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. 

I'm Still Here...

... Still in the hospital.
... Still battling.
...Still wanting recovery
and...
Still finding communication very, very difficult.

However...
I am currently weighing in at 38.8kgs and my BMI is now above 15.
Although I am finding weight restoration almost unbearable, I am finding that eating the food itself is less frightening.
I even enjoy it.

I want to begin writing about the recovery process and I want to use my experiences to benefit others in some way and yet, I still have so, so far to go.

Tomorrow I get to go home for one night after twelve long weeks... Or is that thirteen?

I think it will feel like heaven, and yet, I am scared I'm gonna mess it up.

If you're still reading here, 

you are more faithful than I am deserving, and show more loyalty than this blog warrants!

It's an Inpatient's Life

I began the following post on Day 10 of treatment.
I am completing it on Day... Thirty five..?
What am I still doing here?
I wish I knew.

Day 10

Ten Days after admission and I am just getting past the numbed haze of the first few days as an inpatient in an Eating Disorders Unit. I want to be positive and strong and cheerful but in reality, there are few words to describe the abject misery of the long, closely monitored, periods of 'enforced rest', that characterise the treatment of undernourished patients.

As a newbie, I have been placed on 'Level One Obs', a nursing term meaning a patient must be 'checked on' every fifteen minutes.

Words fail to describe the torture that accompanies the lack of sleep these 'checks' entail.

Prone to insomnia, I think I managed two hours last night. Sleeping medication has been prescribed but I am loathed to use it every night, meaning that I am cultivating an unhealthy dread of long, 'every other night,' shifts. Tossing and turning, I sweat on a rubberised, wipeclean hospital mattress, under a rubberised, wipeclean, hospital duvet, tortured by unspent energy and the cruel whisperings of the relentless Anorexic voice.

I get up and shower in the wet room, cursing the ever growing pool of lather which collects around the plastic drain. I hope to be on time for the discretionary extra glass of water that is allowed in a narrow, fifteen minute window, in the mornings.

Outside the clinic room door, a queue of barely rested, skeletal patients in varying states of undress, forms. A small plastic punnet of pills is pushed across the trolley. I swallow the seven tablets in two gulps. At least this is the chance for a bit more water. (Restricted fluids is part of the treatment and they swear that what we are allocated is 'enough').

Thankfully, this is as close to One Flew Over The Cuckoos Nest as this place gets.

Breakfast is at 8.30 and comes with juice, but if you complete your meal within the allocated half hour, you are allowed an 'extra' water, tea or coffee.

Two minutes over and you're fucked.

At the table, I cast my eyes around, looking to smile encouragingly at my comrades who sit, eyes cast down, pushing tiny forkfulls of fattening foods into fear filled mouths.

Cheek bones clench painfully, accentuating the grooves around their mouths as they chew on branflakes and then toast.

I haven't eaten toast for about three years.

As a carbohydrate, it terrifies me.

Day 35

I was thought I'd be here for four weeks.

Come Thursday, it'll be five.

Last thursday I reached a BMI of 14.1 and weighed five stone 8 pounds. It feels like such a lot.

I've had time to get to know the ropes a little, although, it doesn't make them any less painful to climb.

I won't continue with a blow by blow account of the days here... Suffice to say that, when you are assessed and deemed  'cognitively well enough', you are allowed to join certain 'groups' which take place twice a day, both an hour long.

Days are structured around the three meals and three snacks. Each of these is followed by a period of 'enforced rest', during which time we have pulse rates, blood pressure, temperature and sats done.

I can't fault the care here. The team are outstanding, though there are many times when I would gladly escape their attentive listening and their constant presense.

The worst thing about this place (aside from the obvious and the ensuing weight gain) is the complete lack of privacy.

The doors to the bedrooms have little windows and staff patrol the corridor at regular intervals, day and night.

I am currently allowed out for two, 'unaccompanied' 5 minute walks.

You can imagine the pace of these.

Twice a week we are woken at six for weigh in. I'm usually the first because I've been awake for hours, sweating on the rubberised hospital matress, which still makes me boil in my own skin despite the fact I have a blanket and two sheets seperating the rubber and my body.

We're spared little dignity as a member of staff stands outside the slightly opened bathroom door, waiting to listen to us pee so they know that the figure on the scales is a reflection of our 'true' weight.

No room for stagefright.

No room for cheating either, as we strip down to bras and knickers to stand on the scales.

Mondays also entail enduring one of an assortment of unhelpfully similar acronyms; a CPM.

Daunting to even the most seasoned of inmates, this requires that you sit before a selection of senior team members who feedback on your progress, sanction (or not) each of the three requests you are allowed to submit for consideration, and discuss the efficacy of your mealplan.

Mondays are rarely dryeyed days for the majority of patients.

I have all that to look forward to in the morning.

My stomach churns as I type, unable to digest the huge portion of ice cream and rhubarb crumble, unable to face the numerical realisation of my inevitable weight gain, and unable to face the impending bowl of bran flakes that lies in wait for me at nine thirty this evening.

I want...

I want my life back.
No matter how bad things were, nothing, NOTHING can be as bad as Anorexia.


My weight remains in limbo, my mind in hell.
I am unable to complete tasks I attempt as my brain is just too addled.


I have started taking Pregabalin, despite the fear that its most common side effect is weight gain. 
I don't care anymore.
I just want the illness to go.


I wish that I could be put to sleep whilst my weight is restored.


It occurs to me that I haven't written about The Woman lately.
I have so much to say. 
So many words in a swirling vortex - half formed ideas dance purple shadows in front of my closed eyelids in the early hours.
I resolve to write posts about the nature of Anorexia and my understanding of its relationship with anxiety and depression.
I swear I'll reply to friends, blog friends and world friends, whose words and caring constantly brush soft against my bruises.
And yet, come the morning, I haven't got the mental energy.
It's all I can do just to force the bran through my lips.


I want to go back to work.
I want to live again.
I want to eat without feeling like I'm sinning.
I want to live outside of hell.


I want to ignore the old parental adage that whispers that 'I want doesn't get'.

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.

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.