I Have A Mistress: ED Poetry And Writings



I have a mistress. She is strong and persuasive.

She is the only thing in this world that truly frightens my husband.

I have virtually stopped eating. I eat enough so that I still have a period and can keep people off my back. Maybe secretly, I want to starve myself to death and not have to deal with anything anymore. (July 18, 2008)

Her name is Ana--short for anorexia.

The National Association of Anorexia Nervosa and Associated Disorder estimates there are eight million people in this country who suffer from anorexia or another type of eating disorder.

I am one of those people.

My complicated relationship with Ana reached its breaking point when I was led out of a hospital in handcuffs and leg shackles.

Technically, I had done nothing illegal to warrant all of the hardware. But when I walked into the emergency room and informed the nurse on duty that I wanted to kill myself, there are certain procedures a hospital must follow.

Ana is all about control. In the beginning, I thought I controlled our relationship. She knew she was the one calling the shots.

With her at my side, I have watched myself become someone I don’t even recognize. To be with her, I have lied and deceived my family and friends over food.

Some days Ana is so frustrating that I wish I could switch places with someone else so I could get some peace from her voice. From the time I wake up until I go to sleep, I think about food. It usually begins with me wondering what to eat but it always ends with me not eating.

I used to love eating apples. I would cut the apple in half. Then cut each half into fourths. And then cut each of the fourths into four more pieces. It should take a person no more than ten minutes to eat an apple.

It took me an hour.

It’s not about the numbers on a scale. It’s about control. And my food intake is the one thing in my life that I can control. (June 1, 2008)

When I was 16 years old, my grandmother had a stroke.

I saw the ambulance from the school bus and knew something was wrong.
Since the day I was born, my grandmother helped to raise me. I remember dropping my backpack and running across the yard.

It was scary to see my favorite person in the whole world helpless and frail.
In that moment, my life changed. I went from being a high school sophomore to being a caregiver.

This was the beginning of Ana and I’s friendship. She didn’t show up because of any abuse or neglect.

Ana became a constant companion for a shy geeky teenager with few friends that was terrified of losing the one person who understood her.

I didn’t know how to share my fears or deal with all of the change. So my coping mechanism was to control how much and when I ate food. It would be years before I would admit that I was anorexic.

At home, nobody noticed because I did most of the cooking.

During that year, my friends and I had different lunchtimes. Instead of making new friends, I would get a Pepsi and a pack of crackers. For most of high school, this would be my lunch.
Truth be known, I am a lazy anorexic. I don’t exercise or calorie count. I just slowly eliminate eating as a priority for each day.

Sometimes I watch the Food Network so I can get a food fix. It’s sad that I watch Emeril or Bobby Flay so I can imagine what a meal would be like without her voice. At one time, I wanted to be a chef but being around so much food scared me.

Anorexia is a hard disease to explain to those who don’t have it. For some, it is just a matter of eating. For those of us in the know, it is about control. Control when there isn’t really control. (March 2, 2001).

I read once that in a day a person should eat about 2,000 calories. I probably eat 800 to 900 calories in a day.

It was hard at first but it became easier with time to ignore the hunger pangs and the sound of my stomach growling.

Eventually from time to time I would weigh myself. If the numbers were too high, I would freak out and not eat. But I still refused to admit I had a problem. Who punishes themselves for weighing 97 pounds by going to bed hungry? It is amazing how numbers on a scale could change my whole day.

There have been many signs that our relationship is very unhealthy.

At one point in my late 20s, I got down to 73 pounds. My friends were scared and not sure what to do.

There is a picture of me at this weight. It was taken at a Memorial Day pool party. At that time, I thought I looked awesome. My closest friends saw it differently. They saw a dangerously thin woman.

In January of 2001, a physician assistant voiced the truth.

Before that visit, I was sick all the time. I would have the flu, a cold or some sinus problem. It was always something. When I finally went to the doctor, she took one look at me and asked how long I had been anorexic.

I angrily informed her that I was not anorexic.

“I am just having trouble getting rid of this cold,” I said.

“No, you are anorexic and your poor body is fighting to stay alive,” she said quietly but firmly.
She gave me a prescription for my sinus infection and the name and number of an eating disorder specialist.

At this point in my life, Ana and I weren’t ready to be separated.
I crumpled the paper once I got in my car and threw it on the floor of my car. I refused to believe what she was saying.

Throughout that day, I called friends to tell them about what was said. I expected them to be sympathetic for me and angry at the woman also. But all I got were awkward silences or “I’ve got to go.”

The one person who had the guts to talk to me about it was one of my best friends (now my husband, James). In a very calm voice he said, “She’s right. You have an eating disorder. I hope you will listen to her and get help.”

A few days later, I picked the paper up off the floor of my car and called for help.

I wish I could say I sent Ana packing but that would be the biggest lie ever.

A few months after starting therapy, I looked in the mirror as part of an exercise. I avoid mirrors. I always have because they make me feel uncomfortable.

