Help! Do I Have an Eating Disorder?

“Most powerful is he who has himself in his own power.”

~Seneca

Have you ever gone back for an extra serving of food when you weren't hungry? How about mindless eating between meals on occasion? I’m sure most of us at some time or another took an additional serving (or two) of food or ate unplanned meals especially during holidays, birthdays, hurricanes and long weekends. Let's face it temptations to over-indulge are all around us. But when is it a problem—an illness?

When was the last time you binged on a block of spinach or a bushel of apples? I'm willing to bet not too often. How about a box of brownies, chocolate chip cookies, or a bag of potato chips? Ah...hitting a nerve am I? If you watch your friends, acquaintances, or how about a stranger in a restaurant, I’m certain you will witness at every turn someone who binge eats. Do you?

So, what makes the difference between an occasional over indulgence and an eating disorder? When is it an eating disorder? And of course addiction plays into the mix too. What about food addiction? To make matters more confusing, when is it binge eating disorder and when it is food addiction? And, could it actually be a combination of the two?
 Let’s face it, millions of Americans hide, steal, and hoard food anticipating a secret binge. After their indulgence they're filled with remorse and shame promising to never over eat again. One of the least discussed and most common eating disorder is binge eating disorder. Binge eating is defined as over eating a large amount of food in a small period of time, at least three times a week for six months or longer. Binge eating, or compulsive eating—as it is more familiarly known—affects more than 20 million people in the United States alone. And yet, we focus more on bulimia nervosa and anorexia when it comes to eating disorders.

Although bulimia and anorexia nervosa are the eating disorders that pop into most minds when discussion of dysfunctional eating surface, in my practice, the majority of my eating disordered patients suffer from binge eating disorder and/or obesity. This isn't to say all bingers are obese or even overweight, because some actually can be of normal weight. Also, not all overweight persons binge eat. And where does food addiction fit into the mix?

 Confusing? Yes, for sure it is…

 The biggest challenge is to sort through whether the patient has food addiction, binge eating disorder, or a combination of the two.

The food addict also eats a large amount of food in a small period of time, and like compulsive eating, it comes with consequences that can be lethal, such as obesity, heart disease, relationship issues, body image, and et cetera. The big difference between the two disorders is food addicts crave specific foods that are uncontrollable no matter what attempts they put forth to stop (i.e., dieting, restricting, exercising, et cetera).

I liken food addiction, an uncontrollable craving for high sugar and processed foods, to recreational drugs such as cocaine, heroin, and nicotine. And the food addict needs to consume the sugary/starchy substance in order to function—to feel "normal." In all addiction cases, the substance dependent consumes larger amounts of their drug for longer periods than were normally intended with persistent desires or repeated unsuccessful attempts to quit—even if it interrupts social, recreational, and family interaction—because the addicted substance takes precedence.

When it comes to treatment for binge eating disorder it is often not about the food but rather about the emotional deficits. When it comes to treatment for food addiction it is about the food—specific foods that trigger the compulsion to consume large amounts of it no matter what the cost. Although binge eating disorder and food addiction share many of the same symptoms, food addiction shares the emotional component of binge eating disorder as well as the symptoms such as obsession with body, weight, mood shifts, closet eating, stealing, where compulsive eating is about the inability to deal with emotions.

I suffered from food addiction and binge eating disorder as far back as I can remember—I just didn't know what it was called. I thought there was something wrong with me mentally. I craved chocolate, doughnuts, chips, and anything gooey and sweet beyond normalcy and I tried every diet under the sun—including diet pills, commercial diet centers, starvation, over exercising, none of which helped me tame the compulsion to eat beyond full in spite of the detrimental consequences, which in my case was obesity.

I wish I knew then what I know now about eating disorders, treatment, and spiritual recovery. Perhaps I could have avoided all the pain and suffering with my weight up and my weight down—an endless battle—until now. Today, I live life without the torture of worrying about getting heavy, craving foods I can’t control the amount of. And spiritually my cup is full.

So, if you are one to eat an extra serving, two, or three beyond holidays, birthdays, hunkered down for hurricanes, and long weekend temptations, when you weren't hungry, to the point of devastating consequences that hamper the quality of your life, perhaps you may suffer from an eating disorder such as food addiction, binge eating disorder (compulsive eating) or both intertwined.

 My 20 years experience as a clinical psychotherapist, a PhD in addiction psychology, certified eating disorder specialist, certified addiction professional, and national board certified clinical hypnotherapist has not only made me a recognized expert in my field, but also made me privy to understanding the experience of those (and myself) releasing their obsessions with food and turning to their connection with the divine energy (known as God for some) and people.

 http://weightcontroltherapy.com/

Photos by Dr. Lisa Ortigara Crego

 

Why Are You Writing This Book?

