life is so endlessly delicious

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one of the goals that my therapist has set me for this week is to think less about food. this means less time on pinterest and instagram scrolling past pictures and automatically starting to calculate the calories. less time reading recipe books and food blogs, planning meals that i may or may not eat. less time looking at restaurant menus online, paralysed by hypothetical indecision.

the idea is that food – and everything i associate with it – is taking up too much of my time at the moment and forms far too large a part of how i view and value myself, leaving very little left for any other aspect of my life. every thing that i eat – or just think about eating – takes on far more signficance than it should. sometimes i can spend hours just trying to decide whether i should eat breakfast or not and what either of those decisions means about me (which, the rational part of my brain knows, is absolutely nothing).

like many people with an eating disorder, i love food. i’m obsessed by food. in some ways, i think this is a legacy of being a fussy eater as a child – i was always thinking about food and whether there would be something i could eat at the next meal. without wishing to sound like a twat, my husband and i have been lucky to eat in some of the best restaurants in the country over the last few years (including a spectacular pre-wedding meal at the fat duck) and i’ve been fascinated by every single ridiculous course.  for a while, this was channelled into the food blog i used to run which legitimised it. there was a whole community out there of people who spent just as much time as i did thinking about food. although i might have been free from some (or indeed most) of my disordered eating habits, that obsession meant that they were never very far away. and then, when life went to shit, they came back with a vengeance.

i do understand my therapist’s point of view. my life needs to be less dominated by food. but, at the same time, food is so bloody delicious and the idea of a life that doesn’t celebrate that seems pretty grim. i guess where i’m struggling at the moment is to find some sort of middle ground and so i end up swinging from one extreme to the other.

 

{title quotation from ruth reichl}

the world breaks every one and afterward many are strong at the broken places

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at one point last summer, i told my old therapist that i felt completely and utterly broken. from memory, he seemed to think that i was being a tad melodramatic which may well have been a fair assessment. i remember that feeling so acutely though; mainly because it’s almost exactly how i feel right now.

this morning i had an appointment at our fertility clinic for a couple of internal scans / procedures in preparation for our ivf cycle which will be kicking off in a couple of weeks. it was supposed to be relatively routine – no worse than a smear test i’d been assured – but due to a complication with my ‘flexible’ cervix (way tmi i’m sure) it was a lot more difficult and painful than anticipated. as nice as everyone was and as gentle as they tried to be, the whole experience was incredibly traumatic. i’m still struggling now and have spent most of the evening in tears.

in some ways, my feelings about infertility/ivf are not dissimilar to my feelings about the rape.  there are, clearly, areas where the two are intertwined (like the months where we haven’t even been able to try naturally because of my fear of flashbacks and intrusive thoughts) but, more than that, there’s a lot of guilt associated with both of them and the feeling that either – or both – are no more than i deserve. and then sometimes i think that the infertility must be my punishment for being raped.

both the rape and the infertility play neatly into the construction that i have built of myself; reinforcing the belief that i am fundamentally broken.

(when i was at university, i did a paper in my final year on tragedy throughout the ages going from the plays of ancient greece to beckett via shakespeare, racine and ibsen (amongst others). i think i might have taken the concept of hamartia slightly too much to heart.)

if you’d asked me a few months ago, i would have said that, with therapy, some time off work and a fair amount of medication, i’d managed to fix myself. but it turns out that the glue that was holding it all together was the anorexia. and without that, i’m broken again.

{title quotation from a farewell to arms by ernest hemingway}

sunday evening…the very time of all others…when the heart must be opened, and every thing told

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somewhere along the line, i’ve grown to hate sundays. sunday afternoons in particular. for reasons that i don’t quite understand, i find this by far and away the hardest time of the week; it’s often when the intrusive thoughts are at their strongest. i often end up hiding, retreating from the world and burrowing myself in the sanctuary of my bed.

today has been no different.

i’ve not been sleeping well recently. partly because i’ve stopped taking diazepam / olanzapine at night. but mainly because there’s just a lot going on at the moment. work is busy and stressful; last week involved some late nights and early starts. the ivf process kicks off this week with a dummy transfer on tuesday morning to check that everything will go smoothly for the real thing. at the end of the week, all being well, i’ll start on the pill for 10 days or so to regulate my cycle. i’ve had a welcome break this week from re-living the rape in therapy but it’s always there. and then there is still absolutely no respite from the constant and exhausting battle against the eating disorder voices. it’s so bloody noisy in my head right now.

despite all of that, i actually had a couple of good days this week. i managed three meals without any restricting or bingeing. and then. as ever, i self-destructed. not spectacularly, particularly in comparison to recent weeks, but it was enough. i was, perhaps, slightly ambitious in inviting some friends for afternoon tea yesterday. the combination of anxiety about eating and being surrounded by food left me drained by the end of the day. and more conscious than ever of how much this eating disorder is still controlling every aspect of my life despite things appearing, on the surface at least, to be much improved.

i woke up early this morning, bruised and fragile. i felt defeated before the day had even begun and certain that i wouldn’t be able to resist the lure of a day of restriction. but a run helped a little, despite the rain and the hills that i forced myself up. an appointment with my lovely nutritionist also helped, at least enough that i was able to manage some lunch when i got home.

one thing that we talked about today was the importance of preparation; anticipating the bad times and having a strategy in place to survive them. and so, it’s been a deliberate strategy this afternoon of curling up on the sofa and distracting myself with a trashy thriller. so far, it seems to be working.

{title quotation from mansfield park by jane austen}

stirring dull roots with spring rain

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on friday, my psychiatrist and i agreed some rules for april. unless i make what he described as significant progress by the start of may, he will suggest that we take a break from treatment and i consider my options. for the last few months, i’ve been stuck in a sort of half-recovery, doing just enough to avoid getting into serious trouble but not really trying as hard as i know that i need to.

the rules are simple. don’t lose any weight. three solid meals a day, totalling at least 1,200 calories. reducing the bingeing that has crept in to twice a week, max. no purging behaviours. basically all the stuff that ‘normal’ people do (except maybe the bingeing).

april needs to be the month that i crack this. partly because being kicked out of treatment (even if it’s done in the nicest possible way) will be (yet another) way in which i’ve failed but primarily because we’re hoping to start ivf this month. my missing period turned up over the weekend so i need to call our clinic tomorrow morning to get the ball rolling; a prospect which is both more terrifying and more exciting than i can put into words.

sadly, yesterday – the 1st april – wasn’t much of a success. it was perhaps slightly ambitious to try and stick to the agreed rules and host easter lunch for my in-laws at the same time. at the moment, any kind of social occasion – even one in my own home which i am firmly in charge of – generates a huge amount of anxiety which generally translates into all the behaviours that i’m not supposed to be engaging in.

it astonishes me that we’re in april already. the year is slipping past, lost in a blur of bingeing and restricting and purging. i don’t want to go on like this. today is going to be a better day. it has to be a better day.

{title quotation from the wasteland by t.s.eliot}