The Ills of Flip Flops

Nothing says summer quite like flip flops. What would summer be without them? On that first warm day of each season, I love to set my cooped up feet free, don one of my many adorable pairs, and hear that ‘flip flop’ noise they make with each step. But after I started suffering from lower back and leg pain that seemed to coincide with warmer weather and the relegation of my more supportive shoes to the back of my closet, I began to ask myself if once again I would have to make a choice between fashion and comfort.

After beginning physical therapy for my ailments, I offered my theory to my therapist, and he agreed that with my weak arches, wearing flip flops constantly could have been a culprit in the pain I was experiencing.

According to Lawrence Rubin, DPM, “The flimsy construction of flip flops provides zero support to the feet — something that is unhealthy to almost all feet.” He encourages the regular use light-weight athletic shoes with built-in arch supports. Timothy M. Axe, DPM agrees. He offers the good, the bad, and the ugly on flip flops:

The good: flip flops provide basic foot protection to the bottom (plantar) foot. They may help prevent catching fungal infection and warts in public showers. Flip flops are good for short periods of time, quick errands, and periods when the wearer is not doing a lot of walking.

The Bad – flip flops offer no support for the arch, no shock absorption, no heel cushion, and not much protection on the top and sides of the foot. They lead to greater risk of toe injuries, puncture wounds, cuts from foreign bodies, and possible insect or snake bites. They are not good for sports. Flip flops accentuate any biomechanical deficiencies of the foot. They may also affect balance and may lead to falls particularly in older patients.

The Ugly: There are an increasing number of cases of plantar fasciitis (arch/heel pain) and tendonitis in the foot and ankle, particularly in the 15-25 year old age range, where typically we do not these problems as much.

In case you weren’t convinced yet to ditch your $5 flip flops from Old Navy just yet, Dr. Stephen Arbetters, a podiatrist in Newton, Mass, added:

“In a normal flip-flop the front of your foot has to work harder to keep the flip flop on. That can lead to tendonitis, arch pain and hammer toes.” This means that even some of the flip flops that offer arch support may not necessarily be much better for your feet. Just because they feel comfortable, doesn’t mean they are providing the support and protection you need.

“For all the shoes seductive sponginess, 99 percent of them provide no support. So they can stress other joints, causing pain in the knees and back. Flip-flops also don’t absorb shock and they are unstable which makes it easier for the wearer to turn an ankle.” Arbetters sees many patients who wear flip-flops with conditions such as plantar fasciitis, an inflammation of the tissue on the bottom of the foot.

Podiatrists weren’t the only people I spoke with who had an opinion on the matter. I also heard from Aliesa George, a Pilates instructor and personal trainer who spends her days working with people to improve their posture, strengthen their core, and create proper muscle function through simple foot care exercises, awareness about good shoe choices, and improved shoe tying techniques.

George reiterated the notion that flip flops offer no support, and added to the discussion more on the mechanics:

“Most feet that I see wearing flip flops are rolled in at the ankle which causes the arches to continue to drop or flatten to the floor. Over time this reduces the mobility of the ankle, and will lead to knee, hip, and back issues because the base of support (the bottom of the feet) are not functioning and being held in proper alignment for the rest of the bones to stack correctly on top of them. Since our muscles attach to the bones and act as a lever and pulley system, if the bones aren’t lined up correctly, the lever system for correct and proper muscle firing for exercise and everyday movement will be compromised. If this compromise occurs daily, with every step you take, all you are doing is reinforcing bad posture, body alignment, and improper muscle firing patterns for movement. With time, the ONLY thing that can occur is pain and injury.”

I personally thought all of my problems could be solved by switching from flip flops to Mephisto Helen sandal with support for arches and a cork footbed. But as Aliesa George could probably have told me, a little extra support in the arch was not enough. “The toe muscles are working incorrectly with every step you take in flip flops (this holds true for every pair of strapless shoes.) The big toe and second toe are constantly squeezing together to hold on to the shoe. Not only do the first two toes squeeze together to hold a flip flop on the foot, but all the toes curl under to “grab” the shoe and keep it on during the swing through phase of each stride. This is the exact opposite of what the toes should be doing when you take a step!”

While George reminded me that she is not a shoe expert, she suggested that if you do want to wear sandals, look for options with a strap that goes around the ankle to help hold the shoe on the foot. She has also written a book on foot care exercises called Fantastic Feet. You can also purchase a combination kit that comes with the book and all the tools you need to do the exercises.

