>>> WE'RE BACK NOW WITH MORE OF
OUR CONVERSATIONS ABOUT EATING
DISORDERS AND DISORDERED EATING.
HOW DANGEROUS ARE THESE EATING
DISORDERS AND HOW TOUGH ARE THEY
TO CLEAR.
JOINING US THE CEO OF NATIONAL
EATING DISORDERS ASSOCIATION AND
RAMANI DURVASULA.
ARE DIETS GOOD?
>> THEY ARE CONSISTENT WITH
DEVELOPING AN EATING DISORDER.
A DIET BY DEFINITION IS
RESTRICTIVE.
ANY HUMAN BEING SHOULD BE ABLE
TO REACT WITH ALL THE FOOD IN
THEIR ENVIRONMENT COMFORTABLY.
AS SOON AS THERE'S A DIET,
THERE'S RULES.
AS THE TWO WOMEN HAVE SPOKEN
ALREADY, ONCE THERE'S RULES THAT
BECOMES A SLIPPERY SLOPE.
>> IS IT TRUE THAT 95% OF THE
PEOPLE THAT GO ON A DIET WILL
GAIN THE WEIGHT BACK WITHIN ONE
AND FIVE YEARS.
THAT IS TRUE?
>> THAT'S TRUE.
>> THAT'S INCREDIBLE.
DID YOU KNOW THAT?
ANECDOTALLY YOU'VE SEEN PEOPLE
DO BIG WEIGHT LOSS PROGRAMS AND
YOU SEE THEM AND THE WEIGHT
TENDS TO COME BACK ON.
IN SOME CIRCUMSTANCES YOU HAVE
TO DIET.
I DON'T YET UNDERSTAND HOW YOU
FIGURE OUT WHAT'S DANGEROUS AND
WHAT'S HEALTHY.
>> CERTAINLY IF YOU'RE BINGING
AND EATING LARGE QUANTITIES OF
FOOD IN ONE SITTING AND THAT'S
ACCOMPANIED WITH FEELINGS OF
SHAME AND EMBARRASSMENT.
A LOT OF TIMES WE SEE SECRECY,
AS WE'VE HEARD FROM STORIES
EARLIER, IT'S SO IMPORTANT TO
PAY ATTENTION TO HOW MUCH FOOD
IS TAKING OVER YOUR LIFE, RIGHT?
IF ALL YOU'RE THINKING ABOUT IS
FOOD, WHETHER IT'S RESTRICTING
FOOD OR BINGING ON FOOD, WHETHER
IT'S INTERRUPTING YOUR ABILITY
TO ENJOY LIFE AND ENGAGE WITH
OTHERS, THAT'S A SIGN, ENOUGH OF
A SIGN TO REACH OUT FOR HELP OR
BE CONCERNED ABOUT SOMEONE.
>> IF YOU FEEL SHAME.
WE'VE ALL HAD THAT MOMENT WHEN
WE SAY I DIDN'T NEED THAT EXTRA
BROWNIE.
THAT'S DIFFERENT THAN SHAME OVER
IT.
WE HAVE TO TALK ABOUT KIDS.
EVEN WITH MY OWN KIDS, I DON'T
KNOW WHAT TO DO.
YOU WANT IT TEACH THEM TO BE
HEALTHY.
LIKE WHEN THEY ARE ON THE
BICYCLE, LOOK TO THE RIGHT, LOOK
TO THE LEFT, DON'T EAT SUGAR ALL
DAY.
HOW DO YOU NOT CREATE AN EATING
DISORDER.
>> ONE AS PARENTS, IT'S GOT TO
BE A DO AS I DO, NOT AS I SAY.
IF WE'RE SITTING THERE COUNTING
CALORIES -- TO EVERY MOTHER OUT
THERE WHO LOOKS IN A MIRROR AND
SAYS DO I LOOK FAT IN THIS?
NO.
YOU HAVE TO LEARN TO BE HEALTHY
WITH YOUR CHOICES.
