Body Dysmorphia: How do you see yourself?

I was well into my anorexia before I realized the way in which I saw and gauged the size of my own body differed from the way it was percieved by others. This revelation occurred when, after I'd lost 40 lbs, my mother, who had always been much smaller than me, handed me a pair of her pants to try on. It didn't make sense in my brain. How could I come even close to wearing the size that she wore? I had never been that size. Sure, I had lost weight and I knew that, but as far as I was concerned, I was still fat. I tried the pants on anyway, mostly to quieten her. Not only did I fit into the pants, they were so large on my body that they nearly fell to the ground even after I'd buttoned them. I couldn't believe it. I stood there in her bedroom, between the window and the ironing board, holding the waistband of my mother's tiny pants to keep them from falling off of me. I had never been so small in my entire life, according to the pants and every person who had ever known me. So why did I still see the same chubby, hopeless, miserable figure staring back at me from inside the mirror?

I had heard as a young girl that those individuals suffering from anorexia nervosa believed themselves to be fat when in reality they were frighteningly thin. My mother explained this to me when we saw the daughter of a local restaurant owner out at the department store. She was, at that point, the thinnest person I had ever seen, not to mention the skinniest person (apart from the cancer patients) in our very small, southern town. Her knee caps were the widest part of her body. Her cheekbones were sunken in as though she was sucking air. She seemed so fragile, probably 20 years old at best, though she walked across the parking lot with the gait of an 80 year old woman. All I remembered thinking was,
"How could she ever think she was fat?" 10 years later, people were asking the same question about me. I still don't have the answer.

Although I have made great progress in my recovery from anorexia and bulimia, I still have hang ups. Body dysmorphia is one of the biggest issues I still face. Here is the definition of Body dysmorphia as defined by the Mayo Clinic's website:

"Body dysmorphic disorder is a type of chronic mental illness in which you can't stop thinking about a flaw with your appearance — a flaw that is either minor or imagined. But to you, your appearance seems so shameful that you don't want to be seen by anyone. Body dysmorphic disorder has sometimes been called 'imagined ugliness.'"

I know that I've gained weight since I entered recovery, but it's very hard for me to understand that people on the street see me as, well, "normal." I assume that people think I'm chubby, or thick, or even downright fat. The reason is because that is how I see myself. When I look in the mirror, I see wide thighs, curvy hips, a stomach that isn't as flat as it could be. But it's more than what I see. It is so largely dependent upon how I feel. It is so very difficult to explain to people how it feels to be uncomfortable and restless inside your own body. I know many people argue "fat is not a feeling." I disagree. I have felt fat. I feel fat. I'm not saying it to gain attention or sympathy or even understanding. I'm saying it because that's the only way to explain how I feel.


I feel fat.
I feel like I'm too large to go out in public.
I feel like I'm too large to be seen.
I feel like people would say, "Damn, she's heavy."
I feel as though my pants are unusually tight.
I feel as though I don't belong.
I feel like I'm unworthy.
I feel as though I wish people would look the other way.
I feel like I should blend into the crowd and disappear.

So maybe fat is not a feeling, but the feeling that fat causes me to feel is uncomfortable. It's frustrating. And it's so very real.

The feeling, that is.

Sometimes I'll catch a glimpse of my body in a public place, where there are other bodies nearby to compare mine to, and I won't recognize myself. In the gym where I work out, my favorite elliptical machine is located across from a wall of floor-length windows. It is in a row with dozens of other machines which are always occupied. Sometimes, in the middle of my workout, I'll turn my head to the side to wipe my forehead with the back of my hand or brush my hair out of my face and accidentally see myself in the mirror, working out there beside all the others, and I'm taken aback by how I look. For that split second I don't look fat at all. I see my familiar brown hair, but then I'll see strangely sharp cheekbones, a bony nose, an unexpectedly slim waist. And the big kicker, normal thighs. It looks familiar, only not. It looks like me, only not. But it's only seconds before the confusion fades. I look down at my thighs, working and pumping in a circular pattern, and feel ashamed of how fat they look.

How fat they look.

I have realized that I am not very self-aware at all, even though I've always thought I was. I realize that I have no idea how I appear to others, what my body looks like charging around out there in the real world, how I'm viewed or judged or criticized-- or ignored. I only know how I see myself. I only know how irrational I am, how unfair I am, how unforgiving and appallingly self-scrutinizing I am.

I also know that I deserve better.

But how do we learn to take a step back and see ourselves as we really are? To see what I see sometimes in the mirror at the gym, or in a storefront window-- the self that somehow escapes me. Unfortunately, I don't have the answer to that either. But I do know this:

I am beautiful, whether I believe it or not.
I am worthy, whether I believe it or not.
I am important, whether I believe it or not.
I am good enough, whether I believe it or not.

The hard part is believing.
Isn't that what this is all about?
Learning to love myself unconditionally?