The first thing I noticed was that I was getting a little pudgy. At that time, I was 82 pounds. What scares me the most about the memory is how upset I was at weighing 82 pounds. This is the weight of a fourth grader. I was angry at myself for weighing 82 pounds.

I have always struggled with eating. I can’t remember the last time that I just sat down and ate without stressing about it. It’s not about calorie counting. I just can’t explain it. (May 7, 2001)

Ana and I have been together through a major move to another state, several boyfriends, two engagements, a wedding, miscarriages, a still born and the birth of my son.

She has always been there in the background waiting for me to call her back into my life.

Food will always be an issue in my life. When a plate of food is put in front of me, I get anxious and nervous. I hate to eat with others because I feel like they are watching and mentally recording every bite I put in my life.

Through the years, I had learned to keep Ana hidden.

But I accepted her embrace when the newspaper I loved went from a twice weekly to a weekly. She started her seductive whispering.

It started with me eating more junk food than real food. Then I was only eating certain foods on certain days. It soon progressed to eating only one meal a day as late as possible.
Then the newspaper was sold and my job eliminated.

Moving back home was stressful and depressing for me. Not only did I not have a job but I would be around people and would have to eat. When I lived alone, I decided when I ate. With others, there were semi-set meal times or torture time for me.

We had just bought a home. My mother was undergoing her second round of chemotherapy for stage four metastatic breast cancer. Everything was spiraling out of control.
With all the uncertainty in my life, Ana knew the only thing that could be controlled was how much I ate in a day.

She knew, in a very sick way, I got a high from going hours or days without eating. Once for a week, I survived on bag of oyster crackers and a container of cottage cheese.

Change is a big trigger for my anorexia. If the change is too big, I quit eating. (March 31, 2001)

It was tough relearning how to be a mother while being homesick for my former life.

“You may not work at a newspaper but you can still write,” everyone told me.

It is not a matter of blogging or writing a book. I wanted to write for a newspaper. I can’t describe how I feel when writing. The group, Coldplay, has a song called “Viva La Vida,”,” which sums up how I feel. The song talks about a person going from a prince to a pauper. This is how I feel now.

It starts out with “when I ruled the world.” This is how I felt as a reporter. Writing was a way of expressing myself. It was my identity. I was a reporter and not just a mother or a wife.
I started looking forward to night time. When it’s late at night, everyone is asleep. Ana’s voice subsides and I don’t have to do her bidding. There is no sneaking food into a napkin or putting it down the drain. Just silence.

The doctor doesn’t know what’s wrong. He said it could be a kidney infection. It could be. But I know why my body is messed up. I always know why. (March 14, 2002)

As with most affairs, I didn’t see how it was destroying my body, my life and my family. My two-year-old son didn’t want to eat because Mommy didn’t eat.

My husband felt powerless.

One night, I overheard him talking on the phone about being so frustrated.
I wish I could tell him how self-conscious I feel about my body. Some days I see the skeletal body that others see and other days I see something else. I envy him when he eats. He doesn’t seem to worry or stress. He just eats.

I hoped he wouldn’t notice my relapse.

He noticed. He saw how fast the weight was dropping and what I was eating. Or shall I say was not eating.

He is an excellent cook whose efforts were wasted on me. He knew this but would try anyway.
“Here try this,” he said. “I made just the way you like it.”

He would buy my favorite foods. He tried anything to get some calories into my body.
My husband is one of those people who wants to help wherever there is a need.

I know my relationship with Ana frustrates and angers him. He would express his concern about my appearance and mental state. And Ana whispers that he is jealous and don’t let him take me from her.

So instead of listening to concern for my well-being, I embraced destruction of my body.

I can’t explain her hold over me. The way it alternates between craziness and numbness. How she makes nothing else matter except not eating.

There is so much that I want to tell him but I can’t so I push him away. I don’t isolate myself to hurt him intentionally. I do it because I’m scared to imagine a life without her.

So a lot of times I try to eat enough so no one will notice.

I thought I did it with finesse but my weight loss was soon very noticeable.

Ana became my constant companion who made me feel like I was holding things together. But in reality, people I loved watched me retreat and fade away. She had become all that mattered.

Believe it or not, it does scare me when I look at my body with my clothes off. I shower with my eyes closed so I don’t have to see how painfully thin I am, but I am not sure what to do. Everyone knows. Either because they figured it out or James told them. (July 10, 2008)

Some days I would see how long I could go without eating anything substantial. This is not easy when you are running after a small child with tons of energy. Each night, I would be exhausted and stressed about eating.

Being with Ana was not a secret game that I took pleasure in playing. I no longer have an appetite. I haven’t had one in years. Whenever I get a headache or became too dizzy, I know I need to eat something.

One night, something snapped. I knew I couldn’t live like this anymore. I decided that death was the only way to get rid of her.

I could no longer live with her but in a twisted way, I couldn’t live without her.
But when the day came, I realized I didn’t want Ana to win. Even though I was desperate, I wasn’t ready to give up.

