While these past several months of social distancing have been necessary to help contain the global pandemic, this continued isolation can adversely impact mental health. That is true for conditions across the mental illness spectrum, but I am particularly concerned about eating disorders and suicidal thoughts in the climate of COVID-19. (Note: This post contains a trigger warning.)

The suicidal thoughts that plagued my mind in the throes of my eating disorder recovery were expected. I hated my body. I hated myself. I hated my life and the society in which I lived that kept telling me I was not enough. One thing I did not expect was to still feel suicidal thoughts during my eating disorder recovery. (Note: This post contains a trigger warning.)

An estimated 9.2 million adults in the U.S. live with more than one form of mental illness, and that statistic does not even count the numerous children and people across the globe who experience this reality also. Two mental health issues that can co-exist with one another are eating disorders and panic attacks, both of which can escape detection or diagnosis. While panic attacks can range in severity and escalate for a number of different reasons, many of the same fears that cause eating disorder behaviors can contribute to panic attacks as well. If your eating disorder often co-exists with panic attacks, coping mechanisms are available to you.

It's not exactly a shock that eating disorders can wreak long-term havoc on how the body functions—even as the behaviors subside and a healthy weight is achieved. But did you know there is a correlation between eating disorders and issues with metabolic rate?

Can I share a fundamental, irrevocable truth that you just might need to hear? Your personal identity is more than an eating disorder. Even if you cannot imagine a life without this illness right now, I want you to know that recovery is attainable, and you are capable of existing in a world that does not revolve around your eating disorder. How can I voice this with absolute confidence? The answer is simple—in these past few years, I have been on a crusade to unearth and reclaim my own identity outside the diagnosis of anorexia nervosa; so if I can do this, I guarantee you have the same potential, too.

If you have a history of eating disorder behaviors or mindsets, then you have most likely body checked yourself, or stood in front of a mirror and scrutinized your reflection with a severe and merciless eye. Chances are, you understand how it feels to wither beneath your own cruel gaze which repeatedly dissects the size, weight, shape, and curvature of a frame that will never be adequate to you. This ritual is known as compulsive body checking, and it can worsen your eating disorder tendencies. But if that toxic pattern sounds familiar, rest assured, it is possible to break yourself of a compulsive body checking habit.

Just this morning, I opened my email inbox and noticed a subject line which read, "How many steps should you take to lose weight?" As someone who continues to battle thoughts of anorexia on a daily basis, my first reaction to seeing this was to click the email thread, so I could know the answer. I was even tempted to scroll through my mobile fitness tracker to ensure I habitually reach the step count required. But since I am also in committed recovery now, this initial reflex was supplanted by another, more constructive question: "Can fitness trackers worsen eating disorder behaviors?" Could monitoring the number of steps taken, floors climbed, miles run or walked, and calories burned increase the obsessive patterns which eating disorders thrive on? Based on my own experience, I think that answer is, "Yes."   

Binge eating at night is a problem for just about everyone who has the luxury of steady access to food, whether they are in eating disorder recovery or not. However, for those of us in recovery, these nighttime binges can be detrimental to our progress.

Before offering my advice, most loved of those in eating disorder recovery want to know how they can help, but understandably, people aren't always sure where to go for it. In this video, I talk about the one thing that well-meaning, but misguided, loved ones would do that has undercut my confidence in recovery.

It's normal to feel afraid in eating disorder recovery. After all, it's scary to arrive at a crossroads between the familiar identity of an eating disorder and the unknown quantity of healing. You have a choice to either remain in the destructive, yet comfortable, patterns of your illness or to embark on a new path that is rife with challenges but leads to freedom on the other side. This decision is yours alone to make, but if you choose to brave that road to health and wholeness, the question then becomes: How do you face down fears in eating disorder recovery?