Eating Disorders Make You Broke And Lonely

Hi! Oh boy have I missed the internet! I was forced offline for about a week, and it was hard – pulling your own teeth out hard! A mix of things being financially tight and even more than that, the fact that I’m still under the guardianship of a public trustee, meant that it’s been a long 6 month process (more like all out war) in order to be able to finally purchase decent plans to use both internet and mobile phone.

One of the long term side effects of living with an eating disorder is very often financial problems. For me, it’s meant I’ve been unable to have a paid job (so far) and living on a disability pension. I’m very thankful for that – but as most people will say, it’s already quite a pinch.

Add in an eating disorder and things can be disastrous.

Thankfully, as far as I can remember, I never defaulted on rent or bills, or paid them late. But things got more and more difficult as I was hospitalised so much. Back in ‘those days’ – the pre-millenium years – we didn’t have automated bill paying or money transferring services like BPay, Centrelink etc. Every week or fortnight, I made a trip to my bank to take money from my account, then a trip to the bank of my landlord, or the post office, or the real estate agent or leasing office to pay my rent in person. I paid my electricity bills and phone bills over the counter at the post office. Same for other bills and expenses that popped up here and there – you couldn’t jump online and electronically transfer the funds without leaving your home. You had to go out and do it in person.

You can’t do that when you are always in hospital! So it did get quite tricky, and  I was worried. My accomodation was boarding houses and hostels mostly at that stage – and it doesn’t take much to lose a room. I was frightened of what might happen if I got so sick I was unable to let anyone know where I was or pay my bills – I might get out of hospital to find I had nowhere to live at all any more.

More seriously, bingeing happened. Specifically, bingeing and purging. I had emotionally eaten before my most serious descent into anorexia to the degree that I was borderline overweight for a very short time. And I remember being so out of control with the stuffing and the musteat-can’tnoteat-can’tbearnottoeat feelings that I would be in physical agony and crying, and just lie down long enough for it to settle a bit and be needing to eat again. But I didn’t have the money worries that bulimia brings. I was able to go without the excess food if I didn’t have money for it.

Bulimia meant I was taking away just as much as I was putting in – still in starvtion, in fact probably making it worse because I was losing stomach fluids, nutrition already in my system etc every time I purged, and creating a chemical chaos for my bloodstream. Being physically uncomfortably full didn’t happen, or at least if it did, I ‘undid’ it. I could eat a truckload of food and still be starving ravenously hungry.

Purging is, in hindsight, the thing I’d most like to go back in time and ‘unlearn’. The rest of the eating disorder was hell enough – purging was like opening the very gates to hell and being unable to ever shut them again against the hordes pouring out. Even in my fight against dying from starvation from the anorexia – it’s more complicated for me because of the purging. Before purging, it used to be a battle to follow the meal plans and put on the weight, especially when not in hospital and on my own – but at least once I got the food in, the physical part of the fight was over. Ed thrashed me in my mind, but it couldn’t do anything about it, and that was the end of that.  But with purging, it wasn’t the end. Because hours after I’d won that battle to eat, I was still able to undo all my hard work in one moment. It was absolutely gutting to have fought so hard and to undo it all just like that, be back where I started or in even more a precarious position.

I had some savings, but it wasn’t long for bulimia to have totally eroded them and I was taking the last bit of cash to my name out of the ATM machine. That was a shock for me, as I had been in denial and not keeping note of how much money I was spending any more. Suddenly it was gone and I knew I had no choice but to stop this, now. I couldn’t say to myself any more that I could just do this for a while, eat everything I craved for once, and then stop it next week or next month and get back to normal. I had to stop it NOW or I was in trouble.

Except I couldn’t. I found myself frantic, unable to cope at all without the bingeing – which in the short time I’d been doing it had become my major coping mechanism after starvation – and yet unable to cope in other ways if I continued.  I could no longer pretend it was just about me ‘making up’ for all the missing out and starving, no longer pretend I was just ‘tasting all the foods I had never gotten to try’. The foods became the cheapest, blandest stuff on offer. Old, discarded, stale, it didn’t matter, if it was edible, it served a purpose.

I wonder if people who become addicted to drugs start off that way too, they care about the quality of the drugs they are taking, and then when they are desperately addicted and the funds run dry, they’ll take anything they can get. Same with drinking, where the person might start out with cocktails or beers and end up slugging down methylated spirits?

Long story short, if things were financially tight before, they were precarious now. As I said before, I didn’t actually default on my responsibilities – but I was terrified that it was only a matter of time. My pattern became that I’d get my pension, immediately pay everything that was due, then the rest of it – usually about $150 or so – would be binged away within about two days. The rest of the fortnight I walked everywhere and went without food whatsoever. I do have to admit, part of me purposely wanted to get rid of the money as soon as possible – because when it was gone, the bingeing was over. And sure, it was hell not being able to binge, but I preferred the numbed control of the starvation.

It was not sustainable, and I knew it. I started scrambling for help. And somehow I stumbled on the public trustee of my state. I’m fuzzy about the details, but I asked them for help, with the support of my case manager, and they took over.

