I should warn you now that this post is a long, honest, unedited
story about my life over this last year. I have spent a lot of time debating about
just how much information to put in here and finally decided on all of it,
because that is what I felt would help me most with recovery (I say why near
the end of this post). But reading this could leave you knowing a lot more
about me then you ever wanted to, and I can pretty much guarantee that after this you won't be able to look at me the same again. So if you would rather your idea of me and who I am not change (and if that's the case I completely understand) I advise you to stop reading now.
Growing up there were many things I was afraid of becoming in life
and I often made decisions to avoid those possibilities turning into reality.
Knowing I have an addictive personality, I've never picked up a cigarette,
avoided drugs at all costs, and decided my freshman year of college that I
would never drink alcohol. When it came to eating disorders I never thought
that would be an issue for me. I always said I could never become anorexic
because I loved food to much, and I could never be bulimic because the thought
of throwing up was just repulsive. I never imagined that when it came to eating
disorders it wasn't as simple as just eating food. I never knew that along with
the absolute terror that came with eating other factors came into play as well.
Like the thrill you get when you step on the scale to see that your weight has
gone down again which gave me an addictive rush, more powerful than anything
else I have ever experienced. I never knew that what eating disorders are
really about is control. That denying yourself certain foods, and only letting
yourself have others in certain amounts or on certain days, and exercising
regardless of weather or health or desire, gives a person a sense that they are
in control of their lives. In reality though what an eating disorder does is
turn one’s life into chaos and destruction.
It's hard for me pinpoint exactly when anorexia nervosa became
part of my life. I go back in forth trying to decide where exactly my desire to
lead a healthy life transformed into this god awful disease. I think that for
most of 2013 I was doing ok. I had some habits that maybe were a bit
questionable and I definitely lost a lot of weight, but I was spontaneous, felt
good, and could indulge on food every now and then without experiencing a panic
attack. The last couple months of the year I was right on the edge of the
disease, and then January happened and I toppled right over. I had just said goodbye
to the people I love most in the world and the place that means more to me than
anything without knowing when I would see family or Alaska again. Money always
being an issue I was so worried about bills that I kept the heat in my
apartment so low I was always freezing. And I was growing increasingly
disenchanted with my job. I think all of these factors combined allowed for a
disease to sneak in and take hold of all my thoughts and actions. I had
no idea at the time. I knew my weight had been dropping and that it had dipped
below a healthy number; however I thought that it was fine, that I was in
control and that when the time of my choosing came I could easily add a few
pounds. But then I tried and it didn't turn out so well.
It happened in April. I knew I was flying to Disneyworld in a few
weeks and I knew I would probably be too hot to wear anything but t-shirts and
capris. I knew that those clothes would highlight just how underweight I was,
knew that if anyone glimpsed my arms as they currently were it would be a dead
giveaway that something was wrong. So I added high calorie foods (peanut butter
mainly) to gain. I did, each week I stepped on the scale to find my weight had
gone up a pound sometimes two. I didn't like it but tried to console the
unhappy thoughts by telling myself it was necessary. By the time I stepped on
the plane to Florida I was still underweight but not so much so that most
people would notice. The trip itself was a blast, but food was a constant issue
for me throughout. There was nothing there that was "healthy" and
while I made it through the dinners by just picking the healthiest things I
could find, I ended up having breakfast in my room with fruit I bought from the
hotel store and nuts and peanut butter I brought from home, and lunch was made
up a few light snacks throughout the day. I still felt like I had overdone it,
eaten too much, worked out too little (I should add that I woke up early every
day to go use the hotel gym, and then spent the afternoons walking around the
parks so yeah...), so my first two days back at home I ate very little. When I
next weighed myself I found I had actually lost some weight. I was elated and
wanted to keep going at which point things got really bad. This was when I
admitted to myself that I was sick, that I had an eating disorder, and that my
life was completely out of my control.
