Where Were You? A Cry for Those Who Feel Forgotten.

In the months following my 'release' from inpatient treatment, I've joined a writing group. 
I joined on the premise that it seemed to be a very relaxed, sociable, light hearted group which, whilst keeping 'writing' at its core, didn't take it all too seriously.
As it happens, my impressions of it were correct. We meet on Tuesday evenings in a pub. A good situation (although, for those of us with Anorexia, the calories in alcohol are enough to send us running for the Diet Coke).
The group is made up of characters who are intriguing, inspiring and... talent wise, fairly intimidating! Although I can only recall one person who is remotely self important, most of the regulars (around fifteen or so) are published; some are even fairly prolific writers. 
Tonight there was a 'showcase' evening. where folk were invited to read something they'd written in the past.
It would have been too revealing, too personal, but a poem I wrote (and posted here years ago) has been in my mind, (called forth in a very roundabout sort of way) by a poem I read on someone else's blog. An honest poem about desperation and despair.

This poem was written in the aftermath of my own depression, and is not without its own, very potent, sense of anger. I apologise in advance if readers find it offensive. I post it here as a kind of offering to those who have suffered in silence, or have been unheard.
It's for those untouched by comfort, not necessarily because it wasn't there, but because the pain was in a hidden place.
It's a bitter cry, best cried alone, but until it's been cried, it can't fall away.

Where were you when I needed you?
When darkness cast death into me?
I bled black for years
Tears turned to stone and I screamed
each time I passed a tear through ducts
too small for stones.

Where were you when I had words,
to spill and spout and squander?
And my arms ached and ached
from holding the binding skeins apart.
And I retched unseen as they tangled
and strangled deep in my gut.

Where were you when I was fighting?
Punching holes into a silent wall,
Spitting truth bullets into denial’s flesh,
Kicking the dust and biting angry hands
that levered my bitten swelling lips apart,
and rammed words back down my throat.

Where were you when the salt burned like sulphur?
My beaten pillow, wet with censored pain
And twisting, I writhed with the knowing
Of things yet unknown.
And my cheeks smarted with their rage
Truth- shy handprints scorched my skin

Where were you when nothing was left
When slivers of cold metal comfort
Whispered sweet numbing into flesh
And I bled silent pools of hidden screams
On shiny, hard bathroom floors

Where were you when sweat and tears
Plastered matted hair to my face?
Smothering silent screams,
I twisted and turned and gasped,
As I aborted myself
and bled secret shame
onto my sheets

And it’s too late now
For your saving reach
My cold corpse
Can’t feel your comfort
And it’s too late now
To breathe life
Into the bloodless womb

“I want to understand”
Echoes in the hollow
And I am filled with sickness.
And grief swells like thunder

In my head
I spit on your floor
And walk away.
You can pay your respects
But don’t fuck with the dead.

No rest... for the Anorexic.

BMI 16.8
42 kg

This is hard.
I'm growing. More, I've GROWN. 
(Groan.    I do.)

It's getting easier to eat the food on the unit.
I'm not feeling the intensity of the agony I was. I rarely end a meal and feel like hanging myself from the shower rail (which, incidentally, is magnetic for just that reason).

Now it's OFF the unit that the problems occur.

I have weekend home leave fortnightly. 
It would be weekly if I didn't lose weight every time.
I TRY. I really do. But I panic and I walk around a lot and eat fairly 'light' meals and feel triumphant if I manage to keep my head so busy that my body 'forgets' that it has missed a snack.

Exercise remains a HUGE issue for me.

I NEED to get past this.

As I was on one of my walks the other day (I'm allowed three twenty minute walks nowadays) it occurred to me that I can restore my weight to a BMI of 20 - 25 and still be a slave to exercise, a slave to the thoughts which perpetually torment me the minute I have to sit down for a second longer than 'rest' is enforced for. 
I can restore my weight without ever challenging myself to eat pizza or drink wine or eat ice cream or pasta or ciabatta or gnocchi or avocado or any of those things that terrify me.

I could well walk out of this hospital, a picture of health; the epitome of 'normal'; cheeks glowing, hair shiny, eyes sparkling; vitamin B, C and D radiating from every pore... and still be utterly horrified at anything more than a sprinkling of carbs across my week, and COMPLETELY unable to even contemplate something like takeaway.

I HAVE to challenge myself with these foods or I will never overcome the fears I have.

And yet.

