Eating Disorderder Awareness Month by Kailey Herren

As eating disorders continue to run rampant throughout our society, so do the misconceptions about them. TV, film, music, and social media has taught us that someone who suffers from an eating disorder is young, often female, has an emaciated frame, and rarely eats. While a small percentage of people with eating disorders fit this description, most do not. Studies show 1 in 20 Americans will be affected by an eating disorder in their lifetime, and 20 million of them are women while 10 million are men (NEDA). It’s safe to say these numbers do not wholly reflect the amount of people who will suffer from eating disorders as so many of them either don’t recognize their disordered eating or don’t have access to a physical and mental health care team who can properly diagnose and treat them, among various other reasons. 

There are 4 main types of eating disorders that are recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM), which is the handbook used by physical and mental health care professionals for the purpose of diagnosing individuals. The four main types are: Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder, and Avoidant Restrictive Food Intake  Disorder (ARFID). There are other socially recognized forms of eating disorders, like Orthorexia (a preoccupation or obsession with “clean eating” and exercise), that you won’t find in the DSM, but that doesn’t mean they can’t be treated. Professionals who are specialized in treating eating disorders understand that eating disorders are nuanced and, while there are many shared  behaviors amongst them, they aren’t all exactly the same. To learn about eating disorder subtypes, go to: https://www.montenido.com/6-lesser-known-eating-disorders/ 

Contrary to common belief, Binge-Eating Disorder (BED) is the most common eating disorder type in the United States. BED is characterized by eating an unusually large amount of food in a specific amount of time. The eating happens regardless of fullness, and is often met with a significant amount of shame. Food might be consumed at a fast pace and in secrecy. Someone who suffers with BED might be known for dieting but may not show a significant amount of weight loss. For those who haven’t suffered from BED, it can be easy to assume that the sufferer has the ability to stop eating at any point and control their portions. Like all eating disorders, it’s far more complex than that. BED is often a result of a restrictive diet or a desire to restrict (i.e portion control). While the behaviors of BED differ greatly from that of someone with Anorexia Nervosa, what fuels the disorder shares notable similarities. For more information about BED, go to: https://www.montenido.com/myths-about-binge-eating-disorder/ 

Bulimia Nervosa is similar to BED but has a compensatory aspect that differentiates it. A compensatory behavior might look like purging (vomiting), unnecessary laxative use, and over-exercising. People with Bulimia don’t always experience a binge before utilizing compensatory behaviors–restriction is still an element of Bulimia, so any food intake may trigger a behavior though binging is common. Other signs you might notice in someone who may be struggling with Bulimia includes quickly leaving after meals, hiding food, over-exercising before or after meals, frequent bathroom visits, Russell’s sign (a physical sign of purging (vomiting) located on the knuckles), and red and irritated eyes. For more information about Bulimia Nervosa, go to: https://www.montenido.com/bulimia-nervosa/

Anorexia Nervosa is what comes to mind when most people hear the words “eating disorder”. It’s not uncommon to associate this diagnosis with a thin or underweight body frame, but less than 6% of people with eating disorders are underweight (https://www.feast-ed.org/). While the severity of Anorexia Nervosa is often determined by BMI, and other factors, weight is not indicative of how severely the eating disorder is impacting one’s physical or mental wellbeing. For this reason, getting a diagnosis of Anorexia Nervosa can be difficult for many, which limits access to higher levels of treatment, especially for those in larger bodies. Anorexia Nervosa is characterized by restriction of food often leading to weight loss, intense fear of weight gain, discomfort with one’s body, and denial of the seriousness of the condition. For more information about Anorexia Nervosa, go to: https://www.montenido.com/anorexia-nervosa/ 

The final diagnosis we’ll be covering is Avoidant Restrictive Food Intake Disorder (ARFID). Unlike most other eating disorders, it is not rooted in body-image issues or a desire to lose weight. It is most commonly diagnosed in children and young adolescents and affects adults at a lower rate. Many professionals have identified a potential correlation between Autism Spectrum Disorder (ASD) and ARFID but more research is needed to draw any major conclusions. ARFID is characterized by restrictive eating due to lack of interest in food; avoidance of certain textures, smells, appearance and flavor; and fears of consequences associated with eating like choking, vomiting, or having an allergic reaction. People experiencing ARFID may only have a few foods they feel safe eating, which can lead to serious health complications like malnutrition, stunted growth, and more. To learn more about ARFID, go to: https://www.montenido.com/food-intake-disorder-arfid/ 

Eating disorders are complex mental health disorders that require treatment tailored to the individual and often consists of working with a qualified therapist, dietitian, primary care provider, and psychiatrist. Eating disorders are typically co-occurring, meaning there are other mental health disorders that are affecting and being affected by the eating disorder, such as anxiety, depression, bipolar disorder, OCD, and more. Eating disorders are not a choice and are complicated by both genetic and environmental factors, and those who struggle with them deserve equitable access to quality care. 

