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. 

On The Way To Recovery

As I drive to my place of cold

Morning sun streams
Over frosted fields

Recovery is a wing
Pierced by blades

Of winter grass.

Eating Disorders Awareness - One Truth About Anorexia

I'm conscious that it's National Eating Disorders Week. 
I'm also conscious that much of my writing here has borne witness to my own, very personal, struggle with Anorexia and that, whilst there are many apparent similarities between sufferers, each and every person has their own 'strain' of the illness. 
I recently watched a BBC documentary by a now recovered minor celeb who, having suffered from Anorexia in her youth, embarked upon a quest to find out 'The Truth about Anorexia'. I watched with a  degree of cynicism, (typical of me) because the results of this exploration were pretty obvious from the outset. 

(Aside) As it happened, I was more intrigued the next day, by the widespread and vicious backlash on various discussion forums, where anorexics ripped the programme, and its celebrity 'investigator', to shreds, claiming that she obviously hadn't been a 'proper' anorexic! 
That would be another topic!

One thing that I've learned from the large number of patients in the treatment centres I've been in, is that there IS no single 'cause' of anorexia. There can be no 'getting to the bottom of it' because it's as shape shifting as the virus for the common cold.  

You think you can spot an anorexic? It's the legs that give it away right? The two pins that, by some miracle, are holding them up. And the face. The way their eyes sink into the skull, dark skin sagging at the ridge of bone which runs from the top of their cheek to the deep line around the mouth.
The clothes that hang baggy off their shoulders. Tired, tiny arms, narrowed, fleshless at the tops. 
Yep. Definitely.
As I type, I sit in Cafe Nero. Couples sit sipping valentines coffee. A barrista sweeps conscientiously, moving the easel with the 'Hot Soup' ad, concentrating on each swish across the tiled floor. A young man sits at his laptop, looking over dark glasses at intervals. 
I'm drinking a one shot Americano with skimmed milk, hot. My make up is immaculate (last time I checked anyway). Subtle grey eyeshadow, a touch of mascara, a little blush. I'm about seven stone; that's forty five kilos to the metric crowd. My clothes are an eight. I've just eaten a Kit Kat. 
Nobody knows I'm anorexic. 
Nobody can see that beneath the recently acquired flesh, a cold skeleton howls, like a forgotten child. Nobody can hear the whispers, the taunting desire to have one of the brownies that the rosy-glow girl to my right is enjoying. Nobody can see the rapid calculations, the figures flicking up and down as I add, divide, add, multiply; 107 calories = my biscuit, 100ml of skimmed milk =  43Kcals x 2 plus a bite of cereal bar. It's too much. How can I compensate at dinner? 
Nobody sees the anorexic who knocks around in a body too large.
I may be sitting near another at this very moment.

I think I've digressed somewhere. 
I set out to illustrate the fact that the one truth about Anorexia I know is that everyone's illness is different.

During inpatient treatment people presented with dangerously low BMIs. But how they got to that point varied. 
Okay, we all have an issue with food. But some anorexics are calorie obsessed, whilst others are more preoccupied with the fat content in foods. 
Some are addicted to exercise (myself included) and can hardly sit down for more than ten minutes without having to get up and do press ups or squats; others can happily lie on a sofa for hours and sleep. 
Some patients have buggered up their system by taking laxatives and/or making themselves sick. Others won't take a tablet, even for a migraine.
Some quake at the sight of a potato because carbs are sworn enemies, others are too afraid to eat a carrot because it has somehow become a 'fear food'. Still more are terrified of dairy products, not touching milk or cheese for years.
I met patients who will 'water load' to throw their weight (water loading is a common but dangerous behaviour practised by eating disordered patients who consume vast quantities of water in order to fake weight gain). Then again, some people are so obsessed with knowing their actual weight that they will wear exactly the same clothes to be weighed. 
Some anorexics are so scared that their body will absorb fat that they won't use cream shower gels or moisturiser on their skin. 
I've met anorexics who drink copious amounts of alcohol, whilst others won't even sniff it.
When I was at my worst, I couldn't drink coffee for fear that it contained hidden calories. I couldn't trust the calorie content on certain labels and so I ruled out anything which I deemed to have 'too few calories to be believed'.
Some people can't watch food programmes, others read cookbooks obsessively and liked nothing better than to cook a three course meal that they could never eat.

