ED Recovery Struggle

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Hi!
I've been trailing the forums and found that there are quite a few people who are or have been in my situation, or something similar. I am a recovering anorexic, where I have increased from a BMI of below 13 in December to now being at BMI 17.2. I am 5"6 and currently weigh around 48.6kg (106 pounds). I know that this is still not healthy, but having recently been discharged from the mental health services and from my dietician I am now finding it very hard to keep up with the motivation to gain weight. I have stayed at this weight now since discharge (about 6 weeks ago).
I have been eating smaller portions but somehow am feeling fuller..! I also eat pretty much the exact same things every single day at exactly the same time, and although I have tried to stray from these foods I just can't seem to do it.. I even bought some cute hello kitty shaped pasta.. and couldn't make myself swallow as I kept thinking of the time in December I tried it and went sick. Because of this I don't eat pasta, pastry, wraps, bread, cake, rice, pancakes, waffles, crumpets etc. Though I do eat cereal, oats and crackers and sometimes biscuits. I am terrified of 'unhealthy' food and am struggling to know what a normal amount to eat is, and if anyone else has gone through this fear of straying away from your 'safe' list, and if so , how did you get over it?
I am averaging about 1450 - 1700 cal / day now, is this ok?? I am trying to calculate my macros too but always seem to go over the sugar and am afraid of too much fat..
Any advice would be so appreciated'!! x

Replies

  • louisefranks
    louisefranks Posts: 12 Member
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    Oh I'd like to help, but I have a feeling you'd be the last thing you'd be looking for! I'm a binge eater and starver (or should I say trying to recover from) and I'm not done with the therapy thing yet. Currently having CBT but help from GP is non-existant because I'm not underweight. The CBT I'm having is with an eating disorder specialist and is funded by my employer. Who'd have thought I'd have to get help via my employer just because the NHS won't give me help? Maybe they'd prefer I had a slow death through hypertension and diabetes instead....oh heck I'm ranting now LOL

    If you would like some encouragement, my struggle is different to yours, but I'm familiar with the mental torture that is eating and the obsession that is counting everything...every macro nutrient etc. I'm doing my best to stop these behaviours *sigh*

    Message me if you'd like, but I'm sure other people more in-tune with your particular ED will contact you anyway. I've used MFP for a lot of years and there never seems to be a shortage of people with ED issues (sadly).

    Good on you for making progress towards a healthier lifestyle hun x
  • Cryptonomnomicon
    Cryptonomnomicon Posts: 848 Member
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    Recovering ED sufferers are welcome on mfp, and I am glad you have sought professional help and are on the road to recovery. As you are in recovery I think it is of the utmost importance that you focus on getting a healthy amount of calories in a day before you focus too heavily on your macros, I will provide a link for how to figure out your macro and calorie allowances below.

    http://www.myfitnesspal.com/topics/show/819055-setting-your-calorie-and-macro-targets

    Protein and fats are essential for health, consuming fats or sugars will not make you overweight, which is probably counter-intuitive to what you believe, eating more than you body needs for maintenance is how one gains weight. Fats are essential for healthy heart and brain function and other physical necessities. Protein is essential for the body as it provides the building blocks for repair and muscle growth.

    I don't suffer from an ED so forgive my ignorance if my advice is not useful or out of context, I recommend you get in touch with the organization below as they would be able to get you in touch with someone better versed in your illness.

    http://www.nationaleatingdisorders.org/

    Good luck OP and I hope you get the help you are looking for and look forward to reading about your successful recovery in the future.
  • girlviernes
    girlviernes Posts: 2,402 Member
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    You have really come a long way, and it is really a sign how important recovery is to you that you are posting here!

    Generally in recovery the goal is to regain to at least a BMI of 19. Your hunger signals aren't a very good guide when you are underweight and it is OK to eat even if you aren't hungry. You could try increasing your daily calories by 250 until you are gaining 0.5 pounds per week. If it is hard to eat more, you can also do this by adding 1-2 nutrition drinks like ensure. Regarding the foods you are struggling to eat, you could try listing them all and rating from 0-100 how difficult each food would be for you to eat. Then systematically start with a food that is around 30-40 and work your way up. You can do this with a therapist who practices exposure therapy (they will usually be a CBT (cognitive behavioral therapy) therapist).

