Owning My Eating Disorder

First of all, I just want to thank everyone who commented and offered support on my last post. It’s amazing to me that I still have readers out there even though I am not very active on this blog (or my YouTube channel) anymore. Your reading & your comments mean so much to me. Thank you.

After my last post, I finally reached out to my dietician to ask for help. She’s an eating disorder specialist and an intuitive eating dietician, and she has been my voice of reason in the past (and again now) when I couldn’t necessarily trust my own internal dialogue. I’m working with both her and my therapist to slowly climb my way back out of this relapse, and I’m already feeling a little better than I was a few weeks ago: more energy, less depression, clearer mind. I’ve also been attending some virtual eating disorder support groups, which first pissed me off (because the people there were just so POSITIVE and “recovery” when I felt so negative and unwilling to let go of what I was doing), but are now really helping.

One of the toughest thoughts I find myself grappling with is whether or not my eating disorder is real.

Let me back up for a second and explain that, for me, it makes the most sense to characterize my eating disorder thoughts as a separate voice inside my head that intrudes without my being able to stop it. It often sounds like this:

I’m in the kitchen making myself a tuna sandwich. I suddenly think “hmm…cheese would be good on this…remember when you used to have those amazing tuna melts in college?”

ED voice: NO! Cheese will add 120 calories! You’ll go over your calories! It’s too much! You’ve already added mayo! How many calories even is this meal?! You’re probably way over already!

I will be flooded with physical panic and fear. I do not eat the cheese. The ED voice wins this round.

The ED voice tells me a lot of things to keep me compliant, and one of those things is that the eating disorder itself is not real. That, if I go a day eating more calories than the ED wants or if I don’t track my calories for a day, that means the eating disorder isn’t real and that I’ve been using it as an excuse for attention. Which is gross and disgusting and bad bad bad. The only way to rectify? To restrict lower, harder, lose more weight. To prove it is real. And then, then maybe I will be worthy of care and of food.

It’s tricky, this ED voice. And, the deeper I am into the behaviors (restriction), the harder it is to even distinguish this voice from my own.

But, it’s there. And, I’m realizing, the fact that it’s yelling at me that it doesn’t exist is proof enough that it does. That I DO have an eating disorder. It’s the very thing yelling at me while I don’t eat the cheese. It’s controlling that action.

I’m now grappling with a couple of questions and feelings about these questions:

  1. Does having an eating disorder mean I can never diet again?
  2. Why is it seemingly OK for others to diet (or eat X number of calories, or track calories, or whatever action) but not me?

The conclusions I’ve come to? Because I have an addiction.

I am addicted to my eating disorder.

I get a dopamine rush whenever I see the scale drop. Whenever I close out my day at a certain number of calories. Whenever I give in to the ED voice in my head — I get a dopamine rush — and it gets harder and harder to get/hold onto that feeling, so I end up needing more and more to get there (restrict lower, etc.).

I have an eating disorder, and so, no, I genuinely don’t think I can safely “diet” (restrict calories) even a little bit. A little restriction inevitably leads to a relapse.

I have an eating disorder (addiction), so I have to stay away from things like calorie tracking, 100%, because even a little bit of it inevitably leads to a relapse.

And this makes me angry. It feels unfair. And the ED voice in my head, of course, screams at me that I’m using the eating disorder as an excuse to “stay fat” and eat unrestricted. (The ED voice says that I am not worthy of eating unrestricted because I don’t have an eating disorder/I am not thin enough.)

Tangled web, huh? The eating disorder telling me it doesn’t exist, so I should listen to it… lots of logic there.

In any case, I am growing more practiced right now with owning this and trying not to be too ashamed…because, yeah, there’s a lot of shame that comes up when I say “I have an eating disorder.” Shame and an instantaneous disbelief in the thing I am saying.

Me: I have an eating disorder.

ED voice: no you don’t! Stop making things up for attention! …..

Me: if you don’t exist, then how are you even talking to me?

Right, so…

Hi, my name is Lisa, and I have an eating disorder.

What Does Normal Bloating Look Like?

