Here

Transcription

Here
T
KHDO
W
K\
<
FKRL
FHV
e
b
Y_
X
Y
\
family
health
U
Z
_
U
P
Q
`
TU
_
U
_
_
aQ&
| Physical Health
Healthy Eating
| Family Health
Practical and realistic
ways to create
healthy eating habits
in our families
| Emotional Health
Disordered Eating
| Know your Numbers
| Calendar of Events
EDITORIAL BOARD:
Elisheva Langner, Ph.D.
Staff therapist and Program Director,
Wellness Education, Training,
and Outreach at The Center
for Applied Psychology
Isaac Schechter, Psy.D.
Director, Center for
Applied Psychology
Consulting Editor
Mindy Rosenthal, C.D.N., R.D.
Dietitian-Nutritionist, Association for
The Help of Retarded Children (AHRD)
and Manhattan Private Practice
practical
and realistic
ways to
create healthy
eating habits
in our families
raining our children to look both
ways before crossing the street,
to brush their teeth every day,
and that medications are not
candy are just a few ways in
which we protect their safety
and health. Teaching them how
to
eat
healthily
is
just
as
important a lesson, with farreaching and permanent effects
for them and their children.
Serious
including
health
problems
diabetes,
heart
disease, some cancers, obesity,
and eating disorders may be
prevented by teaching- and
modeling-
the
right
habits to our children.
eating
Cont. page 3
emotional health
disordered eating
Information is the
first step towards healthy living
VOLUME 1 / ISSUE 2 / SPRING 2007
W
physical health
healthy eating
hen someone becomes sick uWj, they and their family
will carefully and painstakingly collect information, think
carefully, and
investigate in
order to find
the right doctor, the best
treatment,
medication,
follow up care, etc. All of us
would agree that, in this
situation, spending time,
attention, and energy on our
health is unquestionable.
Many of us, however, do
not realize that staying healthy is not just about getting the right type
of help when uWj catastrophes occur, but it is also about doing our
best to keep ourselves from getting sick in the first place. We also
have the ,uhrjt (responsibility) to collect information, think carefully,
and investigate the ways in which we can best take care of ourselves
in order to stay healthy and prevent illness.
Cont. page 4
ur relationship with food and eating can be very confusing. We
might spend time, energy, and money on serving the most
tantalizing cuisine at our simchas and Shabbos tables while
encouraging, pursuing, and admiring the ultra-thin, sleek image
as an ideal. For some of us, these conflicting messages can be very
confusing and even dangerous, contributing to the development of an
eating disorder. Eating disorders are the most deadly of all psychological
disorders, as up to 10% of people suffering with this illness die from it.
Cont. page 6
Know Your Numbers
Knowing your numbers will help you keep on top
of your health, motivate you to stick with a healthy
lifestyle and, if necessary, get the right medical
treatment before serious problems arise.
Research shows that people who are informed
about their own health status are more likely to
stay healthy!
The best way to find out if your weight falls within
a healthy range is to use the Body Mass Index
(BMI). Created by the National Institutes of
Health (NIH), the BMI is a ratio of height and
weight that measures body fat and its potential
impact on your health.
How to find your BMI
BMI
(kg/m2)
19
20
21
22
23
24
25
4’8”
91
96
100
105
110
115
119
Height
4’9”
4’10”
4’11”
4’12”
5’
5’1”
then move you finger along that row to the right
until you find the number closest to your weight in
the orange section. Slide your finger straight up
that column to the number in the blue row. That
number is your BMI.
What does my BMI mean?
Under 18.5: Underweight (May be linked to
5’2”
health problems)
100
104
107
114
5’3”
118
5’4”
121
125
5’6”
128
5’7”
132
5’8”
136
5’9”
5’10”
5’11”
5’12”
6’
97
110
5’5”
Find your height in the purple column on the left,
94
140
144
148
152
156
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164
104
107
111
115
118
122
126
130
134
138
142
146
150
154
159
163
168
172
109
112
116
120
124
128
132
136
140
144
149
153
157
162
166
171
176
180
114
118
122
126
130
134
138
142
146
151
155
160
165
169
174
179
184
189
119
123
127
131
135
140
144
148
153
158
162
167
172
177
182
186
192
197
26
27
28
29
30
35
124
129
134
138
143
167 191
Weight (lbs.)
