Eating Issues

Counseling, ADAP & Psychiatric Services (CAPS)

For Appointments Call: (732) 932-7884

Eating Issues

Welcome to the Rutgers University Eating Issues website. We hope you will find our information useful and find resources that can be of help to you.
Having an eating disorder is much more than just being on a diet. An eating disorder is an illness that permeates all aspects of an individual’s life. Eating disorders are multifaceted in origin and encompass biological, psychological, and social factors.
Dieting is about losing weight in a healthy way. Eating Disorders are about trying to make your whole life better through food and eating, or the lack of.
Dieting is about attempting to control your weight. Eating Disorders are about attempting to control your life and emotions through food/lack of food and often result in demonstrating how out of control a person really feels.
Dieting also leads to slowed metabolic rates and, in many cases, the "yo-yo" dieting which has been shown to have negative health consequences. Lastly, although not everyone who diets develops eating problems, almost everyone who has an eating problem began on that road by dieting.

 

The Fact and Fiction of Food and Dieting

True or False?

 

  1. The best defense against binge eating is to eat!
    True. Controlled studies have shown that eating three meals and two snacks at regular times every day reduces binge-eating behavior.
  2. Fat people eat more than thin people.
    False. That the average daily caloric intake of fat people is not significantly different than that of thin people has been demonstrated repeatedly in controlled studies.
  3. Prolonged calorie restriction can cause you to become preoccupied with food.
    True. During WWII, the effects of starvation (restricting calories by 50% until 25% of body weight was lost, on average, over the six months of the study) was studied, using normal-weight, psychologically-stable subjects. A dramatic increase in food preoccupation was noted- as were binge-eating, depression, difficulty concentrating, anxiety, social withdrawal, and a host of physical problems.
  4. Laxative use can help you get rid of the calories consumed in a binge.
    False. Laxatives affect the emptying of the large intestine, which occurs after calories from food have already been absorbed in the small intestine. Studies have shown that even the use of large numbers (50 or more) of laxatives will only reduce calorie absorption by 5-10%. The weight loss that people "see" after laxative use is water lost through dehydration (from diarrhea), which is regained as soon as any liquid is ingested.
  5. There is no such thing as an individual's natural or setpoint body weight. Your natural weight is what you make it.
    False. There's a lot of research showing that despite marked changes in caloric intake, body weight remains very stable over time.
  6. Dieting speeds up your metabolism.
    False. Our bodies are very efficient. When we reduce caloric intake, our bodies go into "starvation mode" and slow down metabolism, in order to preserve weight. This is why 99% of dieters end up gaining more weight than they lost (after dieting, your reduced metabolism will mean you gain weight eating the same amounts on which you previously maintained your weight).
  7. Regular exercise can lower your natural body weight and increase your metabolic efficiency.
    True. Regular exercise can keep your weight at the low end of your set-point range (but this will realistically be unlikely to be any more than a 5% weight loss from pre-exercise set point).
  8. If I pig out, my best way to keep my weight down is to skip the next meal.
    False. Skipping meals is likely to lead to overeating and, if done regularly, to binge-eating.
  9. Binging and purging just once a week is not really harmful to my body.
    False. Even once-weekly binging and purging (and very few people are able to "control" their binge/purge behavior for very long) can have serious health consequences.
  10. If I only lost 10 lbs., everything in my life would be OK.
    False. Eating problems are about feelings, not food or weight! Your focus on losing those 10 lbs. robs you of the energy and time to live your life. Don't weigh your self esteem!


I think I might have a problem.....

How do I know?

Being as honest with yourself as possible, how many of the "signs of eating problems" (see below) do you recognize as applying to yourself?

Have any of your friends or family members expressed concern about your showing any of the signs listed?

Do you have someone you trust with whom you could go over the list, to see how much each of you feels the list describes you?

If you're still unsure, but concerned, call CAPS at (732) 932-7884 and schedule an appointment with one of our psychologists (see below).  


I'm worried about a friend.....

Should I be?

How many of the "signs of eating problems" (see below) do you recognize in your friend's behavior?

Have you ever tried to talk to them about your concern? Did they get upset, angry, or defensive?

Have they become secretive about eating or exercise behaviors?
Many students become convinced they have a friend with a problem, but are afraid they will anger or alienate their friend if they approach them. Some friends have approached others, and (after the person approached became angry or withdrawn) have been afraid to bring it up again - even as their friend shows more and more signs of an eating problem.
If you have experienced this or are still unsure how concerned to be, call the Counseling Center at (732) 932-7884 and schedule an appointment with one of our psychologists to talk about this. We can help you decide whether your friend needs help, and how best to approach them.

Most people with eating issues have strongly conflicting attitudes about others' knowledge of their struggles. They are often ashamed of the things they do to control their weight and want to "hide", but also feel intensely alone in their struggle and want very much to be "seen" and accepted. Being the recipient of both these feelings is very difficult, and confusing, for the friends of those struggling with eating problems. By consulting with a psychologist, you can help yourself sort this out, and you may also be helping your friend take the first steps toward helping him or herself.
 

