Post-Holiday Rehab

The holidays are over for another year, and I survived. Mostly. My family has been pretty low-key about the holiday season for years, so I have it better than many, but it’s still socializing with the added elements of overthinking and societal pressure to be happy and having a good time.

I made a choice to eat without restriction for about ten days spanning Christmas. Let’s have a show of hands from everyone who believes I’m now pleased with my decision…yep. I am feeling the consequences of my actions. Not in the way a normal person might say, with a bit of chagrin, that they gained weight over the holidays. No. What I’m dealing with is the aftermath of what, eventually, became a full-on compulsive eating episode, because that’s what happens when I continue eating a certain way long enough, and how did I think this time would be any different?

Could I have made it through the holidays without doing what I did? I don’t know. What I’m mad at myself about is not the choice I made but my failure to acknowledge the extent of the consequences I would face; my wishful thinking. If I’d faced up to the implications of what I was doing, maybe I could have sought support to help mitigate the damage or help me come out of it before the most painful and punitive ending binges.

Now I have to heal, and recalibrate my broken metabolism, and accept that it’ll take a long time to repair the damage. It’s day one of the “maybe don’t eat yourself sick” plan–and that’s going to have to do.

Goldilocks

I have come to the conclusion that Goldilocks is not an addict.

It’s not that she is without issues, most notably a lack of respect for others’ personal boundaries. But her behavior is clearly abnormal when considered from an addict’s perspective.

Come on–she samples two bowls of porridge and finds the third one to be “just right.” She eats it. Satisfied, she goes and finds a nice place to take a nap.

What’s wrong with her? Why isn’t she rummaging through the bears’ kitchen, trying to find more of that perfect stuff? Or trying to mix the hot and cold porridge to capture that “just right” again? Or just gulping down the too-hot and too-cold porridge, because it’s better than nothing? How is it possible that she is moving on?

After decades of living with an eating disorder, I know how to eat in a way that my body and brain like. I’ve learned, the hard way, that starving myself sets me up for an inevitable compensating binge. I’ve learned, through much trial and error, which foods trigger cravings and are best avoided. I’ve learned not to deprive my body of fats and other things I used to be trained to withhold. When I eat the right way for me, I feel stronger, calmer, and in less pain. I don’t obsess about food between meals. My body and mind send me messages amounting to “About time, dumbass!”

There’s just one problem–I’m nothing like Goldilocks. The concept of moderation, of just right, of enough...my addict brain squirms in discomfort. No quick gratification from weight loss? No resolutions to starve virtuously after the latest episode of binge eating? No “tomorrow will be different?” Weird.

Embracing the reality of my eating disorder, and the need to deal with it even while other conditions might seem more urgent, is a balancing act I will never master. This process will never end, only ebb and flow. And I have to love myself anyway. Weird.

Eating Disorders Have Weird Rules

Yes, lest those who read my stuff ever forget: I’ve lived with an eating disorder since I was thirteen or so. It coexists with my mental health issues and with my life as an addict in recovery. It’s there to a greater or lesser extent every day of my life.

I’ve been blessed in recent years with being able to take better care of my body in some ways. Many days are relatively free of compulsions, many other days are moderate, but a few still take me back to the worst days.

A couple of days ago, I felt myself teetering close to a binge and didn’t want to go there, so I tried to do some “harm reduction.” At the grocery store, I bought a couple boxes of artificially-sweetened treats (yuck) to bribe myself out of buying other things.

So there I am, yesterday, with a terrible stomachache from the treats my body is not liking. I decide, disgusted, that I don’t want them around any more. I don’t want them around tomorrow, because if they are around tomorrow, I will eat them and have another stomachache and feel like crap all day.

This where the awful rules kick in. You see, I am not allowed to throw the treats away. No. I bought them, I made that choice, and now I have to pay for it. If I don’t want them around tomorrow, there is only one allowable way to get rid of them. I have to eat them. All of them. Tonight.

I hate the rules.

Leaving the Box

I have lived most of my life in boxes. Some were shaped like rehab. Some were shaped like psych wards. Many had no physical structure at all, only walls and flaps made of compulsive rituals.

I have lived most of my life obsessed with the next pound, the next pill, or the next scheme to fix myself and leave the realm of brokenness behind forever.

Wars happened while I dwelt in my boxes. Cultures changed, the planet suffered…for most of my adult life I have been on the sidelines, self-absorbed. I don’t say that to beat myself up, only as a simple truth.

There are a lot of limits to what I can do now, but I do believe I have left boxes behind. Even when I have episodes, even when I’m overwhelmed, I am still part of the general community.

I get to experience the fear and anger we all feel. I get to experience ordinary human joys and sorrows. I get to look at myself in the mirror and notice the mundane signs of aging.

I hope I never stop visiting my former boxes, because many friends known and unknown are still in them. But I don’t live there anymore.

Passing for Normal

I felt normal today because I got to drink coffee from my favorite place, something I haven’t done since February. There were tables very far apart, so I sat drinking and feeling a breeze on the lower part of my face. Such a normal thing that I’ve missed a lot. It made me think of other times I’ve felt normal, or—more likely—just felt as if I looked normal.

I remember passing for thin. Around 2013, I was at the tail end of a very low-calorie diet that took my weight down close to “ideal.” I took a ballroom dance class but never lost the feeling of being an imposter. The body I had, even as it moved while held in someone’s arms, felt like an illusion tricking them.

I remember passing for normal as a mom, mostly when my daughter was little and I’d sit in the park exchanging innocuous facts with other mothers while laughing at toddler antics. Although I was far, far from okay on the inside, the outside looked wholesome.

I remember passing for a normal person at a ball game. The SF Giants were in the playoffs and I was in the stands with my spouse and daughter. I wore an old orange Giants T-shirt of his. I was in orange, just like everyone else. I felt happy to be part of the crowd.