124
128
132
136
141
145
150
155
159
164
169
174
179
184
189
194
200
205
128
133
137
142
146
151
156
161
166
171
176
181
186
191
197
202
208
213
133
138
138
143
143
148
147
153
152
158
157
163
162
168
167
173
172
178
177
184
182
189
188
195
193
200
199
206
204
212
210
218
216
224
221
230
143
148
148
173 198
153
153
179 204
158
158
185 211
164
163
191 218
169
169
197 225
174
174
204 232
180
179
210 240
186
185
216 247
191
190
223 255
197
196
230 262
203
202
236 270
207
208
243 278
215
213
250 286
221
219
258 294
227
225
265 302
233
232
272 311
240
238
40
279 319
246
287 328
* The BMI should not be used for anyone under 18, pregnant, or breastfeeding. The healthy weight range
for people over 65 years old is slightly higher than listed, starting above 18.5 and ending above 25.
18.5-24.9: Healthy Range
25-29.9: Overweight
30 & Over: Obese (Is linked to health problems)
IT IS RECOMMENDED THAT YOU CONSULT WITH YOUR DOCTOR
calendar of events
FOR HELP IN DETERMINING WHICH CATEGORY YOU FALL INTO.
What are YOUR numbers?
WEIGHT:
_______
BMI:
_______
ONGOING GROUPS:
SOCIAL SKILLS GROUPS for children ages 9-14 - Separate groups for boys and girls
LIFECHOICE CARDIOVASCULAR DISEASE PREVENTION PROGRAM For women only
ANXIETY MANAGEMENT GROUP Separate groups for men and women
SOLUTIONS FOR LIFE: PRACTICAL METHODS FOR COPING WITH STRESS
CALL THE CENTER FOR APPLIED PSYCHOLOGY FOR MORE INFO AT
M O N T H LY O N S U N D A Y S :
YEDEI CHESED’S GIRLS SIBLING SUPPORT
845.425.5252,
EXT.300
GROUPS*
YEDEI CHESED SPONSORS MANY VARIOUS SUPPORT GROUPS
FOR PARENTS, CHILDREN AND SIBLINGS
*FOR MORE INFORMATION CALL YEDEI CHESED AT 845.425.0887 EXT 271
LOOK OUT FOR OUR AD...
HEART SMART - LISTEN TO THE EXPERT Given by Dr. David Brogno at 8:00 pm
CAPS AT BIKUR CHOLIM PRACTICAL PARENTING Skill Building Workshops at Yeshiva of Spring Valley
- Real Life Parenting: Effective discipline - APRIL 23
- Social skills building for children - APRIL 30
- Talking about difficult topics with children - MAY 7
- Strategies for effectively working with your school - MAY 14
M O N D A Y, M A Y 2 8 :
“BENEATH THE MASK” A unique production about one girl’s struggle with an eating disorder. Showing at Ramapo
Senior High School. For more information, please call 845.300.3703
WINTER NEWSLETTER
‘07 | PAGE 2
Cont. family health
Try i n c l u d i n g s o m e o f t h e s e id e a s i n t o y o u r a n d y o u r f a m i l y ’ s r o u t i n e :
T Eat a filling breakfast (high fiber cereal,
oatmeal, etc.) every morning to boost your
energy and control your appetite. Watch
out for those common high fat, high sugar
breakfast foods (cake, cookies, muffins,
and doughnuts); they will leave you
hungry 1-2 hours later and provide only
“empty” calories (they have no nutrients).
T Have regular family meals and stick to
the structure of three meals a day.
T Sneak in those vegetables and fruit
(frozen, canned or fresh), adding them
to your regular recipes of soup, lasagna,
pasta, waffles, pancakes, cereal, or
oatmeal. This can include beans too.
T Offer choices (Carrots or cucumbers?
Ketchup on it or next to it? Orange
plate or blue plate?)
T Remember that portion sizes are smaller
for children than adults. Give them less
and let them ask for seconds.
T In general, watch portion sizes when
serving to your family (and yourself).
T Try to treat all children equally when it
comes to food; don’t single out a child,
if possible.
T Serve water more often instead of soda;
it’s cheaper, calorie free, and healthier!
T Avoid fighting over food or forcing
your child to eat. Emptying the plate
isn’t necessary; children will eat if they
are hungry.
T Make low-fat (or nonfat) milk smoothies
with frozen or fresh fruit (these taste
like ice cream shakes!).
T Keep a bowl of fruit on the kitchen
counter, table, and/or your desk.
