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Freud & Fashion

...BECAUSE IT'S STYLISH TO TALK ABOUT MENTAL HEALTH, ESPECIALLY HOW WE MAINTAIN OUR OWN.

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To eat, or not to eat?

written by freudandfashion February 22, 2010
To eat, or not to eat?

Los Angeles…home of the trendy, superficial, and fit.  Last week I was on vacation and spent the week back home in southern California.  In preparation for my trip, I packed my most stylish outfits and made reservations for the most trendy, new restaurants in Hollywood.   I spent the first day back with my boyfriend out in Beverly Hills and made a goal to have my favorite Sprinkles or Crumbs cupcakes.  It wasn’t until I noticed the presence of tall, model-esque girls at my every turn that I changed my mind about indulging in decadent desserts.  Later that night, my mood turned from excited and confident to irritable and self-conscious.  I tried on the cute outfits I had packed and felt horrible when I looked in the mirror.  I have a BMI in the normal range, yet I felt moderately obese compared to those girls.  I was reminded of feelings growing up in southern CA at the age of 7, when I first began to diet and count calories.  Now that I look back, I realize that I met criteria for a nonspecified eating disorder, considering that I lost significant amounts of weight eating only lettuce and water for weeks at a time.   At the young age of 7, I believed I was fat even though my weight was considered normal.

Tormenting myself recently about not being 5’10” and a size 0 lasted only a few days.  Overall, I feel happy about my temporary loss of self-esteem.  I’ve treated a few patients with eating disorders and can’t help but relate my experiences to theirs.  An estimated 1 to 2 million women in the United States meet criteria for bulimia nervosa; 500,000 women meet diagnostic criteria for anorexia nervosa.  More males are also seeking treatment of eating disorders now compared to the 1980s.   A number of factors (biological and psychological) are noted to be associated with the disorders, including preoccupations with a thin body and social pressures about weight.

I tell myself and my patients to eat healthy, but that it’s okay to give in to small indulgences (a small piece of dark chocolate after dinner, a cup of frozen yogurt for snack, etc) once in awhile.   So, after a run through Santa Monica Blvd., I took my own advice and walked to Crumbs in Beverly Hills.  I ate half of my lemon cupcake and felt both confident and guilt-free as I walked passed the skinny fashionistas on Rodeo Drive.

the remaining half of my delicious Crumbs “Cupcake of the Week”

the gorgeous lobby of the Beverly Wilshire Hotel

anorexiabeverly hillsbulimiaeating disorderslos angeles
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freudandfashion

I'm a newly graduated psychiatrist who believes it's stylish to talk about mental health. Welcome to my diary, Freud & Fashion, created in 2010 to document my life as a psychiatrist-in-training and share knowledge and psychotherapy pearls that I learned along the way.

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2 comments

Clarissa Lujan February 22, 2010 - 6:28 am

I say…to eat! So what did you do with the other half of that delicious cupake?

Reply
freudandfashion February 22, 2010 - 8:47 am

i slowly ate it over the course of 2 more days before getting sick of it. don’t think i’ll crave it for another few months now at least!

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