What’s It Like? Comorbidity and Other Things to Know (NEDAwareness 2015, Day 6)

In many cultures, Friday is considered unlucky.  Sailors don’t start voyages on Fridays, people freak out if it falls on the 13th, and it’s the name of a really annoying song.  It’s also the day that Jesus was crucified, which means that many Christians around the world (myself included) at the very least will not eat meat on Fridays during Lent (which is now).  I’m drafting this post as it’s almost dawn on Friday, and I’m preparing for a day that won’t necessarily be unlucky, but will certainly be insanely busy.

As a Christian, an adult, and a well-educated person, I’m not supposed to believe in superstitious things like luck.

But I still do.

Psychologists call it “magical thinking.”  For me, magical thinking entails things like skipping the 13th song to come up on my iPod’s shuffle, always wearing something with a flower on it, and putting my mirror away before leaving the house; if I don’t, I’ll get a bad grade, fall on the sidewalk, get yelled at, never get married, or — most horrifying of all — gain a pound. (Fun fact: the number of songs I skip after the 13th is inversely related to how many pounds I’ll gain.)

Magical thinking is a well-known feature of OCD.  Although I don’t have full-blown OCD, it was helpful when my therapist identified my magical thinking and we began to work on recognizing its occurrence.  She was able to name this demon in part because OCD and OCPD are common among those with EDs.

This long example finally leads to my point: when people ask what it’s like to live with an ED, it’s not accurate for me to just describe my food and weight complexes.  It involves so much more than that, and the other things it involves are important to know.  If you suspect or know that you or a friend has an ED, these are all things to be aware of.

I freely give the disclaimer that everything I describe below is only my experience with each comorbidity, and experiences vary across the board.  If what I describe doesn’t sound like you or a friend, don’t necessarily rule it out.  Always speak to a licensed professional or call NEDA at 1-800-931-2237 (or email info@myneda.org, or go to nedawareness.org and “click to chat”) if you’re concerned.


Anxiety, on a good day, is that feeling you get right when the nurse says “little pinch” right before sticking you with a needle.  It’s not the actual pain, it’s the feeling that comes before the pain.  With anxiety, though, you don’t get the relief of the needle stick.

On a bad day, anxiety is like a migraine or a stomach bug.  You lie curled up in bed all day repeating your pleas to God over and over: please take it away.  Please please please take it away.  Make it stop.  Please.

Depression has two weapons.  One is a sharp dagger it uses to carve words like worthless and lazy and fat and alone and stupid into your skin, digging deep until metal hits bone.  When you’re alone, you can curl up and lean into the pain, but in public you have to act like you’re not having knives plunged into you over and over.  Sometimes the dagger cuts so deeply that people notice the scars, and when they ask about them, the dagger flies to your throat and presses so hard you can feel your pulse against it.  You lie to people — no daggers here, don’t worry, move along — just to make the threat subside.

Its other weapon is a shield.  It looks innocent enough at first; shields keep you safe, right?  It’s huge and heavy and you run behind it, hoping it will protect you from the daggers — and it does.  Slowly, though, you realize that it’s also keeping everything else out.  Pain and fear are gone, but so are humor, curiosity, energy, and motivation.  You may realize that you’ve grown comfortable with the shield and laid down under it, but now its weight is crushing you.  You can’t get up.

The most insidious thing about the dagger and the shield is that, no matter which one it’s using on you, they both have a way of winning you over to their side.  Maybe you don’t want the carving to stop, or you like that crushing feeling that separates you from the rest of the world.  Maybe you like it so much — or you just realize that the dagger will always be stabbing, the shield always crushing — that depression convinces you that the only way out to let its weapons kill you.

Substance abuse starts as the cutest, most charming guy you’ve ever met.  When you’re with him, you feel like you’re floating.  Everyone laughs at how smitten you are, because your puppy love is adorable and eccentric.  At first.

Eventually you’re officially dating this guy.  Your friends may not like him anymore — they think he’s around too much, and it’s getting annoying — but they don’t know him like you do.  You see him every day, and you’re no longer lonely or tired or worried.  He gives you confidence and makes you laugh.  Everything is brighter when he’s with you.

