T. V. Doctor with your favorite t. V. Show but be honest do you sometimes watch other programs then presents 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 anorexia. So how do those kinds of Problems Develop and how can we help. To experts today that. You know where its for help and for this Berlin Association wants to be the 1st contact point for people with eating disorders it offers advice to people with eating disorders in a sheltered space and helps to find them suitable for. Conventional and public information. Eating disorders are not a character flaw or a silly habit they are serious psychological illnesses. Because the trades people with eating disorders and it continued have incidentally. The psychotherapist he wants to find the pulse of the disease with the help of his patients. Eating disorders usually include a proof. Of self esteem and interaction with. Malnutrition Heart Disease stomach problems infertility eating disorders are dangerous and one out of 10 patients even dies from it nevertheless many patients dont even realize that theyre sick and theyve got problems to seek help. For 15 years the eating disorders believe. Controlled so you give it is life even socializing was torturous minutes and i fear. 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 him for that and the shame you feel afterwards. Starting a village of 13 only began to find her reflection in the mirror unbearable she was slightly overweight which led to her being picked on. By. 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 until i realized eating and vomiting is the answer for me in that way i can still eat but as time went on i was purging almost everything i ate and eventually i became anorexic. At the age of 17 so only was admitted to hospital for 9 weeks where she was force fed but after being released she soon resumed her old habits she knows coming to terms with the underlying cause 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 to 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 congo or 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 having the perfect body and a 6 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. Is. That. At some point design your luggage began to talk about her problems since then therapy in writing a book helped her finally come to terms with her eating disorder. I with the help from the. Many people think that eating disorders are all about anorexia where people eat very very little and still think they are fat but its not all about and it wrecks again is it that there has been a 1000000 hope that models will know it isnt the media focused on anorexia but the range of eating disorders is quite whiling it also mention for example this belief that is when you binge and then purge vomit or do lots of sport to compensate for all the food. And there is the Binge Eating Disorder which is not so well known youve been injured and dont perish and just keep putting on weight limit questioned and released from even 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 i can relate emerge when life is particularly tough so obviously just advising on what constitutes a healthy diet wont make them better either to reach the middle high and you have to try to figure out what function the disorder serves well the individual involved. A strong who didnt mention lets talk about the big 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 out of the study. Thats a hotly debated issue they do play a role are they not the sole cause of what 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. 1st contact point for people who are affected 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 those affected get here are the biggest of all the 1st 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 fulfill. The thought we also explain our approach and offer guidance on how to deal with the problem what is the best thing to do at any given moment passed through the moment. I put 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. And 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 convention a 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. And 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 talk about 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 to. This country. So its very important to speak to other people who are affected. Papa has written a book about her and she is talking facebook and on you tube. Today 23 year old love from hannover is comfortable in her body that wasnt always the case for years she was obsessed with keeping her weight down. The bush. Plan every morning i plan what i was going to eat that day i was from then id weigh myself id spend the whole day trying to stick to the plan the 2 crackers for breakfast and the 2 apples in the evening that i permitted myself. Going to talk only thinking about food constantly i was permanently hungry. I wanted to eat and i like to eat but i didnt let myself. 17 at the time i would make meticulous notes on her calorie intake. She allowed herself just 80 calories a day an average young woman needs 2000. My goal was to be under way 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 50 kilos. At one point lauper weighed just 47 kilos far too little given that is one meter 71 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 needed to gain weight. Because 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. Loved. Rexy it was all consuming going out socializing 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 10 years. So have a half yes that she denied herself everything if we were going out for cocktails she wouldnt come. And she didnt have much of a social life but. Didnt discuss our 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. Writing a book about her experience helped her work through it these days she regularly posts videos on you tube 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. And she knows what she wants to tell them except yourself the way you are. And im a pretty would have been through a vacuum leak 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. Yeah there are several of the reasons for that 1st of all. There are patients with. This all this who are in a such bad physical state that medical stability variation is necessary if social isolation and depression is so strong and if outpatient treatment is not sufficient then inpatient treatment with its special procedure and measurements is necessary and the distance from the home environment is for patients also helpful can you say that the eating disorder is just a symptom of an underlying psychological conflict 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 we in the setting of a room for art therapy how can opt for p help in eating thoughtless the reason is not to pain beautiful 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 so here comes the big question can eating disorders be healed. In a way yes it depends on. The way of the. Development some people who fail from. Healing. Maybe a quarter of the people with eating disorders and. The others can have a profit it depends if theyre. Prepared to encourage in therapeutic procedures that means also the therapeutic. Relationship they have a good chance to improve their relationship to themselves to the body and top of 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. In good shape your Weekly Health show on d w that covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we discuss these topics and depth with specialists and offer you opportunities to pose your own questions so get in touch. With their 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. You can find more information about your health and fitness on our Facebook Page so see you again next week and until then lets all try to stay in good shape. Who this report missing. I cite as you age. For this man things in the immediate vicinity are in focus but everything a little further away is blurred like around 3 out of 10 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 25 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. I noticed my eyesight was no longer 100 percent i started having to hold the newspaper at arms length to read it. Presbyopia occurs when the lens of the eye grows less elastic and the ciliary muscles progressively weaken 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 eyesight 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 apple right in front of her the lenses of her eyes have to adjust and because theyre 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 so. The 63 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 1st 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 got 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. 71 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. When i didnt think i needed to go to the doctor i thought it was nothing serious and i could just treated at home. We do. He applied a cooling mosquito bite cream but more and more blisters formed they were painful and. Perfect 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 because of the circulatory problems too we decided to call an ambulance. Heart that 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 such as the would you say it was more of a burning sensation. Or that it was more of a stabbing pain and of course a stabbing pain hardly. Singles is caused by a 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 it is. A cunt 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. The cream is applied to dry out the blisters on his scalp which helps to relieve the itching but its more important to find the infection. Is just a viruses are treated with the active substance a psych here. Will be given a through time. Today for 7 days its a highly effective medication. Does is to have to say this is herpes type 3 type one and type 2 are oral herpes or sometimes genital. And some are resistant to drugs like a cyclone. Type 3 the chicken pox virus or a very cell a virus is usually not. Its very important to treat the patients pain could hardly bear it anymore especially at night. Hes been given and he epileptics and antidepressants because they relieve pain. When the nervous and hyperactive state we can suppress its activity with certain drugs activity and then the patient has the feeling that they were in less pain was absolved. After 7 days hartwick is discharged from hospital his g. P. Will now handle history and. 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 last. The older a patient and the most severe the infection the longer it usually takes for the pain to subside. Regrets not having consulted a doctor soon a pain faction 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 mark but hotfix e 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. Simply. Because. The worlds 1st black superstar. Josephine baker. Downs turned away to fray and became an icon of the liberation. Army major refused to tolerate racism over time so she left her homeland the united states. Josephine baker 15 minutes w. Lawyer. High culture. A hair. Superman. Superfood stylish star like on a lot of. Lifestyle youre a. Minute on. What secrets lie behind these was. Discover new adventures in 360 degree. And explore fascinating World Heritage sites. 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