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The Starved Brain: Why does your loved one with Anorexia think, feel, and act the way they do?
Literally Starving to get needs met. Self sabotage into self compassion. We can help.
The Starved Brain: Why does your loved one with Anorexia think, feel, and act the way they do?
If you have a loved one with Anorexia, you know more than anyone that eating disorders impact the entire family. It can feel like everything you know and have come to expect from your loved one changes overnight. I have had family members report to me:
“It’s like he is a whole different person”
“Is my precious happy girl still inside that body?”
“My wife has always been the life of the party. That’s one of the reasons I married her, now I can’t get her to leave the house”
It can be tremendously confusing and sometimes feelings of hopelessness emerge. That is very normal. It is scary. To understand these jarring changes, it is helpful to remember that Anorexia is a physical illness. It manifests, if not treated early, in significant weight loss and calorie restriction. Your loved one is acting, thinking, and feeling the way they are because of what research tells us about The Psychology of Hunger.
The Psychology of Hunger: The Starved Brain
The most notable study conducted the starved brain was undertaken in 1948 by Ancel Keys, called “The Biology of Human Starvation or popularly known as “The Minnesota Starvation Experiment.” The purpose of the experiment was to demonstrate how the body and mind are affected by not eating, or by restricting food. In this study, healthy young men were observed under normal conditions then exposed to caloric restriction (1570 calories a day for 6 months). After the semi-starvation period, they were rehabilitated with the purpose of determining the most successful form of nutritional rehabilitation. Such a study would never be conducted in modern research, but the results were foundational in shifting perceptions and guiding modern treatment interventions for Anorexia.
The Results
Below are the symptoms that were found at just 1570 calories a day for 6 months. *It is noteworthy that most sufferers of Anorexia eat far less than 1570 calories a day*
Physical: Less energy, reduced heart muscle mass, lower heart rate and blood pressure, headaches, decreased hormone levels, sensitivity to noise and light, a feeling of being cold all the time, loss of strength and greater fatigue and hair loss and dry skin.
Emotional and Cognitive changes: Depression, anxiety, irritability, increased mood fluctuations, intense and negative emotional reactions, decreased enthusiasm, reduced motivation, impaired concentration, problem solving and comprehension, increased rigidity, obsessional thinking, and reduced alertness.
Attitudes and behaviors related to food: Thinking about food all the time, eating very slow or very fast, increased hunger, unusual food routines and rituals, binge eating, increased use of condiments for flavor.
Social changes: Feeling more critical of others, withdrawn and isolated, loss of sense of humor, feelings of social inadequacy, neglect of personal hygiene and strained relationships.
These men had no previous mental health diagnosis, significant childhood trauma, or any health conditions that would skew the results in any meaningful way.
Implications
When working with sufferers and their family members I always share this study and pay special attention to highlight the results in the emotional/cognitive changes and social changes sections. I have seen the implications of this study reduce shame and destigmatize the individual suffering. I try to communicate that your loved one is still the same person you know; they are just experiencing the brains response to starvation. With appropriate nutritional rehabilitation and patience there is no reason to believe that most, if not all, of these symptoms will go away completely. The first step to treating Anorexia is weight restoration. Getting stuck in the “Why” vortex is tempting because the sufferer and family want to believe that if they knew why their loved one developed Anorexia it would give them the solution. Sometimes family members blame themselves: endlessly analyzing and hypothesizing about some unknown error they made. It is important to make sense of or peace with your loved one’s diagnosis but if there is anything you can do to support your loved one, it is to encourage them to seek nutritional rehabilitation first and foremost. I ask family members to avoid pathologizing their loved one. Going to therapy once a week while severely malnourished can be unfruitful because of the starved brain. A therapist role is to encourage motivation for recovery, educate and normalize Anorexia, and celebrate the little wins. Once your loved one is weight restored, the deeper work can be done from a healthy nourished brain. Should you be a family member of a sufferer in early stages of recovery, the primary take-away is to remind yourself and your loved that their brain is starving and the way they feel, think, and behave are survival responses. Remind them that it is not their fault, and it will not feel like this forever. Your loved one is not ‘CRAZY’ nor has their character or personality fundamentally changed they are just starving.