Took over, completely. All my pension goes to them. They control every cent I own. They pay the bills – rent, utilities, pharmacy account, nutritional account, cat boarding account, etc – and give me a small allowance weekly for my food, toiletries, transport, household items, and most importantly, Shalimar. They have a strict budget to allow me to purchase items or pay accounts that come up during the year. By ‘strict’, I mean, blood flows more easily from a stone. The trustees are notoriously strict and out of touch with their clients – I’m not the only one who has complained – and I think they forget that they have a lot of power over our entire lives.

Asking them for a more affordable internet and phone option should have been straightforward – after all, we are in the business of saving money, right? But no. They wanted me to continue with a heinously expensive and unaffordable pre-paid option that I simply could not afford. I’d go through the tiny amount very quickly and then be fighting with them again for more. I gave them quote after quote for plans that were more affordable and better suited to my needs, each being rejected – “No plans over six months in length” or “You must have unlimited data allowance if you are on a plan” (which would be great, but I couldn’t afford that sort of plan. I am not even a heavy user, I probably use 4 GB a month) Finally they were saying, “You can’t have the internet.”

Most people will probably think, so what? What’s the big deal? Internet is a luxury. I fully agree, it’s a luxury. I could go to my local library and use it there, for example. But – I’m deaf, remember. Profoundly deaf. I struggle to pick up a lot of what’s said to me in person. When it comes to communicating over the phone – there isn’t a hope. I’m also extremely isolated. I live alone, and despite being so much better, I’m still physically pretty unwell. (Shalimar is great company, and I do not know how I managed to cope without her, I really don’t – but let’s just say she’s not the best conversationalist ;) )

For me, the internet is a lifeline. I make phone calls online, using a relay service. During the day time, I communicate regularly with my case managers and support workers and even my therapists with SMS and email. And at night time especially, I use it to distract myself and to recieve and give support. I talk to my friends, both those I know in person, and those I have only (yet) met online. I use it for meal support in that it takes my mind off the meal to some degree, and then it occupies me and keeps me communicating rather than sticking my head down the toilet afterwards, and it keeps me out of the fridge and pantry at my most vulnerable times – or at least delays all these things, which is a good start.

Also, unlikely but extremely important – if I don’t have the internet, I cannot call for help if I need it. I cannot call our emergency services – because I cannot hear on my phone. We don’t as yet have text support to contact emergency services (although I hear it’s been on the agenda for a while). Unless I’m able to SMS a friend and ask them to call emergency services for me – and that’s time consuming and often not really something I want to do. I don’t want to worry them, for example. And they might not have their phone turned on or read the text for a while, and then I’m stuffed!

I used to be such a loner. So withdrawn and shy. I lived in my own world – I didn’t want a bar of this world. Much of the time I was actually dissociated – and I preferred it that way. My little inner world was safer than the real world. But these days, I’ve come to crave social interaction. It’s the people I’ve met, the friends I’ve made and come to adore who make my world go round, my life worth living. Even when I’m not up to talking, just sitting here and seeing people talking on facebook or somewhere else helps me feel not so alone in this world. It literally opened a huge window to the world where before, there was only the blank stone walls of my self-imposed exile.

So the internet, far from a luxury for me, is essential. But I had to fight hard to get it. It took more than six months, and the last week or so, things were dire to the point that I had no internet, no data left on my mobile phone as I used it to tether to my computer for internet, and was running short on texts. The walls were closing in, and I realised again just how isolated and alone I am, how quiet things get, without it. I am SO relieved to be back on air.

If it wasn’t for my eating disorder I wouldn’t have the financial constraints on  my life that I do. I would be working and earning a decent amount, or at least more than the pension. I wouldn’t have the costs occured during binges or needing so many meds – the bill at times can be around $75 a week. I wouldn’t be needing to pay thousands in cat boarding fees every time I went into hospital. I wouldn’t have wasted thousands on taxis over the years when I was unable to physically get home due to weakness or imminent collapse. And so much more. Most of all, I wouldn’t be with the public trustee and having to fight to get things that I consider neccessities.

So I’ve been thinking a lot more about this whole situation lately – and with the support of some very close and wonderful friends – I am applying to come off the public trustee. This is a terrifying thought – much as I hate them, after all these years I don’t trust myself to manage my money. I feel like I have totally forgotten how. I’m scared that I’ll binge it all away immediately. But I have support I never had in the past. I have options I didn’t have like direct debit for bills. And I have come a long way in many ways including, I’m a heck of a lot more mature than back then. So I’m finally taking the leap. First step is applying for a tribunal hearing, collecting the paperwork necessary, and showing them that I can make decisions myself now. Then… I don’t really know. But hey, I know now that I can deal with it.

So, this blog entry began as a way to explain why I haven’t been online as much in past weeks and not at all the previous week – I certainly do ‘tangents’ well hey?

In other news – therapy is going well. And I’m just plodding along, at times just hanging on tight -because that’s sometimes all we can do.