I guess I still have a lot of work to do.

Here's to believing.

What happened to the playground? Children and Weight Loss

I apologize for being absent lately. Normally, when I refrain from writing for so long, it's because I haven't been eating well and I'm not making my recovery an active part of my everyday life. But that isn't the case right now. Actually, it's quite the opposite.

The reason I really wanted to write today was to ask the opinion of you, my beautiful readers, regarding something that has been very puzzling to me lately. I belong to a gym in the city where I live. This gym, unlike any that I've belonged to in the past, allows children to gain membership (as part of a family plan, I'm sure) and use the equipment, most of them unsupervised. When I say children, I don't mean teenagers. I mean children. Little kids. 8, 9, 10 years old, swinging around on the elliptical like it's a toy. Not only is it unsafe, it begs the question, what kind of message is being sent these children about body image?

Even when the children are being supervised, it's still incredibly disturbing to me. Like yesterday, a father was working out on an elliptical next to his son, who was around 10 years old. The kid was pedaling the elliptical, sweating, wiping his forehead, sipping water. He was pushing himself as hard as I was. A few rows ahead of us, a trainer from the gym was teaching a kids class. 6 children were stretching, doing sit-ups, running in place, doing squats, taking turns on the treadmill. All the adults in the gym were going about their business. No one seemed to be freaking out, except for me. So I wonder, am I too sensitive? Is it because I have an eating disorder and I understand not only the benefit, but the possible dangers associated with diet and exercise? Is it because I used to be that kid, overweight, always thinking about my body, on a diet every day of my life before I was even in high school? I understand that childhood obesity is a problem in this country. But is strapping your kid to an elliptical where he can look at the calories he's burned the solution?

It made me think: what happened to the playground? What happened to playing tag, kickball, dodgeball. Red rover, red rover, send so-and-so over?

Isn't there a better way to teach our children how to be healthy?

In other words, can't we help them be healthy without calling so much attention to it? Can't we let them think exercise and healthy eating are just normal, not something they have to think about and be conscious of and monitor their progress with?

I understand there are two sides to this issue. I am not an expert in this field. It just seems so unnatural and unsafe to me. It seems so alarming because I was that chubby, unhealthy kid. I went on my first diet when I was 8 years old. I was taking diet pills on and off from ages 14-22. I've lost 80 lbs, I've been bulimic. I've tried every diet, every trick, I've been, at one point or another, almost every size in the clothing department. The point being, I've never felt just good enough. I've never been satisfied with my weight, no matter how fat or how thin. I've never been happy being me.

I just don't want anyone else to have to go through that. And when I see these kids at the gym I can't help but think of the child version of myself, struggling and sad and feeling fat and ordinary, wishing she were thin. Wishing she were pretty. Willing and sick and desperate enough to do whatever she had to do to lose weight.

And then she did. And it didn't change anything.

What was the point, then? What did it solve, all those years of dieting and exercise and purging and restricting and binge eating and crying and not feeling good enough and wanting to change and wanting to die?

Nothing.

It solved nothing.

I guess the point I'm trying to arrive at is this: if you are unhappy, if you don't feel good enough, if you don't love yourself, if you aren't at peace with who you are right now, then losing weight isn't going to change any of that. Even if the diet commercials and talk shows on television tell you otherwise. Changing your outward appearance does just that: it changes you physically. If you are emotionally damaged, it's the inside of your body that needs to be changed. It's your heart that is in need of healing. Your spirit. Your mind. Your soul.

No diet is going to change that.

Lessons from Grandma

My grandmother, Elizabeth, is well into her eighties. She is one of the most beautiful, most humble, most wise and most spiritual women I have ever met. (She also happens to share my birthday). She has undoubtedly seen many things in her lifetime. She has birthed 9 children and buried one of them. She has lost her husband of nearly sixty years. But what about the little things? She has watched herself grow from child to woman, from woman to wife, mother, grandmother. Great-grandmother. Her hair is gray. Her body is wrinkled. And it has been for all of my life, yet I've never thought of her as anything less than beautiful. How have I never considered she might not feel the same way about herself?

I learned an interesting bit of information about my grandmother yesterday that should have been obvious or expected somehow, but wasn't. She too has insecurities about her body, she, the one woman in my life I've always viewed as a pillar of strength and wisdom and faith isn't always happy with the reflection she sees in the mirror. But she, unlike many of us, sees the deeper beauty that lies beneath the wrinkles, past the gray hair, the aging body. She sees the radiant beauty inside.

She says, "Sometimes I wake up and look in the mirror and think, Oh God, look at me. Look at this face." Then she sighs. "But I am a child of the King. Good morning, St. Elizabeth." And then she laughs. That long, heart-felt laugh.

She is a child of the King.

How beautiful is that? I share many things with my grandmother-- her hips, her thighs, her good heart, her birthday. I only wish I shared her positive outlook.