Who would do the airplane routine after my son’s bath?

Who would know the little things about him such as his favorite shirt? Who would be able to say lines from the movie Cars with him?

Those things were on my mind as I sat in my car wondering what to do-carry out my plan or seek help.

With all the stress, Ana had convinced me that nobody cared if I lived or died.

But I knew one person on this earth who would care—my son.

I was barely hanging on when I walked through those emergency room doors.

My problem is causing you problems. I have lost so much control in my life that I have nothing. I can’t do anything right. I feel so lost and helpless. I have tried to ask for help but each time I can’t make the words come out. (August 15, 2008—from suicide note to my son.)

I spent a few days at a crisis recovery center. I came home fragile and scared. Ana wasn’t completely there but she wasn’t gone either. I was determined to keep her away.

The medications that I take mimic an appetite. I’m not as lightheaded as much because I try to eat small meals and snacks throughout the day. And slowly, the numbness is starting to go away. I want to see my son grow up, graduate and have a life. I want him to have a mommy who is strong.

I don’t want to do anything to hurt my son. He’s sweet, smart and is picking up on my lack of eating. This is about him and how I must save myself. (September 24, 2008)

I don’t feel as hopeless but I still feel alone. It is hard to talk about Ana.

At my lowest point, I was 73 pounds. This time I dropped to 89 pounds. It may not sound like much but it is scary when you are four feet and 11 inches.

I used to have long, beautiful hair, somewhat of a shape and a mouthful of teeth.
Thanks to Ana, I am losing my hair, most of my teeth are gone and I feel unbalanced.
And yet my mistress still desires me.

I weigh 105 pounds. Everyone says the weight looks good on me. Ana is not comfortable with those numbers because they represent me finding strength without her.

I feel at times everyone and everything is closing in on me. They try to make me eat. It is not that simple. You can’t undo years of bad eating with one meal. (August 15, 2001)

Ana is working hard to regain a footing in my life. She whispers that she needs just a little more time with me.

One day, I will have a good day. A day when I can eat, enjoy food and not think about it too much. It will be a long time before that day comes. Ana and I have begun our dance again.

Each day is a constant struggle—to eat or not to eat. I wish I could say I am completely cured. I am not and will never be completely okay.

My therapist is nice but overwhelmed by Ana. Until I find a job with insurance, I will battle daily with Ana about eating. Some days I win but most often I don’t. If I am stressed or upset, eating is the first thing to go. It shouldn’t be so hard to get rid of something that is so deadly.
Like a person addicted to alcohol or drugs, I will also have a longing for my mistress. So I keep reminding myself of what will happen if I let her return with full force.

The two of us can never be together again because the next time Ana will kill me.

By: Jacqueline Hough of Notes From The Voices

..the trials and triumphs of a young mother trying to conquer her eating disorder while trying to find a job and keep her sanity.


*See sidebar menu for more ED poetry and writings

*Click here to have your Eating Disorders/Body Image poetry/writings featured on Weighing The Facts

If you're dealing with insurance issues, or can't afford treatment for your eating disorder please see the following posts:When You Can't Afford Treatment For Your Eating Disorder

Important Mental Health Links

picture source: public domain pictures atphotobucket.com

Raise Money For Your Favorite Eating Disorders Organizations By Searching The Web: Good Search


With GoodSearch, you can raise money for your favorite charity, school, or non-profit eating disorders organization each time you search or shop online.

Simply choose from this list of participating non-profits, and search as you normally would.
"GoodSearch is a search engine which donates 50-percent of its revenue to the charities and schools designated by its users. It's a simple and compelling concept. You use GoodSearch exactly as you would any other search engine. Because it's powered by Yahoo!, you get proven search results. The money GoodSearch donates to your cause comes from its advertisers — the users and the organizations do not spend a dime!"
GoodShop.com, their online shopping mall with more than 900 top online retailers, will donate up to 30% of each of your purchases to the charity or school of your choice. You pay the same price as you normally would, but a donation goes to your cause!

If you would you like to add a new charity or school to the list, the guidelines can be found here.

Have more questions? Scroll down and check out their FAQs.

Recovery Quote Of The Week: May 31st 2009



"Success is the sum of small efforts, repeated day in and day out."
Robert Collier

Picture source:Publicdomainpictures.net

Mental Health Month: Important Mental Health Links



Resources: Mental Health: Hotlines, Websites, and Organizations


MHA (Mental Health America)

Finding Help
Finding Treatment
Parity Laws
FAQS


US Dept Of Health And Human Services

Children and Families
Organizations and Financing
Resources


NAMI (National Alliance on Mental Illness)

Eating Disorders
Bipolar Disorder
Major Depression
Schizophrenia
Borderline Personality Disorder
Post Traumatic Stress Disorder
More: By Illness
Find Support


National Institute Of Mental Health

Outreach Partnership Program
Statistics


Prescription Assistance Programs

Needy Meds
RX Assist
Partnership For Prescription Assistance
NAMI Prescription Assistance Programs
Merck Programs For Those In Need
The Access Project
Disability Resources Org
GlaxoSmithKline (GSK)
MHA Prescription Payment Assistance

Additional Links:

Mental Health Resources By State

Mental Health Matters

Mental Health Resources On The Web For Families (PDF)

National Mental Health Consumers' Self-Help Clearinghouse

When You Can't Afford Treatment


*See More Mental Health Links


Sources linked above; picture source:Photos8.com

Eating Disorders Poll: What Are Your Favorite Recovery Tools?


