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Summary
Summary
In most people's minds, "eating disorder" (ED) conjures images of a thin, white, upper-middle-class teenage girl. The ED landscape has changed. Countless men and women in midlife and beyond, from all ethnic backgrounds, also struggle with anorexia nervosa, bulimia nervosa, purging disorder, and binge eating disorder. Some people have suffered since youth; others relapsed in midlife, often after a stressor such as infidelity, divorce, death of a loved one, menopause, or unemployment. Still others experience eating disorder symptoms for the first time in midlife.
Primary care physicians, ob-gyns, and other practitioners may overlook these disorders in adults or, even worse, demean them for not having outgrown these adolescent problems. Treatments for adults must acknowledge and address the unique challenges faced by those middle-aged or older. Midlife Eating Disorders -a landmark book-guides adults in understanding "Why me?" and "Why now?" It shows a connection between the rise in midlife ED and certain industries that foster discontent with the natural aging process. It also gives readers renewed hope by explaining how to overcome symptoms and access resources and support. Renowned eating disorder specialist Cynthia M. Bulik, Ph.D., helps partners and family members develop compassion for those who suffer with ED-and helps health professionals appreciatethe nuances associated with detecting and treating midlife eating disorders.
Author Notes
Cynthia M. Bulik, PH.D., is the Distinguished Professor of Eating Disorders in the Department of Psychiatry at the University of North Carolina School of Medicine and director of the UNC Center of Excellence for Eating Disorders. She has been featured or quoted in the New York Times and the Wall Street Journal, and has appeared on The Dr. Oz Show and Katie. She is the author of The Woman in the Mirror and Crave. Bulik lives in Chapel Hill, North Carolina. Visit her website at www.cynthiabulik.com.
Reviews (2)
Booklist Review
First, the bad news. The prevalence of some adult eating disorders is increasing, and these disorders can be deadly. But the good news, according to Bulik, a clinical psychologist and director of the University of North Carolina Eating Disorders Program, is that remission and even recovery from eating disorders is possible at any age. She reviews the causes, features, and age-appropriate treatments of midlife eating disorders from anorexia nervosa to binge eating, bulimia nervosa, and purging. She explores some of the challenges facing adults with eating problems, including parenting, intimacy, pregnancy, and breast-feeding. Low self-esteem often accompanies this set of illnesses, and personal relationships are impacted. Psychotherapy and medication are treatment options. Bulik lays lots of blame on such billion-dollar industries as Big Food, Big Beverage, Big Diet, Big Fashion, and Big Pharma for creating a culture where people feel bad about themselves no matter their age. Her sensitive and steady approach to eating disorders comes with prudent advice: be patient and compassionate; eat regularly and in moderation; practice honesty; seek support.--Miksanek, Tony Copyright 2010 Booklist
Library Journal Review
While many associate eating disorders with teenage girls, the disorders affect people of all ages and both genders. Bulik (psychiatry, Univ. of North Carolina Sch. of Medicine; The Woman in the Mirror: How To Stop Confusing What You Look Like with Who You Are) explains why these disorders are increasing among midlife patients. Some may be relapsing; others have experienced transitions or stressors such as job loss, divorce, menopause, or loss of a loved one. The middle-aged often must deal with relationships, parenting, and work while coping with the disorder. Bulik explains the various eating disorders and their diagnoses. She discusses treatment options, finding compassionate care, and the importance of support from health professionals as well as family and friends. The book has extensive notes as well as a resource list of American and British organizations. VERDICT Highly recommended. The author deals with a topic that has not been addressed in the consumer health literature. Both public and consumer health libraries will want to add it to their collections.-Barbara Bibel, Oakland P.L., CA (c) Copyright 2013. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Table of Contents
| Introduction: Erase All Stereotypes | p. 1 |
| Part 1 The Facts About Midlife Eating Disorders | p. 5 |
| Chapter 1 A Culture of Discontent: Why Midlife and Why Now? | p. 7 |
| Chapter 2 Defining the Disorders: What Are These Eating and Feeding Disorders? | p. 14 |
| Chapter 3 What's Different About Midlife Eating Disorders? | p. 36 |
| Chapter 4 The Face of Eating Disorders in Men | p. 65 |
| Chapter 5 The Changing Context of Eating Disorders | p. 91 |
| Chapter 6 Genes and Environment at Any Age | p. 116 |
| Part 2 Unique Challenges of Eating Disorders in Midlife | p. 145 |
| Chapter 7 Partners Suffer | p. 147 |
| Chapter 8 Pregnancy, Childbirth, and Eating Disorders | p. 169 |
| Chapter 9 Parenting with an Eating Disorder | p. 193 |
| Part 3 Your Journey to Recovery | p. 215 |
| Chapter 10 Motivators for Recovery | p. 217 |
| Chapter 11 Finding Compassionate Care | p. 234 |
| Chapter 12 It's Not a Life Sentence, and Recovery Is Not Solitary Confinement | p. 266 |
| Acknowledgments | p. 291 |
| Resources | p. 293 |
| Notes | p. 299 |
| Index | p. 331 |
