Is complete recovery from an eating disorder even possible?

In 2007, an inexplicably irrational and frightening disease entered my life — anorexia nervosa. I was familiar with it, of course, although I did not have any close friends who struggled with anorexia or any other eating disorder, at least that I knew of.

My first contact with anorexia was with a two-sentence entry in my Abnormal Psychology textbook. It was the 1980s, and eating disorders just weren't getting a lot of attention. My next encounter with anorexia was in the early 1990s, when I was hospitalized at the University of Michigan Hospitals after a particularly bad bout with depression and anxiety. There was a young woman there, very thin and pale, who was on complete bed rest. I later found out that she had anorexia. I scoffed, eating my bacon eggs, that anyone would willingly starve herself.

Little did I know that years later, that woman would be me.

I developed anorexia after a bout with another frightening disease, hypoparathyroidism, caused me to lose a significant amount of weight. I found that I liked being that thin, and thus was kicked into anorexia and five years of utter hell.

There have been many fits and starts during my recovery, when I would go so far, only to jerk back and start clinging to anorexia like it was my best friend. I became a serial patient at my ED doctor's hospital, being admitted eight times between 2008 and 2012.

I still sometimes ask myself, will there be a ninth admission?

I started working seriously on recovery after my last hospitalization. I was discharged on 1 January 2012, and days later, I slammed my scale against the trash can and tossed it out. I have not owned a scale since.

But eating disorder thoughts still come and go, some fleetingly, others taking hold until I feel as if I am smothering.

Fat. Not so fat. Cellulite. Dimples............fatttttttttttttt.....oh so fat!!!!!!!! I wouldn't be caught.dead.in.a.bikini, said in a clinched tone. FAT FAT FAT FAT FAT, SCREAMING AT ME, GOD PLEASE STOP THESE THOUGHT NOW!!!!!!!!!!!!!!!

Of course, anorexia isn't really about weight and food and body image. And yet it is. My life is pretty stressful right now. I'm looking for full-time work after finishing graduate school. My living situation isn't idea. I feel like a failure after the twin disasters in December and June.

It is characteristic of me to turn inward, churning up self-hatred, berating myself for actually nourishing myself as a normal human being, hating myself for no longer being a size XX.

But all of this leads me to think, will I ever be completely recovered?

I mean, the truth is, I am at the high end of the acceptable weight for my age and height. I do need to lose some weight. I am risking my health, or I was, with all the sugar and simple carbs I've been ingesting.

So how does a recovered anorexic — if I am truly recovered — address possible health issues and the need to lose weight? How do I do it safely, or is it simply not possible?

Or will this simply trigger another relapse? Can I safely maintain my healthy, get to a healthy weight, without inviting anorexia back in?

Does anyone ever really recover from an eating disorder?

Lost hope

This is hard...but, I've been struggling with depression for several months now. It started slowly, insidiously; sneaking up on me. Little forays into my happiness, striking at my self-confidence and laughing at my hopes.

I am happy.
Happy.
But...you don't deserve to be happy.
Why not?
Because.

The sun is shining and I am embracing it, twirling around.
My heart soars
Life has never been better.
I can do anything.
Anything.

I have finally become free...

That is what you think.
Icy streams surrounding me
Slowly choking out the happiness
Blackness filling my days

But....I was happy.

For weeks, I've struggled with everything.
First, eating. I'll either not eat, or not eat healthily.
It is if I don't deserve full nutrition, full recovery.
I don't want to always think about food.
Guilt.
Shame.
Aggravation.
FAT.
It is weird. Sometimes I can eat without free.
But then FEAR comes roaring back.
Each.and.every.time

Then there is this thing called life.
Cleaning. Laundry. Bills. Answering e-mails. Grocery shopping. Talking to people. Calling family. Visiting. Attending church. Volunteer work.....
AHHHH!!!
I can't do this.

So I stay up until 2, 3, 4 a.m.
Too afraid to got to bed.
Mindlessly wandering the Internet.
No thoughts.
It feels like a binge.
A binge of the online world.
Designed to cross-circute my emotions.

Emotions?
Do I even have any?
Why can't I cry?

Oh, I will sometimes squeeze out a few hypocritical tears.
Look, I am crying. I feel sad. I feel...
Numbness.

So I isolate.
This passive-agressive approach to life at full-tilt.
My cell phone voicemail full.
A week's worth of mail stuffed inside the mailbox.
Does the mailman think I'm dead?
Does he even notice?

