eating disorder Archives - Page 3 of 3 - Everyday Chocolate

September 21, 2022September 19, 2022 by Libby

A Few Things That Helped Me in Recovery

Recovering from an eating disorder was the hardest thing I have ever done in my life. I don’t even think there is a particularly close second?? There is a reason recovery rates for anorexia are generally estimated to be below 50% (and I would argue probably considerably lower, depending on one’s definition of “recovery”), and that it is the mental illness with the highest mortality rate. Not only is it a severe mental illness, but unlike other mental illnesses, the sufferer is literally physically starving themself to death as a result of the internal mental and biological processes gone astray. To make matters worse, the person generally doesn’t realize they are even sick (at least not initially or for a while), and the “anorexia brain” causes the person to not want to get better and to maintain the eating disorder at all costs (again, at least initially).

IT IS A TERRIBLE THING, LET ME TELL YOU! And I have tremendous compassion for anyone reading this post who is suffering or who knows someone who is.

From my own experience and considering the experiences of other people I have talked to or read from, the downward spiral into full-blown anorexia is usually very sharp and sudden. While I have a lot more insight now, when I broadly look back on my experience, it is like I was walking…walking…walking…going about my life, and then suddenly it was like I fell off a cliff and was helplessly consumed by this devastating thing in my mind I had no control over and didn’t even realize was there. Anorexia, from my experience, was like this out-of-body, dissociative experience of devastation taking place inside my mind with drastic physical consequences. While the downfall into anorexia is often sudden, the full climb out is long and challenging, taking a tremendous amount of motivation and perseverance.

However, I believe that full recovery is possible for anyone, no matter how serious the illness or how long it has been a problem in your life.

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August 17, 2022July 28, 2022 by Libby

Exploring Different “Types of Hunger”

When many people first hear of Intuitive Eating, they tend to think it is simply about eating when you are hungry and stopping when you are full. While this is certainly an important part of being an intuitive eater, eating intuitively goes well beyond responding to our physiological hunger/fullness cues. In this post we will explore some of the other kinds of “hungers.”

This concept of “types of hungers” is introduced in the Intuitive Eating book and I will elaborate and expand a bit more in terms of how I tend to think about it. Of course, generally when we think of feeling hungry we are talking about a physiological drive to eat. Everyone experiences physiological hunger in slightly different ways, often some combination of a grumbling stomach, lightheadedness, irritability, difficulty concentrating, etc. For the purposes of this post, we will explore hunger as a concept of various drives/reasons to eat including and beyond just physical hunger.

Let’s explore some of the different types of hunger!

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August 3, 2022July 23, 2022 by Libby

What is Intuitive Eating?

This post was first published on January 13, 2021. As many of you are newer to the blog, I wanted to repost it today as the principles of intuitive eating are relevant for much of my nutrition philosophy!

Today I want to spend some time discussing what intuitive eating is, as this framework of eating underlies much of what I believe and talk about when it comes to food. When I first learned about intuitive eating towards the end of high school, it greatly helped me in my recovery from an eating disorder and in improving my relationship with food.

The intuitive eating framework was developed by two dietitians, Eveyln Tribole, M.S., R.D.N., and Elyse Resch, M.S., R.D.N. The first edition of the book, Intuitive Eating, was published in 1995, and the fourth (and most recent) edition was published in June of 2021. The book goes in depth on the ten principles of intuitive eating (which I will describe more below) and is a resource I would HIGHLY recommend if you are interested in learning more! (*There is also a workbook that you can get to go along with the book that is also really helpful!) Since the publication of the book, there have been over 100 studies on intuitive eating, validating its effectiveness when it comes to improving one’s overall health (both physical and mental), including one’s relationship with food.

Intuitive eating is a way of eating that focuses on tuning into your own internal bodily cues, mind, emotions, and overall intuition. It places emphasis on the reality that our bodies know best what/when/how much to eat – better than an app or calorie tracker, a meal plan, or a diet (or “lifestyle/wellness plan”) – YOU yourself innately have the ability to eat in a way that cares for YOUR body and YOUR specific needs at any given point in time.

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July 6, 2022July 6, 2022 by Libby

Bringing Awareness to Food Rules

If you have been trying to diet for any length of time or experience any degree of disordered eating, you likely have a number of food rules that you follow, whether you are conscious of them or not. Creating food rules is an anxiety and fear-driven way to try and “manage” one’s eating. If you follow your food rules (however arbitrary they may be), you are doing “well'” with your eating and your anxiety is minimal. If you break any of the food rules, you “messed up,” ate “badly,” “cheated,” and/or experience guilt and anxiety.

Examples of food rules include the following:

Only eating dessert once a week on your “cheat day”
Excluding entire food groups
Only eating what you measured/planned even if you are still hungry
Refusing to eat what other people prepare (out of anxiety / not being able to control or know for sure what’s in the food)
Only eating ____ calories per day and obsessively tracking this
Only consuming dessert if you plan to “work it off” later
Only eating at set times, even when you are hungry at other times

Of course, it is helpful to have some structure to our eating. I generally eat at similar times each day and have other intuitive, broad patterns to my eating. I would consider this normal, and also helpful so that we are not constantly “starting from scratch” completely wondering how and what and when we are going to eat each day. In addition, some people follow certain “rules” for medical/health reasons that are not rooted in fear or anxiety – for example, a type 1 diabetic counting her carbs, or someone mindfully avoiding less sugar right before bed because she knows she is prone to not being able to sleep otherwise.