You get to a point where you’ve been dating for a while and you still can’t get enough of him, so you decide to move in together.  Now that he’s around 24/7, you see his nastier habits.  Your space is always a mess, he never lets you get any work done, and you often get sick from him.  He becomes possessive, making you sneak him with you everywhere you go.  You two used to just go to parties and on dates together, with the occasional brunch or special day-long event thrown in, but now he’s tagging along with you to meetings, errands, classes, work, and even church.  Your friends say that he smells bad, that he’s clumsy, that he always has your attention and leaves you distracted and glassy-eyed when you try to talk to anyone else, but you’re so used to it that you don’t care.  You can’t function without him by your side anymore.  You can’t tell where he ends and you begin.

You think you’ve found the one, the answer to all your problems.  Your friends, coworkers, and teachers don’t understand how essential he is to you.  You love him… until one day, out of the blue, something random sets him off and he beats the living daylights out of you.  You wake up in the hospital, then go home to find that your friends have kicked him out.  This will be a rough breakup.

Depending on a lot of factors, you may eventually be able to reconcile with him and have a conversation every once in a while.  (I’m lucky, and somewhat unusual, that this is the case for me.)  You always have to be on your guard, though, for when he’ll try to turn on the charm and start the relationship again.

Trauma is just a dream.  You remember it as a haze, the only things in sharp focus being the random details: the crunchy leaves lining the sidewalk outside, the pizza box on the counter, the numubness in the pit of your stomach as you walked home.  Like a recurring nightmare, though, sometimes it all comes rushing back without warning.  You walk down that street and remember why you usually avoid that route.  You see someone that resembles the villain from your dream and try to figure out where to run.  You wake up with a start in the middle of the night, coated in a sheen of sweat and shame.

(Other common comorbidities include borderline personality disorder, bipolar disorder, and full-blown obsessive compulsive disorder, thankfully none of which I’m qualified to describe.  Once again, though — if you or a friend are struggling, please educate yourself about these conditions.)

The last and greatest among these for me is, of course, the eating disorder.  EDs turn your body into a vessel for a bratty little kid calling the shots from inside you.  Like a child from a horror movie, the kid is sweet and charming at first.  I need to help you, she says.  I can make all this go away.  I know the answer, and it’s being thin.  If you’re thin, you’ll be worth loving.  I can make you delicate, feminine, fragile.  Just follow every word I say and the anxiety will cease fire, the depression will stop harassing you, you’ll be independent from your substances, and trauma will loosen its grip as you become a totally different person from the one who experienced that.  By the time you figure out the this kid is actually a monster trying to kill you, your brain has already been rewired to listen to every word she says.  Don’t worry, she makes you think.  I’m helping you take your life back.  I’m making you into who you want to be.  She makes you forget that the “person you want to be” is actually the person she wants to be.  She has taken over your brain, and you don’t even know your own self anymore.


I don’t want this post to sound morbid or scary.  I don’t want anyone’s pity or fear.  What I hope is that, by posting these realities, someone may no longer “have no idea” what life with this illness can entail.  This week is about awareness, and these are the things I hope everyone is aware of, leading them to recognize the seriousness of the ED epidemic and the importance of taking action to stop it.

You Have No Idea (NEDAwareness 2015, Day 5)

After the success of yesterday’s post, I Have No Idea, I want to expand on that theme with a more positive spin added to it.  It hasn’t taken much thought to decide to make this post a letter to you — yes, you, reading this right now.  If you’re on this page, there’s a 98% chance you’re one of “them” (either the individuals or groups that I mention).

I have come up with so many things to say to people as this week has filled me with gratitude for how far I’ve come and hope for how far I may someday go.  I can’t possibly pour it all into one post, but here’s my attempt:

My family, especially my parents, have no idea how much I adore and admire them.  They have no idea that their work — breaking out of their small hometowns to become successful academics and performers, teaching long hours to have the money to give me the best education possible, taking me on trips around the world even when I was a bratty kid, and especially sacrificing precious hours we could’ve been together as a family and thousands of dollars for the sake of my treatment and health — is constantly at the back of my mind.

