I used to be pretty incapable of taking care of myself. I think I'm finally doing a pretty good job of it though. It's taking time and a lot of hard work, and I'm not perfect at it. I'm becoming more and more normalized with my eating. I saw my dietitian last night and she said that my eating for the past week was normal! She was so shocked (and honestly so was I). I don't really know what changed. I guess I just felt more hungry. It helps when I have an appetite. I had a big freak out last week because my dietitian weighed me and I found out I had gained xlbs over the holidays. People kept telling me it's normal to gain weight over the holidays, but it's never been normal for me. I've always been sick during Christmas. I was so upset over the weight gain. I didn't even care that my dietitian said that all of my numbers were right where they should be. I just felt huge and fat and disgusting. And I still do. But I accept that fact that probably the reason why I gained weight over the holidays was because I was screwing up my metabolism by skipping meals. So I guess that motivated me to start eating normally, and that's what I've been doing.

There are other ways I've been taking care of myself. Even though there are times when I still feel REALLY guilty for reaching out for help, I have been doing it more. I've been in close contact with my treatment team during this past few weeks, while things have been really tough. I'm trying to see if a medication change will help. I'm working on my eating. And I'm allowing myself to be more vulnerable in therapy. My therapist mentioned possibly telling my mom about my trauma history, as she knows very, very little. At first I said NO WAY. But now I'm actually thinking about doing it, only of course if my therapist is there. And she says she absolutely agrees that she should be there. I have therapy tomorrow and I think we are going to discuss it more then.

Other ways I am taking part in self-care is going to sleep earlier, aromatherapy, distraction, and asking for what I need.

I'm still having a rough go with depression. I think maybe it's a little less intense, maybe not so much suicidal ideation going on. It's still something that needs to be watched, however. I have good moments and bad moments. I had a really powerful experience a couple weekends ago. I went to the Saturday evening service at my church. I go alone, I always have. For some reason, I wanted to walk out in the middle of the service. I just didn't feel connected to God or to any of the music or the message that night. I stuck it out though. And at the end of the service, the pastor got up and said if anyone wanted to be prayed for, to approach him afterwards. Something just pulled me over there. And I admitted that I was struggling with a severe depression, and he prayed for me. It was what I needed. I felt God and His presence. Part of the message of the sermon that night was, "God makes the impossible possible." I keep thinking about that.
I've always felt it was impossible to recover from my eating disorder and to heal from all of my trauma. Maybe it's not impossible though. Maybe I can get to a place where I will be okay.

I'm also having a super tough time with PTSD and other trauma issues. Next week is the 2 year anniversary of my rape. I'm growing increasingly anxious about it. Last year on the first anniversary, I took the day off of work and medicated myself and slept all day. This year, I am making it a two day event. On Monday I am walking the labyrinth with my therapist. I did this last summer as a part of the eating disorder group I did, and it was a very powerful experience. On Tuesday, my therapist and I are going to a park near her office and I'm bringing a balloon and she's bringing a sharpie. And I'm going to write on the balloon everything about that night that I want to let go of and release. Then, I'm going to let the balloon go. I'm glad I will have extra support on those two days.

I'm back to my normal work schedule this week. I'm already exhausted. I'm counting down the days to Spring Break already.

As always, taking it day by day, hour by hour.

depleted

I feel like all life and positive energy has been drained from me. I really don't know how I have made it through this week without melting down...oh wait...I had a major meltdown on Wednesday that required an emergency phone call to my psychiatrist and my therapist and I had to leave work early. So, no...I'm really not handling things well.

I'm depressed. Not in a scary way, but it could definitely be headed in that direction. I get home from work at the end of the day and barely have enough energy to wash my face. I lay on my bed and can barely move my limbs because every part of me is physically and emotionally exhausted. I haven't been very mindful of my eating, actually I haven't been very mindful in any way.

