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Orthorexia: The Eating Disorder Doctors Can’t Diagnose

“You can’t heal thoughts with facts.”

– Time Magazine 2020

Eating Disorders & Type 1 Diabetes

“If we can prepare someone for the potential extremes they might experience, we can help them feel less shameful or shocked when it happens. And more importantly, they’ll know where to turn.”

– Today’s Dietitian Magazine 2020

Is Our Obsession With Health Data Making Us Crazy?

Setnick says eating disorders existed long before Fitbits and diet apps, but allows that these gadgets can exacerbate underlying issues. The “tools” can become “weapons,” she says, and nutrition-information overload can be debilitating.

– Time Magazine 2019

When Did Food Become the Enemy?

“It can be alluring to follow the eating plan of a favourite celebrity, especially if you want to be like them, but sadly it doesn’t actually make you any closer to that celebrity or their lifestyle. And there’s no guarantee that that person actually follows the eating plan that they claim to or that they recommend.”

– Toronto Sun 2019

Binge Eating Disorder: An Introduction to the Most Common Eating Disorder

“Because the experience of binge eating can feel shameful to the patient, the nutrition assessment should be curious and exploratory, without judgment. RDNs can ask a patient ‘How is your eating different when you’re alone?’ This gets to the heart of the secrecy and shame in a curious and nonjudgmental way.”

– Food & Nutrition 2019

Food Diaries Stink

“My goal was to model acceptance, unconditional support, and learning from experience so each client could eventually practice these skills without needing me.”

– Gurze 2019

Are School Health Lessons Harming Kids?

“Children don’t choose the shape or size of their bodies. When kids judge other kids, we call it bullying. When adults do it, we call it ‘health.”

– U.S. News 2018

Stop Bullying Your Body

“Bullying your body is easy to do, but it’s not easy to stop.”

– Iowa State Daily 2018

Understanding Orthorexia

“I believe that all of the eating disorder diagnoses would benefit from an overhaul, where assessment relies more on the etiology of the illness than on a list of eating behaviors or weight, and I am hoping that we can lead the way with orthorexia.”

– Today’s Dietitian 2018

Five Free Ways to Support Your Spouse in Recovery

“If the idea of sharing your thoughts and feelings with a stranger leaves you cold, consider that the stranger might actually be the easiest to talk to—Ever accidentally overshare with the dude who delivers the mail or the gal who checks your groceries?” 2016

11 Common Nutrition & Weight Loss Misconceptions

“Your body has its own cleansing functions. You know they are working if you pee, poop, sweat, and exhale. In other words if your body wasn’t cleansing itself, you would know pretty quick, because you would get very, very sick and start to die. And if that happened, believe me, a weeklong juice fast would not help at all.”

– Bustle 2017

Eating Disorders: Preventing Side Effects in Anorexia Nervosa

“Because malnutrition affects every organ in the body, anorexia nervosa does too. Literally everything that can go wrong eventually will.”

– Today’s Dietitian 2017

Can You Try Too Hard to Eat Healthy?

“There’s no shame involved in how you eat. It doesn’t make you bad or good or anything else.”

-Gurze 2017  

Why is it so hard to treat eating disorders?

“Most schools don’t even have a policy for dealing with ED. It should be a buzzword, like hazing or binge drinking. Every college should have a task force, with this many counselors and dietitians for this many students.”

– Cosmopolitan 2016

Do you spend too much time obsessing about your body?

– Nancy Clark: Sports Nutritionist & Author 2016

Shedding The Secret: My Life as A Bulimic

“[Results of studies] shatter the belief that eating disorders only afflict the young and reveal that boomers have eating disorders at the same rate as teenagers — nearly 4 percent. And an additional 13 percent of boomers partake in at least one core eating disorder behavior such as binge eating, self-induced vomiting, excessive exercise or laxative abuse.”

– Huffington Post 2016

The Accidental Eating Disorder That’s Powered by Social Media: Orthorexia

“The disorder happens with someone who tends to go overboard. If you’re the kind of person who picks up a new hobby and buys in, spends all your time and energy on it, if you’re the kind of person who plans to sit down at the computer for two hours and is still there five hours later. Eating can become that new hobby, project and obsession. And the associated weight loss just increases your obsessions and anxieties.”