I tried several more times after that to gain weight. I'd plan for
one more week, one more low weight and then I would stop. On the predetermined
day I would wake up full of enthusiasm, but by the following night I would be
back to my old ways. And looking back now, even those "first" days I
barely ate at all. My disorder wasn't just not eating; exercise played a
central role as well. What started out as a 20-30 minute workout a few
days a week with short hikes on the weekends eventually turned into intense
workouts of at least 40 minutes a day, hikes on the weekends lasting 1-2 hours,
and 30-40 minute walks through Brunswick in the evenings. I stood as much as
possible because I knew it burned more calories than sitting. I was always
exhausted but I never let myself go to bed early because laying down long
enough for me to get a decent night sleep meant less time for me to up and
moving which was less time to burn more calories. It's kind of amazing that I
could do all that exercise considering how physically, mentally and emotionally
drained I was all the time. There were times I would get home and sit in my car
for 10-15 minutes because the thought of climbing three flights of stairs to my
apartment was just too much. But as soon as I did get inside my door the
workout clothes came on and the exercise DVD’s came out.
I want to say that none of this was because I thought I was overweight. I knew that my weight was too low. This didn't go on because I liked the way I looked either because I didn't. I hadn't always been happy with my body before but I had more or less accepted it. This whole last year I would look at the mirror and cringe. I missed my curves, I wanted them back but the disorder wouldn't allow it.
I also should say that despite my disorder I wasn’t completely miserable
this entire year. I am someone who does not like to be unhappy and therefore
usually looks for the brightness surrounding me. I had thousands of wonderful moments this year, was surrounded by people I love, and (with the exception of food
related things) never lost site of the small simple things in life that have
always brought me joy. It is just as time passed the disorder overshadowed all
of that.
As is usually the case with eating disorders, everything just
continued to get worse. I started trying to skip meals and whenever I failed
hated myself for my weakness. I'd work out at least 1 1/2 hours a day and that
still didn't seem like enough. There were some days I would be up working,
volunteering, cleaning, hiking, running errands, working out etc... and not
have eaten anything for 7, 8 sometimes 9 hours. Every happy thought I had
was interrupted by thoughts of food, I was freezing beyond belief even when it was
80 degrees outside, I felt trapped, scared, ashamed and confused. I felt myself
growing weaker and I was terrified. I so desperately wanted help but something
always held me back from saying anything to anyone. I was afraid of admitting
what I'd let happen to myself. I was ashamed that I wasn't strong enough to
beat it on my own. And there was a part of me that didn't want to recover;
something that I now know was the disorder. There
were a few times I'd thought of looking up resources for help online. But I was
too afraid I'd actually stumble into something that would help support and
encourage my eating disorder rather than me. There was still enough of my own
strength left to keep me from wanting that to happen so I'd always held off.
When my mom's trip to Maine came closer and closer to being
reality both I and my eating disorder knew she would see how bad I was. I
desperately wanted her to notice and for her to help me out of this mire I'd
found myself in. My disorder had other things in mind. Through these two
tangled mindsets I tried to gain weight before she came so that she wouldn't
see, which would allow me to go back to my disorder behaviors once she left,
but even with the threat of discovery I wasn't able to do it. The thought of eating
any large amount of food and any food that wasn't fresh organic fruits and
vegetables terrified me. The idea of stepping on the scale to see that the
number had gone up was paralyzing. I couldn't change anything and when the day
came that her plane landed in Portland I had actually lost even more weight.
I don't know if she got off the plane and instantly knew, or if
she just suspected and her observations over the next couple days (because I
couldn't even eat much with her there) confirmed what she thought. She flew in
on Monday and that Saturday morning informed me we were going to have a serious
talk. Even though for months I'd wanted help, had wished so badly that someone
would just take me by the arm and tell me that I was not ok and that I was going
to stop what i was doing, I still put up a fight. Or rather the eating disorder
did. I yelled and threatened to leave and go do my own thing that day but thank
God I have a mother who is not easily dissuaded. I won't go into detail but let’s
just say she convinced me that I needed to at least stay there and let her
talk. Still even then I was too scared, ashamed, confused and angry to look at
her. I just stood and looked at the floor the whole time. Everything she said
though was something I needed to hear and at the end we'd agreed that I would
get help starting Monday.
Out of the treatment options my mom discussed with me the New
England Eating Disorder program or NEEDs seemed the best choice for me.
