Friday, February 28, 2014

february 28/29th: TV taught me how to feel, now real life has no appeal

In yesterday's vein, it not only shocks me how I can fangirl and disorder all over everything at once, but how I can be so very ready to die and also care about school at the same time.

At some point I want to write a much longer piece on fangirling and mental illness, because I have lots of Strong Opinions on this. I don't care how cheesy or ridiculous it sounds, but fandom has truly saved my life, on many levels. It's given me an outlet for emotions I never had growing up. (Related, I find it hilarious that my parents & sister had a mini "intervention" for me. Said they thought I was "too attached" etc etc. OMG ARIA, YOU HAVE FEELINGS. STOP THAT.)

Anyway. Here continues my saga of downward spiraling. This weekend I'm planning (migraine-permitting...) to make a more comprehensive post of my experience. I will probably continue these posts on an off for myself.

February 28th + February 29th

usual trigger warnings.

Thursday, February 27, 2014

february 27th: apocalypse

It will never fail to astound me, the rapidity with which I can switch from fangirl to disorder.

I am also so, so glad a bar of chocolate can no longer ruin my entire weekend.

February 27th

(warning: pictures - some covered nudity)

Wednesday, February 26, 2014

ED Qs: eating disorders & their relation to other mental illnesses

The depression, is it a cause or a consequence?

It depends on the person. Not everyone with an ED has depression, although it is very common. Anxiety is common as well, as are addiction problems, OCD, bipolar disorder, etc. I personally have found that although the ED is the most deadly part, it's rarely the underlying issue. It's usually a reaction, a coping mechanism for something else that was there first.

I personally couldn't tell you which came first; I used to think it was the depression (I have distinct memories of having depression attacks in pre-school), until I got out of treatment and my anxiety went through the roof. The ED was a way of managing the anxiety, of numbing the brain, although it unfortunately did nothing for the depression (shocker: low body weight & malnourishment makes you depressed. It also makes anti-depressant medications basically non-functional). I honestly couldn't tell you which came first, and which came as a reaction to another. All are genetic, to a certain extent.

In the past 4 years I've found that I have to maintain a sort of balance between my disorders - if I focus on the depression, the anxiety goes up. If I focus on the anxiety, the depression goes up. Or maybe it's the other way around, when one is bad the other is tolerable. Either way, it comes down to tradeoff management. My therapist once compared me to a patient with schizophrenia, who had medication to treat the symptoms. If she didn't take it, she was non-functional because of the illness. If she took enough to completely negate the symptoms, she was non-functional because the meds made her so out of it. So she had to learn to live somewhere in between.

Have I mentioned mental illnesses are Hard?

february 26th: death and living reconciled

Warning: tonight's post is depressing. It has no inspirational tea bag ending. Sorry.

Related, I think I should get a few weeks off at the end of February annually for my own personal suicide watch.


You see so many statistics when you read about eating disorders - 1/5 people with anorexia die. 1/3 people with untreated eating disorders die. Anorexia is the most deadly mental illness. Having been in school for a nauseating number of years, and reading endless studies and papers and methods, I never put all that much stock in numbers. (Ha, eating disorder, see what I did there?)

These are statistics that I know: during my 6 weeks in IP, we started the day twice with news that recent patients had died. I know that out of the 100+ girls I was in treatment with (and one guy), at least half went back in after discharge. I know that one of my good friends had a heart attack and died a few months after she discharged, and another two overdosed and were admitted to the hospital. I know that about once a month, a friend of mine will post a RIP status on facebook, and I'll wonder who died this time. If I knew them. How they died.

The mental health community is exhaustingly heartbreaking to be a part of. I have so many friends who have dropped off the face of the earth, who I hope are still alive somewhere. Some, I track with horrified fascinating, waiting for the inevitable moment when the tributes start pouring in on their facebook pages.

I only know what I've experienced, and personal accounts of friends. I know that for me, even after 10+ years of malnutrition and starvation and exercising to the point of collapse, my body refused to die. To the point where it became maddeningly frustrating, my body refused to give up and die no matter how hard I tried to make it.

This is not to say that eating disorders aren't dangerous, of course. My point is that of the many deaths of people with eating disorders that I know of, at least half were because of suicide. You hear many different statistics and points of view on recovery, on whether full recovery is possible, on the percent of people in treatment who do recover. I spend far too much time contemplating this, because for me, being "fully recovered" feels like it would require rewiring my brain.
"I should have died tonight. and now every damn second is just too fucking painful."
How does anyone really come back from that? I don't feel like I have, or that I ever will.