I recorded a video for my YouTube channel yesterday (I’ll post it below) that I thought would translate pretty well into a blog as well (plus, I’m going to add some bonus pictures that aren’t in the video just for my awesome blog readers). For those who would rather watch vs. read (or watch and read), here is the video:

Now…let’s talk about bloating.

This experiment was inspired by one of my favorite YouTubers, Natacha Océane, who recorded what a normal day of bloating and scale fluctuations look like for her. Now, there are a few differences between Natacha and myself…

Natacha and Me

…have you spotted them?

I’ll give you a minute.

Just in case you can’t tell from this photo, Natacha is in her 20s, has never been obese, and has never had a child — three pretty big differences between the two of us!

I loved her honest portrayal so much, though, that I wanted to provide my own showing my different body type. So, that’s what I did!

Now, if you watch the video, you’ll hear all about how difficult this day wound up being for me. I struggle pretty hard with watching the scale and my body fluctuate. I am hoping that this experiment will help to remind me that these are very fickle things that fluctuate wildly, and there’s no need or reason to change anything just because of minor fluctuations like this.

Now, the experiment…

Method!

I “measured” as soon as I woke up, after my run, after lunch, before bed, and when I woke up again this morning.

I took two sets of photos/video: my abs relaxed vs. my abs flexed (not that you can see them, haha).

I also weighed myself.

What I Ate

Pre-run: espresso with some creamer

Breakfast: protein pancakes w/ extra protein powder, peanut butter chips, coffee w/ creamer

Lunch: half of a buffalo ranch salad kit with a beef pattie on top, sweet potato chips, sour gummies

Dinner: a bowl of cereal with 2% milk, blueberries, and a yogurt

Snacks: lunch meat (turkey), crackers, pickles, protein bar, decaf coffee with creamer

How I Worked Out

5-mile short run

Results!

Here are the weights:

I was 140.2 when I woke up, 138.8 after my 5-mile run, 140.8 after lunch, and 140.8 before bed.

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I woke up at 139.6 this morning.

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Abs Relaxed Photos

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Absrelaxed2.jpg

This morning:

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Abs Flexed Photos!

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Flex2.jpg

This morning:

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Conclusion!

Bloat is normal, the scale fluctuates a lot throughout the day and day-to-day, and these things are not something to worry about. I thought, at first, that I bloat up “bigger” than others because of the elasticity in my stomach area, but I’m honestly not sure that’s true now. I think I’m just much more critical of myself!

Also, on a personal note, yes, I have legitimately gained a couple pounds in the last couple of months. I actually had lost about 4-5 pounds when I went on a short-term, idiotic diet, but my body composition test told me that all I’d managed to do was lose muscle & water & freak my body out so that it was holding onto fat for dear life. So, I stopped dieting, got back on the intuitive eating train, and re-gained the weight within 3 weeks. My next body composition test is next week, and I’m hoping to see that I have my muscle (water) back.

Personal Note

This was a really hard experiment for me, and I am feeling all sorts of anxious about putting it out there. I’m definitely struggling with body image a lot these days – more, I think, than I was even before I started exercising.

That said, the exercise is going amazingly well! I continue to see gains in my strength and endurance, and I want that to be all that matters — I at least want it to matter more than a stupid number on a scale. I hope, some day, this is true for me.

 

An Honest Account of New Motherhood (with Postpartum Anxiety, Depression, and OCD)

The day my daughter was born was not the best day of my life.

Pregnancy was long and hard – so hard – for me. I did not enjoy being pregnant. And, the day my daughter was born, I was glad for the pregnancy to be over. But, when they lay my wiggly little girl on my chest, I was not overcome with emotion. In fact, I felt nothing at all. Later that day, in tears, I would write a message to my therapist saying “she feels like a stranger.” Which, in truth, she was.

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I had dark thoughts during those two days in the hospital. As honest as I strive to be on this blog, I am not brave enough right now to tell the entire world what those thoughts were. But, I will say that I was ashamed of them. I did begin to feel one thing, though: anxiety. Lots and lots of anxiety. When it was time for us to go home, I found myself in the throws of a panic attack. I told myself that it was normal. I was a new, first-time mom. Anxiety was expected.