So now that you are thoroughly depressed (if you’re like me) over the prospect of eliminating an icon of summer, there is a silver lining. First, Dr. Jonah Mullens, a podiatrist with the Pacific Foot and Ankle Institute in Palo Alto, Ca., offered an everything in moderation approach suggesting “you can wear something a little less than sensible 20% of the time if you commit to comfortable shoes the other 80%.”

For that 20% of the time you still really want to wear flip flops, based on my research, there are definitely some that are better than others.

The makers of Beech Yoga Sandals cite Prevention Magazine which touted the sandal as a “better Flip-Flop for the way the sandal promotes balance and stability.” Owner and creator Gayle Trenberth says “Yoga Sandals® stay secure on the foot while walking and allow the tendons and muscles in the feet to work in freedom with proper heel support. Yoga Sandals® help keep feet flexible and enforce a basic principle of yoga which is to spread the toes to achieve optimal grounding and proper body alignment to master the standing poses.”

Some other brands that offer a little more cushioning and support support are Rainbow Sandals, Reef Sandals, and the FitFlop Thong Sandal the makers of which actually claim gives you a workout while you walk.

If you want to take a step in the right direction, but aren’t ready to close your feet in, try sandals with ankle straps like these Merrell Savannah sandals or Dansko Women’s Serafina Sandal

If you’re like me, and ready to throw the towel in all together on sandals, but still want a light weight, cute summer shoe, try these Privo Acacia mary jane shoes. I have a pair, and they are really comfortable and look great with jeans and shorts, and even some of my sportier skirts.

At this point in my life, I have more of an appreciation of my body and am interested in doing what I can to take care of it. I figure I don’t need to accelerate the decline of my body by wearing shoes that don’t offer the support I need to maintain a strong and healthy back and legs.

Sneaking Quiet Time Into Your Day — The First Steps to Incorporating Meditation

By Michelle Market, LPC

Imagine quiet amongst the chaos of your daily to-do’s. Imagine uninterrupted time during your day to focus on your breathing and slowing down. When you allow your mind to quiet down, how do you feel? Is it uncomfortable? Why might you avoid slowing down? These are questions to give some consideration as you begin to implement the practice of meditation.

It is possible to slow down, although it often needs to be intentional and, initially, rehearsed. Picture the first time you learned to ride a bike. You did not do it perfectly the first time. You fell, bumped into things – you started slowly. Learning the art of meditation and quieting your mind can sometimes feel like the same process.

When was the last time you sat in silence for any extended period of time? Meditation not only is a healthy coping skill to handle stress, but it is also a tool to help us tune in with ourselves. Quieting our mind results in becoming more centered. When we have slowness in our day we develop greater awareness of what is going on in our mind, body and with our emotions.

Steps to incorporate meditation into your day:

Choose a time in the day that is most conducive to your meditation practice. (All you need is 5 minutes). Initially, it is helpful to set a timer (start at 5 minutes).

Find a space where you can sit comfortably. Sit up tall with your legs uncrossed. Have your hands open and palms up. Close your eyes.

Find a word to focus on that will illicit a calm response. For example, peace, acceptance, slow, breathe.

When you have other thoughts that enter your mind picture them as clouds floating through the sky and then focus back on the calming word that you had chosen, refer to this as your mantra.

Take notice of taking slow, intentional deep breaths. Inhaling through the nose and exhaling through the mouth.

Though there are many different ways to meditate, here are five types of meditations that may be easier to incorporate into your day:

Candle Meditation: Light a candle and place your focus on the flicker of the flame. When your mind begins to drift, re-center your focus back on the candle.

Walking Meditation: Find a path to walk (preferably a scenic route). Take notice of slowing down your steps one foot in front of the other. Take notice of slowing your breathing. Take notice of the scenery, the flowers, the trees and the grass as you connect with nature.

Cleaning Meditation: Turn any chore into a mini-escape. Take focus on the rhythmic nature of the chore. For example, if you are washing dishes, notice the sound of the water, take notice of the soap bubbles and take notice of your breathing. Use your calming word to re-center.

Car Mediation: While driving to work or running your errands turn off the music and drive in silence. Make a conscious decision to practice deep breathing.

Breathing Meditation: A simple way to incorporate calm into the day is committing to taking 3 deep breaths at different times throughout the day. You can use different transitions as a reminder to breathe such as before meals, before checking email, before starting the day. You will be amazed at the calming effect of just changing the way you breathe will make.