A few years ago I attempted to retain the services of an editor to assist me with the mechanics of my book on spiritual recovery from food addiction. The first question she asked me was, “Why are you writing this book?” Why? Hmmm. Well, I stammered through a sentence or two saying something to the fact that I wanted to help people. Silence on the other end, not even the sound of her breath was heard.

After hanging up from a difficult call, I thought hard and deep on why I invested so much time writing my book. From that moment forward I wrote and rewrote and wrote again to the point of where my book, In God’s Hand: Release the Obsession with Food, morphed into work I’m quite proud of.  I learned from that call, and a failed attempt, to string my efforts into the right pattern on exactly how to answer that very question to anyone who cared to ask.

Why am I writing this book?  Why was I taking a dissertation that was stale and breathing life into a book for a wide audience of therapists, eating disordered persons, and those struggling with weight issues in general? I knew for a fact I didn’t write this book for notoriety, fame, money, or to see my name in print.

I wrote In God’s Hand: Release the Obsession with Food for us, who are alone with the monster (Food) every single day and trying to control it and not let it control us.

I wrote because living with an addiction to specific foods that result in compulsive overeating is an unsolicited and difficult path to venture alone. I know when I was struggling with obsessing and bingeing on food I had no idea where to turn. I was lost and scared and didn’t understand why I couldn’t stop eating to the point my weight was nearly 100 pounds over the suggested healthy weight.  I thought something was wrong with me. First I thought I was crazy, and then wondered if I had a physical problem—or perhaps God was angry with me. Or, I was weak and had no control.

Compulsive eaters most often don’t recognize that they have sensitivities to certain foods but rather believe something is wrong with them when they can’t manage their food intake in “normal” amounts—especially in regard to carbohydrates. Often, for this group of individuals, excess weight, mood swings, extreme fatigue, and irritability are everyday occurrences. Seeking answers to what is actually a disease may not be the obvious road for the sufferer to travel, so blaming self for lack of willpower becomes the daily, inner rant.

Compulsive eaters at nearly every stage of their misery pick up self-help books, try fad diets, join diet clubs, and sometimes even enter treatment centers for eating disorders—all of which are structured to help inform and “cure” them of their debilitation. But the books, diet centers, counselors, and eating disorder treatment facilities generally do not address the actual food sensitivity or the sufferer’s ultimate spiritual depletion. Instead, these turn the afflicted addict loose clutching a Band-Aid solution (diet) without looking more deeply into the food sensitivity and spiritual bankruptcy plaguing the food disordered person’s very soul.

In God’s Hand: Release the Obsession with Food addresses those who seek recovery from binge eating and/or food addiction and who define themselves as “spiritual.” My book illuminates the experience of living with food addiction, recovery, and movement in the direction of spiritual revitalization. This is not a ten-step formula for losing weight and/or being “cured” of a compulsive eating disorder—because losing weight is not the focus of the book, and food addiction is a lifelong disease that can only be dealt with one day at a time. But what this book does promise is an increased connection to a self-defined spiritual sense, allowing readers to release a previously unbreakable obsession with what they eat. The book will not be one among many commonplace offerings, but will provide rather an exclusive, in-depth account as to what it is like to live with a compulsive eating disorder—versus confronting one’s inner demons, moving into spiritual awareness, and handling various situations for genuine recovery

I didn't have the experience or the know-how to understand what was wrong with me before studying eating disorders and weight related topics at length.  Now I know.  I would like my book to reach out to the teenager suffering perhaps with weight, acne, and loneliness, filled with remorse and shame because she doesn’t know how to stop eating. I would like to say it’s going to be okay—it isn't your fault, let me show you the way out.

I wish when I was a pimpled, fat, lonly13 year old, standing in front of the fridge shoveling food in not fast enough, someone would have said let me explain to you what's going on with your body, mind, and emotions. Would I have listened? I’m not sure, but I wish I had at least the option.

I'm writing this book for the young adult who is obese and can’t play with her/his children because the food obsession will not let up and they feel there is no way out. Clothes are tight and moods are up and down. There is no energy to play with the children, besides the mind won’t let go of the obsession of getting food or burning the calories already consumed.