When we finally got home, I needed my mom. Not to do anything for me; I just needed her presence. I had said repeatedly while pregnant that I didn’t want anyone staying over at our house when my baby was born. But, I now found myself crying like a small child when my mom went to go home. (And, so, she stayed.) “How funny,” I thought, “that in becoming a mother, I find myself feeling more like a child than I have in many years.”

I cried a lot. Constantly, really. Deep waves of pain would strike, welling in my stomach like grief and crashing over me. I never cry in front of anyone; now, I could not help myself.

I regretted becoming a mom.

I did not regret my daughter’s existence, but I regretted thinking that I could be a mother. I told my husband and my therapist this daily. Hourly, sometimes. And, I Googled… I searched all over the internet for other women who regretted becoming a mom… desperate to see if any of them had found their way out of this pit. But, nobody’s story, nobody’s thoughts sounded as dark as mine. Nobody seemed as far gone as I felt.

And then there was the insomnia. In the first two weeks after giving birth, I found I was able to nap and sleep whenever I had even 30 minutes of downtime. But, I soon found myself unable to sleep even when the baby was sleeping. I was exhausted, I took Benadryl, and still, I couldn’t sleep. Increasingly, it got worse, until I was sleeping maybe an hour in total every night; two if I was lucky. Always broken up in to 15-20 minute increments. Not because of the baby, but because my body physically refused to sleep. I spent countless nights writing panicked messages to my therapist in the dark, alone, on the stairs… nobody else was awake. But, I could not rest.  In truth, I felt relief when the baby would wake up, because then I could nurse her – I could do something – I could be productive rather than sit there, tortured.

And it was torture.

I began to struggle with caring for my daughter. I was exhausted. My body was exhausted. My brain was flooding me with nothing but anxious fear and intrusive images of terrible things happening to my baby, my family. I was miserable. I was in constant pain. But, I didn’t really think much of it; I have struggled with anxiety, depression, and mild OCD for so long that I just figured that this was normal for me and had nothing to do with having had my baby.

I went to my 6-week appointment with my midwife expecting nothing more than a quick check and sign off to return to work at 8 weeks postpartum. I filled out the questionnaire honestly and then sat in the exam room holding my screaming, over-tired baby who refused to latch and nurse. My midwife walked in.

In the first minute of that appointment, she could tell that I was not OK. And she called me out on it. In fact, she said she would not clear me to return to work. I was caught off guard. I was scared. I was ashamed. I felt like a failure. But, also, I was so…so relieved. She SAW me. She SAW that I wasn’t OK. Nobody else, nobody, not even my therapist who I had unloaded everything on had recognized how much I was struggling, how I was drowning. I was relieved to hear that I would not have to go back to work yet. I had been so afraid of how I was going to manage working at my fast-paced, mentally demanding job when I couldn’t even sleep for longer than 15 minutes at a time.

I left that appointment with so many emotions. I thought it would be my turning point. But, it wasn’t. Not quite yet. Then came one of the hardest decisions for me: whether or not to go back on my antidepressant/anti-anxiety medication and stop nursing. The anxiety exploded. The intrusive thoughts exploded.

I knew that I needed to go back on my medication. I still remember my last nursing session with my daughter. It was in the morning, and I ate poptarts while she nursed. I, who had never ever thought that I even would nurse at all, found myself flooded with grief and fear. When she was done, I stared at that stupid antidepressant pill and second guessed myself over and over and over.

There were the logical arguments: What was I going to do if I couldn’t nurse her for comfort? She wouldn’t take a pacifier.

The emotional arguments: She wouldn’t need me anymore; anyone could feed her. She wouldn’t need ME.

And the completely illogical: Would formula cause her to developmentally regress? This became a very real fear.

After I took that pill, I instantly felt like I had become poisonous. Tainted. My daughter could no longer nurse. I was poisonous. Poisonous. Poisonous. It echoed and echoed in my mind.

Unfortunately, it seems I had waited too long to start medication. I rapidly deteriorated. I could no longer sleep at all. In desperation, I took some Ambien that my psychiatrist had prescribed during a previous bad fight with insomnia. Despite having not slept for 2 days, the Ambien only got me 1 hour of sleep. My mom took me to the ER where they gave me Valium, which made everything worse, causing huge waves of cold anxiety that made it hard for me to breathe.

