Friday, January 15, 2016

ED recovery program

I want to document this journey through my ED program, but haven't made the time to sit down and write. So this first entry is includes the entire first week of the program.

day 1: I was a little nervous going in to Pacifica. The size of the group was good. I think 5 of us. The therapist for tonight is blind. Everyone did their introductions and I just said my name and part of what I am here for. The dietitian met with me briefly. She wanted to take my weight. I was so nervous! I never let anyone see my weight. I knew I had to do this and she stated that there is a weigh in every Monday. This makes me even more anxious because now I for sure don't want to gain any weight. They are blind weigh ins, but she let me see this first one. 114. Gross. This morning I was 112. We all eat dinner together. It is family style. You have to have 2 tablespoons of salad dressing and the plates include a starch, fat, protein, and fruit/vegetable. I shook with the salad dressing. I know there are a lot of calories in salad dressing. They let me start slow for the night and I only had to use 1 tablespoon. Dinner was hard. I kept quiet. I ate around the salad dressing. Dinner was Thai. I ate scarcely. I do not like people watching me eat. After dinner we returned to group to process dinner. The day ended. Overall it was better than what I thought it would be. This is going to be hard.

day 2: we started in group tonight. They asked a little bit more around me in group and I was able to share more of my struggle. At dinner the salad dressing again was difficult. I just poured a little on the side of the salad. I sat down and out of nowhere tears just began to fall and my anxiety shot up. I started panicking. Eating in front of everyone and seeing a full plate of food was terrible! The dietician took me out of the room. She brought my dinner to the office and helped me calm down. We talked through the feelings and tears at dinner. It was still hard to eat in front of 1 person. I didn't eat much and ate around the salad dressing. She was pretty lenient. She asked that I eat a quarter of my plate and I was able to do this. 

day 3: Group started and it is interesting to hear others stories and struggles. Many, if not most of the scenarios, like excessive weighing food, restricting, triggers, and feelings of shame and guilt I could identify. We looked at specific triggers and how we respond to them and the stress that has correlation with our ED. I met with the dietitian. (this was a different one). She went over more in detail the types of food that are served there, the reasoning behind what is served, and how each of food group affects our body. It made sense. Somehow I got it this time. I mean,. I have heard people explain it, but this time it clicked. They had already decided to have me eat apart from the group. I went through the food line. I picked up the bottles of salad dressing comparing the back  labels for calories. The dietitian stopped me and told me I was not allowed to look at labels. I got a second cup of water. I was told that I can only have 1 drink before dinner, 1 drink at dinner, and 1 drink in the last group. I wasn't told this before, but they are not wanting people to have people fill their stomachs with liquids. I couldn't eat. I tried, but 1 on 1 eating feels so intrusive. She had me drink an ensure. She told me if I don't eat a certain amount of dinner then they replace it with ensure and expect that you drink it. I didn't want to, but I am here to get better and I want to challenge myself. I am going to abide by rules and not try to cheat. Then all of this would me worthless.

day 4: Group began and we were choosing what we were going to eat for dinner. Normally someone chooses a restaurant and we are given staple choices, usually up to 3, and we just tell what we want. Tonight they introduced a new food place. No one had been there before and so she handed out menus. My anxiety sky rocketed. I hate menus. They give me so much anxiety. I have left restaurants in the past because of the overwhelming feelings that go with looking at a menu. I began to shake. I tried not to show it. As I tried to look at the menu I started to freak out. So many foods, so many words, what are the calories, what are the fats, which one will be the lowest in fat, I have to hold it together, just pick something, I can't do this... my mind raced. I couldn't stop it. Tears rolled down my face and I started crying the ugly cry. I hated that this was in front of others, but I couldn't contain it. I began a full panic attack. The therapist came and sat with me and asked what was wrong. I told her my difficulty with menus. I could not stop crying so I left the room (well I was encouraged to go out to speak to one of the therapists). I talked some and calmed down. I wanted to go back to group and push myself. I went back in and the therapist asked me if it was okay to process what had just gone one. I shared about the anxiety that comes with menus. One of the girls told me she used to have the same thing and was something that she initially struggled with at the beginning of the program. She encouraged me that I was not alone in this. It was comforting to hear her. I am not so different. It began to sink in that I really do have and ED. I have not ever called it that, I have just been told. I never wanted to agree with it, but I don't think I can hide from it much more.

Prior in the day I was at work feeling so light headed and dizzy. It was someone's bday in the business office and thy brought over cake. I had to eat something and something with sugar. I at a small piece but it had a lot of frosting. Afterwards I felt so gross. My stomach hurt and I regretted eating the cake at all. When I got home my stomach was still turning. I didn't want this cake in me. I made myself throw up. I couldn't afford those calories. I went to therapy and we were able to process some of what had been going on in the week in the program. I did share about throwing up and she encouraged me to share it in groups tonight to process more. I was able to share in group. I was not wanting to, but I pushed myself and was able to open up.      

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