I write to tell the moms and dads how sad I was in my young years and how alone I felt and my parents didn’t know. I want to tell them I was scared and wished I could tell someone but feared rejection or lack of understanding. I wanted to know why I was eating out of control and my siblings were not. I was so bleeping scared and had nobody to tell. I know this struggle all to well. I want to tell every mom and dad to pay attention to your little girl or boy and notice if they are isolating and rarely laugh. Reach out to the child and show them the way to peace and freedom from cravings and to a strong and healthy physical body. And if you can’t do this then find someone who can. I don’t want one more child alone with this disease. And if we can save a child then they won’t grow into a lonely, isolating adult and pass this down to their children. I want to break the chain.

I'm writing this book for doctors and therapists to let them know this obsession is real and to treat it with the right foods, exercise, and spiritual connection. That cutting patients stomachs to reroute their food and/or cutting and filling their stomachs with fill is a wasted effort if they aren't educated about trigger foods.

I write for my sons, husband, father, and sibling to tell them about my struggles and triumphs. I am writing this book for my mom who no longer is here because her obsessions and cravings led to a massive stroke and took her life before her time. I'm writing this book for my best friend Yvonne (who died before her time) who always tried to help and to understand me and believed I could eat trigger foods in moderation—not understanding one bite of certain foods sent me down the road of bingeing and not returning. I am reaching out to cousins who have the same problem as I do to know it's genetic and not their fault.

And most of all, I am writing this book for me to work through and understand all my struggles. To understand why I made some of the poor choices I made. To reflect on how lonely and scared I was most of my life.

I am writing this book to stare down the doubters, the scoffers, the misunderstood, the authorities, the government. Our children are in trouble. We need to rise up and face this situation now.

I am writing this book to save my patients from a disease that kills. I am writing this book because God wants me to write and He will guide me throughout the process no matter how long it takes, no matter how high my mountain will be.

Photos by: Dr. Lisa Ortigara Crego
http://weightcontroltherapy.com/

Defining Moments

"It is not the mountain we conquer but ourselves."
~Sir Edmund Hillary

I awakened to the sound of the phone—ring after ring—I just want it to stop. I pulled the pillow over my ears and hunkered down deeper into the mattress, but it droned on and on beckoning me to answer.

Barely awake, I glanced at the clock noting it was 4:00 in the morning. I stumbled as I made my way to the kitchen to learn who was on the other end of the phone.

I pressed the cold receiver to my ear and with great trepidation  answered, "Hello." My father's panic voice blurted out,  "It’s your Mom—she had a stroke! The paramedics are here. I don’t know what to do, they say they have a shot they can give her but I have to know the exact time she had her stroke. If  they give her the shot too soon or too late it will kill her."

 The room swirled as I tried to grasp what he was saying.  I stammered something back, but to this day I don't know what I said in response. After we hung up, I recall I stood dazed and paralyzed in fear for what seemed like hours staring at the phone back in it's cradle, not certain what to do. 

A defining moment— my life would never be the same.

The dreaded call was Saturday morning, the eve of Easter back in 1998. Could it be only eight hours before I was skating with such glee with my eight year old son Benjamin and collided and tumbled to the ground only to rise laughing it off twirling under the stars smiling and thanking God for what a glorious life I was living. I practiced as a clinical psychotherapist and was soon to marry my prince, living in my dream house the perfect life. And now, mom was faced with life or death. How quickly my world was turned upside down.

Driving bleary eyed, as the tears tumbled down my cheeks, I dialed patient after patient to cancel my Saturday schedule, while trying to keep my eyes and car on the road as I headed to the hospital four hours away to accompany my Dad in what was one of the saddest and most difficult moments of our lives.

We sat in the intensive care unit, each in our individual silent prayer, only interrupted with periodic conversation and sobs of disbelief. The neurologist tarnished any hope we mustered up when he inhumanely blurted out she would never walk again and guaranteed she'd endure a continuous down turn for the remaining days of her life.

Dad lowered his head into his hands shaking it back and forth mumbling, barely audible, "No, this can't be, not again," as he questioned his decision to not give mom the shot earlier this morning with the paramedics. He raised his head up slowly from his hands and he recounted one of his defining moments when his mom clung for her life nearly 50 years earlier in intensive care, and he, the oldest son, needed to translate from Italian to English and back from the doctors to his family. He made serious decisions then and serious decisions now both intertwined and played over and over in his mind.

His mom died.

He never got past his guilt and grief. And now he was faced with his wife of nearly a half of a century facing the end of her life as they both knew it.

Mom was obese, she picked up a  cigarette habit in her fifties, and didn’t exercise and favored high fat foods all contributing to  her situation she now faced.

I pulled my chair up as close to mom as I could, without climbing in the bed with her, and held her limp had in mine. I always admired her tiny dainty hands and feet. I watched her struggle to take one shallow breath then pause and exhale and repeat—the oxygen machine swishing in the background —her eyes closed—slipping further and further away.

