Surfacing After Silence

Life. After.

strength

perseverance

I read a brief article tonight about addiction and relapse and recovery.  It’s written by a parent of someone who struggled with addiction.  While the father was discussing his son’s addiction to substance, and while there isn’t a definitive agreement on if eating disorders are an addiction or an illness or an ineffective coping method–but I don’t think the label matters all that much.

Relapse and Recovery.  Two terms that are often each seen in black and white terms.  You are recovered or not.  If you relapse, you are not recovered.  Or you are “in recovery”.  Or, you get asked, “If you were really recovered, why did you relapse?”

I say that I have been fully recovered for ten years. this November it will be my “official” anniversary, which is, of course, an arbitrary time, since I wasn’t sick on one day and better the next.  And yet, I don’t feel fully ‘safe’ in terms of “health” and “illness.”  I know that when I start keeping close tabs on, say, how long I walk each day, I start to track every activity for every day and I start making charts to keep track of my ‘progress.’  So I don’t wear a watch when I walk.  I don’t write down how long I walked or where I walked or on what days I walked or how I felt while walking.  I know my obsessive mind.  So I know  the potential for relapse is still there, and I know I have to be observant.

I don’t see relapse as a failure.  The two years after I made the decision to “fully recover because I don’t do anything half-assed” required two lengthy hospitalizations, each followed by an even longer time in partial.  After the first  cycle, I started slipping.  And kept slipping.  But I am proud of the fact that I was ready to seek treatment without all the drama and cajoling and threats of previous hospitalizations.  In and of itself, that was a huge chunk of progress.

So I like what this article describes.  Failure is not relapse.  Failure is relapsing and then not making any effort to continue  forward movement. Ever.  Even if you relapse and get stuck there awhile, you can still make the decision to try again.  Hell, the first time I tried to play a scale on the piano with both hands at the same time, it was not a success.  It took time and practice.  And even after practice, I would still mess up my scales some days.

Keep trying.  Keep looking forward.  Don’t give up.  There’s no one clinical definition of recovery.  There is no “perfect recovery.”  There is your recovery and your personal journey toward healing.

I, myself, spent so many years comparing myself to others, and always felt like I wasn’t “sick enough.”  I did the same thing early in recovery, and felt I wasn’t recovering “right.”  I recovered in the way and on the terms that were, and remain, best for me.  That’s all anyone can do.

Advertisements

August 18, 2017 Posted by | addictions, bipolar disorder, Body Image, depression, Eating Disorders, guilt, progress, recovery, shame, therapy, treatment | Leave a comment

Unfamiliar Body

My prior knowledge of menopause: You stop menstruating.  At some point when you’re older (like around 60?).

What I have now come to understand about menopause: Menopause is not this event that will happen one day; it’s a process.  You will–eventually–stop menstruating, but during the nebulous grey zone called perimenopause, you may wonder if some version of The Body Snatchers has taken place, because the body you wake up in is not the body you felt asleep in. And this glorious stretch of time is just that–a long, seemingly endless stretch of time.

My doctors in Baltimore had warned me that I may experience menopause earlier than expected–because of the eating disorder and because of the level/duration of prior athletic training.  So I assumed I’d just stop getting my period a little early and, well, who wouldn’t want that?

When I started having night sweats a year ago, all my bloodwork came back normal, and we attributed the then-random night sweats to stress or due to medications.  Now the night sweats are always worse the week before my period.  And I’m lucky enough to get hot flashes during the day, too.  And the length of my cycle has changed and it’s a bit heavier than ever before.

However, I have also acquired a whole new, unexpected body.  Okay, technically, I inhabit the same skin I always have, but the outline of my skin has changed.

he first time I went to wear shorts this year, they didn’t fit.  I was a bit confused, and wondered if I had put the shorts in the drier one too many times.  But when I got dressed for my next track meet, I noticed I no longer had to wear a belt.  Jeans and shirts that were once nice and relaxed could now be sold with the label “slim fit.”  While I have always worn maybe an almost-B-cup, my breasts now prefer a definitely-C-cup.

