I see my therapist once a week, and I often (always?) find myself with a LOT to think about when I leave her office. This week, she was fresh from a conference at an area eating disorders treatment facility and had some new resources to share with me, which the science and research nerd in me really enjoys. I think a part of me thinks that if I can learn enough about my eating disorder and related issues, I can wrestle it to the ground and kick the shit out of it and send it on its way.
However, right now, ED is going strong. One of my goals on my latest treatment plan is to be honest about my behaviors, and I mostly meant that to be with my therapist, but I think it's also probably important for me to honest with myself. I have been semi-restricting to restricting lately (my low days are in the 500 net calories range, with days ranging all the way up to 1200 calories net, and most of them hanging somewhere in the middle), so that was a big topic in therapy this week. I have referenced before in this blog that I know that ED is trying to kill me, so when the conversation turned to the fact that what I was doing is dangerous and could eventually lead to death, the first thought that came to my mind and right out of my mouth was, "I feel like it is worth the risk."
For what feels like my entire life, the goal has been to be skinny(er). In high school, I weighed about 80 pounds less than I do now, and I felt big and fat and conspicuous...but I can look back in photos and see I was not. When I was a child, I was taller than the other kids, and I had a lot of "baby fat" that my mom said I would lose once I hit puberty (I am still waiting for that "baby fat" to disappear.). I can't remember a time when I was not aware of being one of the bigger kids (even if the pictures I see of me as a child don't support that belief), and my entire adulthood has been one long battle with my weight.
A popular topic right now in the eating disorders community is the Health At Every Size (HAES) movement, which seeks to show people that it's not the size of their bodies that matter, that they can be larger and still be healthy. I can't wrap my head around HAES, however. I canNOT accept that the size of my body is "okay" and that I should not keep trying to change it. I understand, cognitively, that restrictive food behaviors lead to bingeing. I get that. I have lived it. And I have always said that I would never say to someone with anorexia, "Man, I wish I could do what you do." In fact, once, when in group, my therapist brought up this topic, and when asked if I was jealous of a then-member of the group who did restriction "better" than I did, I vehemently denied it. But as my desperation for a smaller body grows, and as my desire to have SOMETHING in my control increases, I do find myself wishing that I could do just that. HAES does not seem like an option for me. This body is NOT okay. I can't imagine ever accepting it as such.
I appreciate that there is someone out there who cares enough about me to want me to eat. And I am willing to make an attempt to "normalize" things a bit. But ED has me convinced that is not true, and I don't always have the energy to ignore him right now.
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