In most people's minds, "eating disorder" (ED) conjures images of a thin, white, upper-middle-class teenage girl. The ED landscape has changed. Countless men and women in midlife and beyond, from all ethnic backgrounds, also struggle with anorexia nervosa, bulimia nervosa, purging disorder, and binge eating disorder. Some people have suffered since youth; others relapsed in midlife, often after a stressor such as infidelity, divorce, death of a loved one, menopause, or unemployment. Still others experience eating disorder symptoms for the first time in midlife. Primary care physicians, ob-gyns, and other practitioners may overlook these disorders in adults or, even worse, demean them for not having outgrown these adolescent problems. Treatments for adults must acknowledge and address the unique challenges faced by those middle-aged or older. Midlife Eating Disorders-a landmark book-guides adults in understanding "Why me?" and "Why now?" It shows a connection between the rise in midlife ED and certain industries that foster discontent with the natural aging process. It also gives readers renewed hope by explaining how to overcome symptoms and access resources and support. Renowned eating disorder specialist Cynthia M. Bulik, Ph.D., helps partners and family members develop compassion for those who suffer with ED-and helps health professionals appreciate the nuances associated with detecting and treating midlife eating disorders.

February 2007, a landmark clinical study by researchers at Harvard University was published in Biological Psychiatry and was soon picked up widely by the media. A survey of 3,000 participants found that 2.8 percent of them suffered from binge eating disorder (BED); that women were twice as likely to report binge eating; and that BED occurs across the age span, from children to the elderly. By extrapolating the statistics to the general population, health professionals estimate 5,250,000 American women and 3,000,000 men suffer from binge eating. The same month the study was published Jane Brody revealed in the New York Times that when she was a 23 years old, her food binges were so extreme that "Many mornings I awakened to find partly chewed food still in my mouth...." Cynthia Bulik, director of the UNC Eating Disorders Progam, is a foremost authority on binge eating. BED can affect anyone, and can be caused by brain chemistry, genetic predisposition, psychology, and cultural pressures--but none of those triggers make giving in to food cravings inevitable. Crave helps readers understand why they crave specific foods, recognize their individual triggers, and modify their responses to those triggers. Binge eating disorder is highly treatable; 70% to 80% of patients at the UNC Eating Disorders Program triumph over their binge eating by using techniques to "curb the crave". Through the stories of some of these patients--men and women, young and old--and with the guidance of Bulik, readers will develop a variety of strategies to use in conquering their cravings and establishing healthy eating habits.

"'Eating disorders.' Most of us instantly picture a teenaged or college aged girl when we see those words. After all, doesn't age immunize women from the body image, weight concerns and eating disorders that plague the younger years? Truth is that, over 15% women at midlife and beyond suffer from eating disorders, surpassing the number affected by breastt cancer! These are serious, life threatening and heartbreaking illnesses at any age. This story needs to be told and Betsy Brenner does just that. "The Longest Match: Rallying to Defeat an Eating Disorder in Midlife is a beautifully written and heartfelt memoir illustrating the trajectory from early childhood, through adolescence and early adulthood, to midlife when eating disorder thoughts and behaviors took over the author's life. Journal entries reveal occasional negative thoughts about her weight or food in younger years, but the stressors of midlife knocked this high functioning woman off her feet. "Like adolescence and young adulthood, midlife is full of tricky transitions. Unlike earlier in life, however, no one is there to catch you when you fall or to coach you back on your feet. Today women feel pressure to do it all and do it perfectly, constantly multitasking at home, and outside of home, taking care of their children and marriages, their extended families, ill and aging parents, all while trying to maintain an identity of their own. "Eating disorders can devour a woman at any age, but Betsy Brenner rallied, using every resource she had. Thank you, Betsy, for being painfully honest about your experiences and your pain, and for explaining the many factors that make a woman vulnerable to eating disorders during midlife. Thank you for finding the courage to access help, for trusting the treatment process and for inspiring other midlife women to believe in themselves. Thank you for telling your story so women struggling with an eating disorder at midlife will know they are not alone and will see a path to recovery. And, most of all, thank you for staying in the match-the 'longest match' ever-and winning." -Margo Maine, PhD, FAED, CEDS "I applaud Betsy Brenner for encouraging women of every age to reflect on their relationship with their parents. Through sharing her story, Betsy demonstrates how we can reframe our painful experiences with self-love and self-compassion. This book shows that, at every age, we can grow and find peace and fulfillment through bravely reaching out, connecting with like-minded others, and doing the hard work required to heal our childhood wounds. It's never too late to start. Thank you, Betsy, for showing us how to be free." -Dr. June Alexander, www.thediaryhealer.com "The Longest Match is an outstanding memoir. I have never seen a documented account of an individual who was first diagnosed with an eating disorder in mid-life. Brenner's description of the path that led to her illness and her route to recovery is remarkable. She eloquently describes her childhood, her family history, her personality traits, and her love of tennis, that all contributed to the development of her illness. She describes the process of her therapy with great clarity and allows us to see that full recovery is possible." -Beth Mayer, LICSW

