Bulimia (Or Something Like It): My Relationship With Food and My Body (Revisited) #AtoZChallenge

Posted on by Astrid

Hi all and welcome to my letter B post in the #AtoZChallenge. Today, I’d like to share a more personal piece and describe my history of disordered eating and body image issues. After publishing this post, I saw I did a post on this topic in 2019 too.

I first started struggling with a negative body image when I was about thirteen. I remember writing stupidly specific worries in my diary about food and my weight, such as whether the nails I’d bitten off would cause me to gain weight. All the while, I didn’t realize that I was, in fact, pretty close to overweight if not overweight already from consuming enormous quantities of candy on weekends and daily sausage rolls at the school cafeteria.

I was lucky that I never became significantly overweight until around age 25. By that time, I had developed something at least bordering on bulimia: I ate a full 500g bag of candy, sometimes more, in one ten-minute sitting at least three times a week. I also purged, although I did that after regular meals as much as after bingeing.

In the six years that followed, I gained over 20kg in weight and, by the time I was kicked out of the psych hospital to live with my spouse in 2017, I weighed 80kg. At my height of 1.53m, this is quite far in the obese range.

Yet my body image wasn’t as much of a concern to me at the time. Yes, I hated the way I looked, but at the same time I was too careless and unmotivated to change my habits. I had stopped purging for the most part by the time I moved in with my spouse, although I still occasionally did it as a form of emotion regulation.

Now, I’ve been at a healthy weight for about a year. Don’t ask me how I got here, as honestly I don’t really know. I mean, yes, I’ve been supported by a dietitian since early 2022, but honestly I can’t quite say I follow her advice. I mean, okay, I no longer binge due to my food being locked away, but I do snack on “bad” foods all the time.

My body image, honestly, is still as screwed as it always was. I still swing between underestimating and overestimating my size, between hating my body and not caring about it. I still purge occasionally, though not really out of a wish to lose weight, but more out of a need to self-regulate.

Looking back, I don’t think I ever had a genuine eating disorder. I mean, I might’ve at one point met the criteria for binge eating disorder, but I’m not so sure about that. I think my disordered eating is really more a symptom of my emotion regulation difficulties.

August 2023 Reflections #WBOYC

Posted on by Astrid

Hi everyone. It’s the last day of the month, so it’s time for my monthly reflections. Overall, August was slightly better than July, but it’s still been quite a tough month. Honestly, it’s been quite a tough year so far.

My spouse’s car broke down a few weeks ago, so we weren’t able to see each other each week this past month. Last Sunday, though my spouse did visit me, it was in my mother-in-law’s car. Thankfully, the car has been fixed for now.

My mother-in-law also only visited me once this past month despite there being five Tuesdays in August and her normally visiting me every other Tuesday. On the 1st, she had to work and on the 29th, a new horse was delivered. The story behind her having gotten a new horse is a bit sad, in that one of her horses, Remco, passed away suddenly last month. I mean, he was already crippled, so could only step around a bit, but still his death was unexpected. The new horse is a young mare called Marrit.

Now on to my own life. It’s been boring. I’ve been mostly waiting to find out more about the move. Last Sunday, my support coordinator told me that I’ll move within six weeks, probably sooner. I honestly have mixed feelings about the whole thing. Obviously, I try to remind myself it can’t be worse than here, but what if it isn’t any better either? Will I be expected to magically flourish there just because it’s not this home? I’m hoping, of course, that I will eventually flourish, but this isn’t going to happen magically. Indeed, this requires work, both on my part and on the part of the staff.

I also, like I mentioned yesterday, have had an increase in flashbacks to my childhood trauma. Of course, I could hope this will lessen when (if?) I’m in a calmer environment, but still I’m pretty sure they won’t disappear without support.

In the health department, I’m doing pretty well. I had a meeting with the dietitian yesterday and she asked me not to lose any more weight. I’m not sure how to do this, truthfully, as I’m eating well overall. There’s also this thought at the back of my mind telling me that I could still lose 10kg and be at a healthy BMI. Besides, I still have quite a lot of abdominal fat and watched some YouTube videos a while back that mentioned the dangers of internal obesity. Then again, the dietitian told me there’s very little I can do about this. The YouTube videos tell me otherwise, but then again my healthy voice is telling me (or at least I’m assuming it’s my healthy voice) that following those YouTubers will just lead to extreme restricting, which will probably just cause me to relapse into bulimia. I’m still struggling intensely with all the things diet culture tells me about what to eat and not to eat to preserve my health and, at the same time, my dietitian has one foot right inside diet culture as well. After all, my food plan was a classic weight loss plan up until I reached a healthy BMI. Heck, the very fact that I mention the BMI here shows how much I’m into diet culture. I want to unlearn this, but I’m not sure how.

