May, 2007

Letter From the Founder

Dear Friends,

I want to apologize for being late this month! I'm currently in California helping my oldest son recover from surgery. He severely injured his shoulder while surfing — the latest in a series of injuries he has suffered after years of extreme sports. Yes, the waves he surfs are extreme. So is the skydiving, bungee jumping, backcountry skiing, cliff jumping, windsurfing acrobatics, etc.

I'm sharing this with all of you because this month we're going to talk about compulsive exercise. My son is not a compulsive exerciser, but he is an example of what can happen when you abuse your body with inappropriate forms of exercise.

I hope you will enjoy this month's Sunflower, and please feel free to ask me any questions you might have. Let me know if I can be of any help!

Warmly,
Jeanne Rust, PhD

photo

Eating Disorders and Exercise Addiction

We in the United States have developed a skewed notion of healthy exercise. We either don't exercise at all, or we exercise far too much.

The difference between healthy and unhealthy exercise is all about enjoyment. Compulsive exercisers often find no satisfaction in their athletic achievements, and they almost never do it for fun. I ask many of our callers about exercise, and they often report that at least one or both parents are compulsive exercisers whose days are "ruined" if can't get their five-mile daily run. Exercise addicts will find time at any cost — including cutting school, taking off from work or hiding in the bathroom — to exercise.

Compulsive exercise may be no more than another way to purge. As with all other disordered eating behaviors, the apparent goal is to burn calories and lose weight, but ultimately the exercise provides a temporary sensation of power, control and/or self-respect.

A fundamental principle of Mirasol's treatment philosophy is that eating disorders are chronic stress-related conditions. It's a way to cope with stress, forget about underlying issues, escape inner pain and relieve guilt. Compulsive exercise is as dangerous as restricting, purging or using diet pills and laxatives. Combining restriction and/or binging and purging with compulsive exercise can quickly lead to serious illness (kidney failure, heart attack) or death.

Athletes and Eating Disorders

Athletes may engage in compulsive exercise to please coaches and parents and meet the expectations of others. Eating disorders continue to be on the rise among athletes, especially those involved in sports that emphasize thinness such as gymnastics, figure skating, dancing and synchronized swimming. According to a 1992 American College of Sports Medicine study, eating disorders affect 62 percent of female athletes.

An athlete with an eating disorder and an exercise addiction risks serious medical consequences. Any heart murmurs or arrhythmias are naturally aggravated and made worse. Because their nutrition is so poor, they also risk bone damage and loss from osteoporosis. They're also more prone to stress fractures and other physical injuries than their teammates, and any injuries may take an abnormally long time to heal.

So What is Healthy Exercise?

To maintain cardiovascular health, 2,000-3,500 calories should be burned each week through aerobic exercise, such as running, dancing, cycling and the like. Thirty to 45 minutes a day, five or six days a week is sufficient to acquire these health benefits. Exercise beyond 3,500 calories per week, however, leads to decreased physical benefits and increased risk of injury.

Do I Have an Exercise Addiction?

These red flags that you may be exercising for the wrong reasons are from Disordered Eating, Food Obsessions and Compulsive Exercise by Nancy Clark.

·preoccupation with exercise routine or intrusive thoughts about exercise that interfere with your ability to concentrate or focus
·finding time at any cost to exercise, like cutting school or taking time off from work
·exercise is your social life — you turn down social activities so as not to miss your scheduled workout
·feeling overly anxious, guilty or angry if unable to exercise and you can't tolerate changes or interruptions of your exercise routine
·exercising alone to avoid having your routine disturbed
·exercising is driven primarily by a desire to control your weight, shape and/or body composition
·food choices are based solely on exercise (you exercise as punishment for eating "bad" foods, to purge calories or you overly restrict what you eat if you can't exercise)
·lying about exercise or you always exercise alone
·you can't take rest days or time off from exercise — even if you're injured or ill.
·persistent desire and/or unsuccessful attempts to control or reduce exercise (e.g., can't take a day off during the week or time off periodically throughout the year)
·engaging in non-purposeful or excessive exercise beyond a sensible fitness or training program
·how you feel about yourself on a daily basis is based on how much exercise you perform or how hard you work out
·exercise isn't fun or pleasurable or you're never satisfied with your physical achievements
·amenorrhea (loss of three consecutive menses or failure to begin menstruating by age sixteen) and/or stress fractures


News Flash: Mirasol Awarded Full CARF Accreditation!

Just as we were putting the finishing touches on this month's Sunflower, we received the very welcome news that Mirasol has been awarded full three-year accreditation by the Commission on Accreditation of Rehabilitation Facilities (CARF).

CARFMirasol received provisional one-year accreditation in July, 2006. Obtaining full accreditation is an important step toward being able to offer a higher level of care, which will help more clients obtain insurance coverage for their treatment at Mirasol.

In its detailed report, CARF made note of the strengths that set Mirasol apart from other residential eating disorder treatment facilities, namely:

·Mirasol is well respected in the field in which it serves.
·The leadership is dedicated and committed to developing and delivering a unique treatment program that strives for excellence in providing services to a population that has eating disorders.
·The creative leadership of Mirasol provides quality supervision of ... persons served and offers creative, therapeutic intervention, including non-traditional treatment such as acupuncture.
·The administrative and clinical staff members are deeply committed to the individuals served ....
·Mirasol [employs] a diverse group of specialists ... utilizing multiple therapeutic interventions to meet the holistic needs of individuals served. The high ratio of staff members to persons served demonstrates the organization's focus on individualized treatment.
·The aftercare groups/programming that takes place throughout treatment allows for a smooth transition from the program to the natural support environment.

CARF accreditation means that you can be confident that Mirasol has made a commitment to continually enhance the quality of its services and programs, and its focus is on patient satisfaction. We are very proud of our new status!


Recipe: Noodles with Peanut Sauce

Doesn't this sound like the perfect lunch for a warm spring day? By the way, the peanut sauce will keep for months if you store it in an air-tight jar in the refrigerator.

Pasta
1 lb. linguini
2 tbsp. sesame oil
½ C chopped cilantro leaves
6 scallions, thinly sliced on the diagonal
½ lb. package silken firm tofu, cut into small cubes
Chopped roasted peanuts or toasted sesame seeds for garnish
Peanut sauce
6 large garlic cloves
1 bunch cilantro, leaves and upper stems only
½ tbsp. chopped fresh ginger
1 tbsp. peanut oil
1 tbsp. sesame oil
1 tbsp. hot chili oil (optional)
½ C peanut or sesame-peanut butter
½ to 2/3 C soy sauce
3 tbsp. sugar
3 tbsp. rice wine vinegar or to taste
Hot water if necessary

In large pot of salted water, cook noodles until just done. Immediately dump into colander and rinse with cold water. Shake off excess water and toss the noodles with the oil, cilantro, scallions and tofu. Cover and refrigerate until ready to use, then toss with the peanut sauce. Garnish with the peanuts or sesame seeds and fresh cilantro sprigs.

Peanut Sauce: Put garlic, cilantro and ginger in a food processor and process until they are finely chopped. Add the oils, peanut butter, ½ C soy sauce and sugar and process again until well combined with the seasonings. Stop and scrape down the sides once or twice. Add the vinegar and season to taste with additional soy sauce, if necessary. Thin with hot water if necessary.

Store the sauce in an airtight jar and keep it refrigerated. Thin it again with hot water as needed before using. This sauce will keep for months.

Serves 8



1-888-520-1700 or information@mirasol.net © 2009 Mirasol, Inc. All Rights Reserved.

W3Counter