And then what?In this groundbreaking new book, science journalist Trisha Gura, Ph.D., explodes the myth that those who suffer from eating disorders, including anorexia nervosa and bulimia nervosa, are primarily teenage girls. In reality, these diseases linger from adolescence or emerge anew in the lives of adult women in ways that we are only starting to recognize.Millions of American women twenty-five and older suffer from serious food issues, from obsessions with calorie counting to compulsions to starve then overeat. Because of the assumption that age provides eating-disordered immunity, the medical and mental health communities have long overlooked these women and minimized their dangerous habits. Yet the number of women in their thirties, forties, and older now seeking treatment is double and triple that of five years ago. The growing awareness of this understudied population is raising relevant questions: How does an adult woman's eating disorder affect her choice of a husband—or his choice of her? How does she cope with her expanding body during pregnancy? How does she feed her children when she cannot properly feed herself? And how does she weather aging in a culture that informs all women that they can never be too old to be too thin?Drawing on her own experience with anorexia, the most up-to-date research, and extensive interviews with clinicians and sufferers, Gura addresses these concerns and concludes that eating disorders, at least some vestigeof them, tend to lie dormant throughout a woman's life. Eating disorders in adults may not replicate those of adolescents and tend to emerge at the most vulnerable periods in a woman's life—marriage, the birth of a child, stress from child rearing, marital difficulties, depression, and menopause. Though the media may tell us that the girl with an eating disorder overcomes her demons with age and hard work, the reality is that she often doesn't. A girl with an eating disorder is a woman prone to relapse.Lying in Weight is a startling, timely, and imperative investigation of eating disorders "all grown up." Women are suffering from a hidden, horrid, and life-threatening epidemic. This book is a shot across the bow to confront the problem and address the real issues. Isn't it time to end the suffering?

    It snuck up on me disguised as a healthy diet, a professional attitude. Being as thin as possible was a way to make the job of being an actress easier . . .” Portia de Rossi weighed only 82 pounds when she collapsed on the set of the Hollywood film in which she was playing her first leading role. This should have been the culmination of all her years of hard work—first as a child model in Australia, then as a cast member of one of the hottest shows on American television. On the outside she was thin and blond, glamorous and successful. On the inside, she was literally dying. In this searing, unflinchingly honest book, Portia de Rossi captures the complex emotional truth of what it is like when food, weight, and body image take priority over every other human impulse or action. She recounts the elaborate rituals around eating that came to dominate hours of every day, from keeping her daily calorie intake below 300 to eating precisely measured amounts of food out of specific bowls and only with certain utensils. When this wasn’t enough, she resorted to purging and compulsive physical exercise, driving her body and spirit to the breaking point. Even as she rose to fame as a cast member of the hit television shows Ally McBeal and Arrested Development, Portia alternately starved herself and binged, all the while terrified that the truth of her sexuality would be exposed in the tabloids. She reveals the heartache and fear that accompany a life lived in the closet, a sense of isolation that was only magnified by her unrelenting desire to be ever thinner. With the storytelling skills of a great novelist and the eye for detail of a poet, Portia makes transparent as never before the behaviors and emotions of someone living with an eating disorder. From her lowest point, Portia began the painful climb back to a life of health and honesty, falling in love with and eventually marrying Ellen DeGeneres, and emerging as an outspoken and articulate advocate for gay rights and women’s health issues. In this remarkable and beautifully written work, Portia shines a bright light on a dark subject. A crucial book for all those who might sometimes feel at war with themselves or their bodies, Unbearable Lightness is a story that inspires hope and nourishes the spirit.

    But behind her seemingly flawless façade lay a dangerous secret—for the better part of her life Cheney had been battling debilitating bipolar disorder and concealing a pharmacy's worth of prescriptions meant to stabilize her moods and make her "normal."In bursts of prose that mirror the devastating highs and extreme lows of her illness, Cheney describes her roller-coaster life with shocking honesty—from glamorous parties to a night in jail; from flying fourteen kites off the edge of a cliff in a thunderstorm to crying beneath her office desk; from electroshock therapy to a suicide attempt fueled by tequila and prescription painkillers.With Manic, Cheney gives voice to the unarticulated madness she endured. The clinical terms used to describe her illness were so inadequate that she chose to focus instead on her own experience, in her words, "on what bipolar disorder felt like inside my own body." Here the events unfold episodically, from mood to mood, the way she lived and remembers life. In this way the reader is able to viscerally experience the incredible speeding highs of mania and the crushing blows of depression, just as Cheney did. Manic does not simply explain bipolar disorder—it takes us in its grasp and does not let go.In the tradition of Darkness Visible and An Unquiet Mind, Manic is Girl, Interrupted with the girl all grown up. This harrowing yet hopeful book is more than just a searing insider's account of what it's really like to live with bipolar disorder. It is a testament to the sharp beauty of a life lived in extremes.

