The Diary of an Anorexic’s Thanksgiving Vacation: Day 1

Thanksgiving – the beloved all-American holiday where the gluttons who gave the world Micky D’s sit around and shove mountains of fattening food down their throats. For the typical American, Thanksgiving is one of the greatest days of the year, but for us anorexics, it’s a day that we pray will never ever occur.

This year I was forced to go and visit my mother’s family which is a whopping 8 hours away. I had informed my parents multiple times that I would not be going with them and would instead be spending my “holiday” with the only individual who understands me – my 8 year old black lab. Though my therapist supported this plan saying it would be an excellent experience for me to be on my own for a few days, my parents didn’t care. Against my will, a suitcase was packed for me and I was thrown in the car like a piece of garbage. After 5 long hours (which should have only taken four), we arrived at a hotel somewhere in the suburbs of Chicago. The plan was we would stay overnight here and then drive up to Michigan to see my mom’s obnoxious and incredibly noisy family for the famous American “get fat” feast

So now that I am completely sleep-deprived after attempting to get some shut-eye on the hotel room’s rock hard coach, we will be cramming ourselves in my mom’s car and driving up to Michigan.

Dandy. Just f-cking dandy.

Remission Resources: What To Do When You Can’t Find a Dietitian

After burying my nose in many books and academic articles, I have developed a very strong opinion about the role nutrition plays in the arduous but rewarding process of  ED remission. I believe that proper nutrition, not psychiatrist visits or some form of psychotherapy, is the key to finally being free from your eating disorder. You see, when your brain is malnourished after long-term starvation, it does not have the energy or the capacity to function at an optimal level. That means that all those visits with your therapist and/or shrink are a waste of your time, energy, and money because to get through therapy, you need a brain that actually works.

But of course when you have an eating disorder, getting the sky-high amount of nutrition that is required is basically impossible if you are trying to eat enough on your own. That’s why a registered dietitian is one of the most important members of your treatment team. They have received years of training in helping to heal people with the power of nutrition and they can easily design a meal plan based not only on the unique needs of your body, but also on your dietary preferences.  Throughout my years of being treated by a registered dietitian, I have also found they do an excellent job at focusing on reshaping one’s relationship with food. This is especially important for us eating disorder sufferers since our ED has made food an enemy instead of a something that is not only necessary for sustaining life, but also incredibly enjoyable.

Unfortunately in the US, it is challenging to find a registered dietitian who is experienced in treating eating disorder patients and affording one.  A lot of the times, insurance fails to cover dietitian visits despite the fact that these visits are vital for achieving eating disorder remission.  This means too many ED sufferers are left without the support and knowledge of a dietitian which can hinder their remission progress because they are not getting the nutrition they need.  In these situations, the only option is to start exploring other options. After going on an expedition in the unknown and dangerous territory of the internet, I have gathered some commendable resources that could be used in place of a dietitian. But before I tell you these awesome resources, I want to remind you that these should be used if and only if you are completely unable to see a registered dietitian.  No website can replace the knowledge and compassion of these individuals.

 

The Best Resources for Eating Disorder Remission Nutrition (all of these links will open in a new tab 🙂 )

