Big Test

Vacation was the biggest challenge I think I'll face this early in recovery, but less than a week later, I'm heading into another significant challenge. I was very anxious going into vacation, mostly about the sobriety part, but I feel much less anxiety going into a 3-day conference in Texas. The conference is a meeting of dietitians who work in the field of genetic and metabolic disorders. I happen to be doing my dissertation on a population with PKU, a genetic disorder, so I'm presenting some of my work and also helping to man a booth for my dissertation adviser.

I'm riding public transportation to the airport and I'm feeling excited instead of nervous. My most significant challenge will be staying in a hotel room by myself, but I'm not going to let myself think of that in advance, or make any plans to abuse my freedom. I find that when I expect or plan on something happening, the chances that it will are 100%. I have no desire to binge or purge on this trip and I have a goal of coming home on Saturday and announcing to Peter I did not purge once.

To make this weekend a success though, I'm going to have to eat and eat foods I'm not completely comfortable with. I am planning for a healthy amount of exercise each morning before activities, pending my knee is okay, and plenty of outdoor activities in the evening after the conference concludes each day. I can't restrict or label foods as good or bad or I will end up compensating, which always results in the binge purge. I'm also thinking back to all of the other trips I've made to new and exciting cities, spent with my head in the toilet, miserable, broke, and so sick. I have never been to Dallas before, and I'm not about to mess this up!

I will use this blog as a resource to help ne through any urges or difficult times, so hopefully I can get some great posting in over the next few days!

Going public

Today, in light of 60 days of sobriety, a lot of hard work, and my struggles as of late, I decided to post about my eating disorder and sobriety on Facebook. Most people I've known well over the years have an idea about my disordered eating, but it feels incredibly awesome to come clean and hear from close friends from the past. I've also received several surprises in the form of messages and support from friends and family who have also dealt with, or are dealing with, eating disorders or substance abuse.

Most importantly, a younger girl who attends the summer camp my research group organizes each summer messaged me for more information about the Renfrew Center. If I can inspire one person to get help, I've been successful in my own journey to help others find and maintain recovery.

Recovery Ain't Easy

I haven't posted in a while because I've been so busy and focused on the momentum I carried out of residential. Luckily, I'm still on track and feeling positive though a stint in residential is ny no means a quick and easy fix. While P, my friends, and my family are easily convinced that I'm fixed as I scarff down breakfasts of oatmeal, lunches of veggie wraps with cheese and mayo, and dinners as wild as BBQ pork sandwiches, I still hear the eating disorder.

My biggest struggle has been resisting the urge to compensate for my daily food intake through exercise or sobriety. I'm over 45 days sober, but sometimes I worry it's the calories I'm avoiding instead of the fact that I'm likely an alcoholic. Either way, sobriety is helping me in every way except inducing hangovers bad enough to prevent over-exercising. Today at therapy, we worked on exploring how I'm still compensating and yes, occasionally purging and the impact of these behaviors on my recovery. I've vowed to keep a food and exercise log in an effort to keep myself in check, reimplement an escort system at home to make sure I'm not given the chance to purge after meals, and take a Boost every day I'm running to gain the weight my body lost after residential.

I am not going to have a completely perfect recovery process and that's okay. As long as I'm moving in the right direction, exploring the triggers underlying slip-ups, and trying my best to challenge all eating disorder thoughts, I can be very proud of myself every day.

Houston, we have recovery

So I made it through 27 days of residential treatment at the Renfrew Center of Coconut Creek, Florida. I didn't binge, run, overexercise, or drink for almost a month and I ain't dead yet. In fact, I feel better than I ever have. 

From now on, this blog will explain what real recovery from an eating disorder looks like and how beautiful life can be when you're actually living. 

It's a brand new chapter in my life and I'm so glad I've finally understood 26 isn't too late to start living. Happy Sunday, folks. 

Tips to reduce the binge/purge urge

Snow day alert! This means two important things. The boyfriend's white dog looks brown and I have a whole day to blog and reflect!

Today, I want to focus on several tips we discussed yesterday at treatment to reduce the urge and ability to binge and purge. Since this topic hits very close to home for me as an Anorexic binge-purge type, I was really interested in the discussion and hope to provide some helpful hints to anyone who may suffer from bulimia or is prone to binging and purging.

I've discussed briefly in several previous posts how triggering the process of weight gain and eating a lot of calories is to my binge/purge habit. Yesterday, sitting on the couch with P, I delved a little deeper into my binge/purge issues. I told him I didn't want to open a bag of mixed nuts in the kitchen on account of I'd want to eat the whole thing. He laughed and said, that's what you should be doing! It certainly makes sense to someone who doesn't know the extent of the problem and only knows you need to gain weight to eat a lot of something with a lot of calories. 

Unfortunately, eating an entire bag of mixed nuts, calories aside, would not work for me. It's practicing the binging I'm so prone to, and also not practicing self-control and preventing the loss of control feeling associated with binging and purging. Instead, I need to learn to listen to the new hunger and fullness cues that I've been experiencing through treatment. Hunger cues are wonderful and I'm actually excited to be writing this blog at 11:20 am (after having breakfast around 7:00 am), and feeling hungry again already, without having exercised. I feel comfortable relying on them to accurately instruct my body on how much I need. In the beginning of treatment, I was never hungry, though I'm not sure if this was my eating disorder or my half-starved body speaking. Regardless, this is no longer the case, and a huge achievement for me. 

For those of us prone to binging and purging, binging, or purging through self-induced vomiting, here are some of the tips to reduce or prevent these urges. Some are very small, but may have some impact on your process to recovery, even if just preventing an episode for 15 minutes. 

Preventing the opportunity to binge/purge

• Identify what time of day and what situations you are most prone to binge/purge.
• Plan activities, outings, events, anything to keep you busy for every 15 minute increment during this vulnerable time.
• Schedule someone to be with you at all times. Do not let them let you out of their sight.
• Choose an accountability partner. Take them to the grocery with you while shopping, or go alone but take a certain amount of money that won't allot purchase of binge food, or provide your accountability partner with all receipts.

Preventing the urge to binge/purge

• Wear a ring(s) on fingers you use to self-induce. This very simple trick has helped me tremendously.
• When you feel the urge, sit with it for 15 minutes. The feeling can subside if we use mindfulness, deep breathing, meditation, relaxation, etc in these 15 minutes and you may feel less of an urge.
• Get online and read a recovery blog like this one. Or check out a Youtube channel like Kati Morton, an excellent and free resource.
• Listen to my recovery playlist or make your own.
• Think of the consequences of your actions on yourself, on others (significant other, family, kids), on your recovery, on your long-term goals.

Keeping yourself safe if you do binge and/or purge

• If you slip up and binge, do not purge. This sounds crazy to me at this point, but it's something I've considered if I have another slip up. If you don't purge, even once, following a binge, your body will feel so uncomfortable you may not ever want to binge again.
• If you do purge (and I am certainly NOT promoting this behavior at all), please replenish your body of lost electrolytes immediately after. Drink pedialyte, gatorade, powerade, or another electrolyte containing beverage as soon as possible. Stay hydrated. 
• Reach out to a friend or your treatment team. Stay safe. 

I hope some of these tips are useful if you're struggling with urges. It's SO difficult to overcome, but you can do it. Today marks one week of being binge/purge free for me - the longest streak I've had since this disease set in many years ago. I think that calls for a snow day celebration!