Next week – in eight days actually – I’m going to Melbourne!  A long anticipated visit to a very dear friend – she’s going to show me her beautiful Victoria, and then we are driving up to New South Wales to attend a camping festival..  I’m so excited. And so terrified! I haven’t been camping since I was in school – I loved camping, but have no idea any more how it’s done… okay that sounds strange. When I was a schoolkid, life came a lot more naturally to me. And I didn’t have an eating disorder to deal with. Any trip away from home is extremely difficult for me because of the eating disorder. I have no idea how I’m going to go when camping – but it’s going to be a great opportunity to find out. I hope so much that I’m able to fully participate – and I’m going to try my best. I intend to enjoy campfire meals, toasted marshmallows, exploring the surrounds. I’m taking my art stuff and going to be doing a lot of just drawing what’s around me. A lot of reflecting and journalling. Chilling out. Reconnecting with nature. And at night – after all these years of city living, I’m going to be able to stargaze again without city lights for miles and miles. I’ve been told it’s amazing. I can’t wait.

Bring it on :)

Ironically it’s going to mean another week or more away from technology – there is not even phone service where we are going – but this is going to be a good sort of tecnology-free period!

Thank you so much to everyone who has commented and been reading – I have a heap of your comments that I’m dying to answer and just haven’t gotten the chance to yet. I have been reading them  - and I’m always extremely grateful, touched by your support, and intrigued by your views. Thank you for being patient with me while I’m so scarce lately! I also look forward to slowly catching up with your blogs – I’ve missed so much of what you are all up to and what you are writing about – and I’m deeply sorry for that.

Hoping you are all well! Thank you for reading :)

(Image Sources: 12, 34)

Recovery Isn't Just Stopping Behaviors

Reblogged from Recovering Anorexic: Spread Thin:

As a child I used to think people who were addicted to drugs went to rehab so they could accumulate enough sober time to reverse their addictions. I think this is the general misconception about addiction -- that "clean and sober" time will cure you of your addiction, because all "addiction" was was a habit you lost control over.

This isn't the case.

Read more… 505 more words

As usual, Recovering Anorexic hits the nail on the head with her post.

Recovery is not just stopping behaviours at all. That's part of it, but only a small part.

You wouldn't just attack the symptoms of an illness and expect the illness to clear up by itself. Imagine concentrating on getting relief from terrible headaches, but not doing anything about the brain tumor that caused them, for example? If you aren't working on every aspect of your eating disorder - physical, emotional, spiritual, social, cultural, familial, you are doing the same thing.

Bad news people - the recovery journey is hard work. (And even if you don't believe in recovery, you can still be on a recovery journey. I have an idea recovery might be more of a spectrum rather than a black and white marker.)

The good news is, it's worth it and so are you.

Flashback to 2009 – Hospital Days.

I was searching through my hard drive and came across some old writing – not journal entries so much as little random bits here and there. Times that I must have gotten on the computer and just let the thoughts flow.

This essay was written in 2009. I’d just been discharged from yet another hospital stay, and ended up in the same old spiral as I’d been falling into for years. The desperation and feeling of hopelessness in this saddens me now. During those years, I knew no way out. All I had to look forward to was more of the same, until my body gave up.

There was a better ending than I anticipated – I’m pretty sure that it was after this admission that I started begging the hospital team to help me gain more weight than I usually did – to the weight that I am at today. I had a couple more admissions to achieve that – but I did, and I have maintained – whether that is a fluke or not, it’s given me another chance at life that I really don’t think I deserved. But that I’m determined to make the most of.

Please be aware that this is a highly triggering piece of writing. It talks about hospital treatment, weight loss, food, eating disorder habits, death and hopelessness.

i don't know what to do

Monday, 13 July 2009

I was discharged from my 125th hospital admission on Friday afternoon, 10th July.

It was a nightmare in many ways and lifesaving in many others. For the first time I made a significant breakthrough in that for the first time in about a decade I was able to keep everything down (and eat everything too). I struggled most with the crap going on around me (petty molehills become mountains that lead to major arguments and tantrums in the stuffy HDU microcosm) and the crap going on in my head – either totally overwhelming, spending too much time sucked back into the things I never want to remember – or totally vacant.

When you’re too Ill to be sedated and so are restrained in bed in order to protect your PICC line and the TPN; when you’re too immune-compromised to be transferred to Wattlebrae as they now have swine flu there, but as soon as you fight off one infection you pick up yet another; when you’re traumatised already and undergoing way too many more invasive procedures; (the worst I think was one of seven PICC insertion attempts – in the ICU, without anaesthetic. They couldn’t get it past my shoulder and were yanking it out of the socket and kept cutting the site, then stitched it into place – I felt like a fish that’s been hooked. All that, and the x-ray showed it wasn’t viable anyway, didn’t reach my heart) – you lose yourself and become a body that seems to be everyone else’s piece of meat. Indeed, I often wondered if any of the Treatment Team ever considered what they do to my spirit? It’s shattered even more each time I’m there, ‘til I wonder if it wouldn’t be a kindness to actually let my body die. What point dragging this broken mess back to life again and again if there’s no quality of life and you’ve killed the person inside the body? My whole life has been spent being punished by others, punishing myself… and then I go to hospital where they punish me again for all of that.

I concede inferiority – all my life it seems I’ve been trying to convince people I’m not as bad as they think. But if I’m the only one who believes that (and I don’t, anyway) – then they’re right. There’s something very terribly wrong with me and always has been.