Are you recovering/recovered from your eating disorder(s)? What are your favorite recovery tools? Please take a moment and participate in the poll located in the sidebar and share what tools have been most helpful to you.

Poll Results:

What are your favorite recovery tools?

(choose all that apply)

Journaling
24 (72%)
Art/ Creative Activities
16 (48%)
Inspirational Quotes
18 (54%)
Affirmations
7 (21%)
Group Meetings
10 (30%)
Therapy/Counseling
19 (57%)
Positive Self-Talk
8 (24%)
Supportive Friends
19 (57%)
Supportive Family
9 (27%)
Helping Others
9 (27%)
Websites
12 (36%)
Books
11 (33%)
Music (listening)
18 (54%)
Music (performing)
5 (15%)
Recovery Videos
7 (21%)
Meditation
9 (27%)
Physical Activity (non-obsessive)
11 (33%)
Blogging
12 (36%)
Religion/Faith
10 (30%)
Other
3 (9%)

Votes so far: 33

Additional polls and results can be found here.

picture source:publicdomainpictures.net

Eating Disorders Inspirational Recovery Quotes: Believing In Yourself



Believe it can be done. When you believe something can be done, really believe, your mind will find the ways to do it. Believing a solution paves the way to solution.
Dr. David Schwartz


Tentative efforts lead to tentative outcomes. Therefore, give yourself fully to your endeavors. Decide to construct your character through excellent actions and determine to pay the price of a worthy goal. The trials you encounter will introduce you to your strengths. Remain steadfast...and one day you will build something that endures, something worthy of your potential.
Epictetus


When there is no enemy within, the enemies outside cannot hurt you.
African Proverb


It is not the mountain we conquer but ourselves.
Edmund Hillary

The vision that you glorify in your mind, the ideal that you enthrone in your heart - this you will build your life by, and this you will become.
James Allen


Spirit can walk, spirit can swim, spirit can climb, spirit can crawl. There is no terrain you cannot overcome.
Irisa Hail

If you have made mistakes, there is always another chance for you. You may have a fresh start any moment you choose, for this thing we call "failure" is not the falling down, but the staying down.
Mary Pickford

Nothing happens by itself... it all will come your way, once you understand that you have to make it come your way, by your own exertions.
Ben Stein


Prepare your mind to receive the best that life has to offer.
Ernest Holmes


Nothing splendid has ever been achieved except by those who dared believe that something inside of them was superior to circumstance.
Bruce Barton


What a fool, quoth he, am I, thus to lie in a stinking dungeon, when I may as well walk at liberty! I have a key in my bosom, called Promise, that will, I am persuaded, open any lock in Doubting Castle.
John Bunyan

Life shrinks or expands in proportion to one's courage.
Anaïs Nin


If you really put a small value upon yourself, rest assured that the world will not raise your price.
Author Unknown

I've spent most of my life walking under that hovering cloud, jealousy, whose acid raindrops blurred my vision and burned holes in my heart. Once I learned to use the umbrella of confidence, the skies cleared up for me and the sunshine called joy became my faithful companion.
Astrid Alauda


It took me a long time not to judge myself through someone else's eyes.
Sally Field


A successful person is one who can lay a firm foundation with the bricks that others throw at him or her.
David Brinkley

We have to learn to be our own best friends because we fall too easily into the trap of being our own worst enemies.
Roderick Thorp


You have to expect things of yourself before you can do them.
Michael Jordan


The way you think, the way you behave, the way you eat, can influence your life by 30 to 50 years. Most people believe that aging is universal but there are biological organisms that never age.
Deepak Chopra

In the long run the pessimist may be proved right, but the optimist has a better time on the trip.
Daniel L. Reardon

When you come to the end of all the light you know, and it's time to step into the darkness of the unknown, faith is knowing that one of two things shall happen: Either you will be given something solid to stand on or you will be taught to fly.
Edward Teller


Don't let people drive you crazy when you know it's in walking distance.
Author Unknown


It's not what you go through that defines you; you can't help that. It's what you do AFTER you've gone through it that really tests who you are.
Kwame Floyd

Trust yourself. You know more than you think you do.
Benjamin Spock

Plant your own garden and decorate your own soul, instead of waiting for someone to bring you flowers.
Veronica A. Shoffstall


