Groundhog: Eat My Heart Out

The cycle of change seems perpetual and impossible to break out of.. The whispering of the Anorexia is so much louder than the voice of reason and recovery. The stupidest thing is that I fall for it time and time again. After years of the same tiresome thoughts and feelings; years of the illness telling me that I am piling on the pounds; that I am 'out of control' and that I look 'normal', I am STILL shocked when the scales disprove it. I am STILL more surprised by the hard facts, figures that plainly contradict the lies. 

Going... Down?

Okay...Title only meaningful to those who are familiar with the old Aerosmith track, 'Love in An Elevator', a good but vastly overplayed track (at one time). My frustration with my one time favourite band has increased as the teenage, rock-chick-love has lessened; all because they sold out to the soft rock market with dribbly anthems like 'Don't Wanna Miss A Thing'.
Apologies. My intentions to write about 'recovery' have been twisted into a rant about my old musical idols.

(Aside) It occurs to me as I apologise, that actually, Steve Tyler and Joe Perry are a long way from being completely irrelevant links to the subject in hand. Both singers have grappled and battled with serious alcohol and heroin addictions. Both know the agonies that come with fighting to be free from that which has possession of your mind.

Addiction comes in so many forms and is something so closely related to the topic of Eating Disorders that it is worthy of some careful thought.
Now however, my mind is too tired to begin debating the fine lines and the overlaps. I regularly feel the urge to write some more informative pieces about Anorexia and Mental Health here but every time I sit down to write, the words sort of ebb away from my (cognitively impaired) mind. 

That's right. 
"Cognitively Impaired". 
The term, used by the experts, to explain the condition of a mind weakened by the effects of malnutrition. 
It makes me wince to accept that this is my current state and yet, all my Anorexic protestations, the frantic scrabbling to deny truth, dwindle in the face of plain, starkly real figures. 
The scales don't lie, although, typically, in the mind of someone suffering with an Eating Disorder, they are incorrect. Not day upon day upon day they're not. 
I'm following that bloody line of decline, and I KNOW it... It's as though I am rendered completely helpless by the power of the Anorexia. 
My daylight head says, 'C'mon! Get a grip! You have to find the strength, the power, to beat this';  In the lonely darkness of the restless night, the more sinsiter voice, 'You'll be lucky if you wake up to see a new day. Your internal organs are tired. Your heart is weak'. 

A young lady who I was an inpatient with for six months, died last week. 
Multiple Organ Failure caused by a long term Eating Disorder.
She was strong, lively, witty, intelligent. 
Her death rocked the ED community I 'served time' with. 

What a TRAGIC WASTE. 

At the same time, my best friend here in ___________  gave birth to a little girl. 
And so, the cycle of life and death continues. Everywhere today and tomorrow and for the rest of time, the mortality drum will continue, beating out it's rhythm on the lives it chooses. I get that. 
What I struggle to accept, is the slow suicide that this illness contributes to this pattern. It's so... horribly pointless. 
Life is to be lived, to the fullest. Jesus said that. And he is not to be argued with. 
Why then, am I, and so many beautiful, talented, young lives, subscribed and obligated to serve this hideous monster?

All answers on a postcard...

A Trajectory Towards Death and Why an Anorexic Can't Bake Gingerbread Hearts

The guy who manages my care here is philosophical as he draws a continuous line through my weight chart. He looks grim faced as he states it is a trajectory towards death. He coins a new phrase, 'the line of decline' and jokes that he will be using that one in the next staff meeting. 
Despite his laughter, I know that he longs for my recovery almost as much as a member of my own family. He has known my parents, my sister (and latterly, me) for seventeen years now. He is as dedicated to wiping out eating disorders as any serious contract killer and although he is has vast acres of experience, his seemingly endless ability to maintain some small glimmer of hope (comments about trajectories not withstanding) never ceases to amaze me. Perhaps it's just that he's missed his vocation as an actor, but he always seems to take me seriously. I just can't count the times when I swear blind that I'll beat it this week; that I'll allow myself to eat a little more; that next weigh in will be different...  I mean it, by the way. My words, when I speak them, are never hollow promises. And yet, week in, week out, I stare disbelievingly at the scales thinking that they can't be right. Not possibly.
Even I would stop believing me.

He has talked to me about going into the day unit. Or back into inpatient for a spell.
I refuse.
He bides his time. 

I have the very best of intentions.

Which brings me to Gingerbread Hearts, which I think I will make for a family friend who is going through a hell I can't imagine.
Simple gesture, right?
Or it is until I think I'll make a batch and have a couple as my allocated snack.

I'll just make them a teensy bit more healthy... No harm in that. 'NORMAL' people do that all the time... It's NORMAL to cut down on the sugar. 
And so I substitute sugar for stewed apple.
I'm sure that it's NORMAL to reduce the fat. I can think of friends who aren't anorexic and THEY would cut down on the butter. Right?
Of course they would. It's NORMAL nowadays. In this health conscious, nutritionally aware age, people ALWAYS use lower fat options.
And so I substitute some of the fat for stewed apple.

