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Blog-Dr. Jantz observations on HBO "Thin" Documentary

drgreggjantz | 10 November, 2006 20:41

After watching the pre-screening of the HBO documentary Thin directed by Lauren Greenfield, I feel it is important to share my thoughts regarding this documentary. My comments are regarding the content of the film, not necessarily about Renfrew Center.

After watching the pre-screening I felt that that many viewers will have a sense of hopelessness regarding the ability to have victory over an eating disorder. The film gave the sense that people do not recover from an eating disorder. Before I cover that subject I would like to share some other observations.

The film stated that an eating disorder is a mental illness. They also emphasized that individuals with an eating disorder can be very narcistic. This can certainly be true but the film did not explore why this may be true for those who have an eating disorder. An eating disorder is more than a mental illness. There are physiological symptoms that come with an eating disorder. Most who have an eating disorder have nutritional deficiencies and their brains are ‘starved’. So many who have eating disorders are not thinking correctly and can appear to be very narcistic.

It appears that the treatment center shown in the film does not have extensive biochemical testing (this is much more than just ‘blood work’) to determine what nutrients are missing. It appears they have some physicians but they do not have naturopaths, wellness physicians, or others to help with the major problem of nutrient deficiency. I have found that when this factor is explored and resolved, many of those who suffer from an eating disorder get much better and are able to think much clearer, have less cravings, and much more likely to experience recovery.

Another very important component that appears to be lacking is the role of faith- a reason for living, purpose. Without the component of faith it makes sense that there would be a feeling of hopelessness and less of a chance of recovery. As an eating disorder counselor I believe one of my roles is to instill hope in individuals to let them know that their life can be different. Because they are overwhelmed with their food addiction, they may not have the ability to believe things can be different. Instead of putting shame, guilt, condemnation on a person seeking help, we do all we can in treatment to instill confidence.

It also appeared from the film that the relational area of a client’s life was not being dealt with at the clinic. There can be many relational issues in a person’s life that can trigger unhealthy eating habits. So this is an area that must be explored if a person is going to have victory over an eating disorder.

The film did not explore the causes and reasons for an eating disorder. Instead of just showing the negative aspects of this illness, we wish they would have discussed what can be instrumental in causing an easting disorder so viewers could be aware of issues in their own life that may need to be dealt with so that they themselves do not look to food addictions as a solution to their problems.

As an eating disorder specialist for over 22 years I have seen many individuals overcome an eating disorder. Yes, it takes time. Yes, it can be a tough journey to experience victory over an eating disorder. But it can and does happen. However, for it to occur, the treatment must have a whole-person approach. In other words dealing with more than trying to change behavior. We want to help bring healthy change in every area of a person’s life: Emotional, Physical, Nutritional, Spiritual, Relational, and Intellectual.

We do believe the film is helpful in showing how destructive an eating disorder can be and hopefully it will help some individuals to decide to not take this destructive path. However, for those who may be caught up in an eating disorder we want you to know-There is Hope! You can experience recovery as you receive treatment for the whole-person.

If any of you watch the movie, feel free to post your own comments about the movie on this blog. You can also respond to my comments.

Comments

Question

Curious | 10/11/2006, 18:11

You stated that "There are physiological symptoms that come with an eating disorder. Most who have an eating disorder have nutritional deficiencies and their brains are ‘starved’." Do the physiological symptoms always come after the disorder or are there some eating disorders that are a result rather than the cause. This blog you wrote makes it sound like to get healthy, it isn't just about starting to eat again or stopping yourself from popping that next brownie in your mouth. Is it always related something deeper? Is the biochemical testing just something that is for "thin" people or do overweight people suffer from deficiencies too?

Re: Blog-Dr. Jantz observations on HBO "Thin" Documentary

Mitzi | 12/11/2006, 13:30

sounds like it was a depressing show. So many documentaries are, especially those that leave out the spiritual aspect and the healing of Christ. Guess I won't watch it...it's nice to have Dr. Jantz to keep it in perspective, most people, including journalists tend to be so judgmental.

