The Cigna Group · NYSE:CI
The Cigna — The Emily Program — Investor Presentation (2012)
22 slides from The Cigna's investor presentation, 2012
Slide 1: Eating Disorders: Myths and Truths
Eating Disorders: Myths and Truths Jillian Lampert, PhD, RD, LD, FAED The Emily Program
Slide 2: Lr syst know if L
Lr syst know if L could only lose Few povads, everythiag 1A my life would fall inte place / >a
Slide 3: What if we changed the way we thought?
WHAT IF WE CHANGED THE WAY WE THOUGHT? http://www.youtube.com/watch?v=RKPaxD61lwo
Slide 4: Eating Disorder Basics
EATING DISORDER BASICS Eating disorders are common. Over 14 million people have an eating disorder in the US. That’s 1 in 16 females and 1 in 33 males. Eating disorders don’t discriminate. They affect men, women, boys, girls, all ages, races, ethnicities, socioeconomic classes, etc. Eating disorders
Slide 5: Eating Disorder Basics
EATING DISORDER BASICS You often can’t tell by looking at someone that they have an eating disorder. Most people with eating disorders don’t ‘look like’ they have an eating disorder. People get better. They don’t have to struggle with an eating disorder for their whole life. Recovery takes time, cou
Slide 6: Eating Disorder Myths
EATING DISORDER MYTHS Eating disorders are a teenage phase. Not only teenagers get eating disorders; they aren’t a phase; they need treatment. Eating disorders are a lifestyle choice, not really a serious illness. Eating disorders are a brain-based biological illness and have the highest mortality r
Slide 7: Eating Disorder Myths
EATING DISORDER MYTHS Eating disorders just affect women. It’s never been just a ‘female illness’. Increased awareness has helped increase access for males. Eating disorders care is accessed by everyone who needs treatment. Only 10-20% of people get treatment due to barriers related to insurance, st
Slide 8: Eating Disorder Questions
EATING DISORDER QUESTIONS Why don’t they just eat (or stop throwing up or stop binging)? It’s not that simple. Eating disorders are complex; so is recovery. They don’t develop overnight and don’t resolve quickly. Why do they affect more females than males? Pressure for females to meet appearance sta
Slide 9: Eating Disorder Questions
EATING DISORDER QUESTIONS How are eating disorders connected to obesity? Binge eating disorder often leads to excessive weight gain and may contribute to weight issues for a significant proportion of the population. Do eating disorders happen for a specific reason? Eating disorders are complex illne
Slide 10: Why Do People Get Eating Disorders? Bio-Psychosocial Model
WHY DO PEOPLE GET EATING DISORDERS? BIO-PSYCHOSOCIAL MODEL OF EATING DISORDERS biology psychology Stressors Food restriction Coping Genetics Self-esteem & evaluation Physical changes Personality factors Puberty/Menopause Cognitive style Neurotransmitters social/environment Cultural factors Pressure
Slide 11: People With Eating Disorders Come in All Sizes
PEOPLE WITH EATING DISORDERS COME IN ALL SIZES Dianne Neumark-Sztainer, “I’m like so fat” and Project EAT
Slide 12: Eating Disorder (ED) Diagnoses
EATING DISORDER (ED) DIAGNOSES Anorexia Nervosa Bulimia Nervosa Eating Disorder Not Otherwise Specified (EDNOS) Binge Eating Disorder
Slide 13: More Details on Each Diagnosis
MORE DETAILS ON EACH DIAGNOSIS Anorexia Nervosa (AN) is a serious life- threatening ego-syntonic disorder characterized by deliberate self-starvation, fear of weight gain, body image distortion, and undue evaluation of self based on weight and/or shape. The person becomes obsessed with food, weight
Slide 14: More Details on Each Diagnosis
MORE DETAILS ON EACH DIAGNOSIS Eating Disorder Not Otherwise Specified (EDNOS): All other eating disorders that do not meet specific criteria for either AN or BN Binge-eating disorder (BED): Overeating large amounts of food with no use of compensatory mechanisms (e.g. purging, over-exercising, etc.)
Slide 15: Eating Disorders as Adaptive Functions
EATING DISORDERS AS ADAPTIVE FUNCTIONS The behavior is doing some job/serving a function Once the function is identified, it becomes easier to understand why it is difficult to give up and how it might be replaced with something else Perhaps the function was not developed and the ED is a way to cope
Slide 16: What if someone has an eating disorder; what does treatment involve?
WHAT IF SOMEONE HAS AN EATING DISORDER; WHAT DOES TREATMENT INVOLVE?
Slide 17: Treatment options
Treatment options Therapy Nutrition Medicine Psychiatry Residential Intensive Day or Partial Intensive Outpatient Family Based Therapy Outpatient Inpatient Group
Slide 18: Goals for Recovery
GOALS FOR RECOVERY • Eating and being active in tune with body’s needs, physically and emotionally • Eating when you are hungry & stopping when satisfied • Eating what you truly want & a variety of foods • Not avoiding foods out of fear • Flexible, enjoyable, and balanced • Not using food/ED behavio
Slide 19: How to Talk to Someone You Are Concerned About
HOW TO TALK TO SOMEONE YOU ARE CONCERNED ABOUT • Ask to talk to them alone in a quiet place. Tell them what have noticed about them. For example: “I notice you don’t want to go out to eat with us anymore” “I notice that you look sad.” “You seem really preoccupied with your weight or your eating.” •
Slide 20: Prevention: What Can We Do About It?
PREVENTION: WHAT CAN WE DO ABOUT IT? • Stop dieting. Embrace mindful eating, joyful movement, and strong coping skills. • Encourage identity development, self- esteem, self-efficacy, self-appreciation, mindfulness and self-care in young people and adults. • Change the conversation about weight and a
Slide 21: Summary
SUMMARY It takes a lot of courage to release the familiar and seemingly secure, to embrace the new. But there is no real security in what is no longer meaningful. There is more security in the adventurous and exciting, for in movement there is life, and in change there is power. ~Alan Cohen There ca
Slide 22: Reliable Internet Resources
RELIABLE INTERNET RESOURCES www.emilyprogram.com www.emilyprogramfoundation.org www.aedweb.org www.eatingdisorderscoalition.org www.nationaleatingdisorders.org www.tcme.org www.mollykellogg.com www.about-face.org www.something-fishy.org