Days sat huddling in my house,
I am embarrassed to be in my nightgown at 2, 3 in the afternoon.
I wish I had a drink.
Or two.
Or three...
Then I could oh-so-fashionbly sip my glass(es) of wine while twirling said nightgown.
I wouldn't be a loser, then.
Instead, I could say that something important kept me up and by God I deserved to sleep until noon, 1, 2 p.m.!
And the wine would seductively slide down my throat.

I sometimes miss starving.
The feelings of emptiness.
Dizziness.
Heart racing.
Sick, isn't it.

Sometimes I think if one more person tells me I look good, I'm going to fucking scream.
Look good=you're fat
I mean, does anyone ever ask someone if she has gained weight?

I sit, hopeless, in front of my computer.
Too scared to move.
Frozen.
I want to throw myself on my knees and beg God to take this feeling away, take it all away and open me to new life.

A life that is tantalizingly out of reach.
My fingers hovering, trying to grasp it before it falls apart.

Love
Worthwhile work
Friends
Family
Laughter

I feel unworthy. Lonely. Full of hopelessness.
I admitted that to my psychiatrist the other day (of course after he already called me out on it.)

I feel as if my dreams have fallen apart.
Damn it, I'll just admit it — I am envious of women whose spouses have stood by them, whose husbands cherish and love them...till death do they part.
Husbands who have KEPT their vows, who believe that the words meant something, not just to be thrown away like so much trash, like scrapping gum off of the bottom of a shoe.

What is wrong with me???
Why can't I inspire that kind of devotion?

Will love ever be a part of my life again?
Romantic love, I mean.

And...will laughter and happiness and fulfillment and all the hopes and dreams that threaten to bubble up and overwhelm me ever become part of my life?

In the meantime, my world continues to crash around me. Dishes are again piled in the sink. Laundry is half-done. The upstairs needs to be vacuumed. Three weeks worth of garbage sit in the garage. There are piles everywhere.
I mean, where does this crap come from, anyway??? Is there a clutter fairy who drops off junk at my house at an alarming rate?
Books. Books everywhere.
I mean, I love books. But I don't love tripping over them every five seconds.
Bottles of nail polish on my desk, clothes piled on the dryer, threatening to topple. The spare bedroom crammed with an overturned Christmas tree, complete with bulbs still attached.
My bicycle remains untouched, my bow and arrow no longer getting any practice time.
Months worth of vestry minutes untyped.
You get the picture.

Then, I sleep until 10:30 a.m. on Friday. The day I need to drive more than two hours to my psychiatrist's office.
Who needs nine, ten hours of sleep?
I do.
Because sleep has become my escape.
Really, I would stay in bed all day if I felt like I could.
Nothing can touch me when I'm in bed.
Sort of like nothing could touch me when I had anorexia.

I miss...
I miss me.
Me.
I feel as if I want too much.
Please God, are my wishes and dreams unattainable?

I know that only I can move forward and reclaim my life.
Then why is it so hard?

I want more...

Dear Anorexia . . .

Dear Anorexia,
You made me
Sm
  al
    le
      r
Shrinking
me
and my
W O R L D.
Leaving me with
n    o    t    h    i    n   g . . . . . .


Intertwined
for years,
when you started to fade away
my fingertips would
reach out,
grasping for you
afraid

Anorexia is thy name
And I was thee.

My soul and yours
a hazy mixture
Unable to be part of
Life


You did serve
A purpose
Or two

Protecting me
In a strange and
S I C K
way.

Anxiety calmed

Depression staved off

(For a while, anyway
It was never a permanent
Fix.)

It is so hard
To let go
even now

Your voice still screams
You don't deserve
to eat
You don't . . .

But I know there is
No
option of returning to you

In order to live,
I must allow you to
die.

It is time
to say good-bye.

Your usefulness
Is gone
All you can bring me is
Grief.

And I have already cried
so many t
                e
                  a
                    r
                      s
because of you . . .

Anorexia

Now
I want
life
mind
soul
body

The arms of my
husband around me
Not your snakelike
Tentacles.

Friends
Conversations
Reading
Writing

Laughter

The smile
that you tried to
kill.

My thoughts
are becoming
Free
of your interference

And I am beginning
to finally
rediscover

Me.

Not My Fault: Erasing the Stigma of Eating Disorders

I was honored to be asked by Sandy at A Glass Half Shattered to write an guest blog post. Sandy is currently in recovery from borderline personality disorder and also struggles with depression and anxiety. She is an awesome writer devoted to both her recovery and erasing the stigma of all mental illnesses.

My guest post, Not My Fault: Erasing the Stigma of Eating Disorders, explores further the differences between having an eating disorder and other illnesses and the stigma still attached to eating disorders. It is my hope I can perhaps show people that eating disorders are real illnesses and that the estimated 11 million people who struggle with these disorders deserve the same compassion and understanding given to others. The post is not meant to evoke pity, but instead create a dialogue of understanding.