There I sat inhaling the  nauseating  smell of bleached sheets mixed with  rubbing alcohol as I pulled the spare blanket from the foot of the bed around my shoulders—teeth chattering from the cool temperature to ward off germs—when my attention went to my left leg throbbing. For a brief moment my mind moved from mom to my left leg. I startled when  I saw what I thought was a teeny scratch from a fall I had taken and brushed off  the night before while skating with Benjamin—it oozed with infection. I hadn't realized it was worse than I thought merely a few hours ago. Again, I pushed it out of my mind and made a life changing decision.

It was instant, at that moment, I vowed to bump up my mission to help eating disordered and addicted patients to recovery. For the rest of my life I'd give of my heart and soul to find answers and direction for those in the same space as my mother who couldn't conquer obesity. I promised to God then and there that I'd share and teach how I learned to let go of my once obese body, eat free of sugar, flour, and wheat, and lean on spiritual recovery.

I couldn’t save mom but I darn sure could share what I know with those who still had a chance to turn their lives around.

Mom died at 67 years old. She lived four more years after her stroke completely paralyzed. Those days were very good times and very bad times all rolled into one.



Now, on the Eve of every Easter I bow my head in remembrance of the early morning call over 13 years ago— when my life turned a new direction—a defining moment. I'm not saying eating free of sugar, flour, and wheat is easy but death or paralysisis is certainly worse.

Life is brief—live now, laugh now, and pray now. 

http://weightcontroltherapy.com/

Photos Taken by Dr. Lisa Ortigara Crego

Happy Birthday America!

Happy Birthday America! It's hard to believe the Fourth of July weekend is once again coming to an end. So often we go through this holiday weekend marking the event with picnics, barbeques, and various outdoor activities. But, the 4th of July is much more than a day off of work. For me, it's a day worth remembering and reminiscing.

I'm grateful for my independence and freedom to live in this great country. Yes, it’s the day America decided to become independent of Great Britain and represents freedom to make our own rules and be responsible for our welfare, but it also is a time to look back and remember family events—good and bad.

This morning my day began with sunny, blue skies, white puffy clouds, birds singing and a wonderful walk, talk and prayer time with my sister. No doubt, a start to a picture perfect South Florida day! Independence Day is a time for Americans to remember and celebrate what was and what is—not only for our country but for your personal desires.

Are you on course?

Although today is truly glorious day for me, somewhere someone out there is mourning something. Perhaps a family member is sick, or you lost someone you love, or maybe you personally are facing a challenge of your own. I’m certain there are many fur-children out there not too happy. I can attest to my Sage’s fear of fireworks which is inevitable this entire weekend.

Also on this day I think of  my Mom and recall several Fourth of Julys before and after she suffered a massive stroke. I am filled with joy for great memories as well as sadness. The first 4th of July after her stroke I questioned how the world could still move forward while I was suspended in gripping emotional pain.

And yet, no matter where you are in your life today, even though you might be grappling with an emotional, physical, or spiritual loss, the 4th of July must go on. It is no doubt a time for celebration, which includes: picnics, boat outings, Barbeques, et cetera, along with foods, drinks and temptations. This is the American way!

I can't help but wonder what role food plays in illnesses, losses, and death. In my line of work (eating disorders and mood disorders) holidays can be very difficult when platters of favorite foods are presented in front of you. I have a long history of active food addiction that certainly was fired up during this very holiday weekend. My recollection brings me to our summer vacation home in Wautoma, Wisconsin where we began each morning of our holiday weekend with several boxes of glazed, chocolate, and long-john doughnuts filled with cream washed down with chocolate milk or a huge breakfast of eggs, bacon, cheese, and loaves of Italian bread slathered in butter.

Holidays meant lots of foods tempting me to eat myself into a coma. Today is different; I understand my food addiction and practice recovery every day. It’s not always easy and certainly I’m not perfect. I have witnessed in my practice, as a certified addiction professional, and certified eating disorder professional the different facets of eating disorders, none of which are easy to move from active addiction to recovery. But, it can be done.

My Mom had her own battle with food and weight. She spent all of her adult life obese and she ate large portions of high fat, salty foods. Perhaps she grew her body rather than restricted to accomplish hiding within her body. My grandmother, also a large woman, bounced from diets to bingeing. No doubt my food issues were inherited genetically and environmentally. Mom died just before her 67th birthday.

I believe unprocessed foods play a huge role in healthy minds and healthy bodies. All of my self-hypnosis CDs addresses the importance of clean eating, exercise, and spiritual recovery.