Patients in the program are initially admitted for "partial
hospitalization" which means that Monday through Friday from 7-3:30pm they
are at the hospital. The days are spent engaging in various kinds of group
therapy as well as eating two meals and two snacks. Once the patient's health
is stable and they've made progress in therapy they are discharged to the
"intensive outpatient program" or IOP. At this stage patients come
for half days 2-5 days per week and bring one meal with them to eat. When my
mom explained it all to me she made it seem certain that I would definitely be
admitted to the partial program, but I wasn't so sure.
On Monday morning we called and left a message explaining that I
wanted to come in for an assessment. A couple hours later I got a call back
from their intake nurse and the next 30 minutes was the toughest phone call in
my life. Like I've said, I knew then that I had a problem but I had never
actually said it out loud. Even that Saturday when my mom forced the issue she
had done all the talking. When their intake nurse asked me exactly what my
problem was saying the words "I am anorexic" was the hardest
thing I have ever had to say. On Tuesday at 7:30am I walked into Mercy Hospital
for my assessment at the NEEDS. I met with one of
the therapists in the program and spent the next 40 minutes discussing
everything involved with my disorder and everything in my life that could have
led to it. She made the official diagnosis and then met with the programs
doctor to discuss treatment recommendations. Based on what the therapist said I
was a definite candidate for partial hospitalization and I was all set to do
that after my trip to Utah.
Apparently though my physical and mental health were in serious
enough jeopardy that the doctor had me admitted that day. In the course of an
hour I had lost my trip to Utah, been put on disability from work, been told
that my physical activity was limited to me climbing the steps to and from my
apartment only once a day (so I could get to the hospital), and that caffeine
was not allowed while I was in the program. I faced a barrage of questions
about my physical history, had blood drawn for testing, and an EKG was
performed to assess possible damage to my heart (thankfully there was none). I
found out a few weeks later that I was more than 20% below what my healthy
weight range was.
I don't think I could ever fully express the complete and utter
shame I felt at that moment. Something that we are told continuously in the
program is that what has happened is not our fault. We are told a disease has
snuck into our brain and taken over our mind and that we are no more to blame than
anyone else with any kind of mental disorder. It's easier to know that though
then to believe it. And even now two months later I still feel some shame, and
maybe I always will.
For the next few weeks my days were spent in the hospital and my
nights and weekends were a constant battle of the minds (well just my mind) to
stay calm and not move too much. My mom extended her trip to stay until she
could fly my sister to Maine to be my support person, and then when Kairi left
my best friend came to fill that role. The three of them (and Stephanie's
daughter Faith), made the nights and weekends bearable. They made eating food
easier, they made not exercising possible, they made it easier for me to accept
the idea that I was not a weak, awful, damaged person. They made me feel as
normal it was possible for me to be at that time.
The days at the hospital for the most part were not all together horrible but they weren't particularly thrilling either. We did have to spend the whole day sitting which felt like torture, and the meals we had to eat were so huge that I was uncomfortably full all the time. In between meal times we had various group sessions throughout the day with different therapists. Some were serious, insightful, and tough to work through; others were fun and relaxing. There were days I was happy and felt upbeat and hopeful about recovery and others where I'd never felt more lost and spent a good part of the day crying.
While the meal normalization and therapy was unbelievably good for
me, in a way what helped just as much was being surrounded by individuals who
were going through the same thing I was. Their disorders might not be the same,
might have been going on for years, they might be older or younger, but they
all knew what it was like to be completely taken over by something a thousand
times stronger than you and that powerless feeling that comes with it. I was in
a group of people who understood what it was like to wearing multiple layers in
70 degree weather and still be freezing. Who knew what it was like to feel
their heart working harder than it ever should have been asked to. Who knew
what it was like to wake up more tired than one could possibly imagine but
still have to push their body through another couple workouts. I was surrounded
by others who knew what it was like to lose them self and not believe that
finding their way back was possible.
There are several things I had to learn at Mercy. I had to learn how to show compassion to myself. I had to learn that it's not only ok to be weak sometimes but to show that weakness, and to allow others to be strong for me. I have learned that it is ok to actually sit and do nothing. I have learned that you have to eat a shocking amount of food not just to gain weight but to maintain it. I've had to learn it's ok to ask for help. I've had to learn, and learn to accept, that I can no longer be the true introvert I have always been because doing so will make it so much easier for the disorder to come back and take over. This last bit, the part where I have to give up a core element of who I truly am, was - and still is - the hardest part for me to accept.
