Tag Archives: intensive outpatient

Conflicted

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In art in treatment today, I made a pros and cons list for recovery. It was emotional and hard. I’m also not sure it was helpful in making any decisions as both sides came out pretty even.

I’ve been pretty ambivalent about treatment lately and really struggling since stepping down to IOP. I realized in my session with my psychiatrist this afternoon that I was doing better in PHP because it was very structured and that high level of structure mimicked my eating disorder in a way so I felt safe to eat more and keep it down. Now that I have much more free time, life feels chaotic again and I am seeking the comfort and structure that my eating disorder give.

I’m just not sure how to move past this and get back into a recovery mindset. My primary counselor has been out of town for the holidays and that’s also thrown me for a loop. I’m glad she returns tomorrow.

Transition

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Above is a screenshot from the website for the treatment center where I’m receiving treatment. I’m currently in their partial hospitalization program, which is 10 hours a day, 7 days a week, but tomorrow I transition to intensive outpatient. I’m both nervous and excited about this. I feel like the real work of recovery happens in iop where I’m not being babysat by staff all day long and I actually have to do meals on my own. However, I just had a really rough pass and I’m still in a weird head space and I’m just nervous that I’m going to get into iop and completely relapse.

I was on a walk yesterday and I had the realization that I have been in treatment 5 times in the last 4 years. That was the first time I think I realized I really have a problem. A problem I don’t know how to fix. A problem bigger than myself. But I also believe that with the right help and hard work and diligence I can get better. I think I have the right help. I am trying to put in the hard work. Here’s hoping recovery is actually possible.

Conflicted and Hungry

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I’m in treatment, but I’m struggling. I haven’t been eating outside of treatment meals, which is dinner and HS snack Monday-Thursday. Before I started treatment, I was binging and purging all day long and I went back to the EIOP to help get that under control. Well, I have for the most part. And for a week or two, I mostly followed my meal plan. But as I’ve explained to dietitians in the past, following a meal plan feels like restricting, which triggers me to restrict more and more. And that’s exactly what has happened. To the point where I’m just not eating at all outside of program.

I dream about food every time I sleep. I’ve taken to watching Food Network. Right now, they’re playing Diners, Drive-ins, and Dives back-to-back. The food looks amazing. And I know my body is hungry, but I can’t bring myself to eat. Nor do I actually feel hungry. Or maybe I do and I’m ignoring it hard enough. I’m not sure. I’m definitely not focusing on my finals the way I should be. Today I took a nap because I just kept thinking about eating but I knew I couldn’t let myself eat, so I took a nap to take up a couple hours of time where I wouldn’t have to think about it, or feel weak and in pain. I dreamed I ate all kinds of things. Luckily, I didn’t actually eat any of those things.

I can’t get warm. It’s 36 degrees outside, but I have the heat on. Even with the heat, a jacket, slippers, and gloves, I’m still cold. I’m listless. I can’t concentrate on anything. I’m so bored. Nothing sounds interesting. I just watch the food on the tv and long for what I won’t let myself have. What I can’t have. What I don’t deserve. I want it all. All at one time. And that scares me. And now I’m just rambling.

Back in the saddle again

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Wow, it’s been a couple months since I posted last! I’ve been SUPER busy with school. My human anatomy and physiology class in particular is trying to kick my butt!

I’ve been in recovery limbo the last couple months. Issue with my insurance kept me from starting the evening intensive outpatient program like my psychiatrist wanted me to do after I left my ex and started spending all my free time binging and purging. School has helped reduce my binge/purge episodes, but I’m still struggling. Last week, my psychiatrist wrote a letter to my insurance company, and this week they FINALLY approved me to start the EIOP. So, Monday I will be starting back at the EIOP. I’m dreading it, and I have no idea how I’m going to get all my schoolwork done, but I know I need this right now.

Getting back on track, but terrified

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All I do right now is binge and purge. I can’t even do my schoolwork because I’m too busy binging and purging. I can’t get myself to stop the cycle. So, it looks like I’ll be going back into the evening intensive outpatient program. Assuming, of course, my insurance will cover another round of EIOP this year. I have an appointment to get medical clearance next week and also an intake assessment. I’m going to do it, because I know I need the help right now. However, I’m scared to go back into the program. Scared of eating without purging, scared of putting in the work, scared of facing my feelings.

Not the news I was hoping for

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I met with my psychiatrist this morning. Due to the fact that I’ve been binging and purging non-stop the last week and few days, and the extreme emotional distress I’m in, he wants me to go back to the evening intensive outpatient program. I really don’t want to go back into the eiop, but I recognize it may be necessary for me right now.

Eating again

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Yesterday I was able to some food. It was a small amount, measured and planned, thought out carefully for reintroducing my stomach to food.

While it was more like this:

 

It felt more like this:

Then, right before bed, I ate a bowl of cereal, and promptly purged it. This morning, I ate a very small amount of granola and yogurt. It’s not sitting well. I want to purge, but I’m trying to keep it in.

I’m going to try to eat a couple more times today. It’s not “meals” as defined by my meal plan, but at least it’s something.

Relapse vs. Lapse

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Where is the line between lapse and relapse? I haven’t eaten in days. I’m currently drinking coffee to numb the gnawing hunger and calm my anxiety. I’m in danger of being kicked out of eiop or being sent back to php. My counselor is planning to call my parents about my unwillingness to eat.

I can’t eat. I can’t. I don’t know why. I just can’t.

I worry I won’t sleep tonight because of the coffee.

I ran out of coffee, so I can’t rely on it for tomorrow. I have celery, but I can’t even get myself to eat that. Hungry, but unable to eat.

Groceries

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I did my first grocery shopping trip in…I don’t even know how long. Not shopping for binge/purge food, but shopping for a menu, shopping for meals and snacks.

I hated it. I panicked. I cried. I loathed that food in my basket.

But I did it.

The feeling of hating food, just hating food in general, has lingered. Right now, I don’t want to make breakfast. I don’t want to pack food to take for the weekend. I don’t want to follow my meal plan. But I DO want to recovery, and I know that I can’t do that without trusting my dietician and without following the meal plan. So I’m going to try to do all of those things.

I can’t believe I have all this food in the house. Last night I just wanted to binge and purge on all of it. Yet, I didn’t.

And now I shall get ready for the day, and I will eat.

 

Three more days

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I’ve been approved through Saturday, with another review Friday. I am hoping to only do PHP through Saturday and ┬ástart EIOP Monday.