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Esther Rich

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Diary of an Anorexic... Or Some Similar Cliche

Posted: 20/03/2013 23:00

I AM NOT ANOREXIC. It took me years to admit the opposite, and now it has taken me even longer to be able to say that. I have realised just in the last week that I have been proudly using the title 'fully recovered', when in actual fact there are still aspects of my eating disorder which I am holding onto. That is not to say I am still unwell!

Whilst going for a pub lunch with my boyfriend recently, I came across a new hurdle... For so long I was obsessed with numbers - calories, weight, exam grades - that I couldn't do anything without knowing the exact number related to it. This largely applied to meal times: I couldn't comprehend choosing a meal without knowing how many calories were in it to satisfy my need to be in control, and I couldn't enjoy that meal unless it was consumed in the knowledge that I had been successful in selecting the lowest calorie option.

In my celebration of recovery I congratulated myself on the fact that this was no longer the case: I now find a sense of freedom in not knowing the calories in my food, and enjoy it nonetheless.

As I strolled up the hill with my boyfriend in the sunshine I was actively looking forward to our meal together, and was well aware of the hunger pains that had eluded me during my illness! However, this particular pub had decided to follow the current trend in obesity-prevention by publishing the calorific content of every option on the menu.

Those infamous alarm bells immediately began to ring in my head, and only at this point did I realise that my avoidance of numbers was part of a delusion - in revelling in the fact that I no longer needed to know the numbers, I was overlooking the reality that I had now gone the opposite way: seeing those numbers in front of me immediately ruined every meal I might have selected, because I knew exactly where they each came in the calorie ranking, and many of them were not near the bottom!

My old instinct to scan the menu for the lowest value kicked in, but at the same time so did the revelation that until I could switch off that instinct I would be feeding the anorexia rather than feeding my own needs. I made a vow there and then - one which I am determined to repeat and one which, although simple to most people, has the potential revolutionise my attitude. I vowed to choose what I wanted to eat - that which my taste buds craved rather than that which stood out as the 'healthiest' (read lowest calorie - another delusion) option.

Every time I make that choice I will be staring 'Ana' in the face and saying: "No". I will be taking control in a real sense, not in the way that Ana used to tell me I had control. I will be living as the role model I want to be to other sufferers, but also setting an example to myself.

Only two people have ever told me it is possible to recover completely from an eating disorder: the psychotherapist who I did an internship with last year (who had, herself, 'recovered') and my boyfriend. Before I met these two people, I was firmly of the view that 'recovery' meant learning to cope with the illness in everyday life. I strongly believed that anorexia was not something which ever fully went away; I simply had to develop coping strategies which made me stronger in resisting the temptation to slip back into my old ways.

'Ana's voice' would become weaker, but never silent. These two alone have taught me that it was that mind-set that would, in fact, prevent me from recovering. By telling myself it was impossible, I had so easily slipped into the comfortable acceptance that I no longer had to try and beat it, I merely had to live with it without it beating me: a false truce with Ana. But today I am making the choice to live without Ana. It is a choice that I will make each and every day for the foreseeable future, but one which will truly allow me to take back my life.

If you or someone you know has been affected by an eating disorder, visit b-eat.co.uk for advice!

 

