Kelsey Giordano 1 Opportunity: Annual conference for NEDAwareness (National Eating Disorder Association) week Audience: Collection of 100 or so lobbyists, professional doctors and psychologists, and grant donors who were invited to attend this conference Venue: A conference hall at NEDA headquarters in Seattle, WA. Podium at front for a variety of speakers. This speech is particularly important since speaker is Lynn Grefe, president and CEO of NEDA, the hosting organization. Good afternoon, and thank you for that introduction. I am honored to be speaking to you on behalf of the wonderful organization: NEDA, the National Eating Disorders Association. Thank you for coming to our weekend-long conference. I hope you are enjoying not only the presentations up here, but also the copious amounts of food we’ve provided... So please, if in the middle of my speech you’d Kelsey Giordano 2 like to stand up and grab another fruit or cup of coffee in the back, I will not be offended. I would like to start by sharing a story about a boy named James. James was nine years old when he started being picked on for his appearance. Classmates said his glasses were too small for his head, his pants too short for his growing legs, and his friends too imaginary to ever become real. While middle school bullying dragged on, James decided to take control over something Kelsey Giordano 3 he knew he could: his eating. James was convinced that by starving himself, he’d improve his social status. When James’ mother noticed his weight loss, she was concerned. But the diagnosis of an eating disorder was never considered for this young male, and the physical changes were chalked up to puberty and growth spurts. But along with physical weight, James lost bone density, muscle strength, overall daily energy, emotion regulation, hydration, his hair, and his healthy heart rate and blood pressure – All common occurrences seen with Kelsey Giordano 4 eating disorders. James was also showing signs of comorbidity, and admitted to having suicidal thoughts. By the time James’ case was severe enough to bring him to medical care, doctors could only do so much. James needed in-patient rehabilitation. However, there was no way his family could pay for this treatment on their own. Because treatment would take place in a residential recovery facility, and not a licensed ‘hospital’, insurance plans would not provide any aid. Kelsey Giordano 5 For James, the systems in place were not enough. And that is the reason I’m talking to you today. Everyone in this room has heard the numbers by now: James is one of the 30 million people to suffer from a clinically significant eating disorder at some point in their lives. While anorexia nervosa is most common, disordered eating also includes bulimia nervosa, binge eating disorders, and eating disorders ‘not otherwise specified’. These mental illnesses are affecting all genders, all ages, and all ethnicities. Kelsey Giordano 6 So focusing on, for example, one age bracket of adolescent females, is not enough. Eating disorders have the highest mortality rate of any mental illness, yet are severely underfunded for any adequate research. According to the National Institutes of Health, “Research dollars spent on Alzheimer’s Disease averaged 88 dollars per affected individual in 2011. For Schizophrenia, the amount was 81 dollars. For autism, 44 dollars. For eating disorders, the average amount of research dollars per affected individual was 93 cents.” This is not enough. Kelsey Giordano 7 This puts research for eating disorders in a difficult place, but more importantly, puts the individuals fighting the diseases in an impossible place. Treating an eating disorder, including therapy and medical monitoring, costs between 500 and 2000 dollars, per DAY. That averages to costing around half a million dollars yearly. The cost of this treatment is way out of the majority of the American population’s budgets. And what insurance companies are providing: it is not enough. Kelsey Giordano 8 The sad truth is that of those who do receive treatment, about 50 percent will still relapse. This suggests that eating disorders are persistent, debilitating, and long-lasting illnesses that are short on proper recovery treatments. What we are giving these struggling individuals as education, and as treatment, is not enough. Eating disorders affect everyone, they are unrealistically costly and severely underfunded. They are lengthy to battle and recover from. Kelsey Giordano 9 If we want to see change, both education and research around eating disorders must be improved. Because the resources we currently have are not enough. They were not enough for James, and they won’t be enough for the next year of victims, or year after that. I ask that after attending this conference, and hearing my speech today, I have lit at least some small fire under your seat to strive for having enough! For the treatment that those struggling deserve. This can be reached on the federal funding level all the way down to Kelsey Giordano 10 the small charities for change, and even to the individuals like James and his family. Please note that all donations collected this weekend are directly going to research and treatment opportunities. Thank you so much for listening, and for joining NEDA’s fight for enough!