With respect to other health factors, I’m doing okay. I walk more than I did in July, have been swimming again and went on the stationary bike occasionally. That being said, I do worry about a decline in my mobility. This could be the YouTube videos again, which told me a loss of arm swing could be a sign of overall decline. I have absolutely no idea whether my arm ever swung at all though. That being said, my drop foot seems to be getting worse too.

I did finally get the eczema on my legs treated. I also got a slight infection on the skin of my earlobes, where I had my ears pierced in early July. I’m currently on a course of an antibiotic ointment, so hoping that’ll work.

In the crafty department, I haven’t been very active. I did create a lot of unicorns out of polymer clay, but they were all done using cutters, not sculpted. I intend to paint them and use them as gifts for my fellow residents when leaving this home.

I’m linking up with What’s Been On Your Calendar? (#WBOYC).

Looking After My Health

Posted on by Astrid

Hi all. Today’s question for Sunday Poser is how well we look after ourselves, health-wise. Sadje observes that most regular bloggers are over age 50. Honestly, I wonder how they do it, if they also lead an active lifestyle in other respects. But this may be a question for another time.

I really struggle with being health-conscious, as I am quite the impulsive type. Thankfully, I never smoked other than the odd whiff and I don’t care for alcoholic beverages either. Food though is a different story. I’m recovering from disordered eating. In my case, it mostly involved overeating and some purging.

Six years ago, when I had just been kicked out of the psychiatric hospital, I weighed 80kg and could barely walk for fifteen minutes at a time. I am 1.53m in height, so this means I had a BMI of nearly 35, or obesity stage II. My spouse recommended I lose weight for my health. I did, although at the time I only had it in mind to lose the 10kg I was in the obese range. However, I never maintained a weight within the overweight, let alone healthy, BMI range until sometime in 2022. My food addiction was just too strong.

Now, thankfully, I’ve been at a healthy BMI for several months. I was talking to my spouse this afternoon and we were discussing my recent clothing shopping sprees. My spouse said I look after my appearance better, but admitted it was hard back several years ago. I started talking about my being “quite chubby,” only to be corrected by my spouse with “No, you were fat.” That’s what I thought too, so it didn’t come across as offensive at all, but I wanted to downplay things a bit in case my obesity wasn’t as bad and I was making a big deal out of nothing.

Back to ways in which I look after my health. I try to eat enough fruit and veg each day, but this is somewhat of a struggle here at the institution. I also walk at least 30 minutes at the bare minimum everyday. I haven’t had a day gone by since owning my Apple Watch that I didn’t meet my stand goal. Of course, this requires me to only move for a minute each hour, but at least I’m not sitting on my butt for hours on end.

I do take multiple medications. Five, in fact, and that means I’m officially classified as having polypharmacy. This means that I’m at increased risk of health issues due to the number of meds I take. Thankfully, I do get bloodwork done regularly to check for things like kidney function, fasting blood glucose, triglycerides, etc. Only my kidney function has been off, but it hasn’t decreased over the past year and is still within the mildly decreased range (my egfr is 68, if you’d like to know).

I did get a kind of wake up call a few days ago when I found out someone I met at the blindness training center in 2005 passed away recently at the age of 51. We had a lot in common, including obesity, mental health problems and psych medications, etc. I know, I’m no longer obese, but it’s not like my body has magically forgotten the twelve years or so it spent being overweight.

Thankfully, even though I cannot undo the bad choices I made in the past, I can decide to be more health-conscious from now on. Will it make sure that I live till age 83 like my maternal grandma or 94 like my paternal one? No.

There’s no need to blame ourselves for our health issues. I mean, some folks like to call cancer, cardiovascular disease etc., “illnesses of affluence”. This might be so on a societal level, but it’s sick (no pun intended) to blame the individual for falling ill or dying young. I would love to live to age 83 or 94, but it’s only partly within my control.

Trying to Live a Balanced Life

Posted on by Astrid

This week’s topic for Tranquil Thursday is balance. Maggie’s first question is about work/life balance. Since I don’t work and never have, I can’t speak to that. However, it made me think of the ways in which I need to create a balanced life in general.

I don’t currently have formal day activities. Of course, I have four hour-long activity slots a day, but I can spend them pretty much however I please and sometimes (most times, actually) I feel so uncomfortable with the staff assigned to me that we can’t do more than play a simple card game. I do feel I need to find a balance in my life between being active and passive.