I also would encourage you to explore Sandy's blog — you will come away with a better understanding of the day to day life of someone struggling with BPD and you might just relate to much of Sandy's life.

Releasing the weight of anorexia

Fear Anxiety Depression Self-Hatred . . .

Each rock was a strange mixture of velvety softness combined with rough bumps and indentations. I wrote each word — feelings and actions which have weighed me down for years — on several rocks in stark black ink.

One rock was reserved for the terrifying and addictive disease which has been trying to take over me body and soul for years.

Anorexia

I started to feel both fear and relief as I traced that word in blood-red ink on each side of the rock. I fear letting go of anorexia because it has become so intermingled with my identity. But I know I need to let go of this disease in order to live.

The word looked so powerful. My mind flew back to when anorexia first crept into my life, chipping away bits and pieces of me until I sometimes felt there was nothing left.

Each one of us wrote down the things which have weighed us down throughout the years. We then could choose to hold onto these rocks that symbolically represented the traits which have held us down for years.

Or we could chose to toss these rocks into the river run past the River Centre Clinic. The choice was ours . . .

I went first. I was determined to throw everything which has weighed me down for years. I have struggled through almost six weeks at the clinic. The road to recovery has been rocky and I often have been my own worst enemy as I have fought to get better.

But through all the struggle and pain, through the tears I cried and the loneliness I often felt as I longed to be with my husband and friends back home, through the ambivalence I sometimes felt about letting go of anorexia, there remained a mustard seed of hope that I could be free, I would be free.

I stepped down the grassy, sloping path to the river, dodging overgrown bushes and hanging tree branches, balancing my rocks in my hand. I stepped close to the edge, the river's dark waters churning just a few feet away from me. I threw the first rock, angry as I remembered life before my eating disorder developed. I threw more rocks as far as I could, willing each one to sink deep into the water.

The rock with one word — anorexia – remained in my hand. It felt soft and cold in my hand. The word seemed to mock me, saying that I would never get better, I would never be free.

I hurled it as hard as could, feeling a strong sense of release as it landed into the water. I felt as if I had been buried under a ton of rocks and I had finally climbed my way out. At that moment it finally hit me — I want to recover. I want anorexia out of my life forever. I want to be free.

Each one of us took our turn. Some women were able to release all of their rocks, while others chose to hold onto one or more until they felt ready to release their burdens.

I started to cry as I walked back up to the center. I'm still not sure why. I was feeling a mixture of release and relief, mingled with fear about the work I still need to do in order to get better.

Later that night, I thought about all those rocks we threw into the dark waters. I could still see the words we had written on the rocks. I imagined the water rushing over the rocks until the words disappeared through the ages, the ink worn off and everything which had weighed us down mingled together into nothingness, becoming meaningless as we move forward into recovery and life.

Getting ready for anorexia rehab

Anxiety Fear Hope Desire Love Beauty Depression Panic Fragmented Life Death Heaven Christ
Emotions and words swirl through my mind like a fast-moving tornado heading dead center for its target. "Left of Center" by Suzanne Vega is playing. The watery sun is setting on the deep, dark green grasses and newly bloomed bushes. Aliena sits in the window, ready to pounce on any stray bug which crosses her path.
I am cold. I am hot. I can't think.

I leave for Renfrew in one week. I'm afraid I will fail. I'm afraid I will succeed. I'm afraid ...
Thirty days. Away from my home. Away from my husband, my friends. I will be alone each night, trying to sort out each day as I work toward recovering from anorexia. There will be memories stirred up, things I would rather forget. I will face food I am afraid of and I will need to eat it. I will need to talk about how I feel.

How do I feel? My emotions are in upheaval right now. How am I supposed to feel? Should I continue to mourn the life I lost when anorexia hit me at 41? Or do I move forward, knowing that person died years ago and it is time for the resurrection of a new me? Do I rage against the neighborhood boy who sexually abused me? The uber-conservative church of my childhood which left me feeling dirty and knowing I was hell-bound? Do I continue to be angry because alcoholism and depression made my childhood feel unstable and rocky?

How do I let go of it all?
I believe I must let go in order to recover. I must let go of everything. Anger. Secrets. Laxatives. Cutting. Enemas. Restricting. Control.
Playing at recovery.
I will have to turn my entire life over to complete strangers for thirty days, and that will require a hell of lot more trust than I've ever been able to give anyone.

But I can't take it anymore. I will not be able to live much longer with anorexia. I can't take waking up each morning crying and hating life because ... because I'm me.