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Eating Disorders Treatment

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.
I recently found myself doing quite a bit of traveling for work and being sleep deprived due to layovers, long flights and work related events. Inevitably, when it seems like my life is going too fast, I start feeling nervous about my food intake.
In a lot of ways, "eating disorder recovery" is a sort of vague, amorphous thing.  How many times have you (or your loved one) said, "I just want to be recovered already!" Or is that just me? In one of my journals from early recovery I wrote, "I want a magic pill, a prayer, a chant -- something I can say or do and wake up the next morning and be normal."
I suffered from a mental illness for many years and at the time, felt powerless against it. My eating disorder, bulimia consumed every aspect of my life. Now 5 years into the recovery process, I stay recovered by maintaining a level of self-care that goes way beyond simply avoiding triggers and practicing coping skills. Without self-care, my recovery would be compromised.