And so here we are on this glorious day. The Florida sun tucked away for the evening as festivities of 4th of July come to a halt. I wonder, as the last bits of fireworks fall from the sky, sounds still within ear shot, how many close this day with full bellies and empty bellies both rumbling from restricting or bingeing. Many are alone and lonely, turning to food for comfort...or not. Eating disorders come in many guises. It does not matter if your black or white...or somewhere in between. It does not matter if you're rich or poor...or somewhere in the middle.

Today, I celebrate America's Independence. I celebrate my independence. I broke away from food controlling me...and now live free. I hope those suffering and hurting today will find independence from pain and sadness—and the loss of loved ones. Life is to be celebrated. America is to be celebrated. Let's wave our flag proudly. We live in a country that offers help and hope to all.



Photo by: Dr. Lisa Ortigara Crego

Why Can't I Stop Eating?

So, you ask yourself,'Why can't I stop eating?' or 'What's wrong with me that I’m eating a huge amount of food—when I’m not even hungry?'

Did you ever consider you may have an eating disorder? Okay, it's harsh to even consider the idea. Nobody wants to be "labeled" with a disorder. I get that. I have binge eating disorder and denied it for years until one day (after gaining and losing and gaining close to 100 pounds) I came to my senses and admitted I had an eating disorder and gradually changed my relationship with food; hence, my journey to recovery began. Was it easy? Certainly not! Was it doable? Absolutely!

Let's face it, change doesn't come easy for most of us and learning we might have a disorder that requires cognitive/behavioral changes is darn right scary. So what does one do? I believe the answer begins by making choices towards a healthy life style. We can hunker down to what is familiar—not willing to budge—or we can step out of our comfort zone and try recovery strategies that may seem foreign at first.

As an expert in eating disorders, I have found answers not only for myself but also for my patients who have binge eating disorder, bulimia, anorexia, food addiction, or a combination of all four. You may wonder if it’s possible to move in and out of binge eating, purging, and restricting—the answer is yes. In fact, it’s not uncommon to dance between a mix of eating disorders.

You may find it interesting to learn, bulimia and anorexia are the eating disorders most familiar, but not most common. Patients often gasp when they learn that eating a large amount of food in a small period of time with little regards for consequences (and not purging) actually has a name and is considered an eating disorder that is more common than bulimia and anorexia. Most of my patients (including myself) have binge eating disorder without purging food. After an episode of bingeing, often the person harbors guilt and shame promising after this last binge they’ll get back to their diet and never engage in volume eating again.

Once my patients get past the fact they have a disorder, and that it actually has a name—binge eating disorder—they move into acceptance and a recovery plan.

So now, when you ask yourself, ‘why am I bingeing', you may want to take a closer look at what's going on in your life? Let's be clear, if you spend the evening hunkered down in a coma-state watching television, and to your surprise realize you inhaled an entire bag of potato chips, you are not automatically a binge eater. A binge eater frets over the fact they lost control over their food and may even fear they can't stop eating once they start and an intense fear of weight gain. Furthermore, it's not uncommon for a compulsive eater to hide their food and binge alone—filled with shame when the binge is over.

The cause and recovery strategy for compulsive eating is up for grabs—with many theories. Some say it is a chemical imbalance and name it food addiction. Some find it is an emotional crisis and bingeing is a way to avoid something bothersome. And still others find it is a spiritual deficit. I say, it's a three-prong problem: spiritual, emotional, and physical.

Most of my patients contact me because they want to lose weight and they tried every "diet" imaginable and still can't stop eating. Eating beyond full is common with a person suffering from binge eating disorder. What is causing this behavior? Perhaps you're sensitive to sugar, flour, and wheat due to a chemical imbalance causing you to crave more and more food, especially from sweet and starchy food choices.

You may have trouble resisting a binge because you suffer from a food addiction and/or an eating disorder. The answer is not simple and it requires a process that involves change in thoughts and behaviors. The first step for you is to get familiar with trigger foods and start weaning off of them. After a binge (or before would be ideal!) ask yourself a series of questions:

1. Was I hungry? When was the last time I ate? If it was more than five hours you most likely were hungry.
2. Was I angry about something? Is there something going on in my life that I feel out of control, anxious, hopeless, and/or helpless?
3. Am I lonely or feeling alone?
4. Am I tired? Did I get an ample amount of sleep?
5. Am I stressed? Do I have too much to do and little time for relaxation and fun?

If you answered yes to any of these questions, it may be the first place to address your eating issues. Also, pay attention to the foods you’re eating. Perhaps you are sensitive to processed foods such as: bread, cakes, cookies, flour, et cetera. So, if you ask yourself, 'Why can't I stop bingeing?' or 'What is wrong with me that I'm eating a huge amount of food when I’m not even hungry?', you may have an eating disorder or a chemical imbalance that triggers uncontrollable cravings and volume eating. My suggestion is to seek a certified eating disorder professional who can help you address these issues and move into recovery and quality living.