All my life I’ve been running from something. From danger. From violence. From myself. This time, I ran from Death. Or was it the fear of death? Whatever it was, it got me stuffing myself with my entire meal plan in a shock turn-around, and keeping every bit of it down. Of course, it was agony, in my mind and body. This body hasn’t had any solid food really stay in it for nearly a decade and it struggled, strained, raced, sweated. My mind thumped me in every way, every moment of the day. We’re trapped now. We have no choice. But I’ll get you, I’ll make you pay, when you are free from here. The eating cut the expected couple of months on TPN to just a couple of weeks. And I was home by the end of the week it was ceased.

No preparation. No maintenance. Just straight from two months in a bare hospital room to the chaotic big wide world.

I hoped I’d be able to keep things going. I want to LIVE. I know that if I can’t nail it now, I will die. I’m desperate to survive.

It’s been a mess. It’s been like ‘imploding’ – fragile, newly-bolstered hope caving in unsupported by any confidence within. Social phobia returning as strong as ever – now I know why it’s so hard to remember what the world’s like when I am hospitalised. I don’t look people in the face anymore, I go about anything I do with my head down in shame and fear. Withdrawn. Even at home, I don’t take in my surroundings much anymore. It’s chaotic and too busy on my eyes. They like to be closed, and words don’t come easily anymore either. I try so hard to be there for my beloved Shalimar yet it seems I am so vacant in my mind, she can sense it. And it frightens her as much as it does me.

I like that word – ‘imploding’ – for describing this parasitic eating disorder. It is like one is collapsing in on oneself as the disorder eats away more and more of your inner core. You pull away from others, curl into a protective shell as small and invisible as possible. In trying to feel ‘safe’, you find yourself increasingly alone with what’s trying to kill you, more endangered. ‘Exploding’ happens, too. I would describe that as the ‘fighting’ stages of this – when you’re resisting it’s pull as much as you can and it’s fighting you back. You fight to get the food in, it explodes it back out. You fight to save your body in every way you can, and it finds more and more violent ways to undo any good you’ve achieved.

Where to from here? I’m a mess. No matter how much or what I buy from the supermarket, when I try and put it together in my head, it doesn’t make any sort of sense. That’s if I am successful at the supermarket. I can write a concise list of what and how much I need, but being faced with aisles of cans and boxes and bottles, so many colours, so many numbers and letters and names and varieties and sizes and so on – I just freak out. Brain goes off. Autopilot takes over, I come out with a basket of stuff I haven’t a clue why I bought it and what to do with it. And none of it’s anything I even feel like eating. (Four packets of plain pasta… a bunch of different seasonings reduced to clear… one of every different variety of non-dairy milk in the UHT milk aisle… three tubs of margarine which I don’t eat and haven’t anything to put it on.. What can I do with that? )

The fruit and vegie shop’s still chaotic for me, too. If I can haul myself out there early enough in the morning, there might be a fair variety of stuff on the ‘reduced’ rack and that takes away the problem of actually choosing stuff. If it can be cooked and it’s colourful and tastes ok, then I’ll grab it. I end up with a lot of capsicums, apples, eggplants, tomatoes and sweet chilli, but that’s ok. I like them. The staples that I’ve always been addicted to – pumpkin, cabbage, carrots – are in season and plentiful. The hardest part is craving sweeter, water-rich fruits – they aren’t very easy to find at the moment. Lettuce used to be wonderfully refreshing when I could eat it raw, but even if I can (and I did try) at the moment my mouth is sore after just a bit of chewing and full of too many ulcers. Not to mention it’s fricken cold!

I really have to pull away from relying pretty much on just fruit and vegies though. They aren’t going to keep me alive – especially if I can’t keep them down anymore again. I’ve spent about $150 this weekend alone just on Up&Go drinks, Sustagens, etc – Nutrition Australia can’t get any supplements to me till tomorrow – though I rang them this morning and they might be able to get a few Resource+ drinks out to me today. But I can’t stomach them very well and they’re about a third of what’s in a Resource+. (360 calories and all your nutritional needs in one little popper) My taste buds must be screwed, too – it’s not helping that everything tastes like mud.

Whoa. All I do is complain! It’s a blessing to be alive, to be free again, to be back with my Sweet Shalimar. To sleep in my own bed again, wear my own clothes, keep my own times, be warm, have privacy, watch TV with teletext. Have nobody telling me that a few mills more of boiling water to soften my weetbix will blow my 1.2L fluid allowance for the entire day (since supplements and liquids in meals are counted, thirstiness is something I feel all the time in hospital) and nobody measuring my urine output, having to wipe my bum, wash me, even worse forgetting to wipe my bum – you end up smelly and damp from drip-drying into your undies. All dignity goes out the window in hospital. Not that I had any left.