To sit without any judgment and to invite slowness is a gift of compassion to ourselves. Be patient in the process and start slowly. Begin to look forward to this pause within your day. Make the commitment to incorporate this self-care tool on a daily basis.

“I commit to 5 minutes of quiet each day.”

As you begin this practice on an on-going basis, you will start to look forward to this time of the day and will notice the days that you skipped. Meditation provides a bridge to create peace within ourselves.

Michelle Market, LPC is a Licensed Professional Counselor and Wellness Coach with more than 10 years of experience in Wellness and Women’s issues. She is dedicated to helping females feel better physically and emotionally. She has a private practice in Herndon, Virginia and works with Adults. Michelle provides counseling, coaching and workshops. She specializes in self-esteem and healthy food relationships. Her mission is to create and maintain positive change in the lives of her clients. She believes that beauty comes from the inside out. For more information visit her website www.michellemarket.com.

Book Review: The Body Love Manual — How to Love the Body You Have as You Create the Body You Want

You might find it strange to think that you need a manual on loving your body, but in fact, there is a book written by Elizabeth “Lily” Hills called The Body Love Manual*, and that’s precisely what it sets out to do — teach you to love your body. Right now, go to a mirror, look yourself directly in the eye and say “I love my body.” How does that feel? When one person I know said those words out loud, she said she felt silly. Silly because nothing could be further from the truth for her, as I suspect is the case with most people. I don’t have any statistics on how many people dislike their bodies, but if I were to take a guess, I would probably say that most people range somewhere from a vague dislike to an intense hatred of their bodies. And our eating habits confirm that.

It seems like most of us are either on a diet, trying to create a body that we can feel happy with, or treating our body with complete disregard, filling it beyond capacity with foods that would make our body scream in pain if it could talk. And then, when we can’t stand to look in the mirror anymore, or feel totally out of control around food, we go on a diet. Again. But let’s face it — diets don’t work.

Ninety-five percent of people who go on a diet regain the weight lost, and often more, within five years. But how are we supposed to reconcile those statistics with things like “obesity epidemic” or “1 in 3 Americans are overweight” and “war on obesity”. If diets don’t work, how are we supposed to cure our country of unhealthy eating habits and an inactive lifestyle? Jamie Oliver thinks he has the answer with his Food Revolution. Michelle Obama hopes she has the answers in trying to eradicate childhood obesity by encouraging kids to get off the sofa and get outdoors. In both cases, the focus, ultimately, is about teaching people to live healthier lives — to choose apple slices instead of chips, grilled chicken instead of burgers, bike riding instead of Playstation. But together, both Obama and Oliver are only getting at half the problem — which is what people eat, and without addressing the other half — why people eat, they will never reach the long term success they both genuinely want and hope to achieve.

The concept of intuitive eating is gaining momentum and working towards that goal with the help of books like Intuitive Eating, and Eat What You Love, Love What You Eat will be far more effective than wagging the finger at people in an effort to get them to make better choices. The Body Love Manual takes intuitive eating one step further by guiding readers through a process of identifying what it is that keeps them so disconnected from the bodies, preventing them from listening to and properly nourishing their bodies. Though the subtitle of the book is How to Love the Body You Have as You Create the Body You Want, don’t be mistaken. This is not a diet book in disguise. The Body Love Manual is for anyone ready to put away dieting forever, deciding to become an intuitive eater, and challenging the thoughts and feelings that so far have preventing you from achieving that goal. Integral to this process is learning, as the title suggests, to love your body. As Hills points out, “The human body is tragically under-appreciated, neglected, and abused…The fact is that it is very hard to feel motivated to take care of something you don’t care about. Conversely, when you care deeply for and truly honor your body, you will be far more likely to make the healthier choices for it.”

The Body Love Manual should not be a quick read. It requires reflection and real emotional work. But ask yourself if you identify with this passage from the book:

“As the number I saw on my bathroom scale went up, my sense of self-worth plummeted. During this period of my life, it was rare for me to appreciate and value any of my other qualities … [which] became secondary in comparison to my weight.”

If you feel like you could have written those words yourself, then perhaps it is time to begin the work towards loving your body because “When your thoughts about yourself are respectful and appreciative, you will begin to attract more positive experiences of all kinds into your life.”

Though the Body Love Manual talks about achieving your ideal weight, you might begin to question what your “ideal weight” is and in fact you may find that you are already there, because your “ideal weight” should reflect a healthy lifestyle that is not measured by a number on the scale but by the feelings that come from your mind and body which will tell you when you’ve reached it.