YOU EAT WHAT THEY EAT.
YOU CAN'T EAT A TINY PLATTER OF
STEAMED VEGETABLES WHILE THEY
EAT SOMETHING DIFFERENT.
YOU EAT TOGETHER.
YOU SHARE FOOD PREPARATION.
YOU MODEL HEALTHY EATING FOR
THEM AND TEACH THEM HOW TO LOOK
AT IMAGERY IN THE WORLD.
IT'S GETTING HARDER TO BE A
PARENT.
THE IMAGERY HITTING KIDS IS SO
SKEWED, HAVE YOU TO MAKE THEM
SOCIALLY LITERATE.
>> PHOTO SHOPPED PERFECT BODIES.
THEY AREN'T REAL.
NOBODY PUTS A DISCLAIMER, THAT
JUST BECOMES THE NEW STANDARD.
THEY ARE BARRAGED BY SO MANY
IMAGES IT COMES TO YOU.
EVEN IF YOU DON'T GIVE THE
MESSAGE TO YOUR CHILD ABOUT A
DIET OR LOSING WEIGHT, THEY
BRING IT TO YOU BECAUSE WE LIVE
IN THIS WORLD.
WE'RE GOING TO PICK IT UP
>>> AND WE'RE BACK NOW WITH OUR
EXPERTS, CLAIRE, CEO OF NATIONAL
EATING DISORDERS ORGANIZATIONS
STAND RAMANI, AUTHOR OF "YOU ARE
WHY YOU EAT."
JUST TO SET THE STAGE, EATING
DISORDERS ARE DEADLY.
>> YES.
EATING DISORDERS HAVE THE
HIGHEST MORTALITY RATE OF ANY
PSYCHIATRIC DIAGNOSIS.
>> YOU DON'T WANT TO HELP FOSTER
ONE AND YOU WANT TO WORK
QUICKLY.
>> EARLY INTERVENTION IS SO
IMPORTANT WITH EATING DISORDERS.
I CANNOT TELL YOU HOW MANY TIMES
I HAVE HEARD FROM PEOPLE WHO
HAVE WAITED FOR YEARS BEFORE
REACHING OUT FOR HELP BECAUSE
THEY DIDN'T THINK THEY WERE SICK
ENOUGH OR THEY DIDN'T FIT THE
TYPICAL PICTURE OF WHAT AN
EATING DISORDER IS.
WE KNOW THAT THE TREATMENT
OUTCOMES ARE SO MUCH BETTER IF
YOU CAN GET INTO HELP SOONER.
IF YOUR PARENTS AND YOU ARE
SEEING WARNING SIGNS AND ARE
CONCERNED, IT IS VERY IMPORTANT
TO REACH OUT AND ADDRESS THAT
VERY QUICKLY.
>> LET'S TALK AS A PRACTICAL
MATTER.
YOU TRY TO EDUCATE YOUR CHILDREN
ON WHAT IS HEALTHY, RIGHT, JUST
IN GENERAL.
YOU DON'T WANT TO HAVE NOTHING
BUT SUGAR ALL DAY, NOTHING BUT
PROCESSED FOOD.
THESE ARE GOOD FOODS FOR YOU,
BERRIES.
IT MATTERS, WHAT'S GOOD, BAD,
WHAT ARE WE SAYING.
>> WE DON'T WANT TO DEMONIZE
FOOD.
THEY ALMOST FIND THAT APPEALING.
THEY JUDGE THEMSELVES FOR
WANTING THAT FOOD OR EATING THAT
FOOD.
IT'S REALLY ABOUT PARENTS OF
YOUNG CHILDREN TO BE THE
GATEKEEPERS.
IT'S REALLY ABOUT WHAT YOU
PRESENT TO YOUR CHILDREN.
>> YOU DON'T SAY SUGAR IS BAD
FOR YOU.
>> YOU CAN'T SUGAR IS BAD, BAD,
BAD.
