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Eating Disorders Treatment

When it comes to my recovery from anorexia, like in a lot of areas of my life, I strive to be fiercely independent. Imagine a petulant toddler yelling, "I do it self!" at the top of her lungs and pushing people away while simultaneously crying because she can't actually "do it self." Excellent. You have just drawn yourself a picture of my first three years of recovery failures.
In my last post about being 24 and having an eating disorder, I looked back on my years in graduate school where I felt very lonely, even though I was often surrounded by many of my peers. Over time, and shortly after I started to get some help to manage my anxiety about food and body image, I had to understand why I had a tendency to engage in self-harm by binging and purging when I found myself in stressful situations. I thought I'd share some simple ways which might help you gain some understanding of your eating disorder, though by no means do I claim that this might be the right way for you to go about your recovery process. This is simply me sharing my experience with you,and I do invite you to reach out to an eating disorder professional for support in your journey to recovery.
Throughout my numerous trips to treatment for anorexia, I have had the opportunity to connect with some amazing women. (While I have never been in a treatment facility with men, I have also met some amazing men through the course of my recovery.) Some of these women I met while they were still adolescents -- 14, 15, 16 years old. And this week, many of them are headed to college -- moving into dorms, meeting new people, taking harder classes. I'll be honest, I am scared to death that many of them are going to suffer an eating disorder relapse.
Raised in a mixed French and Irish household, the stove was the center of my childhood. I guess that made me predestined to be a foodie who now enjoys food, wine, cooking and baking. As I made my way through eating disorder recovery, I also found myself taking comfort in learning how to prepare most of the foods I grew up with, but used to deny myself for many years. Often, people who meet me now are a bit perplexed about how I can balance a passion for food, knowing that I struggled with an eating disorder for a number of years. I thought I’d share a little bit of how this "works."
As a voice for eating disorders awareness, education, and advocacy, I am glad to have a platform such as this blog where my voice can be "heard." Too often, popular media portrays a one-dimensional view of eating disorders. That said, I struggle with the fact that I am the exact stereotype that you see on television and in movies. I am a Lifetime Movie or After School Special waiting to happen. I am white, female, young, heterosexual, intelligent, middle class, and anorexic.
Last month, I was traveling with family and friends and had a chance to see just how far my recovery from anorexia has come. When I went back to inpatient treatment over a year ago, I wanted to get better - to recover - but was honestly starting to doubt if it was possible. It was my third trip to treatment in as many years. It hadn't "worked" before, so why would now be any different? Even in the year since returning from treatment, it hasn't looked so great at times.
Patricia and I have both written before about the long, slow process of coming to acceptance of your body in your eating disorder recovery. However, it occurred to me that one of the most helpful things in my early recovery from anorexia, was a list of very down-to-earth, very practical do's and don't's for dealing with my changing body. Some of these are things I still use today if I'm having a rough body image day.
One of the most exhausting things about having an eating disorder is the non-stop racket in your brain. And while some of that chatter is about calories, food, and exercise - a lot of it is how you compare with other people. Is s/he skinnier than I am? She's eating a salad - she must think I'm so fat for eating a sandwich. So-and-so used to spend X hours at the gym - I only spent Y. More than anything, I just wanted my brain to shut up.
In a lot of ways, the eating disorders section of the Diagnostic and Statistical Manual of Mental Disorders improved drastically in the 2013 edition (the DSM-5). Binge eating was given its own diagnosis, finally allowing millions of Americans to hear the "me too" of not being alone in their struggle. People were finally able to see that they were sick (and stop shaming themselves), which is a huge step in the road to healing. Unfortunately, I can't consider all of the changes in this most recent edit as progress.
One of the major adjustments I've had to deal with in the last 6 years since I've started recovery from bulimia, has been to accept and love how my body looks and feels without abusing it the way I did for years. Because I suffered from bulimia and not anorexia, it was easier to hide at the time that I was suffering from an eating disorder, because I still looked 'normal' and maintained almost the same weight for a few years.