Celebrating and Mourning Simultaneously...

Happy Birthday America! Today is the Fourth of July...a day worth remembering and reminiscing. Today is the day America decided to become independent of Great Britain. This day represents freedom to make our own rules and be responsible for our welfare.

My day began with sunny, blue skies, white puffy clouds, birds singing. A picture perfect South Florida day! A time for America to remember and celebrate what was and what is. Although a truly glorious day, somewhere someone is mourning. Someone is sick. Someone is losing someone. I think of Mom and recall several Fourth of Julys after she suffered a massive stroke (days before her 64th birthday), I was filled with sadness and questioned how the world could still be moving forward while I was suspended in gripping emotional pain.

The same holds true on this fourth day of July celebration. Even though some of us might be grappling with an emotional, physical, or spiritual loss, the 4th of July must go on. It is no doubt a time for celebration, which includes: picnics, boat outings, Barbeques, et cetera. Of course, with celebrations come foods, drinks and temptations. This is the American way! But...perhaps not everyone is so festive. Many suffer from illnesses and losses. Certainly Michael Jackson's family is mourning their loss. And in my own life I have losses and family members suffering from illnesses and aging.

I can't help but wonder what role food plays in illnesses, losses, and death. Take Michael Jackson for instance. He was a 50 year old icon, weighing in at 112 pounds at the time of his death. It is my understanding he was somewhere between 5-8 and 5-10 in height. In my line of work (eating disorders, body image dysmorphia, and mood disorders) this would be a huge red flag. Did he suffer from a low self body image? It seems evident by his history of plastic surgery and total change in body appearance he did. Did he suffer from addictions to prescription drugs? With all the surgeries and other medical issues he had he was in chronic pain and may have become addicted to prescription medications. I have witnessed in my practice as a certified addiction professional, addictions to medications quite common. Did he have an eating disorder tied in? Maybe. I did not hear anything regarding this; however, he definitely was not of a normal weight and did seem to have an issue with growing up. Perhaps he kept his body frame boy-like to avoid growing up.

Many female anorexics keep their body's girl-like, stop menses, and appear to harbor a flat chest to hide their femininity perhaps to be in control. My Mom did not restrict, she was the opposite. She wore her weight and then some. She ate large portions of high fat, salty foods. Perhaps she grew her body rather than restricted to accomplish the same goal of hiding her feminine side. As pointed out with Michael Jackson, men are not free from eating disorders and/or body image dysmorphia. My uncle, a rather large man, died from cancer. He ate heavy meals, did not exercise, wore extra weight, and may not have been spiritually connected. He died young...late fifties. I believe unprocessed foods play a huge role in healthy minds and healthy bodies. All of my self-hypnosis CDs address the importance of clean eating, exercise, and spiritual recovery.

And so here we are on this glorious day. The Florida sun tucked away for the evening as festivities of 4th of July come to a halt. I wonder, as the last bits of fireworks fall from the sky, sounds still within ear shot, how many close this day with full bellies and empty bellies both rumbling from restricting or binging. Many are alone and lonely, turning to food for comfort...or not. Eating disorders come in many guises. It does not matter if your black or white...or somewhere in between. It does not matter if you're rich or poor...or somewhere in the middle.

Look at Michael Jackson, Elvis Presley, Elizabeth Taylor, Oprah...all rich and famous, all suffered/ suffering from eating disorders and/or addictions of some type. Today, I celebrate America's Independence. I celebrate my independence. I broke away from food controlling me...and now live free. I hope those suffering and hurting today will find independence from pain and sadness...and the loss of loved ones. Life is to be celebrated. America is to be celebrated. Let's wave our flag proudly. We live in a country that offers help and hope to all.

Photos by: Dr. Lisa Ortigara Crego

Eating Disorders and Certified Eating Disorder Professionals

Today is one of those glorious Sunday afternoons when the sun is out and the birds are chirping. It is one of those days where the world feels right and excitement, for no apparent reason, looms above. And yet, somewhere out there someone is suffering alone from an eating disorder. Someone is wondering when the binge will end and the weight will be released. That someone used to be me. It is a lonely, scary place to be.