It ain't what they call you, it's what you answer to.
W.C. Fields

People are like stained-glass windows. They sparkle and shine when the sun is out, but when the darkness sets in their true beauty is revealed only if there is light from within.
Elisabeth Kübler-Ross


Your belief determines your action and your action determines your results, but first you have to believe.
Mark Victor Hansen

To succeed, we must first believe that we can.
Michael Korda

You can have anything you want if you will give up the belief that you can't have it.
Robert Anthony

Make the most of yourself, for that is all there is of you.
Ralph Waldo Emerson


Nobody can make you feel inferior without your consent.
Eleanor Roosevelt

Your problem is you're... too busy holding onto your unworthiness.
Ram Dass


Believe in yourself! Have faith in your abilities! Without a humble but reasonable confidence in your own powers you cannot be successful or happy.
Norman Vincent Peale

The way you treat yourself sets the standard for others.
Sonya Friedman


In order to succeed, we must first believe that we can.
Michael Korda

It's not who you are that holds you back, it's who you think you're not.
Anonymous

The thing always happens that you really believe in; and the belief in a thing makes it happen.
Frank Lloyd Wright

Let me never fall into the vulgar mistake of dreaming that I am persecuted whenever I am contradicted.
Ralph Waldo Emerson


If you think you can, you can. And if you think you can't, you're right.
Mary Kay Ash

Live your beliefs and you can turn the world around.
Henry David Thoreau

Other people's opinion of you does not have to become your reality.
Les Brown


It's me who is my enemy
Me who beats me up
Me who makes the monsters
Me who strips my confidence.
Paula Cole


Some things have to be believed to be seen.
Ralph Hodgson

Put your future in good hands - your own.
Author Unknown


The things we hate about ourselves aren't more real than things we like about ourselves.
Ellen Goodman


To accomplish great things, we must not only act, but also dream; not only plan, but also believe.
Anatole France

The turning point, I think, was when I really realized that you can do it yourself. That you have to believe in you because sometimes that's the only person that does believe in your success ...
Tim Blixseth

Our ordinary mind always tries to persuade us that we are nothing but acorns and that our greatest happiness will be to become bigger, fatter, shinier acorns; but that is of interest only to pigs. Our faith gives us knowledge of something better: that we can become oak trees.
E.F. Schumacher


Confidence comes not from always being right but from not fearing to be wrong.
Peter T. Mcintyre


Don't wait until everything is just right. It will never be perfect. There will always be challenges, obstacles and less than perfect conditions. So what. Get started now. With each step you take, you will grow stronger and stronger, more and more skilled, more and more self-confident and more and more successful.
Mark Victor Hansen

Of all our infirmities, the most savage is to despise our being.
Michel de Montaigne


Don’t limit yourself. Many people limit themselves to what they think they can do. You can go as far as your mind lets you. What you believe, remember, you can achieve.
Mary Kay Ash

I am not a has-been. I am a will be.
Lauren Bacall


It is easier to believe than to doubt.
Everett D. Martin

The courage to be is the courage to accept oneself, in spite of being unacceptable.
Paul Tillich


What lies behind us and what lies before us are tiny matters compared to what lies within us. Ralph Waldo Emerson

Keep your dreams alive. Understand to achieve anything requires faith and belief in yourself, vision, hard work, determination, and dedication. Remember all things are possible for those who believe.
Gail Devers

Only as high as I reach can I grow,
Only as far as I seek can I go,
Only as deep as I look can I see,
Only as much as I dream can I be.
Karen Ravn


I just try to be the best I can be and hope that is the best ever.
Tiger Woods

Aerodynamically the bumblebee shouldn't be able to fly, but the bumblebee doesn't know that so it goes on flying anyway.
Mary Kay Ash


Never dull your shine for somebody else.
Tyra Banks


Our doubts are traitors, and make us lose the good we oft might win, by fearing to attempt. William Shakespeare

You have brains in your head.
You have feet in your shoes.
You can steer yourself in any direction you choose.
You're on your own.
And you know what you know.
You are the guy who'll decide where to go.
Dr. Seuss


*more Recovery Quotes and Quotes of the Week can be found in the sidebar drop down menus.


photo source:Bigfoto.com

Memorial Day Tribute




Memorial Day

We walked among the crosses
Where our fallen soldiers lay.
And listened to the bugle
As TAPS began to play.
The Chaplin led a prayer
We stood with heads bowed low.
And I thought of fallen comrades
I had known so long ago.
They came from every city
Across this fertile land.
That we might live in freedom.
They lie here 'neath the sand.
I felt a little guilty
My sacrifice was small.
I only lost a little time
But these men lost their all.
Now the services are over
For this Memorial Day.
To the names upon these crosses
I just want to say,
Thanks for what you've given
No one could ask for more.
May you rest with God in heaven
From now through evermore.

J.W. Johnson




Do Not Stand At My Grave And Weep


Do not stand at my grave and weep,
I am not there, I do not sleep.
I am in a thousand winds that blow;
I am the softly falling snow.