I am still letting everything sink in, and adjusting to these current changes that no one seems to want to talk about.  But it has been nice knowing that these changes have no other significance.  When I was struggling with anorexia, my size and weight were inseparable from my worth.  I feared my body’s curves and strove to make them disappear. I had to learn to disassociate my shape from any type of  judgment.  I had to say, “This is my size” as a simple statement.

Now I am once again relearning my body, and although I  no longer fear my body, I have returned to a practice that was an important part of my recovery, and that is to pay special attention to the final pose of my yoga sessions: savasana, or corpse pose.  A seemingly simple pose of rest, but one that used to be terrifying.  Lying there, open to the world, I was exposed and vulnerable.  This was intimidating on my best days, for I had never allowed myself to know my body, to be fully present in my own skin.

Again, I take extra time in corpse pose to truly rest and relax. I give myself time to trace the shape of my body on the yoga mat.  My goal is to feel each body part without opening my eyes.  I try to sense where my body is touching the mat.  I am relearning the curves of body.  Without letting my mind run away.  And without letting my physical body stand up and run away.

While there is no longer fear, there is an unfamiliarity that is unsettling.  But for once, I am thankful for the prior struggles with eating disorders.  Or, rather, prior exercises I did in recovery that allow me to claim this body as mine.

 

July 11, 2017 Posted by | bipolar disorder, Body Image, Communication, depression, diversity, Eating Disorders, exercise, feelings, health, heart, identity, mindfulness, progress, recovery, therapy, weight, yoga | Leave a comment

To the Bone: An Uncomfortable Necessity

Please remember that these thoughts are my own personal opinions.  I am not a psychologist or psychiatrist, and I haven’t performed my own research in order to analyze  statistics.  I am someone who had an eating disorder for a decade.  I am someone who struggled though the initial stages of recovery and have been fully recovered for ten years.  My experience should not be equated with either your personal experience or with academic research.

I think “To the Bone” is a necessary movie, to be released on Netflix in July.  

I think “To the Bone” will be a disturbing movie to watch.

I am sure that some individuals will use the film as “thinspo,” or motivation to continue with their eating disorder.

I still think this is a necessary movie, and I hope that more and more people hear about it and watch it, even if it is triggering and disturbing.

Here’s the reality: Eating disorders existed before movies and social media.  Characters with eating disorders are scene in literature throughout history, even if the modern vocabulary of “eating disorder” and “anorexia” and “bulimia” are employed.

Thinspo existed before the internet.  Thinspo existed as soon as two individuals who were struggling with an eating disorder discussed ways to lose more weight, or be stronger, or look more muscular, or cancel out calories already ingested.

Yes, some individuals will use the film to “get sicker,” but we cannot let fact cancel out everything else this film offers.  If people want a trigger-free environment then don’t read anything, don’t listen to music, and don’t watch movies.  And you might want to stay at home and completely isolate yourself so you don’t come across any upsetting sights or upsetting people when you go to get a cup of coffee.  Don’t bother taking a literature class, since I’ve come across more disturbing scenes and people via our classics than walking around this world.  And don’t bother looking into medicine or psychology or social work or history.

Life is triggering.  That’s not going to change.  Every time I see a television show that uses “cardiac arrest” incorrectly, I feel intense anger.  And that leads to some tough sadness, and then a good dose of guilt.  I feel these things observing various ads and billboards.  But just because they make me uncomfortable, I know the signs need to be there because there is information that more people need to know, no matter how it makes me feel.  So I choose not to watch the cheesy Hallmark movies about terminal illnesses in which the ending is somehow always happy, with great insight gained for each character

Similarly, I don’t watch fashion runways or browse through fashion magazines.  A) It’s not what I’m interested in, and B) I find some of fashion quite upsetting.  I am responsible for not picking up that magazine.  While I was still sick, Girl, Interrupted was a movie I’d watch for “motivation.”  I was the one putting the DVD in my player over and over and over again.  That doesn’t detract from the intelligent, thought-provoking movie that it is.  We need to take more responsibility for our own actions, and that includes how we respond to images that seem perfectly normal to most people.

This film will contain images that aren’t seen as “normal” in the general public.  I’ve only seen the Netflix preview of the movie To the Bone. There are the stereotyped images of anorexia, so yes, it has a character who is female and underweight as the lead.  But there are also characters that aren’t either of those things.  There are male eating disorder patients, and there are patients who aren’t emaciated.  They show the intense obsessiveness of exercise addiction, something that hasn’t gotten much media attention.  There is a scene where the family of the patient responds.  I don’t expect to watch that movie with a whole bunch of warm, fuzzy thoughts that make me smile for days.