T If you are trying to watch your weight, try
using smaller serving bowls or plates; it
really works to help you feel fuller faster!
T Make sure to let your children know that
you respect people (and them!) for who
they ARE (what they say, feel, and do)
and not for how slender or “put
together” they LOOK.
T The most important healthy eating tip is
to eat when you are hungry (not because
you are sad, bored, lonely, etc.) and stop
T Involve your kids in planning, shopping,
and preparing foods when possible,
showing them what to look for and how
to make healthy choices (even younger
girls and boys can help out!).
Add vegetables
to each meal and include
fruits as a dessert
T Try not to use food (even nosh) as a
reward or punishment; use attention,
affection, and fun activities instead.
T Try to make a game out of healthy
eating (Guess tomorrow’s fruit, Make a
face out of your vegetables, etc.).
T Try not to do other things while eating
(reading, homework, etc.).
T Try to keep less unhealthy foods in the
house and stock your pantry with
healthier options.
T When eating out, order boiled, baked, or
grilled instead of sautéed or fried.
T Slowly increase the types and amounts of
healthier foods (see this issues “Eating
Healthy”) at mealtime and for snacks.
T Don’t forbid any foods or call
something “bad” (that makes it more
desirable!). Eating not so healthy foods
is ok in moderation.
T Try cutting new foods into interesting
shapes and or finger foods.
T Fill up half of your plate with
vegetables at each meal.
T Make sure your children are hungry at
mealtime (and haven’t filled up on snacks).
T Pack up bags of baby carrots, pepper
strips, broccoli, & celery the night before.
when you feel full. Encourage your
children to listen to their body.
T Read food labels! All of us use look for
bruises, expiration dates, and, of course,
hechsherim on food packages when
shopping. While you are already
comparing foods, choose the lower fat
and calories, higher fiber, and more
nutritious option.
T Children pick up their parents’
eating habits, so, eat healthily and
your children will copy you! WINTER NEWSLETTER
‘07 | PAGE 3
What is Healthy Eating?
Cont. physical health
Fat, Oils
Healthy eating means making informed choices about the
foods we eat every day. These choices help to prevent
illnesses from bronchitis, the flu, and osteoporosis to heart
disease, diabetes, and certain cancers, enhances our
cognitive ability by boosting memory, concentration, and
learning, and improves our emotional and physical
functioning by increasing energy level, decreasing fatigue,
and controlling weight. Healthy eating is not an extreme,
strange, tasteless new diet; rather, it is a simple and
realistic way of eating with better choices and moderation
(how much we eat). Making sure that the foods you eat
each day are a balance of fruits, vegetables, grains,
protein, healthy fat, and liquids will help you and your family
stay healthy and strong. Use the following guidelines to
help you improve your and your family’s eating habits.
Eating certain fats is necessary for our body
(and mind!) to function while some types of fats
can be problematic. The fats to avoid are trans
fats (in fried foods, vegetable shortening, most
margarines, many fast foods, most commercial
baked goods, and some packaged snacks) and
saturated fats (in all dairy products, poultry, red
meat, eggs, coconuts, and hydrogenated oils).
Avoiding or limiting trans fats as much as possible
and cutting your saturated fat intake by simply
buying dairy products that are “low fat” or
“nonfat”, skinning chicken, and eating red meat
only once a week will keep your heart strong
and your weight in check. Try to get more of
your daily fats from fish*, avocados, nuts or
olive, peanut, and canola oil. Corn, soybean,
safflower, cottonseed and other vegetable oils
are also good choices. Try using oil instead of
margarine, buying margarine that is trans fat
free, and using olive oil (or other oils) instead
of butter. Additionally, fish (fish oil) and
ground flaxseed (flaxseed oil) have a particular
type of fat called Omega-3 fatty acids that can
help reduce the risk of heart disease, decrease
unhealthy cholesterol and blood pressure, and
possibly prevent certain psychiatric disorders.
These oils are also available as supplements at
your local health food store. Keep in mind that
the healthier fats (even nuts, olive, and fish oil!)
are not “free foods”; they are very high in
calories and also need to be limited. Healthy
adults should try for 3-4 teaspoons of fats and
oils a day (less if they are trying to lose weight).
Carbohydrates and Grains
( 6 - 1 1 S E R V I N G S / D AY )
Carbohydrates are the types of food that give
our body the raw energy it needs to function.
