It's Eating Disorders Awareness Week and I gave this speech last night at an Open Mic Night event last night in Vancouver. If you know someone you think may have an eating disorder, read up on the facts, have a heart-to-heart conversation and let them know you care.
1 in 10.
That’s the number equation I grew up with.
I out of 10 people was purported to be gay or lesbian. (We didn’t
have the term LGBTQ or any of its incarnations back then.)
I’d sit in my high school government class and look around. So
who are the other two?
Sadly, I couldn’t even count on
another one, much less two.
I was alone. 1 in 10 be damned.
And this is how I grew up. Alone.
Lonely. A lost lamb in search of his flock.
That was back in East Texas. I had
to move to Malibu to finally feel some camaraderie. Two hundred fifty
in my year at law school. Twenty-four others then? No. Two. But two
more than what I was used to.
Now I deal with another fraction: 1
in 4.
Not my math. It comes from Miami,
Florida, from an organization with the acronym, NAMED: National
Association for Males with Eating Disorders.
1 in 4 persons with an ED is male.
I cited my source because I figured
people would doubt the prevalence. Back when I first struggled with
obsessive dieting and it evolved into an eating disorder, back in the
time when Karen Carpenter was the only person I’d heard of having
an eating disorder,
the figure I read—somewhere--was 5%. 1 in 20 people with an eating
disorder was male.
Even that seemed like a stretch.
Back then, I didn’t know of any places where I’d find a room full
of persons with eating disorders so I couldn’t check if 1 in 20 had
any basis in reality. It seemed high. After all, as I began to read
articles about eating disorders—the topic has long been of personal
interest for obvious reasons—every “client”, “patient” or
person with an eating disorder was given a pseudonym like Amy or
Mary. Never Bob.
Really, how could it be 1 in 20?
But let me repeat the current
figure: 1 in 4.
In fact, on the home page of the
NAMED website, a study is cited and a range is given—25-40% of
people with Eating Disorders are male.
Still, now that I am involved in
eating disorder groups with
Vancouver
Coastal Health and with St. Paul’s Hospital,
I look around and the figures don’t mesh with what I see.
I take tonight’s theme, I
Wish You Knew, and rework it to
what suits me and my journey: “I Wish I’d Known”. If it’s
really 40%, or even 1 in 4, I wish I’d known someone else, another
male struggling with an
eating disorder.
The first case study involving
eating disorders was in 1690 when Robert Morton considered one man
and one woman with symptomatic behavior. 50/50. A nice start.
But over time, eating disorders
became known as something women struggled with. It became gender
stigmatized. Even as recently as a year ago, when I went through a
Coastal Health orientation regarding the eating
disorder program, I fought
back tears—and some anger—when a
PowerPoint slide showed the physical harm to the body that can occur
due to an eating disorder. I couldn’t even take my usual stance of
denying the facts. The body on the screen was that of a woman. Much
of the harm mentioned was female-specific. My first exposure to
eating disorders in a room of newbies—myself the only male—was a
sense once again of being alone. Something was wrong with me for
having an eating disorder. But something even greater was wrong with
me for being the only guy. Last month, I completed a questionnaire
for a
University of British
Columbia
study about eating disorders. There were questions about how much I
worried about my thighs. Nothing about any obsession with muscle
mass. When the questionnaires and presentations slant toward one
gender, it’s no wonder male cases are under reported.
I speak tonight to provide a male
voice. I’m on a bit of a mission, you see. It’s often said that
men are taught that they are supposed to handle things themselves. Be
tough. Deal with it. It’s why many men resist going to the doctor
for a physical ailment. The resistance—and denial—is even greater
for mental health issues. Admitting that one needs help and actually
seeking it out is even more challenging for a man when it involves a
struggle associated with women or, when
there’s also the perception
that, if it’s a man, it’s a gay man (yes, like myself). (I can
only debunk so much as I speak.)
I don’t think I’m saying
anything earth-shattering. And I know there are many more poignant,
more emotional speeches, recitations and performances tonight. But I
ask you, if anyone should wonder how tonight went, that you include
mention that there was a guy with an eating disorder who got up and
spoke. It’s not about anything I said. It’s just getting the word
out there. A guy with an eating disorder. Other guys need to know
it’s not some freak occurrence. Because, if it really is 1 in 4—or,
just imagine,...40%--then it should be clear to everyone here that
there are a lot of guys out
there who aren’t getting
the help they need. And just knowing that is what got this extreme
introvert of a guy itching to speak tonight. 1 in 4.
Where are they?