And maybe we need that.  Maybe more people need to see the severe emaciation that can result from an eating disorder.  Maybe people need to see the endless sit-ups and stair repeats.  Maybe people need to see someone terrified of a plate of food.  Maybe we need to see someone break down because of that fear.

There is a general thought that “eating disorders are bad for your health, of course, but it’s really just high school girls losing some weight and caring too much about their size.”  Those of us who have struggled or are struggling or have lost people to these illnesses already know this to be a radically false claim.  The general public does not.  The general public sees people who are recovered talking about their experiences.  The general public see individuals in early recovery discussing why they sought treatment.  In most cases, the general public sees individuals after they have received or started treatment,  after some of the severe consequences of eating disorders aren’t so obvious.  If the general public never sees the full reality of eating disorders, why would they fully realize the severity of these illnesses?

And maybe, the general public needs to see how this film impacts those of us who are recovered, are still struggling, or are mourning the loss of loved ones to this illness.  Maybe, it’s time to discuss these illnesses more fully than we have in the past.  The public should be more alarmed if this film isn’t uncomfortable to watch.

 

June 21, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, death, depression, diversity, exercise, feelings, guilt, heart, identity, images, movies, publicity, recovery, responses, shame, therapy, thinspo, To the Bone, treatment, triggers, weight | 2 Comments

Things That May Be Difficult to Discuss

5340545-Tangled-wires-as-connection-and-network-concept-Stock-Photo-tangled-wire(please remember that this is my own personal experience, and I do not have an MD in either neurology or psychiatry.  Do not take my opinion as fact.  Take my opinion as an opinion.)

It’s not often I’m scrolling through my news feed and up pops an article written by someone who receives ECT, or electroconvulsive therapy, previously known as “shock therapy” or “shock treatment.”

I appreciate how the author points out that she’s not the “typical ECT patient.”  Just because movies and books may feature some middle-aged patient with long, stringy grey hair in a straight jacket in the corner of an empty room, does not mean this is normal.  Also keep in mind that today is 2018; it is not 1923.  When ECT was first used as treatment, it was also used as a punishment for symptomic behaviors, not an effective form of treatment.  It would physically subdue the patient without curing the underlying problem.  That is not how this treatment is used today.

I am not the stereotypical madwoman talking to herself in the corner.  (Although I do talk to myself.  And my cats.)  I am a just-about-40-year-old college professor who receives ECT as a maintenance form of therapy for the Bipolar Disorder I.

When ECT is used in an appropriate and careful manner by knowledgeable doctors with an appropriate candidate, ECT can be the best form of treatment for that individual.  With any form of treatment, you have to consider how the treatment was administered and whether or not the patient is a viable candidate–and, of course, do not  forget that each patient is unique (emotionally and physically), and may or may not have a positive response.  But–I wouldn’t trust my psychiatrist to diagnose and treat my cardiac illness.  I trust my cardiologist who specializes in electrical conditions of the heart and who has done a fair amount of research concerning my particular, rare, illness.  (In other words–ask questions, do research, and talk to an appropriate doctor whom you trust.)

So let’s address a couple of common myths and urban legends.  One: I am anesthetized while receiving said treatment and, therefore do not feel a thing and my body does not go into convulsions.  The ECT itself is extremely brief–a matter of seconds.  Two: I don’t wake up not knowing who I am or where I am.  I am aware before the short-acting anesthetic, and I am aware after I wake up.  While some confusion is normal when first awakening–that’s from the anesthesia and not the treatment–and it disappears quickly.  Three: While I am not allowed to drive that day, I can go about my daily activities and work with only some minor fatigue.  I can still teach and can still officiate, as long as I have transportation to get there–again, typical of restrictions after any course of anesthesia.  The day following the treatment is when I experience a headache or muscle fatigue, but I rest and take what usually is just a single dose of ibuprofen, and the headache is gone.  Four: There is not just a single one-size-fits-all approach to ECT.  There are different forms of ECT, depending on where the doctor chooses to place the nodes and if he uses one or two nodes and the duration of each session.

