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.

Therapy Today

Here's my session in words I can only just manage.

Arms and legs crossed.

My leg is twitching restlessly (angrily?)

She is "disappointed" to see me in this space after a positive Friday session where, having starved for a week, I was on a high.

I am worried by the word she uses.

Desperation claws at my insides, screaming that she will never understand.

She asks what I will do when the purging is no longer enough.

I tell her I will begin draining the blood from my body.

She tells me that my body will replenish it.

I don't mention that I am picturing my femoral artery.

I try to resist the urge to look at the clock as she talks.

Her words are like little woodpeckers on the side of my head.

Christmas?

She wants me to think about Christmas?

Did I not explain that two days without work leaves me reaching for death? What will stand between us for two WEEKS?

She reminds me that she won't be able to see me on my birthday (which she is not aware of) and I wonder if it is significant that it's the only day she has had to cancel.

That's all I can say for now.

Free Up Your Mind. Then Let Me Know How You Did It.

It's (not very much) like having the jaw of a steel toothed trap clamped on my bare foot.

It's nightfall in the jungle and I'm faced with the decision to either stay still in the hope that help will come; or to wrench my foot out of the trap (thereby risk bleeding to death) and try to find my own way to help.

Either way I'll probably lose my foot.

Is it more painful to suffer the slings and arrows of my wretched attempts to express some of the incomprehensible stuff I am feeling right now, or is it better to just carry it in silence.

Either way it feels like hell.

I've been lost since the session on Monday.

Faced with her, somewhat glib sounding, recommendation that I "change", I eventually found that I couldn't even be bothered to speak.

What I had been TRYING to do in response to the 'change' suggestion, was to establish HOW exactly, i should go about doing such a thing when, I feel little more than total despair.

"It's not despair", she states. "People in despair don't have the energy to argue"

"Right", I say, simultaneously wondering if I am 'all people' and also thinking (wryly)that she clearly doesn't know that she is talking to someone who can do two and a half hour long cardio workout at the end of a working day, on 4 small tomatoes and some lettuce.

Don't tell me about energy and despair.

So. What do I do, I ask.

How can I change.

"It's not something that you DO"

(and I roll my inner eyes because this is beginning to sound like I'm asking a rather pretentious self styled mytic to tell me what I should do to find a pot of gold)

"It's about freeing up your mind"

Oh GREAT. I AM talking to one of the above. Excuse me? Did you see where my therapist went..?

So.

Freeing up my mind.

That's what I need to do.

Free it from the rigid reign of control.

Who would have thought it were that easy?

Being a teacher, you fast learn the need to be a little creative with your questioning in order to appeal to the understanding of such a range of pupils.

In the hope of getting a more practical, directive type of response I ask,

"If I were you and you were me, what's the first thing you'd do after the session?"

(Please note, in order to "change")

Her helpful response?

"Scream".

Throughout the latter part of the session, that's just what I thought I might do (albeit involuntarily)if I could manage to crawl to my car, but when I did, everything felt a bit unreal and big.

I drove most of the way home, pulled up in a layby, and played a word scramble game on my phone. That's what I do if things get too much.

Chilled to the bone and blank in the pending darkness, I played game after game, absorbed in the obsessive need to beat my point score each time.

I didn't move untiil two hours later.

I'm dreading Friday.

I don't want to go back but I don't want her to think I'm being childish.

Pride probably isn't a great reason to go to therapy.

I've been desperate again today.

Alone in the house again tonight, I ate a small amount and then expelled as much as my gag reflex would allow.

In the last few hours though, I've gone and stuffed it up by eating sweets.

I can't change until I manage to change the desire to be thinner.

HOW do you change a desire THAT strong?

Answers on a postcard...

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".