I am the gentle showers of rain;
I am the fields of ripening grain.
I am in the morning hush;
I am in the graceful rush.

Of beautiful birds in circling flight,
I am the starshine of the night.
I am in the flowers that bloom,
I am in a quiet room.

I am the birds that sing,
I am in each lovely thing.
Do not stand at my grave and cry,
I am not there. I do not die.

Mary Frye


A Moment Of Silence



Memorial Day Tribute: http://www.thememorialdaytribute.com/index.html

poems source:http://www.thememorialdaytribute.com/index.html

Video Tribute by JimNagle87

Kimkins Lawsuit: Class Certification Granted Again

Heidi Diaz portrayed herself as the beautiful woman in the red dress above left.
The real Heidi (in red, center) at one of her depositions. Heidi captured by PI surveillance.


Recovery Quote Of The Week: May 23rd, 2009



"The best way out is always through."
Robert Frost

*Please see sidebar menu for more Quotes Of The Week and Inspirational Recovery Quotes.


drawing by: Frits Ahlefeldt
picture source:publicdomainpics.net

Anorexia Relapse: Study Shows Brain Changes A Factor



Persistent brain abnormalities in women with anorexia, even in those recovered (maintaining a healthy weight for a period of a year) may play a vital role in the high relapse rate for this disorder. According to a study at the University of Pittsburg and published in the American Journal of Psychiatry, anorexics show a decreased ability to differentiate between winning and losing, not fully experiencing immediate pleasure and so possibly not appreciating the positive feelings associated with food.

The study consisted of 13 women who had recovered from anorexia, had maintained healthy weight, and had regular menstrual cycles for at least a year, and 13 healthy women. Comparing fMRI
(Functional Magnetic Resonance Imaging) results of non Anorexics with recovered Anorexics during a guessing game showed reduced function in the anterior ventral striatum and excessive firing of circuits in the caudate.
“The high activity in the caudate probably reflects a heightened attempt to control the test situation. Unlike the normal controls, the anorexic women still thought they could find a way to control the outcome of the psychological challenge, even though this was impossible," said Dr. Angela Wagner.
The game: Guess if a number higher or lower than 5 was represnted by a flashing question mark on a computer screen. Correct answer; win $2. Incorrect answer; forfeit $1

Formerly anorexic women showed much more activity in the caudate regions during the game then the control group, leading Dr. Wagner to suspect that those with a history of anorexia nervosa focused excessively on the consequences of their choices, noting that anorexics are overly anxious and obsess about doing things the right way.

"The investigators believe that the results of this study indicate that healthy women respond to wins and losses by “living in the moment” and moving on to the next task. However, the women with a history of anorexia were unable to do this."

“Our study shows a biological background to the disease of anorexia nervosa,” commented Dr. Wagner. “It is not just a result of environmental influences. In the past, our approach as clinicians was to focus on behavior and on getting patients to eat. The functional studies suggest that perhaps we should also focus on mindset, on finding ways to train these patients to accept change and to experience pleasure. A logical next step also would be to study neurotransmitters, especially dopamine, and try to understand the differences we identified in brain circuits. This might, in turn, point the way to a new approach to pharmacologic therapy for anorexia nervosa.”

One question is whether these brain changes predate and predispose patients to anorexia nervosa or whether the changes are a “scar” in the brain resulting from past malnutrition and weight loss. The researchers are now using fMRI to study brain function in similar challenge situations in women with current anorexia nervosa.
According to another fMRI study at the University of Pittsburg, anorexics' sense of taste differes from non-anorexics. Responses to sucrose (pleasant taste) and water (neutral taste) were measured. Imaging showed the response to both sucrose and water were significantly reduced in the insula and other related brain regions when compared the non-anorexic control group, making it possible that those with anorexia may have difficulty recognizing taste or experiencing the pleasure associated with it. This same region of the brain contributes to the regulation of emotions which may explain why some anorexics don't respond to hunger and avoid what is normally considered pleasurable foods.
"We know that the insula and the connected regions are thought to play an important role in interoceptive information, which determines how the individual senses the physiological condition of the entire body," said Kaye. "Interoception has long been thought to be critical for self-awareness because it provides the link between thinking and mood, and the current body state."

This lack of interoceptive awareness may contribute to other symptoms of anorexia nervosa such as distorted body image, lack of recognition of the symptoms of malnutrition and diminished motivation to change, according to Kaye.


sources:http://www.neuropsychiatryreviews.com/08jan/brainfunction.html
andhttp://www.psychologyandwellbeing.org/pn/modules.php?name=News&file=article&sid=150 picturesource:http://math.lbl.gov/~deschamp/png/myBrain.png

Eating Disorders Poll: Were You Exposed To Disordered Eating Behaviors and/or Body Image Issues?

Were you exposed to disordered eating behaviors or body image issues as a child, teenager, or adult? Did this shape your own relationship with food and/or your body?
Please take a moment to participate in the poll in the sidebar and share your experience on these issues.
Thank you.
MrsM.