Finally, finally, I couldn’t do it anymore. I couldn’t function. I couldn’t take care of my daughter. It took 6 and a half weeks for me to break, but in the end, I did break. I asked my mom to take me back to the ER, where they admitted me to a psychiatric unit.

Have you ever hit rock bottom? Have you ever fallen so low that it doesn’t even feel like real life anymore? Have you ever questioned your own sanity? Whether you might actually be asleep and dreaming rather than going through something in reality? As they wheeled me away to transport me via ambulance to the psychiatric unit at a neighboring hospital, I truly thought that what was happening could not possibly be real. And, I could not stop the tears. Though I had not felt much love-based attachment (mostly anxiety-based attachment) to my baby, I now found myself crying for her. I kept telling my mom, the doctors, the nurses “I want my baby…” I begged for her like a small child.

The bottom of the postpartum anxiety, depression, and OCD pit is a very dark place for those who find themselves there. It seems endless, inescapable, hopeless. But, if you’re lucky enough to find yourself with people who care about you – with people who want to help you – you will see that, if they can shine just a little light into your darkness, the pit is actually lined with ledges that make climbing out – while not at all easy – definitely possible. Going into the psychiatric unit was my lowest low, but it was also a huge turning point in my journey – both as a mother and as an individual.

I want to pause here to say – if you are someone coming to the edge of this or any other deep, dark pit of despair but are too terrified to ask for help – to go into a hospital, even – please know this: it is not at all like they show in movies or books. The psychiatric unit of a hospital can be a very helpful and uplifting place. The people there – we were all just people. Just people. Some sad, some afraid, some lost – but all of us people. They don’t strap you down and pump you full of medication; I had complete control over the medicines that I took, and they never once pressured me into taking something that I didn’t want to take. Not all hospitals are alike, but in this one, I had my own room, my own bathroom. I had privacy, but I was also not alone. In the deep dark of the night, there was always someone right there – someone to help me when I couldn’t sleep. It’s a safe place. With good people. Good, caring staff. And people who are just in dark pits of their own needing some help finding those ledges on the sides of their pits. I would go back now, if I needed to, without the fear that I once held.

It took them 5 days to get me to sleep. But, when that sleep came, when my body finally remembered how to function, everything changed. My husband visited me every single day. He brought me pictures of my baby, reassured me that she was not developmentally regressing, and we worked together to craft a plan for when I got out so that we could all be ok. I was also so lucky – so lucky to have my family. My inlaws stayed with my husband and helped him get our daughter on a new feeding schedule now that she would need to be on formula. When I got out, they had it all sorted out – all of the things I had been so anxious about (pacifiers, feeding schedules, figuring out when she was hungry when I’d always nursed on demand) – my mother in law had sorted it all out with my husband. And they helped me so much.

The best day in my life is the day after I came home. When I successfully slept in our house. When our daughter ate and was fed, and I had slept and was finally OK. The day that I realized that having her had been the best thing that I had ever chosen to do. Ever.

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Postpartum mental health issues do not go away overnight – not even after a 5-day stay in the psychiatric unit. I still struggle sometimes – even now, months later. But, that is ok. Because everything is going to be ok; I believe that. Even though every day is not a good day, I still know – beyond any shadow of a doubt – that having my daughter was the right thing to do, no regrets, and that these days are so much better because I have her.

If there are any new mothers reading this out there – whether struggling with postpartum mental health issues or not – here is what I want to say to you…

Mama, those early days, they are so dark. They are so hard. They are heavy and long, endless and slow. You go ahead and cry; it’s ok to grieve. It’s ok that this is too hard. It’s ok that you are overwhelmed. You are in the thick of it right now; even though people keep telling you that this time is going to fly by, the truth is that it will be so slow right now while you’re doing these days. And you have to do every single one of these hard days, mama. Each one. And it sucks. And it is too hard. Too much. And, mama, if you are drowning, scramble hard to get help. Even if it feels like failing. Even if it feels all wrong. Take the hand. It feels like failure, but it’s not. It’s the right thing.

Remember this: you are important. You. Apart from your baby. Apart from your significant other. Apart from anyone else. You are important. You.

This is not your new forever. I promise.