The ones most familiar to us are white bread,
white rice, regular pasta, white flour, potatoes,
cake, cookies, fruits, and fruit juices. Most of
these carbohydrates are less nutritious because
they are processed (in order to last longer on
grocery shelves), which removes fiber and some
important nutrients. They also cause our blood
sugar to rise and fall quickly, leaving us hungrier
faster. The more nutritious carbohydrates we
might want to increase in our daily meals or
snacks are the whole grains. Whole grains are
essential for a healthy heart, internal organs, and
weight. They are high in fiber and give our body
energy without raising and dropping our blood
sugar or insulin levels too quickly. This helps
keep our hunger in check and can prevent Type
2 diabetes (a rapidly increasing disease
developed in adulthood that can cause
widespread damage to our bodies). Try to
include whole grain bread, whole wheat pasta
and whole grain cereal as well as other grains
such as brown rice, barley, corn, oat (and
oatmeal), buckwheat (kasha), spelt, and rye into
your daily meals and snacks. If you’re interested
in new grain ideas, you can try (but you don’t
have to!) millet, wheat berries, grunkern, quinoa,
bulgur, whole cornmeal, and amaranth. The
carbohydrates with the highest amount of
“empty calories” (have no nutrients) are candy,
sweetened drinks, and both brown and white
sugar. You don’t have to avoid these completely;
just try to limit the amount you eat every day.
Given that these carbohydrates raise our blood
sugar quickly, diabetics should be careful about
eating only small portions of these foods. Try to
make at least half of your carbohydrates whole
grains and eat a variety of different grains
throughout the week, keeping in mind that
pasta, bread, and couscous are all made from
one grain- wheat. See if you can add a few of
the other familiar (and not so familiar!) grains
into your meals too.
1 serving: 1 slice bread, ½ bagel, 5-6 small
crackers, 1 ounce dry cereal, ½ cup cooked
rice, pasta, oatmeal, or other grain
Protein
Protein is necessary for the functioning and growth
of our entire body, particularly our muscles, heart,
brain, hair, bones, and immune system.
FISH, POULTRY, EGGS (0-2 SERVINGS/DAY)
Try some new ways of getting healthy protein
into your daily meals and snacks. These
choices provide us with many vitamins and
minerals including iron, zinc, and vitamins B
and E. Fish is particularly important, with
benefits including heart disease prevention,
brain functioning and immune system
functioning. Try for 1-2 servings of fish per
week*, particularly chunk light tuna, bass (sea,
striped), perch, halibut, pollock, trout,
mackerel, tilapia, and
some salmon (wild
salmon is preferable).
*Due to mercury and concerns
about certain chemicals
(PCB’s) in some fish, one should
not eat more than 6 ounces of
albacore tuna each week and avoid
king mackerel and tilefish. Pregnant
women should speak with their
doctors about eating fish.
WINTER NEWSLETTER
‘07 | PAGE 4
NUTS AND LEGUMES (1-3 SERVINGS/DAY)
Legumes — such as lentils, split peas, peas,
chickpeas (arbis), black beans, lima beans, kidney
beans, black beans, navy beans, soybeans
(Edemame), etc.— are excellent substitutes for
meat because they provide protein and also have
fiber, without the extra fat and calories as animal
protein. Tofu is a protein made from processed
soybeans that does not have the fiber benefits of
soybeans but is saturated fat free.
1 serving: 2-3 oz. cooked lean meat, fish or
chicken (the size of a deck of cards, the palm
of your hand), 1 egg, ½ cup cooked beans, 2
tablespoons seeds or nuts (a level palmful), ½
cup cooked beans, 2 tablespoons peanut butter
DAIRY (1-2 SERVING/DAY)
Products made from milk have calcium and
vitamin D, which are essential for bone health
(preventing osteoporosis, bone weakening). As
previously mentioned, choose the low fat or
nonfat options as much as possible, as all dairy
products have saturated fat. Milk, cottage cheese,
yogurt, ice cream, cheese, leben, etc. all come in
lower fat versions. If you are lactose intolerant or
do not like dairy, consider taking a calcium
supplement, particularly if you are a woman.
1 serving: 1cup milk or yogurt, 1½ oz. cheese
RED MEAT (1 SERVING/WEEK)
High in saturated fats, red meat should be limited
to once a week (perhaps ,ca sucfk only).
Fruits and Vegetables
( 5 - 9 / D AY )
Fruits and vegetables provide us with essential
vitamins, minerals, and phytochemicals (natural
substances that help to prevent many cancers).
