Cynthia Marshall asked:


Recovering PeRfeCtly

For many people suffering from eating disorders ‘perfectionism’ is a central underlying issue. Healing from the demands of needing to be ‘perfect’ (perfect eater, perfect body, perfect diet) takes time sometimes can feel elusive. The critical voice of the ED can be heard long after other symptoms of the disorder have reduced. For many, the critical voice inside that demands perfection becomes even louder the more they move away from their disordered eating patterns.

Angie Harmon a psychotherapist at Woodleaf eating disorder treatment in San Francisco, CA believes these feelings may be a good sign: “as painful as the internal demand for perfection can be, it also signals us that we are reaching the very root of what prompted the disorder in the first place.”

For most people these feelings of perfectionism are paired with self hatred, low self esteem and self criticism. When asked to remember when these feeling began many say early childhood, long before the eating disorder developed: “Understanding the origin of these feelings and the context in which they developed is a very important part of the healing process. Exploring this ‘critical voice’ is vital to the healing process.” Harmon states.

The all or nothing mentality that so afflicts ones eating can also create unrealistic expectations about recovery. Before recovery, the eating disordered person believed they must “look perfect” “diet perfectly” and now once in recovery they may similiarily expect themselves to “recover perfectly.” Giving themselves permission to struggle, ask for help or have a moment of relapse can be very hard for them to bear.

What many people with ED do not realize is that recovery from eating disorders is fundamentally “imperfect” and is a process, not a destination. Recovery can be feel easy some days, difficult others and just like life can be diverse and bring the unexpected. There are bad days, good days, boring days and a variety of differing experiences. Just like life feelings and experiences change from day to day. For many people with eating disorders like anorexia and bulimia learning to be ‘imperfect” is the very core of healing. Beginning to accept with compassion the peaks and valleys recovery can bring is where we find freedom. Beginning to allow ourselves to be human and to stop judging our every move as our worst enemy takes time and practice. Recovery does not happen overnight, and that really is okay. There is no perfect “recovery” and letting go of this illusion can be the most liberating thing of all.

Harmon gives us an example: “A female client in her early twenties comes to me to treat her symptoms of Bulimia. She explores her feelings, begins to identify certain triggers to her ED behaviors and greatly reduces her binging and purging behavior. A week comes where she finds out her stepfather is terminally ill, she is laid off her job and within days she finds herself on a two day binge. She comes to therapy beating herself up and announcing she has ” failed” and had been doing so well until she “messed everything up again.” I point out to her how very stressful the last few days have been and how harshly she is treating herself. She agrees full-heartedly and then goes on to say “Oh my GOD your right, I am beating myself up, what the hell is wrong with me!!” Now the client has found a way to beat herself up about beating herself up!”

This kind of self imposed perfectionism and self criticism is all too common. I cannot tell you how many clients I have worked with IN TREATMENT who beat themselves up over not doing recovery “perfectly”. It is important for people in recovery from eating disorders to learn that there is no perfect recovery. Recovery is an individual as people are and the process is different for everyone.

“I have to say that as a therapist who has been treating eating disorders of all kinds for years I still wish I could just magically take the self hatred and perfectionism away from my clients” Harmon tells us, “I know I can’t but to watch them from outside beat themselves up for normal recovery experiences can be difficult.”

Recovery mean there will be hard days, painful days, challenging days as well as liberating, joyous and happy days. Life contains both and so will our recovery. The important thing is that we begin to learn to support ourselves in our recovery no matter where we are at. Hitting a bump in the road does not mean we should beat ourselves up, but that we need support more than ever because we are having a hard time. Opening ourselves up to the idea of self compassion is not easy, but can be done, and once we learn to accept our human-ness, our lives become brighter than ever before.



Francis

Rachel Broune asked:


Eating disorders afflict millions of people, thousands of which will die from them yearly. There is good news though, eating disorders can be beaten. This causes dramatic weight fluctuation, interferes with normal daily life, and damages vital body functions. An eating disorder is a compulsion to eat, or avoid eating, that negatively affects one’s physical and mental health. They affect an estimated 5-7% of females in the United States during their lifetimes. Eating disorders are very complex, and despite scientific research to understand them, the biological, behavioral and social underpinnings of these illnesses remain elusive. Eating disorders are serious behavior problems.

An eating disorders are women between the ages of 12 and 25. An eating disorders involve self-critical, negative thoughts and feelings about body weight and food, and eating habits that disrupts normal body function, and daily life activities. It’s common for kids – particularly teens – to be concerned about how they look and to feel self-conscious about their weight. Although eating disorders primarily affect women and girls, boys and men are also vulnerable. One in four preadolescent cases of anorexia occurs in boys, and binge-eating disorder affects females and males about equally. They include Anorexia nervosa, Bulimia nervosa and Binge-eating. Eating disorders can cause heart and kidney problems and even death.

Causes of Eating Disorders

Environmental

Psychological

Biological

Academic pressures

Genetic factors

Trauma

Symptoms of Eating Disorders

significant weight loss

regularly buys laxatives

preference to eat in isolation

depression

becomes very thin

physical health complications

swollen glands in the neck and below the jaw

Diagnosis for Eating Disorders

Trying to help a child who doesn’t think he or she needs help can be hard. Remember that it’s not your job to diagnose your child – only a doctor can do that.

Treatment for Eating Disorders

Treatment can include medical supervision, nutritional counseling, and therapy. The professionals try to address a child’s perception about his or her body size, shape, eating, and foods. There are a variety of treatment options available: individual therapy, group therapy, nutritional support, psychiatric care, outpatient, inpatient, residential and we can help you locate these resources. Fluoxetine and other antidepressants may reduce binge-eating episodes and help alleviate depression in some patients. Low mood may be difficult to spot in an uncommunicative teenager, and lack of interest in physical activity is not something most parents worry about in their teenage daughters.

Prevention for Eating Disorders

Parents and other family members are important in helping a person see that his or her normal body shape is perfectly fine and that being excessively thin can be dangerous.

To make sure that your child knows that you love him or her for who she is and what she does, not how she looks.

By reducing or eliminating behaviors or thoughts that lead to disordered eating, and preventing relapse.

Maintaining a regular diary of eating, thoughts and feelings can be helpful.



Kristin