I want to make the most of everything wonderful in my life. I want to stop taking it all for granted. It’s a miracle that I’m still alive, and I’m blessed with the most wonderful friends and some family. I have Shalimar, a place to live, clothes to wear, shoes for my feet, food to eat (theoretically, anyway) and all my basic needs. The biggest blessings are the people I love so much, and what’s left of this beautiful Earth. Je’aime la Nature.

life is hard but so very beautiful

I’m scared, God. I know I don’t talk to you very much anymore. Like everyone else, you’ve been shut out. It’s so hard to break down the barriers I keep rebuilding every time I manage to smash them down, and I’m tired, very tired. But please, my God, please hear my cry. Please have mercy – I don’t want to die, not this way. Please, I had hope that I could get around the mess in my head, that I had turned it around, but I find I am as trapped as ever. Will I ever be free, will I ever overcome this? I’m a survivor yet this battle is proving to be the most arduous I’ve fought. Terrifying how one’s own mind can be a stronger, deadlier foe than the physical dangers I’ve battled.

I can’t stop hearing [consultant] saying “You WILL die”, if the TPN was unsuccessful. I can’t help remembering how much of a struggle it was to insert a PICC line anywhere – my veins in both arms have been ruined now. I’m lucky to have even been alive to see another hospital admission – nobody thought I’d pull through last time and they all warned me that my body wouldn’t survive even one more physical relapse. What terrifies me is how sick I still really am in my mind. My body was bumped up about 10kgs really fast – but now I’ve lost nearly half of that in a weekend. Nothing was done for my thinking or my mind or learning how to care for myself. I’m trying so hard but as trapped and scared as ever, so powerless. Still fighting – ever fighting – but the feeling of hopeless futility is stronger than ever. I’m going down again already – and it doesn’t look like there are any options left now that will help me live. A long time ago, if I’d helped myself, I’d be far better off today. Now I’m beyond the point of having any control over this or even knowing how to fend off the blows in my head, the battering it gives me every breathing moment (even in my dreams/nightmares). Now there’s nothing left to even physically save me if I’m ever admitted to hospital again.

Please help me God. Help me help myself.

I didn’t survive all I have, to die of a piddly pathetic eating disorder.

 

 (image source: 1, 2)

Review – The Heavy

the heavy

The Heavy – Dara-Lynn Weiss

I wanted to know Dara-Lynn Weiss’ side of the story, after a furore broke out last year over her putting her young daughter on a strict diet. Here is my review from Goodreads.

I’m actually glad I read this book – even though I expected it to be a complete food-and-weight-obsessed take on how to handle helping your child with a weight problem. I feel like it’s given me a lot to think about, changed some of my views on this delicate subject, and given me Dara-Lynn Weiss’ side of a story that you had to have your head in the sand to have missed when it broke last year.

Weiss famously wrote an article in Vogue magazine about how she put her then six year old daughter, Bea, on a diet, when told by her paediatrician that Bea was clinically obese. She was absolutely vilified from all quarters. There were supporters of her side – but they were mostly drowned out by a worldwide cry against her – she was called abusive, disordered, cruel, a bad mother, people said that child protection should be notified and so on.

I have to admit, I was one of those who was horrified. After reading Weiss’ book, I’m still not ‘with’ her, but I’m not against her either. What is certain to me in reading is that her actions came from a deep love for Bea and only wanting her child to have the best life possible. Bea was definitely aware of her size, aware and sad to be ‘different’ from the other kids, already had experienced comments and teasing. And there were also the health issues to consider. Obese children do mostly grow up to be obese adults. Now I know that a lot of people will argue the health at any size and Obesity isn’t necessarily unhealthy points here – but let’s just put those picket signs down and remember that this is the story of one mother, and her own daughter, a daughter she is charged with making health decisions for. Parents struggle with so many difficult choices when it comes to health – to immunise or not, for example – and judgement is rife. But it comes down to her right to make the choice for her child, depending on what she thinks is the best choice.

Weiss did take Bea to a nutritionist – in fact, she started out doing everything the way I’d probably have hoped someone whose child was obese would do – take the whole family to the nutritionist. The entire family have various issues and they work hard to follow the plans given to them – at this point their program is of the ‘green light, red light’ kind where they are allocated certain numbers of green lights and yellow lights to eat each day, and taught which foods and how much of them constitute each green, yellow or red light. Fruit and vegetables were ‘free’ as snacks.

I think this is where Weiss strays off the path. She has said that she has her own disordered relationship with food – and it’s obvious throughout this book. Weiss panics if Bea is wearing different clothes when she’s weighed – for example jeans instead of leggings – because of the weight difference. She refuses to allow Bea a snack before an after school appointment at one stage in case Bea weighs slightly heavier. She obsessively plans and re-plans her and Bea’s food plans, and obsessively embarks on a mission that many people with full blown serious eating disorders will remember well – to find out the calorie counts of as many different foods as possible, and to seek out ever lower calorie items. She gushes about the use of frankenfoods and artificial sweeteners in place of real nutrition because ‘low calories trumps nutrition’ and panics over lapse as small as 100 calories or so for Bea. This is not normal behaviour.

dara-lynn-weiss-vogue

Especially, this is not normal behaviour for so young a child. Bea is growing. She’s 6 years old, 7 years old. Not only is she growing, but her relationship with food IS going to be affected by this for the rest of her life. And she IS pulling against the forced restriction. She’s constantly asking for snacks (fruit being free) to the point of having four or five or six snacks of fruit between each meal, and binge eating fruit into the night to the point of being uncomfortable. That is the behaviour of someone who is either starving, or deprived. I know from my own feelings of deprivation and consequent lashback into bingeing or hoarding food – that it can stick with you for LIFE. Bingeing and hoarding behaviors are also very common in foster children who have been deprived of food or food has been tightly controlled.

