*Trigger warning read at your own risk* I am putting a trigger warning on here because I am going to be talking about eating disorders. I do not promote eating disorders I just have one.
I was diagnosed 2 years ago with an Eating Disorder Not Otherwise Specified (EDNOS) after having 2 fainting spells at school. I was dehydrated from not drinking fluids and purging (making myself vomit) and my body didn’t have enough nutrients to maintain consciousness. Fainting is scary especially when your are going in and out of consciousness and it is also kind of embarrassing when you faint in front of your entire class.
Let’s go back a lot further to when I first started having an unhealthy relationship with food and body image. I was about 8 years old. I had become less active due to the beginnings of my chronic joint pain (we still don’t know what is causing it and all of the doctors I have seen about it blame it on me having depression) so I started to gain weight. I was no longer a skinny bony child I was overweight but not significantly. I still wanted to be active and do gymnastics but my dad stopped allowing me to do it because I was “bigger than the other girls.” My dad would tell me I was bigger and I knew that it was his way of calling me fat without saying fat. My brother would just call me fat and my dad wouldn’t say anything about it. So I started skipping meals. I would say I wasn’t feeling well or sleep through dinner. Neither of my parents said anything or showed any concern. I would starve myself for days at a time and they didn’t notice. They noticed everything I did wrong or that my brother told them I was doing wrong and I was just a fish out of water. They didn’t listen to me and they seemed to only care about my brother.
During this time I was also sexually assaulted/abused. I did tell my parents but they didn’t believe me, and because of their disbelief of what I told them, they don’t remember (which is a another bundle of emotions). This person made sure to tell me how insignificant I was and held what he did over my head constantly.
The restricting of eating gave me control over something that only I had control over. My parents couldn’t force me to eat so I wouldn’t. The thing is, I didn’t lose a significant amount of weight during my childhood restrictions on eating.
Then middle school came. I still went back and forth with restricting and eating but it got worse during 8th grade. My parents had me in therapy since I told someone that I wanted to kill myself and I had started cutting so instead of trying to talk to me about any of it they made me feel even worse about myself and then paid someone to deal with me. They still didn’t care to listen to what I was trying to tell them and they just accused me of being attention seeking and learning how to self harm from the internet (them not knowing that I had been self harming for years before that).
Then High School came. It’s important to note that the high school I went to was a more academically intense school where almost all of my classes were honors classes. The first week of high school my dad grounded me for a stupid reason and took my phone. So I decided to restrict my eating. I basically had under 100 calories a day for an entire week and also did not speak to him for the entire time that he took away my phone. I have always been smart and found ways around punishments such as punishing my parents (not talking to them/ignoring them) and lots of reading (which let me go on other types of adventure without having to leave my bed). Then I had hospitalization number one where I spent 3 days in a psych hospital. Sophomore year happened and I had 2 more psych hospitalizations. Then Junior year happened. That was when I started purging. I was stressed (from school) and nothing seemed to be working out and I felt so ignored by my parents. So the 2 fainting spells happened before the psych hospitalization Junior year and were part of the reason for my hospitalization. It was (and still is) really hard for me to verbalize how I am feeling so all I knew was I hated myself and everything regarding living. I was really depressed and anxious (to the point of daily panic attacks) and it was a terrible feeling and I just wanted it to end. I am very thankful for the amazing therapist I had at the time because after that hospitalization she decided to up my therapy from once a week to twice a week. We talked about my eating at every session, how many calories I had eaten that day/what I had eaten, what was my caloric intake goal every day, how many calories I was burning from exercise, etc. and the really wonderful thing that my therapist at the time did, was that she didn’t push me to eat more or try to shove the food is fuel speech down my throat. She just listened, took notes, and nodded. Sometimes she would ask (especially on a day where I had only had around 200-400 calories) how much water I had and/or how I was feeling that day. We did that for one or two months and then went back to once a week when I came home from Washington D.C. We also decided that after the semester was over that I would transfer to another school that would be less stressful for me. It was hard to leave but I still have amazing friends that I still talk with and hang out with. Then that therapist took a promotion so she couldn’t be my therapist anymore so I switched off to another therapist who I saw 7 times total before she also to the same promotion and then switched me off to her cousin who is now my current therapist.
I somehow made it through the rest of junior year and all of senior year without anything super major happening with my eating until now.
From having cancer and doing chemo it changed my appetite to the point of me not really being hungry. But I did eat during treatment when I was feeling up to it and not nauseous. Near the end of my treatment my one of the physician assistants told me that my weight was down. They didn’t think much of it and just told me to make sure I was eating as well as I could. For the weeks following the end of my treatment my appetite didn’t return and I still was feeling crappy. But I saw my weight dropping. I had lost 10 pounds over about 2 weeks. That made me really happy. So when my appetite did come back I still restricted. Yesterday I weighed myself and saw that I have lost about 20 pounds in the past month. It made me happy to see the number on the scale going down instead of going up or staying the same. Then I ate dinner, and felt so disgusting because it wasn’t a healthy meal so I purged. This was the 3rd time I had purged this year. I don’t purge often because I sing and it can damage the vocal chords and because I personally don’t like the feeling of vomiting. I only did it because I felt that I had to. I knew that if I didn’t the disgusting feeling I had would just linger.
A lot of people don’t understand eating disorders. There are treatment options for Eating Disorders but there is no cure. People will ask me “why do you keep doing this when you know it can/will harm your body?” or they say “you’re smart why are you doing this?” There really isn’t an answer to why I keep doing this other than I have an illness and it’s what I know how to do when it comes to coping. When people tell me that I am smart but what I am doing is stupid is really frustrating. My intelligence has noting to do with my reasoning skills when I am in the heat of the moment or crying over my bowl of 265 calories worth of cereal with milk knowing that I will probably go and purge, take a laxative, and/or feel the need to burn off all of the calories and then some doing cardio. Every time I eat I am anxious. Eating with family and friends is hard because I feel like they are judging me for how much or how little I am eating and/or how fast or slow I am eating. Then me trying to drink lots of water so that I won’t be lying when I use the excuse of not being very hungry or not feeling well.
I told 2 of my friends about my purge because I didn’t know what to do. I didn’t tell my therapist that I purged when I saw her, but she knows that my eating has been crap and that it’s not due to a post-chemo side effect. Since we worked on my trauma narrative, we did not go into depth talking about my eating this week because it was the end of my session and we finally got to a point where I wasn’t overly anxious and since I haven’t fainted we didn’t discuss it more. Next week we probably will but on the bright side next week is our last session for 2 weeks because of Christmas and she will be gone for one week and then the second week we didn’t schedule because she decided a break would be good (this was 2 weeks ago when she made that determination). She is aware that I will only reach out to her between sessions if it has to do with me not feeling safe/needing to be talked off a ledge or just to vent. Other than that my eating/lack there of is not talked about with her outside of my sessions.
Eating Disorders are really really REALLY shitty and hard to deal with especially when people look at it as a choice or a fad diet. Everyone has a different reason for onset and a different severity of the disease. For me it never really goes away I learn new ways to deal with it and I can make it through a few months and then what I was doing stops working and I have to find something new to try. Most importantly I have to want to try something different. Right now I don’t want do anything about my eating except continue to restrict and start doing daily cardio and stretching again. Yes I am completely aware of what I am doing yet I also don’t feel like I have a choice. I don’t plan on doing anymore purging but if it happens it happens. I don’t plan on voluntarily talking about my eating with my therapist unless she asks about it. I currently do not see my eating as problematic. That may change in a few days, months, years, or never, I don’t even know.
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