Memory can be a tricky mistress, however.  When I was in college (for my first bachelor’s), I had a course of ECT over three weeks.  I don’t remember anything from that time period or anything right before and right after those weeks.  This makes me rather uncomfortable, knowing that there is a period of time when the words in my journal entries from that time are unfamiliar.  So when, fifteen years later, a psychiatrist suggested ECT, I balked.  But that psychiatrist also had been treating me for longer than my first bachelor’s degree took, whereas the doctor from my college days only treated me when I happened to be inpatient.  Being the research freak I am, and since I was inpatient and couldn’t get to a library, I asked him to show me some legitimate articles or papers, and then we had an open, honest discussion about predicted results and side effects–both in terms of the immediate future and long term future.

I chose ECT.  After my cardiac diagnosis, I went through a very severe and lengthy depressive episode, and because of my heart, I cannot take a large number of medications.  I was exhausted and my mind was strung out, and I knew I couldn’t be discharged in the state I was in.

By the time I left that particular psychiatrist to move back to the eastern parts of the country, we had figured out that most of my medication was not helping.  My psychiatrist in MO found me a psychiatrist in NY, and the two of them consulted and discussed my treatment–and allowed me in on the discussion.

Over the previous three years, we’ve taped off old medications that proved to be ineffective, figured out which medications are effective, and I now am receiving ECT once every four weeks.  If I start to slip at all in those weeks, I call my psychiatrist and we talk about whether or not I should have an earlier, extra, treatment or if I am coping quite well and should see how things go.

During this time, I have been a college professor, a NYS Track and Field Official, an NCAA Volleyball Judge, a writer, and a friend and family member.  My memory has some glitches–but that could also be from the depression itself or, well, the fact that I’ll be forty in a week.  It’s not enough of a problem to hamper my lifestyle or consider terminating treatment.

I continue to reevaluate everything as new knowledge is produced in the scientific world of research, and I continue to reevaluate my pattern of symptoms, and discuss these with my treatment team.  Given everything–my past, my present, my physical limitations regarding medications, and my response to ECT–the most effective treatment for me is ECT.

 

May 28, 2017 Posted by | addictions, bipolar disorder, Communication, coping, death, depression, Eating Disorders, ECT, health, heart, progress, recovery, relationships, shame, suicide, therapy, treatment | 3 Comments

13 Reasons Why

ThirteenReasonsWhy

Okay, so I will join the great online debate over the book Thirteen Reasons Why, which has led to a television show.  I have read the book, but I have not seen any television episodes.  Most of the online discussions have centered on why people shouldn’t watch the show, how horrible a person Hannah is, how it will only encourage teens to commit suicide, and how it’s just “another mental illness book” that doesn’t actually confront anything.

I read the book when it first came out.  Although the writing wasn’t the best and the plot was contrived, I was glad it was written.  A teenager voicing her feelings and thoughts regarding what led to her suicide.  No, I do not agree with leaving thirteen tapes behind that nit pick and blame other individuals.  Her suicide was her decision.  She had full agency.  No one made her kill herself.

But . . . what the book shows is that suicide is anything but a simple decision resulting from a single bad day.  No, her friends didn’t make her commit suicide, but their behaviors contributed to how she felt.  Imagine if she had been able to voice what she was feeling in an open and honest manner while she was alive.  That’s what we should be focusing on.  This book exposes the truth that people suffer in silence.

You may say that with all the options out there now, there was no reason she had to suffer in silence.  Have you ever been a teenager and known something wasn’t “right” but you had no idea where to go or who to ask or even how to put the idea that something isn’t right into actual words?

Yes, there are options.  More than before.  But they still aren’t easily accessible for youth.  There is still so much judgment concerning mental health and mental health treatment.  So maybe Hannah was cruel in leaving those tapes behind, but she was still suffering and she still felt completely alone.

As a suicide survivor, to pass judgment on Hannah’s character and actions would be hypocritical.  I’ve been her.  I didn’t leave people tapes and letters, even though I had something I wanted to say.  My attempt was my decision; no one else is to blame.