And oh, God, I remember passing for normal at jobs, back when I could. Wearing an ID badge, nodding at meetings, writing up notes. Helping others. Looking competent and adult between my secret anxiety-attack bathroom breaks.

Doing Nothing

My job today is to do nothing. Specifically, my job is to do nothing self-destructive. I hate days like these, where I’m just trying to get back to zero by letting my body and mind recuperate from whatever abuse I inflicted on them recently.

But the days when I’m actually doing the harm are, of course, worse. After nearly a year and a half of grace on my let’s-keep-diabetes-in-remission way of eating, I began to struggle in the spring and have not yet recaptured the blessed place I was in. A week or two of difficult abstinence has tended to be followed by a few days at a time of the hideous and painful rituals of binge eating. Although I haven’t relapsed on drugs, the eating disorder brings plenty of suffering in the form of sickness, shame and secrecy.

Sharing about this is important, because I don’t ever want anyone to get the idea that the work I’ve done on myself has solved anything. It hasn’t. I’ll be dealing with my issues for the rest of my life, just like I’ll be an addict in recovery the rest of my life.

If you think that’s a defeatist attitude, I understand, but I must disagree. Understanding that these things are a part of me and my life, rather than some demon I can exorcise forever if I just get it right, has been vital in acquiring more self-acceptance.

This is only day two back on plan. If and when I rack up a few days and get my mind clearer, I may look at whether to get in touch with my psych team over the general pattern I’m seeing (sleep worse than usual, biting nails until they bleed, anxiety spikes.) It’s the usual dilemma: are my struggles a sign that I need more help with my symptoms, or do I just need tough love and other attitude adjustments?

But today, the goal is nothing. Like the old story of someone who’s deep in a hole crying out to their God, “Please, God, get me out of this pit!” And God replies, “Okay, but I can do it faster if you stop digging!”

I’m not digging today. And that’s going to have to do.

Raising the Stakes

When my drug addiction was at its worst, the stakes were life or death.

Many years later, the stakes are still life or death.

But it’s different too. Back then, in the state of despair I was in, losing my life felt like a numb inevitability. My major regrets about the idea had to do with how it would hurt the people I loved.

Now, I feel as if there’s a lot more to lose. Through a process that has taken years, I’ve come to value the things I do have to give. I feel at least somewhat useful to my family and even my community. I have things I value so highly, and so sharply, that the thought of losing them makes the idea of dying before my time suck. Especially my writing.

I’ve been clean for more than seven years now, but I recently had a couple of brief bouts with overeating after being relatively sane around food for the past 2 years. Each only lasted a day or two, thank goodness, but it was enough to remind me of the insanity it brings. One thing I really noticed was how frustrated I felt not to be able to write or even think effectively about writing. The obsession, the fear of gaining weight, the shame…they were all there, but there was also the sharp awareness of a wall the binge eating had put between me and my creative self.

I have a richer life now; a more precious life to be destroyed if I make the choice to use drugs again.

Different

Thanksgiving Day is over for another year. There’s no big drama in my family during it, but I still tend to find it overwhelming in terms of socializing and food. When I listen to others describe the stress they sometimes feel, the theme of differences stands out.

Sometimes, when interacting in this kind of environment, we become hyperaware of our differences because we feel a pressure to do one of two things with our differences: explain them or minimize them.

Take food, for example. Every year I hear fellow compulsive eaters, or diabetics, or anyone who needs to follow a certain way of eating for their health and well-being, talk about dreading temptation and/or pressure to eat outside their normal plan. They also dread trying to explain or answer questions about why they choose to follow the plan they do, or justify following that plan instead of what someone else recommends.

I’m so used to not eating what others do that I don’t feel too much specific dread about this, but it does highlight my feelings of being set apart from those who can eat “normally.”

Then there are those of us in recovery who cringe at the thought of being around family members who still drink or use other substances. We make judgment calls about what to attend, make survival plans, and generally experience the holiday as a guarded foray through dangerous territory.

Congratulations to all my kindred spirits who have just come through this. May we be kind to ourselves as we use whatever tools we favor to shore up any cracks in our defenses and restore our connection to the way our differences define and evolve us.

The Other Shoe

I’ve been doing something dangerous recently: taking better care of myself.

After a very long downward spiral of diabetes/low thyroid/weight gain/depression feedback loop fun, things have begun to move in the other direction since spring. It began with a desperate, no-holds-barred attempt to bring my blood sugars under control with a change in eating–a change that, surprisingly, worked well. It accelerated when this change, somehow immune to my eating/weight baggage because it was serving the blood glucose meter and not the scale, began to have the side effect of taking off a little weight. It accelerated more when something about what I was doing affected my thyroid and my levels approached normal for the first time in years. My most recent labs are a thing of beauty compared to the values of last year.

So why is this a dangerous thing?

It feels dangerous because a part of my psyche is convinced good things won’t stay. A lot’s been written about the psychology of growing up in a household of substance abuse and/or violence, but you have to be one of us to know the sickening plunge of fear that comes when the unpredictable trouble erupts. Everything seems all right, then the floor drops out from under you and you’re in fight/flight/freeze mode. And because you’re a kid, sometimes the third one is the only available option.

Anyway, that part tends to make itself heard when things are going well. I have an inner conviction that something awful is about to happen, and when something bad does happen it’s taken as a confirmation that I was right.

The more I feel a sense of hope about the improvements in my health, the more convinced I am that some terrible punishment awaits. The resistance I battle every time I write something or do anything else positive is almost palpable. It fuels itself with everything from little symptoms to relatives’ ailments to the news:  “You, or someone you love, or the planet, is going to pay a price for your selfish behavior. It’s only a matter of time.”