Tag Archive: Anorexia Nervosa


20170619_150530If you think that being in hospital for five months would have afforded me ample time to write, you’d be right. Difficult then, to explain that although hours at my desk stretched like the Cornish coastline, my mind contracted and contorted like 17:30 on the M25.

Inpatient treatment for Anorexia generally leaves my insides steeped in a fluid sense of agony. Words curdle in my throat, congeal in my head. The process of weigh restoration at once answering the urgent cries of a desperately malnourished body, yet stealing every ounce of my self – styled safety. No half sane person can comprehend the half cocked comfort an Anorexic may take from being able to feel each rib; from seeing the deepened pit where the neck meets the sternum; feeling the valleys and protrusions of the clavicle and the hollow caves of the underarm.

It sounds like lust… Perhaps I am mourning the loss of my terrifyingly tiny body. Perhaps I am merely giving voice to the Anorexic fantasy, trying to confess the dark longings that lie like dogs with one eye open, just waiting for me to pass a full length mirror, or absently rub my recently re-fed arm.

In truth, I left the hospital against medical advice and nowhere near ‘healthy’. BUT, I have come a long way. I am not the death dodging spider that crawled up the hospital steps on March 15th. My heart beats without the frightening bradycardia… My white blood cells are better, I am no longer hypoglycemic (well… not AS much).

My insides are probably pinker…

I can string sentences together more easily. I can THINK enough to tackle some of the twists of a cryptic crossword (note: I say ‘some’!!)

I am grateful to The Priory hospital for their INCREDIBLE support. Their treatment was second to none, the best I’ve had by a long way. I was spoken to with such respect, kindness and, when I needed it most, logic. My views were listened to and the fact that the patient sometimes knows what’s best for them, was actually woven into my treatment plan.

I chose the groups I could manage and left the rest. I managed my own time.

I took comfort in creating.

I stuck it out until I reached the target I had set for myself, even went a little above. Three weeks later, I weigh exactly the same.

Sentimental bit…

My gratitude goes to all those who nursed me, and to Dr Iwona Kolsut, for her wisdom; Dr Lousie Bundock for her striking kindness and ‘normality’ ; Brian G for his immense compassion and the good guy Chris for his humour and humanity. They are all figures that my Anorexia resents but that I (the I that is ME) owe my life to.  Today I received my discharge notes. They make for positive reading. My hope is that I can sustain the light of hope that took such gentle hands and so many tender breaths to fan into a flame.

And as if that wasn’t enough… (More sentimentality…)

Huge thanks also go to those I know who prayed so much for me. My family (who won’t read this), my friends (some might), my beaut of a friend Chloe who so faithfully visited me every week to paint my torn up nails and encourage me with vision,  my incredible friend Valorie (who I’ve never met but who sent me an amazing box of gifts), my church friends, who never fail to love me as I am, those brave and suffering patients who I walked some of the way with, and all the people who I know hold me in thought and love.  I have everything to live for.

I just have to do it.

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The following post is something I already published on a different blog. Call me lazy, but sometimes I’ve simply explained something as well as I can. No point reinventing the wheel, right?

Anorexia is a shapeshifter of an illness, deceptive in more ways than amyone could imagine. Don’t be fooled by the media perspective. Although anorexia makes its victims LOOK the same, the ways in which it infects each person, the periods of infliction and the ways it gets into someone are never the same. 

As some readers may know, I’m in a ten bed specialist unit and each person here carries their very own strain of Anorexia. 

Ive always been a fan of analogy. What follows is the story of how the illness got to me…

A small, blue clad child stands in the grey playground; back turned from her playmates; tiny hands pressed tight against her eyes as she chants numbers in a voice higher than it is loud.

Behind her, a group of dishevelled children move with silent, exaggerated care; the thrill of tension bursting from concentrated rosebud lips and then, delicious stifled screams as the blue child swings round, sudden and bellowing and the clenched stealth and stillness break, pouring a cool, white rush of pure delight over each small figure, even as they fight to keep the tension in their form.