The woman I call my sister by choice; who, though we didn’t meet until we were 14, has watched me grow up (and I her) — she has no idea how much I love her, miss her, and am proud of her.  She has no idea how grateful I am for her patience in watching my roller coaster of illness-treatment-recovery-relapse-illness-treatment cycles and loving me anyway.  She has no idea how mind-blowing it is for me to be completely sure that there is someone out there (besides my parents) who loves me and likes me and wants to spend time with me, even when I feel like a monster.

Friends from middle school, dance, choir, my home church, and through family have no idea that I miss them and wish I could tell them how far I’ve come.  They have no idea how different I am now.

My high school classmates — the class of 2011 especially, but also literally every single woman I encountered in that Nashville building from August 2007 to May 2011 — have no idea how valuable that community was for me.  They have no idea that their collective spirit, even among those to whom I never spoke, provided a home I never expected to find.  They have no idea that that home not only changed my soul, but that it also saved my life.

My inner group of high school friends has no idea that they are still the first people I would choose to hang out with.  They all knew/know about my ED, but they have no idea that they always somehow knew exactly what to do or say when I was down about it.  They have no idea how remarkable it is that they were never triggering.  One has no idea that, when we worked together as summer camp counselors and she occasionally brought me lunch for fear that I wouldn’t eat, I was so touched I struggled not to cry.  (There’s a lump in my throat even thinking about it now.)  Another has no idea that the way her entire family took me in when I was looking for a spiritual home — inviting me to go canoeing, spending the 4th of July with their cousins, visiting a monastery in Kentucky, giving me spiritual books, and, most significantly, the mother acting as my Confirmation sponsor — has forever cemented their place in my heart.  I am overwhelmed when I think of how blessed I am that another family chose, quite intentionally, to take me in and give me a Catholic community.  Still another has no idea how much I relish the fact that we still get coffee multiple times a week when we’re both home, and how much I love her for being so chill when the subject of my ED explicitly arose in our conversation for the first time this past winter break.

When I started at NYU, there was a sophomore in the Newman Club that took me under her wing.  She constantly checked in on me, let me talk whenever I needed it, and even surprised me skipping class to come to Renfrew as my family member for multi-family group.  She has no idea how badly I needed her and how grateful I am to have had her.

My NYU friends have no idea what a relief they were.  They surely thought I was completely weird and off, but they have no idea that our emergency dance parties and movie nights were my only senses of normalcy during that time.

My friends from that first round of treatment at NYU have no idea how cool they are.  One has no idea that she’s the one who convinced me to give dance another shot; another has no idea that the book she gave me on her last day changed my perspective on religion and self-worth; still another has no idea how funny she was (and that I still randomly laugh like a fool when I think about “bird-dogs” and moonshine).

Brothers and sisters from my co-ed community service fraternity have no idea that they made Georgetown what it is for me.  They have no idea that they meant so much to me that I chose to continue pledging even as my ED crept back into my life.  They have no idea that, when I chose to publicly share my story for the first time during a meeting with them, the support they showed made me feel a way that I can’t even articulate.  Loved, supported, less crazy — no words can really explain it.

My big from that fraternity has no idea how excited I was that she, this beautiful, intelligent, fun woman, had chosen me, nor does she know how grateful I am that she went into mother bear mode when she found out about my ED, making sure pledging wouldn’t send me over the edge.  Another brother has no idea how cool I think he is, how much I look up to him, and how amazed I am that he is so intelligent and spiritually rich and is still willing to sit across the dinner table from me and play games to distract me from using ED behaviors.  One more came to study with me every night as I was taking finals and living in a hotel with my parents before entering treatment at TK, even when he didn’t have his own exam to study for, just so that I would have some company.  Still others — brothers and sisters alike — have sat with me in emergency rooms, given me major life advice, and been willing to sit in silence with me just because I need someone there; they have no idea that I will always remember that.

My former boss in my job of 1.5 years has no idea how sorry I am that things went south and how badly I wish I could break the bounds of professionalism to tell her what really happened — that I was badly sick, that I never meant any disrespect to her, that her constancy and humor and opportunity offered to me got me where I am today.