Active, in this sense, does not necessarily mean exercising, although that too needs to happen. I probably don’t need to worry about being extremely sedentary. I fell pretty badly yesterday and still I managed to meet my movement goal on my Apple Watch today. Okay, my goal is just set to 300 active calories, but that’s so that it’s within easy reach even on bad days like today.

What I do mean by being more active is engaging more in stimulating activities such as crafting, food prep such as smoothie making, etc. I also intend to be more active where it comes to actually learning about these topics. I mean, I love copying recipes and experimenting just a tiny bit, but it’d be great if I knew about the science behind them. For this reason, I just downloaded a book off Bookshare on the fragrance aspects of essential oils. How great would it be if I could create my own blends rather than relying on some shady subscription website.

This doesn’t mean I need to be active mentally or physically all day. It’s about balance, after all. I also need to rest. But currently, I feel my life is a bit too much “on hold” for my liking.

Another way in which I need to find balance, which Maggie didn’t ask about, is health. Last week, I agreed with the dietitian on a weight range I need to stay in to maintain a healthy (or near-healthy) BMI and not go overboard with my weight loss. As long as I stay within this range, I am in control of my eating habits. I do need to make sure I don’t slip back into my bulimic tendencies though. I will see the dietitian again in mid-June and will ask her to continue check-ins with me, although they don’t need to be monthly anymore I think. Over the past few weeks, I gained a little weight, but I’m still within the agreed upon range, though I do notice I’m having “cheat” foods more regularly than I’m probably supposed to.

Another question Maggie asked is about your life pie. This is a drawing of a pie divided into six slices for each area of life. You then put dots in each slice to see how well you do in each area and connect them to see which area is relatively unfulfilled. This is a visual exercise, of course, which I can’t do, but it did make me think. My life is most fulfilled in the area of exercise and least, unless you count work (but that’s by societal standards only), in the areas of friends and play. That last one might surprise my staff, as I play card games on a daily basis. However, what I mean by this is truly being creative.

TGIF: Twenty-Two Degrees!

Posted on by Astrid

Hi everyone. I’m joining Paula Light for
#TGIF, an opportunity to ramble.

Today, let me share about the weather. It’s been okay most of the week with some rain, some clouds and occasionally a bit of sunshine and temperatures rising to about 16°C. That’s cold for May if you ask me. Now I’m no weather expert, so I have no idea what constitutes normal weather for May, but it feels like it should be almost summer-like.

Which, today, it is. The daytime temperature reached 22°C. Well-known Dutch meteorologist Erwin Kroll, who would do the weather forecast on public television in the late 1980s and 1990s and is therefore my face of the weather, once told an interviewer on the audio magazine for blind children that this was his favorite temperature. After all, at 22°C, you can both sit still and move around without getting cold or hot respectively. I love this temperature too, though my ideal temperature is slightly warmer.

I once again wore my blue, flowery skirt that I also wore last week, along with the same blue shirt. In the evening, I changed into shorts, because I was going on the stationary bike. I had also gone for three walks today, so up till this point have nearly two hours of active minutes on my Apple Watch. I intend to still dance some, because I feel compelled to double my movement goal once again.

In other health news, I stepped onto the scale on Wednesday and I finally reached a truly healthy BMI. Yes, you heard me correct, this time it’s not nearly, but actually. Even though my dietitian tells me I no longer need to lose weight and has been telling me so for a while, I’d love to still lose a few pounds. That being said, I understand the dietitian’s logic: with my history of bulimic tendencies, it’s easy to fall into that trap again and a healthy lifestyle is more important than an ideal weight. The last time I was at a healthy BMI, was back when I got married in 2011, but then again back then I engaged in purging behaviors quite a lot too. I never, ever want to go back there.

I do need to make sure exercising doesn’t become compulsive either. That being said, that’s not as likely to happen as my body just can’t go on forever. Then again, actually listening to my body – challenging it when it needs to be challenged beyond its comfort zone and giving it a rest when it needs to rest -, is quite hard. I am working on this though.

#WeekendCoffeeShare (September 24, 2022)

Posted on by Astrid

Hi everyone on this rainy Saturday. How are you doing? Take a seat and have a drink, as I’m joining #WeekendCoffeeShare.

If we were having coffee, I would start out by sharing that last Monday was my and my husband’s eleventh wedding anniversary. We drove to Steenwijk, a town in the far north of my province, where we had lunch and went for a short walk. Then we drove to Blokzijl, a small town not far from there, where we had another walk around town and my husband took a photo of me with a large cannon.