Eating Disorders may present similarly, but no one sufferer has the illness in quite the same way, which may be why they are so difficult to treat and why they are still so widely misunderstood.

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. 

An Announcement

Being as my BMI is now below 13, I have been referred for inpatient treatment.

I go for assessment on Tuesday, admission on Thursday.

Anorexia is a thief like no other.

It steals my holiday. My choices. My words. My mind. My relationships. My chances. My sleep. My health. My bones.

And that's not even the half of it.

I'm numb and very, very tired.

Er... About that "lighter note"...

... In all honesty, I find it significantly easier to write 'lighter note posts' when I am lighter in a more literal sense.

When I last posted I had taken almost two weeks away from the unit. One week on a trip down to the Cornish coast and a few days 'thinking time' to decide whether or not I was able to truely commit to treatment.
In that relatively short amount of time, I somehow managed to 'achieve' a comforting weight loss of four pounds (approx 2kg). Thus, with my BMI safely hovering around 14, I felt able to be a little more relaxed.
In the end though, the misery of the rapid increase in restrictive eating and the anxiety caused by the fact that I felt like a fugitive, aided my decision to return to the unit to continue the treatment.

After a couple of weeks of fairly intensive 'refeeding' (ugh! So much 'treatment lingo') Thursday's 'weigh in' revealed that my BMI is back up to 14.5. My tears though, were relatively shortlived as somehow, my brain appears to experience some miraculous kind of backlash against the anorexic desire to sabotage any weight gain through intense exercise.
For reasons possibly only known to God himself, despite the panic of being faced with jacket - potato - with - tuna - mayo lunches, and margarine sandwiches with hummus, I seem to have managed to maintain a fairly determined, positive attitude towards the concept of recovery for the remainder of the week. In fact, in another attempt at taking steps towards defeating this twisted illness, I handed in my pair of scales on Friday. As I passed them to one of my favourite staff members, I felt as though I was holding my hand against a hot iron.

The burn hasn't cooled yet and if anything, I know it will become even hotter tomorrow morning as 'weigh in' approaches.
I can only hope that time will afford some healing.

A Day in Life at The Unit. Part 2

The state of neglect that has befallen this particular pocket of cyberspace is indicative of some of the trauma and some of the inexplicable sense of exhaustion that follows the experience of being cooped up in the unit day in, day out.

By the time I get home in the evening (having first run frantically around a range of supermarkets / shops / country lanes in an attempt to 1)get some sort of exercise and 2)create some sort of sense of separation between my life as a recovering anorexic and my life as a human being) all I really want to do is disappear into a protective shell.

At the moment, I'm thanking God (and Kate and William, of course) for the second three day week; thus a break from the intense goldfish bowl environment of the unit. However, I know that come Tuesday, the brief period of reprieve is over and there can be no avoidance of further weight gain.
With no exercise, supervised feeding of high fat foods and the addition of an obligatory three hundred calorie 'Fortisip' drink, the gain is inevitable.

I could write about the splits in my mind; the constant warring thoughts; the terror of the terrible losses that grow as I gain... but it's too soul destroying to even think about right now.

I am ruled by absolute fear.

I'm afraid that I will gain weight and lose the sense of safety that I worked so long and so hard for.
I'm afraid that I will lose weight and be forced to include another bloody Fortisip in my diet.

I'm afraid that I will be on this refeeding thing forever, yet I'm frightened that I might start piling on weight at a ridiculous rate.

I'm afraid that I might not be able to get over this hideous illness and I'll never enjoy food again, but I'm scared by the physiological responses to refeeding which make me hungry much of the time and less able to resist food.

I want to get better
but i don't want to put on weight.

It feels like a no win situation.