I was a patient in the partial program for three weeks and one
day. I ate more food in those three weeks then I probably had eaten the
previous 3 months, I gained a lot, and learned a lot, and fought constantly.
After the partial program I attended IOP for three weeks and officially
discharged on Friday, November 28th. On my very last day they asked me what I
would miss most about the program, and I said it would be being around people
who understood the hell eating disorders can put one through either because
they had gone through it themselves or because they'd spent years working with
those who had. When they asked what I would miss the least my answer was easy
and immediate and said I couldn't wait to have caffeine again.
Going through treatment for recovery does not mean that you are
completely cured and immediately back to your old self. I have a
therapist in Portland that I see every week, and I go to my Dr for weekly
weight checks. The voices and urges are still there all the time, but the more
I fight them and refuse to give in to what they want the quieter they become -
the easier they are to ignore. But when one tactic doesn't work another one
comes. In the course of a week I experienced my disorder turning into a train
and woke up with it slamming into me, leaving me in shambles the rest of the
day. Next it turned into a quiet voice sweetly tempting me with just how easy
it would be for me to give in, to go back to the way it was before, so much
easier then this fight I'll have for who knows how long. The thought of that
fight left me so tired I could barely stand. And, in a second, it went from
quiet and calm to a storm raging with every fear and trigger imaginable so
strong that I found myself in a full scale panic attack crying on the floor.
I also struggle with how I look now more than I ever in my life.
Fairly early into the program I could feel the weight gain and my disorder
started to panic. Clothes that for months had always been loose started to feel
tighter and I was constantly uncomfortable. I couldn't face wearing jeans
anymore and switched over to yoga pants. Even now I avoid jeans as much as
possible. And even though when at my lowest weight I didn't like how I looked
my disorder sure did, and every day is a battle between accepting what is
healthy for me and what is comfortable for me. Those two things are definitely
not the same. Some days aren't quite so bad, and other days I constantly
feel huge, unattractive and all around awful. The negative thoughts about how I
look are worse now, because it is no longer just me looking in the mirror but
my disorder and the voices that come with it. I carry with me the memory that I
was much smaller and how that felt. It might not have been healthy, but that is
sometimes a hard fact to accept.
A normal day for me now is one that has some ups and many downs. I still have to eat what feels like a ridiculous amount of food so that I don't lose weight, I am always full, and every day is a challenge to keep eating the foods that scare me. I'm allowed a short walk every day, but have to work hard to ensure that I don't do much else. It will be months before I'm allowed to do any type of serious exercise which just sucks. Every day I have to double check myself to make sure that the thoughts of what I want to do and the actions I take are my own and not the disorders trying to trick me. Do I really want to go for a walk, or does the disorder? Am I choosing to not have something as part of my meal because I'm truly not in the mood for it, or is because the disorder finds it threatening? It’s an effort to not get online and search for the best foods to help you lose weight, or the top ways to boost your metabolistm. It is a constant never ending fight. I always have to be on guard to make sure that I don't slip, and it's exhausting.
I want to be able to trust myself again. I want be able to tell when
I'm hungry and when I'm not – and to feed myself if I am. I am tired of eating
anything "unhealthy" and feeling guilty about it afterward. I still want
to be someone who enjoys a huge bowl of fresh veggies and loves apples more
than just about anything. But I also want to be the kind of girl who thinks it’s
ok to indulge in a whole pint of gelato every now and then, or makes chocolate
chip cookies and eats half the dough without a second thought. I want to go back to being someone who only
weighs myself at doctor’s visits and really doesn’t care what that number is
any other time. I want to feel comfortable in my own skin, and comfortable in the
clothes I have. I can only hope that with time these things will come, and I
will be able to fully accept myself again.
Thankfully, there are definitely aspects of recovery that are good and I cling to those things to see me through the tough moments. I have so much more energy. I laugh more and each new day brings more happiness than the one before. I can focus better. Constant thoughts of food have been replaced by my old distractions. I no longer shrink from the cold but rejoice in it. My arms actually look normal again. My hair, which had started to grow thinner, has regained its original luster. It is a relief to no longer be responsible for keeping track of my weight. I am starting to enjoy my lazy weekend mornings. I let myself have peanut butter every day now rather than just the weekends. I am cooking new recipes that I've been wanting to try for months. I can have caffeine again and enjoy coffee now each day more than I ever have before! Chocolate is once more a daily part of my life! The fear that used to underlie everything I did, which was my body wondering when it will get fed, has been replaced by a calm because even though my mind is still scared my body knows it will get what it needs.