Grandmother’s Footsteps.

The aim of the game was for the players to manage to creep up behind the person who is ‘it’ without being seen to be moving. ‘It’ could turn around at any point and the other players would have to instantly freeze. Those who were still moving when ‘it’ turned around were immediately sent back to the starting line.

Why am I writing about an old playground favourite?

You may well ask.
And quite simply, it is what came to mind when a despairing loved one asked me how on earth it got to this point.
Perhaps Anorexia’s approach is different for an adolescent or college student, perhaps it walks with a different gait, I can’t really speak for others. I can barely even trace its steps towards me. What I do know is that the illness wears many masks and easily poses as the smallest giggling schoolgirl until you turn away, reassured that it isn’t getting any closer.

For a 31 year old woman, Anorexia began as a wonderfully refreshing experience of exercising after giving up smoking. It’s steps were light, triumphant and exciting. Continuing to feel healthy, my body began to tone up and I lost a few pounds.
It doesn’t hurt to cut out a few foods in the name of being healthy, right?
Less bread, less cheese, less meat, less pasta.
Next time I checked behind me, Anorexia was a few steps closer and although a part of me knew it, another part didn’t really believe it would be interested in me. I was too old for that sort of thing. I was too ‘sensible’, too grounded, too self aware.
I turned my back.

No red meat. Only a few mouthfuls of pasta or rice. No bread. No cheese.
I swung round. Anorexia froze. I couldn’t tell if it had moved or not.
No meat. No carbs. No dairy.
Low calorie fish, salad leaves, fruit and water.
And where once I thought 6 stone would never be possible, now I dream of 5 and a half.

And Anorexia is playing. Oh definitely. It’s creeping now and it’s not bothering to freeze and I’m not bothering to turn my back.

Its steps, so quiet and so disguised at the start, are heavy and quite careless.

I can no longeer stop them in their tracks by turning around. I can’t make the fearless freeze.

Now my mind is full of the footprints and although I know tracks can be covered over, I’m not sure how and so the game has become a dance. My shapeshifting partner, both a close friend and a worst enemy, simultaneously giving and stealing life. One moment its steps bring elation, the next, bottomless despair. One day I dance with fluid grace, the next with lead-soled boots.
One thing I do know is that in reality, Anorexia Nervosa is about as much of a game as Russian Roulette. It has a higher incidence of death than any other mental illness and has clamied countless lives over the years.  Treatment is more effective the earlier the illness is caught but getting GPs to to take it seriously can be a problem (though why this is still the case, I don’t know).  You would think that in today’s social climate, any hint of onset of Anorexia, Bulimia or any other ED would be treated as serious enough to warrant immediate intervention. 

At thirty, I would have things mostly sorted. I mean, I would probably be settled down somewhere, I’d have a good circle of friends and a supportive and engaging church community.  I’d meet the man who could be my best friend for life and therefore be in a stable relationship and I’d have a challenging but fulfilling career.

At forty, I would be a fully grown woman.Although being middle-aged was a very hazy notion, I suppose I had something of an idea that by this point, I’d definitely at peace with myself. I would be content with my lot, and wise in to the ways of the world. I’d have worked abroad with my other half…. perhaps doing some sort of mission work. I’d be established in a teaching career of some kind. I’d certainly have written a couple of books, and maybe have kids or fostered for a while.

I shudder now at the assured faith of my younger self; my blind faith in the power of adulthood.

I think I must have believed that at key points in my life, there would be some sort of ‘latest update’ that would magically download and install overnight. It’d equip me with new software to enhance my resilience, bug fixes, small but significant improvements to my system. Just like the skin care products which companies like L’Oreal and Garnier so thoughtfully tailor to suit the relevant decade of a woman’s life, I thought I’d somehow just be able to apply certain elements to my life. Elements which would be suited to my age and stage… and again, like the miracle face creams, le28099oreal-paris-anti-imperfections-plus-whitening-cream-for-20-review4these would hopefully just get a bit richer as I got older.