The academic part of me is organizing studies in my head, ways of coming up with better statistics, better numbers. I think there are two "levels" of eating disorders: the first is self-punishment, a method of coping; the second is suicide. Thinking about all the girls I've met, the majority of those who consider themselves "recovered" were part of that first level. Those who hang in the gray area between disordered and recovered, living and dying, existing and thriving... those were part of the second.

I honestly don't know where I'm going with this. I only know that once you've stepped off certain cliffs, I don't know that there's a way to really get back.

February 26th


Wednesday, February 19, 2014

ED Qs: EDs & the weight of others

Do they (you?) see overweight ppl as less than a person?

No. It's very hard to explain the conflicting points of view that somehow share the same space in an (my) eating disordered brain, but it goes something like this: no matter how thin you are, you never think you are thin enough. You are never good enough. You are never enough, and yet you are entirely too much. You fixate on other people thinner than you, not because you think they as people are better or happier (you know they're not, you know they're sick and miserable and the human part of you wants them to get better), but because you want their disorder. You want to be that much sicker. It doesn't matter that it won't be enough; it doesn't matter that you will never, ever stop wanting to lose more. Eating disorders are massively comparative, which is one of the reasons people get SO BITCHY over them and why it can be SO HARD to talk about. Ultimately, we're not upset with anyone but ourselves. We just take it out on other people.

I am a huge supporter of "love yourself, whoever you are, whatever you look like." I yell at people when they call themselves ugly or fat. I get angry over beauty contests or anything that makes the way someone looks into a competition, as though that were the most important part of them. I don't think your body defines who you are, I think it's a product of genetics and circumstance.

I'm also a HUGE believer in the idea that your body really does know its shit. It knows what to do (not counting various diseases, of course). I get pissy when people talk about eating "healthy" and try to feel elitist over it. You want to eat ice cream? Eat fucking ice cream. Eat whatever the fuck you want. You will start craving "healthy" food eventually, when your body needs it, if you truly listen to it and override the signals society has branded on us. Yes, I know it's more complicated than that, with processed food and chemicals and blah blah. But go check out this article and remember that EVERYTHING IS CHEMISTRY, guys.


I wish my parents hadn't been SUCH MASSIVE sticklers on healthy food. I wish I hadn't had to count out 20 m&ms for dessert, or been allowed ice cream once a week on saturday night like clockwork. I wish I hadn't learned that some foods are Good and some are Bad. It's all food, and if it hadn't been so forbidden to me as a child I would never have begun to crave it the way I did. I've spent the past (holy shit almost 4 years) trying to learn to listen to my body and undo the previous 22 years of learning bad habits ("bad habits" being those our society would definitely praise. Brainwarp, anyone?) People complain about large portion sizes in restaurants etc etc and honestly, I love them, because then I get leftovers which make me happy. I walk a lot because I love walking, but that's the only exercise I do. We seem to have forgotten that for several hundred thousand years our bodies have done just fine without diets and exercise plans. If we stopped paying so much fucking attention to to what we were eating and how many calories we were expending, I think we'd have a lot less of a problem.

*gets off soap box*

So no, I don't think anyone's body makes them less of a person. In our society people who are overweight are shamed quite often, and while it may seem hard to believe, people with eating disorders feel that same shame. It's simply that they place it on themselves (for those not already overweight), rather than society forcing it on them. The hatred of "fatness" that we feel isn't a judgement on anyone but ourselves. I personally would rather be morbidly obese and happy than have a "perfect" body and be miserable.

Monday, February 17, 2014

february 17th: far green country under a swift sunrise

This past Christmas, my sister and I watched the entire Lord of the Rings series again. I hadn't seen it in years, and I'd forgotten about this quote at the end that Frodo says, that makes me cry every time I hear it:
"How do you pick up the threads of an old life? How do you go on, when in your heart, you begin to understand - there is no going back? There are some things that time cannot mend, some hurts that go too deep - that have taken hold."

My friend Katie and I have discussed this so many times - can we ever really be "normal" again? Can we ever really go back to being fully functional human beings? I realize there is no such thing as "normal"; I've been told this ad nauseum, whenever I've discussed this with anyone else. But I think there are levels of normal that people who dismiss normality take for granted. Things like waking up without wanting to die; breathing without having to focus on slowing every intake; communicating with others without having a panic attack; eating the appropriate amount of food to survive. When I say I want to me normal, I don't mean in an existential, socially bounded manner; I mean that I want to be able to function, on a daily basis, without simple necessary tasks taking up every ounce of energy I have.

This quote can apply to so many situations, many much more serious than mine. War, genocide, abuse and violence. What has always struck me about Frodo, though, is that in a sense, he failed. Without Gollum (another character I will need to write about, another time), Frodo would've kept the ring. I think, in the end, it wasn't what was done to him that haunted him, but the choices that he made. The others could heal, despite the travesties of war, because war was done to them. Frodo made his own bad decisions - heavily influenced by the ring, of course, but still in the end his own warped choices.