I am grateful I’m here to write this.  Most days.  The chilling nature of Bipolar Disorder is that I know it doesn’t leave.   We have found a treatment that has proven most beneficial, and I have learned a zillion more ways to cope, but I still go through dark spells and I still make mistakes.

As for this book making suicide look trendy–we’re blind if we say that society hasn’t experienced this before.  The Bell Jar;  Girl, Interrupted; and Prozac Nation are the first three books that pop into my mind.  The harsh truth is that teenage suicide existed before, it exists now, and it will continue–even if no one watches this show or reads this book.  Maybe instead of discussing Hannah’s character flaws and how it was unfair of her to do what she did, we should discuss what it is in our  society that creates real-life-Hannahs every single day.  And then maybe we should discuss how we could create a new environment, one with less judgments and less isolation and more forgiveness.

April 20, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, death, depression, Eating Disorders, family, feelings, guilt, identity, Mental Health Parity, progress, publicity, recovery, relationships, shame, suicide, therapy, trauma, treatment | Leave a comment

past lexie vs. present lexie

17265011_10101645082428495_2786223809728331306_n

Someone asked me this morning about a bit I had written yesterday.  “What do you mean when you said this whole grace and gentleness thing was relatively new for you?  What did you do before?”

“Exercise Addiction.”  The phrase is misunderstood sometimes.  Yes, you can be addicted to a behavior.  Especially when said behavior provides the results you wanted.  In part, I was addicted to the endorphin high after a good cardio workout.  And, honestly, I still miss that feeling.  I’m just not willing to risk my cardiac health anymore.

Another part of the whole exercise addiction was, of course, all part of the eating disorder.  Any calorie I took in had to be “accounted for.”  Gotten rid of. Exercise allowed me to do just that–and feel the endorphin high.  Double win, right?

And then there was this part of me that mentally thrived on extreme exercise.  I wasn’t exercising to feel good or anything like that.  I defined myself by how much exercise I completed every day.  By the end, I was only “good enough” if I had completed at least four hours of aerobic exercise a day.  And exercising enough on Day One meant nothing for Day Two.  No carryover.  No rest.  Just a clean slate.  Or, rather, a slate that said, “You are a horrible person. Get your ass moving and prove that you’re actually okay.”

So I had to prove myself–to myself–each and every day. And if I did X amount of exercise on Day One, then I must be able to do XandY on Day Two.  And then XandYandZ on Day Three.  And so on.  Eventually, I admitted this was not a healthy way to approach exercise.  In mid-2006, I realized that for me to get to a healthy point, I needed to do away with exercise all together for a period of time.  That turned out to be one full year.  I would walk to the bus stop or metro stop, but I no longer ran, did yoga, stretched, lifted weights, or rode my bike.  Nothing.  For one full year.

When I began exercising again, I was closely monitored by my treatment team.  Not just to what and how much I was doing, but also regarding how I felt while exercising.  In the past, a sore muscle or joint wasn’t worth “taking it easy” let alone taking a day off.  In the past, I did the primary series of Ashtanga Yoga every day.  Start to finish, exactly as laid out.  Now?  If I notice my hamstrings are tight, I don’t stretch as hard, especially in the beginning of fthe practice.  If I don’t feel like doing a certain pose, I don’t.  That would have been unheard of back in 2005.  I do “poses” that just feel good–even if they aren’t officially a yoga pose.   If I want to rest in savasana or child pose in the middle of my yoga session, I will.  Or I can walk off the mat and call it a day.

All of these thoughts and behaviors took time.  Sometimes I still catch myself falling into the old mindset of “If you did this amount yesterday, you can do more today.” I was exercising for the sake of exercising.  Not really as a punishment, but as one more chore I needed to complete each day.  I set myself high standards in every aspect of my life, and not living up to them always led to huge amounts of guilt and shame.

Now, my worth is not defined by my body or by how much stress it can take.  My self-worth has nothing to do with exercise at all.  I determine mt self worth.  And each day is a new day.  I am not restricted by who I was anymore.  I am Lexie.  In this present moment.  That is the only standard I set for myself now.

 

March 17, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, depression, Eating Disorders, exercise, faith, feelings, guilt, health, heart, identity, images, mindfulness, progress, recovery, responses, self harm, shame, therapy, treatment | Leave a comment

Intentional Acting

14358754_10101428559527125_201134823500979566_nThis time of year is always difficult for me.  I have come to accept that life in general will be  . . . interesting during the winter months.  This year, however, I made some changes to my routine to make sure this would be a successful winter.

