Anorexia or bulimia. Hello and welcome to in good shape heres your favorite t. V. Doctor with your favorite t. V. Show but be honest do you sometimes watch other programs then perhaps you familiar with those kind of images. In real life hardly anybody is so skinny and i asked myself could it be that those kind of images contribute to the fact that some adolescents and even adults develop an eating disorder like. And. So how do those kinds of Problems Develop and how can we help. Im with two experts today. Works for fed and this Berlin Association wants to be the First Contact point for people. It offers advice to people with eating disorders in a shelter. And helps to find them suitable therapist other issues prevention and public information. Eating disorders are not a character flaw or a silly habit there are serious psychological illnesses. Because twenty latrice people with eating disorders if that he would have incidentally. Is a psychotherapist he wants to find the cause of the disease with the help of his patients. Eating disorders usually include a proof. Of self esteem and interact with. Malnutrition Heart Disease stomach problems infertility eating disorders are dangerous and one out of ten patients even dies from it nevertheless many patients dont even realize that theyre sick and theyve got problems to seek help. For fifteen years the eating disorders bully mia and controlled so in your book which is life even socialising was torturous minutes and i fear. That when youre out for dinner you can either decline or improvise with a few tricks but thats how you look at height food in your napkin or your purse and then throw it away when you get up from the table and sing. Or you can excuse yourself and discreetly throw up in the toilet. Those are things you struggle with that and the shame you feel afterwards. Who she was. Starting a village of thirty. Sonia began to find her reflection in the mirror unbearable she was slightly overweight which led to her being picked on. By and i absolutely hated my legs so much so that i refused to consider them part of my own body that feeling in just an endless cycle of dieting and till i realised eating and vomiting is the answer for me that way i can still eat but as time went on i was purging almost everything i ate and eventually i became an erect thick. At the age of seventeen so knew was admitted to hospital for nine weeks where she was force fed but after being released she soon resumed her old habits she knows coming to terms with the underlying causes is key but many of us that dont work in my case i think back then i was trying to compensate for traumatic experiences by taking control of what i ate as. Glorification of the perfect body reinforced by an obsession with beauty and then the feeling of never quite measuring up so that it will take the show germanys next top model i think its harmful not because it shows attractive young women but because it sends the message that you should ignore your own feelings of shame hunger fatigue and get into the mindset of not looking after yourself but fulfilling the expectations of others. Increasingly men are also feeling the need to live up to ideals set by others to having the perfect body and a six pack stomach especially in the Gay Community the problem is growing more common often its rooted in discrimination or problems a man might have had with coming out. Can be overwhelming if youre unhappy and along the disorder becomes a means of expressing all of that yet. At some point design your garbage began to talk about her problems so. Then fair opinion writing a book helped her finally come to terms with her eating disorder. I with the help from the girl in Association Fed and thin and many people think that eating disorders are all about anorexia where people eat very very little and still think they are head but its not all about anorexia is it that there has been a million hope that models will know it isnt the media focus on anorexia but the range of eating disorders is quite wide of the mention for example it is believed that is when you bench and then purge vomit or do lots of sport to compensate for all the food. And memory and there is the Binge Eating Disorder which is not so well known youve been and dont patch and just keep putting on weight questioned and grieved for women but what do those different diseases have in common. Even what i have in common is that there are mental illnesses. It is not that patients dont know how to feed themselves properly the disorders are often linked to painful events or problems people have faced in life. Legged emerge when life is particularly tough so obviously just advising on what constitutes a healthy diet wont make them better or to reach the middle hind you have to try to figure out what function the disorder serves for the individual involved what is a strong who didnt mention lets talk about a bit what causes those eating disorders so what about all those t. V. Personalities and those models you can see in the pictures who are super skinny can they cause eating disorders there are dozens of studies. Thats a hotly debated issue they do play a role but they are not the sole cause of it with you have to dig a bit deeper because the roots of eating disorders are much deeper kieffer but they often have to do with personality and socialization. How did the affected person grow up under what circumstances and what kind of family you sometimes you were in your association the First Contact point for people who are affected so who comes to you. Mainly people suffering from such disorders themselves but also family members parents partners siblings basically anybody who is worried about someone and says i care about this person and there is a problem we need help. And what kind of help can affect it get here are the biggest of all the first thing is to help those affected understand their disorder before we try to explain things and help them make connections what is the purpose of the illness what function does it fulfil. The thought we also explain our approach and offer guidance on how to deal with the problem light what is the best thing to do at any given moment passed through the moment. I would together as a holistic package and they come to understand that they have a safety net here with various components and with people they can turn to for help. Or partner can you also offer Group Meeting sort of the person affected benefits from that i would. Get helps them emerge from their isolation. Most people who suffer from eating disorders withdraw into their shell holes some are also battling depression ok here they have a fixed time every week when they can venture little out of their comfort zone and can also experience some