Real Solutions, not Resolutions this New Year

Unfortunately, it’s impossible to live in America and not be bombarded with messages about the new diet fad that promises to give you the security of “optimal” health. The idea that there’s something wrong with your body, is a toxic myth that makes billions for the diet industry and wreaks havoc on the mental, emotional, physical, and spiritual health of most Americans. The idea that health equals a certain BMI (lower) and that health excludes other BMIs (normal or higher) is sadly perpetuated by the healthcare system and ends up doing more harm than good. It’s impossible to navigate the medical establishment without being bombarded with the toxic message that thin equals healthy (an idea that is not supported by research, an idea that is rooted in systemic oppression of people living in larger bodies and also rooted in racism). 

This time of year, as 2023 approaches, many people think about what they want for themselves in the new year. Given the diet culture and thin idealization we breathe in every time we get online, watch TV or go to the doctor’s office, many people include dieting on their new year’s resolution list. The culture we live in, the medical system we are embedded in, and this time of year set the stage for a perfect storm. As an eating disorder professional, my practice is aligned with the principles of Health at Every Size, which focuses on comprehensive health that also includes a person’s quality of life and mental health.

The rest of the world seems to live by the principle of a narrowly defined and impossible-to-achieve idea of “Health” at Any Cost. The cost becomes engaging in dangerous and extreme diets and exercise, and many people neglecting their bodies and health altogether when that backfires. One risk of pursuing “Health” at any cost is the development of dangerous and potentially fatal eating disorders. 

3 Real Solutions to Replace Weight, Diet, or Appearance-Focused Resolutions

1. Commit to Knowing your Values: Take some time to consider what’s really important to you. How do you want to spend your time? Who do you want to be around? Is there a place for love, including self-love starting today? 

2. Commit to the Truth that Your Body is Perfect Right here and Right Now…Just…As…It…Is!!  There’s a minefield out there called social media. The point being, today’s technology is largely run by algorithms that too often target adolescents and adults who are at high risk of body dissatisfaction and eating disorders. This can lead to the exploitation of vulnerable people who then find fault with their bodies and search for diets that will “fix” those imperfections. A toxic minefield designed to make a few people very rich. And to keep you miserable. Start with the truth…there’s NOTHING wrong with your body!

3. Commit to Balance, Flexibility, and Celebrating Diversity. The thin ideal, and extreme diets have been centered by our culture, and the advertising industry for decades. This falsehood hurts you whatever your size is. This falsehood systematically oppresses people of size and those who belong to historically minoritized groups and communities. The anecdote to hate and rigid control is love. Celebrate size diversity. Celebrate balance with eating and joyful movement. Know the truth that flexibility is a hallmark of health. Denounce sizeism, oppression, and exploitation. 

In closing, if you are struggling with an eating disorder, body image, compulsive overeating, dieting or over exercising, seek help! Treatment works—good treatment from qualified professionals with expertise in eating disorders. Tap into community resources like the National Eating Disorder Association (NEDA), ANAD, and mutual support groups like Eating Disorders Anonymous (EDA). Give yourself the gift of community. Give yourself the gift of freedom. 

HAPPY NEW YEAR!

Elizabeth E. Sita, MD
Medical Director of Adult Services
Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award. Upon completing her training, Dr. Sita came to Ascension Alexian Brothers Behavioral Health Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders. Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making. She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!   VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services  
Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.