I met with my new eating disorder therapist yesterday. We went a half hour over our time, and I really like her so far.
Thursday morning I leave for California for two weeks with the fiance and I’m very excited, but also nervous. I know I’ll have to eat consistently, and won’t be able to purge like I’ve grown accustomed to again. I know these are technically good things, but the eating disorder part of my brain is screaming that it’s not going to be ok.
Tomorrow I see my new eating disorder therapist. While I hate starting with new therapists, my last therapist gave me the tip to write up a sheet with a brief history of my eating disorder and my treatment goals so I don’t have to rehash everything all over again, I can just answer any specific questions my new therapist may have.
Eating has been going ok the last few days. I’ve been purging all my food, though. I’m really struggling. I had to really think about my treatment goals and think about whether I really want treatment right now. Like it has been so often, part of me does and part of me doesn’t.
Today was my last therapy session with my eating disorder therapist. She’s leaving the eating disorder center where I go to go into private practice. While I can’t fault her on this, it’s been rough on me. I have a hard time connecting well with therapists and I thought we had a good connection. I felt comfortable with her. I’m not looking forward to starting over with a new therapist. And I’m scared to not have a good relationship with the new one. My mind has been telling me this is a good point to just stop recovery and take a break from it all. I know, however, that this would mean going back to my eating disorder 100%. I’m not prepared to do that. I’ve worked to hard for the little bit of progress I’ve made. I need to keep working on recovery.
So I’ve transitioned to outpatient. I met with my new outpatient therapist yesterday. I didn’t feel an instant connection with her, but I didn’t hate her, so that’s good at least.
The transition has been harder than I expected. I need to get into a better routine. I haven’t been eating consistently, and that’s been leading me to binge and purge a few times since I discharged. Today is the first time I ate breakfast in a while. My new therapist challenged me to set a schedule for my meals and to stick to it for the next week, so that’s what I’m going to try to do. Hopefully I can cut down on the binging and purging this way too.
Tomorrow I need to pack. Friday I’m going to Albuquerque for the weekend with my three brothers. We’re driving down Friday morning and driving back Sunday night. Luckily it’s not a long drive.
Today is the day I’m going to try to not take any laxatives.
I’m nervous as hell about it. I’m anxious. I want to go take laxatives. I’ve actually considered calling my therapist and I don’t do phone calls.
It’s Day 3, so 250 calories. Today for lunch, I’m going to eat a salad. The salad dressing and cheese will bring me right up to 250 calories.
This morning in therapy we did a chain analysis on my restricting. I started crying when we figured out that that I’m restricting because, since I can’t purge right now, the calories scare me and I just can’t handle them right now. I think I cried because of how much calories are scaring me right now. I just can’t do them. It’s too overwhelming. My therapist recognized that and didn’t make me commit to eating more. She did give me skills to use if I felt like I could handle trying to eat. We’ll see. Right now I just can’t.
This is the front and back of the diary cards I use with my DBT therapist. The front goes over urges I have for things I’m struggling with, things like cutting, binging and purging, and not eating, as well as emotions that I have, both positive and negative, and finally which urges I actually act on. The last column deals with whether I thought of using any skills, tried to use them, and whether they were effective.
On the backside, it lists ALL the DBT skills and I just mark off which skills I used that day. So far I know the skills in the first section labeled “Core Mindfulness”. The next module we’re going into I think is Distress Tolerance, so I’ll be learning those next. That’s a 6 week module.
I am supposed to fill it out each day, so I set an alarm on my phone to remember, because otherwise I don’t.
I saw my new therapist this morning. It was hard. Every time you see a new therapist, you have to retell your life story. I definitely had a cry fest in her office. We also went over all my “behaviors” and came up with a plan of action to try to help me get better, which is what I so want. I’m just scared A) to do the work needed to do it, and B) scared to change. This week, I’m supposed to work on asking for help before I engage in behaviors, which I’m terrible at. I hate asking or help. I’m bad at it and I hate doing it and it’s hard and it hurts me physically. But that’s what my therapist wants me to work on this week.
After I met with my therapist, I went to see my surgeon, who cut stitches in my nose and took out the splints I had in my nostrils. That was painful! However, I can breathe!! My nose is straight and smooth and WORKS! I can chew my salad and BREATHE. I can take a drink of water and BREATHE! It’s amazing!! Who knew this was so cool?? My nose is still in a lot of pain. And I need to keep spraying it with the saline every hour for the next 3 weeks until I go back to see the surgeon again. My goal is to not purge during those 3 weeks. I have no idea how well this plan is going to work, but that’s the goal nonetheless.
See the scarf I’m making for a friend? I recently taught myself to knit. When I finished making my first scarf, a friend asked if I’d make her a yellow scarf, so I am! I really like knitting. It helps keep me occupied when I’m struggling. It also gives me something to do when I’m feeling bored and apathetic, which happens a lot lately.
I ran a lot of errands yesterday. First, I saw my therapist. She wants me to do a year-long DBT program. She thinks it could really help me. I think so too, but I’m not sure how I feel about making a year commitment. After seeing my therapist, I went to the eating disorder center where I just finished 4 months of treatment so I could pick up my scale that they were holding for me during treatment. Getting them to give it to me was like pulling teeth. I understand why they don’t want me to have it, but it IS mine.
One of the errands I ran yesterday was to get yarn. I didn’t have any after the first scarf I made, and I definitely didn’t have any yellow yarn. I may have purchased quite a bit of yarn. I got the yellow for my friend and some pink for my sister and some teal for myself and then a few other colors I just thought were cool. I don’t know what I’ll do with the extra yarn, but it was just so pretty.
Today I had physical therapy in the pool. I love pt in the pool. It makes me so much more sore and tired than doing it in the gym (which is so counterintuitive), but I have way more fun. Plus, I get to swim laps at the end. I love the water. It’s the one place I feel truly happy.