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 and the red sea i believe so how do those kinds of Problems Develop and how can we help. I was to. Experts today. Works for ted and think 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 unsuitable other issues are prevention and Public Information and strong eating disorders are not a character flaw or a silly habit there are serious psychological illnesses. Because 20 latrines people with eating disorders and it continued have answer that it. Is a psychotherapist he wants to find the cause of the disease with the help of his patients. Getting 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 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 bully mia and controlled son youve just like even socializing was torturous minutes and i fear. That when youre out for dinner you can either decline or improvise with a few tricks but thats hope your kid 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. Starting a village of 13 when you began to find her reflection in the mirror unbearable she was slightly overweight which led to her being picked on. 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 knew 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 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 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 to 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. Just. Yet. 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. And many people think that eating disorders are all about anorexia where people eat very very little and think they are fat but its not all about anorexia is it that there has been 1000000 hopefully no it isnt the media focused on anorexia but the range of eating disorders is quite quiet of the mansion 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 you have been shown and dont parrot and just keep putting on weight limits questioned and released from human 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 well the individual involved what 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 there are dozens of studies. Thats a hotly debated issue they do play a role but theyre not the sole cause but what would 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. 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 fulfil. 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 for the moment. I would together and 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. Time again 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. 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 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 do. This country. So its very important to speak to other people who are affected now papa has written a book about her and the regs here and on facebook and on you tube. Today 23 year old lau parker from hanover is comfortable in her body that wasnt always the case for years she was obsessed with keeping her weight down. The bush. Plan it was 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 2 crackers for breakfast and the 2 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. 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 underweight and i told myself that this was the cutoff point if i went any lower i would be extremely underway. 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 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. 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. An all 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 10 years. Or had it and a half years 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 her eating disorder with anyone and became skilled at hiding what was going on. 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 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 youtube about coping with anorexia and also gives nutritional advice. 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 accept yourself the way you are. Going at the. 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 who needs that. Yeah severance really of the reasons for that 1st of all. The. Patients with an erect take this all those who are in a 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 and with its special procedures 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 a. Profound impairment of selfesteem. Of the interpersonal. Into lation. Relationships so right here in the setting of a room for art therapy how can our therapy help in even thoughtless the reasons not to paint judicial pictures we want to. Do 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 depends on. The way or the. Development some people who failed from. Healing. Maybe a quarter of the people with eating disorders in. 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 relationships 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 t 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 try 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 about deteriorating eyesight 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. To trace 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 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 peter could teach which 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 right in front of her the lenses of her eyes have to adjust and because theyre increasing the 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. E. 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. 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 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 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. With him. And. He applied a cooling mosquito bite cream but 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 because of the circulatory problems too we decided to call an ambulance. For when he gets in at if you know. How 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. Talking about this now 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. Shingles 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. 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 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 help us this is herpes type 3 type one and type 2 are oral herpes or sometimes genital. Some are resistant to drugs like acyclovir. Type 3 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. In the nervous and hyperactive state we can suppress its activity with certain drugs activity and then the patient has the feeling that they are in less pain its an absolute. After 7 days hunt rick is discharged from hospital his g. P. Will now handle his treatment. 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. This means months if you have to set some of the dose 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. But its difficult to say how long hard fix pain will last. The older a patient and the more severe the infection the longer it usually takes for the pain to subside. Regrets not having consulted a doc to see the infection 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 im going to leave. The singles have barely left a visible mark but hard fixie to come has yet to regain the strength for his gardening. Do you remember what happened earlier today. So see you again next week and until then lets all try to stay in good shape. The by. The book. The beginning to. The be. Glad im not a is the coffee bum from the obviously the to me many times lets explain to brazils was a populist outrage now its grown on a long scale with lots of chemicals. Into the psalmist drugs but not the traditional way of sustainably and for you mr science but they are struggling to survive in the face of mass production above all to become 30 minutes on d w. 50 years of religious for peace people from many different faiths are working together toward a common goal the peaceful resolution of religious conflicts. Now female members or for allegiance for peace from the middle east or demanding the larger blowing up. The female peacemakers. In 60 minutes detail. How to cover more than just one reality. Where i come from we have a transatlantic way of looking at things thats because my father is from germany my mother is from the United States of america and so i realized f