For those who are not yet in recovery, and in recovery alike, you are not alone. Your battle is real, it is hard, and can feel isolating. Everything we do in recovery feels counterintuitive and scary but that doesn’t mean it’s wrong. The risks we take in pursuing recovery are worth the pain we must feel as we journey toward a life not ruled by our eating disorders. We are more resilient than we know and we are capable of experiencing life to the fullest. Your darkest days may not yet be behind you, but I can assure you that, if your commitment to recovery is persistent (not perfect) and rooted in living according to your values, your lightest days are ahead of you.

The Privilege of Being A Sister by Hannah Utic

Since coming home to beautiful Alaska, everyone of course wants to know “what was Miss America like?!” My knee jerk response is “it was the most chaotic two weeks of my life,” because it feels impossible to completely describe the surreal, incredible, wild, tiring, once in a lifetime experience that it was. But as I try to play back every aspect of the experience in my own head, there is one class of moments that I come back to every time as the most special ~ the sisterhood. While I think it goes without saying that the bond with the fifty other sisters in our Miss America class is one of the absolute most precious things I took away from this experience and I made friends for life, what I actually am talking about is the Miss Alaska sisterhood. 

More times than not, Miss America has been held somewhere on the east coast, which obviously means quite the travel journey for Alaskans. Because of this, historically, very few former Miss Alaskas have been able to go back and cheer on their newest addition to the sisterhood. Knowing this, I am not sure I have ever felt more special than when FIVE of my favorite Miss Alaska sisters told me they were coming to Florida to cheer me on. Miss Alaskas 1986, 1990, 1991, 1993, 2021, as well as a forever Miss Anchorage and our Miss Anchorage’s Teen all sacrificed greatly to be there and I could not be more grateful. The bond shared within the sisterhood is something that can't really be explained, so to have my biggest fans physically there was so incredibly special. 

So when I think back, my favorite memories are the ones the world didn't get to see: finally having a free couple hours and getting to have brunch with them; getting up extra early each day after four hours of sleep to get Starbucks, a good convo and a morning hug from one of my best friends in the world, Miss Alaska 1991, who was experiencing Miss America again exactly thirty years later, but this time with me; them dragging all my stuff (and me) back to my room each night after visitation, and even having to take my heels off because I was too exhausted to even move; the morning after debrief…. These are the moments that may seem insignificant to an observer but are truly what carried me through the week. It was the honor of a lifetime to get to represent Alaska on the Miss America stage, but it is the unbelievable privilege of being in the Miss Alaska sisterhood forever that I will always cherish the most. 

-Hannah Utic, Miss Alaska 2023

What Does it Feel Like to Stand on the Miss America Stage? by Mallory Hudson

It feels like… 

…all the roads I have ever traveled led to this stage, and I feel the years of hard work coming to fruition. Every late night, sacrifice, and ounce of preparation contributed to this very moment. Of course, the top five finish brought me immense joy, but I am most thankful for the personal growth and resiliency I developed throughout my Miss America journey, regardless of any outcome. 

Rob Metzger

It feels like… 

…an honor to stand with 50 of the most kind, intelligent, and ambitious women in the country. In preparation for Miss America, I made a cognizant effort to lean into the qualities and achievements I brought to the table while celebrating the qualities and achievements the other title holders brought to the table as well. The Miss America Class of 2024 is a true sisterhood composed of independent, inspiring, and charismatic women. I have never felt more empowered or more proud to be a woman than I did on the Miss America stage. 

It feels like… 

…an opportunity to advocate for the 1 billion people living in our world with some form of disability. As William Shakespere said, “All the world's a stage, and ALL the men and women merely players…” My service initiative, Inclusive Stages, advocates for individuals with special learning needs and disabilities through theatrical and artistic opportunities. Advocating for Inclusive Stages and sharing my mission on a national platform is something I will always cherish. Everyone can shine if they are simply given the opportunity to do so. 

It feels like… 

Hudson M Photography

…a great responsibility. Kentuckians support Kentuckians, so I knew I was carrying the hopes and expectations of the people of the Commonwealth to the Miss America Stage. Ultimately, my first priority was to represent my home state of 22 years with grace, dignity, and an unbridled spirit, and I threw my heart and soul into meeting that goal. It was a personal commitment to represent the values and character of the state that has shaped me into the woman I am today. 