Clinical Handbook of Complex and Atypical Eating Disorders brings together into one comprehensive resource what is known about an array of complicating factors for patients with ED, serving as an accessible introduction to each of the comorbidities and symptom presentations highlighted in the volume.

Determine if your eating behaviors are a problem, develop strategies to change unhealthy patterns, and learn when and how to get professional help when needed with this practical, engaging guide to taking care of yourself when you are not a full-blown anorexic. Millions of men and women struggle with disordered eating. Some stand at the mirror wondering how they can face the day when they look so fat. Others binge, purge, or exercise compulsively. Many skip meals, go on diet after diet, or cut out entire food groups. Still, they are never thin enough. While only 1 in 200 adults will struggle with full-blown anorexia nervosa, at least 1 in 20 (including 1 in 10 teen girls) will exhibit key symptoms of one or more of the officially recognized DSM eating disorders--anorexia nervosa, bulimia nervosa, and binge eating disorder. Many suffer from the effects but never address the issue because they don't fully meet the diagnostic criteria. If this is the case for you, then you may be "almost anorexic." Drawing on case studies and the latest research, Almost Anorexic combines a psychologist's clinical experience with a patient's personal recovery story to help readers understand and overcome almost anorexia.Almost Anorexic will give you the skills to: understand the symptoms of almost anorexic; determine if your (or your loved one's) relationship with food is a problem; gain insight on how to intervene with a loved one; discover scientifically proven strategies to change unhealthy eating patterns; learn when and how to get professional help when it's needed.

Over the past fifteen years, there has been a great increase in the knowledge of eating disorders in sport and effective means of treatment. In this book, the authors draw on their extensive clinical experience to discuss how to identify, manage, treat, and prevent eating disorders in sport participants. They begin by examining the clinical conditions related to eating problems, including descriptions of specific disorders and a review of the relevant literature. Special attention is given to the specific gender and sport-related factors that can negatively influence the eating habits of athletes. The second half of the book discusses identification of participants with disordered eating by reviewing symptoms and how they manifest in sport; management issues for sport personnel, coaches, athletic trainers, and healthcare professionals; treatment; and medical considerations, such as the use of psychotropic medications. A list of useful resources is included in an appendix, as well as a glossary of important terms.

The eating disorders authority and author of Crave identifies social factors that cause women to confuse body esteem with self-esteem, sharing in-depth psychological insights into the causes of body image problems to counsel readers on how to overcome self-sabotaging behaviors. Original.

This book is the first to address what really happens behind closed doors during eating disorders treatment, as most writing has only addressed theoretical approaches and behavioral strategies. The field has long needed a book that describes the heart of the matter: the therapeutic interventions and interactions that comprise life-changing treatment for this life-threatening disorder. In response to this need, the authors have created a book that reflects the individual therapeutic skills and the collective wisdom of senior clinicians, all of whom have years of experience treating anorexia, bulimia, and binge eating disorder. Intended to be a deeply thoughtful and instructive volume, Effective Clinical Practice in the Treatment of Eating Disorders: The Heart of the Matter demonstrates the depth, complexity, and impact of the therapeutic process. In particular, the book articulates and explores essential points of information, issues, insights and unresolved questions about eating disorders treatment. Effective Clinical Practice in the Treatment of Eating Disorders describes and explicates important treatment issues and themes in a nuanced, highly contextualized and qualitative manner. The book offers a significant reference for both novice and seasoned therapists, and it includes specific information that will serve to inform and mentor future generations of eating disorders clinicians.

In Pursuing Perfection, authors Margo Maine and Joe Kelly explore the emotional, social and cultural factors behind the ongoing epidemic of disordered eating and body image despair in adult women at midlife and beyond. Written from a biopsychosocial and feminist perspective, Pursuing Perfection describes the many issues women encounter as they navigate a rapidly changing culture that promotes unhealthy standards for beauty and appearance. This updated and expanded edition (originally published as The Body Myth: Adult Women and the Pressure to Be Perfect) is a unique guide for anyone seeking practical tools and strategies for adult women looking to establish health and body acceptance.