Eating these every day will decrease the risk of
stroke and heart attack, lower blood pressure,
prevent both intestinal and vision problems, and
boost our immune system so we can fight off
disease. They are also low in fat and calories and high
in fiber, which helps to control weight. Remember
that smothering vegetables in high fat dressings,
cream sauces, butter or dips add unnecessary calories
and fat to otherwise nutritious foods.
Variety is very important when choosing fruits and
vegetables; each color means a different essential
nutrient in that food. Try to eat different colored
fruits and vegetables throughout the week. For
example, red tomatoes, yellow peppers, orange
carrots, green cucumbers, purple eggplants, blue
blueberries, etc. Take a walk through the produce
section of your supermarket and try a new fruit
or vegetable. Make a ubhjva every month!
Cont. physical health
many sauces, mixes, and packaged, canned, and
“instant” foods – and, of course, in that
saltshaker. The recommended daily salt intake
for people without cardiovascular concerns or
high blood pressure is one teaspoon.
Vitamin Supplements
Some people find it challenging to add fruits A daily multivitamin that meets the standard of
and vegetables to their meals and snacks every the USP (U.S. Pharmacopeia) will help to fill in
day. See this
any nutrient gaps that
issue’s
affect even careful
“You can enjoy sugar... just keep may
“Creating
eaters.
Healthy
an eye on how much you eat...”
IF NECESSARY, SPEAK TO
Eating
A
PROFESSIONAL.
Habits in Our Families” section for specific tips.
A registered dietitian (R.D.) is an authority on
1 serving: 1 medium apple, banana, orange, ½ cup food, nutrition and health, and can provide
fruit, ¾ cup fruit juice, 1 cup raw leafy vegetables,
valuable information and advice. To locate a
½ cup cooked or raw chopped vegetables
registered dietitian in your area, ask your
doctor. You can also call the National Center
Sweets
Sugar, corn syrup, evaporated cane juice, for Nutrition and Dietetics at (800) 366-1655
brown sugar, and vanilla sugar add sweetness to speak with a registered dietitian Monday
as well as extra calories without any real through Friday from 9 a.m. to 4 p.m. nutrition. We consume these sweeteners in
our drinks, candies, cereals, packaged foods,
baked goods, etc. without even realizing how
many extra calories they add. Keep an eye on
-----What Are Calories?
how much extra and unnecessary sugar you
Every food we eat has calories, which are
eat and drink throughout the week. You can
the essential fuel or energy that allows our
enjoy sugar and sweets- just keep an eye on
body to function. Consuming these
how much you eat each day!
calories is critical in order for us to live.
Drinks
Try to drink 6-8 cups of water, unsweetened
decaffeinated tea or seltzer a day. Many of us feel
hungry or tired when are really thirsty! If you are
trying to watch your calories, you may want to limit
sweetened drinks (soda, soft drinks, iced tea,
sugared coffee, etc.) and even fruit juices, as they
add extra calories. Wine, hard alcohol, beer,
schnapps, and mixed drinks are also high in
calories and should be consumed with restraint.
Sodium
Solid scientific research has consistently found
that salt (actually, the sodium in salt) increases
our blood pressure. Cutting down sodium
intake will lower high blood pressure readings,
thereby decreasing the risk of heart attack and
stroke. Most of the foods we eat every day have
sodium in them naturally, so watch how much
you add to your foods. There is extra salt in
Sources: Eat, Drink, & be Healthy by Walter C. Willett, M.D. Copyright © 2001, 2005 by the President & Fellows of Harvard College. | The Nutrition Source of
The Department of Nutrition at Harvard School of Public Health www.hsph.harvard.edu | International Food Information Council Foundation www.ific.org |
U.S. Department of Agriculture www.mypyramid.gov A.D.A.M. Inc. www.adam.com | National Heart Blood & Lung Institute www.nhlbi.nih.gov
All of the activities we do every day
(breathing, standing, walking, carrying
packages, washing dishes, taking out the
garbage, etc.) use up, or “burn”, a certain
amount of calories. When the number of
calories we eat is greater than the number
of calories we burn, the extra calories are
stored as fat, causing weight gain. The
types and amounts of foods we eat,
amount of physical activity we do, our
age, medical health, and taking certain
medications can impact this imbalance.