*As required by FCC law, I am disclosing that The Body Love Manual was donated by the author for purposes of this review.

Time Management or Self-Management?

By Barbara M. LaRock

Would you like more time in your calendar and your life? What if changing the way you look at time could make a good life a great life? Think these concepts are impossible? Read on.

At one time or another, most of us have said, “There just isn’t enough time in the day” or “I can never accomplish all I want to both at work and at home”? This kind of thinking makes people see themselves as victims of their overcrowded, overwhelming and demanding schedules. They then sit back, complain and continue their self-defeating behaviors. You can, however, change your attitude about managing time by acknowledging and accepting your responsibility for managing yourself.

It goes without saying that everyone has the same amount of time in his or her day. It’s how you choose to “spend” that time that counts. The word “spend” is key. When you spend money, you choose what amount to pay out in order to get what you want/need. The same holds true for time. Each of us decides how much to spend to get what we want/need. Time is wasted when we don’t spend or invest it wisely. It’s up to each of us to decide what our personal and professional priorities are and then to honor those priorities. This is why effective management of time really is self-management.

Effective time/self-management begins with examining and knowing your own style. People who are structured, organized, good at identifying, setting and respecting priorities, and good at meeting deadlines find managing their time relatively easy. On the other hand, people who lack determination and discipline and who are reluctant to have structure and organization in their lives have a more difficult time managing themselves and their time. But, with resolve and practice, they can learn to get done more of the important things in their lives.

Here are a few tips to help you get started managing yourself and your time more effectively:

1. Keep in mind that you, not circumstances are in the driver’s seat.
2. Keep a daily log for one week of how you spend your time.
3. Assess your own style and attitudes about time. For instance, if you’re a morning person, schedule your most difficult tasks early when you are at your best.
4. Take 10 minutes at the end of each day to write down your top 5-6 priorities for the next day in order of their importance.
5. Make sure that before the end of your workday, you accomplish the top 5-6 priorities that you set for yourself. Let nothing pull you off track or intervene with this accomplishment.
6. Maintain a calendar, either written or electronic, so you don’t over schedule yourself.
7. Have a clear understanding of what is important to your family members and your associates.
8. Delegate what you can.
9. Every week, handle one unfinished task or project that has drained your energy.
10. Respect other people’s time
11. Learn to say no to anything that takes you away from respecting your priorities, and
12. Practice living with the guilt that may come from saying no. You will get better at it.

Remember that it’s up to you to manage yourself–and your time.

Barbara M. LaRock, M.Ed., offers life, leadership and career coaching as well as organizational training.  Her firm is located in Reston, VA.  Her background prior to coaching includes teaching, advising and mentoring students; designing and directing training programs for trade and professional associations; and organizational training involving presentation and facilitation of workshops and seminars. Barbara’s coaching specializes in life-related and career areas with her individual clients and provides them with encouragement, support and challenge as they focus on transition and change in their personal and professional lives. Her clients find more enjoyment in their everyday lives and become even more productive on the job. For more information, visit her web site Barbara LaRock.

Copyright 2010

No parts of this article or the article in its entirety may be reproduced without permission of the author.

Creating Balance in Your Life

or

When Your Personal and Professional Lives Collide, You Can’t Control the Wind But You Can Adjust Your Sails

By Barbara M. LaRock

Image via Flickr, courtesy of QuiteLucid

As you begin to think about bringing more balance into your life, consider the following set of 12 rules from a brochure on white water rafting safety. They’re relevant and applicable to the choices we all make as we decide how to live our lives.

1. Decide before you start if you’re going to steer from the front or back
2. Someone has to be elected to call out orders clearly.
3. Take rest in calm places.
4. Never stop paddling even when it seems hopeless.
5. If you get into trouble, don’t panic.
6. Don’t be surprised if the boat doesn’t go where you want it to go.
7. On a raft, the more activity on the left, the boat goes right, and vice versa.
8. If you go under, let go of everything and you will float.
9. Everyone paddles, but the current always takes you.
10. Trust the boat and if you are in white water, hold on.
11. Remember, white water is what you came for, so enjoy it.
12. The people in the boat are the ones who will pull you out of the water if you go overboard, and they are also the people with whom you must eat supper.

Keep these rules in mind as you negotiate your own white water. They’re definitely points to ponder if you, like most people, are struggling to fit together all the pieces of your life. As you are probably all too well aware, most people today are overscheduled, over-committed and generally overwhelmed. This kind of over scheduling can leave you running on empty and desperate about how to improve your situation.