My classmates and random Georgetown friends have no idea how much a smile, a quick conversation, or a spur of the moment invitation to coffee can turn around my entire week.

My roommates have no idea how indebted I am to them for putting up with me.  One, a friend since high school, has really watched me grow and change; after everything from living with me in super close quarters to coming out to Renfrew for multi-family group, she has no idea that I seriously, literally don’t know what I would do without her.  Another has no idea how much I treasured our walks to class together last semester, where I first spilled the beans about returning to treatment.  Still others have no idea that our conversations, fun nights out, and general bonding make life a heck of a lot more livable for me in the day-to-day.  Knowing that I can have a hug whenever I need it, no questions asked, is a beautiful thing.

My friends from Timberline Knolls have no idea that I’ll always treasure those little moments we made together, despite it being our darkest hour.  One, a roommate, a fellow Christian, and now one of my dearest friends, sat across from me on my bed, took my hands as I was crying, and prayed aloud with me.  Another’s beauty and generosity were surpassed only by her hilarity, which came out late at night in the privacy of our room.  One had a laugh that lit up my face and my soul.  Once, when we had to stay outside for hours and hours and do nothing because of an emergency back at the lodge, one girl sprawled out with me in the grass as we shared our life stories.  One said I looked like a character from a Jane Austen novel, and I think she meant it.  One was such a talented musician that I gave her the first compliment (a subtle nod and thumbs-up) I had given anyone in a long time.  (I could go on about my TK girls forever, obviously; if you’re one of them and don’t recognize yourself here, please know that it’s only because you can’t be summed up in a one-sentence moment.)

My sorority sisters have no idea how glad I am for their acceptance; they also have no idea how sorry I am that I got sick and then got a nearly full-time job, meaning I can’t spend much time with them.  The first one I told about my ED and my return to Renfrew has no idea that her immediate acceptance and help made me physically feel as if a weight had been taken off my shoulders.  Another has no idea that her care for me when I messed everything up at formal and cried on her shoulder, along with her Frozen/Elsa-themed encouragement during treatment, gave me a willingness to go out to Renfrew on days when I felt like giving up.

An old friend who I unexpectedly encountered at treatment in Nashville has no idea that, thanks to her presence, I was comfortable enough to open up in a group where everyone else was a stranger, resulting in my actually getting something out of my brief time there.

Two girls at Georgetown who have gone through similar things have no idea that their online encouragement has sometimes been the only thing that has kept this blog going.

The fellow interns with whom I sit at lunch have no idea that, before I sit down at the table, my sweaty palms, shaking hands, racing heart and I have to pace the cafe and stare at all the food and almost panic about what I’m going to eat.  They also have no idea that their interesting lives and genuinely fun conversations make the acute anxiety I had been experiencing just minutes before almost completely dissolve.

The intern with whom I carpool has no idea that her bringing up this blog during our drive the other day was a huge blessing, and that having another intern know what I’m going through is a huge relief.

Another woman in the dance office — the one to whom I’m closest in age and the only one who goes out of her way to be kind, make me feel welcome, and include me — has no idea that she is the one who keeps me coming back to work even when there are no exciting companies or thrilling shows, since her presence makes the stressful office environment bearable and even enjoyable.

… So that’s enough rambling for one day; the letters in the phrase “has no idea” are starting to wear out on my keyboard cover anyway.  Hopefully, this post has been a more positive take on the theme of not knowing.  Hopefully, some of these people will read this post and no longer “have no idea.”  Hopefully even if they don’t, I’ll have the courage to tell them.

I Have No Idea (NEDAwareness 2015, Day 4)

This year’s NEDAwareness theme is “I Had No Idea,” but I’m taking it in a little bit of a different direction with this post…

I have no idea.

To be more specific, I have no idea what people think of me now.

Nobody really knows what others think of them, and most people are probably a little bit bothered by this.  To someone with an ED (and its best friend, anxiety), though, this is freaking terrifying.

I’ve decided to share my story and my journey for many reasons, but sharing — for me, at least — has come at the cost of a mixed social reception.  When people look at me now, knowing what they know, what do they think?