  • ASK THE DIETITIAN Meal Plan Maker:  I am beyond impressed with this wonderful website and I honestly believe it is the GREATEST resource out there for those in need of a nutritionally-balanced meal plan. The site is the brain-child of Joanne Larson, a licensed registered dietitian who has worked in a myriad of places including hospitals, clinics, and  mental health facilities.  Her website contains informative Q&A articles on a whole host of ailments (including eating disorders) as well as three incredibly helpful tools that will aid you in creating a meal plan that suits your unique nutrition needs.
    • Steps to making your own, one-of-a-kind meal plan
      • 1. Click on the link to be taken to ASK THE DIETITIAN’s “Healthy Eating Plan for Life” tool.
      • 2. Fill in the “Your Body Data” section of the form.
      • 3. Next it’s time to fill in the “Calorie Distribution” part of the form. Do not change the percentages of carbs, fats, or proteins. All you have to worry about in this section is the amount of calories. To figure out how many calories you need, you need to go to ASK THE DIETITIAN’s “Healthy Body Calculator” tool.   Fill in ALL the information except the the Body Fat section and the Waist-to-Hip Ratio section (these can be triggering and they are NOT NEEDED to calculate your calorie needs. When you get to the Weight Goal section, you either need to say you want to maintain or gain. If you have a lost weight due to your eating disorder, you need to accept the fact that you need to gain weight.  Your body and brain deserves to be at a weight where it functions best and that is not at your current eating disorder weight.  Also, when you get to the Calorie Distribution section, DO NOT CHANGE ANYTHING.  Once you complete the form, click “Next”. You will be brought to a page where it tells you how many calories your body needs to be or get healthy.
      • 4. Now that you have the calories you need, go back to the “Healthy Eating Plan for Life” tool. Fill in your preferences. If you are recovering from a restrictive eating disorder, I highly recommend you choose full-fat milk because fat it vital for healthy brain function.  Also higher-fat foods give you more calories for a smaller amount so you will not have to eat as much.
      • 5. Once you complete the form (except the sections I told you not to), click “next”.  You will be taken to a page with your exchange-based meal plan.
      • 6. Highlight and copy your meal plan to a document (Google Docs or Word work best) so that you can save it and print it out.
    • Because this meal plan is based on the exchange-system, it can be quite flexible.  If you are not familiar with the exchange system, click here for a detailed list of food group exchanges.

 

  • The Kartini Clinic Meal Plan: This straight-forward, no-nonsense meal plan was created and is implemented by the Kartini Clinic in Portland, Oregon. Founded in 1998 by Dr. Julie O’Toole (a physician who is VERY well-known in the Maudsley/FBT community), the Kartini Clinic treats children to young adults suffering from a wide-range of eating disorders including anorexia nervosa, bulimia nervosa, EDNOS, and food phobia. Unlike many eating disorder professionals, Dr. O’Toole believes eating disorders are a biological brain disorder that are not caused by parents or by  patients, which I totally agree with. Of course there are some treatment philosophies of hers that I disagree with completely, but I do believe her meal plan is excellent for patients who prefer more rigidity in their meal plans.
    • The meal begins at a base amount of 2150 calories (which is PERFECTLY ACCEPTABLE). A lot of the times, patients need to add more to the meal plan in order to reach a healthy weight for their unique body type and they do this by adding “extras”. Extras include things like adding Benecalorie to their whole-milk yogurt or drinking calorically-dense nutritional supplements like Boost or Ensure.   Unlike most ED remission meal plans, this meal plan only has patients have 3 meals and 1 snack per day. The thought behind this is that eating less frequently allows patients to not focus on food every waking hour.  Another thing you must know about this meal plan is that that require patients to eat full-fat  foods. This means no skin milk, low-cal almond milk, or low-fat yogurt. I know that that can be quite frightening, but remember fat is VITAL for a healthy brain and body.

 

  • Herrin Food Plan: This  meal plan was designed by Marcia Herrin, a renowned registered dietitian who is actually the founder of the respected Dartmouth College Eating Disorder Treatment Program. Like most meal plans for eating disorder patients, this plan requires patients to consume food 6 times a day (3 meals, 3 snacks) and it is based on choosing certain food groups for each meal and snack.  The plan also requires patients to have one cup or double the serving size of each food group AND to consume two “fun foods” each day. What exactly is a “fun food” you ask? Well, let me tell you right off the bat it is anything BUT fun for eating disorder patients. “Fun foods” are basically Herrin’s term for the foods that show up in the nightmares of ED patients around the world. We’re talking cake, donuts, croissants, non-diet soda, fries, chips – basically EVERYTHING an ED patient refuses to even get close to.   Now I understand that it is important for eating disorder sufferers to begin to enjoy food and eat things that aren’t necessarily health foods, but in my opinion requiring patients to do this TWICE a day is a little excessive. Healthy eating means eating everything in moderation and eating dessert twice a day is definitely NOT moderation. Obviously that is just my opinion, so take it or leave it.