Completed Poll Results:

I was exposed to disordered eating behaviors and/or body image issues by... (choose all that apply. BI-body image)
votes 104


Mother
55 (52%)

Father
26 (25%)

Grandmother
17 (16%)

Grandfather
5 (4%)

Sister
25 (24%)

Brother
11 (10%)

Aunt
15 (14%)

Uncle
6 (5%)

Close Adult
13 (12%)

Friend
53 (50%)

Other
19 (18%)

None
13 (12%)

Exposed as a Child
54 (51%)

Exposed as a Teen
71 (68%)

Exposed as an Adult
32 (30%)

Continuing Exposure
51 (49%)

To ED behaviors
60 (57%)

To BI Issues
56 (53%)

I have an ED
72 (69%)

I don't have an ED
14 (13%)

I have BI Issues
66 (63%)

I don't have BI issues
5 (4%)

In Recovery
46 (44%)

Not In Recovery
26 (25%)

I am Male
4 (3%)

I am Female
96 (92%)


See more poll results here.


picture source:http://photos8.com/love_and_body-wallpapers.html

Eating Disorders In The News: May 2009



Will Anorexia Nervosa Receive More Funding As The Number Of Male Anorexic Increase?

People ask why I write about the painful subject of my daughter’s anorexia and eventual death. I’ve explained a few reasons in past articles, but there’s one more.

You see I just can’t stand that my loved daughter has become a statistic of the disease of anorexia. And I want people to learn, as I’m sure all moms would, that this young woman had a mom and dad, a sister, aunts and uncles, grandparents, friends and enemies, talents and shortcomings, loves and hates. In other words a life, not a perfect life, but what could have been a wonderful life. I want people to see Meg as a complex human being not a statistic. That’s why I write.

To continue, after losing over thirty lbs in her senior year of high school, Meg entered college looking great at 126 lbs. She came home for Thanksgiving weighing 114 lbs; came home for Christmas weighing 108.

During the Thanksgiving holidays, we talked to Meg about losing so much weight. But since she lost another six pounds from Thanksgiving break to her Christmas break, which amounted to a mere three weeks, she obviously hadn’t listened. I was so worried that I made an appointment with a psychologist who specialized in anorexia. Her face expressionless and her body tense with anger, Meg begrudgingly went to the appointment with me. But there was a problem. Meg turned eighteen the April before she started college: This seemingly minor detail became a major stumbling block during Meg’s seventeen year battle with anorexia.

Since Meg was eighteen, she could be seen by the doctor alone, and of course she chose to do so. And I had no legal right to stop her; at that point, I didn’t feel I should after all this was her first appointment for anorexia. Meg came to her appointment dressed in a fairly short skirt, thick tights and a long-sleeved sweatshirt. Now like me, Meg holds a good deal of her weight in her legs which were quite visible; nevertheless, her skinny arms and ribs were not. As I’ve said before, Meg was smart, smarter than I realized. The camouflage dressing trick went unnoticed by me for a while. In addition, Meg always portrayed herself, to others, as a capable young woman who has no problems except a mother who worries. After her appointment, the doctor said he really didn’t think we should be concerned about Meg. He informed me that many college freshmen either gain or lose weight while adjusting to their new lives. Obviously, the psychologist was deceived by her dress and her confident manner. So much for catching anorexia early.

Looking back, this is another example of the “insightful” advice we received from the medical profession about Meg’s overweight and underweight conditions.

Read in full here.

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Help For Those Struggling With Eating Disorders

While many individuals struggle with trying to lose weight, others have a difficult time trying to gain weight.

Whether someone seeks to recover from an eating disorder, manage a long-term illness (such as cancer, Alzheimer's disease, an autoimmune disorder or food sensitivities/allergies), needs to gain weight for sport or simply aims to try to gain a healthy body weight, healthy weight gain can often present many challenges.

For one, an individual may not wish to gain weight, but needs to do so for health reasons. Perhaps this is someone with an eating disorder. If the individual is a minor, a parent is often the one seeking out healthful ways to encourage his or her child's weight gain at an appropriate rate. In these situations, it is imperative to work with a team of health professionals who specialize in eating disorders, including a physician, psychotherapist, dietitian and perhaps a psychiatrist as well. In this way, the parents do not become the "food police," interrogating children at every meal and snack, nor do they choose unhealthy ways to gain weight (such as forcing unhealthful foods into a child's diet). Additionally, the team can address underlying concerns and focus on whole body recovery, rather than just the weight restoration.

Another reason someone may be struggling with gaining weight is simply a side effect of having an illness. This can happen with Alzheimer's, where an individual forgets to eat or forgets how to eat, or cancer, where the body's reserves are being depleted at an accelerated rate.

Men, as well as women, can struggle with putting on weight, while trying to achieve high muscle mass for sport. With intense exercise, it is essential to consume enough calories to not only avoid unwanted weight loss, but also to achieve healthy lean muscle mass. Working with a dietitian who specializes in sports nutrition is helpful in this situation.