Do they think I’m seeking sympathy or attention?  (Hint: As someone who has spent most of her life trying to shrink, take up less space, and need less, attention is my worst enemy… so no.) Do they think I’m faking?  After all, I’ve taken down all photographic evidence of times when my ED was physically apparent.  Do they think I’m over-sharing?  Do they think I’m vain?  What do they think? 

What do my classmates think?  My high school friends?  My college friends?  My beautiful sorority sisters and loyal (co-ed) fraternity brothers?  My roommates?  My former and current co-workers and bosses?  My family friends?  My dance friends?  My exes?  My crushes?  My friends from treatment?  My internet-stranger audience?

Why do some other girls in recovery get hundreds of likes while I only get a few?  I know validation has to come from within, but why does it sometimes feel like nobody cares?  Are people just curious, rubbernecking for entertainment then slinking away once they’ve dug up some dirt on my life?  Are they bored?  Are they disgusted?

When people speak to me, text me, like my status, or message me with words of encouragement, are those words genuine — or do they feel obligated to say them?  When people say that they’re “there for me,” what does that mean?  When people respond with disbelief (ironically saying “I had no idea!” about my ED), is it because they respect me, or because I was never sick enough?

Worst of all, by far, by far the worst of all, when people avoid me — when they don’t like or comment, when their smiles become strained and distant, when they walk on eggshells around me — what are they thinking?  Are they uncomfortable?  Are they intimidated?  Are they upset?

I have no idea…

… and I probably never will.  That’s something I have to accept, and nobody else can accept it for me.  I have to become the woman that recovery makes me want to be — strong, independent, self-assured — and share my story knowing that I share because I have to.  My story makes me who I am, and if anyone is uncomfortable with that, then I genuinely am sorry.  But your discomfort won’t stop me.

So this is my life.  And I want you to know that I am both happy and sad and I’m still trying to figure out how that could be.

— Stephen Chbosky, The Perks of Being a Wallflower

Transformation Tuesday (NEDAwareness 2015, Day 3)

Lots of people have taken to social media this week to share their #transformationtuesday photos of themselves before and after recovery, which is great for them!  I’m really proud each time I see a photo like that and wish them all the best.

Personally, I’m choosing not to share full-body shots of myself at the worst of my ED.  I’ve removed them from Facebook and even deleted them from my personal archives because I don’t want myself or anyone else to be triggered or to set a “goal” based on a time when I was very, very sick.

I do acknowledge the power of a good visual, though, so I’m sharing one here: the transformation of my smile, from the super early stages of my recovery to moments when I wasn’t worried at all.  Obviously, there have been ups and downs and smiles and tears in between these photos, but I think it’s still a valuable reminder of what a joy it is when your joy goes past moving the right muscles in your mouth and becomes a light in your eyes as well.  (Okay, I know the last one isn’t technically a smile, but it was a moment of joy and I am trying to express myself here)

126 4 357

The Anti-Glam Squad (NEDAwareness 2015, Day 2)

Less than 24 hours after the Oscars seems like an appropriate time to broach the common ED-related subject of media perceptions, so here we go…

I don’t think that “the media” played any part in my developing an ED.  Not once have I looked at a model in a magazine and thought that she was a realistic representation of beauty to strive for.

do think the media has done some damage related to EDs, though, but in a more roundabout way — that is, in its coverage of celebrities with eating disorders.

Katie Couric, Oprah Winfrey, Princess Diana.  Demi Lovato, Ke$ha, Britney Spears.  Russell Brand, Victoria Beckham, Lindsay Lohan.  Mary-Kate Olsen, Portia de Rossi, Lady Gaga.

When you think of these people, you probably picture a red carpet, a sold-out arena, or a sensational headline.  You see the Hollywood parties, the A-list friends, and the beautiful clothes that the paparazzi capture.

What you don’t see is the truth.

The truth is what goes on behind the scenes, during the 97% of the time these stars spend away from the flashing cameras.  The truth is in the physical pain, the mental fog, and the sense of isolation.  The paparazzi can’t photograph the constant nausea or the crippling anxiety.  No interview can really portray what it’s like to live day in and day out for months, years, or decades with this illness.  All you see is what the glam squads have prepared for you.