And I feel like a hamster, stuck on a wheel that won't stop turning, so I can't stop running, so it won't stop turning, so I can't stop running... and on it goes.

A Day in Life at The Unit. Part 1

Thank you all for continuing to support my journey on the roller. I guess it's quiet right now.

Or rather, the screams are stifled much of the time.

I'm very tired and lacking in energy.

Re-feeding is an incredibly upsetting experience and I'm already dreading tomorrow (a 'weigh' day in case I haven't put on enough weight and have to face the prospect of even more food being added to my meals or snack times in the unit.

In keeping with the desperately 'split' nature of Anorexia, I am equally dreading the possibility that I may have put weight ON.

However, I write this after a day where I feel as though I have barely had a moment without stuffing some artificially sweetened / low fat / low - as - I - can - get - away - with foodstuff down my gullet. (And yes, technically speaking my meal plan is supposed to exclude all such products but hey, it's the weekend.)

I have actually put on a few pounds. This, a response to last week's blood results indicating the fact that my liver, heart and kidneys are struggling; my white blood cells are decreasing and my protein intake is way too low.

How this should be happening now, at a point where my diet is more varied than it has been for months, seems to beggar belief but my doctor explained that there is often a bit of a 'lag' with these things.

The guy who runs the program we follow at the unit (who, for reasons I will explain at some point, I will henceforth refer to as 'The Godfather') offered me the option of potassium supplements or 2 bananas a day.

Needless to say, the bananas are not a feature of my new heart-sustaining regime.

So.

Tomorrow is tough before it has begun.

Although that's not exactly positive thinking and I understand that I should possibly reframe that thought in a CBTish kind of way.

Still.

Here's how it's going to look on a purely practical level.

I'll get up early, shower and make myself look as 'well' as I possibly can without looking like one of those orange make up ladies behind the Max Factor / Elizabeth Arden counters at Debenhams.

I'll chop an apple or small pear into small slices and eat it painstakingly slowly regardless of whether I am early or late (and despite panicking that I am, in fact, the latter).

I'll blare my way through the beautiful countryside at a speed which is as far above the limit as the car in front will allow (OK... so I know this is not a good way of doing things but I have a weird obsession with never allowing myself to be too late), twitching and 'dancing' as much as I can to burn off calories.

Arriving on time, or even half an hour early, I'll drive around looking for a non existent parking space until I am about 5 minutes late.

Getting into the unit, I'll sign in and go through to find the girls I've grown to love so much.

It's Monday and the anxiety of the weigh in is thickly palpable. I'll dig out 'Sticker of the Week' and they'll all choose a cute, puffy animal sticker which they will either wear or stick on the new week's food diary. Some of us crowd around two clipboards, one of which contains a table headed 'Lunch' and the other 'Snacks'. We have a selection to choose from for the day. Girls will wander in and out as we take it in turns to go to the weighing room where one of the lovelier clinicians awaits our blustered, flustered entrance.

Once this procedure is over, The Godfather calls us to sit around in the circle and we check in and talk about our weight. No specifics. Just whether it's up or down and our feelings around it.

The group are then invited to feedback.

This goes on all morning until snack time at 10.30 and continues until lunchtime at 12.15.

Sitting around 2 tables, each with a hawk eyed member of staff, we swallow our food with varying degrees of cheer.

We are well bonded.

We are there because we want to get better. Sort of.

But there is rarely a meal where someone doesn't sit, tears running down tortured face, as the sandwich appears to be more threatening than usual.

I'll stop here because I'm so tired and I haven't been sleeping too well lately.

Hitting Critical.

So.

I've been found out.

Big time.

The unit I have been attending for treatment for the last four weeks demand regular ECGs and blood tests.

Although I have been complying with their re feeding stuff when I'm there, outside of the unit I have been over compensating to such a great extent that this week I weighed less than when I started.

I have been cheating their scales very well up until a spot weigh on Friday.

At about half past seven on Wednesday evening I missed a call from a doctor who left a message asking me to phone back to confirm that I was being followed up by the ED unit.

