Eating Disorders Today

Eating Disorder Recovery Tip: Greet the New Year with a Gratitude Journal

Eating Disorders Today has a name change and a new location. 

Please visit Eating Disorder Recovery for Women at http://www.eatingdisorderrecovery.com.

       Why not greet with New Year with a gratitude journal?

        You can start by putting a reminder note on your bathroom sink mirror that says, "Add one item to your gratitude journal, no matter how small."

       (http://www.sleepydust.net/GRATITUDE-JOURNALS-what-is.html)

       The "no matter how small" is essential.  Looking in any mirror at any time for an eating disorder person can be a trial.  Mirrors, like scales, bring out the ferocious and unrelenting inner critic, merciless and condemning.

       Meeting that critic with a gratitude reminder can help prevent a person from spiraling into a bleak emotional state that could well trigger an eating disorder episode.

       A gratitude journal can help all of us open our minds and hearts to the positive aspects of living and of our lives in particular. 

       You might think, "Well, I can't do that because I have nothing to be grateful for. My life is a mess."

       If you are caught in that kind of downward thinking we need to find a way to reverse the direction and bring you up, not to elation but to a normal steady state where you can perceive realistically.

       So we get very basic.  If you don't like your nose you can still be grateful that you have a nose.  Some people don't.

       If you don't like your residence, you can still be grateful that you have shelter.

       If you don't like your body you can still be grateful for having a body that functions, even imperfectly.

       If you are isolated and alone you can still be grateful that telephones, e-mail, internet, , pen and paper exist and you can make moves to connect with others when you make that choice.

       Perhaps we could make a gratitude list on this blog with your comments. That might help people who are stuck in bleakness to get out into new and more happy possibilities.

       Right now, I'm grateful for the Internet and the development of the blog. The blog gives me an opportunity to speak more directly to people with eating disorders and share what I've been learning all my life about what it takes to recover.

       We are right on time when we start our recovery work. Now is always the right time. Gratitude can be the open door to a more healthy and happy New Year.

 

Coping with Family Visits over the Holidays

Eating Disorders Today has a name change and a new location. 

Please visit Eating Disorder Recovery for Women at http://www.eatingdisorderrecovery.com.

Most people with eating disorders have experienced strained relationships within their family with one or more family members. Creating distance from family is an attempt to create a safe barrier in order to avoid familiar emotional difficulties.

However, separation from family during a holiday season opens up an inner black hole of loneliness, abandonment, isolation and terrific grief. The ideal holiday celebration images streaming in through media, billboards, music, street corners, malls, shop windows is in extreme contrast to the real experience.

Yet, to be with family triggers floods of anxiety because the family will be the real family, not the media images of the holiday. If the person is in the early to mid stages of eating disorder recovery she does not yet have the ability to protect herself and stand firm in the presence of the people who remind her of the original stressful situations.

Early recovery from anorexia, bulimia or compulsive overeating is a sensitive and emotionally painful and frightening time. The person is quite vulnerable.

Here are some tips on coping with family visits.

1. Decide in advance what boundaries you need to keep yourself safe and secure. e.g. separate room for sleeping (i.e. no sleeping on the living room couch) or other public places.

2. Let people know in advance that you have a food plan you need to honor. Make arrangements for the food you need to be easily available.

3. Set up a phone support team in advance. You make calls at specific times to specific people who will listen to your stress and your achievements with understanding. These people can be from eating disorder support groups, your psychotherapist, Overeaters Anonymous members.

4. If your feelings get out of hand, if you are on the verge of being overwhelmed, make your outreach calls and find an OA meeting. Put yourself in an environment where the top priority for others is eating disorder recovery.

5. And always, always: Don t get too tired, too hungry or too thirsty. Keeping yourself well rested, well nourished and well hydrated not only helps keep you healthy. It also helps keep your blood sugar levels reasonable and your emotions more even and mellow.

Please remember, the greatest challenge in eating disorder recovery is to recognize that you suffer from an illness and that your recovery depends on your bearing your own feelings. We all must live in the world as it is.

