It’s been a little hard lately. I discovered that I’d gained quite a bit of weight. I say discovered although I knew this was happening but I’d deliberately avoided stepping on the scale and bringing it up in therapy to have it confirmed. At first I thought it was my very warped view of myself but then my pants started to not fit and picture after picture seemed to be more unpleasant looking than it used to and well I knew it was bad. I languished in my misery but also the knowledge that knowing my weight wouldn’t help nor would restricting or using other behaviors until I couldn’t take it anymore and asked my therapist to weigh me. She confirmed my weight (which ironically was to the pound the number I anticipated and one I was NOT happy about) but knowing your weight and then knowing it are two very different things.
Where the hell had this weight come from? I was pissed, panicked, terrified, furious, ashamed, embarrassed and a thousand other emotions all at once. I had been doing what I had been SUPPOSED to do. I was following the rules. I was eating when I was hungry, stopping when I was full, eating what I wanted when I wanted in moderate quanities. No restricting. No overeating. Simple intuitive eating. And I still gained weight. WTF was going? This was not what they had told me was going to happen. When I left treatment the team had led me to believe that as long as I did all those things my weight would still in this nice little weight range. And I had learned to accept that weight range. Even like my body there. And now? Well, I had gained xxxxxx pounds. How could I ever trust any of my treatment professionals again? Again, why the hell had this happened?
Well as my therapist and I discussed (okay that’s probably too nice of a word) a lot of it probably came from a medication I have been on for quite awhile and the increases to my weight were probably related directly to increases in that medication (it increased my body’s tendency to retain water and also my hunger cues). Also, some of that weight gain was probably normal. I’m 25. I first developed an eating disorder most likely in my early teens, gained a ‘healthy’ weight for the first time at 21′, promptly lost that weight at 22, and then regained it at 23. So my body really did need some time to figure out where it’s new normal was.
But that didn’t really reassure me (besides tell me that I was getting off my medication pronto – I didn’t care what anyone thought) in fact it just made me madder. Why hadn’t anyone told me these things? Why hadn’t someone thought to mention to me that this five pound weight range might not stay there? Why hadn’t they told me I could gain? Why hadn’t they told me my pants size might not be a perfect size ____? No one had that I could remember. All I was told was that eat intuitively and your weight will take care of yourself. Well, yeah it had and it had f’ed me over. And in the process in my mind so had the treatment professionals.
So where to go from there? Well the place not to go is straight back into behaviors. That doesn’t really help with metabolism and loosing weight. Not really. In the short run – maybe but in the long term it really just teaches my body to hold onto fat and food while it can. It’s hard to believe that and yeah I struggled a bit with restricting my food intake at first but I’m back on track now. I’m off of the weight gain medication. I just couldn’t continue taking it. Maybe not the best or most rational choice but for me right now I just couldn’t do it. And I’ve seen the effects. My thinking is “looser” as my therapist likes to say, I’m having trouble sleeping and my anxiety is higher but I’m not retaining the water and I feel better physically. That’s nice. I’ve added more exercise into my routine. Both to make myself feel better and I suppose somewhat disorderedly as well. Not the amount – but the rigidity is probably a little too much. My hunger cues are a little different I think. I don’t know. I struggle with that right now because I’m struggling to “do the right thing”.
But mostly, I’m struggling with my anger towards my team. How I feel like they’ve betrayed me by “letting” me get fat, by not telling me that my weight will change and by making me believe that if I only followed intuitive eating I would stay at the same weight. Maybe they messed up, maybe I didn’t hear. I don’t know but whatever happened I didn’t understand the fact that weight is not static and I thought for some bizarre reason that my not using behaviors I would be “rewarded” by having my weight stay the same. But recovery is not so linear and weight is not predictable. My challenge now is working through this period of time without resorting to behaviors and managing my anger at my treatment team. I’m doing okay but it’s a struggle but I’ll get there. How can I not? I have this girl taking care of me.
PS I still advocate intuitive eating, listening to your treatment team and following their advice. This is just a “bump”. A natural bump that in my phase of recovery it’s natural that I could experience.