame seeds and leafy greens like spinach.

IronIron deficiency can lead to anemia, fatigue, and weakness. Boys need 12 mg

each day, and teen girls, who often lose iron during menstruation, need 15

mg. Iron-rich foods include red meat, chicken, beans, nuts, enriched whole

grains, and leafy greens like spinach and kale.

Page 21: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Plan ahead! Don’t skip meals, especially breakfast! Rethink your drinks Eat dinner with your family Turn off your TV and screens! Enjoy your food! Get active!

Tips to Get Healthy

Page 22: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Feel good about yourself!

Having a positive attitude about food and being active will give you lots of energy and help you develop a healthy lifestyle

Remember that healthy bodies come in all shapes and sizes

If you feel that you or someone you know has an eating disorder...ask for help

Most Important!

Page 23: Dawn H. Haaz, Psy.D., Psychology Resident Dara Aronow, RD, LDN Associates for Counseling and Educational Services, LLC 200 S. Clinton St. Doylestown, PA

Parents, teachers, guidance counselor

National Eating Disorders Association Helpline

◦ 1-800-931-2237

Associates for Counseling and Educational Services, LLC (ACES)

◦ 215-345-7868

[email protected]

[email protected]

Resources