This, I think, is why it's so hard for people to feel sympathy for those with many mental illnesses. Because in the end, we do this to ourselves. We make the decision not to eat, to purge, to slash our wrists. To sit in bed and do absolutely nothing. To those outside, it seems so horribly selfish. And we see it ourselves. We know we shouldn't do the things we do; we wish we could be more appreciative, more capable, better.

It's a very fine line, between taking responsibility for your actions and blaming yourself for your disease. This is one of the things that still sticks out most strongly in my brain from treatment, that one of my favorite therapists (S) used to say to me over and over (from anyone else, I'd've gone bitchface on them. From her, it was hard to ignore.) It's so easy to say that you "just can't ____". Can't eat, can't get up, can't stop. "You can," she'd always say to me. "You choose not to." I hated her, every time, for saying this. Because so often it feels incredibly, absolutely impossible to do these things. But physically, I could put food in my mouth. My jaw could chew it. My legs could carry me out of bed. I am physically capable of these things; it's my mind telling me that I can't.*
*There are points where this logic breaks down. There are points you sink to, when your body is so malnourished, when you are so fucking hungry that the need to eat is entirely overwhelming. And I say this as someone who starved herself for 10 years, and controlled it most of the time. There is a point where that control breaks down.
"But at some point, the body will essentially eat of its own accord in order to save itself. Mine began to do that. The passivity with which I speak here is intentional. It feels very much as if you are possessed, as if you have no will of your own but are in constant battle with your body, and are losing. 

It wants to live.

You want to die.

You cannot both have your way." ~ Marya Hornbacher (Wasted)
I'm not sure S would agree with this. I'm sure many professionals wouldn't, and maybe even some people who have had eating disorders. Maybe it's something you have to experience. But I can tell you that the body will do things all on its own, when necessary for survival. It's a bitch like that.
This is important. It's empowering. It's also incredibly disheartening and shameful. It's something I still struggle with, every day; how much of this is my fault? How much of this could I turn around if I just tried harder? My current therapist has reached the end of her rope. She doesn't know what else to say to me to get me to move on with my life. Let me tell you how awesome it feels, to have a therapist give up on you. Not that she'd ever say it in so many words, but we're down to the "You just have to do it" argument. (Try telling someone with an eating disorder to just eat, I dare you.) I feel like I'm defending my depression to her, like I'm making excuses for myself. (I have this written in big letters across my binder from my first inpatient stay - EATING DISORDERS ARE AN EXCUSE. Because they are; they're an excuse not to function, not to grow up, not to participate in life. They're an excuse to feel miserable.)

Mental illnesses are so, so hard. Because there is no cure, no single treatment that works. Because sometimes someone needs to be told that their behavior isn't their fault, and sometimes they need to be told that this exact same behavior is them making excuses - and both these things will be true. Because mental illness is, in the end, a paradox, a conundrum, an incongruous juxtaposition of states of being. It wants to live, you want to die. You cannot both have your way. The illness becomes it's own demon, one you want so desperately to destroy - but one you cater to. One you keep alive with your actions. How much of this is my fault? I feel like so much of it is hardwired into my brain, like these are the threads of my old life; they were always there, just not yet woven together completely. Maybe I can unravel part of this tapestry, maybe I can tear it to pieces, but I still have those same threads to work with when I try to put myself back together.


At the end of the movie, when Frodo leaves Middle Earth with the last of the elves, my sister turned to me and said: "I still don't get why he had to go. Why didn't he just stay?"

I was quite literally speechless. I knew that if I opened my mouth, I'd start bawling. And I had no clue how to answer her, because it had never occurred to me that someone might think that way. To me, Frodo's leaving was always a blissful, peaceful end for him. The scene where he says goodbye to Sam and the others broke me more than any other in the film, but I understood. He smiles, on that boat, for the first time in so long. He was free.

I can tell you this much for certain; if I were Frodo, I'd've run onto that boat and never looked back.

February 17th: 

(normal trigger warnings )

Sunday, February 16, 2014

february 16

No new posts tonight; getting this together was hard enough. I knew this would be difficult, but I forgot just how difficult. I knew February 2010 would basically be a countdown for me, but I forgot how bad things were years before. It's hard to read, because while sometimes things seem so much better, sometimes I read this and things feel exactly the same.

But they're not. I know they're not. I no longer have the food hanging over my head, the intense self-hatred I would never wish on anyone, ever. Ever, ever, ever.

Anyway.

Trigger warning: eating disorder, suicidality.