To end on a positive note,  I want to point out that some of these celebrities (like Demi Lovato and Lady Gaga) have become outspoken advocates of recovery, which is really fantastic.  The more people can realize that true happiness and fulfillment lies beyond the bounds of an ED, the better — after all, that’s what NEDAwareness Week is all about!

Why NEDAwareness Week Matters (NEDAwareness 2015, Day 1)

Happy Day 1 of NEDAwareness Week, everybody!

I’m hoping to be able to celebrate this week with short posts on a different theme every day.  For day one, let’s talk about why this week matters in the first place.

As you know from My Story, I have a clinically significant eating disorder.  I’m lucky that I’ve always known what it is, because I’ve been able to seek treatment.  I’m also lucky, in a weird way, to be what most people expect of an ED patient: white, privileged, from a high-achieving family, perfectionistic, young, and 100% enveloped by my disorder.

The theme of this week is I Had No Idea, and that’s the message I want everyone to get.  If I am most people’s picture of an ideal candidate for an ED and people still have so many questions and misunderstandings about me, then there must be so much people don’t know about the scope of different disorders and the diverse range of people affected by them.  (I’m hoping to make another post later this week on diversity, so stay tuned for more on this!)

For an intro, though, here are some quick facts about EDs:

  • In the USA, about 20 million women and 10 million men will suffer from a clinically significant ED at some point in their lives.  Many more will suffer from sub-clinical disorders, or disordered eating patterns.
  • Young women with anorexia nervosa face a mortality rate 12 times higher than any other cause of death.  ED patients in general are, at a conservative estimate, 6 times more likely to die than the general population, with some estimates of mortality rates compared to the general population being as high as 20%.  These rates include deaths from both health effects of EDs and from suicide.
  • Reported cases of bulimia nervosa tripled between 1988 and 1993 (this statistic being a startling example of how all EDs are on the rise).
  • EDs frequently occur alongside substance abuse (4x more likely), depression/mood disorders, and OCD.
  • EDs receive $0.93 in federal research funding per person affected, while diseases like Alzheimer’s receive $88 per person.
  • 12% of the population still thinks EDs are related to vanity and are not an actual illness.
  • 42% of first graders are afraid of being fat; by 4th grade, this percentage increases to 81.
  • Over half of teenage girls and about 1/3 of teenage boys use destructive eating habits like fasting, smoking, or purging to control their weight.
  • Some suffering from EDs — especially those whose symptoms go unnoticed or who have not recognized their problem — will suffer their whole lives.  This is especially scary given that 97% of anorexia nervosa patients report significant impairment in their daily lives due to their disorders.
  • Among those who seek treatment, about half completely recover, 25% make significant progress, and 25% continue to chronically suffer and be in and out of treatment for their whole lives.

So that was a lot of numbers and facts, and if that type of thing doesn’t resonate with you, that’s fine.  If you take anything from this post, let it be this: there is so much more to EDs than you may realize, and educating yourself is the first step towards creating a society more aware  of and careful about eating disorders.

Statistic sources from NEDA and ANAD

Mythbusters #1: “You Don’t Look Like You Have an Eating Disorder!”

“You don’t look like you have an eating disorder!”

“You look so healthy!”

“At least you’re not scary skinny.  I once knew a girl who was anorexic and weighed [x] pounds…”

Nope.  Nope nope nope nope.

Do not say these things to people who tell you about their eating disorders.

Here’s the reality:

ED size mythbuster

(caption: “All of these people suffer from a serious, life-threatening eating disorder.”)

So let’s bust some looks/weight-related myths here, okay?