 

Finding a dietitian is hard work and sometimes it just isn’t possible to meet with one for various reasons. I hope these resources are helpful to those who can’t meet with a dietitian and give me a chance at achieving remission 🙂

The Day that Wouldn’t End

As I laid on my bed wrapped up in my flowery bedspread, my mind began to go over yesterday’s events. The endless arguing, the hateful words, the damn reading on the doctor’s scale, the visit with my psychiatrist . . . all of these recent experiences kept replaying in my mind’s eye like an endless horror film.  Because of the negative nature of yesterday’s occurrences, I wondered if I should even compose a blog post on them. Not too long ago, I had promised all of you that I would do everything I could to make this blog a refuge for ED recovery instead of a virtual hell where I would publish posts laced with pessimism.  But then I realized that it wouldn’t be fair to you if I hid something that was happening in my life.   Many of you that are taking the time to read this post today, have been following my blog since its infancy.  You have been with me in times of fear, sorrow, hope, and joy. For goodness sake, you DESERVE to know what is going on and I think it is ok for me to share how I am feeling because honestly, you guys are the only true support I have.

When I awoke at 3:30am yesturday morning (no that isn’t a typo . . . I really haven’t been sleeping well), I had a terrible knot in my stomach. Today was the day I would have to see my psychiatrist and step on his wretched scale. I knew my weight had dropped since that last time I had seen him and obviously his scale would reflect that.  I also fully realized that once my father saw the number of pounds my body contained, my house would turn into a Nazi encampment. I would be stripped of my freedoms, food would no longer be under my control, and my parents would stalk me  like a hungry lion stalks its kill.

When 2 o’clock came around, I packed up my school belongings, signed out at the school office, and walked on over to my father’s car as if I was walking to the gallows.  As I exited my brick high school, I noticed that the blue afternoon sky had been consumed by a sea of ugly gray clouds and the air had become bitterly cold – so cold in fact, I could feel it in my bones. I took this harsh winter-like weather as an sign of the frightening experience that was yet to come.

Once my father and I made it to the psychiatric clinic, my body was taken over by anxiety. My heart was pounding like a base drum beneath the thin, snow-color skin of my chest. My icy hands became saturated with perspiration and my leg began to uncontrollable bounce up and down. 20 minutes after my scheduled appointment time, Dr. K (my psychiatrist) opened the door to the corridor that lead to the atrociously-decorated offices of  the many shrinks that work in the clinic.  At the end of narrow corridor was the electronic scale that would determine my fate. As calmly as I could, I kicked off my black flats and removed my hot pink winter jacket. Quickly, I stepped on the scale and after a second or two a number popped up. I had lost one pound and that was one pound too many.

Of course I was interrogated during the appointment. I was asked by Dr. K all the typical ED questions one could imagine. Are you restricting? Are you stressed? Do you think you are fat? I responded to all those questions with a strong “no”.  Though I was certainly telling the truth by denying his accusations, I knew Dr. K didn’t believe me at all and I also knew my father didn’t give a shit about what I was saying either.

Throughout the rest of the day, my father constantly ridiculed me, especially when I didn’t complete my dinner. I tried to tell him that I wasn’t able to and that I felt too ill, but he had already had his mind set that I had relapsed.

Now I just don’t know where to go from here because even when I tell the truth, all my parents and doctors hear are lies.

New Eating Disorder Q&A Video!!!!! YAY!!!!!!!!

Hello Everybody,

Guess what, I have SUPER exciting news for you! I FINALLY was able to make that Q&A video I have been just dying to create! I hope this video answers some of your questions and also gives you more of a peak into how my little brain works! I love all you guys and remember, if you have any video suggestions just comment down below!

~Claire