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When Mom Has an Eating Disorder, Everybody Suffers
Filed under: Nutrition: Health, Mealtime, Diet & Fitness, Expert Advice: Health, Health
When Mom has food issues, kids play Follow the Leader. Illustration by Dori Hartley
Teresa Coates, a 40-year-old mom and solo parent of two, was anorexic in high school. She survived on 3 Musketeers bars and not much else. After high school she continued her bizarre eating habits until one day she went into convulsions at work and was rushed to the hospital. The emergency room doctor told her if she ever wanted to have children, which she did, she would have to start eating.
Coates' daughter recently turned 13 and she worries about her. A lot. "I worry genetically about my daughter because I come from a family of very heavy women. And that was a concern when she came home from the hospital. I remember being worried about that. It's a hard thing to know you're genetically predisposed to not be thin."
She does feel, however, that her daughter is off to a much better start than she was at her age. "I came from a real working-class family. We didn't eat a lot of fruits and vegetables and the vegetables we ate came from cans. My take on healthy food wasn't really there. I've been cognizant trying to teach both my kids how to tell if food is good for you. They both read labels, a lot. They eat a lot of fruit and vegetables. They're very aware that you need to drink water."
But that doesn't mean it's easy.
"It's a constant battle in my head," Coates says. "I think about [food and eating all the time." She still resorts to mind games, vestiges from her anorexic days, like "chewing food and spitting it out, so you can taste it but not eat it," she says. "I still do stuff like that that I get really frustrated with and I don't know how to stop."
She says she's able to hide that from her daughter as well as other unhealthy food-related behaviors. "I've tried really hard not to pass on the weird eating things," she says. "Those are easy to hide."
Not so, say the experts.
"Kids are seeing various behaviors in moms [with eating disorders] and absolutely they pick it up," says Brooke Hailey, PhD, a licensed marriage and family therapist and clinical director at New Directions Eating Disorders Center in Sherman Oaks, Calif. "I hear from kids who are older and come in for treatment: 'My mom never ate dinner with the family;' 'My mom would always eat a special meal and cook separately for herself;' 'My mom never eats carbohydrates, why do I have to?' They're much more influenced by what they've seen their mom do than by what they hear their mom say they should do."
Coates is in the eye of the storm in terms of her parenting with an eating disorder. Every day she struggles, wondering if and how she is going to get over her own eating issues. She doesn't want her daughter to suffer the same disordered eating and negative body-image issues like she did and, unfortunately, still does.
Tsilah Burman, a 52-year-old mother of two, found her escape hatch two years ago. After dealing with food and weight issues for almost her entire life (her doctor put her on a diet at age 11), she finally found relief in a program called Heal Your Hunger. She learned that food was just the symptom and worked through her real issues. After that, the weight came off effortlessly -- 70 pounds so far. And with that, of course, the protective layers that concealed the painful truths she tried for so long to ignore. Six months ago she separated from her husband of 23 years.
"I realized [the marriage] wasn't right, and it wasn't right from the beginning but I had made myself believe that it was. I saw that I was eating because I was angry, or tired or was in a situation I wasn't comfortable in so to hide that I would eat. My kids saw that as they grew up. I wish that I would have found and started this recovery process before I had kids so that they would grow up in an environment with a mom that was healthy around eating and [I'd be] a role model for that."
As her daughter embarks on her teen years, Coates knows it's going to become harder to shield her from disordered eating and body-image distortion: "It's not just the anorexia, it's not just the not eating, it's the whole self-hatred that comes along with that scares me more than anything."
Although at different stages of parenting and recovery, both Coates and Burman have experienced tremendous fear, shame and isolation. Yes, Burman recently found relief, but she suffered for many years in silence.
"Mothers with eating disorders would be shocked if they knew how many other mothers there are with eating disorders," says Abigail Natenshon, a psychotherapist in Illinois. "So many parents with eating disorders are so secretive about it because they think they are the only ones with these eating disorders. And they are not! There are many, many, many, many! They feel isolated and alone. They need to find each other."
