scholarly journals Book Review of Frisbie's A Therapist’s Guide to Treating Eating Disorders in a Social Media Age.

2021 ◽  
Vol 55 (3) ◽  
pp. 410-412
Author(s):  
Hillary Sharpe

Eating disorders and other “sub-clinical” problems such as disordered eating and body shame/dissatisfaction grow more prevalent in our society. This is particularly true since the advent of COVID-19 changed our social landscape, leading to increases in isolation and anxiety and in the use of technology to work, to connect, and to live. Social media in this age present both barriers and possibilities for mental health and identity development, particularly for individuals who suffer from eating disorders and related problems. In her seminal first book, Shauna Frisbie deftly weaves through each of these topics, creating a tapestry for both novice and expert clinicians to view and understand how social media consumption can be assessed, dismantled, and harnessed to help clients who struggle with disordered eating. Guided by the central topics of selfhood and identity development and by the techniques of phototherapy, Dr. Frisbie creates a compelling story that draws on both research and case studies from her practice.

Functional hypothalamic amenorrhoea (FHA) is a form of anovulation due to the suppression of HypothalamicPituitary-Ovarian (HPO) axis, not related to identifiable organic cause. FHA is a state of hormonal imbalance related to stress, exercising too much or consuming too few calories. In the unprecedented Covid-I9 Pandemic, there is an upsurge of FHA in adolescent girls. Being confined to ‘stay at home’, the phobia of gaining weight due to restricted movement is often triggering eating disorders like Anorexia Nervosa(AN);indulging in indoor overexercise, stress associated with routine change, exposure and preoccupations with social media in the changed scenario are causing a disruption of HPO axis manifesting as FHA. But FHA has serious short-term and longterm effects on the physical and mental health of the adolescent individuals. The present article aims at reviewing the causes, effects, evaluation and management of FHA in the present scenario. Adolescent girls with FHA should be carefully diagnosed and properly managed to prevent both short-term and long-term deleterious effects with appropriate and timely intervention.


2021 ◽  
Vol 12 ◽  
Author(s):  
Keisha C. Gobin ◽  
Jennifer S. Mills ◽  
Sarah E. McComb

The COVID-19 pandemic is negatively impacting people’s mental health worldwide. The current study examined the effects of COVID-19 lockdown on adult women’s eating, body image, and social media habits. Furthermore, we compared individuals with and without signs of orthorexia nervosa, a proposed eating disorder. Participants were 143 women, aged 17–73 years (M = 25.85, SD = 8.12), recruited during a COVID-19 lockdown in Canada from May-June 2020. Participants completed self-report questionnaires on their eating, body image, and social media habits during the pandemic. The Eating Habits Questionnaire (EHQ) assessed symptoms of orthorexia nervosa. Compared to the period prior to lockdown, women with higher total orthorexia nervosa scores reported eating a lot more than usual, feeling greater pressure to diet and lose weight, thinking about food more often than usual, experiencing greater weight gain, and perceiving more pressure from social media specifically to lose weight and to exercise, compared to their healthy counterparts. We examined associations between individual EHQ subscales and perceived changes to eating and weight. Women who scored high on EHQ-Problems reported seeing more weight loss content on their social media than those who reported fewer orthorexia nervosa symptoms. Conversely, those who scored low on EHQ-Feelings reported feeling a lot less pressure to lose weight, somewhat less or a lot less pressure to lose weight or to exercise from social media specifically, and trended toward less laxative use during lockdown, compared to those who scored higher on orthorexia nervosa. And those who scored low on EHQ-Knowledge reported feeling somewhat less or a lot less pressure to lose weight than those who reported more orthorexia nervosa symptoms. Together, the findings suggest that women with symptoms of orthorexia nervosa are experiencing an exacerbation of disordered eating thoughts and behaviors during COVID-19, and that social media may be a contributing factor.


10.2196/26011 ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e26011
Author(s):  
Sara K Nutley ◽  
Alyssa M Falise ◽  
Rebecca Henderson ◽  
Vasiliki Apostolou ◽  
Carol A Mathews ◽  
...  

Background A growing body of evidence is suggesting a significant association between the COVID-19 pandemic and population-level mental health. Study findings suggest that individuals with a lifetime history of disordered eating behavior may be negatively affected by COVID-19–related anxiety, and prevention measures may disrupt daily functioning and limit access to treatment. However, data describing the influence of the COVID-19 pandemic on disordered eating behaviors are limited, and most findings focus on individuals in treatment settings. Objective The aim of this study is to characterize the experiences of Reddit users worldwide who post in eating disorder (ED)–related discussion forums describing the influence of the COVID-19 pandemic on their overall mental health and disordered eating behavior. Methods Data were collected from popular subreddits acknowledging EDs as their primary discussion topic. Unique discussion posts dated from January 1 to May 31, 2020 that referenced the COVID-19 pandemic were extracted and evaluated using inductive, thematic data analysis. Results Six primary themes were identified: change in ED symptoms, change in exercise routine, impact of quarantine on daily life, emotional well-being, help-seeking behavior, and associated risks and health outcomes. The majority of users reported that the COVID-19 pandemic and associated public health prevention measures negatively impacted their psychiatric health and contributed to increased disordered eating behaviors. Feelings of isolation, frustration, and anxiety were common. Many individuals used Reddit forums to share personal experiences, seek advice, and offer shared accountability. Conclusions Reddit discussion forums have provided a therapeutic community for individuals to share experiences and provide support for peers with ED during a period of increased psychiatric distress. Future research is needed to assess the impact of the COVID-19 pandemic on disordered eating behavior and to evaluate the role of social media discussion forums in mental health treatment, especially during periods of limited treatment access.


2019 ◽  
Vol 58 (4) ◽  
pp. 263
Author(s):  
Amanda K. Sprochi

This two-volume set from Greenwood explores eating disorders and their causes, treatment, and prevention. The editor, Justine Reel, is a researcher and licensed counselor specializing in disordered eating, obesity prevention, and sports psychology, and she has assembled a knowledgeable team of psychologists, nutritionists, eating disorder specialists, and researchers as contributors to this encyclopedia. Articles in the volume are listed alphabetically and include topics on medical and psychological disorders, sports medicine and exercise, popular culture, therapies, and comorbidities common to eating disorder patients.


Author(s):  
Jessica J. Joseph ◽  
Diana Florea

The overall objective of the proposed chapter is to increase the reader's understanding of the role that social media plays in self-disclosing information about ourselves in the development of friendships and identity, as well as explore these themes in a clinical context. As such, readers will gain knowledge regarding the relations between self-disclosing on social media sites and the ensuing friendship and identity development that occurs, the extension of the research findings to clinical populations, and the questions that still remain unanswered. This information may be useful for the advancement of research, policy development, mental health programs, parenting, and education.


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