DBT (dialectical behavior therapy) and I agree on most things, but not so much on a few things.  I have learned a significant amount about taking care of myself, however.  A relatively new concept if you look at my life as a whole.  This year, I decided that, above all else, I would make sure I went to bed and woke up on a regular schedule.  This meant saying “the world won’t end if I don’t finish grading these papers tonight” and asking “you already know how to stay in bed for 24 consecutive hours, so how about we try something new?”  I’m not saying it was easy to maintain a regular sleep schedule; it took a hell of a lot of self-talk/self-lectures on a daily basis, and I certainly didn’t have a 100% success rate.  But I tried another new concept out this year by not shaming myself with negative self-talk when my day was less than perfect.

Not feeling guilty is actually more difficult for me than maintaining a good sleep schedule.

Healthy sleep habits definitely helped, but so did healthy exercise habits.  I said at the beginning of the winter that I wasn’t even going to go into the season with the intention of walking every day.  I hate the cold.  I hate the cold wind.  And I hate snow.  Going out for a slow walk was just not going to happen in upstate New York.  It was easier when I was able to run.  Then, just knowing the endorphin high was coming was enough to get me outside and exercising.

This year, I told myself I would try to maintain a regular yoga practice, along with my regular meditation practice.  My daily sitting practice went by unscathed.  However, there were many many many days when I just couldn’t make myself do yoga, or even do some simple stretches while watching television.  But–this winter I didn’t lecture myself about how bad it is not to exercise.  Turns out, guilt isn’t such a great motivator.

A couple of weeks ago, however, I found myself thinking, “It’s winter.  Just chill out and watch more Bones reruns.”  It was the end of winter and I didn’t feel like showing up at work, let alone exercising by myself at home.  And I’d just continue to sit there and read or knit.  And even without any self-lectures, I’d feel worse.  Mentally, emotionally, and physically.

Then I remembered another DBT skill: Acting Opposite.  I wanted to curl up in bed after going to work, not because I was enjoying a good nap that would be refreshing, but because I didn’t feel like dealing with the world.  Or my mind.  So I intentionally (a big mindfulness concept) decided to start (restart? revisit?  continue?) a daily yoga practice–with gentleness.  I started off with a few slow sun salutations–they only took a few minutes.  But I was okay with “just” doing a few minutes of yoga.  Each day, I added one more pose to my sequence.  I didn’t automatically just add on the next pose in the ashtanga series; I thought about what would feel good for my body and went with it.

So for part of the winter, I let myself sit and do nothing, exercise-wise.  For the rest of the season, I chose to challenge my depressive habits.  But in each case, I had to do so in a balanced fashion.  I had to listen to what was right for me in that given moment.  And I had to learn how to forgive myself.  These concepts of acceptance and forgiveness and gentleness are still new habits for me, and don’t come naturally.  But–I am discovering that, overall, I feel better when I choose to practice them.  My body and my mind thank me.

March 16, 2017 Posted by | bipolar disorder, Body Image, Communication, coping, depression, Eating Disorders, faith, feelings, guilt, health, heart, mindfulness, progress, recovery, shame, therapy, treatment | , , , , , , | Leave a comment

Whatever You Want

JUST TRY HARDER!!

If you wanted it bad enough, you’d have it by now. All you have to do is try. It’s easy once you decide to really go after it.  Give yourself some credit and just do it already! 

Anyone else hear these, or similar, sayings while struggling with an eating disorder or addiction or trauma or depression?  Or life in general?  I *think* they’re supposed to be motivational. How many people actually find words like this motivating?  How many people feel guilty after hearing words such as these?  I’ll raise my hand to the latter.

I’ll admit, those early hospitalizations for the eating disorder and self-harm—I didn’t want it.  I had no intention of wanting it.  I had every intention of following the program’s rules in order to be discharged so I could go home and get back to the weight I was before admission.  I was there because my treatment team told me to go.  I played nice so I could avoid involuntary commitment.