  • Anorexia and bulimia nervosa are not the only two EDs, nor are they the most common.  The most common award goes to Binge Eating Disorder, followed by Eating Disorder Not Otherwise Specified (EDNOS, recently renamed “Other Specified Feeding or Eating Disorder” by the DSM-V), bulimia nervosa, and then anorexia nervosa.  There are others in the mix too, like orthorexia, pica, night eating syndrome, anorexia athletica, atypical anorexia or bulimia, purging disorder, rumination disorder, diabulimia, and more.
  • Although a diagnosis of anorexia nervosa does require a certain amount of weight loss, none of the other ED diagnoses have weight as a criteria.  This leads to my next point…
  • … not all bulimics are thin.  In fact, many — if not most — are of normal or even slightly over weight.
  • Not all thin people are anorexic, and not all anorexics (despite the weight criteria of the diagnosis) may appear super-thin.
  • Not everyone with Binge Eating Disorder (BED) is overweight.
  • EDNOS, along with with any other diagnosed ED that may not manifest itself in extreme weight loss, can still be majorly life-threatening — sometimes even more so, since those who do not lose a significant amount of weight may not be as motivated to seek treatment.
  • Saying “You look healthy/good/better/normal!” to someone who has admitted to having an ED may be interpreted as “You’re not very good at your ED; time to lose more weight/punish yourself some more.”  The most important thing to remember is that it’s not about looks.  You can’t judge the severity of an ED on someone’s looks, nor can you judge where they are with their mental recovery.  Compliments about their personality, their smile, or their newfound energy are much safer bets in talking to someone in recovery.
  • On a similar note, early recovery for those needing weight restoration may involve bloating and general puffiness for a while as their body gets used to being properly fed and hydrated.  This makes it especially important not to remark on their looks at this time.
  • If you insist on looking for outward signs of an ED, there are things like the eyes being sunken or having bags, low energy levels, cold hands/feet, dry skin, Russell’s sign, dental problems, and more… but I want to reemphasize that there’s no good way to judge an ED from a purely aesthetic standpoint.  Those of us who have dealt with it for a long time have become experts at hiding these things.

I freely admit that my recovery has involved weight-gain plans at some points.  It has also involved weight-maintenance and even weight-loss goals sanctioned by a dietician.  My ED was no less serious when I needed to lose weight than it was when I needed to gain.

I’m often asked “which” ED I had/have.  That’s not a question I like to answer, partly because my diagnosis has changed and evolved over the years and partly because it shouldn’t matter.  I look how I look, I weigh what I weigh, and I still have had a disordered relationship with food through all the ups and downs.  I also don’t want to be prone to trying to meet your expectation of what someone with my diagnosis “should” look like.

What really matters, then?  Knowing that my signature toothy grin is always genuine.  Being willing to hug me, no matter what my size is that day.  Talking about dogs or dance or God or Russia.  Walking comfortably with me on this journey rather than walking on eggshells.

Why This Blog? (It’s Not About the Laundry)

Don’t air your dirty laundry in public.

Everybody has heard this saying.  As I prepare to share this blog with my Facebook friends, that’s exactly what I’m afraid people will think I’m doing.

I have to admit, I’m writing post while staring at the dirty laundry on the floor of my bedroom, and I would NEVER want anyone to see this mess.  It’s embarrassing.  I get the saying, I really do… but I still have my reasons for keeping this blog.

  • People ask me questions a lot.  Questions about EDs in general, about how I’m doing, about how to help friends — you name it, I’ve been asked it.  Hopefully this blog will be a resource for people who genuinely want to learn.
  • I’m not embarrassed about my ED.  In fact, taking ownership of what I’ve been through is indescribably empowering.
  • Sharing my thoughts with the general public makes me try to put a positive spin on everything.  I don’t want any post to be negative, so sometimes I have to change my perspective and find the positive in everything in order to make something post-able.
  • It’s not fair.  It’s not fair that my friends get to keep blogs of their study abroad journeys while my ED has taken away plans to study abroad in Tours, France and in Dar es Salaam, Tanzania.  It is fair, though, if I get to share my own journey through recovery.  This journey is just as exciting and just as life changing as study abroad, if not more!
  • We, as a culture, need more dialogue about EDs.  The stigma of mental health diseases mystifies me — if I had cancer (God forbid), everyone would reach out for support, want to learn about it, and care more deeply about cancer treatment.  As it stands, people sometimes walk on eggshells around me.  They don’t know what to say, or they’re embarrassed to know what I deal with.  That’s OK; it’s natural to feel uncomfortable around a “sick” person, especially when the disease is one that is so misunderstood.  Did you know, though, that research funding for diseases like autism and Alzheimer’s FAR outstrips funding for ED research, even though EDs are the most fatal mental illnesses and affect far more people?  That’s not right.  We need to talk.  I need to blog.