    The motivation part is trickiest and probably the most important thing about having a professional (dietitian or therapist) is the chance to work through all the thoughts and feelings that get in your way and get the encouragement to keep going. It may also help to remind yourself what life was like at a BMI of 13. Were you happy? How did you feel physically? At that time you probably also did not want to gain weight or eat more, but did entering treatment help you move more towards happiness and feeling better physically? It will be the same as you get back into the normal BMI range.
  • minusonali
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    I am also trying to recovery from an ED friend me!
  • legs180
    legs180 Posts: 293 Member
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    Hi!

    It sounds like we are in a very similar situation...I am also here trying to recover from my eating disorder. One year ago I had a BMI of 13.9, and today it is up to 17.1. I have been recovering entirely on my own, so it has been a slow process with a lot of ups and downs, but I finally found a path that is working for me. I started out by saying no to all my fear foods and focusing on eating only the foods that I was comfortable with. My diet at that point was very limited as I'm sure you can sympathize with, but I did this to get rid of the anxiety that surrounded eating for me. I just made sure to eat my safe foods as often as I could throughout the day. And when I thought I was done eating I would eat some more. But only my safe foods (I probably ate my way through a million apples). I think it really helped my body get used to eating regularly again. And after a couple weeks of this I started to feel real hunger again--hunger without anxiety or guilt--which was such an amazing feeling, I've honestly never felt happier! At this point I slowly started integrating the foods that had previously made me feel anxious or nauseous or "heavy". Just one at a time, little by little, gradually building up my daily caloric intake and spending some time each day just reminding myself that I want to be HEALTHY above all else, and that eating is GOOD FOR ME. If I caught myself thinking of food or eating in a negative way, I would stop and restructure that thought into something positive instead.

    I've only been using MFP for a few weeks now but I was truly shocked at how much it recommended I eat a day (2350 cals). I was waaayyy under this when my disorder was in full swing. I didn't even realize how few calories I had been taking in! I never kept track. But now that I'm getting used to this amount I actually want to eat more because I feel I'm not gaining enough anymore. Try your best every few days or so to up your intake a little bit more, even if it's just by 50 cals! Every little bit counts. That is basically my recovery mantra: something is always better than nothing.

    I think you should be aiming to eat a little bit more than what you are right now..but like I said, those calories can easily come from your safe foods! The important thing is that you just get calories into your body. As for your fear of sugars and fats, these don't need to be the unhealthy kinds. There are lots of sources of healthy sugars (fruit, for example), and fats (like olive oil, avocados, and nuts) which your body needs in order to recover and function properly again. Our society has put such a horrible label on fats and sugars (i.e. saturated fats and white refined sugar) when in fact they are naturally occurring in healthy foods and are NEEDED by our bodies.

    I am not a doctor or anything so of course always keep consulting them during your recovery-- this is just what has helped me during mine. Try your best to stay positive and don't let any setbacks get you down! I wish you so much luck in your journey, I know you can do it! Feel free to message me at any point, I am always happy to help, or even just to listen (:
  • carcarxx94
    carcarxx94 Posts: 38 Member
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    Thank you to everyone who replied!! I have now been trying to incorporate foods that were out of my 'safe food' zone (that was incredibly orthorexic..:/). To this challenge I went on a week long holiday where it was 'eat whatever you can find at the time or starve..' . And was shocked that I would definately rather eat whatever I could find!!! I have begun to eat to my hunger and cravings again.. though still struggle with the anxiety and guilt.. but I've seen that others can get through it so so can I :) Thank you legs180 for the reminder on thinking of eating in a positive way.. whether it be something I find 'safe' or not.. eating in general is ok, and it is goood and healthy to consume calories. I have also made a list of my fear foods, and have begun a 'fear food friday' so I have a week between each integration to get used to them but know that I must introduce a new one each week! Thank you all :)