Purdy: Paraag Marathe and his back story are a slice of 49ers intrigue

SARATOGA — Do you know Paraag Marathe? You don’t know Paraag Marathe.

“Hey, it’s the same oven!” he exclaimed.

We had just entered the front door of Mountain Mike’s pizza parlor. Marathe grew up blocks away. But this was far more than Marathe’s old stomping ground. This was much more.

“I don’t know how long it’s been since I was here,” Marathe said, gazing around. “I helped my dad set up this place. I hired the first employees, I picked out this furniture. I picked this color scheme.”

Yes, it turns out there is a lot that all of us don’t know about Paraag Marathe. I used to think that was exactly how he and the 49ers wanted it. But as we sat down for a nearly two-hour lunch at the restaurant that this family once owned, a lot of insightful doors opened up into the team’s mystery man.

Published on The Mercury News website on 8.7.17
Written by: Mark Purdy

Guest Post: The Non-Simplicity of Mental Illness

ONE OCTOBER DAY in the fall of my junior year of college, I found myself sitting in a chair across from a small blond woman with a look of deep concern on her face as she stared into mine. She had something to tell me, she said, and it was clear she knew that the something would upset me. Her eyes were wide, her hands  on the arms of a chair that would have been more appropriate in a public library lounge. Her windowless office was warmly lit with a few small lamps, none of the bright fluorescence and antiseptic shine of a doctor’s office. Still, it was a doctor’s office, or at least it was an office in which something resembling medical care was taking place, and I had the feeling she was about to tell me that mine could no longer take place here.

Published on The Last Word On Nothing website on 7.12.17
Written by: Laura Dattaro

The Intersect of Eating Disorders and Binge Drinking

Eating disorders (EDs) pose a serious threat to physical and mental wellbeing. Anorexia (AN) is characterized by extreme diet restriction and fear of weight gain, bulimia (BN) by vicious binge-purge cycles, and binge eating disorder (BED) by frequent binges, or consuming very large quantities of food while feeling a loss of control over one’s action. Individuals experiencing significant distress and impairment from maladaptive thoughts and behaviors related to eating, food, or body image but who do not meet criteria for AN, BN, or BED may also be diagnosed with Other Specified Eating and Feeding Disorder (OSFED). Moreover, EDs do not always occur in isolation. The complications associated with eating disorders can be exacerbated or prolonged when combined with alcohol misuse and binge drinking. In fact, eating disorders are highly comorbid with substance use disorders, particularly alcohol use disorder.[1] This co-occurrence, however, varies across diagnostic subtypes. For example, research studies have found that individuals with BN may be up to three times more likely to report alcohol misuse problems than women without BN.[2] Among individuals with AN, those with binge-purge subtype endorse higher rates of alcohol abuse (22%) compared to restricting subtype (12%). Research has also identified biological factors that may partly account for the relationship between the two disorders. Recent genetic analyses have observed strong genetic overlap between bulimic behaviors (e.g., binging and purging via vomiting, laxative use, excessive exercise, or diet pills) and problematic alcohol use[3] and alcohol dependence.[4],[5] Brain imaging studies have shown similar patterns of activation in executive control and some reward regions of the brain in alcohol use disorder and BN/BED.[6]

Published on the Gürze-Salucore ED Catalogue website on 7.31.17
Written by: Paige J. Trojanowski
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Men in an Eating Disorders Therapy Group: Creating a Physically and Emotionally Comfortable Space

As those who work with people with eating disorders know, the landscape is changing in ways both positive and negative, exciting and troubling, and medically/therapeutically appropriate and terribly harmful, often at the same time. As the diagnostic criteria for eating disorders have changed to reflect the people we actually see in our offices, one positive shift has been the change in patient demographics. Though there is an unfortunate absence of research into this issue, one anecdotal change has been the increase in men seeking therapeutic assistance for eating disorders, body dissatisfaction, compulsive exercising, weight gain/loss, and many other issues commonly thought of as being the purview of women (Cox, 2017).

I recently jumped at the opportunity to form a men’s group at Balance Eating Disorder Treatment Center, in NYC. It was something I’ve wanted for awhile, but amassing a concentrated group of men to form a group has proved difficult. Balance advertised in as broad a manner as possible to attract as many members as possible. We invited men interested in examining their relationship with food, body, self, and society, focusing on body image concerns, emotional eating, relationship issues and sexuality, nutrition, healthy exercising, communication, and coping skills. We didn’t know who would respond.

Published on the Gürze-Salucore ED Catalogue website on 7.31.17
Written by: Jacob Pine, LCSW
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The Smartphone Psychiatrist

Sometime around 2010, about two-thirds of the way through his 13 years at the helm of the National Institute of Mental Health (NIMH)—the world’s largest mental-health research institution—Tom Insel started speaking with unusual frankness about how both psychiatry and his own institute were failing to help the mentally ill. Insel, runner-trim, quietly alert, and constitutionally diplomatic, did not rant about this. It’s not in him. You won’t hear him trash-talk colleagues or critics.

