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Sunday, December 13, 2009

Putting this blog on hiatus...

I have a new one year project that I want to try out :) a daily chronicle of what life is like after an eating disorder. Why recovery is worth it... Rather than tell you what strategies, integrate them into my life and show you the impact!

I'd love to make it a little memoir...a printed memoir. One that differs from most of the other ... To write about the "then what?" moments after weight normalisation/acceptance, when meals are just meals, when it's just life :)

Review the blog, my life, work

Ah! My writing style has been tainted by years of psychology subjects ;) ...but I like the cookie is supposed to be light-hearted and un-preachy. This last semester I have been writing treatment plans and studying behaviour and behaviour therapy so my mind is still in academic mode. I never intended it to be a textbook/professional guide to recovery... It's just my life.

It has been an amazing two months. I got out of the hospital on the 26th October 2009. While I was in, I was eating like all the other patients. The only thing that distinguished me from them was that I had a nurse keep me company and watched extra close for the hour afterwards. I was honest, I told them how things were done on the eating disorder ward. I grumbled each morning as I was woken by night staff and told to pee, get the pat down, and then hop on the scales. I wasn't blind weighed so I watched the weight go up and up... wondering if it would ever stop.

It did... after a few more well needed kilos joined the Keira train. And, as it did (and my nutritional status improved) my mind worked again! I got uni work done in the common area of the ward.  I was given time off the ward to pick up papers and books from the library (my University also has a campus at the hospital). I managed to write and hand in two 2 000+ word essays and sit an exam the first week I was out.  And, as my health improved, I was able to focus more. I passed the semester with a Pass and 2x Credits.  Not my best semester but a pass is a pass and I am happy with it!

Uni is finished now...as has primary schools, for the summer holidays. I am working 2 weeks of 3 full days in December. I finished my first week last week and my next is not the Monday coming up but the next one. I CANNOT be eating disordered around her. My charge has all the makings of an eating disorder so I have made it my mission to be body and food healthy around her.  When I'm on afternoon shifts, I always bring some fruit as a snack and offer her some. I talk to her about the traffic light system of eating:
Red - special occasions
Orange - occasional treats
Green - every day
(its a system at schools)
There was a kids news article (on ABC Kids) about models being too thin so I had a chat with her about beauty coming in all shapes, sizes, and colours. She comments on my body...my legs and boobs being the main ones.  I explained that this is how I was made and my legs are strong and powerful and awesome!

It is hard at times. It's summer here so we go swimming a lot.  I'm pretty comfortable in my swimmers... we have already had the "why are your legs chubby?" talk. But, it was hard when she keeps asking about my stretch marks. I just tell her that when I got really sick (she is aware that I was unwell and because my body was so sick its going to take time for me to fully recover and that means that I do get tired and a bit grumpy but it isn't her fault) my weight went up and down and that's what the marks are... lots of girls get them.

So yeah, that's me for now... hopefully the APA writing style goes away for the holidays and comes back in March when I'm studying stats III.

Saturday, December 12, 2009

Skills and Strategies—Accepting

Acceptance is a bit of a buzzword in a number of treatment programs for mental illness: DBT and ACT being two. In Dialectical Behaviour Therapy (DBT) there is "Radical Acceptance" and in Acceptance and Commitment Therapy (ACT) it's one of the 6 core principles (hey, it's even in the name of the therapy). It is a very useful strategy to use in regards to trauma and eating disorders, I found. But, Acceptance has a few different meanings...

When people think of acceptance, they often that to accept something means that we want it. But in terms of therapeutic acceptance (also known as non-judgemental acceptance/radical acceptance) it is about believing something to be valid.

how does it relate to recovery?

Past Trauma
I will honestly admit that this is still very much, a work in progress for me. The idea of acknowledging the past is scary and painful. But until I accept that what happened... happened, it's going to build up and begin to seep out into other aspects of my life.

Part of it too, is I have to accept that it has happened and nothing that I do now will make it go away. Self-destructive behaviours certainly distract from thoughts about it but it comes back... That's why self-harming behaviours (including disordered eating behaviours) can become addictive, they stave off the past in the short term. Trauma is one of those things we can't change. And once I accept that, I don't expend so much energy trying to make it go away.

