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Orthorexia: An Obsession With Healthy Food “Orthorexia is an obsession with eating healthy food — to such an extent that the person may restrict their diet very severely and limit their functioning, such as not socializing in situations where there is ‘unhealthy’ food,” says Sheela Raja, PhD, an assistant professor and clinical psychologist in the Colleges of Medicine and Dentistry at the University of Illinois at Chicago. There has been no research into eating disorder statistics to know how widespread orthorexia is, but in general the idea of “good” and “bad” foods is relatively common in people with eating disorders. The advent of so many fad diets hasn’t helped matters either. No carbs, only raw food, macrobiotics — diets with such strict food rules can certainly lead to confusion about what really is healthy and what isn’t, and in turn can contribute to orthorexia. Warning signs can range from negative feelings about “impure” foods to trouble dealing with stress. Avoiding social situations or bringing your own food to restaurants or get-togethers can be another red flag, as can insisting that good health is totally dependent on the quality of the food you eat. It can also be more common in people who have obsessive or black-and-white thinking that a food is either all good or all bad. Orthorexia is not an official psychiatric diagnosis, given that the symptoms overlap significantly with diagnoses of other eating disorders. “No classic treatment plan is available, but I work with people to normalize food and take away magical thinking about the ‘right/perfect’ foods,” says Esther Kane, MSW, a registered clinical counselor in private practice in Courtenay, British Columbia, Canada, and author of It’s Not About the Food: A Woman’s Guide to Making Peace with Food and Our Bodies. Nutritional education and finding other ways to deal with stress and negative moods are important steps. Raja, for example, suggests participating in an activity unrelated to eating, such as going for a walk or taking a bath, when feeling stressed. Focusing on moderation is also key, as is emphasizing the idea that no food should be excluded from the diet.

It’s no wonder, then, that the young cheerleaders found the increasingly prevalent condition of gluten sensitivities the perfect cover for what turned out to be very real cases of anorexia. By the end of the school year, two out of the three girls were in treatment for eating disorders and the third was taken out of school by her parents.

Julie Dorfman, director of Nutrition at Philadelphia’s Renfrew Center, the country’s first residential facility for the treatment of women with eating disorders, is not surprised. “With the eating disordered population, I’d say that 110% of them are using intolerances or food ‘problems’ as a means to avoid eating these foods in a socially acceptable way. Gluten just happens to be the fad right now.”

Stacey Rosenfeld, Ph.D, a psychologist who specializes in eating disorders is in the camp of those who believe that using medical or pseudo-medical reasons for restrictive diets is often a cover-up for disordered eating.  “Nobody wants to be called out on an eating disorder or obsessive eating,” she says, “so anything they can do to hide it, they will.”

Attention-deficit problems are far from the only reasons to take our lack of quality sleep seriously. Laboratory animals die when they are deprived of delta sleep. Chronic delta sleep deficits in humans are implicated in many diseases, including depression, heart disease, hypertension, obesity, chronic pain, diabetes and cancer, not to mention thousands of fatigue-related car accidents each year. Sleep disorders are so prevalent that every internist, pediatrician and psychiatrist should routinely screen for them. And we need far more research into this issue. Every year billions of dollars are poured into researching cancer, depression and heart disease, but how much money goes into sleep?

The Klontz study asked 422 people about 72 money-related beliefs and then analyzed correlations among the answers. This produced four broad categories that Mr. Klontz called “money scripts”: money avoidance, money worship, money status and money vigilance. How does he define them?

Those who are in the money avoidance camp share beliefs that make them distance themselves from money. Mr. Klontz said this group may be worried about abusing credit cards. They may believe that they do not deserve to have money and may sabotage their own financial well-being. People in this group tend to have low incomes and net worth. They also tend to be younger. People who fall into the money worship camp would seem to be the opposite, but their behaviors are equally destructive. They believe that an increase in income or a windfall will make everything better and love the status derived from the things that money can buy. This belief also lands people in debt because they use whatever credit they have to buy things that will impress others.

“They believe money will solve all of your problems,” Mr. Klontz said. “This is the money belief pattern that afflicts the majority of Americans.” Anxiety about money status occurs when people’s self-worth is linked to their net worth. These people often take bigger financial risks because they want to have the stories of big gains to impress their friends. (Don’t expect them to tell you when those big bets do not pay off.) The only affliction that did not have an overwhelmingly negative impact on people’s financial future was money vigilance. People with this disorder do not like to share information about their income or wealth, but they also do not spend foolishly. Still, excessive wariness about spending can keep these people from enjoying the benefits of what money can buy. On the other hand, while they did not necessarily have higher incomes, they paid off their credit card bills each month. “Maybe some anxiety and vigilance around money is good for your bottom line,” Mr. Klontz said. Not surprisingly, the four money scripts illustrate problems that have less to do with money than with what money represents. But what may be surprising is that the study found few links between who held what belief and their family background, race, gender, education level or income.

WHY is nearsightedness so common in the modern world? In the early 1970s, 25 percent of Americans were nearsighted; three decades later, the rate had risen to 42 percent, and similar increases have occurred around the world.

Our genes were originally selected to succeed in a very different world from the one we live in today. Humans’ brains and eyes originated long ago, when we spent most of our waking hours in the sun. The process of development takes advantage of such reliable features of the environment, which then may become necessary for normal growth. Researchers suspect that bright outdoor light helps children’s developing eyes maintain the correct distance between the lens and the retina — which keeps vision in focus. Dim indoor lighting doesn’t seem to provide the same kind of feedback. As a result, when children spend too many hours inside, their eyes fail to grow correctly and the distance between the lens and retina becomes too long, causing far-away objects to look blurry.

There is significant evidence that the trait is inherited, so you might wonder why our myopic ancestors weren’t just removed from the gene pool long ago, when they blundered into a hungry lion or off a cliff. But although genes do influence our fates, they are not the only factors at play. In this case, the rapid increase in nearsightedness appears to be due to a characteristic of modern life: more and more time spent indoors under artificial lights.