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Anxiety and Eating Disorders

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.
It's been more than 10 years since I took those first reluctant, clumsy steps into the eating disorder healing process. But even now, after all this time, eating disorder recovery is still a series of both ebbs and flows. As someone who wants a clear line of demarcation to signal the end of this path to recovery, it's frustrating that no such finish line seems to be in sight.
To be honest, this is not the post I originally planned to write today. However, life has an interesting—often infuriating—habit of forcing my attention to land on unhealthy behaviors or unresolved issues that I need to acknowledge but would much rather ignore. Sometimes this comes in the form of painful news or circumstances, while other times, it comes in the form of a reminder that I'm an imperfect human who still has healing work to do. But today, in particular, I find myself asking the question: How do I receive painful news without taking it out on the body I live in, which has done nothing to deserve my wrath?
The phrase "new year, new you" is all over the place right now. From social media posts, to news outlets and blog articles, to conversations with friends or family, to marketing tactics from wellness brands, it often seems I can't escape this message once January rolls around. But while the concept might sound positive in theory—a chance to start fresh and reinvent oneself—the truth is, this "new year, new you" mantra doesn't work for me in eating disorder (ED) recovery. I also suspect I'm not alone in that feeling, so let's unpack it further.
Confession: I have felt internally out of control during the past month, and as I have come to learn about myself, this perceived lack of control can activate my eating disorder habits. To be fully transparent here, I'm not sure what to do about this recurring behavioral pattern in my life, but for right now, I just need space to acknowledge it. I will undoubtedly examine it through a curious, in-depth lens with my therapist in this week's counseling session. However, at the moment, I have to be truthful about the reality that this lack of control I feel is threatening to activate my eating disorder habits.
Eating disorder recovery during life transitions can present a real challenge. As this final stretch of 2021 rounds the corner and another new year looms on the horizon, the inevitability of transition is at the forefront of my mind. But while this idea of change can often bear a negative connotation and cause stress levels to escalate, the change itself doesn't always have to bring chaos, fear, anxiety, or upheaval into your actual lived experience.
In many cases, eating disorder behaviors can be fueled by cognitive distortions. These irrational thought patterns could influence you to latch onto a negative and inaccurate view of yourself, a situation, a relationship, or life as a whole. But cognitive distortions only have power if you allow them to take root, which means that you can learn to spot cognitive distortions—and ultimately combat them—in eating disorder recovery.