Then there is Bea’s lack of honesty when quizzed about what she’s eaten away from her mother. She’s scared of ‘owning up’ to having had three slices of pizza at a pizza party and tries to tell her mother she had only one at first. And when an unplanned ‘event’ happens in which Bea is faced with an array of food without her mother and herself having a ‘plan’ of what she can eat – she eats pretty much some of everything. Given that the point of some of these events was for the children in Bea’s class to try out food from other cultures, sampling a little of each offering was actually normal behaviour, but Bea probably would have been aware she was doing the ‘wrong’ thing, and definitely aware when she had to ‘own up’ to it to Weiss.

Then there are situations like at parties – where Bea wants another dessert or is still hungry, but has already eaten everything she’s ‘allowed’ to have. Weiss cops a fair bit of criticism from the other adults for not allowing Bea another cake or even to have the salad offered because it’s covered in a dressing. I do have to say, the other adults were not helpful. We don’t know what another child’s dietary issues might be. Bea might have been on a special diet for allergy reasons or she might have been diabetic and I’m sure the other adults wouldn’t have been so unsupportive then. And waving a food under the nose of a kid whose mother has just said NO to, is definitely not helpful, thoughtful, or kind.

Personally, I know very little about weight loss for kids. What I have heard (and believe) is that it’s not weight loss that’s important – it’s weight stabilisation – and allowing them to grow into their weight. In calculating what her daughter’s weight goals should be, at least Weiss kept her projected height in mind, but she was way too stuck on 77 pounds. If it was 77.2 pounds, that wasn’t good enough. To her credit, this weight was barely out of overweight into ‘normal’ for Bea’s height, so at least she wasn’t unrealistic on her weight – but just the general obsessiveness and inflexibility was a huge red flag for me throughout the book.

In the end, how is Bea? She’s lost the weight. She definitely seems happier, but at the same time, she still feels like a fat kid – she’s said she will always feel like one on the inside. She still needs to have her mother control her food intake – or it inches up again fast. Over time, though, Bea shows she is able to control her food intake herself and demonstrates this ability on a 3 week camp. This, here, is where I start to worry the most. Although Bea did very well – I feel like she’s too caught up in the ‘restrictive’ and ‘controlled’ eating – and it can very easily tip over into anorexia. That part of things just sounded off, and too good to be true to me.

Weiss was approached by Vogue magazine to write about her daughter’s weight loss journey after she expressed interest in writing a book about it. She was counselled to not include Bea in the photographs, but caved in to Bea’s pleas to be included – a choice she later regretted. I would not have liked to be in her shoes with what followed the publication of that article.

weight watchers dara lynn weiss and bea

Overall, it was an interesting book, but unless you are already interested in the subject or share an obsession with food, weight, and dieting – it could be extremely boring. The book pretty much is a lengthy account of the process from beginning of diet to end. Weiss obviously has done a good amount of research for the book – but suffers from confirmation bias – in that she’s set out to justify her choices and seems to have cherry-picked whatever research backs her up and excluded that which doesn’t. Despite this, there are some good and salient points that she raises – for example, even the ‘healthy’ choices in restaurants and in school cafeteria food containing far more energy than a child needs in one meal, and actual energy content differing to the provided nutrition statement. I do now see her point in that had she been less strict with Bea, Bea would most likely still be overweight, because there just are not healthy choices there for kids to make – even those that ‘seem’ healthy are far too large or aren’t as healthy as they appear.

I still don’t think Weiss went about helping Bea become healthier the right way, and I worry about whether Bea will end up with a serious eating disorder in the future. But I now see Weiss’s side of things and feel she was justified in making most of the choices she did – and only meant well for her daughter.

if you think she's fat smack yourself

ANAD had this to say about the article.

The decision of Vogue to publish “Weight Watcher” in the April 2012 issue about a mother’s story of her 7 year old daughter’s weight loss journey is irresponsible.  Dara-Lynn, mother to Bea, subjected her daughter to a rigid diet complete with mixed messages around food, stigmatizing remarks, and damaging body image comments. Voguemust take responsibility for publishing an article that normalizes disordered eating and contempt for bodies.Experts and advocates in the field of eating disorders and obesity do not support the approach used by mother Dara-Lynn and urge her to evaluate her own relationship with food and body image.

Vogue’s decision to run this article adds to the child’s humiliation and shame. Bea is not an adult who can determine whether or not her journey should be public. With the publication of this story, readers from all over the world are privy to BEA’s story and she will likely be increasingly judged, based on her size, over and over again throughout her childhood, adolescence, and adulthood. This is worrisome for her overall health, including mental status.

Laura Discipio, executive director of ANAD comments: “Dara-Lynn stated that Bea has not exhibited symptoms of intense psychological damage, yet the article reports “tears of pain fill her (Bea’s) eyes as she reflects on her year long journey.” Dara-Lynn was engaging in behaviors that most clinicians and parents would agree were detrimental to Bea.  The methods and tactics used by Dara-Lynn in front of Bea’s peers coupled with public shaming in a well-read magazine may indeed produce long-term psychological damage, including an unhealthy relationship with food and her body. ANAD advocates for overall wellness not weight, including help for emotional, physical and social well being.”