My most recent ECG showed that my pulse was under 40.

I know my weight has been under 5 stone for some time and has dropped significantly.

I have been informed that if my weight does not increase this weekend then more energy will be packed into me during the day and I may well face hospitalisation.

The terror of the situation has driven me to eat like I haven't eaten for a long time. And yes, the food is lovely but the torture and the panic and pain

of re-feeding is almost overwhelming.

The pain of the swelling in my hands woke me at five thirty this morning.

My feet are purple.

My body aches.

I am drained beyond belief.

Shattered.

Until now, I have managed to maintain such composure within the group.

They value my support but I have not been able to be truly honest with them or accept any real support from them.

The Woman suggests that this is all defence, denial even.

I know she is right.

I have never been so grateful for her.

Clocks go forward tonight and, one hour earlier, tomorrow

brings the fresh prospect of sunshine and an endless stream of food to make me feel more swollen, bloated and out of control.

I have been strapped into a rollercoaster which has jerked forward unsteadily and set off to a slow roll.

The screeching and grinding of the steel on the old metal tracks is drowning out my shouts as I try to tell them I want to get off.

Please.

Please.

Excuse me?

Can you stop it..? Please. I need to get off. I changed my mind I want to get off stop Please PLEASE LET ME OFF.

The Difficulty Of Getting Something Down...

... is partly due to my inability to find words apt enough to describe the way I feel. This is compounded and made considerably more difficult by the fact that the feelings surrounding the food issues which occupy my mind much of the time, are not only in constant conflict with one another, but also shift precariously from a mode of total freeze over, to a frenetic clamoring of overwhelming proportions and volume.

Add to this the tide of lethargy that ebbs away at the desire to even attempt to find a voice, and the contrasting sense of compulsion to never sit still (thus burning calories almost constantly) and you have the ingredients for a pretty hit and miss blog.

Due to a binge session which my body won't allow me to purge, no matter how far my fingers get down my throat, I am battling the urge to just tear my stomach open and pull the food out by some twisted, self performed C-section type thing...

Nice.

I am, as of next week, beginning a program of re-feeding at a new Eating Disorders Unit.

The terror I feel is pretty much indescribable, but the backlash against the inevitable weight gain has been drastic.

I never knew my weight could drop so fast once past a certain weight.

I now fall into the "critical" category with a BMI that puts me at very high risk.

With a body that is so weak and painful, I find it almost unbelievable that I STILL fear gaining weight... I don't know if I will ever understand how on earth my thinking has become SO WARPED, so disillusioned, that death seems to be the ever-so-slightly preferable option over watching the numbers on the scales increase.

At this point though, understanding hardly matters and in reality, the agony of my family is my greatest concern.

A part of me is looking for recovery, still trying to cling to hope, desperate for balance and normality.

I've bought SELF HELP books on eating disorders for goodness sakes.

I'm not a self help book person. In fact, generally, the trite, over simplified advice given in them, kills me... that or the fact that an equal number of books which profess to improve you, your life, relationships, memory, income, confidence, whatever, are written by people who learned to write alliterative lists of rehashed proverbs.

Moving on.

Reflecting today, I realised that this blog is less and less 'A Journey Through Therapy' and has (excuse the pun) been devoured by my eating disorder.

It seems that, for the time being, it will now centre around the struggles of 'recovery' (albeit, merely a notional reality for me).

With all this in mind, I apologise to anyone who has been misled with regards to the content herein.

I have considered starting another, more appropriately titled space, but realised one blog was hard enough to manage. The Woman still wants to see me weekly, if this is possible and so I will still be charting aspects of what goes on in The Little House In The Woods.

I guess in some ways, I will be examining the effects of both CBT and psychoanalytic therapy and just how effective and useful they are for me, and perhaps, for others in similar situations.

For Dear Life

A small platform stands high above the trees. My feet are squashed on the square and I wobble and bend into, and against, the varying winds in my effort not to fall.

I am frightened to even breathe.

I look up and see blurred lines in the distance but I am too scared to focus on anything other than staying balanced.