By Shaundra McGuire, MHCI
Book an appointment with Shaundra Mcguire:
https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI
Additional resources for you and your loved one:
https://www.nationaleatingdisorders.org/
https://www.gaudianiclinic.com/videos-press
References:
https://eatingdisorders.dukehealth.org/education/resources/starvation-experiment
Managing Perfectionism
Perfectionists aspire to be top achievers and do not allow themselves to make even a single mistake. They are always on the alert for imperfections and weaknesses in themselves and others. They tend to be rigid thinkers who are on the lookout for deviations from the rules or the norm.
Perfectionism is not the same as striving for excellence. People who pursue excellence in a healthy way take genuine pleasure in working to meet high standards. Perfectionists are motivated by self-doubt and fears of disapproval, ridicule, and rejection. The high producer has drive, while the perfectionist is driven.
Causes and Characteristics
Fear of failure and rejection. The perfectionist believes that she will be rejected or fail if she is not always perfect, so she becomes paralyzed and unable to produce or perform at all.
Fear of success. The perfectionist believes that if he is successful in what he undertakes, he will have to keep it up. This becomes a heavy burden-who wants to operate at such a high level all of the time?
Low self-esteem. A perfectionist's needs for love and approval tend to blind her to the needs and wishes of others. This makes it difficult or impossible to have healthy relationships with others.
Black-and-white thinking. Perfectionists see most experiences as either good or bad, perfect or imperfect. There is nothing in between. The perfectionist believes that the flawless product or superb performance must be produced every time. Perfectionists believe if it can't be done perfectly, it's not worth doing.
Extreme determination. Perfectionists are determined to overcome all obstacles to achieving success. This is also true of high achievers, but the perfectionist focuses only on the result of his efforts. He is unable to enjoy the process of producing the achievement. His relentless pursuit of the goal becomes his downfall because it often results in overwhelming anxiety, sabotaging his heroic efforts.
The Costs of Being a Perfectionist
Perfectionism always costs more than the benefits it might provide. It can result in being paralyzed with fear and becoming so rigid that a person is difficult to relate to. It can produce contradictory styles, from being highly productive to being completely nonproductive. Some examples of these costs include the following:
Low self-esteem. Just as low self-esteem is a cause of perfectionist behavior, it is also a result. Because a perfectionist never feels good enough about himself or his personal performance, he usually feels like a loser or a failure.
Gloominess. Since a perfectionist is convinced that it will be next to impossible to achieve most goals, she can easily develop a negative attitude.
Depression. Perfectionists often feel discouraged and depressed because they are driven to be perfect but know that it is impossible to reach the ideal.
Guilt. Perfectionists never think they handle things well. They often feel a sense of shame and guilt as a result.
Rigidity. Since perfectionists need to have everything meet an ideal, they tend to become inflexible and lack spontaneity.
Lack of motivation. A person who expects perfection may never try new behaviors or learn new skills because she thinks that she will never be able to do it well enough. At other times, she may begin the new behavior but give up early because she fears that she will never reach her goal.
Paralysis. Since most perfectionists have an intense fear of failure, they sometimes become immobilized and stagnant. Writers who suffer from writer's block are examples of the perfectionist's paralysis.
Obsessive behavior. When a person needs a certain order or structure in his life, he may become overly focused on details and rules.
Compulsive behavior. A perfectionist who feels like a failure or loser may medicate him- or herself with alcohol, drugs, food, shopping, sex, gambling, or other high-risk behaviors.
Eating disorders. Many studies have determined that perfectionism is a central issue for people who develop eating disorders.
The Perfectionist versus
The High Achiever
People produce many of their best achievements when they are striving to do their best. High achievers, like perfectionists, want to be better people and achieve great things. Unlike perfectionists, high achievers accept that making mistakes and risking failure are part of the achievement process-and part of being human.
Emotionally Healthy High Producers
You can be a high achiever without being a perfectionist. People who accomplish plenty and stay emotionally healthy tend to exhibit the following behaviors:
· Set standards that are high but achievable.
· Enjoy the process, not just the outcome.
· Recover from disappointment quickly.
· Are not disabled by anxiety and fear of failure.
· View mistakes as opportunities for growth and learning.
· React positively to constructive feedback.