When your feelings are unbearable, as they often are when you suffer from an eating disorder, your challenge is to find healthy ways to reduce the stress in your environment. At the same time, since isolation is tempting but not a good idea, you need to find ways to build your inner strength so that you can bear more of the stress of life.

All this may seem like an arduous task. But you will be surprised at the joy and satisfaction you experience as you discover your own creativity and new skills in caring for yourself well. You'll discover ways of being more at peace with your family. What's more, you will like yourself better.

 

Eating Disorders, Family Visits and the Holiday Season

 

Eating Disorders Today has a name change and a new location. 

Please visit Eating Disorder Recovery for Women at http://www.eatingdisorderrecovery.com.

 

         People with eating disorders or in early or mid recovery from eating disorders call for help more often during the holidays than any other time.

          If you are separated from family for any reason you feel bereft.  At the same time, if you are going to be with family, you can be flooded with anxiety.

          The eating disorder behaviors, too much or too little, purge via throwing up or exercise, are defenses against both real and perceived dangers.  Unfortunately, if you have an eating disorder you may not know the difference.  You feel vulnerable and actually are unable to take care of herself in many mild as well as severe stressful situations that arise in family gatherings.

Options are:

          1.         avoid the family gatherings.  consequence: feels lonely and abandoned.

          2.         attend the family gatherings. consequence: feels rage, fear and attempts to conntrol others.

          3.         act out your eating disorder, i.e. binge, purge, starve and behave as you are expected to behave complete with people pleasing at any cost:  consequence: are numb to people and stress around you, feel isolated among people, feel guilt, shame and lots of tension.

          4.         call for help and commit to recovery work.  consequence: provide yourself with support  encouragement and tools to withstand your stresses without acting out and develop health and strength so you no longer needs the eating disorder to cope with your life including her family relationships.

          The good news is that pain aroused during the holidays awaken you to the fact that your issues are not about your personality or will power.  Your pain can show you that you suffer from an illness and can motivate you to begin or recommit to your recovery work.

 

Bulimia Help Without Treatment? Can a Friend Help?

Eating Disorders Today has a name change and a new location. 

Please visit Eating Disorder Recovery for Women at http://www.eatingdisorderrecovery.com.

 

Again I am asked:  How can I help my bulimic friend without her going into treatment?

Example: (not real names) Miranda and Trudy are both in their late twenties, married and in their late twenties.  They've been close friends for 16 years.  Trudy recently revealed her 12 year struggle with bulimia to Miranda. Trudy only speaks to Miranda about the bulimia.  Miranda feels she is helping by being the confidante and pitching in to help Trudy with family, household and business responsibilities. She also keeps a careful watch on Trudy's behavior and emotional states.   After two months Miranda is happy that Trudy has six weeks of not throwing up and pleads for help in knowing how she can help Trudy continue to get better without her going into treatment.

Please note that in this example, Miranda asks for help not Trudy. 

When I hear this plea for help my heart aches for the suffering Miranda, Trudy and their family members experience. What is it that makes Miranda and Trudy desperate to avoid treatment for an illness? 

My open letter to all friends asking this question:

            Dear Miranda, 

You and Trudy are not alone in thinking that bulimia is a behavior that can be stopped through will power and love. Bulimia is a serious illness that only grows worse without treatment.  The acting out behavior involving food is only part of a long list of symptoms. Plus, as you understand from your knowledge of other illnesses, reducing or removing symptoms is not the same as healing.

When you say Trudy has made it for six weeks now! with an exclamation point, I feel an emotional aching because of the all too familiar false hope in your inferred sense of victory.

Trudy is doing her best to remove a defense, to stop a coping mechanism that helps her deal with unbearable feelings.  Without the healing work that occurs in treatment, she has no defense against inner issues that plague her. She probably doesn't even know what those issues are.  Bulimia blocks not only her pain but also will block awareness of the source of her pain.

Your valiant efforts in helping her cope with her daily life tasks ease some of her stress. Your attentive and well meaning actions allow her to live without some of her bulimic defenses because you are providing the support she previously received from the binge/purge cycle.   But you can't carry the responsibilities of her life and yours indefinitely.