Yet within the bounds of his unbroken civility, Insel began voicing something between a regret and an indictment. In writings and public talks, he lamented the pharmaceutical industry’s failure to develop effective new drugs for depression, bipolar disorder, or schizophrenia; academic psychiatry’s overly cozy relationship with Big Pharma; and the paucity of treatments produced by the billions of dollars the NIMH had spent during his tenure. He blogged about the failure of psychiatry’s Diagnostic and Statistical Manual of Mental Disorders to provide a productive theoretical basis for research, then had the NIMH ditch the DSMaltogether—a decision that roiled the psychiatric establishment. Perhaps most startling, he began opening public talks by showing charts that revealed psychiatry as an underachieving laggard: While medical advances in the previous half century had reduced mortality rates from childhood leukemia, heart disease, and aids by 50 percent or more, they had failed to reduce suicide or disability from depression or schizophrenia.

Published on the Atlantic website as part of their July/August 2017 issue
Written by: David Dobbs

EDRC Receives SCCBHB Agency Hero Award

From left to right: Toni Tullys, Director of County Behavioral Services, EDRC founder Janice Bremis, and volunteer Max Sala

On 4 May 2017, The Santa Clara County Behavioral Health Board (SCCBHB) honored Silicon Valley’s Eating Disorder Resource Center (EDRC) with the AGENCY HERO award, a part of the Community Heroes Award Ceremony. These honors are given to community agencies and members who have made an extraordinary difference in the lives of people with behavioral health illness.

Toni Tullys, Director of County Behavioral Services, and Gary Miles, Ph.D., Board President, presented the award to Founder Janice Bremis and volunteer Max Sala, recognizing the EDRC’s outstanding service and commitment to increasing research efforts, professional development, treatment access, and public awareness on eating disorders. The EDRC’s mission is inspired by Ms. Bremis’s dedication to end suffering for individuals by promoting access to quality care. We provide families and local communities resources for prevention and treatment and offer multiple support groups across the Bay Area.

Treatment for Eating Disorders Goes Mobile

Every day for the past six months, a 29-year-old actress in New York has been logging every meal via an app to monitor what she eats and more importantly how she feels afterward.

“It shows the correlation between the emotion and food,” said the actress, who asked to be identified by a pseudonym, Anita. “That’s really great.”

Anita uses a mobile app called Recovery Record, part of a growing trend of mobile technology designed to help people with eating disorders.

Now the National Eating Disorders Association is hoping to capitalize on that trend by partnering with Recovery Record on a new platform called Renew.

The new platform builds on the app that Anita taps into by allowing users to receive personalized guidance for coping with eating disorder symptoms.

The aim is to reach more people suffering from eating disorders and connect them to the national association’s crisis helpline, other tools and treatment.

Published on the ABC News website on 3.6.17
Written by: Gillian Mohney

Can Patients with Eating Disorders Learn to Eat Intuitively? A 2-Year Pilot Study

Center for Change is committed to helping further research that it is essential for documenting and improving the effectiveness of eating disorder treatment programs and for increasing professionals’ understanding of these disorders. We are pleased to present the results of our 2-year pilot study that has been published in Eating Disorders: The Journal of Treatment and Prevention.

To view the study, click here. 

To learn more about the ongoing research at Center for Change, click here.

Published on the Center for Change website on 6.1.17


Eating Disorders: South Bay Students Win Body-Image Essay Contest

Six South Bay students have been named winners in the Eating Disorders Resource Center’s eighth annual Every Body’s Beautiful writing contest.

In the high school division, Sean-Yuei Tseng and Vivian Le, both seniors at Piedmont Hills High, placed first and second respectively and Ayushi Ray, a sophomore at Cupertino, placed third.

In the middle-school division, Carina Chiu, an eighth-grader at University Preparatory Academy charter school in San Jose placed first; and Elisia Macias, a seventh-grader at Brownell Middle School in Gilroy placed second. The third-place winner chose to remain anonymous.

Published on The Mercury News website on 4.12.17
Written by: Sharon Noguchi

We Cannot Continue to Overlook ‘High-Functioning’ Depression

I first saw a psychiatrist for my anxiety and depression as a junior in high school. During her evaluation, she asked about my classes and grades. I told her that I had a 4.0 GPA and had filled my schedule with Pre-AP and AP classes. A puzzled look crossed her face. She asked about my involvement in extracurricular activities. As I rattled off the long list of groups and organizations I was a part of, her frown creased further.

Finally, she set down her pen and looked at me, saying something along the lines of, “You seem to be pretty high-functioning, but your anxiety and depression seem pretty severe. Actually, it’s teens like you who scare me a lot.”

Now I was confused. What was scary about my condition? From the outside, I was functioning like a perfectly “normal” teenager. In fact, I was somewhat of an overachiever. I was working through my mental illnesses and succeeding, so what was the problem?

Published on The Mighty website on 5.23.16
Written by: Amanda Leventhal