For people with children, the impact of this imbalance can be serious when you consider that as parents, you are your children’s first and most important teachers. Your kids are always learning from you and will copy into their own lives the way you live your life. Following are examples of things your children learn from you. In fact, they’re important areas to examine whether or not you have children.

• How you manage time and what choices you make about how you spend your time
• What priority you place on the relationships in your life
• How you handle both professional and personal stress
• How you share responsibilities such as chores at home or responsibilities at work
• What place hobbies and interests play in your life
• How you handle free time–days off, weekends or vacation

The lesson for all of us to learn is that it’s up to each individual to create a life that is balanced, a life that s/he loves. No one can do it for you. It’s your responsibility. It’s not healthy to keep saying, “if it weren’t for this” or “if it weren’t for that, everything would be great.” Nor is it healthy to put your satisfaction in the future, e.g., when the kids or older, or when you or your spouse get a raise, or when you finish a project, etc. Remember: Life is not a dress rehearsal. Your future is now.

An important part of developing self-awareness is to take some time to think about your priorities–to identify the areas that are important to you. Priorities are individual–what’s important to one person may not be important to another and vice versa. To that end, consider a few questions whose answers may prove quite revealing to you. Ask yourself: What do I really want for my life? When you consider this question, what comes to your mind first? Do you want more rest? More exercise? A promotion? More time alone? More time with family or friends? A new home? To telecommute? To expand your business? List everything that comes
into your mind.

Take a look at all that you’ve just written and ask yourself if your desires are really your desires or are they meant to please someone else. Also ask yourself if your desires are ones you think you should have rather than desires you truly want. “Shoulds” can get you into difficulty. Now that you’ve considered what’s important to you, prioritize these areas. In other words, put them in order of their importance to you. Then ask yourself how much time and attention the top priority items are receiving. This activity will help you see areas that are out of balance–areas that matter to you but aren’t getting enough of your time and attention and aren’t being nourished.

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Living Beyond the Worst

By C.Reed Weber

Everyone has at least one Worst-Case Scenario tucked away and most of us live in fear of the day when that scenario — The Worst — will be played out. Maybe it involves a career choice, or perhaps loss of employment. It may involve family members or loved ones. It could be a single incident, or first in a chain of events that will bring you to your knees. It doesn’t really matter what you fear, the fear itself is enough to make you miserable.

But should The Worst happens, you may be surprised to discover life continues on. Birds sing. Clouds float. Children laugh. People cry. The Worst has happened, now what? What won’t happen is life will not stop. It may seem to you as if life should stop, but amazingly everything keeps going right along. The sun rises every morning and the stars shine every night. It may seem to you Clouds of Gloom rain everywhere you go, but soon you will realize only you are getting wet. Then you’ll find yourself in the position of being “outside” things for a time, but eventually you’ll be able to pick up the threads of your life and continue on. You will wake up. You will grocery shop. You will eat meals. You will talk with people. It happens very slowly, but as days pass you’ll find you are living again. Living is what you are supposed to be doing while you are tromping around on this planet!

My father once told me: “Be prepared for The Worst, but Live for the Best.” I think that sums it up nicely.

C.Reed Weber has been writing since she first discovered an unguarded pencil and continues today as a freelance journalist and grant writer. Living Beyond the Worst has been adapted from Happy Thoughts, a collection of email columns she wrote for friends and family during 2008-2009. Weber is currently working on developing Happy Thoughts into a book. You can purchase mini-volumes of Happy Thoughts from her Etsy site.

Review of Shmirshky — think inside the box

When I was first approached about reviewing the book Shmirshky — think inside the box, I was hesitant. Written by ‘E’, the book was presented as follows: “Shmirshky is about menopause – it’s hilarious, witty and full of love.” Menopause. Hum….. at 37 years old, I like to think I’m still have time before I have to think about menopause, and I preferred to keep my head in the sand when it came to the matter. But then I had to admit, that although I am hopefully at least a decade off before I have to face the dreaded M-word, it couldn’t hurt to have an idea of what I face down the road. And it never hurts to have an idea of what other people I know might be going through — people like my mom.

