WORLD / Health
Doctors treating older anorexics
(AP)
Updated: 2007-07-23 09:34
MINNEAPOLIS - Kelli Smith was nervous as she walked into the Philadelphia
treatment center, seeking help at last for her anorexia. Looking around
at the other patients, she was struck by how young they seemed.
Kelli Smith, 39, walks along the Atlantic Ocean Thursday, July 5, 2007,
in Brant Beach on Long Beach Island, N.J. Smith went into a residential
treatment center for anorexia at age 31. [AP]
"I just kind of looked around and I thought, 'Oh, where is someone my
age?'" recalls Smith. At age 31, she found herself face-to-face with
teenagers and 20-somethings.
Eating disorders such as anorexia and bulimia have long been considered
diseases of the young, but experts say in recent years more women have
been seeking help in their 30s, 40s, 50s, and older. Some treatment
centers are creating special programs for these more mature patients.
Most of the women in this age group who seek treatment have had the
problem for years, said Dr. Donald McAlpine, director of an eating
disorders clinic at Mayo Clinic in Rochester, Minn. "The epidemiology is
pretty clear that anorexia and bulimia both peak in the late teens, early
20s," yet "a lot of (patients) continue to be symptomatic right on
through to middle life."
People who study eating disorders suggest several reasons there might be
more women over 30 seeking treatment for what is typically a young
woman's problem: growing public awareness, social pressure to be thin and
an aging group of baby boomers.
National statistics on eating disorders are hard to come by, but data
from some treatment centers suggest a steady increase.
In the Minneapolis suburb of St. Louis Park, Park Nicollet Health
Services' Eating Disorders Institute saw 43 patients ages 38 and older in
2003 �� about 9 percent of its total patients. For the first six months
of this year, the institute has treated nearly 500 patients 38 and older,
about 35 percent of its total.
The Renfrew Center, a network of treatment centers in the eastern U.S.,
said about 20 percent of the 522 patients treated at its Philadelphia
center in 2005 were 30 or older. In 2006, about 13 percent of the 600
patients were in that age group.
"Whatever this is �� if it's an increased awareness, if it's a response
to being in midlife �� those numbers are staggering," said Carol Tappen,
director of operations for the Eating Disorders Institute.
Women over 30 who seek treatment tend to fall into three categories, said
Holly Grishkat, who directs outpatient programs at Renfrew.
Some have had an eating disorder for years. Others had a disorder in
remission that resurfaced because of new stress in life, such as a
divorce or loss of a parent. A third group, the smallest of the three,
includes women who develop an eating disorder late in life.
Of Renfrew's patients over age 30 in 2005, about 60 percent first
suffered from an eating disorder at 18 or younger. Nearly 20 percent said
they were 30 or older when they first encountered the problem.
While body image is an issue for any age group, women over 30 are dealing
with problems that teens don't have, such as work, divorce, stepchildren
and aging parents.
"It's not about wanting to be the cheerleader or being the homecoming
queen," said Tappen. "It's much bigger than that."
They also are dealing with an aging process, or childbirth, that changes
the way they look.
"One day, (a woman) wakes up and the kids are gone and she has a sense
that nobody really needs her. She looks in the mirror and she says, 'My
body is shot,'" said Tappen. "This woman says, 'You know, that's it. I'm
going on a diet.'"
Tappen said the aging of the huge baby boomer population may be one
reason the Eating Disorders Institute has seen more older patients. Not
only are there now more people in this group, but this population has
traditionally been image-conscious, she said.
"Baby boomers have always cared about how they looked, what they wear,"
she said. "I think a lot of eating disorders years ago went undiagnosed
because it was the thing to do."
The Eating Disorders Institute is building a new facility, set to open in
2009, that will offer a treatment track for mature patients.
Grishkat, of The Renfrew Center, encourages older women to seek
age-specific treatment programs. Some may be embarrassed to get help
alongside very young women. Also, some older women may take on maternal
roles for younger girls when they should be focusing on themselves, she
said.
"It's not a lost cause at 30, 40, 50 years old," she said. "You can still
get better. In some sense, the older women do better in recovery than
younger women. They tend to be more motivated."
For Smith, motherhood was a motivator. When she entered treatment, she
was told she might have internal damage that could affect her ability to
have children. Now 39 and out of treatment, she and her husband are
parents to a 2-year-old boy and live in New Jersey. She says she's in
recovery, and her primary goal these days is to be healthy.
"There's no question I put on weight because I wanted to have a baby,"
she said. "And I stay healthy right now for my baby."
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