I feel helpless when it comes to even sitting in the hairdressers for a couple of hours. 
Today it nearly made me cry that I had to sit down for so long.

If I could kill this illness, I'd want to torture it first.
Torture it like it tortures me and all the girls here.

Words...

... don't come easily.

One of the (very many) unpleasant side effects of anorexia and the re-feeding process is constipation.

I know.

Not something that makes an attractive reading experience.

Nevertheless, a rather uncomfortable reality for me right now.

(One I deserve, no doubt)

I mention this because, as I try to sit down (which requires an untold degree of discipline given that standing up burns more calories) and write something, ANYTHING, about how things are looking for me (or... inside me) at the moment, the medical definition of the word 'impacted', paints pictures in my head.

The ever reliable Websters Dictionary defines the term as:

1 a : blocked by material (as feces) that is firmly packed or wedgedin position impacted colon>
b : wedged or lodged in a bodily passage impacted mass of feces>impacted fetus in the birth canal>
2 : characterized by broken ends of bone driven together impacted fracture>
3 of a tooth : wedged between the jawbone and another toothimpacted wisdom tooth>

... And all three of these seem to perfectly describe my current mental, emotional and spiritual state.

I feel the agony of the growing mass, bulging and folding against the walls of my mind. I feel the acrid sting of sobs, pushing painfully against the base of my throat and the heavy, heavy blur of words that won't attach to each other, trapped as they are, in the indistinct, impacted shit.

My communication channels been impacted for weeks now.

All Time Low

Sometimes song lyrics filter into our awareness and hook into something that we feel or think.
I guess I'm not alone in this experience as I know it's something that has, in itself, been sung about in the "strumming my pain with his fingers" song... Y'know the one... (Frustratingly, I can only think of The Fugees - with their irritating 'one time' spin on it- though I first knew the original version by __________fill in the blank_____).
THAT song tells of someone's shock and disbelief at hearing a young boy singing their "whole life with his words". The narrator (do songs HAVE narrators?) feels that his or her secret pain has been exposed, as though the boy has opened up her letters and "read each one aloud".
Interesting that the song expresses a sense of the agony that can come from being 'known' in an intimate way, of being revealed. The narrator prays that the boy will finish, suggesting that it is absolutely unbearable.
I wonder if the agony was in being known or in being faced with his/her own pain.
Perhaps a mixture.

I digress. I actually wanted to write about the very opposite reaction to the one I've just discussed.

I wasn't listening to the radio I had on as I was driving today but somehow the words of a song I've never heard, pushed their way into my head.
As lyrics sometimes do (and despite the fact I'm not completely sold on the song as a whole) they made something in me feel a little bit heard and understood and realised.
It's odd how a part of you can suddenly and unexpectedly be given a voice through a medium which has no knowledge of your existence, let alone experience.
I guess it's a testimony to the human condition and to the fact that in ways we don't necessarily ever get to experience wholly, we are never quite alone.

Praying won't do it
Hating won't do it
Drinking won't do it
Fighting won't knock you out
Of my head

Hiding won't hide it
Smiling won't hide it
Like I ain't tried it
Everyone's tried it now
And failed somehow

So when you gonna let me
When you gonna let me out - Out

And if you know
How do you get up from an all time low
I'm in pieces
Seems like peace is
The only thing I'll never know
How do you get up
Get up

‘Cos driving won't do it
Flying won't do it
Denying won't do it
Crying won't drown it out

Not really a song of hope or anything, but there may be something ever so slightly comforting in hearing another pose the questions that you have so often asked in the dead of night.

A response too long to post

Hmmm
I'm not entirely sure what to say... or whether to say how I feel or not...