When Shmirshky arrived, I was instantly intrigued. No — intrigued is not the right word. Amused. As you can see, the cover of the book has an outline of hips with a … uh … fuzzy spot in the middle. As soon as I opened the book, I was drawn in to the humor and reality of the book. As already mentioned, Shmirshky refers to vagina, but it also refers to anyone who has a vagina. In contrast, we learn, an erlick is a penis and/or anyone who has a penis. You will find many other words defined in the book, such as premenopause, perimenopause, postmenopausal, and, of course, the biggest one of them all — menopause. Sure, you could find all of these things in dictionary, on a health web site, and of course Wikipedia. But what you won’t get in any of those places is a very real account of what it is like to go through all of the phases of menopause, and certainly not in the way E describes it.

The book Shmirshky came about when E found herself desperate for information on what to expect when going through these massive hormonal changes and kept coming up short. There were the standard, sterile, medical accounts of what could or would happen to her body, but most of them were probably written by men, and none of them represented a personal account leading her to feel quite alone in the process. Friends wouldn’t talk about it, relatives brushed over it, and finally E decided to take matters into her own hands, ready to “bust open the shmirshky cover-up and sound the alarm for others.”

In addition to a first-hand understanding of M, as the author calls menopause, E has a deep understanding of the female psyche, and how we cope — or avoid coping with such a monumental event in every woman’s life. As E says in Chapter 5, the big shmirshky cover-up, “It’s not that we don’t want to be honest with those we love, but rather that we aren’t honest with ourselves. We’re afraid of being less than: less than perfect, less than 100 percent functioning, less than able to juggle it all.” But we find out as we go through the book that we must come to terms with the fact that even if we can’t (nor shouldn’t be) perfect, or perform at 100 percent, or juggle it all, it doesn’t mean that we are less than anything, because we are still who we are.

In addition to telling it like it is, Shmirshky is full of good advice on how to handle M through each step in the process, from finding the right doctor and understanding all the tests and numbers that are thrown your way to taking the concept of self care to a new level. She reminds us that we are “brought up to be the caregivers, but we must learn how to take care of ourselves”. And by learning to take care of ourselves, no matter whether we are years away from menopause, right smack in the middle of menopause, or have long since left it behind, now is the time to “love and respect the old you, just as you embrace the new.”

Menopause can be a scary thing. As E says, “we spend most of our time wondering where our period is, when it’s going to come, and when it will go away. It’s less like a period and more like a question mark.” But going into the experience with the knowledge and humor found in this book, the process can be a little less intimidating. Ultimately, in the author’s words, if you have a vagina, or you know someone who does, then this book is for you.

EDNOS: The Eating Disorder You Haven’t Heard Of

When I received the diagnosis of Eating Disorder Not Otherwise Specified two years ago, I had a very mixed reaction. On the one hand, the label didn’t seem to fit. Me? With an eating disorder? I wasn’t underweight, and in fact was technically on the edge of being overweight. I had intentionally thrown up from time to time, but certainly was not bulimic. I had tried starving myself periodically in an attempt to get my weight under control, but I definitely wasn’t anorexic. At the most I considered myself a chronic dieter, or someone who at times could be a little obsessed with healthy eating and exercise. I could agree that my eating was very disordered but to identify myself as someone with an eating disorder made me squirm in my seat a bit. (For more on the differences between disorders and disordered eating, read Disordered Eating or Eating Disorder?)

On the other hand, after hearing my therapist tell me I had an eating disorder, I felt relief. After all, I was there to get help, and if I could label my problem, perhaps the solution would come more easily. I was ready to silence the voice in my head that made me obsess over my body and food 24 hours a day 7 days a week, and if giving that voice the name ED (for Eating Disorder) would help, I was willing to accept it.

National Eating Disorder Awareness Week is February 21-27 this year, which seems like a good opportunity to bring attention to this lesser known sibling of Anorexia and Bulimia. Everyone knows about Anorexia and Bulimia, but EDNOS, which has only recently begun to receive recognition in the mental health community can be as equally dangerous and life consuming as its better known counterparts.

So what does Eating Disorder Not Otherwise Specified mean? Well, the short answer is a “category [of] disorders of eating that do not meet the criteria of a specific eating disorder,” according to the most recently updated version of the Diagnostic and Statistical Manual. Ultimately, the definition is more anecdotal which explains why it is often harder to identify, though according to the publication Eating Disorders: The Journal of Treatment and Prevention, 50 percent of individuals who present for treatment of an eating disorder receive the diagnosis of EDNOS which effects 4 to 6 percent of the general population.*

While many of the criteria for EDNOS may closely mimic anorexia or bulimia, some behaviors are less obvious, and in fact, within our diet and body-obsessed culture, can appear perfectly normal. What may look to an outsider as just another diet involving close monitoring of caloric intake as well as exercise, may in fact become — if not already — an unhealthy and unnatural way to control weight based on an intense drive to be thin combined with an unrealistic body image. On the flip side, EDNOS also includes the sub-category of Binge Eating Disorder (BED) which is often overlooked as a simple lack of willpower and/or self control. Regardless of wherever a patient lies in the spectrum of EDNOS, it is important to realize that the emotional trauma suffered as a result of the disorder is equal to that of Anorexia and Bulimia, and should not be seen as anything less than a serious illness.