Today I was reading an e-mail from The International Association of Eating Disorder Professionals (also known as iaedp) and learned something I was not aware of. To date, iaedp is the only organization in the world that certifies professional competency to treat eating disorders through its Certified Eating Disorder Specialist (CEDS) and Certified Eating Disorder Specialist-Nutritionist (CEDS-N) certifications (Cumella, 2009). There currently are only 104 CEDS or CEDS-N professionals with active certifications. Interestingly, I am one of the 104 certified eating disorder specialists, and yet there are 923,000 healthcare providers who can offer counseling services in the United States! How could this be? Only 104, or 0.01%, have a CEDS or CEDS-N!

More interesting, to date, there are 642 healthcare providers in the US and Canada who claim to specialize in eating disorder treatment; however, only 104, or 16%, have evidence of their competency to do so through a recognized certification program, the CEDS or CEDS-N (Cumella, 2009). This baffles my mind! Eating disorders are chronic, progressive, and fatal. We need more certified experts working with patients with such a deadly disease.

I read a few years ago that by the year 2015 if preventative measures are not in place we could see 75% of the population overweight or obese. This is a huge number! Think about it, 75 people out of 100 will be wearing extra weight. What will this do to healthcare? What is the answer? I believe we need to move closer to "real" food and further from "processed" foods. Sugar, flour, and wheat, along with high fatty foods seem to be the culprit, especially for us who suffer from eating disorders. And there are plenty of us!

Today, as a provider certified to treat eating disorders, I carry a qualification that few have achieved. It seems unthinkable there are 923,000 healthcare providers who can offer counseling services in the United States, and yet there are only 104, or 0.01%, certified as eating disorder specialists! I think what makes me most uncomfortable is learning healthcare providers are claiming to specialize in eating disorder treatment and yet few have the education, certification and/or authority to do so. The International Association of Eating Disorder Professionals is recognized for certification programs that train and prepare practitioners to deal with a disorder that is growing with each passing minute. Perhaps if the word gets out more and more will sign up to join the certified eating disorder specialists to help those suffering from eating disorders reach a place of recovery.

Although there are many hurdles the eating disorder professional must jump through in order to stay abreast to the ever-changing field of eating disorders, it is well worth the efforts. Every day I am reaching out and helping someone who is suffering as I had. Every day I know someone is dying from this disease. Every day I know I can reach out my hand to another and lift them out of their pain. Nobody has to suffer from this disease. There are answers and help that can take you to recovery. I know...I live in recovery every day.

It is no secret there are millions suffering from eating disorders. As I sit here comfortable in my own recovery on this beautiful Sunday late afternoon I wonder how many out there are feeling alone, binging, purging, or restricting today. I know I will be able to go to sleep tonight with no shame or regrets for having eaten foods that are causing me to binge, crave, or purge. Thank God I never purged with food, but I certainly did my share with over exercising and an occasional bout with laxatives. Just writing the words down makes me wiggle with discomfort. It is hard to believe a decade and a half ago I was really suffering and yet I looked so good on the outside. I was working a program for the most part...but then the disease would rear its ugly head with no warning. Tonight, I will be able to close my eyes and drift off to sleep knowing I am in a good place spiritually, physically, and emotionally.

References:

US Department of Labor, Bureau of Labor Statistics. Retrieved May 3, 2009 from http://www.bls.gov/oco/cg/cgs035.htm#emply

Academy for Eating Disorders. Retrieved May 3, 2009 from http://www.aedweb.org/public/results.cfm

Cumella, E. J. (2009). News for Eating Disorders Professionals. International Association of Eating Disorder Professionals. Retrieved on May 13 from: http://www.iaedp.com/

Photos taken by: Dr. Lisa Ortigara Crego

Finding Serenity!

One of my favorite moments in life is sitting in the "Florida Room" in my Mom's home up in Wautoma,Wisconsin. Early in the morning I love to go out to the room with a mug of hot decaffeinated coffee and sit in the silence. There are always deer and exotic birds that entertain me as I sit and look out. I like to think of this room as the "meditation" room. A place where I can get quiet with my thoughts. A place where I can be in prayer. A place to self-hypnotize.

Yes, I did say self-hypnotize. I find self-hypnosis to be one of the most powerful tools every person has access to. The mind is powerful. I can close my eyes right here in South Florida as I type this piece and go to the "Florida Room" in Wautoma and see those very same deer grazing and walking through the morning dew. It was a glorious day! I felt so serene just looking out. It was that very day I meditated with the morning glory and visualized where I wanted to be years from now. I imagined earning my doctorate in psychology, teaching at a university, and bringing my work to the Internet in a way that could reach everyone. And I did all of the above! Today, I am able to create magical self-hypnosis CD's for those who can not come to my office. It is affordable and easy to do.