I see my primary care doctor tomorrow morning. I haven't seen her since March. Since my last visit with her, I have relapsed with my ED, spent 6 days in a psychiatric hospital for being suicidal, almost went back to treatment, injured my shoulder (which probably wouldn't have happened if I had been eating), spent a night in the ER due to dehydration and electrolyte imbalance, and now I'm in a state of constant stress and depression. My doctor is very caring and supportive, but needless to say, tomorrow's appointment should be interesting.
I will insist that the nurse does not tell me my weight (although she will probably forget and put it on my checkout sheet). Whatever.

So, I'm not doing so well. I'm not sure how to really turn it around. I feel like my job is a big part of the problem. I have been reaching out for support from my treatment team though, which I am proud of myself for. I'm desperate to talk to my therapist and can't wait until our session on Tuesday. She's on vacation right now, so there's no way to talk to her.

I'm just really exhausted. 

Progress is progress, no matter how small

I've been reluctant to regularly update my blog. In all truthfulness, I am processing all of my past trauma in therapy right now (and have been since August) and it has been so difficult. I don't want to share these experiences and how I'm dealing with them on the internet. It's too personal and private. But when close friends ask me how I'm doing, and I say I'm having a hard time, it's because I'm struggling with trauma related issues.

But I do want to continue to write on my blog, and I believe I can do that without talking about my therapy sessions in detail. I will say that, as difficult as processing trauma has been, it's what I have needed to do for a long, long time. I work with an amazing therapist who is making this process safe and I am able to trust her.

Now, onto my progress. I honestly have hated that word for so long. Mainly because I feel like I hardly ever make progress, and that when I do, I tend to self-destruct. However, lately I have been making progress in areas that I didn't even know about until my therapist pointed them out. I've always struggled with feeling guilty for reaching out for help, and feeling so needy. And I apologize excessively for it. My therapist today told me that I have not bothered her, and there is no need to apologize. In fact, she said she thinks it shows great strength and progress that I am able to reach out to her when I feel like I need to, while being able to handle some things without her help. She told me to honor myself for making such progress. I was taken back by that, but in the end it made me smile.

On the eating disorder front, I am also making progress. I have not purged since July, and I really haven't had any urges. Like I said in a former blog post, my ER trip last month made me realize how much my body is suffering when I use ED behaviors. Lately, if I restrict for one day, I have a terrible headache at the end of the day. Restricting is becoming less and less. I enjoy food. I eat pretty much whatever I want, in moderation of course. I don't count calories. I haven't looked at my weight in 3 months. And I actually am beginning to like my body. It's crazy and I never thought I would get to this point. And it's amazing that I can actually get much better.

It's a slippery slope thought, and even though eating is going better, I got scared the other night when my dietitian was praising me for how well I was doing. I thought to myself, "well this won't last. it never does." I got really down on myself. I really want it to last this time. I know that there will of course be ups and downs, but I don't want to fully relapse again.

I am really thankful (and I know I say this a lot) for a really awesome support system and treatment team. My team of my therapist, dietitian and my psychiatrist is the best team I've ever had. Jane, the mom I babysit for, has become a person I can confide in. I have, Debbie, my second mom. And while I don't have really any friends in my town that I can be myself around, I have a handful of really amazing friends scattered here and there that get me and know me and love me.

So, like the title of this post says...Progress is progress, no matter how small.

Day 1 and other thoughts

Today makes 1 days without purging. Honestly, it was really fucking hard. In my head, if I wasn't going to purge, then I had to eat a "safe" amount. Which translates into major restricting. Lunch actually wasn't as horrible as I thought. I feel like I tolerated it pretty well, not feeling too much anxiety. But dinner was a different story. I felt really hungry. But I was super, super anxious about eating so much that I felt full, and then wanting to purge. So I ate barely anything. I apologize if this is triggering. I try really hard to not use specific foods, calories, numbers.

I saw my primary doctor this morning. I said in my last blog post that I was going to do a blind weight. Well, that didn't happen. I looked at my weight, and was kind of surprised. I honestly expected it to be higher. Oh well. I told my doctor a little bit about what has been going on. She was super supportive. I get the feeling she doesn't know much about eating disorders, but she didn't say anything that was harmful, thank God. She seemed concerned, enough to order blood work. She offered her support and wants me back in 6 months, pending the blood work results, but said she is there for me if I need to see her before then.