THEY AREN'T GOING TO LEARN TO
REGULATE IT.
THEY AREN'T GOING INTO A
SUGAR-FREE WORLD.
>> WHEN THEY HAVE A TRIPLE ICE
CREAM CONE FOR LUNCH AND WANT
ONE FOR DINNER AND SAY NO.
WHY NOT?
BECAUSE THAT'S TOO MUCH SUGAR?
>> SAYING WE'RE NEVER GOING TO
HAVE TOO MUCH OF ONE THING IN
ONE DAY.
ALMOST USE A RIDICULOUS EXAMPLE,
WOULD YOU REALLY WANT 50 BANANAS
IN ONE DAY?
YOU NEVER WANT TOO MUCH OF ONE
THING.
WE HAVE NEED VARIETY.
TALK ABOUT IT AS VARIETY INSTEAD
OF BAD, BAD FOOD.
THE MINUTE WE USE SHAMING WORD,
THIS IS A DISORDER SO MUCH ABOUT
SHAMES THAT'S WHERE IT'S TRICKY.
>> YOU SHOULDN'T BE MAKING FOOD
OFF LIMITS.
>> YOU DON'T WANT TO ENCOURAGE
RESTRICTION OF FOOD.
CERTAINLY BALANCE AND VARIETY,
THAT'S VERY IMPORTANT.
>> YOU SHOULDN'T BE LIKE IN THIS
HOUSE WE DON'T EAT SUGAR.
>> NO.
>> SHOULD NOT BE DOING THAT.
DON'T WORRY, I DON'T.
I GREW UP EATING LUCKY CHARMS
EVERY MORNING FOR BREAKFAST.
>> MEGYN, LOOK AT IT THIS WAY.
IT'S NOT BIRTHDAY BROCCOLI,
BIRTHDAY CARROT, IT'S BIRTHDAY
CAKE.
WE TURN THESE INTO EXCITING
FOODS FROM THE BEGINNING.
THAT'S WHY TO BE CLEAR IT'S
ABOUT BALANCE, YOU KNOW.
>> WHAT YOUR CHILD COMES IN TO
YOU, YOUR EIGHT-YEAR-OLD AND
SAYS, AM I FAT?
DO I LOOK FAT?
WHAT DO I SAY?
>> NO.
>> FIRST OF ALL WE NEED TO
UNPACK THAT WORD, FAT.
THERE IS A RANGE OF BODY TYPES
THAT EXIST NATURALLY IN THE
WORLD, AND IT'S IMPORTANT FOR US
TO ENCOURAGE POSITIVE BODY IMAGE
AND BODY POSITIVITY IN YOUNG
CHILDREN.
>> ONE OTHER QUICK ONE BEFORE WE
GO.
MY DAUGHTER LOVES TO HAVE A
PLATE AT DINNER AND A SECOND
PLATE AT DINNER AND A THIRD
PLATE AT DINNER.
THAT'S THE POINT WHERE I DON'T
KNOW WHAT TO DO.
DO I LET HER HAVE THE THIRD
PLATE OF DINNER.
>> IF WHAT'S ON THAT PLATE IS
HEALTHY, YES.
SHE KNOWS -- TRUST HER TO KNOW
HER BODY AND HER APPETITE.
AGAIN, YOU'RE THE GATE KEEPER.
WHAT'S ON THAT PLATE IS HEALTHY.
>> I'M IN CHARGE OF THAT.
>> IF SHE WANTS A THIRD PLATE OF
HEALTHY FOOD, LET HER TRUST HER
BODY.
>> NOT LIKE WHEN I WAS GROWING
UP.
I'D HAVE LUCKY CHARMS FOR
BREAKFAST AND McDONALD'S WITH
HUGE BERRY HIGH C.
>> IT ALL WORKED OUT.
>> IT WORKED OUT.
IF YOU'RE WORRIED ABOUTOON
EATING DISORDER, CALL THE HOT
LINE.