    But behind the successful, glamorous career was a story that many of her friends and colleagues knew nothing about—her ongoing struggle with severe depression and alcoholism. Brampton's is a candid, tremendously honest telling of how she was finally able to "address the elephant in the room," and of a culture that sends the overriding message that people who suffer from depression are somehow responsible for their own illness. She offers readers a unique perspective of depression from the inside that is at times wrenching, but ultimately inspirational, as it charts her own coming back to life. Beyond her personal story, Brampton offers practical advice to all those affected by this illness. This book will resonate with any person whose life has been haunted by depression, at the same time offering help and understanding to those whose loved ones suffer from this debilitating condition.

    The result is a book so relentlessly funny and frank, it's totally refreshing.

    fought to be cured of anorexia nervosa. But as the diary she kept shows, a widespread lack of understanding about eating disorders and scattergun treatment programs make the battle almost insurmountable . . . a sorrow to read."--The New York Times"Patients' voices can all too easily be forgotten in the world of mental health care, but Jenny's voice rings strong. Through this earnest and captivating exposure, her father succeeds in keeping her story alive."--David B. Herzog, M.D., president and founder of the Harvard Eating Disorders Center

    "The disease I have is loving him." Their love affair was dramatic, urgent, overwhelming--an intoxicating antidote to the long, lonely days of early motherhood. But soon after they get together, K starts using again, and years of relapses and broken promises follow. Even as his addiction deepens, she stays, convinced she is the one who can get him sober. If she leaves him, has she failed? After an adolescence marred by family trauma and addiction, Nina can't help but feel responsible for those suffering around her. How can she break this pattern?In prose at once unflinching and acrobatic, Aron delivers a piercing memoir of romance and addiction, drawing on intimate anecdote as well as academic research to crack open the long-feminized and overlooked phenomenon of codependency. She shifts between visceral, ferocious accounts of her affair with K and introspective analysis of the part she plays in his addictions, as well as defining moments in the history of codependency, from temperance to the formation of Al-Anon to more recent research in the psychology of addiction. Good Morning, Destroyer of Men's Souls is a blazing, big-hearted book, one that illuminates and adds nuance to the messy tethers between femininity, enabling, and love.

    In this lively first-person narrative, Paul R. Linde takes readers behind the scenes at an urban psychiatric emergency room, with all its chaos and pathos, where we witness mental health professionals doing their best to alleviate suffering and repair shattered lives. As he and his colleagues encounter patients who are hallucinating, drunk, catatonic, aggressive, suicidal, high on drugs, paranoid, and physically sick, Linde examines the many ethical, legal, moral, and medical issues that confront today's psychiatric providers. He describes a profession under siege from the outside--health insurance companies, the pharmaceutical industry, government regulators, and even "patients' rights" advocates--and from the inside--biomedical and academic psychiatrists who have forgotten to care for the patient and have instead become checklist-marking pill-peddlers. While lifting the veil on a crucial area of psychiatry that is as real as it gets, "Danger to Self" also injects a healthy dose of compassion into the practice of medicine and psychiatry.

    Demonstrating how anyone can win the internal battle between mind and body, this much-needed biography offers therapists, sufferers, and their families with powerful tools to help them triumph over this life and death battle.

    Though she is determined to gain the weight for the health of her babies—even if it means she'll "weigh more than a Honda"—she can only express her deep fear by telling her doctor simply, "I used to be fat."Klein was an eighth grader with a weight problem. It was a problem at school, where the boys called her "Moose," and it was a problem at home, where her father reminded her, "No one likes fat girls." After many frustrating sessions with a nutritionist known as the fat doctor of Roslyn Heights, Long Island, Klein's parents enrolled her for a summer at fat camp. Determined to return to school thin and popular, without her "lard arms" and "puckered ham," Stephanie embarked on a memorable journey that would shape more than just her body. It would shape her life.In the ever-shifting terrain between fat and thin, adulthood and childhood, cellulite and starvation, Klein shares the cutting details of what it truly feels like to be an overweight child, from the stinging taunts of classmates, to the off-color remarks of her own father, to her thin mother's compulsive dissatisfaction with her own body. Calling upon her childhood diary entries, Klein reveals her deepest thoughts and feelings from that turbulent, hopeful time, baring her soul and making her heartache palpable.Whether Klein is describing her life as a chubby adolescent camper—getting weighed on a meat scale, petting past curfew, and "chunky dunking" in the lake—or what it's like now as a fit mother, having one-sided conversations with her newborn twins about the therapy they'll one day need, this hilarious yet grippingly vulnerable book will remind you what it was like to feel like an outsider, to desperately seek the right outfit, the right slang, the best comeback, or whatever that unattainable something was that would finally make you fit in.