Those lines are the date of my treatment in the unit and they hang somewhere a space and a half away from me. I try to look up at them, to adjust my vision. If i try to brace myself I'm scared I'll tense up too much and topple.

For the time being, I can only look directly at the scales I stand on, hardly daring to breathe in the precarious safety of the diminishing numbers.

Somewhere in my mind, I am trying to come to terms with the fact that weight gain is going to be inevitable.

Two friends gave me this stone earlier in the week.

I've been holding onto it at night, hoping that somehow, it will sink beneath the surface of my skin.

The battle seems endless and hope is something that I know I need more than any other weapon in my armory right now.

Quiet

My silence does not reflect a lack of happening.

Rather it is me sitting very, very still in a vain effort to just hold on to the dream-tilting floor on which I appear to be crumpled.

No longer able to work out, I have experienced an incredibly rapid, not to mention painful, wasting of my muscles.

Despite the plummeting scales, pulse rate, metabolism, body temperature and capillary refill times, my 'rational'/natural sense of alarm is still usurped by this absurd illness' desperation to lay waste to my physical form.

The Eating Disorders Team insist on weekly meetings, blood tests and ECGs and have become increasingly forthright in demanding my attendance and compliance with their requests.

I stumbled out of Friday's meeting in the horror glare of full beam headlights, my autonomy waved in front of me like an over exposed photo.

I commence full time treatment in their new unit in the first week of March. Failure to comply will result in the section route.

One of the primary focuses of the treatment is re-feeding.

I suspect that you have to be half bloody mad yourself before you can begin to understand the absolute frozen terror which lies in thick sheets at the bottom of my stomach.

Sad

It's true.

I'm sad.

Actually, 'sad' doesn't really 'fit'... It's just the closest I can get.

I've wanted to write here but have been unable to find the voice / words.

Tonight I'm bad.

I've never binged like I have tonight.

I've been purging for an hour and still feel nowhere near empty.

I don't know how to cope.

Since my last post, I've been threatened with inpatient treatment and forced to have blood tests and ECGs.

I feel a mixture of horror and relief that the funding for inpatient treatment has been cut. I've been 'summoned' for treatment in a day clinic which opens in March.

I'm not sure I will make it that long.

My weight is an all time low.

Work have told me they will hold my job for me if I go away for any period of recovery.

I know I can't 'succeed' here.

I need to go away.

Half of me fantasises about a Greek island for a couple of months.

Half of me believes I will have die like this.

I need to get away but don't have a safe place to go TO.

Where in the world can I go to try and get better?

I'm desperate and frightened.

I've never been this lost.

Things I Haven't Said

• I'm on half term, which I have been dreading because I don't operate well outside of my routine, particularly at the moment.
• In desperation, I recently phoned the local eating disorders consultant (who has had dealings with my sister for years). I have an appointment on Wednesday.
• I'm petrified that I won't be taken seriously if I attend on Wednesday, and I'm petrified that I will.
• I ended up in hospital on Thursday after a complete physical and mental meltdown. I'm ok but still very frightnened. 'Anxiety' isn't a satisfactory explanation for the crazy heart stuff I've had going on.
• Old friends I am staying with say I look very ill. I am perplexed by this as I have put on a couple of pounds over the last few days. I feel ridiculously big.
• I want to get better but I am desperate to lose weight. The two things are directly contrary to each other.
• I'm tired and feel a bit hopeless, despite looking forward to tomorrow's lone sojourn to St Ives.

Memorial

I have to admit that my blood ran a little colder as I drove back to the gym and heard this report on the radio...

http://uk.news.yahoo.com/5/20100928/tuk-eating-disorder-victims-are-remember-45dbed5.html

I guess it is silly to get worried. After all, my choice right?

But the girl who died was six and a half stone.

I have fallen below six that there's nobody to scrutinise me.

My fear of a heart attack doesn't seem quite as strong as my horrible determination to lose weight.
Until I'm alone in the dead of the night, that is.
Then the fear of death at least matches the will to risk it.