Quite honestly I am worried about my physical state. Although I have only purged a few times, I can feel the toll it has taken on my body, combined with the restricting. It scares me. I'm scared of passing out at work, especially around the kids, or passing out while driving or in the shower. I'm scared of something going wrong with my heart. This should be motivation enough to get back on track. Wrong. In my head I feel like I have to continue doing what I'm doing in order to prove my my treatment team that I am hurting and having a really hard time with a lot of different things. They have told me time and time again that I never need to prove to them my pain. And then there's the thought that, "well once I get down to x amount of pounds, then I can go back to doing well with my meal plan." That's a bunch of bullshit and I know it.

I do feel like I have a good idea of what I need to do to get back on track. Anxiety is a huge factor for why I am struggling so much. My dietitian gave me a light exercise plan to try out in hopes of lowering my anxiety. My therapist mentioned something I might do to help with trauma stuff, haven't mind up my mind about that yet though. I increased one of my anxiety medications and hopefully that will help as well. I just need to use my tools, pull out my Remuda binder, keep writing in my journal, and reaching out for help to those who can help me. Although, the trick is actually doing all of these things.

So, yeah. I'm just having  really shitty time right now and I suck.

I have to stop.

I have to stop what I am doing. I HAVE to.
I have started purging again and I had forgotten how addictive it was. I have to stop or this is going to get REALLY bad REALLY fast.
I mean, what am I doing? I know what's going to happen if I continue to do this.
I will lose weight (which is what my ED wants) but I will compromise my health. I could possibly lose my job. I will push away friends (which I am already doing). I could end up in the hospital. I could die.
The anxiety is intense and overwhelming. I put together a plan with my treatment team and I need to start following it.
My dietitian said that I can't keep doing what I am doing, that something will happen to cause me to stop, that I will eventually have a physical or emotional meltdown. That will be a scary meltdown and I don't like to think of what it would be like.

I see my primary doctor tomorrow for follow-up on my migraines. I don't know what I'm going to tell her about how I'm doing with recovery. I don't know if I should say anything about it. My psychiatrist already ordered blood work for me and I will get that done tomorrow as well. I didn't look at my weight at my dietitian appointment yesterday and I am terrified of seeing it at the doctor tomorrow. I will have to make myself do a blind weight.

I am in the arms of the eating disorder right now and I HAVE to get myself out of it.

Limbo

I kind of feel like I'm in limbo, like I'm stuck there. I KNOW what I need to do. But it is not that easy. I feel like I'm moving backwards. I've been restricting. I have come dangerously close to purging. I hate to admit it, but yes I have been trying to lose weight. I don't want to be triggering by saying that. It's just the truth. And at least I can admit that those are my intentions.
I am going to be honest with my treatment team about all this, because I truly do want to stay in recovery. And as much as I feel guilty about needing help right now, I am going to ask for it.

Sometimes I feel like my treatment team are pressuring me to be more independent, not that there is anything wrong with that. And I admit that I do need to learn how to deal with some things on my own without frantically having to text one of them. But when I think about that, and how there are times (like now) when I truly need their help, I feel guilty. I need their help, but I just picture them saying to themselves, "Gosh, she needs my help AGAIN?"

I have been really, really lonely. I feel like a lot of the people I used to be close with have pulled away from me. I know that people change, including myself, but it still doesn't discount the fact that I am lonely and I miss people. But while that has happened, I have formed closer relationships with other people, and re-connected and gotten closer with friends that for a while maybe I myself pulled away from. I reached out to one of the women in my group and we had dinner a couple weeks ago and that was awesome. My friend Sarah helped talk me through a really hard time last night and I am so grateful for her.

I was on vacation last week, and while I was sick for half the week, it was so nice to get away from work and appointments. I got a tan which has helped my body image a little bit. I also was able to get A TON of journaling done while I was there. I am anxious to share it with my treatment team, because a lot of what I wrote are things I have been bottling up for a while now. I hope I can feel better once I share it with them.

That's pretty much what is going on. I'm anxious for my upcoming appointments, and hoping they don't make me feel worse. I am praying for clarity and strength.