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3. Why are so many women over 40 developing eating disorders?

I suspect that with the "fifty is the new thirty" mantra, there are pressures to try to be fit, beautiful, successful and happy in ways that have not been seen before.  I also know how difficult it was for me to get better back in the 1980s because there were few role models and very few treatment centers, so I suspect that some people just went in and out of their disorders without ever stringing together long-term health.   Recovering from an eating disorder and staying better is especially hard, too, because food is a necessary part of being alive, and temptations and triggers are everywhere, regardless of where you go.  So I think that there are a huge number of women who have been dealing with some version of disordered eating for decades, and that there could be others who are feeling disoriented by upheavals in their lives – divorce, unemployment, empty nest, poor health, changing hormones – and focusing on their body distracts them from coping with other problems.  I also don't think that there is a widespread belief that long-term recovery exists, so there might not be enough hope for people to persist through the setbacks they encounter.


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Caroline Adams Miller, MAPP, is an internationally-known coach, author, educator and motivational speaker on the topic of goal accomplishment and its connection with happiness, and is recognized as one of the world's leaders on this research and how it can be applied to one's life for maximum transformation and growth. She is also the author of several heralded and ground-breaking books, including "My Name is Caroline" the first autobiography by a bulimia survivor (Doubleday 1988 and soon-to-be re-released in 2013), and most recently "Positively Caroline," the first autobiography by a bulimia survivor who has decades of recovery.

Caroline is one of the first graduates of the Master's of Applied Positive Psychology at the University of Pennsylvania (2006), and her capstone project became the best-selling book, "Creating Your Best Life" (Sterling 2009), the first mass market guide to the connection between the science of happiness and the science of goal accomplishment. She has been featured in the media for decades, and XM Radio featured her "Tip of the Day" for two years. Caroline is a graduate of Harvard University and mother of three adult children who lives in Bethesda, MD with her husband.

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