    The daughter of singer Pat Boone reveals how the pressures of trying to be the perfect celebrity daughter led her to desperate attempts at physical perfection, and how a psychatrist, her husband and family, and God helped her emerge victorious.

    The anguished and volatile intensity associated with the artistic temperament was once thought to be a symptom of genius or eccentricity peculiar to artists, writers, and musicians. Her work, based on her study as a clinical psychologist and researcher in mood disorders, reveals that many artists subject to exalted highs and despairing lows were in fact engaged in a struggle with clinically identifiable manic-depressive illness. Jamison presents proof of the biological foundations of this disease and applies what is known about the illness to the lives and works of some of the world's greatest artists including Lord Byron, Vincent Van Gogh, and Virginia Woolf.

    Because if my mother is one of those crazy junk-house people, then what does that make me?When her divorced mother was diagnosed with cancer, New York City writer Jessie Sholl returned to her hometown of Minneapolis to help her prepare for her upcoming surgery and get her affairs in order. While a daunting task for any adult dealing with an aging parent, it's compounded for Sholl by one lifelong, complex, and confounding truth: her mother is a compulsive hoarder. Dirty Secret is a daughter's powerful memoir of confronting her mother's disorder, of searching for the normalcy that was never hers as a child, and, finally, cleaning out the clutter of her mother's home in the hopes of salvaging the true heart of their relationship before it's too late.Growing up, young Jessie knew her mother wasn't like other mothers: chronically disorganized, she might forgo picking Jessie up from kindergarten to spend the afternoon thrift store shopping. Now, tracing the downward spiral in her mother's hoarding behavior to the death of a long-time boyfriend, she bravely wades into a pathological sea of stuff: broken appliances, moldy cowboy boots, twenty identical pairs of graying bargain-bin sneakers, abandoned arts and crafts, newspapers, magazines, a dresser drawer crammed with discarded eyeglasses, shovelfuls of junk mail . . . the things that become a hoarder's treasures. With candor, wit, and not a drop of sentimentality, Jessie Sholl explores the many personal and psychological ramifications of hoarding while telling an unforgettable mother-daughter tale.

    Just twelve, she’s tall, skinny, and weak. It’s four o’clock, and she hasn’t been allowed to eat anything all day. Her mother, on the other hand, seems curiously excited. She's about to suggest open-heart surgery on her child to "get to the bottom of this." She checks her teeth for lipstick and, as the doctor enters, shoots the girl a warning glance. This child will not ruin her plans.SickenedFrom early childhood, Julie Gregory was continually X-rayed, medicated, and operated on—in the vain pursuit of an illness that was created in her mother’s mind. Munchausen by proxy (MBP) is the world’s most hidden and dangerous form of child abuse, in which the caretaker—almost always the mother—invents or induces symptoms in her child because she craves the attention of medical professionals. Many MBP children die, but Julie Gregory not only survived, she escaped the powerful orbit of her mother's madness and rebuilt her identity as a vibrant, healthy young woman.Sickened is a remarkable memoir that speaks in an original and distinctive Midwestern voice, rising to indelible scenes in prose of scathing beauty and fierce humor. Punctuated with Julie's actual medical records, it re-creates the bizarre cocoon of her family's isolated double-wide trailer, their wild shopping sprees and gun-waving confrontations, the astonishing naïveté of medical professionals and social workers. It also exposes the twisted bonds of terror and love that roped Julie's family together—including the love that made a child willing to sacrifice herself to win her mother's happiness. The realization that the sickness lay in her mother, not in herself, would not come to Julie until adulthood. But when it did, it would strike like lightning. Through her painful metamorphosis, she discovered the courage to save her own life—and, ultimately, the life of the girl her mother had found to replace her. Sickened takes us to new places in the human heart and spirit. It is an unforgettable story, unforgettably told.

    She's creative, beautiful, confident. But inside Victoria Leatham struggles with silent, secret, and unbearable pain. In her late teens, Leatham is struck with an undeniable urge to cut herself. Oddly, the wounds she inflicts on herself mute the pain she feels inside.This memoir, a darkly humorous and often chilling account, vividly details Leatham's ordeal and reveals her most intimate thoughts as she struggles with cutting and a range of other psychological problems including eating disorders, sexual promiscuity, substance abuse, and bipolar disorder. And finally, it describes her discovery of the psychological secret that helps her escape from this spiral of self-destruction.