Carolyn Costin - The Eating Disorders Sourcebook: A Comprehensive Guide to the Causes, Treatments, and Prevention of Eating Disorders

Copyright 2007 by Carolyn Costin. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

ISBN: 978-0-07-181999-2
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MY TEACHERS HAVE been many, and my anorexia was one of the best. I am grateful now for so many important lessons learned at an early agelessons I continue to do my best to pass on to others. My work and this book would not exist without my past and without the many incredible, lovely people who have enriched my life and thus these pages. This book is dedicated to you all.

To my clients and their families, who share deeply, struggle valiantly, and teach me well.

To my colleagues in the field, who endure my endless quest for knowledge, clarification, and understanding and who continue to provide it.

To all my staff members who are my friends and comrades in this war against eating disorders. Thank you for your dedication and for suffering through my absences necessary for writing.

To my roadiesthe people who take care of me, find my lost notes, read my rough drafts, bring me coffee, rub my shoulders, and encourage me to keep writing. You know who you are. You make it possible for me to do all that I do.

To my dearest friends, who allowed me to put not only this book, but over the years many things, before watching the sunset with them, even though it should always be the other way around.

To all the people who have read Your Dieting Daughter and the previous editions of The Eating Disorder Sourcebook, especially those who let me know that my writing meant something and was worth continuing.

To my husband, Bruce, and my dog, Gonner, the best teachers of all.

IN THE FOLLOWING chapters, I was fortunate to work with several contributors. These coauthors helped me out tremendously by adding their expertise. Their addition has made this sourcebook a richer resource of information.

: Enough About Your Mother, What Did You Have to Eat Today? The following registered dietitians coauthored this chapter: Marcia Herin, Karen Kratina, Diane Keddy, Rebekah Mardis, Erin Naimi, Francie White, and Kim Wyman.

: Medical Assessment and Management. Richard L. Levine, M.D., professor of pediatrics and psychiatry, Penn State College of Medicine; chief, Division of Adolescent Medicine and Eating Disorders, Penn StateMilton S. Hershey Medical Center; and Philip Mehler, M.D., chief, General Internal Medicine, Department of Health and Hospitals, Denver, Colorado, coauthored this chapter.

: The Psychiatrists Role and Psychotropic Medication. Timothy D. Brewerton, M.D., DFAPA, FAED, clinical professor of psychiatry and behavioral sciences, Medical University of South Carolina, coauthored this chapter.

: Alternative Approaches to Treating Eating Disorders. Coauthors for this chapter were Carolyn Coker Ross, M.D., M.P.H., head of Eating Disorders Program and Integrative Therapies Department, Sierra Tucson, and Hamlin Emory, M.D., psychiatrist at Monte Nido Treatment Center, Malibu, California, private practice, Beverly Hills, California.

: Increasing Awareness and Prevention. Michael Levine, Ph.D., FAED, professor of psychology, Kenyon College, coauthored this chapter.

THIRTY-SEVEN YEARS AGO, when I was 15, I went on a diet. By the time I was 17, some 40 pounds lighter, and still losing, something was terribly wrong. The first doctor my mother took me to told her that I might be trying to lose weight to hide a pregnancy. The first therapist I went to suggested that if eating made me feel guilty, perhaps I should try eating by myself. The only psychiatrist I ever saw tried to get me to drink a regular Coke in his office so he could watch. None of these professionals had ever heard of anorexia nervosa, much less had any knowledge of how to treat it. Finally, in 1973, my mother found the first book written about the subject by Hilda Bruch called Eating Disorders: Obesity, Anorexia Nervosa and the Person Within, which was geared for professionals and had only a small section at the end on a strange syndrome of self starving called anorexia nervosa. This was the beginning of understandingfor myself and the world at largethat there was actually a name for these thoughts and behaviors I had. My morbid fear of weight gain was an actual illness and others suffered from it too.

The field has come a long way since then. Once I recovered and eventually began treating eating disorders, I decided to write a book. At first I hesitated, because I thought, Who will be interested except people with anorexia and their moms, and how many of those could there be? but soon I started pouring out the pages. Before I finished, Hilda Bruchs book for the public