In The Happiness Trap (My new ACT bible) the author says "the solution is the problem". All the strategies that we use to try and solve the 'negative' emotions that are yucky to feel—often reduce our quality of life. Even some of those strategies that aren't immediately destructive. If I have to spend my whole life running/hiding from the negative, it leaves me very little time and energy to do things that will lead to the life that I want.

It sounds way too simple—I have simplified it greatly. I'm not saying that now that I accept the past I am fine. But, to accept it and "make room" for it in my mind will allow my therapist and I to process how the trauma memories are still affecting me today.

Body Image
Accepting my body has been a two stage process. Stage one: non-judgementally accept my body as it is. And Stage 2 : accept and approve of my body. Yep, I think, unlike other aspects of our recovery/therapy, its important to bring in approval to acceptance of our body.

Initially, I had to come to terms with how my body looked/felt at a 'recovery' weight, once the fluctuations reduced down to normal.
I'd describe my body without using judgement words: positive or negative. Just state what is there.
I have a waist that comes in slightly before the hips and a rounded tummy that is not flat. My hips come out wider than my waist and a little more than my upper torso. My thighs touch at the top and they are larger in width than my calves. (It's mainly my lower body that I have described here because that's what I can see right now)

That's how I see my body without judging my observations. It is difficult but important to use neutral language; I've used wider and larger only to relate it to other body parts; I could have said fatter and huge (but they have negative judgements/connotations attached).

And, I have accepted that this is what I look like. The next stage is to be comfortable with it. I like to give a positive spin to aspects that I am not so comfortable with...
e.g. my "tummy that is not flat"
In order for me to have a flat tummy, my pelvic/hip bone protrudes. And, when I have this I don't make a good hugger. (as told to me by a very honest 7yr old) As part of my job as a nanny, I need to give comforting hugs (esp. when she's scared or upset).

my non "straight-up-and-down" legs
They make boot-cut jeans look Awesome! They also have a considerable amount of power. I've nearly broken creepy guys hands with these thighs.

It's also important not to compare with others. Sure, that girl may have stick thin thighs and I don't... so what? We aren't all meant to have the same legs. There is no 'formula' for how we ought to look like. Beauty comes from confidence... if you feel comfortable in your body, it shows :)

Sunday, December 6, 2009

Movie Moment—Inspiration (4 Dec 2009) + Negative Thoughts (6 Dec 2009)


http://www.youtube.com/watch?v=RNSaQpmywvk
Unfortunately, it's very quiet :(


http://www.youtube.com/watch?v=yXuSuYpCYMY
Part 1 - Challenging Thoughts


http://www.youtube.com/watch?v=2okzeKtaA00
Part 2 - Defusing Thoughts

Friday, December 4, 2009

Skills and Strategies—Attitude of Gratitude

“When eating bamboo sprouts, remember the man who planted them.” Chinese Proverb

I think when stuck in the depths of depression we tend to filter our view and only see the bad things in our lives. Part of the insidious nature of depressive illnesses is that it sucks away your the hope and positivity. Without hope and positivity, recovery is a million times harder. The focus is so much on the negative things in our lives—past trauma, poor self-esteem, eating disorders, self-harm, etc. that we filter out what is good in our lives and in ourselves.

But you, I, indeed everyone can turn this around. A change in attitude. An attitude of gratitude! So, rather than directing our energy and attention to what is wrong in our lives try focusing on what is good and positive. Sometimes it takes time to find something but if you look deep enough I'm sure there will be something good.

I start each day with listing at what I am grateful for in my life: friends, family, anything that puts a smile on my face. It helps bring some positivity into my day. On days that I am particularly down on myself I like to list what I am grateful about me.

My Gratitude list
  1. my handy-woman skills
  2. my ability to cook awesome food
  3. my kindness
  4. my willingness to help others
  5. my childlike nature
  6. my ability to lean new things
  7. my love of learning
  8. my silliness
  9. my strength
  10. my resilience
  11. my will to fight
  12. my dreams
  13. my love of funny things
  14. my ability to see beauty in unlikely places
  15. my optimism about others
  16. my growing ability to love myself and take me as I am
If I am having a "I hate my body" day, I like to think about the things about my body I am grateful for.

I am grateful for
  • my lovely hair
  • my strong legs
  • my feminine figure
  • my multi-coloured nails

So lets bring on an attitude of gratitude and search for the positive that is there in everyone :)