Anorexia for me has never really been about the way I look. I’ve always had this massive fear of the number on the scale going up; not because of ‘altering’ the way I look but more a feeling of loosing control. I still don’t have a true understanding of why, but my main issue is anxiety so I think it somehow links to this.
What I find extremely difficult and know others do to, is if you are no longer in the ‘danger zone’ weight wise, the assumption by many even including some professionals is ‘you’re cured’. This is not specifically relating to me, but from past experiences, and hearing from others. I’m lucky to have amazing support from a professional. But I feel like so many people are left to slip under the net once they are deemed ‘healthy’ I.e not close to death and at this point treatment is stopped. The irony being that people say ‘as soon as you’re healthy we can start working on your mental health and what’s fuelling this’ yet you’re deemed less of a risk therefore low priority for treatment once you’ve reached this. Make sense 🤷🏻♀️? I don’t think so!
It’s a lot easier mentally to act on your eating disorder for an ‘easier life’, than it is to actually go against this. Weight gain is horrible. Emotions coming back is horrible. But although it’s hard, it’s obviously worth it but no one tells you how difficult it’s going to be. This is why it makes me so sad when I hear of people not getting the mental health support they need once healthy, even though they need it now more than ever.
I never feel like there’s much out there to help those who are now healthy, to learn new ways to cope, how to regulate emotions etc. No one tells you what it’s like to live in what feels like a new home; your new body. Not specially relating to body image but sort of like a metaphor for acting on thoughts/emotions in a more healthy way. But back on the ‘healthy range’ of a BMI scale? You’re now apparently cured but where’s that support that you were promised? I feel like that’s what is so misunderstood about eating disorders. BMI bullshit. Of course, it can be used as a guidance to assess someone’s physical health but what about the mental health? A number going up doesn’t suddenly magic your emotional difficulties/anxieties etc away. It would be good if it could!
However, if you have a few people... even just 1 person in your life who understands eating disorders are so much more than BMI’s then the most important thing is to use those people for support when you need it. It’s not always about the quantity of support you have, more so the right support.
I have 1 eating disorder professional whom I work with and honestly the support I receive from this person is more than enough because it’s the RIGHT support. Family and friends get it too. So just remember support doesn’t always have to be in the form of a professional, it can also be from those closest to you who ‘get it’.
I’ll give you some examples of how a ‘healthy’ person can struggle with an eating disorder and that is me! I’m no longer underweight which is obviously a good thing but the mental torture that can sometimes still be there sometimes feels harder than it was before.
- I’ve been healthy for well over a year now but I’m still aiming to get to my set point weight. A healthy person trying to gain weight? Yep, I said it! Sue me. Every person has a set point weight (where it’s body naturally is at), and if youre below this your body isn’t happy because it means you’re restricting.
- And when I say restricting that doesn’t mean eating an apple a day and that’s it. Restriction can be so so minuscule and to an outsider looking in as long as you’re eating 3 meals a day or whatever that’s ok. But it’s not. Every individual needs different amounts of nutrition to stabilise at a weight. Some need more, some need less. I eat 3 meals a day, snacks , chocolate etc but I struggle in the form of portion sizes so I can technically eat anything as long as I’m ‘in control’ of how much. This is just something I need to learn to crack which will help me reach set point weight.
- Flexibility: I currently follow a meal plan and the aim is to stick to eat and not miss things out etc. For the rest of my life I don’t want to have to do this but for now, it helps. But honestly I can’t bloody wait to just follow my hunger queues. Grap a handful of crisps if I’m feeling peckish or maybe just because I want too!!! And not having fear foodstuff. But I know these things I want to achieve CAN happen IF I want them to.
So for anyone who can relate/has had issues with BMI bullshit in the past please know you’re not alone. And those who you feel are a support, use them. Talk through anxieties, talk through irrational thoughts/urges surrounding food because it helps. It really does. Just don’t feel you are alone because chances are, you’re not. Someone will have gone/be going through the same things you are.
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