Firstly,

Wanda - Thank you. I have been thinking about you and wondering how you are. xxx

abroadermark - The first thing that struck me was how down you sounded in your initial response. I did wonder whether you were being a bit sarcastic too... but perhaps not.
If you really are feeling that low then I'm so sorry. Why are you an 'idiot?' You certainly sound a LONG way from being an idiot to me...
In terms of what you say about looking for 'whys' being the stupidest thing you can do... Well, in all honesty, I completely understand how you reach that conclusion... I swing from holding that opinion and then holding the opinion that jss writes about.
I guess that ultimately, I want answers. Some people do and some don't. Some people aren't bothered by the fact they don't have an understanding of the reasons why, others are plagued by the need to know... the need to make peace with something through reaching an understanding,even if on a purely academic level.
For some it's one more struggle they could do without, for others it's the only way they can put something to rest.
Again, I would add that I swing between these two poles. I think many of us do at various points in our journey.
I don't know whether it's a stupid thing to do. Often it seems to intensify the pain and I'm caught in a web of 'do I, don't I?' and then the feeling of guilt descends... the awful 'what about all the orphans?' scenario.
I don't know.
It all makes me despise myself but no more than I would anyway so... Nothing to lose perhaps.
Anyhow abroadermark, I digress.
I'm sorry to hear you sounding so low and upset and wonder what inspired such despair. I get the impression that you might find it hard to write about it on your blog (hence your coming here...) I'm not sure about the misery thing though... That made me feel a bit... unsure... It makes me want to defend myself and then it makes me a bit... Well... Why should I need to defend myself? It's MY blog and I can be miserable if I like... But I can't y'see. Not without struggling with horrible guilt.
Do you know that I found it so so painful to be so honest about how bad I was feeling that I set up ANOTHER blog for the 'really bad' posts? Even after writing so much here I still wince at comments that I suspect come from people who are actually thinking, 'oh just shut UP you whinging, whining b*tch'.
So.
That is a very long reply. Sorry! Summarising never was a gift of mine...

Andrea - Thank you. Perhaps that is the best any of us can do really.

jss - It's so nice to hear you. Really.
Something you said is actually quite important to me.... and the more I read it, the more I'm struck by it.
You said that eating disorders must have whys and unless we find them we will
" spend our lives trying to overcome by sheer force of will, which leaves us utterly depleted, or worse we sink further into the addiction."
Partly because of the hurt I'm causing and partly because I hate living in this cage, I have made a decision to 'get better' over my summer holiday.
It is only just starting to occur to me that it may not actually be a very realistic thing to say. I'm not sure that I can just do it by 'force of will'. And yet, there is a part of me that insists on not accepting that this is something 'real'.
You comment about the ed having something to do with my sister almost stung. Not in a bad way jss, just in the way that you get when someone has thought about something for you... Care can hurt sometimes can't it.
I guess it might be something to do with her. I just don't know what.
I do wonder about certain things but I don't dare to put them into words yet. I'm not sure how much I understand and how much is just rubbish.
I know that you understand the agony of watching someone you love destroy themselves.
I'm so sorry that you have such an acute understanding but, thank you for sharing it with me. x

abroadermark - I AM listening to you and thinking that you sound like you are hurting..?
Please feel free to express what you think. Each of us has that right and the right to disagree.
x

Hiding Self Harm.

*****Content may be triggering******

I tried not to wince as I hauled my body onto the couch last Monday.

I had spent the day explaining to concerned colleagues that I had pulled a muscle at the gym.

In fact, I cut so badly that one of the wounds wouldn't stay sealed. Each time I showered, the steristrips peeled off and the cut was left gaping again.

When she asked where I had cut, I put my hand against it.

"The groin", she said, nodding knowingly.

(It might just be me, but therapists seem to have an extraordinarily irritating habit of nodding and 'yes'ing when you reveal something.
To my mind, this seems to be a smokescreen which hides the fact that the therapist is buying some figuring time, whilst simultaneously convincing the client that they are, in fact, omnipotent and had known the thing they had just revealed well before they said anything).

I digress.

Later in the session she announced that she was concerned I was cutting so close to a major artery.

Something in me froze.

My knowledge of anatomy not being as it could be, I had completely neglected to recall the fact that the area I cut is home to the femoral artery.

I'd only have about 3 minutes.
It's a horrible place to cut.

It only occurred to me after I left that her twisted therapists' mind probably decided that the fact that I cut there is because I have some sort of repressed sexual aggression towards my mother... or some such rubbish.

In fact, the reason I chose to cut near the groin is purely practical.
It will not be seen.
Even a (not too skimpy) bikini might hide the worst of the scarring.

Personally, I'd much rather use my feet (as I used to) or my arms.
But they are both so visible and I would probably rather die than have someone who knows me find out about self harm.
I couldn't ever go to hospital because I'd never cope with the horrible shame of someone seeing.

It has then, come as rather a shock to realise just how close I was when I cut the other night. And how close I must have been so many times before.

I looked up diagrams of the femoral artery in order to see where it is and it is hard to find something which specifically shows it in relation to the rest of the body. Suffice to say that I must have had some lucky escapes.

Ridiculously and somewhat inexplicably, I'm on a cutting spree at the moment.
It is desperate and painful and calming.

