A Post In Pieces

Again and again I stare into a murky pool of muddled metaphor and ill fitting adjectives in an attempt to find something powerful enough to describe the chaos of trying to recover from Anorexia Nervosa.

Plucking tangled fronds of slime gripped sentences that have no visible beginnings or ends... Dark words that, lifted lightwards, slide and slip heavily back into mud, resisting context and order.
Somewhere, there's a likeness between this 'independent' agony of being unable to adequately express the agony, and the quandary of being desperate to recover whilst being unable to physically complete the actions necessary for recovery to take place.
Re-feeding... This 'process' a mouth-less creature, starved to its skeleton, placed before a piece of fresh, tender meat. Driven mad by the hunger, its endless pacing surrounds the meal, carving circles in the earth.

I hold a license to eat but find my mouth has been stitched up.

Enough metaphors. 
I did warn you...


For those interested, these are the facts:

• Although I'm not in the unit anymore, I attend fortnightly reviews / weigh ins with the head consultant, a fantastically dedicated man with whom I have a very good rapport. 

• The aim is to move my weight up by following a strict meal plan. 

• The consultant's recommendation is that I return to the unit. I steadfastly refuse to do this. If you had to sit in a circle and discuss how you feel about your weight day in, day out for over nineteen weeks, so would you.

• I am managing to maintain a steady weight, although at 34.6kgs, it is still very low.

• My current BMI is 14.1.

• My ALT levels continue to be much higher than they should be. Doctors are monitoring it carefully. The nurse at my local surgery does weekly ECGs and takes enough of my blood for us to consider each other as friends. 

• I had planned to return to work at the beginning of next half term. Occupational Health, my consultant and my bosses have told me this will not be possible.

Importantly, I continue to see The Woman. 

The little house in the woods is my safest place and she is a worn piece of warm, brown leather with all the woody comfort smells of autumn fog and fir and fires.

She has been the one constant in the chaos, and although my financial situation reduces my time with her to once a week, this feels plenty enough balm for a mind  addled from trying to win a battle which bleeds deeply, no matter which side wins.  

I keep reading my flashcards (see Recovery Resources page). 

The mantras are clear and loud at the start of each day but seem to wane as the hours pass. Towards the evening, I can barely hear a whisper.

It appears that the coherence and volume of these positive statements, corresponds with the amount of food I have inside me.

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.

Crashing In (On Me)

Words fly round my head at an alarming speed and yet hardly any of them connect.
The words play childish games, taunting me with their dance then darting away when I try to pin them down.
My thoughts often do that too.

Like a child watching a horror film, Monday saw me sitting in the little house in the woods, hands pressed hard against my eyes in the vain attempt to stem the flow of sobbed tears.
Why?
It's an effort to remember and as I type, I'm trying to get hold of a solid memory...
(5 minute pause)
I can't remember anything other than the sense of absolute despair that had been building silently in me. I had tried to keep it under control; tried to keep it away from The Woman; tried to ignore the feeling that I had been feeling as though I had run out of things to talk about in therapy; as thought there was nothing left for me; as though things would never get better than living with the dull ache of nothingness which sometimes curls me to crisp.


The weekend before had been complicated.
I felt left.

"We'll get you through this", The Woman's words were spoken soothingly but they sawed through the numb layer of post-emotional outburst and, without warning, prompted the unspoken question: 'Through to what? Through to the more 'stable' state of dull pain?'

I didn't make work on Tuesday.

On Wednesday, I gave in to the desperate cravings for alcohol. I drank and ate junk. In a frenzied panic I stuck my fingers a far down my throat as I could.
Twelve times.
I'm emetophobic.

Yesterday evening, The Woman shocked me by talking about codes of ethics and professional responsibility.
She wants me to see a psychiatrist.

From seeming not to want to acknowledge my 'illness' (re, eating) to being suddenly deadly serious. Emphasis on DEADly. It's a hell of a leap that she seems to have taken.

'Great', I think. 'NOW she gets concerned'.
Apparently, she DOES take me very seriously.
VERY.

I thought she didn't believe me.
I thought she's been wanting to dump me.

Apparently not.

She says she won't ever dump me. I'll have to be the one to end it.
I don't believe her.
Give it time.

I'm split. Again. Split right through. Not in a balanced way though.

The split is between my knowing that I am ill and my knowing that I am making it all up. It's all in my head. None of this is real.
I'm too big. My body is playing weird tricks on me. I should be smaller. It's re-distributing the weight... Spreading it around so as to make me look larger than I should.

I want to apologise for this inelegant post.
I want to apologise for nearly everything.

The Woman promised that she couldn't contact my doctor unless she thought I was suicidal.
I thought, "thank God I haven't told you more about the way I'm feeling".

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.

I'm Not Alone?

Lots of things to write but I'll go with what the blog is meant to be about.

Therapy

It felt like I had been swallowing liquefied lead when I crawled into the little house in the woods yesterday evening. Hot lead that cooled in my chest and solidified in my gut. Heavy and cold.


Her words were bars of golden light that I allowed to my hands to touch, even to hold and bring to my lips.
And in that trembling daring, the light I think, sort of met me in a deeper place and in my chest at least, has dissipated some of the darkness.

I dared.
I must remember that when I dare, it pays off.

I wanted to leave some of the gold here. A reminder of what it could be if I can just lower the fence a little. And it occurs to me as I type, perhaps I don't even need to take the fence down. Maybe I just need to hop over it for very small amounts of time.
Kind of like the process of desensitising.

I can't remember big chunks of what was said in the session but what I do remember is her saying that I was a battleground and that it wasn't my fault.
Music.
Is it really not?
I challenged her. "I must be choosing this. I must be".
The parts of you are not communicating as they should be.
You have become the punitive adult. It has become you.

How do I stop it?

We are working with that now.
WE are.
WE will do this together.

I can't really remember ever feeling anything but alone. Not because my parents didn't try to calm my fears. Not because I couldn't ever tell anyone how frightened I was. Just because I have always felt that nobody can ever really be there or understand.
I have never thought that 'we' was... Well... 'We' has never been. Not for any dramatic reason. Just because nobody could be there.

I gave her the What Ifs.
I told her she would never be there.
I was thinking of the nights in pain, the moments where I hold the blade, the lonely, head curling times where I am frozen.

I dared to tell her she would never be enough.
I think I thought she would back away.

She told me she would be there. Even if it meant more sessions during the week. She said she wouldn't leave me and would try, to the best of her ability, not to let me down.
But, she said, it relies a lot on trusting me.

I'm not good with trust.

No. You're not but that's because for whatever reason, nobody has been able to be there and cope with the pain.

Oh.

Last night I struggled with her. Not in her house but in my head. Hmm... Yes. Crazy indeed.
I continued arguing long after I left.
But I was fighting with golden light which had already, somehow, seeped in.


This morning, for the first time ever, I feel like perhaps, if I was going to take a risk... maybe it would be WE and not just I.

I feel scared by what I just typed. Scared that I have allowed words to fall out and when I 'come round' to logic, I'll want to stuff them back in.

But.

I'm trying to take some risks.
Staying safe hasn't been working out too well.