Then there came the stage when I began considering recovery.  I began wanting it.  I knew people in varying stages of recovery, and I was starting to see just how miserable the eating disorder was making my life.  But at the same time, I began to notice how difficult recovery was.  How many daily choices I would have to make to stay on that path.  How exhausting those choices could be.  How exhausted I would be.  And how terrifying everything in front of me was.

I wanted recovery.  But I was already exhausted and frightened and overwhelmed.  How was I supposed to take on even more exhaustion, terror, and change?  I really had no faith that I could do so.  I mean, I had an eating disorder.  How strong could I possibly be?  How could I be strong enough to overhaul my life?  I knew how easy relapsing after treatment was.  Fighting that felt like too much for me.  So when I heard someone say “You just have to want it”, I felt like a total failure.  I thought that I obviously didn’t want it enough, or else I would be choosing recovery.

Yes.  I think you do have to want it.  People can’t make you recover.  They can force you to eat and gain weight and they can monitor your diet and when you use the bathroom and how much you exercise, but that can only last so long.  Eventually, it will come back to you again.  And if you don’t want to change, you won’t change.

But desire is not enough.  If you are so exhausted and physically compromised that you can’t think through the decision of what movie to go see, how can you be expected to make a serious life decision?  If you really do want recovery but have absolutely no idea how to even begin walking that path or whom to talk to or where to go, how can you be expected to “just” get better.  And if you know you want a better life but don’t honestly believe you have an eating disorder, how can you choose not to have one?

Sometimes, someone else will have to step up and make decisions for you.  They may have to force you to go into treatment.  A doctor may have to initiate involuntary feedings.  And you may hate those people and be angry and bitter and swear you’ll never talk to them again.  But because of these people, you will have a chance to regain enough strength and mental clarity to make the decision for yourself.  And even then, you may well need those same people to help keep you on that path of recovery.

After I choose to recovery, I didn’t immediately begin eating 100% of my meals and calmly sit in the hallway afterward without yearning to get up and pace for hours to burn all of that food off.  I struggled against my treatment team.  I tried to “make deals” with them to get out of certain parts of health.  I was confused as to why they were demanding so freaking much out of me.  I wanted to get better, but I just didn’t want to put forth the required effort.  For a while.  Then I began *gasp* working with my treatment team and making choices for myself that supported a healthy lifestyle.  And after I regained enough strength, I found that it was easier to make those daily choices to recover than to make the choices to relapse.

If you are at that stage of wanting it but are completely exhausted and don’t know what the hell to do, tell someone else and tell them you need their help because you can’t do it by yourself.  And then resent that person with all your heart as they help you get to the point where you can thank them with your life.

January 26, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, depression, Eating Disorders, faith, family, feelings, guilt, health, identity, progress, publicity, recovery, relationships, self harm, shame, therapy, trauma, treatment | Leave a comment

I’m Sorry and I Thank You

15825794_972598482875988_2553151471534202818_n

These are things I remind myself of almost every day.  It’s difficult to examine my life and realize that I’m not where I was supposed to be.  According to my own expectations, of course.  I do look at my life and am content–I never really planned to end up where I am, but it turns out, I like it here!  But I also like finishing what I’ve started, and there are a whole lot of things I started and never finished.

I often take stock of my life in this manner–and around this time of year, I get even more introspective.  Thinking about what I’ve accomplished in the previous year, but also since I left Missouri, since I left Washington, D.C., since I left Pennsylvania.  Since I used to work for Certain Company and taught at Certain University and climbed rocks as a hobby.

Since I knew various people that once were a significant part of my life and no longer are.  I wonder how these people are doing.  I wonder if they are still angry with me.  The ugly truth is that I lied to people, manipulated them, and screamed horrible things I don’t even remember.  I hurt people.  I wish I could contact each and every single person to apologize, to say that regardless of my pain, I should not have said or done those things.  I’m aware of that now.

I also wish I could thank these people.  The ones who walked away out of exhaustion and frustration and confusion.  I may have hurt them, but I am here because of them, and I wish I could let them know where I’ve been and where I am now and what I’m doing.  I’d want them to know that some of my dreams have come true and that I’ve been dreaming new dreams.  I’d like them to see me as I am now, because I hope they’d agree that I’m a better person–and that I’m a better person in part because of their influence.