Why am I at war with my body?

Why?

What has it ever done to me?

What has it ever done but need nourishment, love?

What has it ever asked for except only to be accepted--- as it is.

The way it was made.



A child of the King.

Self-Worth 101

It has been far too long since my last post. I recently got a new job and adjusting to my new schedule has been difficult. Those of you who joined the virtual recovery group I talked about in my last post have already heard this (thank you, by the way! Anyone else interested in joining, the offer still stands. Just let me know!) Trying to eat properly during all of these changes has been particularly challenging. Some days I've been working doubles (two shifts in one day) and it would have been easy for me to skip lunch, skip dinner, restrict like crazy. It would have been easy, but it would have been wrong. I've had to make a conscious effort to find time to eat and eat correctly. Being busy is no excuse to go without food. Anorexia says it is, but anorexia lies. Today is my first day off after working 10 days straight. Needless to say I'm exhausted.

I had originally intended to write about something completely different today, but I received an e-mail from one of my dear friends that really struck a chord in me. She forwarded a quote by David Foster Wallace that says,

"If you can, think of times in your life that you've treated people with extraordinary decency and love, and pure uninterested concern, just because they were valuable as human beings. The ability to do that with ourselves. To treat ourselves the way we would treat a really good, precious friend. Or a tiny child of ours that we absolutely loved more than life itself. And I think it's probably possible to achieve that. I think part of the job we're here for is to learn how to do it."

Sometimes I just need to be reminded of that. Sometimes we all do.

We are all valuable as human beings.

We all have something special and good, something uniquely our own to offer the world.

We are all imperfect, but we are all important.

We have value.

We have worth.

We are too good to be wasted.

It's easy to remember those things when we've done something good, or when something good has been done to us. But it's hard to remember our worth when times are bad. But we are just as worthy. For so many years, my eating disorder held me down an tricked me into believing I wasn't worth anything, that I didn't matter, that no one cared, that the world wouldn't miss me if I was gone. But, like I said, anorexia lies.

Please remember that.

Be good to yourselves.

Weight and Wellness

Though weight is a subject constantly on my mind, I've been thinking about it more and more as I've been sick the last few weeks. I've been on such a mix of antibiotics, steroids, pills for dizziness, decongestants, ear drops, and supplements. I hate taking medicine to begin with, and I certainly hate taking this much of it. I believe in being as natural as possible so this entire course of treatment has been difficult for me, especially when I stop to consider the effect all of this medicine could have on my weight. I've read the ins and outs of all the side effects and one pill in particular says that weight gain is very common. How am I supposed to handle that? Most people reporting weight gain have taken the pill as part of long-term therapy while I'm on it only for seven days. Regardless, the last thing I want to do is gain weight. I've been too sick to work out. Starving myself is no longer (and never should be!) an option. So where does that leave me? Do I stop taking the pills in an attempt to maintain my weight or do I concentrate on clearing up the dizziness, the infections, the fluid in my ears? Do I choose weight or wellness?

Of course I know that the answer should be to choose wellness, but it's not so easy. I'd be lying if I said the thought of weight gain didn't terrify me, even to this day. I have gained weight since I began recovering from my eating disorder, but I am finally at a size I've been learning to feel good about. Suddenly I have to consider what I would do if that size changed? I am all about love and acceptance of the way that I am now, but if I were suddenly much larger, would that change? What if I actually became obese? Could I still love myself, or is that love conditional?

The point is that it shouldn't be conditional. It should be unconditional. Whether or not I gain weight from this medicine or for any other reason should have no bearing on my ability to love myself. It should have no bearing on my self-worth. I always talk about how much the outward appearance doesn't matter. But does it? I want to say no. But if the answer is really no, then why am I still so afraid of gaining weight?

I guess even after all of this time spent in recovery, I still have a lot of ground to break. Discovering my weaknesses is the first step toward correcting them. Better yet, it's the first step toward letting go of them.

Maybe I still have a lot more self-discovery to do before I can fully move on to self-acceptance.

Why recovery is worth it:

In recovery, you realize your body is special.

You are worth saving.

Life is too short to be miserable, sick, and hungry.

Food has a purpose. It fuels your body to give you the energy to live.

You will remember what it feels like to hope and to dream.

If you're healthy, you can actually begin to make them come true.

When you're free from your eating disorder, you are free. Your thoughts are your own.

You don't have to answer to anyone.

You don't have to lie to people or live a double life.

You don't have to feel guilty.

You don't have to hate yourself.

Food is not the enemy. You don't have to be afraid of food.

Your hair will stop falling out.

Your stomach will stop growling.

You won't be light headed.

And you won't gain a hundred pounds.

Eventually, you'll stop fighting with the mirror.

You will begin to trust yourself.

You will begin to take care of yourself.

You will begin to love yourself.

You can start over.

It's not too late.

You are worth saving.