– Yahoo Health 2015

Starving and Pregnant: Lifting the Shame of Pregorexia

“I have recently heard of women who are overweight being told to lose weight during their pregnancies. That is doctor-induced pregorexia. Doctors telling patients to lose weight during pregnancy or that it’s OK not to gain weight are doing their patients a terrible disservice.”

– HER 2015

Jessica Setnick’s Storyline

“My philosophy is that even dysfunctional eating behaviors have a protective purpose, either physiologically, neurochemically, or emotionally, and that when those needs are met in other ways, the dysfunctional eating becomes unnecessary.”

– Sound Bites 2014

Severely Restricted Diets in the Absence of Medical Necessity: The Unintended Consequences

“Our society is very health-obsessed—it is easy for someone with anxiety to take away the message that every bite you eat is a matter of life and death rather than the truth, which is that good nutrition accumulates over time.”

– Journal of the Academy of Nutrition and Dietetics 2014

Eating Disoders: An Ageless Affliction

“Eating disorders appear to stem from a constellation of factors that may include a genetic predisposition, a biochemical response to stress, an appearance-focused environment, low self-esteem, food insecurity and dysfunctional eating behaviors modeled in the home.”

– Food & Nutrition 2013

Tackling a child’s weight issues is a touchy subject

“I have seen far too many children brought in by parents who don’t recognize the slippery slope of dieting to eating disorder to lifelong misery. We have to support parents in seeing a child as okay and helping the child feel good about himself, regardless of size.”

– Deseret News 2013

Today’s Dietitian Third Annual Showcase of 10 Exceptional RDs Who Are Making a Difference

“I realized I could help people translate what they were doing with their food and understand it in a way that could allow them to just see food as fuel and stop using it or avoiding it.”

– Today’s Dietitian 2012

Dietetic Career Spotlight: Jessica Setnick, MS, RD, CSSD, CEDRD

“I have learned to harness my skills in a way that is satisfying to me and also meets the needs of my audiences.”

– Nutrition Jobs 2012

Helping A Friend with Body Image Or Eating Issues

“By the time you observe your friend not eating, overexercising in comparison to the amount of food eaten, expressing regret and guilt over food eaten, and/or repeatedly weighing him or herself, it may have been going on for quite a while in secret. It is time to take action and express your concern.”

– Psych Central 2012

Counseling Men With Eating Disorders

“It’s a mistake to think it’s a women’s problem or limited to any demographic. Eating disorders don’t discriminate, but people do – accidentally. When a 16-year old boy loses 20 lbs, people think of Crohn’s disease or HIV, but not an eating disorder.”

– Today’s Dietitian 2011

Power Personalities- RDs Take to the Airwaves to Promote Good Nutrition

“My hope is that viewers with emotional eating problems, questions about nutrition for their families, or medical conditions [who] require special diets will see my segments and learn to associate dietitians with helpful, practical information.”

– Today’s Dietitian 2011

Insights From Eating Disorder Counseling

“Because most communication is nonverbal, silence often precedes something very important that the patient is not ready to say.”

– Today’s Dietitian 2011

What’s Eating Our Kids? Fears About ‘Bad’ Foods

“Her mother only served brown rice, but she didn’t like it. She did like white rice. And while I’m not going to tell anyone what they can bring into their own home, we discussed that when the family went out, it would be O.K. to get white rice.”

– The New York Times 2009

A Spoonful of Anecdotal Advice – Teaching Valuable Lessons Through Storytelling

“Being a dietitian has led me to encounter things that I was never prepared for in school and that I never could have predicted. Every time I think I have heard it all, another patient presents something new that challenges my professional skills, my creativity, and sometimes, my serenity.”

– Today’s Dietitian 2008

Web of Controversy – Investigating “Pro-Eating Disorder” Sites

“Herein lies the major concern with pro-eating disorder Web sites: With a few exceptions, they fail to address the negative consequences of eating disorders, much less the actual dangers to life and limb. If negative health effects are mentioned at all, they are minimized or factually misrepresented.”

– Today’s Dietitian 2007