So, if you see my sharing as TMI, if you think I’m airing dirty laundry — take a step back and reconsider.  This ED is such a huge part of my story (the same goes for anyone else, whether currently suffering, in full recovery, or anywhere in between), and I won’t be silent about it.  Instead of dirty laundry, I think I’m putting on a fashion show — sharing the beauty of information, positivity, resources, and my own journey to anyone who reads this blog.

Walking and Falling

I recently had the great privilege of working with Alvin Ailey American Dance Theater.  One of the pieces they performed, “Bad Blood,” featured a spoken-word/song track by Laurie Anderson that reminded me of an important recovery lesson.  Some of the words are:

You’re walking. And you don’t always realize it,
but you’re always falling.
With each step you fall forward slightly.
And then catch yourself from falling.
Over and over, you’re falling.
And then catching yourself from falling.
And this is how you can be walking and falling
at the same time.


In ballet, you have to keep your balance tilted a little further forwards than what may feel natural.  I once had a teacher spend the first few minutes of every class having us pace around the room.  Instead of placing a foot in front of us, shifting our weight onto that foot, and then balancing atop that foot to take the next step (the way most of us walk down the street), we had to consciously think about tilting our weight and balance forward, so that each step was less of a push and more of a catch.  In other words, had we stopped mid-step and not put the next foot down, we would’ve fallen onto our faces.  It was just like the poem says — with each step we fell forward slightly, and then caught ourselves from falling.

The same goes in recovery.  Every day, my eating disorder is telling me a million things while my desire for recovery is telling me a million other things, and it feels like I’m falling.  Recovery first is a process of learning how to take the times that I fall back on behaviors, then waking up the next day and realizing I’m still alive and can learn from that specific situation, thereby taking a step forward.  An even greater part of recovery is when my ED makes me want to fall back, but I’m able to remind myself to lean what feels unnaturally forward.

And this is how I can be walking and falling at the same time.

A Letter to My Eating Disorder

Hey ED,

How dare you?  How dare you come into my life just as my prime began and take those years from me?  How dare you know me better than I know myself?

Thanks to you, I can’t wake up without feeling sick.  I can’t make it through the day without an embarrassing amount of medications and self-soothing techniques.  I can’t look in the mirror or walk across campus without your thoughts taking over my head.  You’re not good enough, you say.  Nobody really likes you.  You’ll never be successful.  You’re lazy.  Why can’t you just be normal?  You’re so awkward.  Nobody feels bad for you.  Nobody feels anything towards you.

You’ve taken over my mind.  You kidnapped me as a child and I’ve been captive ever since.  You’ve given me Stockholm syndrome, thinking the only place I’m safe is in your grasp.  You’ve invaded my faith, the only thing that’s authentically mine, making me think that food and weight have some kind of moral value.  You’ve made me hate and feel alien to myself — my personality, my accomplishments, my experiences, and especially my body.

Speaking of which — you’ve ruined my body.  You’ve taken it over and made its weight plummet down and skyrocket up over and over again.  You’ve given me constant nausea, tremors, aches, bruises, crushed bones, and even heart palpitations.

You’ve stolen what could have been a great life.  You’ve decided when I have enough energy get out of bed, when I look acceptable enough to see friends, and when my brain will work well enough to study.  You’ve taken the well-meaning words of my loved ones and twisted them to mean horrible things.  Even when I’ve tried to get rid of you, you’ve taken away opportunities to study abroad, to hang out with friends, and just to have a normal life for the sake of treatment.  You told me I couldn’t do ballet, stealing the only dream I ever had.  Unfortunately for you, I don’t need a dream to define me anymore.

So, ED, once again: how dare you?  How dare you control fourteen of my twenty-two years on this earth?  How dare you take the time others were using to make the grade, score the job, or date the perfect guy and make me spend it either in your grip or in treatment? How dare you use my body and my face and my voice to turn friends, family, teachers, and coworkers off of me? How dare you call yourself Olivia?  That’s MY name, and it’s MY turn to use it.