During a recent session with my therapist, I felt compelled to ask for her professional take on my relationship with exercise. I told her that I prioritize running over just about every other line item in my routine. I told her that I feel immense amounts of shame if I cannot squeeze in an hour-long workout on a daily basis. I told her that I consistently run in the 105-degree Arizona heat, no matter how miserable the experience is. I told her that I rarely feel like the choice to stop running is even an option. I told her that I am afraid that without exercise, I will lose control of my entire life. She listened to me rattle off all this information, then replied matter-of-factly: "You have an exercise addiction. How is it working for you?"

When I operate within the framework of an eating disorder, my life orbits around fear. I am afraid of consuming three balanced meals. I am afraid of not being able to squeeze in enough exercise. I am afraid of the number staring back at me on a scale. I am afraid of seeing the calorie count on a nutrition label. I am even afraid of existing inside my own skin.

I find myself asking: What should my response be when a present situation fuels past eating disorder temptations? I need to examine why I flirt with behaviors I know are unhealthy when life tosses me an unforeseen curve ball. Then I can choose a different course of action—one that honors recovery rather than placing it in jeopardy.  

I just returned from a two-week trip overseas to England, Scotland, and Ireland. I love to explore the beauty of this earth and immerse myself in all kinds of unique cultures, but if I am not careful, traveling will often coax my eating disorder back to the surface. While I do have quite an adventurous streak, I also tend to feel anxious when I deviate from my normal routine, which can open the door for a certain uninvited guest—otherwise known as my eating disorder—to hitch a ride on the trip. However, since I am not about to stop traveling, here are a few strategies I use in order to ensure this pesky eating disorder will not ruin my vacation. 

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 or 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.