I had a patient ask me the other day if I thought anyone could be hypnotized. As I pondered the question for a moment I answered yes, as long as the person is not suffering from brain damage or severe mental illness. I think the big misunderstanding is that hypnosis is losing control over your mind, when in fact it is actually the opposite. Rather, hypnosis is the training of your mind. To be able to get to a relaxed state and redirect your thinking. Over my near decade and a half of conducting hypnotherapy I have seen remarkable results. The mind is an amazing thing...and it will take you wherever you want it to go with a little imagination and creativity.

Often when a patient comes to me for self-hypnosis I ask them to find a place in their mind that brings them serenity. A place that is peaceful and safe. It could be as warm and fuzzy as walking through a field of flowers, or strolling barefoot on the beach feeling the warm sand between your toes, or curled up on a couch reading a good book near the fireplace with a crackling fire warming your feet, or playing with puppies. Everyone has a place or two that brings such joy. Another place for me as a child was taking a nap on the back porch in Chicago with my dog Cuddles. I can remember the smell of the closed in porch and feel the breeze on my skin from the opened windows on a beautiful Chicago summer day. Those were magical moments.

We all have a special place that allows us to embrace pure peace and harmony. And if you can't fine one make it up! You can conjure one up from a picture in a magazine or a place you saw on television. The subconscious mind does not know the difference between real and pretend. It is for this reason you can imagine yourself thin and free of your eating disorder (or whatever concerns you have) and the mind will grab the image, even if it is not real...yet. Dream big!

I knew that magical morning in the "Florida Room" my life was going to evolve even greater than it was. I knew I was going to grow my practice beyond South Florida. Just planting the seed and believing in my work set the wheels in motion. Today, I have realized my dreams and continue to each and every day. Life is magical and promising. I feel as serene as the deer in the woods...living in the now...enjoying the moment. When my day is filled with busyness (and it often is), I close my eyes and go where ever I want my mind to take me. And of course one of my "getaways" is looking out at the wildlife from the "Florida Room" in Wautoma, Wisconsin.

Photo taken by: Dr. Lisa Ortigara Crego

Giving in to Food Addiction...

As I gaze at this picture I took a few months ago I remember thinking how the sun rising looks similar to the sun setting. Is it a beginning or an ending...only to be a beginning once again? Somehow, my mind managed to relate this thought to successfully giving up addictive foods only to fall back to binging on sugary and flour foods, and then to give them up again. A continuous cycle like sunrise and sunset.

A dear friend of mine, who I admire and respect, fell off her program eating free of sugar, flour and wheat after years of leading the way for many food addicts. At first, I felt heaviness in my heart: an ending. But...then I thought about myself and the times I fell off my path and succumbed to binge eating. Although they were dreadful times, I learned and grew from each experience beyond my wildest imagination.

You see, when you are eating non processed real foods and your weight is "normalized" there is this sense of glorious mastering (beating) a chronic, progressive, and fatal disease. You begin to forget where you were, only focused on where you are: your success. Today, at times I might embrace this almighty knowing because I am 100 pounds lighter and hundreds of people come to me for advice...and then the unthinkable happens: your mentor falls. It's like an ice cold splash of water smack in the face. It is a reminder that this disease does not go away, it is only masked with clean eating, while lurking in the background is the disease wanting to resurface.

But is this the end? No! It is only the beginning. Just as the sun rises and sets and then rises once again. Every fall brings an incredible surge of erecting. I would not be where I am today if I did not crash many times. Father Rookey (a wonderful priest I know) told me once, "Out of bad comes good: Always." He spoke these words with such conviction as he looked straight into my eyes.

Out of bad, comes good: Always! Hey, look at Oprah...another mentor of mine (and probably yours). She too struggles with this insidious disease. She inevitably will turn bad into good. It is destined. But for today, she is struggling with her weight and addiction to food. Food addiction knows no bias. It does not matter how rich or poor you are, educated or uneducated, if your skin is black, white, or brown. Food addiction is a chemical imbalance that often comes with weight gain and even obesity. Statistics show more than seven million Americans suffer from Binge Eating Disorder (BED), which often is perpetuated by food addiction (chemical imbalance).

I read in Oprah Magazine (March, 2009), What I Know for Sure section, "66% of American adults are either overweight or obese." In my own research I learned that if Americans don't make a positive change in their eating and exercise 75% of the population will be overweight or obese by the year 2015! This is not astounding to me as my pager rings several times a day with someone reaching out for help with their eating disorder.

Yes, my dear friend and mentor is in a dark place. You could say she is the sun going down. But tomorrow is the birth of a new day, a new beginning. She will climb out of her darkness and blind us all with her light. Out of bad comes good: Always!

Photo taken by: Lisa Ortigara Crego