I guess I might have believed that I’d still battle depression, but in my naivety, by late thirties, I would have gained victory over it, managing the dark hours with a quiet stoicism, helping others learn to do the same. Anxiety would probably always be present, but by forty, it really wouldn’t have any significant impact on my life. I’d have learned to combat it using my faith, my wisdom, a range of relaxation techniques and possibly my ole’ friend Pregabalin.

Whatever I imagined, one thing I wouldn’t have believed, is that at the ripened age of forty, I would be sitting in a hospital bedroom, typing a blog about Anorexia.

Nor would I have believed that by the time I got to this grand old age, a whole decade of my life would have been hungrily devoured by the same illness that would starve me to the point of death and leave me with the body of a malnourished child.

I’ve been an inpatient for almost nine weeks now..

You’d think by the time I’d endured four different inpatient admissions and three rounds of day treatment, I’d have got used to the agonies of refeeding. Think again. If anything it’s tougher this time than ever. Not that I’m in a different hospital than ever before, and not that my fellow patients aren’t amazing people who I feel privileged to meet. No… more perhaps that each period of recovery seems to ask for more energy than the one previous to it. It seems to demand more bravery, more patience, a higher pain threshold, more nerve.

At risk of sounding discouraging, I think that the longer a person suffers with an eating disorder, the older they get, the more entrenched it becomes and thus the harder it is to recover from. If there is anyone reading here who is suffering with an ED and is considering getting help, I urge you, please, GET HELP.  Do it before it gets worse. Do it before next week, or next month or your next birthday… Do it now and buy back some time because honestly, it might seem unimaginable, but this illness will sink into you until you are saturated. It sinks in a little deeper with each passing minute and before you can wring yourself out, it’ll rinse you of your strength.

The less time you tolerate this illness, the less time it will need you to fight it and the more of your soul you can save.

Get help.

 

For once, I am going to exercise some discipline and force my raging, anorexic mind and (consequently) my restless, driven body to be still, while I sit here and type a post on my blog.

It’s something that I have been avoiding for a while, the reason born of a desire for this blog to be one that inspires others with eating disorders, and informs those who seek to understand more about the illness.

I can’t accurately describe my resentment towards the disparity between my healthy, passionate heart and my sad, bony frame. I hate the fact that I am desperate to encourage your suffering friend / sister / self, to offer hope and triumph,  whilst my own body becomes less and less and my own story one of failure. I long to prise the illness away from others yet I am riddled through to my marrow.

It’s disheartening. I always said I could write a comprehensive guide to Anorexia but still die of it.

It sounds as if I am giving in..

Don’t be fooled. I will never truly abandon the fight. I am certain that somewhere, albeit amazing at Hide and Seek, somewhere,  I still hold a small seed of hope.

I’m posting this because despite the horrible discrepancies I write of, my determination to avoid hypocrisy demands that I am honest about my own journey. That means admitting that I can’t find a way out; admitting that whilst I have the passion to educate the uninitiated and to offer hope to the hopeless; I can’t really do that until I have battled and won. It’s no good my standing, almost dead on my feet, whilst I preach recovery and restoration.

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Do as I say, not as I do… The familiar face of Anorexic hypocrisy!

I am in a dangerous place, with a life threatening BMI and the illness is wrecking havoc. The shortage of beds on a national scale mean that I haven’t yet been put into hospital, but this is what my clinician is waiting for. She thinks it’s the only way ahead right now.

Determined to continue the trek, I have temporarily set up camp in the desert (not to be confused with the similarly spelled ‘dessert’ – Delight at irony still as prominent as ever). My arid landscape affords a pathetic diet, my feet are too tired to walk much further and, some of the time, I have my head in the sand. There are occasions though, where I can look around me and take stock of these hostile surroundings, and perhaps accept that I may need to be removed from here until I’m stronger again. There are also occasions where, if I squint at the burning horizon, I imagine a glimpse of water, of greenery.