General Signs and Symptoms of an Eating Disorder

Since these symptoms below include signs from the entire spectrum of eating disorders, all of them will not apply to any one person at the same time.
Weight and body:
  • Dramatic fluctuations in weight in short time periods; conspicuous weight loss or extreme thinness.
  • Overconcern with weight and shape or size of body.
  • Inability or refusal to maintain a healthy weight.
  • Feeling fat or obese, even when weight is below average.
  • Amenorrhea
Food and Eating:
  • Consumption of large amounts of food or calories inconsistent with the student's energy needs.
  • Unusual eating habits; eating rituals; unusual compulsive behaviors, especially with food.
  • Eating to feel better or to provide a sense of security or comfort.
  • Abuse of laxatives, diet pills, diuretics, exercise, self-induced vomiting, severe caloric restriction, "fat phobia", or repeated days of fasting.
Feelings and Behavior:
  • Depressed mood, low self-esteem, self-deprecating thoughts, mood swings.
  • Withdrawal from people and activities; especially avoidance of situations associated with food.
  • Perfectionistic; oversensitive to criticism.
  • Controlled behavior; hides feelings - hard to get to know.
  • Limited tolerance of others.
  • Excessive alcohol or drug use or other self-destructive behavior.
  • Preoccupation with the eating behaviors of others.
  • Talking constantly about food, weight, and diets.

 

The Physical Dangers of Eating Problems

      Complications are presented separately for anorexia and bulimia, but there is a lot of overlap in the dangers that can result from eating struggles. Moreover, anyone who has a primary symptom (very low weight for anorexia, purging by vomiting or laxative/diuretic abuse for bulimia) of both disorders is at risk for the medical consequences of both. Finally, be aware that the physical consequences of eating struggles can be apparent when a person does not meet the diagnostic criteria for either anorexia or bulimia, but is engaged in problem eating behaviors. 

Physical consequences of Anorexia Nervosa:

  • Malnutrition
  • Electrolyte imbalances
  • Gastrointestinal problems, especially constipation
  • Hypotension (low blood pressure) and cardiac irregularities, including mitral valve prolapse
  • Peripheral edema (fluid retention leading to swelling in extremities)
  • Metabolic abnormalities, including hypoglycemia and hypercholesterolemia
  • Yellowed skin (hypercarotenemia)
  • Cold intolerance due to abnormal temperature regulation
  • Loss of bone density
  • Decreased kidney functioning, or kidney failure
  • Amenorrhea (cessation of menstrual cycle)
  • Other endocrine dysfunction, including dexamethasone nonsuppression (linked to depression)
  • Infertility (while amenorrheac, and possibly indefinitely even after menses is restored)
  • Dry skin, hair loss, brittle hair
  • Lanugo hair (a fine, downy growth of hair on trunk, face and arms)
  • Sleep disturbances (demonstrated EEG changes)
  • Weakness and fatigue

Physical consequences of Bulimia Nervosa
:
  • Malnutrition
  • Electrolyte imbalances
  • Dehydration
  • Hypotension, dizziness, cardiac irregularities (irregular heartbeat, congestive heart failure)
  • Constipation; possible permanent impairment of colonic functioning
  • Ulcers, dilation of intestines (leading to bloated appearance or feeling)
  • Perforation or tearing of the esophagus
  • Peripheral edema
  • Metabolic changes, including high free fatty acids
  • Endocrine dysfunction, including dexamethasone nonsuppression
  • Kidney function impairment or failure
  • Changes in brain wave (EEG) functioning
  • Dental erosion
  • Calluses on finger or top of hand
  • Swelling of the face, cheeks, parotid glands
  • Broken capillaries on face and in eyes

 

 
What help is available at Rutgers?
Rutgers University provides a team of professionals who meet together to exchange information concerning the care of Rutgers students with eating issues. The Eating Disorder Team (EDT) meets monthly to discuss resources, referrals, and coordination of care for students who are seen by the members of the team. 
      A wide variety of services are available including:
  • short-term individual interventions
  • group psychotherapy
  • medical assessment and monitoring
  • nutritional information
  • psychiatric evaluation and monitoring of medications

      If you think you have an eating problem, or want to talk with a professional who can assess whether you have cause for concern and what to do about it, contact one of the professionals below. We believe in the multidimensional, or team, approach to addressing eating problems. Eating problems are not about food, but about feelings and, as such, psychotherapy is essential to treatment. Optimally, this includes individual therapy to examine the precise meaning your eating struggle serves in your life, and group therapy to explore most fully its function in your relationships with others. However, eating problems also put you at significant medical risk, and it is crucial to be assessed and monitored by a medical professional who is both knowledgeable about eating issues and aware that you are struggling with one. Because many people with eating issues often base their diet on erroneous nutritional information, we also have a nutritionist working with the Eating Disorder team. Your initial contact person will refer you to any other member of the team she or he thinks should be involved in your assessment.

  

Eating Disorder Team (EDT):

  • CAPS - College Avenue - 17 Senior Street, College Avenue Campus.
    For All Appointments: 732-932-7884.
    Eating disorder Treatment Team (EDT) Coordinator: Tricia Woodin-Weaver, Ed.D. 
                      
  • Busch-Livingston Health Center.
    Hospital Road and Avenue E, Livingston Campus.
    732-445-3250
    Contact: Cheryl Brown, C.N.P. 
     
  • Hurtado Health Center.
    Bishop Place, College Avenue Campus
    732-932-7402 X243.                                                                                            
    Contact: Theresa Lord-Stout, C.N.P.
      
  • Willets Health Center.
    11 Suydam Street, New Brunswick
    Douglass Campus
    732-932-9805
    Diane Heimlich, C.N.P.
  • Dining Services
    Davison Hall, Douglass Campus                                                     
    732-932-5447/8469
    Peggy Policastro, Nutritionist. Contact by e-mail (Only for students on a Rutgers Meal Plan)
     
  • Hale Center/Busch Campus                                                                                  
    732-445-8109
    Brian Maher, Sports Psychologist
    Contact by email: maherb@rci.rutgers.edu
 
Other Campus Resources:
  • Sports Medicine
    Hale Center. 
    732-445-6258/2091.
    Rob Monaco, M.D. Physician.

 

Eating Issues Resources on the Internet:

Each of these sites has links to other related sites