The introduction of EDNOS as an accepted diagnosis “gives a voice to sufferers who don’t fit into the narrow diagnostic categories of Anorexia, Bulimia, and Binge Eating Disorder” said Shannon Cutts, author of ANA: How to Outsmart Your Eating Disorder and Take Your Life Back, and founder of Mentor Connect, a community of people in recovery from eating and related disorders.

Cutts, who herself suffered from Anorexia, Bulimia and EDNOS feels grateful for the recognition of EDNOS, and encourages sufferers to seek help. “If you know that your symptoms, thoughts, and behaviors are affecting your quality of life, then you both need and deserve help. Use your voice and ask for help. Do not assume you are the only one who “doesn’t fit” into a category and therefore you don’t deserve help. There are many people who suffer from EDNOS and you help not just yourself but everyone who suffers from it when you demand the care you deserve. Search out a medical professional who is familiar with eating disorders rather than struggling to educate an unsympathetic doctor or therapist. Be your own health care advocate. You know better than anyone else when you are struggling and need help. Eating disorders kill, and just because your symptoms don’t fall into the three most commonly-recognized categories does not mean they are not equally deadly.”

The health complications that arise from eating disorders are extensive, and include low blood pressure, slower heart rate, a decrease in bone density, a disruption in hormones, sometimes leading to infertility, and more. Even more alarming is the fact that eating disorders have the highest rate of death among any mental disorder — just one episode of bingeing and purging can cause an electrolyte imbalance causing sudden death. That is why it is so important to recognize that eating disorders come in all shapes and sizes, and present themselves in a variety of ways.

Is there treatment for EDNOS? Though whole rehabilitation centers have risen to address the problems specific to Anorexia, Bulimia, and even Binge Eating Disorder, there is help for other non specified eating disorders. The effort to overcome any eating disorder is extensive and should not be downplayed. Most of the times, the help of a mental health professional is necessary, and the journey through recovery is never quick and painless. But when you consider the alternative of living a life plagued by self loathing, fear of food, and serious health risks, including a premature death, the effort is one that must be undertaken to break free and live a full and happy life.

As for my own journey, to be honest, it’s an ongoing process. Sometimes it’s two steps forward, one step back. But as Jenni Schaefer, author of Life Without Ed, and Goodbye Ed, Hello Me likes to say, fall down seven times, stand up eight.

Review of Eat What You Love, Love What You Eat

It wasn’t that long ago that I decided I was ready to get off the diet roller coaster. But if you’ve spent a lifetime going on and off diets, obsessing about your weight, and swinging back and forth between counting every calorie and having an all-out food free-for-all like I have, then making the decision to end the cycle is only the beginning of the process. Sure you can decide you’ve had enough of counting calories, always feeling deprived, and so you just eat what you want, whenever you want, without considering the consequences. But chances are you, if you’ve been playing the diet game long enough, you probably have long lost the ability to listen to your body, and when you end up gaining weight as you no longer restrict every bite, you’re likely to feel bad about yourself, leading you to go on yet another diet.

Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle by Michelle May, M.D., is a guide book for quitting dieting and (re)learning how to eat. Like other books on intuitive eating, Eat What You Love places a big emphasis on listening to your body. But simply deciding to listen to ones body after ignoring it for so long isn’t as easy as making the decision to do so. With each Chapter, author Michelle May outlines actionable steps you can take to stop controlling what you eat and start taking charge of what you eat. She also includes moments from her own journey towards becoming an intuitive eater, bringing a personal element to the book.

In Part 1 of Eat What You Love, May helps you recognize what type of eater you are. While you might think your poor relationship by food can be summed up by simple explanations like “I just enjoy food too much” what you might find while reading this book is that there are more underlying issues that lead you to ignore your body’s cues. Understanding your habits and learning the reasons behind your eating will enable you to use the tools provided in the book to help you “eat mindfully, live vibrantly.”