This Little Piggy Went To Therapy.

It's been a pretty bad few days.

I paused as I wondered how I could possibly put this across to The Woman who sat, eyes cast down quietly, waiting for me to be ready.

I started with the weekend, which, FYI, I drank my way through.

I lost time on both evenings. I explained that on Saturday it was as though someone pressed the 'pause' button at around eleven thirty in the evening and neglected to press it again until around four in the morning.
What happened in those four and a half hours is anyone's guess. My guess is that I fell through a portal of the whisky kind.

My memory is bad enough, but add alcohol and I no longer exist at all.

The Woman listens to the story far too kindly.
My"pre emptive strike," she reflects.
"No. It's all my own stupid fault," I kick at a wall in my mind.
"Interesting word, 'fault'" she returns, and I break my toe against the wall.

Doesn't she want me to take responsibility for my actions? Hate me. Go on. Be disgusted. Tell me I'm pathetic.

(I'm suddenly very tired as I try to recall something from the session today. Another blank. Swiss cheese has nothing on my memory).

I told her about the dreams I had last night. She interprets them to be sexual. Apparently my unconscious mind is leading us to roads that need to be travelled down; roads which I am frightened of.

I wondered if she is actually a direct descendant of Freud.

Ok. So I'm part jesting, but twenty six cuts later, I can afford a little humour.

The desperation and despair that I have felt over the past three days have, at times, blown through me with a strength that has left me bent double.

i didn't make the gym once and as a consequence, combined with the calories I have consumed in alcohol, I managed to put on two pounds. Today I have barely lived a minute without sucking a piece of chocolate. It's compulsive.
Tonight I stood on the scales, hands over my face, registering the higher numbers through the gaps between my fingers.
I wanted to take a wood plane to my thighs.
A double edged blade had to suffice.

Normally a safe haven for my mind, even my workspace was invaded by the swooshing compulsion to lock myself in the second floor toilet and shred my skin with the scissors.
And all of this because of the desperation at not being able to stay in control of my body.
I need to be small enough to feel all my bones and yet, pathetically, I am sabotaging my own attempts to get thinner. More than that, I am actually putting ON weight again.

In a fit of frustration at this absurd part of myself, i declared that I could just 'give it all up'. I could eat normally again. i could just stop all this nonsense and eat.
The words even sounded hollow to me, but I carried on asserting it because a part of me wants to feel that it really could be that simple.

The Woman explains so gently, "it's a manifestation of your distress... BLANK BLANK BLANK... the extreme self loathing... BLANK BLANK...."

She goes on but I've shut my eyes and I'm holding my insides so tight against her words because her kindness is making my breath ache and my eyes sting and I can't let go, i just can't.

"Shutting me out?".

I don't know and I can't answer because loosening one part of me is all it will take for everything to split and fall apart.

I can't remember what she said then, but the pressure of her kindness leaves bruises around my eyes.

Today as I left the little house in the woods, I carried the heavy sense that I had spoken too much.
I have that same feeling about this post.

Disappearing Acts

Sharp, scagged fingernails of feeling trace swirling spirals through the inner fog. I feel the nails drag and pierce as they move across old, unseen wounds and I stare, in search of clarity, or discovery. But even as I look, the lines begin to blur and bulge, just like the clean cut of an aeroplane's path across the blue.
And it blurs and spreads into unfeeling mist.

I so often have the sensation of not being able to see something as soon as I look at it directly.
I remember in the early 1990s when 3 dimensional optical illusion posters were all the rage. Teenagers' bedroom walls would be covered with large bits of glossy paper covered in very repetitive, computer generated, patterns made up of tiny strokes of colour.
The pattern (called a Stereogram) was cleverly designed so that it contained an image which could only be seen when focused on in a particular way. Sort of modern man's answer to impressionism. Van Gogh meets Mac.

I used to find that in order to see the hidden images, I had to train my eyes to be looking beyond the poster; I almost had to DEfocus on the image.
The minute I mastered the 'defocusing' technique (actually known as 'parallel viewing'), the hidden delights of the poster were revealed. However, the minute I tried to sustain the image and look at it more clearly, it would disintegrate into a million, seemingly random, coloured particles again.