sisterly empathy along the lines of i understand i hear you i know what you mean. By asking almost mind well they dont have to justify or explain themselves. Some of the women have had inpatient treatment or been in therapy and they talked. What helps in dealing with the disorder in their daily lives. Its helpful when the group reflects on what has helped them and what they might consider trying themselves yes i could do that too. So its very important to speak to other people who are affected now has written a book about her and. Talks on facebook and on you tube. Today twenty three year old parker from hanover is comfortable in her body that wasnt always the case for years she was obsessed with keeping her weight down. More im sure planning morning i plan what i was going to eat that day how much from then id weigh myself id spend the whole day trying to stick to the plan the two crack is for breakfast and the two apples in the evening that i permitted myself. Going to make top only thinking about food constantly i was permanently hungry. I wanted to eat and i like to eat but i didnt let myself. Seventeen at the time i would make meticulous notes on high calorie intake. She allowed herself just eighty calories a day an average young woman needs two thousand. And one my my goal was to be underweight and i told myself that this was the cutoff point if i went any lower i would be extremely under way. At one point i did but i liked how it felt i thought cool i weigh less than fifty kilos. At one point lauper weighed just forty seven kilos far too little given the trees one metre seventy one tall. Her mother admitted her to a clinic although she understood that she had a problem it took months for allow her to accept that she need. To gain weight. Because its weird to see these pictures i look so skinny but at the time i thought it was normal and i wanted to lose even more weight on top of it now it seemed so shocking that i thought that was how i should look and how i wanted to be. A rexy it was all consuming going out socialising enjoying herself life began to feel harder and harder she lived in fear of situations where shed be expected to eat. Jennifer is an old friend theyve known each other for ten years. Or had see them should tonight herself everything. If we were going out for cocktails she wouldnt come. And she didnt have much of a social life but. Didnt discuss her eating disorder with anyone and became skilled at hiding what was going on. And does that it was alarming and also really sad that at some point you just couldnt get through to her anymore couldnt tell what she was going through all this stuff was going on in her head and she never said anything about this act that. Writing a book about her experience helped her work through it these days she regularly posts videos on youtube about coping with anorexia and also gives nutritional advice is for sure and im really glad i can help other young girls i know what theyre going through. That she knows what she wants to tell them accept yourself the way you are. And i meant that he would have been through vaca clinic in berlin meeting dr costantino whos the head of the department for psychotherapy and psychosomatic medicine thanks for having me today youre treating patients with eating disorders on an inpatient basis so i hope who needs that. Sort of the reasons for that first of all. Their patients with an erect take this all those who are in a such bad physical state that medical stability variation. Mr serry. Social isolation and depression is so strong and if outpatient treatment is not sufficient then inpatient treatment and with its special procedures and measurements is necessary and the distance from the home environment is for patients or for. Helpful can you say that the eating disorder is just a symptom of an underlying psychological concept yes. We can do so we can say so. It is. Profound impairment of self esteem and of the interpersonal. Into lation. Relationships so right here in the setting of a room for art therapy how can out there a p help in even thoughtless is the reason its not to paint judicial pictures we want to. To encourage people to register and to to. To develop. And play with what comes from the inner self because many of these people of with eating disorders. Are limited in their expression due to. And we want to encourage this freedom. For that people can better find themselves in their expression ok so here comes the big question can eating disorders be healed. In a way yes it depends on. The way or the of a development that some people who fail from. Healing. Maybe a quarter of all the people with eating disorders and. The others can have a profit it depends if they are prepared to encourage in therapeutic. Proces that means also the therapeutic. Relationship they have good chance to improve their relationship to themselves to their body and to other people thank you so much for a very interesting talk thank you and if you ask yourself why those talks here in good shape are so interesting ok one of the reasons is me and the other one is you and your questions. Get an upcoming show well be looking at the question of who gets diabetes or cancer or rheumatism and who doesnt what role do the genes play what about environment and diet got a question about that center too in good shape at d w dot com just write Health Research in the subject line we look forward to hearing from you. There is a trial today and you can find more information about health and. The printers to small no one can read that and you can find more information about health and fitness thank you but. You can find more information about your health and fitness an off pace book page so see you again next week and until then lets all try to stay in good shape. Who this report missing about deteriorating eyesight as he age. For this man things in the immediate vicinity are in focus but everything a little further away is blurred like around three out of ten people in the world hes near sighted myopia as the condition is known is due to the eyeball being too long. This man on the other hand can see distant objects just fine but not things that are close up hes among the twenty five percent of people worldwide who are far sighted or hyperopic. Balls are too short. From Howden Slaven in eastern germany has a similar but not identical condition. In order to read something she has to move it farther away from her eyes she has presbyopia imo i noticed my eyesight was no longer one hundred percent i started having to hold the newspaper at arms length to read it. Occurs when the lens of the eye grows less elastic and the ciliary muscles progressive. Then the eye grows unable to focus on close objects or to adjust focus when