Once you’ve discovered the underlying issues behind your eating habits, Eat What You Love provides new strategies to deal with old feelings and situations that may trigger overeating. In fact, there is a whole chapter on self-care. Additionally, learning how to eat with purpose may awaken or heighten the sensations you get from the food you love, and give you whole new level of enjoyment of food. And you may even realize some of the foods you think you love actually don’t taste all that great when you pay close attention to what your body is telling you as you eat it. Your taste buds are the most sensitive when you are truly hungry, and as your hunger diminishes, so does your taste sensations. That first bite of chocolate cake may taste like a little slice of heaven but if you eat slowly, taking time to taste every bite, you might find that as you fill up, the flavor seems to fade.

After going through the process of learning to eat with intention, becoming more mindful of how your emotions come into play when making decisions about food and learning how to cope through means other than food, Eat What You Love moves onto the subject of exercise. As with food, May encourages you to focus more on how exercise makes you feel instead of seeing it as a chore or as redemption for your food sins, and in the vain of the title of the book suggests “do what you love, love what you do”. If you dread the monotony of walking on the treadmill, don’t do it. Instead find other ways to move that make you feel good, like dancing around the house, taking the dog for a walk outside, or even active play with the kids. Of course, you might also find that when you are focused on the way exercise makes your body and mind feel, it might renew love for activities you thought you no longer enjoyed. And for those who are interested, May spends some time talking about the physiology of exercise but breaks it down in layman’s terms to make the information accessible and meaningful.

May points out that “Every time you drastically decrease your caloric intake, you lose muscle, not just fat, if you aren’t exercising regularly. Once you abandon the diet and resume eating the way you previously did, you’ll quickly regain fat but not the muscle you lost. As a result, your metabolism will be even slower.” In addition to suggestions on ways to add enjoyable movement to your life, Eat What You Love offers specific weight-bearing exercises as well as stretches to increase flexibility — another important component of a healthy lifestyle.

The last section of the book is filled with menu ideas and recipes for foods that will feed and nourish your body while allowing you to love what you eat. Eat What You Love, Love What You Eat is a comprehensive resource to get you on track towards a healthy relationship with food and your body. It is not a quick fix diet solution. It does not present an easy way to lose weight under the guise of a healthy eating plan. Instead, if you are ready to do some emotional work, Eat What You Love will bring you to a place you thought you might never be able to find — a place where you don’t have to think about food all the time, but instead enjoy it thoroughly while staying in charge, and living your life in a healthy way.

Your exercise routine has fizzled out. Now what?

Ok, so we’re nearly two weeks into January, and I am wondering how many fitness resolutions are already out the window. As someone who loves being active, I’m all for goals that promote a more active lifestyle. But if you don’t get off on the right start, well-meaning intentions will only go so far in delivering you to the gym. Before you commit to getting fit, evaluate your motives, and make sure you’re doing it for the right reasons. (Read What Motivates You to Move?) Once you’ve established that your goals come from a genuine desire for well being (rather than trying to reach an unattainable or unmaintainable body weight/shape/size), you still might get discouraged at what seems like a long road ahead of you. If your motivation has already petered out, here are a few suggestions to help spark the flame again.

Buy some new work out clothes. This may seem like a shallow approach, but if you feel self conscious in your over-sized holey sweats while everyone else is walking around in their Nike/Reebok/Adidas gear, you will look for every excuse not to go. While there is no limit to how much you can spend on fitness apparel, you don’t have to spend a lot on functional, yet fashionable clothing that will give you the freedom you need to move. I recently stocked up on Champion boot-cut fitted pants from Target, and while I was lucky enough to catch them on sale for $14.99, their regular price of $19.99 still can’t be beat. I also got a few tank tops with built in bras, like this Champion Racer Back Tank for $18.99. And speaking of bras, make sure you have a properly fitted bra that gives you the support you need. If you are uncomfortable because the girls are bouncing around too much, that will just add to your list of excuses to avoid moving. For extra support, check out the Ultimate Sport Bra from Lane Bryant. Old Navy is another great source for reasonably priced fitness clothes, and Junonia is a good source for plus-sized active wear. If you’re ready to spend a little more and want to check out some fun styles, try the newest brand from the Gap brand of stores, Athleta. While many of their price points are beyond what I’m willing to spend, I definitely love their styles and would enjoy heading to the gym in some of their cute tops. Whatever you do, find clothes that are comfortable to work out in but make you feel good too. You’d be surprised what a difference it can make.

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