It feels like…

…the beginning and continuation of a legacy. Recognizing the footsteps of those who had preceded me, women who had undeniably shaped Miss America’s esteemed tradition, I was acutely aware of the weight of their influence. However, I embraced the idea of creating my own path. I ultimately hope to be remembered as a Miss Kentucky who built intentional connections, advocated for inclusion, led with a servant's heart, and empowered through education 

What does it feel like to stand on the Miss America stage? It’s a feeling that is difficult to label but impossible to forget. I am incredibly thankful I will forever be connected to an opportunity much larger than myself. Thank you, Miss America! 

-Mallory Hudson, Miss Kentucky 2023

Teen Dating Violence Awareness Month by Arianna Shanks-Hill

February is Teen Dating Violence awareness month. Knowing this, and also knowing that teens are disproportionately affected by dating violence while also being the least advocated for age group, I’ve decided to address a different, more specific audience than usual: parents. I’ve made several posts on what signs of dating violence parents can look out for in their teengers, but I want to take it a step further and focus on the preventative; the way that we as a society discuss domestic violence and address our children has to change in order to build a better future. So, what can we teach our younger children that will equip them with the proper tools to be respectful and respected in their future relationships? 

Now, for a disclaimer: I am not a parent, and I am in no way trying to critique people’s parenting skills. This is simply a curated list of observations and examples from my experiences and research I have done, solely for those parents that are searching for tangible ways to prevent victimization or perpetration of abuse. 

1. Modeling healthy relationships with communication. 

Children who witness domestic violence in adolescence are more likely to perpetuate the cycle in the future. Do your best to teach them what healthy relationships look like, and discuss unhealthy interactions openly. You can also model these positive interactions by mitigating disagreements between siblings or peers; teach your children how to express themselves in a respectful way. 

2. Speak to them kindly, even when they make mistakes or get in trouble. You are your child’s first example of love. Name calling or belittling your child out of anger can either a). Teach them to treat others this way when they are angry, or b). Believe that it is okay for others to treat them poorly when they make mistakes. 

3. Teach them about consent. 

This one sometimes sounds strange to parents, but it is very important. Discussing consent with children looks different than it does with teenagers or young adults. With children, it looks like explaining that if someone says they don't want a hug, then we have to keep our hands to ourselves. It can also look like not forcing them to hug & kiss relatives, because we get to choose what to do with our bodies. 

4. Help your children understand and express their emotions in a positive way. Some children are shamed or reprimanded for expressing “negative” emotions, like anger, frustration, disappointment, and sadness. If you can teach your child about their emotions and demonstrate positive, acceptable displays of emotion, they will carry those skills for the rest of their lives. Adults who express anger by throwing things and hitting were previously children with unregulated emotions and no safe space to express them. 

5. Avoid excusing harmful behaviors. 

It's easy to say things like “Boys will be boys” or “That's just how kids play!”. A common one that I was told growing up, that actually turned out to be harmful, was “He probably did that because he likes you”, with ‘that’ being hair pulling, pushing, or other behaviors from children that make others uncomfortable being dismissed as cute or funny. By allowing these behaviors and making excuses for them, you are teaching your children that it's okay for someone to hurt them under the guise of affection or love. 

6. Teach your children to stand up for themselves. 

Of course parents want to raise polite, agreeable children; however, it can be extremely dangerous to teach your kids that they must always be ‘nice’ and never make a fuss. Validating

your child’s feelings and encouraging them to speak up when they feel uncomfortable, hurt, or disrespected will set them up for success later in life because they will know that they do not have to tolerate someone being mean or harming them. You can go multiple ways with this type of lesson, whether you teach them polite ways to diffuse a situation, or you teach them to be more brash and forward. Even something as simple as ‘’That hurt my feelings and I didn't like it’’ can work wonders. The most important thing is teaching your child to be secure enough in themselves and their relationship with you to say something when they feel unsafe or disrespected. 

These tips are most effective at the earliest age you feel comfortable discussing them with your child, so that you can consistently build these skills and help regulate your child as they grow and start developing friendships and relationships. While there is no guaranteed way to prevent abuse, teaching your child to identify and distinguish healthy, safe, acceptable behaviors can help them be better prepared to break patterns and avoid unhealthy relationships before they become toxic and dangerous. Establishing communication with your child is the most essential tip, so that your child feels comfortable discussing things with you, including topics that can feel uncomfortable, like abuse and harmful behaviors they could be experiencing. However, the most important tip I can give parents and families everywhere is to love your children unconditionally, and always be their safe space; you can't always prevent bad things from happening to the people you love but you can support them through it.