I’ll let you know whether or not it’s anything more than a mirage.

For now, let’s try to hope

There can’t be many instances where your loved ones raise a glass to toast your  mental torment but then again. there probably aren’t that many cases where eating a beef sandwich is an achievement worthy of celebration.

Perhaps those in the loop will actually understand the bizarre situation I’m writing about, but if you’re a ‘normal’ person, you might struggle.

Wait..! Did I just use the term ‘normal’?

I can hear some of the cries of protest. “…But there’s NO SUCH THING AS NORMAL…” Protestations jet from all corners of the philosophical, semantic and *wince* pedantic realm. No such thing. Everyone’s weird. Everyone’s normal. There IS no normal.

But there IS. There IS in the tangled, screwed up world of we Eating Disorder folk. If you disagree, you might want to read on because I’m going to tell you about what normal is, often by arguing the case for what it’s not.  (If that goes over your head, don’t waste mental energy on it. Reading on will give you a clearer idea.)

“Normal” is our friends who happily pick a sandwich in a deli without an onslaught of mathematical conundrums running riot in their brain. “Normal” can actually have ANY kind of drink they like without even a whisper of a ‘value for calories’ haunting their thoughts.

Normal can choose food to satisfy their taste buds and not to keep them as light as possible. Normal doesn’t even think twice about adding one extra raspberry to their (carefully weighed) bowl of lowest calorie cereal.

Normal doesn’t consider black coffee a ‘snack’ or stir-fry an indulgent meal. It wouldn’t cast a suspicious eye over the size of a tangerine, or swear that an apple has the potential to be fattening. Nor would it question the amount of calories / fat / carbohydrate in a carrot. It wouldn’t distrust the carefully stated amounts of these ‘anorexic-life-threatening’ printed on each product, or regard cauliflower as an enemy to be avoided at all costs.

You see..?

Normal doesn’t experience eating as a trigger for a sort of inexplicably acute mental pain. It doesn’t really begin to understand that ‘food’ is merely an assortment of numbers. (Despite our health conscious Food Standards people’s best efforts!) It doesn’t ‘get’ that a carrot is 35, a berry, 2 and if you throw in a spoonful of yoghurt you’ve exceeded the limit. (Scrape half away, then share some with the sink…)

Normal might be conscious of the numbers, but it’s not ruled by them. It doesn’t carefully bite each Malteser in half to ensure it has exactly half the stated amount. It doesn’t have to ignore the body’s cries for rest in order to complete the requisite amount of high intensive ‘burn off’ exercises before or after a calculated amount of food.

Normal doesn’t FEEL fat growing ON them if they eat something frightening. It doesn’t feel the rush of shame and disgust if they slip up and allow too much food to enter the forbidding mouth. It won’t suffer an onslaught of blind fear, the compulsion to induce vomiting or crapping or even the wild urge to cut fat OFF any given part of themselves.

I realise there are degrees of ‘normal’; a continuum even. This illness, any Eating Disorder, defies all concept of normality and in doing so, isolates sufferers in a sadistic and divisive way.

As someone who, for almost thirty years, was pretty ‘normal’ about food, I feel somewhat justified, perhaps even qualified, to attempt to explain that there really IS such a thing as ‘normal’ in the world I, and so many others, inhabit.

The next nine years of my life have literally been stolen from me.

I find it incomprehensible that for almost three decades, I could actually EAT a meal without attaching any feelings or significance to the food at all. Nor can I recall how I might have RELISHED the chance to actually SIT DOWN and watch a whole film without the raging impulse to burn off calories, the torture of that insane edict.

It’s too hard to properly explain how Anorexia has unpicked and rewoven my ‘normality’, but I hope, in some small way, I’ve conveyed the havoc it wrecks upon its victims, some too young to ever have experienced the luxury and freedom of normality

I hope these descriptions may bring some small solace to those who don’t feel understood and information for those who want to understand.

There’s no such thing as normal, but there is ‘abnormal’, and this illness is one example of that.