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HUFFPOST SUPER USER
Justinjuice
01:33 PM on 03/23/2013
Refreshing to see a blog about addiction without the holier than thou attitude of one our addiction bloggers.
02:07 PM on 03/23/2013
Thank you so much!! And thank you for your other comments below - I had begun to wonder whether I had made my points clear, but I am so glad to hear not everyone has interpreted it the same way! :)
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Justinjuice
11:37 AM on 03/24/2013
Thank you, your words were so clear, they brought me back to the early days of recovery. I had for a period suffered from the 'revolving door 'syndrome but eventually found the right path, Good luck to you.
10:37 AM on 03/23/2013
I really liked your blog - I agree about the role of decisional processes; mental health problems are not a lifestyle choice or a problem of willpower; however, recovery can be painful and difficult and making the choice and commitment to take the risks associated with that path is a brave and important step. I also agree that with EDs acceptance of the illness and choosing to fight for recovery rather than remain in denial is espcially tricky and important because it can be very confusing with lots of conflicting motivational pulls. I agree that perfectionism etc seems to play a big role in EDs, but personally I don't think the answers lie (wholly) in neuroscience - the brain adapts, changes and responds (neuroplasticity) so neuroscientific observations in EDs show associations but not necessarily causal ones. I don't doubt that there are biological/genetic vulnerability factors, but personally I think of mental health difficulties as understandable responses to a combination of biological, psychological, and social circumstances. I'm not sure that heavily emphasising biological/neurological contributions is necessarily all that helpful in thinking about recovery - to me, recovery is about changing the ways that I cope with things, noticing when I am being disproportionately judgemental or avoiding my feelings, and a big horrible dose of exposure - feeling the fear and doing it anyway. Whatever the neurological contributions to my illness might be, personally I don't feel that they are sufficient to explain it, or to guide recovery from it.
10:47 AM on 03/23/2013
thanks for that - well said! I think the role of neuroscience is primarily in risk factors, and the biological effects occur as a RESULT of the eating disorder, not beforehand. I'm a fan of cognitive treatment as well as the medication side. For me, the medication simply facilitated my cognitive work by allowing me to think more clearly - the majority of my recovery was centred around changing my thought processes and attitudes etc. :)
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Justinjuice
01:34 PM on 03/23/2013
After reading and liking the blog, it was depressing to read your post with all its academic jargon.
05:06 PM on 03/23/2013
It seems that the "academic jargon" is in response to the previous posters post which contains ideas and thoughts relating to the science of the subject, which inevitably will contain scientific words/phrases. The posts are a discussion of the psychological processes behind the disorder and so it does not seem at all unexpected that there is some jargon here (especially when the original poster has shown evidence of understanding of the subject)
12:56 AM on 03/23/2013
Interesting, but I don't think it's really right to present mental health issues as a matter of choice. Admittedly my experience is with depression rather than eating disorders, but overcoming these problems takes a great deal more than sheer willpower and suggesting otherwise can lead to the belief that people with such conditions are either mentally weak or, worse, actively choosing to be depressed/anorexic etc. This, of course, is both false and often counterproductive.
07:19 AM on 03/23/2013
So sorry if it came across that way - it really wasn't meant to! I'm not at all saying that it is simply a matter of choice (I've encountered that misconception FAR too many times - 'why doesn't she just eat?!')! My point is simply that until a sufferer decides that they WANT to get better (referring specifically to eating disorders rather than mental health in general!!) then they will not work with professionals to get the help they need, they will rebel against that instead. In hospital I saw two types of patients - those who accepted they were unwell and let the professionals try to do their job, and those who refused to admit they had a problem and so for whom therapy sessions were a waste of time. This blog was merely meant to highlight my own revelation that I can eventually recover rather than being stuck with it, I'm not by any means saying it is an instant choice and I'm suddenly healed - it will still take a long time! I'm truly saddened and sorry that it may have come across differently...
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Justinjuice
01:38 PM on 03/23/2013
It is you and not the blogger who is choosing to interpret the article in the way you disapprove of.
Recovery is always about choice. it is about choosing to do the right thing each day. AA has a saying about thier program being a simple program but a hard one. And choosing to do the wrong thing so often seems like the easrier chioce.
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bbzz05
06:10 PM on 03/21/2013
The cure for anorexia will come from the neuroscientists. I have a son who developed anorexia nervosa, I have a daughter who did not and I know there were times when her weight distressed her so much she wished she could develop the disorder. Two children with the same upbringing but a different outcome. The difference had to be in the genes they inherited and how this affected their mental function. My son is the perfectionist with a black and white mindset who interviewed for Oxford etc. The cure for anorexia will come with the ability to lessen this mindset. The personality type that develops anorexia will always be your personality type and that is just fine. I got my son off the anorexic treadmill by letting him know I understood his personality type.. Not that a perfectionist will ever admit to such a condition..I will be interested to see if you let this comment post as anorexic sufferes seldom do.
10:18 PM on 03/22/2013
Interesting point! Although I'm unsure whether personality type and neuroscience can really be put under the same category. In my own opinion there must be genetically predisposed risk factors but it is the emergent personality type which facilitates those risks to take effect. Without wanting to stereotype, you're completely right that the majority of eating disorder sufferers I have encountered have been highly achieving, highly motived perfectionist whose lack of self esteem stems from the sense that they can never live up to their own expectation rather than those imposed on them by others! For me, the decisions I mention in the blog are my way of battling to overcome the aspects of my own personality (perfectionism, need for control, lack of self esteem) that have triggered my eating disorder in the first place, so I completely agree with your point about that. Interestingly, there have been eating disorders within other generations of my family which indicates a definite genetic influence. Likewise, my sister has not developed one! Thanks so much for your comment! :)
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bbzz05
03:43 PM on 03/23/2013
Eshter thank you for replying. I would love to ask you two questions but understand if you don't want to answer. Were you or your sister an assisted birth in any form? And something a bit more contemporary! What was your date and time of birth? I'll will let you know the connection, if there is one, post response. Good luck with your recovery.
07:23 PM on 03/20/2013
For the first six months or so of my bingeing and fasting twenty-plus years ago, I totally believed that it was a choice, that I had it under control, and that I could stop whenever I wanted.

It was when I decided to stop, but could not, that I realised that I had a serious problem. I WAS BULIMIC.
07:54 PM on 03/20/2013
Admitting it is the only way to begin recovery! So well done for helping yourself get through that situation! Hearing other people talk about their experiences like that really does help others to learn to do the same. :)