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 ask myself could it be that those kind of images contribute to the fact that some adolescents and even adults develop an eating disorder like. So how do those kinds of Problems Develop and how can we help. To experts today by. Works for fed and 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 shelter. And helps to find them suitable for other prevention and public information. Eating disorders are not a character flaw or a silly habit like a logical illnesses. Because he let treats people with eating disorders at the team would have incidentally. Psychotherapist he wants to find the pulse of the disease with the help of his patients. Eating disorders usually include a profile. Of selfesteem and interaction with other. 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 mia and emma rexy are controlled so you give each 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 could hide 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 when you began to find your 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 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 forced back 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 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 hunger 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. With. That. At some point design you give each began to talk about her problems since then therapy and 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 anorexia is it that there has been 1000000 hope that model no it isnt the media focus on anorexia but the range of eating disorders is quite wide of the mention for example this belief that is when you binge east 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 shot and dont perish and just keep putting on weight limits questioned and grieved for anyone but what do those different diseases have in common. You know 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 high and you have to try to figure out what function the disorder serves well the individual involved. 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 are dozens of those 20. Thats a hotly debated issue they do play a role are they not the sole cause 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. Sometimes you were and 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 affect get here are the biggest of all the 1st thing is to help those affected understand their disorder. We try to explain things and help them make connections what is the purpose of the illness what function does it fulfill. But that 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 pass 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 Meetings so 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 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. You. Can 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. Now papa has written a book about her. Facebook and on you tube. Today 23 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 the plan every morning i planned 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 2 crack is for breakfast and the 2 apples in the evening that i permitted 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. When my my goal was to be underway 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 the trees one metre 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. 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. Correct see it was all consuming going out socializing enjoying herself life began to feel harder and harder and she lived in fear of situation. Where shed be expected to eat. Jennifer is an old friend theyve known each other for 10 years. So have a huffy list that 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 when she was going through all the 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. That she knows what she wants to tell them except yourself the way you are. Going my party would have been through vaca clinic in berlin meeting dr costantino whos 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 severance really serve the reasons for that 1st of all. The. Patients with. This all those who are in such bad physical state that medical stability sation. Necessary if social isolation and depression is so strong and if outpatient treatment is not sufficient then inpatient treatment with its special procedures and measurements is necessary and the distance from the home environment is for patients also helpful when 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 a. Profound impairment of selfesteem in of the interpersonal. Into lation. Relationships so right here we in the setting of a room for art therapy how can our therapy help in thoughtless is the reason its not to paint beautiful pictures we want to. To encourage people to register 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 t. V. 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 or the of 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 they are prepared to encourage in therapeutic procedures that means also the therapeutic. Relationship they have a 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. 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. Thats 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. You can find more information about your health and fitness on our Facebook Page so see you again next week and until then lets try to stay in good shape. Who reported missing about eyesight as he. 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. To take from Howden Slayton 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. 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 or the lenses of her eyes have to adjust and because theyre increasing their 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 i 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. Up 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 downside 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 hunter exude a common 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 going to marks well i didnt think i needed to go to the doctor i thought it was nothing serious and i could just treated at home. With him. And. 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. At if you know. Heart 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 herpes since to infection more commonly known as shingles. But is there such as now would you say it was more of a burning sensation. Or that it was more of a stabbing pain and of course not stabbing ok. 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. Going to 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. A 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. Viruses are treated with the active substance a psychic here. Will be given it 3 times a day for 7 days its a highly effective medication. To have to say this is herpes type 3 type one and type 2 are oral herpes 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 paying for it could hardly bear it anymore especially at night. Hes been given and he epileptics and antidepressants because they relieve pain. In the nervous and i hyperactive state we can suppress its activity with certain drugs activity and then the patient has the feeling that they are in less pain. Absolved. To 7 days 100 is discharged from hospital his g. P. Will now handle his treatment 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 tests is really high very early on and then you can gradually reduce them and 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 patient and the more severe the infection the longer it usually takes for the pain to subside. Regrets not having consulted a doctor soon a faction wouldnt have become so severe if it had been treated earlier. Its not 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 hard to exude a calm has yet to regain the strength for his gardening. Do you remember what happened earlier today. So next week and until then lets all d try to stay in good shape. Cult. Dog. Its a major test of camaraderie among the fact that the. Lights go on an. Odd. Life. Every 2 seconds a person is forced to flee their home nearly 71000000 people have been forcibly displaced the consequences of disastrous our documentary series displaced depicts traumatic humanitarian crises around the world you know. Forget them we dont need to i didnt go to university to kill. Or to have my boss come to me and tell me to kill someone if he got mad and if i dont theyll kill me. In the field for the murders of their future so they seek refuge abroad but what will become closer to stay behind its a. Little my husband went to cairo because of the crisis that the wanted that if he hadnt gone there we would have died of hunger. Starts. On job. This is news to live from berlin President Trump warns that america will hit back hard and fast if tehran retaliate for the death of a top military leader iran is holding a series of funeral processions for general qassam solo money 2 days after u. S. Airstrike killed him in back to colorado warns the rest of the world waits to see how the Islamic Republic might seek revenge. And the toll from australias bushfires keeps on rising as far as criticism of the