There are tangible things I can hold on to as well that give me strength. After a particularly bad day for me one of the therapists at Mercy made the comment that we were "Recovery Warriors". I liked that term so much that I have wanted it on a t-shirt with a jar of peanut butter (I chose that because it’s a high calorie healthy food, a favorite that is also a fear food, and I’ve eaten a ton of it since 10/21 so it covers all the bases). I never got around to getting that shirt, but one of the other patients at Mercy made me a bracelet with those words and I wear it every day. When a patient is discharged from the partial program we get a silver pin to symbolize the effort and fight we have put into recovery. Mine is a hummingbird and I have it pinned to a card that is taped to my kitchen cabinet. In a previous post I showed off my “Say Yes To” sign that I was inspired to make by one I saw at Mercy and I have that taped to my cabinet as well. I have cards and letters from family and friends that help me through rough moments simply by picking them and holding them in my hand. These physical objects have been vital in my recovery; I am very grateful to have them.
And then there have been the people. I have mentioned before my mom, sister and best friend, but they have not been the only ones that have been there with me these last two months. My family, the few friends I have told, the staff at Mercy and the other patients, they have been there with hugs when I was drowning, words of support at my lowest moments, and faith in myself when I no longer had any. My health today would not have been possible without them. There were other people too who, even though they didn't know the details, knew something was going on and found small ways to show their love and support as well. Those moments definitely brought brightness to many dark days.
A few days before I was discharged from partial hospitalization I
realized that this last year I wasn't really alive. I was a shadow, an echo of
who I was - of who I am. It was a life that no one should have to experience.
It was something I couldn't control, couldn't stop on my own. That is one of
the scariest things about eating disorders that the person becomes completely
trapped by their own mind and is usually powerless to overcome it alone. It is
also very possible that they don’t even realize they have a disorder, they
might think that they are perfectly fine. So please if any of you suspect that
someone you know might be suffering from an eating disorder please say
something to them. If it's someone you don't know very well and therefore don't
feel comfortable, or right, talking to them about it then find someone who knows
them well who can. And if and when you do bring it up don't let them brush you
off. I'd wanted someone to say something for months, but even when it finally
happened it took my mom threatening me to get me to stay and listen. The doctor at Mercy often said that a single patient's eating disorder was stronger then everyone in the room combined, and that person will
need you to have an iron will to help them find their strength to beat it.
Keeping with that line of thinking, if there is anything you want
to know that I haven't written about here please ask. Don’t worry that you
would be too nosy, don’t worry about whether you know me well enough; don’t
worry that a question would make me uncomfortable. Not only will talking about
this benefit me and my recovery, but as much as possible I want to help dispel
all the misconceptions and preconceived ideas of what eating disorders are. The
one way I know I how to do that is by sharing my experience with others.
I am posting this blog on the
last day of 2014 because opening up to everyone the truth of all that has
happened gives me more strength, excitement and hope for the year to come. My
time in Maine is coming closer to an end, and I want to spend every last second
of it living. I want my
last memories to be happy ones. I love this state and I want enjoy the places I
love most, and have as much fun as possible with the friends I've made. I want
to make new friends and explore new places. I want adventure and spontaneity
and laughter and joy. I want to be free. I want to be fearless. I want to be
me.
Oh Kelly! I had no idea!
ReplyDeleteYou are SO brave. I love that you triumph over your fear by putting it out in the light. Fear can only grow in the shadows. I want you to know that I think you are capable of ANYTHING you put your mind to. And I know you have many many more fabulous adventures ahead and I'm so happy you are on the road to recovery so you can ENJOY them!
Visualize me sending you so much love that your voices cannot be heard over mine telling you, "You ARE Loved." "You ARE brave." "You ARE beautiful."
Much much love to you!!! xoxo
Thank you so much Sue!! Your words of support mean more than you can ever know!
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