Re: Blog-Dr. Jantz observations on HBO "Thin" Documentary

Dr. Jantz | 14/11/2006, 14:54

Some of the physical /nutritional issues come before and many come after. Over weight-under weight, both should be tested.

Candida Allergies

Allie | 20/11/2006, 04:07

As a recovering Anorexic, I grew up with food allergies, intolerances and have not found any information nor any doctor can tell me if Anorexics suffer from allergies, eczema, lactose intolerance, chemical intolerances, red #40 and if purging brings about Candida which I came down with and was not absorbing any nutrients I ate with the parasites. Just wondering

Allergies and Candida

Dr. Jantz | 21/11/2006, 03:53

Yes ,many times anorexic's develop many different types of allergies and this needs to be looked at in a whole -person recovery program. Candida is very common in the bulimics we see. Thank you for your very good question.

Anorexia

Ann | 21/11/2006, 11:22

First of all I dont think that the video was really that of use to me. I have suffered from anorexia for 3 years now. People would say I am selfish and I only do it because I am obsessed with being thin. I could care less about being thin. I do it because I am sad,lonely,scared and unsure of life. Also there were things that led up to my anorexia.I am only 20 years old. I live alone in a house and while my uncle went oversease. Anorexia isnt somthing that happens over night. I never thought in a million years I would develop it. Never. I heard of it before growing up but never really knew that much about it. Till anorexia found me. I had everything growing up. I was smart, popular, athletic. But at 17 years old somthing happend and my world turned upside down. Ever since then I have never been the same. Right now I do not seek help because I need to stay and take care of the house. I think that people do not see and understand how what anorexia does to you. It takes everything from you. It controles you every second of the day. Not right away. But it time it eats at you, and you feel it coming up on you. And you cant stop it even when you try. But in the mornings its the first thing you think about,during the die you feel it taking your energy away,you feel yourself getting weaker and more tired as the days of ana continue. Day by day. Your joints and muscles are sore, hard to keep your eyes open during the day but cant sleep at night because ana keeps you up. You feel your pulse racing in the mornings when you wakeup feeling like you just ran a race, your cheast cramps up wondering are you going to have a heart attack and no one will even be hear to help you? You comptimplate suicide at times because it gets so hard and you think thats your only way out. You say you are okay because you dont want to bother those around you becuase you dont want there sympathy. After all it is your fault isnt it? Thats what they all told me. Everyday you know is one less day to live. All you can think about is how you failed. You were suppose to be the perfect 20 year old daughter. People use to envy your nice car,you intelligence,you looks,blond hair, blue eyes. But not no more...that sweet,young,innocent, girl is gone. There is nothing left of her. Those around her who do care and love her know that deep down but are too afraid to accept it. They dont talk to you the way they use to,they dont look at you the same. They know you are weak inside. The pictures on the walls seem like a stranger to you and you wonder who that girl was. The pressure to be so great and achieve so much at a young age. You are the only daughter, the only child. It would be a shame to fail. So many people wanted you,loved you,wanted to have your attention,were greedy, made you chose who to love, and who could love you. So I decided that no one could have me. Anorexia is so complex that I dont care how hard you try you will never ever find the answer in a movie,or flipping threw the pages of a text book. You want the answers. Talk to a real anorexic. I went to treatment for 3 months. It didnt help. All they cared about was getting you back to a normal weight to keep you alive. To get better you have to ask an anorexic what she is thinking at all times, before she eats,whats she sees,what she remembers when she is about to take a bite of food, flashbacks of growing up, Anorexia for me was never about being fat. But about dissapointments in life, from people around me. When I layed in my hospital bed at 80 pounds I didnt cry much. I stared out my window and all I ever felt was dissapointment in doctors,counselors,family and friends.
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