I’d like to know I’ve made them proud, even if it’s just a little bit.

I think one of the most difficult things that people struggling with recovery face is the knowledge that we’ve let people down along the way.  It’s not easy to own up to this, to honestly admit to the dark parts of our pasts.  I think hearing “I’m proud of you” is the greatest phrase because of this.  Each time I hear this, in sincerity, I chip away at the dark parts of myself that I fear so much.  Each time these words are spoken, I heal just a little bit more.

Remember to thank those you love.  Remember to let people know when you are proud of them.  You never know what they might be carrying inside.

January 10, 2017 Posted by | addictions, bipolar disorder, Body Image, Communication, coping, depression, Eating Disorders, faith, feelings, guilt, identity, mindfulness, progress, recovery, relationships, responses, self harm, shame, suicide, therapy, trauma, treatment, well earned pride | 1 Comment

The bad, the good, and some confusion

I’m thinking this will be more of an update post rather than a post with some grand enlightenment.  But if you have any enlightenment for me, please share!

I’ve been in NY for three months now.  I am finally a NY resident and own a car that has NYS plates and is legal to drive and everything. I don’t remember any previous move being this difficult, but maybe I’ve blocked those difficulties from my memory. 

Some things have been difficult:  I had to put my older cat to sleep, my grandfather is in the hospital, change is always difficult for me, and I feel like I’ve seen a zillion doctors in trying to get my treatment team set up.  And, I thought it would be most difficult finding a cardiologist familiar with my condition, but there just happens to be a specialist at a nearby hospital.  I’ve had a nasty rash off and on, although we don’t know what it’s from (a higher than normal pollen count of a mystery plant is our best guess right now).  I’ve had labwork several times.  I’ve had a CT scan of my brain.  The results have been positive in that no tumor has taken over my brain and my iron stores are normal (which is nice since I hate getting iron shots). 

Some good things:  the anxiety is not as severe as it was, and I have been handling stressful situations with more grace than I was in the spring.  I love my new psychiatrist and trust him–and some of you know that when I say that about a shrink, it’s pretty significant.  The ECT treatments began at ten day intervals and are now at 17 day intervals.  It was a smart decision to move back to NY and although living with another person in the house has been a big transition, I am grateful for not living alone right now and very thankful for everything my parents have done.  And I got a kitten:  Camena.  Who can’t smile while watching a two-month old kitten?  My dad has even fallen for her. 

But sometimes, I am just so frustrated and tired.  I knew I wouldn’t be better in three months, but I was hoping I’d be better than this.  And finding doctors has been draining.  My psychiatrist was set up for me when I moved here, so everything was set and ready to go and there was no lapse in treatment.  But finding a therapist was riddled with obstacles–and I really had no idea what to do.  When I moved to Missouri in 2008, I contacted the student health center and specified my concerns and they called back with a treatment team all set up.  This summer, I wanted to scream, “What am I doing wrong?  Someone find me a damn therapist!”  And then I found one, and then I had to decide how to tell that therapist I would prefer working with someone else, someone with a different therapeutic approach.  And now I am super nervous about meeting him for the first time this week and really wish I could call my old therapist for support, advice, or answers.

And I’m back in that spot many of you can understand all too well.  I don’t feel like my doctors believe me. I mean, my psychiatrist definitely knows the severity of the depression and anxiety because he’d been talking to my doctors in MO for a good three weeks before I moved to NY.  But my general physician–I don’t know how to make her see that I am scared.  I know the physical effects of depression and anxiety.  Quite well.  What I’m feeling now is not the same as being depressed.  But how do you argue with labs?  I’m starting to question if these symptoms are just in my head.  And maybe I just need to buck up and move on.  Except for the whole “it takes too much energy to get out of bed” thing, that sounds like a grand idea.

My only comfort this summer has been that I’ve recently started working on my writing again, with the intention of sending things out.  I can’t sit and write all day like I used to, but I have made progress on certain essays.  So maybe things are better than how I feel they are. 

So please, enlighten me with your wisdom.  Or ask me questions so I can spend my time obsessing about something else!

September 6, 2014 Posted by | bipolar disorder, Communication, coping, depression, Eating Disorders, ECT, family, feelings, guilt, health, heart, progress, recovery, therapy | Leave a comment