switching from near to distance vision the change in l. S. D. City is caused by protein deposits in the liquid lens core which can already begin to form in childhood. Used to have normal eyes but now as symptoms associated with farsightedness she can focus on the apple at the back just fine but if she wants to switch that focus to the right in front of her the lenses of her eyes have to adjust and because they are increasingly unable to do so properly it appears blurred. As a woman the. Comes a point when you can no longer pluck your eyebrows i know it sounds a little odd but if you want to keep up your appearance and ensure your eyebrows look good then you have to have someone else do it for you. The sixty three year old runs are a coaching walks through a local park the point is for participants to give their eyes a gentle but effective workout by examining their surroundings in detail like the trees but i think the first thing to do is take off your glasses then look into the distance and move forward a bit to maybe give the branches a scan so your eyes have a chance to relax my and your vision get some much needed practice my view that before the. Presbyopia is something that happens to everyone eventually the good news modern progressive eyeglasses can provide effective relief the down side they make your eyes lazy so dont forget to exercise them this disease exists all over the world and many children get it chicken pox ok the rash disappears over time but the viruses still stay in the body and they can return as shingles. Seventy one year old hard to exude a calm loves gardening he lives close to a river so there are a lot of insects around. When he noticed a blister on his fired one day he thought it was just a mosquito bite. Before the mr moggs well i didnt think i needed to go to the doctor i thought it was nothing serious and i could just treated at home. He applied a cooling mosquito bite cream bus more and more blisters formed they were painful and. Patrick started to get headaches and circulatory problems eventually he could barely stand up his son was worried. I was shocked to see how the blisters had spread they were especially swollen around his eye and were leaking pass bills because of the circulatory problems too we decided to call an ambulance. Partly it was taken to the Hamburg University hospital by this point the blisters had spread across his face and doctors could tell straight away that he had a herpes suster infection more commonly known as shingles. But is there. Would you say it was more of a burning sensation. Or that it was more of a stabbing pain and of course of the stabbing pain out. Shingles is caused by reactivation of the chicken pox virus this can lie in active in nerve tissue near the spinal cord for years even decades later it can be reactivated at a time when the immune system is weak. It travels down nerves to the skin causing painful this. Good the country shingles can appear anywhere on the body its not always on the torso you get these little blisters which have already dried out and turned black in your case because the skin cells were damaged and died just after the cream is applied to dry out the blisters on his skull which helps to relieve the itching but its more important to fight the infection hippias dust of viruses are treated with the active substance a psych here. Will be given a three time. A day for seven days its a highly effective medication. Does is to help this this is herpes type three type one and type two are oral herpes or sometimes genital. Front and some are resistant to drugs like a cyclone. Type three the chicken pox virus or a very cell a virus is usually not. Its very important to treat the patients pain harvick could hardly bear it anymore especially at night. Hes been given and he epileptics and antidepressants because they relieve pain. When the nervous and i hyperactive state we can suppress its activity with certain drugs and activity and then the patient has the feeling that they were in less pain. After seven days hundred is discharged from hospital his g. P. Will now handle history on the blisters on his head have healed well but now the doctors need to make sure he doesnt end up with chronic nerve pain a common after effect of shingles he has to carry on taking various pain medications. You have to set some of the dose is really high very early on and then you can gradually reduce them. Thats to make sure the nerve stays intact and the pain doesnt become permanent. Its difficult to say how long hard to fix pain will loan just. The older patient and the most severe the infection the longer it usually takes for the pain to subside. Regrets not having consulted a doctor. The infection wouldnt have become so severe if it had been treated earlier. Its nice hope it disappears completely mostly so i dont have to keep taking tablets ive taken more tablets than ever before in my life. The singles have barely left a visible muck but hard to come has yet to regain the strength for his gardening. Do you remember what happened earlier today. So next week and until then lets all try to stay in good shape. Because like. Eccentric. Just think clean difference like. Keep scoring and scoring. On. Doubles. Crimes against humanity. Civics become witness six. Inches travel around the globe just social media. But. Picture what is for. Egypt investigators combed through the flood of images they combine. Sources to reconstruct what happened and to substantiate claims of crimes thanks to this video recording of the soldier who shot me young man is on trial now. Forensics between bits and parts. Of a single. Is a big chance because justice is about the truth. Truth detectives starts feb fifteenth on t. W. Once upon a time there was a young girl. With a burning ambition. To become a conductor. I was a very curious child and very excited and in love with music and that i would go to concerts with my parents and always. Here and for being on stage with the musicians and being part of that magic it was a difficult trip to the first girl so she was told to become doctors but this girl had other ideas and one day she really did become old world famous conductor. Of the not thanks. To. Start figuring. D. W. The good. Place to place blame. This is due to be a new supply for let the us calls for fresh elections in venezuela but russia says dont meddle in Domestic Affairs meanwhile thousands of venezuelans flee into neighboring colombia as a humanitarian crisis in their country intensifies they go the search of a better life some desperate to cross the border by any means and at any price. Also coming up to africa as refugees are top of the agenda as a youth leaders meet in august our correspondent visits an ethiopian refugee camp