So this spring I had a lapse/relapse. I mentioned it in a previous blog entry that it started a few weeks earlier in August. Looking back I see signs way earlier than that. Back to spring and winter but it took times for the thoughts and feelings to turn into full blown behaviors and when they did as my pattern is I sunk downward quickly. There were immediately talks of sending me back to treatment possibly to a transitional IOP program but I resisted this strongly. I have done a total of sixteen months of inpatient and residential and I couldn’t imagine putting my life on hold, leaving Gus and adopting that sick identity one again. So that left one option and that was to let my parents help me.
Now there is a type of treatment for adolescents called Family Based Treatment where the parents take control of the teen/child’s food and are responsible for their recovery (I’m simplifying here). The assumption is that parents know how to feed their child and achieving wellness can be done at home instead of in a treatment center. Now having been to treatment and in treatment with girls who “failed” Maudsley (aka Family Based Treatment – FBT) I was horrified to realize that my family would essentially be doing something like this. I had heard horror story after horror story about how awful it was to give your control of food to your
evil parents. I believe in therapy I wailed something like “I am twenty-five years old I will NOT do Mausldey. How pathetic is that? Also, it’s evil” – paraphrasing.
But if I didn’t wish to return to treatment it was my only option so with pressure from my treatment team I begrudgingly allowed my parents to begin to take control of my food. This meant that they fed me three meals and two snacks. We met with my dietician and agreed how we would tackle fear foods. We all compromised and my voice was heard which was very important as an adult. We did a ladder system (starting with easy foods and working up towards harder ones). My mother was to pick meals and snacks – I could portion myself at dinner but she would watch me and tell me to add more if needed. Snacks she portioned. I also did not eat alone. My parents showed up every morning to eat breakfast with me and then again at noon to eat lunch (dinner was always a meal I ate at my parents). This has gone on from August until now. I am at a point where I am eating independently again but not portioning all of my food. I get my own breakfast but my mother sends a packed lunch and snack with me. I eat dinner with my parents and she feeds me evening snack. Next week I meet with my dietitian and I expect to either be able to portion snacks myself or receive full control of my lunch.
How do I feel about all of this now? Honestly, it’s a relief. I’m so glad I didn’t go to treatment and leave everything here. That was the last thing I wanted to do. I didn’t want to give up my control around food but I’m glad I had my parents step in. At the time my malnourished brain wasn’t thinking correctly and loosing weight (aka relapse) seemed like a great idea. But it was presented firmly to me that this would not be allowed to happen. My therapist and parents made it impossible. I resented that. And at twenty-five I still think that I should be able to control this myself (not because I resent their help but because I am an adult who should be independent). But now I am so grateful for their help. It wasn’t easy for my parents. It took time away from work and their schedules. And I wasn’t always the most fun person to eat with. I’m also sure it was scary to hear the same talk coming out of my mouth that they heard five years ago when I plunged into the deepest parts of my illness. I’m also thankful to my brother who put up with a lot of moodiness and pouting as I ate (not proud of that).
Not everyone has the resources to be able to turn it around outpatient but I’m thankful I could. I also have a sense of security now that no one is going to allow me to get as sick as I was in 2009. The thought of that truly does scare me when I’m thinking correctly. I have been promised that intervention will be taken before then. And this was proven to me here. And as for FBT being evil (or at least my parents and mine modified version) being evil I need to take back some words…