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Anxiety and Eating Disorders

I have permission to enjoy food. As obvious as this sounds, it's one of the most impactful realizations I've come to learn in eating disorder recovery. In the darkest seasons of my illness, I believed that showing a preference for any food at all was a sign of weakness. I would not allow myself to acknowledge pleasure in the flavors and textures of anything I ate. Food was purely utilitarian back then—I consumed just enough to stay alive and placate the concerns of those around me. But the more I heal, the more I learn that food is a source of nourishment and enjoyment. So I can grant myself permission to experience both.    
It would be a blatant lie to insinuate that eating disorder (ED) belief systems and thought patterns never cross my mind. Even with all the diligent, consistent recovery work I have put in over the years, I am still not immune to occasional insecurities, temptations, and criticisms from the eating disorder voice that once consumed each waking moment of my life. However, while I used to reactively listen and submit to this voice—no questions asked—I now understand there are healthier, more empowering alternatives. So how do I respond when these ED thoughts re-surface? I talk to my reflection in the mirror.
Receiving affirmation does not come naturally to me. My instinctive reflex is to feel uncomfortable whenever someone compliments me—even if the person doling out this kindness is a family member, close friend, or my partner. I automatically want to minimize the compliment so as to deflect attention as far from myself as possible.
The phrase "clean eating" is often used in wellness circles to denote a preference for natural, organic foods over artificial, processed ingredients. At face value, this is undeniably beneficial. After all, the human body requires essential nutrients to function, many of which come from vegetables, fruits, and other whole foods. It's important to be mindful of this. However, I feel using the word "clean" to talk about eating habits is problematic. In extreme cases, I worry it could even influence eating disorder behaviors. In my humble opinion, clean eating is not healthy—it's a harmful trend with potentially serious consequences.
I used to subscribe to the toxic positivity message. I wanted to believe that if I could maintain a persona of relentless confidence, enthusiasm, resilience, and optimism, then I would eventually outdistance the pain of my eating disorder.
Body dysmorphia is a mental health condition that will impact an estimated one in 50 people over the course of a lifetime.1 In some cases, those with body dysmorphia also suffer from eating disorder behavioral patterns such as caloric restriction, compulsive exercise, binge-purge cycles, or obsession with weight. The earliest signs of body dysmorphia often manifest in adolescence,2 and anyone can be at risk—no matter their gender pronouns, sexual orientation, body composition, or ethnic background. Here is what you should know about body dysmorphia in case you (or a loved one) are exhibiting symptoms of this mental illness.
Several years ago, when I had just begun the work to heal from anorexia, my therapist often closed out our frequent sessions with the reminder: "Your secrets will keep you sick." It's been a long time since I have seen this particular therapist, but I still carry her mantra with me. Eating disorders thrive on secrecy, shame, and silence—but honesty is the best weapon I have to combat eating disorder temptations when they creep back to the surface.
I am an identical twin. For most of my childhood, I was viewed as one-half of a package deal. In fact, my sister and I resemble each other so strongly that, as small children, my mom painted our toenails two contrasting colors just to tell us apart. We were known as The Twins, a source of fascination to those around us. I rarely encountered other sets of identical twins in those formative years—until my first experience at a residential eating disorder treatment facility. Twins were not uncommon there, which has me wondering: Is there a connection between eating disorders and twin dynamics?
When you enter the process of eating disorder recovery, one of the most intrusive—not to mention, persuasive—lies you might have to wrestle with is the belief that you're a burden. The combination of shame and stigma, which often underpins an eating disorder and many other forms of mental illness, can leave you feeling like just too much for those around you to tolerate. But as difficult as it can be to tune out this message, don't listen to the eating disorder voice: You are not a burden. In fact, you are worth claiming space in this world.
I am someone who genuinely loves to exercise. I know this claim might elicit some eye rolls, but it's true. I even had a therapist at a residential treatment program once tell me that she suspected fitness would always be an integral part of my life. The trick, she continued, was learning to create a balanced relationship with how I choose to work out. It's been more than 10 years since that conversation, but I still have to be so careful about using exercise to stabilize my emotions in eating disorder recovery.