Someday, I hope to eat again, with the freedom of that first part of my life.

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Doesn’t do a lot for my point, but I do love a bit of Edward Monkton…

 

 

 

 

 

 

 

Redefining ‘Normal’

Here we are again. Supermarket aisles cram-full of anxious shoppers; shelves a-sparkle with opulently – packaged festive treats and the air space crowded with the blaring wish that It Could Be Christmas Everyday. I sound like  a humbug from the start but I’m not, I’m a struggling Anorexic.

Love it or hate it, Christmas is a truly mixed affair for most.

Yes the shininess and magic, the warmth of the hearth, and the gifts and the glitter and the glitz.

But oh! the bickering, the sadness, the missing and the grief filled, the stress and the gluttony abound!

The pressures of a Westernised Christmas seem to begin earlier and grow faster every single year! Those beautifully designed cards that gave you a little tummyglow when you picked them up in Marks a few weeks back, you’ve got to write them all and get them in the post, a new deadline you HAVE to meet. That adorable decoration that you chose in a magic moment, it needs hanging and then housing…

I’m not trying to depress anyone although you’d be forgiven for thinking it.  I’m just presenting the case that Christmas can really be, “the best of times AND the worst of times” for all of us.

Christmas with Anorexia then, is even more polarised.

The fevered chaos of Anorexia defies the norm on any other calender date but come Christmas…. well… it runs a temperature off the gauge.

I know because even as I type, I’m slightly delirious: my head swollen with seasonal dread, my hands shaking with unsated desire.

As for most people suffering with an eating disorder, Christmas loses most of its ‘proper’ meaning amidst the intolerable warring surge of temptation and terror. Some houses are literally, “choc full”.  It’s so much about FOOD… and not just any old food.. Oh no! Gone are the 11 months of smug self control; of Deliciously Ella and all the high protein, ‘clean eating’.  Not a sniff of the spiralised substitutions and berry laden breakfasts  In its place, adverts parade gastronomic delights,  luxury foodstuff dressed in shiny, unapologetic full fat robes; mouth wateringly glistening with seductive spice and the promise of satiety. For those living with anorexia, it’s like pouring bottled water over your head in front of a dying child in an arid land.

My Anorexic head aches all the more as the chocolates, cheese and port pass me by. I pick up a sausage and hold it near my mouth but my teeth are set like a portcullis and my mouth has turned to stone.

It’s a popular misconception that Anorexics don’t LIKE food, don’t LIKE eating. I can see why people might think this. After all, we don’t tend to tuck in to… well… anything much. Instead, we politely refuse dinners, the offer of a crisp, the chance to have a snack.

(Note: My ‘we’ is a wardrobe behind which my vulnerable ‘I’, hovers uncomfortably).

To help the uninitiated comprehend a little, I often liken Anorexia to a top secret agent who is holding a loved one to ransom. The agent is using inhumane methods to extract information. Most of us would cave in, I suspect. It would be too much to bear to see your nearest and dearest tortured. With the eating disorder as tormentor though, the one who holds the intel is utterly determined to remain silent, rendering the captive a martyr for the cause.

Picture the torture, sleep deprivation, water torture, perhaps a continuous brainbashing, Pinter style.

Starved to the point of death, fine food is plated and placed JUST out of reach, fresh bread, hot soups, Christmas pudding…

A stolid refusal to talk doesn’t mean the starved prisoner doesn’t want the food, because WANT! WANT is an understatement! His demented mind is driven crazy by it! He craves it so much that even his bones scream out for it to coat them, cover them, heal them.

But no.

No; the captor will not allow it and the agent will not talk. Locked in fatal battle.

Meanwhile the quiet captive body is a table on which the negotiations are played out.

This describes my everyday for the past decade, but at Christmas it’s worse; more enduring, more desperate; because it’s not about the baby Jesus, a gift to humanity. I know it should be and thankfully,  my heart still swells a little at the thought. But even as the spirit swells, it meets that which tightly binds it, and so hurts all the more.

