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http://www.nationaleatingdisorders.org/
My relationship with food hasn't been "normal" since I was 14, and even before then, it probably wasn't healthy or "normal" at all. Part of my motivation in starting this blog was to write about fitness, lifting, running, and food, but from my perspective: that of a person overcoming an eating disorder (ED). In general, and mainly from my own experiences, EDs aren't very talked-about topics. They are usually whispered, sized up in stares, and rarely ever owned up to without a lot of denial first.
I've spent a good amount of time trying to figure out why people are so quiet about them and I've come to a few conclusions that are based on personal observations only with my own and other people's issues with eating.
The first reason I think they aren't talked about a lot is because people are ashamed. Ashamed to have one, to admit that it is a struggle, a daily battle, a disease you always feel like you're losing to. But mostly I think the shame lies in the fact that unlike people who battle other diseases like cancer, diabetes, HIV, etc...people with severe eating disorders really don't want it taken away from them. Don't get me wrong, they wouldn't want to be unhealthy, they don't want to be controlled by something, but in the throes of an ED, its hard to realize they are the ones being controlled and hurt. Eating disorders are, for many, a way to cope with stress, with confusion, with pain, with lack of control...with many of the various anxiety-provoking aspects of life. We learn to depend on our EDs. It becomes a tool to use. And as much as we realize it can be bad, we are scared of losing that. It's shameful to admit this to the people we love -- that as much as they want to help us, a part of us doesn't want them to.
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What you see is different from what I see. |
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The second reason is that many people are in denial about it or what it can do. They don't want to realize this is what is causing them so much pain. I recently realized this myself, only after I had begun to 'recover' (if that's the word for it).
After months of starving yourself, your body simply starts to shut down. Mine did. I had headaches all the time, I couldn't stand up without almost passing out from dizziness, I was exhausted, often nauseous, I cried at just about everything (happy or sad), my heartbeat was sometimes irregular and I couldn't focus for more than 10 minutes at a time. The last reason is actually why I started seeing a counselor in the first place. I was convinced that I would not be able to get a Ph. D if I couldn't learn to focus. I had tried caffeine, exercise (not a good idea when combined with an ED!), sleeping more (I slept a good 7-9 hours) and nothing worked. I just couldn't focus. So one day, my amazingly supportive boyfriend told me that he thought getting some outside help would be a good idea. He didn't say it accusingly, just lovingly -- because he knew that he wasn't trained to handle it, and even though he helps (more than he knows) -- he knew it would still be a good idea to have someone else to talk to. So I have. And to say it's helped would be the greatest of understatements.
I've realized that I have been searching for something else to blame for feeling lousy. I tried to get blood tests to see if I were allergic to certain foods, I had my thyroid checked, I saw someone for depression and anxiety...I looked everywhere I could possibly look instead of blaming the ED. Because, simply, I didn't want that to be the reason. I didn't want to have to face the choice between giving it up and feeling like I could function.
Which would you rather? Have enough energy and focus to make it through another day (especially grad-student type days), a day where you don't break down crying, a day where you don't have to pop Aleve for your constant headache, or lay down because you're just so exhausted...or would you rather give up your perceived control over your own starvation. This is why it's categorized as a psychological disorder. Because, for us, the obvious choice isn't the latter.
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The third reason I believe that these topics are hard to talk about is because we know that we literally see our bodies and minds differently than you do. It has been show in studies that people with eating disorders cannot judge their own size in any context. There are many EDs in which the person believes that they are much bigger than they actually are (anorexia, bulimia, EDNOS to name a few), but there are also some in which the person thinks that they are much much smaller than they actually are (muscle dysmorphia aka "reverse anorexia" which is a form of body dismorphic disorder). Either way, we know we see ourselves and our disordered eating differently than someone else, and above all we know that there are many many other factors that contribute to it -- not just our size. Many times the size or weight is a by-product of trying to gain control or composure using food and exercise. This is hard to explain to someone.
So what is there to do?
If you are close to someone with an ED or with someone who had one in the past, be patient and be understanding. Being understanding and actually understanding are different things. You don't have to understand the mind in order to help the being. Ask questions. Tell them you know its hard to talk about, but it's nothing to be ashamed of.
If you have an ED or have in the past and recovered, and if you feel comfortable, talk about it. Raising awareness of something is helpful to those still struggling and still hiding. It may be uncomfortable at first, but it is definitely liberating.
But above all, reserve judgement. Everyone has issues that they struggle with, diseases and sicknesses that they are trying to overcome, pain in some form one way or another. Understand this. Then set about to try to lessen both other peoples' pain and your own.