Don't try this at home. 

Compromise is the name of the game. 
Trouble is, an anorexic ends up compromising on everything. Trimming off edges until there's nothing left. 
An analogy so apt that it aches.

The writer of this blog...

... has been in hell for the past two months...

perhaps more.

My silence here has been down to the simple fact that my head is mostly a jumble of sounds which don't seem to translate into anything as neat and orderly as WORDS.

It even sounds far fetched to me, but it's one of those 'you just had to be there' things. 

Unless you've been in my shoes (and stomped round and around the same hospital building three times a day for twenty minutes 'fresh air') my ridiculously dramatic sounding excuse for silence just won't wash. 

(Cue Persil ad...)

No really. 

Prompted by a friend to describe what it's like to be restoring weight, I wrote that it's like...

...having your skin peeled off in long strips, and then your body being rolled around on a grater, with pressure being applied in varying degrees in different places

and sometimes

it makes you bleed purple rivers in hidden places

or mouth short 

breathless 

cat-screams

and other times

anger-fear juices inwardly curdle

with an inverted agony

that leaves me folded on the floor

pressing cold fists into my eyes

to stem the red pain seeping out of my sockets

and in me, a mighty snake twists

my colon, a strangled tree trunk 

and the more I eat

the more it turns and thrashes 

against the raw muscle tubing 

 ***

Okay. So every word is wringing with pubescent angst and perhaps the silence, if not golden, is at least preferable to the torture - jargon. 

But this is the truth of it.

This is how it feels for my anorexic head to be growing a body.

And no amount of Seroquel or Pregabalin or Duloxetine is going to make it okay. 

It's not supposed to be a joyride, this recovery lark... but six months in... it hasn't got easier... just...
... different. 

Distortion - The Extent To Which Anorexia Lies

I sit in the shabby hotel conference room, anxious for the guy whose innocent gesture has landed him a bidding price that is far, far higher than anything he can afford. 

Nobody else is bidding and my fingers are twisting themselves into tight, three dimensional infinity symbols. 
"Any advances on..." 
A grey suited, old man, wearing a felt Trilby, half rose and then collapsed in the middle of the room.

"Time... Time..." 

Time for what? 

A melodic voice in the distance

"... that time again..."

I lurch and my breath is caught and it's sudden: The realisation that I'm here, not there. I'm awake. 

Six am, in the half light of Weigh Day, and the Support Worker stands cooing at my door. 

I know I must leave the bathroom door ajar so she can hear me as I pee.

It's a long time since this felt like an indignity. 

I stumble down the corridor into the glare of the clinic room. Somehow I manage to keep shading my eyes as I peel off my nightwear.

The scales confirm weight gain.

I fight my way through a cloud of sleep - laden mist to calculate just how much.

I do, and I am not devastated. 

Perhaps I'm getting better. 

Perhaps I'm just too tired.

I pretend I'm still asleep as I crawl back into bed.

Miraculously it works. Until 7.45 when the alarm pips me back into reality.

Even as I write the word 'reality' here, I debate whether to use inverted commas, because actually, within minutes, the distortions conjured by this illness can transform your mind from a Ferris wheel, to a drop spindle for your thoughts. 

At six o'clock in the morning, I knew exactly how much weight I'd put on in the three days since my last weigh in. Approximately one and a half hours later, during which time I had done nothing but sleep, I awoke convinced that at least three days worth of weight had suddenly piled on and, were I to stand on the scales again, they would read quite differently. 

Just to make it clear: in this moment, I was utterly convinced that my body had withheld weight until one minute AFTER I stood on the scales, at which point, it suddenly and spontaneously added the pounds / kilograms that it had been hiding. 

Yes. 
These are the lengths that Anorexia will go to in order to keep its victim ensnared.  

And this is only one of the many distortions its capable of.

The fact that the mind can do this in a period of time when there has been no food intake, perhaps you can imagine the outstanding strength of some of the convictions that an Anorexic has after eating, the sheer havoc wrecked by having food in the body.

Although everyone has a different experience, I am often overwhelmed by the physical sensation of fat layering itself onto the backs of my legs and my thighs. At any given point in the day, I will suddenly be aware of this thickening of my body. I swear, I can FEEL it. I've been told this isn't possible, and yet, it's always someone who hasn't HAD the experience that tells me. Perhaps you have to have experienced feeding your skeleton, putting flesh onto bone, to feel it. 
Or perhaps it really is another of the distortion of reality... which is a frightening thought because, how will I ever know what's real and what is, in essence, a figment of the imagination. Like a phantom limb, the fat clumps on my body. I feel it and, I SEE it. 

And yet, as I do my calculations, I briefly think of the previous nights' anxiety; the conviction that I must have put on a least a kilogram (that's two point two pounds). 
I hadn't.

Can I really feel POINT three of a kilogram? 
Really?

The ugly truth is that part of my reality is almost certainly distorted.
My truth is not THE truth.