Natenshon, who has been working with people with all sorts of eating disorders for more than 40 years, shares her wisdom and experience on her website, Empowered Parents, a treasure trove of resources on all things eating disorder-related.
She cites this statistic on her site: "By age 5, kids of parents with eating disorders demonstrate a greater incidence of eating disturbances, whining and depression." Some moms aren't interested in seeking recovery for whatever reason, until they realize the severe damage they are inflicting on their children. That's often all the motivation they need to seek help.
If there's one thing she wants to make clear, it's that eating disorders are curable. "Most people don't know that eating disorders are 100 percent curable. But they're curable in 80 percent of the cases," says Natenshon. "People think eating disorders are an addiction and like all addictions it never fully gets cured. That's not the case. An eating disorder is not an addiction. Aspects of it behave like an addiction, but it's not an addiction. And it's curable."
Correction, Nov.15, 2010: The original version of this article left off the quote, "But they're curable in 80 percent of the cases." The quote has since been included.











ReaderComments (Page 1 of 1)
11-12-2010 @ 5:55PM
Kat said...I grew up with an anorexic mom. She wasn't even 100 lbs when she had me 3 months early. All my life, she would barely eat one TINY meal a day, and then criticize me if I was hungry at all, or ate a normal amount of food...and god forbid I wanted seconds on anything. I refused to skip meals, mostly because I was going through growth spurts and hungry constantly. When my mom got up to 124 lbs (after 3 kids) she was so hard to live with. Everything was about how bad she looked, how much I weighed, (I have curvy hips and a large chest, and have never fit into anything less than a size 10 since puberty.) and how eating carbs or a potato was bad for you...I actually had to tell her potatoes are a vegetable, and she didn't believe me until I Googled it. She has never taken a nutrition or health class in her life, but of course, I, because I'm younger than her, don't know anything.
Now, I am overweight because of a medication I took, and my mom is very critical of every extra pound I have and brags about how tiny she is, because she starved herself to lose that 20 lbs.
The truth of the matter is, she is too thin, she smokes, she doesn't exercise, she won't drink water, and she lives off of junk food if she bothers to eat anything at all, and won't eat real food, and she won't even take a vitamin, and she doesn't have the strength to even carry one gallon of milk, because her body ate all her muscles. She shakes badly because she has chronic low blood sugar, and she blames her bad health on her seizures...but she doesn't realize the "epilepsy" is only because she doesn't eat, because her brain isn't getting proper nutrients. But you can't tell her that, because she thinks food is evil. If she would just eat normally, she would be fine, but instead she take anti-seizure medication she doesn't really need.
She looks twenty years older than she actually is because she is so gaunt and unhealthy looking...but to her, the less you weigh the healthier you are.
Honestly, she disgusts me and I can't stand to be around her, mostly because of her food issues and her attitude, but at least I eat like a normal person, and I have a healthy attitude about food. Not everyone who's mom is anorexic has a problem...some of us are perfectly normal. I may weigh an extra few pounds now, but I eat healthy, I exercise, I take vitamins, I drink ONLY water, and I don't care if I have an extra helping of fruit or vegetables, but I would rather be a little overweight than look like my mother.
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11-12-2010 @ 9:17PM
Sifrina said...Kat, I'm so glad you were able to overcome the negative influence of your mother to go on have a healthy body/mind and a normal attitude towards food. You are a very strong person to be able to do that. So sorry though you have to see your mother suffer unecessarily - this must be difficult. My heart goes out to you. Thank you for sharing your story.
11-12-2010 @ 6:37PM
Heather Whistler said...Wow, this is interesting. I was bulimic for six years, starting when I was 14. It wasn't until after I got into recovery (via a Twelve Step program) that I learned my mother had been bulimic for more than 20 years, and only stopped when she got pregnant with my brother, who is eight years younger than me. I was never consciously aware of my mother's disordered eating, but as Ms. Burman points out, I probably picked up on some of my mom's self-hatred and applied it to myself.