I am having to monitor the depth carefully and that is a real battle when a part of me wants to get right to the core of me.

A week later, the wound I refer to is, strikingly, a mouth.
No longer bleeding, but not properly sealed, it keeps emitting pus, despite my half hearted efforts to disinfect.
The pain from the cut is deep; which leaves me confused as to why I would find it necessary to cut again two days later, albeit far more times and far less deeply.

I suspect that even the most understanding of people might struggle to understand how on earth a person could inflict damage upon themselves in such a way.

The concept feels lip curlingly revolting to me... and I DO this!

I can well understand those who find it nauseating to imagine. I can understand the disgust and anger others may feel.

I myself have a part of me which identifies very strongly with those who may view the deliberate damage and mutilation of areas of the body as a terrible act of selfishness and hopeless self indulgence.

Ultimately, self harm is a silent, violent scream.

It is a way of putting something desperate on the outside.

It is a way of crying without heaving and sobbing and worrying about your eyes being red.

It's a way of safely taking the top layer off the toppling tower.

Isn't It Ironic.

Eyes fixed, head down, her rage and bitterness fueled a pace close to a run as she walked away from my desperate calls in town today. My eyes burned as I watched the dark dufflecoat hanging off a painfully thin frame, grow smaller and smaller.

She is angry with the unfairness of it all (as she sees it).

Much of my life (over half) has been spent embroiled in her destruction.
Forced to watch her desperate attempts to starve herself to death.
Forced to listen to the cries of my family, as they witness her withering body, her protruding bones,
angular agony.
Forced to look into the inward turning eyes of a father, driven to weep, hollow, heavy sobs,
my eyes swim, and I shake.
Forced to watch the hand wringing desperation of a mother
a face broken, the smash of rejection clattering within,
and I writhe at night, tearing at my sheets
Forced to watch a beautiful little sister, rock on her bed
silent tears flooding the channels of her bitten lips,
and I, a pinball.

Forced to watch a sister
starve to death
I wanted to put
DNR on her bed
I wanted to hold her
until she was safe
I wanted to beat her
until she couldn't hurt us anymore
I wanted to make her suffer
as she had made us
I wanted to take her pain
and live it instead
I wanted to love her
I wanted to kill her
I wanted to protect her
I wanted to hear her
I wanted to be loved by her.

Now?

Nothing.

I believe that, at some point (and I know the point was somewhere during my second or third severe bout of clinical depression) a part of me died.
I no longer feel specifics.

Today she told me I was anorexic.
She told me I had a problem.
She told me it wasn't fair that I could lose weight while she had to go to hospital for five days a week and be forced to eat.

And I stood against the freezing cold in the city centre, trying to draw myself in, as I watched her disappear, willing her to look back, just once.
And I looked at the people circling my axis, and wondered if they would feel the black residue if they walked through the point where all the words had spilt; I wondered if an air space could hold a decade's pain for just a moment.

The agony of the irony is somewhere, and it is too much to bear. Too much to allow. Too much to deal with any other way than to put it on my skin and watch as it runs out.

Razors and Release.

I have so many words but feel overwhelmed at the idea of trying to piece them together. They swell and tumble, a disparate wave of words and feeling. The wave itself a spectrum of sensation, utterly numb at the base, raw at the breaking crest.

If I could somehow figure out what is going on to cause this level of desperation I might have a hope in hell of controlling it.
These last few days, well... weeks really... I have been fighting (and, shamefully, frequently losing) a battle against the urges and the desires I have to hurt myself in whatever way I can.
Yes.
Self harm.
Controversial. Taboo. Disgusting. Shameful. Painful. Desperate.
And yet, comforting. Releasing. Soothing. Calming. Cleansing.

A paradox and a half.

There are so many different perspectives on self harm that it's hard to keep up.
"Attention seeking" is the label that is possibly the most damning and the most hurtful to those who have to exert such incredible control by resisting the urge to just let rip on themselves. Instead they have to confine the screaming of their stories to such small areas of the body, the most hidden parts.

Tonight, just as many nights this week and the week before that, I stand on the brink of my own desperation to destroy. I fight from a part whose objections I repeatedly overrule, even as it reminds me and warns me of the physical pain I will be faced with when I trample over its defeated form in the rush to reach the razor.

