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Advancing the Education, Prevention, Research & Treatment of Eating Disorders


A Setback In My Recovery

Question:

I had anorexia for most of my life. However, I feel like I got over it completely for 5 years. I could handle life, and weight didn't matter. Now I am going through an extremely difficult period in my life. Despite all the treatments, and hospitalizations, and knowing what to do (eat), I do not see myself getting out of this one or wanting to at times. I know I am getting to the danger zone because the ED has control. I try to fight it, but I feel it is a losing battle, because I want it to win. I also have a thin shred that wants my normal life back. How can I keep that shred alive?? It's so hard to see sometimes.

I am in counseling, and just got out of the hospital-too early. I don't want to go back to the hospital and I'm afraid to ask for help that I know I desperately need.

Ashamed, Guilty, and Confused


Answer:

The journey of recovery from an eating disorder can be long and difficult and often includes serious setbacks as you are experiencing now. You know that you can conquer anorexia because you have done it before. It is so inspiring to hear that in spite of many years of suffering, you were fully recovered for five years, free of concerns about weight. Remembering your former freedom will help you turn that shred of hope into a lifeline toward recovery.

Your eating disorder is affecting not only your relationship with food but also your relationship with yourself. Shame, guilt and confusion about basic needs for love, help, support and self-expression are hallmarks of eating disorders and perpetuate relapses. I encourage you to pay attention to your own experiences of struggle and connect with your past recovery. This can help you to find the courage to risk continuing to reach out and ask for the help that you know you need. Perhaps increasing the frequency of your therapy sessions, participating in a group, or intensive outpatient program or even returning to the hospital will enable you to resume your recovery on a more solid footing.

You do not describe what is extremely difficult in this period of your life besides the eating disorder. It may be that events or circumstances overwhelmed your ability to handle life and you turned to a familiar and problematic coping mechanism. You are aware that to get out of the danger zone you need to eat. I hope you are able to make enough changes in your eating that your therapy does not have to focus completely on your physical/medical issues. Exploring why you needed to return to anorexia and how you could take care of your needs in other ways, may help you get back to dealing with life in a healthier way.

I often think of one of the slogans of Eating Disorders Awareness and Prevention, "Don't Weigh Your Self-Esteem, It's What's Inside That Counts." I hope you are able to recall that your weight is not what is important about you, and redevelop the conviction that you and your well-being do matter.

 

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