Chevese Turner, CEO of BEDA adds: “Research indicates dieting at such a young age can actually result in weight gain and eating disorders, which have the highest death rate of any mental health illness.  Childhood is a dynamic period; professionals and parents need to think twice before prescribing or implementing a diet. They must also consider that research shows stigmatizing, shaming, and bullying around a person’s size can also result in weight gain and eating disorders. Every good intention can have a negative outcome”

We invite Vogue editors and Dara-Lynn Weiss to contact BEDA or ANAD so they can talk to experts and others whose life of pain and struggles around food began with eerie similarity to Bea’s experience over the last year.  We also ask that concerned people respond to Vogue editors with their dismay at using this child’s experience to sell magazines.

 The Condé Nast Building

4 Times Square #12

New York NY 10036

212-286-8398 or 212-286-2860

Email: talkingback@vogue.com

I would love to hear what you think. Should you ever put a child on a diet? And if you do, how would you go about it? Where would you draw the line and say you had gone too far? 

 (Image Sources: 1, 234)

Setbacks and Steps Forward.

I seem to be posting less and less often these days.

That can be a good thing – if it is because I’m out there living life. Or it can be not so good – meaning I’ve withdrawn from the world.

Things haven’t been so good lately in some ways. The nature of an eating disorder is that we have so many ups and downs. Being co-morbid with depression, anxiety and other related conditions further complicates things. I know I’m not alone there.

I find life very overwhelming and that’s caused me to cut back on many of the things I had achieved. I’ve stopped going to ballet and volunteer work, and rarely leave home unless it’s to go to the shops or to therapy. And when I go to the shops, it will be with a worker. Social phobia is pretty strong these days.

I’m actually typing this from a computer in a public library – that’s a pretty unusual thing for me. (It’s also frustrating – this computer has the grrrrr-iest keyboard lol).  I’ve just had a counselling session and decided to stop in at the library instead of going straight home. I want to go home!! Too many people here. But here I am :)

The good news for me is that I have started counselling. I only have a few sessions left with the psychologist before my 10 sessions per year is up – and I was panicked about what to do for support after that. There was a not-for-profit organisation nearby for women with eating issues that I had totally overlooked – they have free spots for counselling. So here I am.

Some things are meant to happen. I know I will never overcome the ED until I’ve dealt with the lifetime of trauma. I still haven’t had much chance to work on that stuff with the psychologist because most of my sessions with her have been used up just learning and working on coping skills – she won’t work on trauma unless she knows I can keep myself safe.

But the counsellor I’m seeing now is very experienced with trauma work. I’d always wondered where people went to do all the therapies I’ve only read about online – art therapy, sand play, movement therapy etc. Well, she does them all! Not just that, but she ‘gets’ me – and she seems to appeal to my creative side that has for so long been suppressed. She’s going to help me get back into the art and writing that I used to do so much. And, in  bizarre coincidence, she has been to my dance school with an art class to draw the dancers in class.. which is something she might look at exploring with me, as well as helping me get back into dancing again. Volunteer work is on the back burner for now – I tried to do too much at once and ended up totally overwhelmed. Now we are going to do one thing at a time.

I can definitely see how drawing dancers as they move would be helpful. You can’t be a perfectionist when your subject is moving! And you can’t help but notice that bodies come in all shapes and sizes. They are tall, short, fat, thin, slender, chubby. And it’s okay. They are all okay.

I remember when I was a dancer, how it was what my body was capable of that mattered to me. Not what I looked like. I strived to make it as strong as I could. Practised and exercised continuously. I had no idea I had anorexia. I didn’t want to be skinny. I actually turned my nose up at skinny, thought the girls who were always on diets or throwing up were rather pathetic. I was devastated when I finally had to admit I had an eating disorder. Devastated and blindsided. I still find it hard to fathom.

‘Crying Ballerina’ Gavin Penn

More and more evidence is emerging through studies and research that eating disorders are not actually about food and weight at all. Simply those are the way we have chosen to express the illness.

An extremely fascinating book that I may have mentioned in a previous post was Ethan Watters’ “Crazy Like Us: The Globalization of the American Psyche”. One of the case studies in this book focussed on Anorexia in Hong Kong in the 1980′s. At that time, Western culture had not yet influenced the Chinese culture as much as it has now – so it wasn’t common for Chinese girls to be exposed to the Western idea of fashion and our body pressures. Yet Chinese girls still got anorexia – just like us. The difference was, they didn’t know why they were starving. They expressed that they wanted to eat, didn’t want to be too thin, etc – and yet they could not eat to save their lives. There are similar findings in third world countries, places of famine and war, and cultures that still are far removed from our own and don’t place as much value on being slim  as we do.