People self harm for a wide variety of reasons and certainly, nowadays with the youth heavily influenced by 'emo' culture and the like, it is quite common; a disturbing trend borne, it would seem, out of a search for identity. Whatever happened to clothing being the defining feature in "teen stereotypes"? It's no defined by the number and depth of the cuts on a wrist.
I digress.
For me as an adult, it's primarily either a release of anger, a punishment if I feel let down, a purging of feelings that I can't hold in, or a response to uncontainable self hatred.

True, I started cutting as a teenager. I was fourteen and unable to speak about the fact that my sister was starving herself to death. Faced with the reactionless faces of my parents, the point blank denials that anything was wrong, and the stinging discipline that met she who dared to contradict; the pain started to spill out in secret ways using a different language. A language of pain which doesn't need to be heard to bring relief, only to be spoken.

At first, it wasn't as good as being able to talk to a grown up, but it made the clamour inside me quieter, and came to be far more effective, and practical, than needing anyone.

Great, you think.
So...
That was THEN. This is NOW.
My past is not my present.

And yet, something died in me back then that I miss in my present.
It wasn't my sister, although I no longer know her, so in some ways, perhaps she was the greatest loss of all. But something in me died and I can't revive it.
Maybe that is what therapy is for. To resurrect what is dead.

I am ashamed to admit that my mind feels invaded with fantasies of what I will do to hurt myself.
Goodness knows if you knew me in real life you wouldn't see a shadow of a ghost of a trace of the truth that I am someone who would ever imagine such fantasies, let alone indulge them.

I sound vaguely like a psycho but you'll just have to take my word for it that I'm the smiley girl you pass on the way to work. I'm your kid's favourite teacher. I'm the one who you come to when you need someone to listen and understand. I'm the one who you can count on to write a list of your problems and work out how you can tackle them in a way that feels manageable and is realistic.

It defies my own understanding then, that that same smiley, logical, responsible empathic, problem solver who is relied on by so many can be so consumed by such a desperate desire to violate her own body.
I'll spare you the details.

Screaming Silently

*****Trigger warning for anyone struggling with self harm - sorry*****

Thin pink lines, lips clamped tight
Bile burns my throat, bubbling
blisters swell, threaten
to burst

but swallow

swallow down the acrid glob
of howling unheard, stifling
child's screams, fighting
to erupt

but press

press balled fists into the sting
of salted eye skin, swelling
and cresting with each new wave
of gasps

but cut

cut red mouths, open lines
to scream unheard, unknown
my legs, a shrieking gingham cloth,
to hear

but hide.

hide.

The Language of Pain II

The hidden parts of my legs are often covered in small red mouths screaming.

Nobody hears but it sometimes it helps for my body to scream when the rest of me is in silent pain.

If you are reading this thinking I'm a nutcase, you're wrong.

I'm your friend, your neighbour, the smiley person at the checkout, your kid's favourite teacher, your librarian, your sister, your colleague.

You'd never know because I am so ashamed. I could never explain to you that sometimes I am so full of hatred for myself that I need to hurt. Or that I am angry and hurt at something someone has done /said but for some reason, the only way I can release it is to slice myself up. Or that sometimes I am so depressed that I need to feel something... or that there are times when the pain inside becomes unbearable and I have to put it on the outside.

I could never tell you that. And so it stays as my secret.

My body screams under my clothes as I smile at you and shake your hand.

It screams as I nod politely at your conversation.

It screams as I laugh about your weekend.

It screams as I ask how you are.

This is also the language of pain. A different form.

The language of pain

Someone commented on the fact that I am 'very intuitive' the other day... It was in response to my knowing that they were in some kind of pain...

And I got to thinking...

Intuitive? Perhaps... but really? I think it is about understanding the language of pain.

Which is what?

The complexity of this 'language' is only realised when you begin to look at how many different ways the language of pain can be spoken...

Ok.. so it is spoken through crying and shouting and all the obvious forms, but it is also spoken through anger or bittereness or cynicism and, confusingly, often through humour.

Often it is spoken secretly, too softly for ears... it is spoken through glances and longings and thinking out louds...

It is spoken drunkenly, sometimes violently and sometimes through an obsession with a distraction.

The language of pain that many people use, is often completely silent.

Another thing I realised about the language of pain is that just because a person may have the ability to speak, it does not necessarily follow that they are able to UNDERSTAND it when they hear it in others...

The language of pain is understood through empathy but first you have to be tuned to it, especially when it is spoken through silence.
This is what my friend called intuition. But it's not.
It is just a different kind of listening. A listening that is less 'outside' and more 'inside'. Listening to what is not audible... but nonetheless, can stil be heard.