I'm grateful that now that I'm pregnant, I have 11 years of recovery under my belt. (I write a bit about my recovery on my Jumbling Towers marriage and mental illness blog, although I write more about how my husband's bipolar disorder has affected our marriage.)
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11-12-2010 @ 9:21PM
Sifrina said...No question of the havoc a parent with an eating disorder/eating issues can wreak on her kids. One of my childhood friends had severe anorexia (several stays in hospitals, multiple suicide attempts) and it came out later her mother also had "eating issues."
2 of my adult friends have less serious "eating issues" but I am disturbed that one friend (an otherwise wonderful mother) forces her son to "clean his plate" and another friend is weight obsessed and purposely gained very little weight when pregnant (and not surprisingly gave birth to a baby under 5 pounds who required extra care at the hospital).
The best thing I could have ever done was to listen to my pediatrician and husband who strongly advised me to not make an issue out of food with my son (I was so focused on making sure he ate). Now our son is 8 years old and we never fight about what to eat and he truly listens to his body, eats a balanced diet, and stops eating when he's not hungry (I've always been very impressed with this). My 2 "eating issue" friends are also amazed at all the different foods my son is willing to try (their kids would never do this...). Parents need to stop this cycle for the sake of their kids....
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11-17-2010 @ 2:11PM
Abigail Natenshon said...As the eating disorder expert interviewed for the article about Moms with Eating Disorders, I was misquoted and misrepresented in my discussion with the interviewer. I would like to take this opportunity to clarify and correct false statements.
First, it is misleading and incorrect to say that there are "many, many, many, many" moms with eating disorders.
• My sense is that there are a greater number of parents with eating disorders than people might expect, as eating disorders are not easily visible, and when past recoveries may not have been achieved, these disorders can persist and/or recur throughout life. In fact, clinical eating disorders (anorexia and bulimia) strike only 5% of the population…and a good percentage of that 5% would have recovered prior to parenthood. This point is not meant to negate the anguish, pain and isolation that parents suffer who do continue to harbor hidden eating disorders.
I believe it is critical for an article that speaks to moms with eating disorders to emphasize that parents are not the cause of their child’s eating disorder, whether or not they have an ED and they need not assume guilt or responsibility for so doing….
• ED are caused by genetics; by clusters of genes coming together to create the disorder. Environment factors may trigger ED onset, but not unless the child is born with a genetic propensity. In addition, and quite happily, even mothers who struggle with eating disorders themselves can create a home environment that teaches healthy attitudes and a healthy enough relationship with food that their children are likely to avoid developing an eating disorder.
• With regard to triggers, it is interesting to note that a far greater number of non-eating disordered moms who display garden-variety “disordered eating” behaviors (dieting, skipping meals, eating only when hungry, grazing, etc.) in front of their children, can also potentially contribute to the onset of a deadly eating disorder in the child with genetic susceptibility.
• For those parents who have brought their eating disorder into their adult life and roles, and for those who may develop an eating disorder in their adult years, it is important to recognize that it is never too late to recover. Eating disorders are not 100% curable, as the article says, but are 100% curable in 80% of cases.
Abigail Natenshon, MA, LCSW, GCFP www.empoweredparents.com.
Author of When Your Child Has an Eating Disorder and Doing What Works: an Integrative System for the Treatment of Eating Disorders from Diagnosis to Recovery.
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11-18-2010 @ 8:49AM
Susan Avery said...Editor's Note: While I encourage a free exchange of opinion in these comments, I must also stand by my reporters when they are correct. Julie Rosenberg did an excellent job on this article and Abigail Natenshon was neither misquoted nor misrepresented. Julie taped the interview, verified it and the quote stands.