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Anorexia: Challenges in Early Recovery

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hi joanna,

I just read one of your articles on the something fishy website. what struck me was the part about living a life that is killing the soul. I am 24 and have had anorexia and bulimia since the age of 12. I am in recovery although still very underweight but no longer purging or bingeing..

At first I thought recovery would bring so many wonderful things. but now that I am "healthier" my parents cut my finances. I am working a coffee house job many hours and going to school. I have no time for friends. I am lonely. my parents live far away and I don't get along with them anyway.

I have made new friends, yet still feel very lonely and meaningless to the point I don't know what I am fighting for anymore. there was supposed to be the rainbow at the end. yet I am giving up the behavior and am still very lost and unfulfilled and lonely. spirituality helped for awhile, but no longer. my outlook is pessimistic and cynical these days.

any suggestions?

with appreciation,

S.

Dear S,

I'm glad to hear from you.

First, let me congratulate you for the fine work you are doing to build your life. You are showing courage and strength plus you are using both in what sounds like all the right places.

I'm going to include your letter here and put my comments/responses under your sentences, so keep reading and scrolling down.

I just read one of your articles on the something fishy website. what struck me was the part about living a life that is killing the soul.

It takes deep personal awareness and strength to recognize the truth in that thought. When people are numb and caught in the passion/compulsion of acting out eating disorders they have no awareness of the soul destruction that is occurring. When you can respond with feeling to a statement about killing the soul, you are on your way out of oblivion and moving toward real self-care.

I am 24 and have had anorexia and bulimia since the age of 12.

It's a desperate path.

I am in recovery

good for you.

although still very underweight

give yourself time to build.

but no longer purging or bingeing.

Hooray! Hooray! This means you are remaining more emotionally present for what life has to offer. You can make decisions based on reality.

at first I thought recovery would bring so many wonderful things.

It brings the end of oblivion. It brings the beginning of being in the world as a fully present person (rather than a section of a person with feelings cut off and a presentable false facade for others)

but now that I am "healthier" my parents cut my finance.

I can't comment on the financial details without knowing more information, and I don't really need to know. The broad strokes apply. You are 'healthier'. Most people, including people with eating disorders, often think that the end of acting out is health. The end of acting out is crucial in order to begin living a healthy life. You are just starting to learn what a healthy life is. When you stop bingeing, starving and purging you have accomplished something vital which required much strength, courage and faith in yourself. You've given up a powerful defense against feeling your feelings and being present in the world.

When you give up your eating disorder behavior, you begin to experience the world more realistically. You have to deal with what you discover as it is and as you are. There's a lot in this world that is not pretty. And you have minimal resources to meet it because parts of you didn't get a chance to develop and mature. Those parts became numb at 12 when you began the eating disorder. Some wisdom, compassion and support is required before you can draw on more mature elements in yourself. Part of you, maybe a big part, is still only 12 years old.

But a lot of people, including parents, including you, think/expect that when the acting out is over the person is healthy and at the same stage of development as others her age. And the world will expect you to fulfill certain responsibilities, like earn a living, get an education, be responsible for your commitments, take care of yourself, keep promises, behave in a socially accepted manner, etc. This is a challenge for any young person, (for many older persons too) but particularly for someone new in recovery.

I am working a coffeehouse job many hours and going to school.

I am so glad to hear this. It sounds hard, but it's the kind of hard that will teach you how to recognize and cope with real life challenges. You will gain the strength and wisdom you couldn't develop while you were acting out your eating disorder. Plus, your job and school give structure to your days.

Early in recovery structure is very important. While you were acting out there were no boundaries. You would starve too long, binge too much and throw up when you felt like it. You had weak limits or boundaries or perhaps you had none. That kind of experience spreads to other areas of your life.

Honoring the structure of your work and school gives you some reliability and regularity, something you can count on, even if the effort does feel very hard right now.

I have no time for friends. I am lonely.

Learning to portion out your time may be similar to what you have to learn in terms of portioning out food. So when you talk about friendship I wonder: Are you starving yourself of friendship? Have you ever binged on people? Have you ever been so casual and dismissive with people that you were, in effect, purging them out of your life?