Read in full here.

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New Nonprofit Organization Targets Binge Eaters

These days, stress causes Chevese Turner to reach for a handful of potato chips and then feel disgusted.

But nearly a decade ago, difficult times would send her to finish off an entire bag of potato chips, or even go to McDonald's and eat several sandwiches.

That was before she was diagnosed as a binge eater. Now the Severna Park resident has created a nonprofit organization aimed at helping people with illnesses like hers.

Turner said she hopes her new organization, Binge Eating Disorder Association, will help other sufferers realize help is available. The group is planning a conference in June that will feature panel discussions and workshops about the disorder, and its Web site - www.bedaonline.com - provides links to resources, assistance and information about binge eating.

Turner's struggles with the illness also were recently featured in a "Good Morning America" segment on eating disorders.

"I still have my moments," Turner said. "It's a longterm thing. It's not something that changes overnight. I've done a lot of work and now I'm at a place where I manage my food intake."

Read in full here.

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Plans To Ban Internet Sites That Promote Diet Disease Anorexia

WEBSITES that promote anorexia are facing a campaign to outlaw them.

MSPs want the UK Government to introduce laws that fine or jail owners of sites promoting self-harm.

There are around 500 "pro-ana" websites promoting the eating disorder which kills up to one in 10 sufferers.

Many show disturbing images of anorexics and offer tips on vomiting and using laxatives to lose weight.

Tv presenter Fearne Cotton is furious at the sites after one portrayed her as a role model.

The SNP's Kenneth Gibson, backed in a Scottish Parliament motion by fellow MSPs, called on Westminster to crack down on the websites.

More than 80,000 people in Scotland are estimated to suffer from anorexia.

Gibson said: "I am deeply concerned about sites that portray anorexia as a glamorous lifestyle choice rather than potentially fatal with the highest mortality rate of any psychiatric illness.

"Messages on these sites fiercely defend weight loss as an act of self-control to be admired.

Read in full here.

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Learning To Love Every Inch Of Your Body

Food and weight issues for young girls and women have long been a battle to conquer.

But a researcher and author who specializes in body image says boys and men are joining the ranks of the body obsessed.

'I'm, Like, So Fat!, author Dianne Neumark-Sztainer shared this insight with an audience of parents, teens and professionals last week a workshop entitled: Eating in a Weight-Obsessed World: Helping your child have a healthy body image and healthy weight.

Hosted by the National Eating Disorder Information Centre (NEDIC) in Toronto, Neumark-Sztainer covered a multitude of topics affecting our youth with the goal of helping them to achieve healthy bodies and body images.

With a society placing emphasis on being thin as the ideal, it can be a difficult task, but initially she said parents have to identify their child has a weight or body image issue, decide how to bring it up to them and address the potential problem.

"It's important to bring up the problem when both you and your child are not upset," she said. "Tell them what you've noticed, for example, 'I heard you vomiting' and I'm concerned.'"

Once you've done this, Neumark-Sztainer said you will get a mixed reaction of "relief, anger and fear," but at least now there's a dialogue and an opportunity to seek help.

There are many factors contributing to weight and body image issues, many of which come from society. Media, like television and magazines, and movies and music videos, are filled with thin people, but in food ads, portion sizes are huge, which sends mixed-messages.

"Not only are models' pictures being modified, but so are food advertisements so they look bigger than they really are so they look better," she said.

Read in full here.

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Parent's Plea: Send Charlotte Home

THE parents of the jailed Swedish woman Charlotte Lindstrom have spoken out for the first time to beg Australian authorities to let their daughter transfer to a jail in Sweden, saying they fear her anorexia will kill her if she stays in Australia.

"We are deeply concerned and worried for our daughter's life," Anita and Hans Lindstrom told the Herald in a statement, their first since their daughter's arrest.

They said she had been treated well in jail but four Australian doctors had recommended that she be transferred to Sweden, where she could be supported by her family, feel safer and avoid the stress of directly facing her former fiance in court.

Lindstrom, 24, is in solitary confinement in a NSW prison due to threats to her life. Her family says her health is so fragile that she could suffer heart failure.

Lindstrom will be the key witness in her former fiance's drug trial, which is due to begin in a few months. The Swedish Government has offered to cover both the costs of the transfer and of a video link so she could give evidence from Sweden.

But NSW authorities say the testimony - which could take 15 days - is essential to the prosecution case and could be inadequate if given via video link from Sweden.

Read in full here.

sources linked above.

Recovery Quote Of The Week: May 13th, 2009



"The time is always right to do what is right."
Martin Luther King, Jr.

*Please see sidebar menu for more Quotes Of The Week and Inspirational Recovery Quotes.

Happy Mother's Day!



Hundreds of dewdrops to greet the dawn,
Hundreds of bees in the purple clover,
Hundreds of butterflies on the lawn,
But only one mother the wide world over.
George Cooper


Happy Mother's Day!