The FDA recommends 1,600-2300
calories per day for adults who want to
maintain their weight. Since this
recommended amount depends on
gender, age, height, weight, and level of
daily physical activity, speaking to a
nutritionist will help in determining your
personal calorie needs. Healthy eating,
however, is more than just the number of
calories we eat; it is about eating a variety
of the essential nutrients. WINTER NEWSLETTER
‘07 | PAGE 5
Cont. emotional health
T
his fact is particularly
concerning
because
many of those coping
with an eating disorder
are not diagnosed and
therefore
do
not
receive the treatment
they need. Recognizing
an eating problem early
can help those we care about (or
ourselves) to get the right
treatment and fully recover.
In it’s early stage, people with an
eating disorder may not look
different than you or me; they
may not even be underweight or
overweight. Having an eating
disorder means that a person
(man or woman, boy or girl) has
very different eating behaviors
than most people and spends a
lot of their time thinking about
food and the way their body
looks. Please note that this is not
the same as being aware of the
foods we eat, as discussed in
this issue’s Physical Health
section. People with this disorder
often find that their self-esteem
is dependent on what they weigh
and how they look. They might
feel out of control and try to
control their life and emotions
through eating or not eating
enough food.
what are the 3 types
of eating disorders?
There are three different kinds of eating disorders: anorexia nervosa (anorexia), bulimia
nervosa (bulimia), and binge-eating disorder (compulsive overeating). The descriptions
and health consequences of these disorders are as follows:
ANOREXIA is a serious, potentially life-threatening eating disorder where a person greatly
limits their food intake and loses an excessive amount of weight.
BULIMIA is a serious, potentially life-threatening eating
disorder where a person binges (eats a very
large amount of food in a short period of
time) and purges (vomiting, exercise, using
laxatives, etc.).
COMPULSIVE OVEREATING is a very harmful
disorder where a person frequently binges (eats very
large amounts of food in a short period of time).
Why Are They Problems?
Suffering with an eating disorder can cause many serious,
permanent and even fatal health problems.
ANOREXIA denies the body the nutrients it needs to work,
slowing down all of its functioning. This can uWj cause:
Anemia (too little iron in the blood), Heart Problems, Heart Failure,
Osteoporosis (low bone density, causing frequent breaking of bones),
Muscle loss, Kidney problems or failure, Fertility problems, Blindness, Death
BULIMIA affects the entire digestive system and can lead to
chemical and electrolyte imbalances in the body, uWj causing:
Heart Failure, Inflammation or rupture of the esophagus,
Tooth decay, Stomach rupture, Death
COMPULSIVE OVEREATING causes people to gain weight, uWj causing:
Heart disease, Diabetes mellitus, Gallbladder disease, Breathing
problems, Fertility problems, Some cancers
Speak to a qualified professional to find out if these signs are part of
an eating disorder. Ask your primary care doctor or call The National
Eating Disorders Association
WINTER NEWSLETTER
‘07 | PAGE 6
What Should I Look For?
Cont. emotional health
The following list includes some of the signs of these eating disorders. Most
people with eating disorders only have some of these signs. If you or
someone you care about has some of these signs, it may indicate the need
for help. Remember that eating disorders are dangerous and those
who suffer from them may not realize they have a problem. Getting
help early is critical.
(206-382-3587) or
The Department of Clinical
Services at Bikur Cholim-Partners
in Health (845-425-5252, ext.
300) for a referral.
R
ecovery from an
eating disorder
requires
BEHAVIOR SIGNS
commitment to a full
- Consistently skipping meals, refusing to eat, making excuses (“I’m just not
treatment plan; which
hungry”) to avoid mealtime or food situations
includes medical care,
- Moving food around plate without eating it
psychological treatment
- Not eating food in front of others
(individual therapy and
often, family therapy
- Repeatedly weighing themselves
provided
- Disappearing after meals into the bathroom
by a professional with
- Gathering and hiding food
particular expertise in this
- Doing strange things with their food (weighing often,
area), nutritional counseling, and
cutting into small pieces, spitting out)
sometimes medication (used only
- Eating a larger amount of food than most people would eat
after weight
in one sitting
is
“...people suffering... do not
- Eating much faster than normal
normalized
- Eating until uncomfortably full, where your stomach hurts
realize there is a serious problem for
anorexia). It
- Eating large amounts when not physically hungry
is important
- Eating alone, in secret
to note that
- Exercising excessively (even if hurt, in serious pain, extremely tired, etc.)
medications can prevent relapse
- Inappropriately vomiting, fasting or using laxatives, diuretics, or enemas
(slipping back into the disease).
until it’s almost too late.”