You may be yearning for the kinds of friendships 12 year old girls have with each other. This is hard to come by when you are 24. And if you find it, it probably wouldn't be very good for you. You need relationships that reflect your real world needs of today.

It is lonely in recovery. It was lonely when you were acting out, too, wasn't it? Sometimes knowing that your suffering has a point, is something to work through, is temporary and even necessary as part of healing, can help you to bear this lonliness.

I hope you can find a psychotherapist to help you through these crucial years of beginning your life. You sound so conscientious. Support and appreciation for your experience now from someone who understands eating disorders could be a great help.

Please see the programs and opportunities listed at the end of this article. And remember, 12 step program are free and may provide you with learning, opportunities for healing and personal contact on the level that you need right now.

my parents live far away and I don't get along with them anyway.

It doesn't really matter how you get along with them. You will still feel pain and loss because of separation. If boundaries and limits are the number one issue for people with eating disorders, then separation issues are a close second.

I have made new friends,

Good. Choose carefully. Remember, there is a sweet 12 year old inside of you that needs help and guidance in making choices.

still feel very lonely and meaningless.

You are new in the world. It will take time for you to discover what you genuinely care about and what has meaning for you. Whatever was meaningful to you before was based on your being ill and only partially present for life experience. Now you are more fully present. Everything you see, think, feel, want, don't want, like, don't like, are repelled by, are attracted to will be affected by your genuine presence. You have some wonderful surprises ahead.

Remember, this conversation of ours began with the idea of soul killing. Now it's time to pay attention to your healing soul. That's what's meaningful now. It wasn't before. Now it is, and you know it.

to the point I don't know what I am fighting for anymore.

Aren't you putting your energy into being the full woman you can be? Isn't that what it's all about?

there was supposed to be the rainbow at the end.

Who said so? This is the vision of the naive 12-year-old inside who hasn't learned very much about the world yet. That part of you needs help in dealing with the disillusions that awakening brings. That part is probably scared, hurt, disappointed, bewildered, at a loss and looking for help that a 12-year-old understands. Yet you are 24 and on your own. Your challenge is learning how to provide that compassion and support for yourself as you meet the world.

Where are you going to school? Often schools have counseling centers or referral lists or support groups that can be helpful to students in stressful situations. The school counselors may even have programs for people with eating disorders or know where you can find one.

I am giving up the behavior

I applaud you long and loud for this. You recognize that your life depends on this. And, I know how hard it is to let go of the old ways.

and still very lost and unfulfilled and lonely.

Giving up the behavior is giving up a way of coping with the world. This is a necessary loss. You are in the process of finding a much better way of coping, one that can seem very far away at times. It does get easier as you grow and become accustomed to being more present in the world and more reliable and compassionate with yourself.

spirituality helped for awhile, but no longer.

I wonder what was nice about that and what happened to disappoint you.

my outlook is pessimistic and cynical these days.

S, it's only natural that you would experience this. You gave up the behavior and didn't get the promised land you thought you would. By giving up the behavior you even lost some things you had, like financial support from your parents. Many things that you thought would work didn't. The emotional awareness you have is based on lots of growth and lots of deprivation at the same time. Holes in your perception make your challenges even more difficult.

This is a time to mourn the loss of all that you thought would be. The 12 year old dreams are not happening. Meanwhile, let me ask you, "Who is mourning? Who is pessimistic? Who is cynical? and Who is writing this letter?" I wonder if your answer is the same to each of these questions.

The aspect of you who wrote this letter is moving beyond the 12-year-old beliefs, moving beyond the grief. You are wondering, is there something more out there?

any suggestions?

There's plenty more out there. But first you need to discover and nurture the plenty that is in you.

My main suggestion is to get a support system for yourself. You've done a great job with your work, schooling and friends. This is support and structure. You also need someone to listen to you and be present for you while you go through this powerful learning and healing time. A psychotherapist who knows about eating disorders is what I recommend. Also, 12 step programs. Also, check out what your school has to offer.

And let me know how you are doing.

Joanna Poppink, MFT, licensed by the State of California in 1980, is a Marriage, Family, Child Counselor (License #15563). She has a private practice in Los Angeles where she works with adult individuals and couples. She specializes in working with people with eating disorders and with people who are trying to understand and help a loved on who has an eating disorder. http://www.poppink.com

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