My chest hurts and I am afraid. I am afraid of my illness and I know thatCandle-calendar unlike the analogy I used,  I wouldn’t die a martyr. Far from it. Rather, a weak and wasted waif who just didn’t have the courage.

If you are living with an ED this Christmas my heart goes out to you. It’s such a hard time. Please know, whoever you are, you are not alone in the struggle.

 

 

 

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I don’t really know who Lamott is, or where hope becomes important in her story, but once upon a time I copied this out and popped it in a back pocket where it remained until I fished it out some months ago.

I don’t have too much to say, except that to me, hope is one hell of a risk. It seems to require me to swim against the tide of mental reasoning and learning; perhaps in different seas altogether.

I admit, I find it exhausting. I think that I find it easier to throw my hands up in the air and quit, than to hang on to the cliff edge with torn up fingernails.  Funny that Hope is so often thought to be light, so feathery and fragile, so beautiful, so pure.  Stark contrast then, that the hope in me is a ripped, time worn, tear stained,  piece of paper pulled out of my old jeans’ pocket.

Hope is a risk. It might fail me. It might demand too much, grow too big, get too brave. It might start to grow secretly, against my own will…

… but if I don’t have any, my life will always look the same. The world will always look the same. My body will always feel the same.

Hope is a harbinger of change. Without it, we stop swimming altogether. The only alternative to swimming against the tide is to stand in stagnant pools, or to drown.

I don’t intend to do either.

Re the quotation that I carried round so long;  I’m still here in hospital (I showed up). I’m eating (trying to do the right thing).  I’m waiting and watching and working.

I’m just hoping to see the sun rise as I fight the tide.

It would be so easy for my little blogpost boat to sink in the murky waters of semantics, and without getting too punctured by the range of philosophical angles that one could discuss, i really just want to vent my (ever present) irritation at the language used by the advertising industry; in this case ‘The Weetabix Company’.

In my usual post dinner position at the end of the sofa, I was half watching an action thriller (questionable use of the word ‘thriller’), crocheting a monkey’s arm and sipping a small decaf coffee. The ads came on and I half listened to the voiceover on an advert for Weetabix. Not just ANY old Weetabix though… a NEW and exciting product marketed as ‘Breakfast On The Go’.

Okay so they’ve cashed in on the whole blended drinks craze that seems to have swept over the ever increasing ‘clean – eating- Ella- loving – nutri – bullet – blending’ demographic in our nation. Not a problem. People are busy, time is unfair in the mornings and breakfast on the go is, at least, still breaking a fast.

My problem began when the advert reached its finale and the slightly Cockney, ‘bit of a lad that everyone loves’ male voice declared, “New Weetabix High Protein On the Go…”

and…. wait for it…

“A PROPER BREAKFAST…

BOTTLED”

I know it sounds like I’m splitting sematic hairs here, but honestly, SERIOUSLY, it’s a kind of oxymoronic advertising disaster…

I don’t really want to get into a long debate around the definition of ‘a proper breakfast’ but surely, SURELY if it IS a proper breakfast, it wouldn’t be on a BOTTLE! Not unless it’s for a baby…

An audience of non-eating-disordered folk will probably just shrug at this notion and possibly view it as a somewhat petty quibble, but for someone whose world has been hijacked by a vicious food related illness this kind of bizarre advertising can be a powerful (and potentially dangerous) way of reshaping and redefining what is ‘proper’ and ‘normal’. Although I’m not confident in defining ‘a proper breakfast’, I sure as hell know what is NOT. And a bottle of Weetabix doesn’t cut it.

Rant over.

Apologies to all who remain unconvinced and to The Weetabix Company who, no doubt, worked very hard at perfecting their script. Next time though, try marketing it as baby food.

I’ve been in an Eating Disorders unit for the past month or so… part of the reason for my silence here.

I got out a week ago and so I’m dipping my toe back into the Blogsphere….

Watch this space!