But then there's always that other hand and it winds up slapping me in the face.
Things were going well for a while. The eating disordered thought had significantly decreased. I was acting less on impulse and emotion. I was actually taking note of my emotions and doing something constructive with them. And then -- I met with the nutritionist.
Maybe if I didn't have an eating disorder, I wouldn't have received the things she said the way I did. And I hold nothing against the woman, as she clearly knows what she's doing as a nutritionist for women with PCOS, and she is working with my outpatient team to make sure everyone's on the same page -- but she pissed me off.
Changing exchanges and saying that I don't need to drink juice but if I do to add water to it. First thought -- well, that's disordered. That's something we were forbidden to do at the residential program. And fruits and juices were encouraged! Milk and yogurt are clearly a dairy and can be exchanged as a protein. But not in her book -- it counts it as a carbohydrate. And that means -- according to this new deal she's got me working with here -- that I've been going days and days without protein (thinking I was getting sufficient amounts from soy milk and yogurt) only to find out that protein and fats are my friends and that I need to limit the starches even more.
Yeah. Angry.
But mainly sad because it brought back old memories -- bad ones -- of my father telling me not to eat this because I didn't need it, or not to eat that because of my weight. And she couldn't have known that so I don't fault the lady at all, it's just, I think had she been a bit more mindful that I'm an ed patient first and pcos patient second, that maybe things would have been different. I left her office resolved to do better as far as my eating habits go, but just a few days afterward the feelings I had surfaced in my old behaviors because I didn't deal with them as they came up. Funny how that happens.
I started skipping more meals and I hadn't felt guilty about just plain old eating in a really long time and then that came up when I felt like I had something that I shouldn't have had (because of the conversation with the nutritionist). And that guilt resulted in a purge.
First one in a really long time. Dare I say a month? Hmmm. It saddens me that all the hard work can vanish so quickly. That I can be in the exact same hole I was in two months ago and desperately clinging to the eating disordered thoughts against all reason. Dixie and I talked a bit today about why I continue to choose to believe in the eating disorder despite everything I've learned and I had no answer.
I just know that I do. I wish she understood that although I appreciate the past year and a half and I know that it's saved my life, that some mornings I wake up and absolutely hate my body. I hate it. I hate myself because I blame all my failings on this one thing and it's hard to live with that. It's hard to know that I could do something about it (like skipping a meal here or there) because it just makes me feel better to know that I'm not making things worse (even though I know I am). Being in recovery with an eating disorder is like living in a world full of paradoxes. I know the truth and yet I don't live it. I try and yet if I catch a glimpse of myself in the mirror during a bad moment in my day -- logic is tossed to the wind. Dixie said I lose all cognitive function when I'm in my body loathing moments. Maybe. But I want her to understand that it breaks my heart too when I slip up. I'm just as frustrated and disappointed in myself as she is. I just also feel, for lack of a better word...better, better about my body, better about myself, better about my life if I'm empty inside. Even if it's only for a moment and it never lasts, because it never does.
I wish I had someone to talk to who doesn't think I'm choosing to continue along with an eating disorder. I wish I wasn't always playing defense.
Monday, June 29, 2009
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4 comments:
How much does she know about your ed, honey? I don't know much about PCOS at all, but it sounds as though it's a difficult condition to manage.. and with it restrictions on eating, which must be so flippin' confusing and hard, Erin.
I don't know what to say other than 'ack', but as much you can communicate all this with her, the better, I think.
So glad your trip to Maine is now official :)
Oh Z,
She knows. I mean she knows I just came out of residential. She talked to my therapist beforehand and we discussed it some during our 90 minute session. Yeah. 90 minutes of this woman telling me all the things I'm doing wrong. It just came across the wrong way and I'm able to know that but I can't incorporate it into real life. I just felt so incredibly awful.
I'm thinking new nutritionist...or I could just wait until I move to Maine. Wonder if Americorps covers that?
Oh hon, so sorry that she is fully versed in your ed but is still, well, lacking in being able to communicate with you in a way that is remotely sensitive to your ed. Perhaps a new N would be really helpful, erin. You can always see my N in Maine, though she is a little.. well, triggering.
How are you this morning, sweets?
Ha. Well I don't want to see any N's that are triggering. That kind of defeats the purpose. How far away is Mount Desert Island from where you live?
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