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May 17, 2022May 17, 2022 by Libby

Moving from Restriction & Obsession to Freedom with Food

We have all likely noticed from experience that when something we want or need is in short supply, or even perceived to be in short supply, we can become anxious or obsessive in our thinking about the thing that is limited (or perceived to be limited). This can apply to many areas of our lives, whether it is money, time, relationships, food, clothing, or other material items.

I know for me, I find myself struggling with this a lot in the area of time. I tend to too often live in this perpetual “emergency, fight-or-flight state” of feeling like I don’t have enough time, even though there is generally plenty of time to do the things that I want or at least need to do. When I feel like time is in short supply I end up feeling anxious and obsessive about time. This leads to unpleasant side effects like jam-packing my days, running through the day at too fast a pace, and a lack of margin, rest, and presence. When I was studying for my RD exam, I perceived and experienced such scarcity of time (whether that was self-induced or not is another question…) that even when I had a bit of time to rest on the weekends it was hard for me to fully rest and relax because I was anxiously and obsessively worrying about the lack of adequate time to rest!

This type of thinking is what can be thought of as a scarcity mindset. A scarcity mindset is when you are experiencing or perceiving a lack of something, leading to obsessive thinking about the thing that is limited (in actuality or in your perception). While time is one of the biggest ways I experience this now, I certainly used to experience this a lot with FOOD and still can from time to time (albeit in more normal and at times, unavoidable ways).

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December 15, 2021December 9, 2021 by Libby

Day in the Life: Eating Disorder Rotation

Hello! Today I wanted to share a “day in the life” type post… so read on if you are interested in seeing more of what my days often look like and more of what I have been up to in my eating disorder rotation! I know I enjoy reading these types of posts and have found it helpful to read what other dietitians’ or dietetic interns’ days are generally like. I am writing this a few days in advance, so this was my day last week on Wednesday!

5am: Wakeup! I like to wake up early so I have time to do the things I like to do before starting my work day – this helps me to feel energized and ready to go for the day! When I get up, I get on my running clothes and go downstairs to have an energy bite with some almond milk for a snack as otherwise I would get way too hungry since I don’t have breakfast till a bit later.

5:10-5:30am: After my snack, I sit in my favorite spot (next to the Christmas tree) to read my Bible and pray. I am doing a Bible reading plan that would take you through the Bible in one year but I am doing it in two years so the amount of reading each day is more doable for me right now!

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December 1, 2021December 1, 2021 by Libby

Is Your Relationship with Exercise Healthy?

Health messaging all over the Internet and in the offices of healthcare professionals is often, in unison, recommending that we should be exercising more – more often and with greater intensity. We are told we should be exercising more to lose weight, prevent diabetes and heart disease, and on and on. This leads many of us to think that the more exercise we do, the better. However, is exercise always healthy? And, when it comes to exercise, can there be too much of a good thing?

I think there are two main angles to look at to discern whether or not the exercise you are engaging in is healthy. On the one hand, there is a point at which the exercise you are engaging in is physically unhealthy. On the other hand, there is a point at which the exercise you are engaging in can be mentally and emotionally unhealthy. I will illustrate this with a few examples.

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October 27, 2021November 10, 2021 by Libby

Eating Disorder or Disordered Eating?

Happy Wednesday! I hope you are having a nice week so far. I have been enjoying the fall colors lately and getting outside when I can, especially when it is sunny! I just finished my five-week-long food service management rotation at one of the dining halls at U of M. I enjoy food service and learning more about managing food operations – it was especially interesting/crazy with all of the supply chain and staffing issues going on with COVID! Not fun for the staff when they are trying to feed and forecast menus for 2000 people multiple times every day… This week I am doing a one week clinical rotation with the maternal and infant health unit at Michigan Medicine. The one constant of this internship is that it is always changing and quickly on to something new!

Today I’m going to be covering a few concepts…

- - What is an eating disorder?
  - What is disordered eating?
  - What does it look like to be a healthy eater?,

I often talk about both eating disorders and disordered eating, so I think it’s important to take some time to explain what each means. It’s necessary to make this distinction because one can have a disordered relationship with food without having a full-blown eating disorder, and both are important to address for optimal health and well-being.

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May 12, 2021May 12, 2021 by Libby

Self-Prescribed Rigid Box Thinking

Today I’m going to talk about a concept I think of as “self-prescribed rigid box thinking,” – rule-bound, all-or-nothing, black-and-white thinking we can impose on ourselves. This is something I used to struggle with a LOT when I had an eating disorder and this way of thinking can still impact me regularly (but thankfully usually in much lesser degrees).

About a week ago I decided not to do a marathon that I had been training for the past few months. The marathon is only a month out, but I was at the height of my training plan and my knee was starting to flare up a bit. I felt like I could have pushed through it and done the marathon, but I really did not want to risk any injury, especially since the last (and only) time I did a marathon I was out for 5 months after the race recovering from a knee injury in the same knee that was flaring up last week. (The marathon was totally worth it at the time, but I would not recommend running a marathon on a semi-good knee!) I also felt like my motivation for doing this marathon wasn’t in the best spot. For the first marathon, I had a lot of fun training, and completing the marathon was my only goal – and it ended up being one of the best/most exhilarating days of my life! Running a marathon was something I had always wanted to do, and I didn’t know for a long time if it would be possible for me to run a marathon healthfully due to my history of anorexia nervosa and 6 years of restrictive eating/overexercising-induced hypothalamic amenorrhea.