BODY SIGNS
- Thinning or losing hair
- Thin appearance or very overweight appearance
- Gaining and losing weight repeatedly
- Lanugo (layer of fine, soft hair on the body)
- Stopping your monthly cycle for at least 3 months
- Cuts, bruises, or calluses on the back of the hands
from trying to throw up
- Sore throat often
FEELING SIGNS
- Intensely fearing that you will gain weight
- Feeling tired often
- Becoming more serious, introverted, or restless
- Thinking about food, calories, fat, diet very often
- Losing interest in normal activities
- Feeling down, sad and/or worried often
- Feeling that your success/happiness/self-worth is dependent on your body shape or weight
- Feeling out of control when eating
- Feeling guilty about eating too much
Sources: National Institute of Mental Health www.nimh.nih.gov National Eating Disorders Association nationaleatingdisorders.org
One of the reasons that
eating disorders are so
serious is that the people
suffering from them and
their family do not realize
there is a serious problem
until it’s almost too late. If
someone you care about
has signs of an eating
disorder, encourage them
to speak to a professional
(social worker,
psychologist, doctor, nutritionist).
You can give them the number of a
professional they can call or even
go with them to their appointment,
if necessary. Telling this person
that you care about them and that
you are there for them is always
helpful. WINTER NEWSLETTER
‘07 | PAGE 7
DRIVERS NEEDED TO:
Manhattan Hospitals
New Jersey Hospitals
Local Hospitals
Calls come in daily from patients requiring transportation to
medical appointments. Unable to take public transportation,
they appeal to us for help. WE APPEAL TO YOU FOR HELP.
Call 425-5252, EXT 525
for information about this
exciting new lifestyle change
program for women with
high blood pressure,
weight problems, diabetes,
high cholsterol, or other
heart issues.
If you drive into Manhattan and can make some time to drop
off a patient at a doctor or hospital, please call Miriam Ptalis
at 845.425.7877 EXT. 107
SHABBOS ROOM
COORDINATOR
When a patient is hospitalized over Shabbos and
Yom Tov his greatest comfort is the presence of a family
member at his bedside. Our Shabbos Rooms accommodate
these families by providing them with sleeping and eating
accommodations on the hospital premises.
If you are available to take care of our Shabbos Rooms,
please call Miriam Ptalis at 845.425.7877 EXT. 107
YOUR CHESED WILL ENSURE THE COMFORT OF THE SICK.
YOU CAN SAVE THE WORLD!
ktrahn ,jt apb ohhenv kfW
(zWf:,ufrc) Wtkn okug ohhe ukhtf
Medical emergencies do not wait for 9:00 a.m. or stop at 5:00 p.m.
An emergency can arise at any time of night or day and when
someone is involved in a medical emergency there is no Erev
Shabbos or Erev Yom Tov – there is only panic and a sense of loss.
When turning to Bikur Cholim no matter what the time, the voice
of the dispatcher answers calmly, reassuringly and ready to help.
JOIN OUR DEDICATED DISPATCHERS AND HELP
SAVE THE WORLD. Call 845.425.7877 EXT. 107
WE WELCOME YOUR COMMENTS AND SUGGESTIONS. 845.425.5252 EXT. 344 |
SENIOR VISITATION
Wisdom to Share
Stories to Tell
To a lending ear
And a caring heart
There are seniors among us who need
you to ease the burden of their loneliness.
Please call Rifke Sternfield at:
845.425.7877 EXT. 143.
YEDEI CHESED
OPPORTUNITIES
1. Counselors for Shabbos respite Host a
special needs child in your own home, join
a mini Shabbaton for a few children,
or spend an hour or two with a special
needs child on a Shabbos afternoon.
2. Drivers for special activities for children
with special needs. We provide carseats.
3. Volunteers for a wonderful Chol Hamoed
event - Friday Chol Hamoed Pesach
4. Lag B'Omer outdoor event - we need all
kids of volunteers - its a Sunday!
[email protected]
NON-PROFIT
U.S. POSTAGE
This newsletter is designed for informational purposes only;
it is not to be used in place of professional diagnosis
or treatment of any illness.
PAID
PERMIT NO. 110
MONSEY, NY
Dreamwo rks Designs / 845.738.2987
25 Robert Pitt Drive
Suite 101
Monsey, NY 10952