Once you are aware of the ways by which you expect yourself to be perfect, you can start to change your behavior. In my next newsletter, I'll offer some tips to help you get started. Until then, begin the change process by thinking about which causes apply to you and writing down examples of these perfectionist behaviors as you observe them.
WHAT MAKES YOU PROCRASTINATE?
Photo by STILLFX/iStock / Getty Images
All of us procrastinate on occasion. For some people, it’s a chronic problem; for others, it’s only a problem in certain life areas. Procrastination is always frustrating because it results in wasted time, lost opportunities, disappointing work performance, and generally feeling bad about yourself.
When you procrastinate, you allow less important tasks to take up the time and space that should be devoted to more important things. You do things like hanging out with friends when you know that an important work project is due soon, or going shopping instead of doing your homework. It can also be evident in behavior such as talking about trivial things with your partner to avoid discussing important issues in your relationship.
Most people don’t have a problem finding time for things they want to do. But once they see a task as too difficult, painful, boring, or overwhelming, the procrastination behaviors begin. You are not alone if you have ever made any of the following excuses to yourself:
1. It’s too cold to exercise outside today. I’ll wait until tomorrow when it’s warmer.
2. I’ve got too many other things to do first.
3. I’ll do a better job when I can concentrate on this project.
4. I still have lots of time to get this done.
5. They don’t pay me enough to do a more complete job. This is good enough.
6. This problem is too hard to talk about. I wouldn’t know where to start.
7. I work better under pressure.
8. It’s too noisy to work while my teenager is at home.
9. I should get the shopping down now because the stores will be more crowded later.
10. I can eat this pie tonight, because I’m starting my diet tomorrow.
11. My tooth doesn’t really hurt that much. The pain will probably go away tomorrow.
Most of the time, these excuses seem fairly innocuous. However, they’re not as innocent as they seem, because they cause us to postpone important duties and projects. Ultimately, these excuses can keep us from accomplishing important goals and make us feel bad about ourselves.
Why People Procrastinate
If you were hoping for a simple answer to this puzzle, you will be disappointed to learn that there are many reasons why people put things off. Here are a few of the most common (check those that apply to you):
Avoiding discomfort. Wanting to avoid pain makes lots of people shift into procrastination mode. However, the longer we delay, the worse the uncomfortable problem usually becomes. The rash gets bigger, the tooth hurts more, or the brakes squeak even more loudly.
Perfectionism. Those who believe they must produce the perfect report may obsess about uncovering every last information source and then write draft after draft. Their search for the perfect product takes up so much time that they miss their deadline.
Laziness. Sometimes people delay tasks that involve fairly slight inconvenience or minor discomfort.
Thinking you’re not good enough. Some people are certain that they are incompetent. They think that they will fail, and procrastinate to avoid ever putting their skills to the test.
Self-doubt. If you second-guess yourself, you probably suffer from procrastination. You may avoid new challenges and opportunities unless you are certain that you will succeed. Perhaps you make feeble attempts to begin a project, and you tell yourself that you could do a better job if you put in more effort.
Workaholism. At the other end of the spectrum, many people who work excessively also fall into this category. They drive themselves ruthlessly, fearing that if they stop working, they will not be able to start again. Most self-doubters are driven by the belief that they must meet strict standards in order to see themselves as successful.
Physics Review
Remember the concept of inertia: a mass at rest tends to stay at rest.
For some reason, it is more difficult for most humans to start change than to keep it going.
Why Don’t We Just Say No?
Since procrastination produces mostly negative outcomes, why don’t we just change our behavior and eliminate these undesirable consequences? The reason for this is that procrastination reinforces itself. For some reason, it is more difficult for most humans to start change than to keep it going. We avoid getting started by cleverly diverting our attention from the things we really should be doing. We do something else instead or make up a story about how we will accomplish the task in the future-when we are inspired, or when we have completed a preliminary step, or some other trick.
Although recognizing how these diversions work won’t automatically cure your procrastination, being aware of it is a good place to start working on the problem. Once you are aware of the ways that you procrastinate, you can start to change your behavior. In my next newsletter, I’ll offer some tips to help you get started. Until then, begin the change process by thinking about which causes apply to you and writing down examples of these behaviors as you observe them.