You�ll get tired.  You�ll be under pressure to put your energy into your own needs or the needs of your family or your business.  You�ll remember how much of your energy is required to tend to your own life.

As Trudy grows dependent on your energy as a replacement for the numbing caretaking of bulimia her needs and expectations will increase.  Your energy and motivation will decline. You�ll want and finally, I hope, start putting more of your energy into your life and less into hers.

Gracefully or ungracefully, you will both will struggle with the effects your withdrawal.

And by withdrawal, I mean easing up. For example, you might do her laundry once a week rather than every day, or watch her children for two hours once a week rather than several hours four or five days a week. You might talk to her once a day rather than five times or even talk to her only once or twice a week.

When Trudy�s stresses - even normal everyday stresses - are present for her to deal with without your constant presence and without her eating disorder coping mechanism, she will go back to the binge/purge pattern to protect her psyche. 

When the binge/purge cycle returns she will feel guilt, shame, humiliation, sorrow - and even despair.  She might also feel angry with you for letting her down or feel bewildered and grief that you abandoned her. Those feelings can be unbearable and will only increase her need to binge and purge.

She will feel like a failure.  But she hasn't failed.  She just tried to let go of a lifeline without developing muscle and ability to learn how to swim.  Anybody who is drowning will reach for a lifeline.

And your being the lifeline doesn�t teach her how to swim or help her understand why and how she came to be so over her head in the first place.

So please, if you can, please, please help me understand why the way to get solid recovery, i.e. treatment, is something you both so actively avoid?

I would so appreciate hearing what you have to share about this vital question.  So many people suffering from bulimia get well because of treatment.

Thank you.

Joanna

 

Anorexia: Ignorance Blocks Treatment

Eating Disorders Today has a name change and a new location. 

Please visit Eating Disorder Recovery for Women at http://www.eatingdisorderrecovery.com.

 

Despite publicity around eating disorders today, a major block to treatment for some  people continues to be ignorance.  Portia de Rossi breaks open some myths about anorexia with her revealing and touching memoir, Unbearable Lightness.  Still, teen-agers and adults may not get treatment because influential adults in their lives believe anorexia is created by willful stubbornness.  Too often, the illness propels a woman or child to a precarious state of health before treatment, usually residential, is sought.   

Because issues of power, control, independence and re ellion are normal in families, symptoms of an eating disorder can be misinterpreted and not seen for what they are: indications of serious illness.

Parents, spouses and adults in responsible positions who would be quick to call an ambulance if a family member was bloodied, or quick to call a doctor if she were running a high fever may not see anorexic symptoms as a signal that requires fast professional attention..

The calls are be heartbreaking.

Voices:  (paraphrased and summarized)

...  i sometimes can admit to myself that i have this problem, that getting thinner and thinner day by day is only going to kill me, but most of the time i just deny it all together.  the one time i tried to see a therapist, i heard him say on his way into the room that he couldn't understand why these g.d. kids insisted on starving themselves.  i clammed up and never went back.

...  My coach said,  i always thought you were too smart for this sort of thing: you are the girl  who has it all:  grades and friends and looks and a great athlete.  with so many other kids looking up to you, you owe it to them to be a little smarter.

the "you're too smart for this" thing wiped me out. do people really think i don't know that what i do to my body every day is killing me?

...my parents are so proud of the way I look and how great my grades are. I heard my mom say, 'She's amazing.  She even gets up early so she can run on the treadmill for two hours before she starts her day.  That must be where she gets her energy because she doesn't have time to eat.'

....We (people of any age with suffering from anorexia) can't choose to erase the fear of food and calories.  We can't eliminate the panic that arises every time we eat more than the allotted number of calories or foods that aren't safe to us.

...We're afraid all the time. We're being as courageous as we can, even if that courage isn't strong enough to let go of our obsession.

The challenge we as the human community face is to raise the level of eating disorder awareness in families, schools and all the health professions so that we can help our young people and suffering women quickly and effectively in the early stages of anorexia.  Even better, we could get on the path that would eliminate the development of anorexia entirely. That's my wish.