That's me in therapy.

I so often have the sense that, in order to glimpse something through the fog of dissociation and disintegration, I have to be glancing at it from an unusual angle. A sidelong look from the very outer edge of a very defocused eye.
The minute I try to keep what I've glimpsed, it slides into the mist of unfeeling and 'unremembering'.

That happened a few times in therapy today.

What also happened is very hard to write about.
I suppose because it requires a greater degree of honesty, explanation (and therefore energy) and recall than I feel able to muster.
Even as I type, it's somehow on the very tip of my memory but I can't quite catch it.

Whatever. As I left the little house in the woods, I hit my steering wheel enough to bruise the heel of my palm.
I wanted to shout.
In the room I had wanted to put my fingers in my ears. I spent the entire session with my hands on front of my face.
I didn't want to be seen.

We now have a two week therapy break.
That too has slipped into the unfeeling fog.

What hasn't is the fact that I have put on weight and I have eaten bits of chocolate almost all day long.
It would be nigh on impossible for me to explain the horror I feel at submitting to the cravings when I haven't done my exercise and I weigh more than I have for quite a while.

The levels of desperation and despair are way beyond anything words could contain.

I have replied to comments on my last post if you feel like having a look.

It's About Time...

... that I quit being a chicken and actually wrote something that someone might read (as opposed to small, scrawled phrases in old notebooks; and tense, over-inked lines etching some sort of representation of the way a part of me might be feeling).

So. An update, then.

The holiday.
I won't say too much. Best not to.
I flew back 5 days early.
Panic I guess.

I've had to sit very tight.
I'm desperate at having put on 5 pounds.
It feels as though I am have gone into an extreme place of desperation.

The cave within which I dwell is a dark and lonely place to be.
Unless you have had an eating disorder, I don't think you could ever understand the waves of complete hysteria lapping at my hunched body.
I am terrified.

I realise this post is profoundly lacking in anything positive but in all honesty, right now, I am desperate enough to take drastic measures.

You can't hear me but if you could, you'd hear my insides gasping and retching and groaning with the horror of having to eat and not exercise.
My stomach is swollen, bloated, distended.
I haven't had my period, AGAIN.
I am in constant pain on my right hand side (my liver I suspect) - so much so that it gets hard to stand up straight.
Despite the fact that it's not particularly warm, I wake up every night absolutely drenched in sweat. Night sweats? I'm thinking this MUST be to do with my oestrogen levels? My hormones? Does my body think that amenorrhea means the menopause?

Nobody knows.

Anyone for Valium..?

Tomorrow I fly.
Sounds good huh?

Hmm.

It would be if I wasn't a)severely emetophobic,
b)prone to bad panic attacks
and
c) flying alone.

A negative way of viewing it all, I agree...

Positive things are that a) I go armed with a month's worth of Diazepam
b) I haven't dared to book a flight to go abroad for over 2 years
and
c) ... er.... I'm scraping the barrel here... c is........... Ok. There is no C. I'm scared. No two ways about it.

The other thing that I haven't mentioned is that a little bit of this holiday is about trying to get a little bit better and put on a bit of weight.
That's the promise I've made to my family and to myself.
Problem is, only a PART of me wants that.

What I would really like, is for a ceasefire. Just for a couple of weeks.
And yet... without all the frenetic exercise and the discipline and the anxiety and the scales... How can there be peace?

I'll attempt to write more.

Today in Therapy...

... there was the woman and about four different me's...
Most prominent was the side that wants me to get smaller and smaller until I am nothing but a canvas of skin stretched tight over a bone frame. In direct oppostion was another part which, feeling the weary ache of that frame, just can't face the intense ferocity of the strict regime the other demands.

I am going on holiday in ten days. In that time, I will miss over 16 hours of intense cardio exercise. Weight gain is inevitable.

I'm split into different parts and although I could say more, right now I feel too sad and confused.