Another interesting thing Watters said was that until Karen Carpenter’s death, eating disorders had a very low profile – but after her death they started ‘coming out of the woodwork’. It seemed to him that more people identified with her, identified with having an eating disorder – and spoke up about it, sought help. This also could have been helped along by the fact that people suddenly were made much more aware of eating disorders so were suddenly realising there were family members or friends who were struggling. But what interests me, is that Watters believes that how we express our illness changes depending on what is at the forefront of our cultural awareness. Because of the sudden high profile of anorexia, he surmised, people started to express that they were unwell through using those behaviours. As Western culture started to affect Asia more, Asian anorexics started to become more focussed on their weight and on appearance, replacing the former unexplained starvation behaviour. They still had anorexia – they simply now believed it was because they needed to lose weight to be acceptable and fashionable.

Another clue that eating disorders aren’t about trying to be slim or like a fashion model are that six and seven year olds are being diagnosed with it. Most of these kids have never flipped through a fashion magazine in their lives. The extent of their wanting to be fashionable is probably dressing up as a fairy or in their mum’s high heels and make up. The body pressure isn’t there. Neither is the bitchy fashionista culture that older girls and women must contend with. And yet – they too, starve themselves to the point of being in danger of death.

We have a long way to go with researching and learning about eating disorders and their causes, and even further in how to treat them and hopefully some day cure them. And I have a lot more that I want to write about – but I must go. I hope this has been interesting!

I hope everyone is going well, keeping up the good fight. You are a pretty awesome bunch of people :)

Thank you for reading.

(Image Sources: 1, 2)

Edit- Thank you to Sooz – for pointing out that I have forgotten basic geography. Hong Kong is not in Japan! Sorry *blush* Now I need to go hide, I’m so embarrassed ;)

Anorexia - An Equal Opportunities Eating Disorder

Reblogged from One More Mum's Blog:

My usual magazine rack railway rage was diverted to the Daily Mail. Generally I try not to get annoyed at the Daily Fail. It is the Frankie Boyle of the media world spouting bile and prejudice hoping to gain attention. But today, I cracked. At this headline:

Doctors Let Former Private School Girl Die of Anorexia

Accompanied by a suitably winsome picture of a beautiful girl, in a white dress.

Read more… 299 more words

So true, and so well said. This is just one of many myths and sterotypes that STILL abound when it comes to eating disorders, who gets sick with them, and why.

Take myself for example. I'm one of those 'welfare brats' who has never had a job and lives off the taxpayer - after growing up in a poor single parent family also subsidized by the taxpayer. We went without a lot, and I learnt to appreciate every single thing I had. Not only that, but I didn't care about fashion (beyond just wishing I had a clean and untorn outfit to wear on free dress day to school, a clean uniform that fit, or shoes that weren't falling to bits). I didn't lust after models or read magazines. I rarely watched TV, and I certainly didn't want to look like those people.

And I have anorexia.

Another faulty belief is that where the sufferers are seen as 'spoilt' and it's assumed that if they knew what it was like to struggle and not know where your next meal came from, or even if you would eat this week, and people were dying all around you - you wouldn't be so selfish with your food. But people in these very situations DO also get eating disorders. Not just that, but thinking of the starving children in Africa never cured anyone's eating disorder, in fact many people with eating disorders are very active in their community volunteering and trying to help those less fortunate in every way they can.

Ten Years of Love

withshalimar2003_edited

Ten years ago today, I brought home the sweetest little grey bundle of purr, direct from the RSPCA. Eight weeks old and the smallest little runt in the cage of kittens – I knew the moment my eyes landed on her that she was mine, and I quickly became hers on the way home in the car, as she curled up in my elbow and snuffled and snoozed.

Shalimar was a gift from a special lady – her own daughter, a friend of mine,  had died from Anorexia after a lifelong battle. This lady had financed a clinic in Brisbane and insisted that I go to it, and I did for eighteen months. I didn’t get better from going there, but I stayed out of hospital for a whole eighteen months which in itself was a miracle at that time – some things work for some, not for others.

She truly has kept me alive. She’s loved me unconditionally, she’s given me a reason to hang on when otherwise I might have just let go. Prevented me from slipping into a mini-coma like I did a few times before adopting her – times when I would take a nap, usually in the afternoon, and not wake up until several days later – completely unaware that it had been any longer than the passing of a few hours. A huge shock when I realised how much time I had lost.

Now, ten years later, I am being flooded with so many emotions… Where did the time go? Can she really be so old? If I didn’t have her, would I even still be alive? Most probably not.

The most gorgeous kitty on earth :) (says me)

The most gorgeous kitty on earth :) (says me)

And what will I do, when I no longer have her? I can’t bear to think of that today, on this special day. But I’ve been worrying about this a lot lately. Ten years old is not ‘too’ old for a cat – people have told me they have cats aged 15, 19 years old. But I’m aware of how short life is. And I am terrified of life without her. At the moment, there is no possibility of life without Shalimar – when she dies, my life is over.

sunshine happy cat

I know many people will find that trite and trivial – it’s not, to me. She has been my everything for her whole life. I have never been as close to any living creature, human or otherwise, as I am to her.

I know that’s life. Loved ones are born, loved ones leave, loved ones die… and it hurts every single one of us so much. I need to toughen up and accept that, I know I do. And I guess I’m working on that. Because I have a feeling I’m meant to be here a lot longer than another 5-10 years .