Then we drove to Ikea in Zwolle, where my husband bought a few things, I looked for a new desk chair, and we had dinner. Unfortunately, they only serve the vegetarian version of the Swedish meatballs now, so I had chicken.

If we were having coffee, I would tell you I got a new pasta machine from one of the staff – the staff who always gives us clients everything she finds at thrift stores. This one works electronically or so she told me. I didn’t tell the staff that any pasta machine is hand-operated by default and a motor is optional. This one does have a motor. I did E-mail another staff to ask her to bring her tool kit one more time to remove the fenders for me.

If we were having coffee, I would share that the dietitian showed up unexpectedly for an appointment yesterday. The reason was the fact that I’d lost quite a bit of weight and had been compulsively exercising a lot over the past few weeks. Although the compulsive exercising seems to have reduced this week, I did need a bit of a reverse kick in the behind. You see, I have a history of disordered eating, bordering on bulimia, and although my main means of compensating used to be purging, this could definitely become a thing with over-exercise too. I do need to monitor this closely.

If we were having coffee, I would use the rest of this post to update you about the prospective new care home. I didn’t write a coffee share post last week, so those visiting from there might not know this, but the client in whose place I could come at the home at the main institution, moved out this Thursday. I had my first orientation visit with the prospective new home last Wednesday, am getting another on Monday and, if then I want to move, moving date has been set for October 5.

My first orientation visit went quite well. The clients are quite verbally capable, although of course they do “live in their own world”, as the support coordinator phrased it. The apartment – separate living room, bedroom and private bathroom – is quite large, although I couldn’t fully grasp its size because the client who was moving out had a lot of furniture. My husband did ask whether I would have to clean the apartment myself, but I assume not. I asked though just to be sure.

I love the fact that there are a lot of sports and recreational facilities on grounds, although the staff aren’t yet able to say how we could fit those into my day activities.

A great positive of the possible new home is that they cook their own meals everyday. Yay for no more meal delivery service junk!

My husband is coming to have a look around the home on Monday too, so he may be able to ask his questions too. I am quite excited but still a bit nervous.

How have you been?

#WeekendCoffeeShare (June 18, 2022)

Posted on by Astrid

Hi everyone and welcome to my post for this week’s #WeekendCoffeeShare. I hope you’re well. I’m about to have my afternoon coffee, so am going to take a break in the middle of this post to drink that. I also still have herbal tea, water and I do now in fact have my fruit infusion bottle in the fridge. It has cucumber in it. I’d recommend that either alone or in addition to coffee, as it’s quite hot here. It’s only about 27°C right now, but I’m sweating profusely. Anyway, let’s have a drink and let’s catch up.

If we were having coffee, I would start by saying that this week was okay. Like I shared on Monday, I went to look at my assigned staff’s pet hedgehog. That was fun and helped me keep a somewhat positive attitude all through the week, despite feeling a bit meh.

If we were having coffee, I would also share that I was successful at being more physically active over this week. I went on the elliptical Wednesday and Friday, both for a little over ten minutes. I also took some walks. Yesterday, it was even hotter than it was today, so I only took a few short walks around the day center.

If we were having coffee, I would tell you all about my dietitian’s appointment yesterday. I am experiencing a slight slip-up with respect to purging behaviors, but it’s not related to binge eating per se. That didn’t make it not worrisome, the dietitian said, but at least it means my bulimia isn’t coming back. Overall, she complimented me on how I’m doing with respect to being able to follow my food plan but also being able to deviate from it in moderation at times. For example, I bought a bag of licorice last week and am having a few pieces of licorice a day most days. That way, right now, I still have half the bag left, while a few years ago I’d consume the whole bag within half an hour or less.

The dietitian also gave me some advice about planning for when I go out to eat for my birthday next week. For example, she recommended I eat a small serving of fruit at like 4PM to prevent me feeling like I’m starving by the time we’re at the restaurant at 6PM. I am not really sure I feel like following her advice though and I’m not sure that’s my eating disorder talking or just my wish to have a good time and not be minding my diet for once.

If we were having coffee, I would share that I am really happy that today we don’t have temp workers at the home at all. Yesterday we did have one and he was assigned to work my one-on-one shift. I really wasn’t pleased to say the least. I don’t do well with male staff to begin with and this was someone I didn’t know at all. I am honestly quite angry that the staff felt like assigning him my shift, because they know how much I struggled with the one regular male staff doing my one-on-one shifts. I feel like honestly my boundaries are being tested a lot lately and, with how clear the manager was that this was the way things worked, I’m not sure I’m able to assert myself.

If we were having coffee, lastly I would share that I’m still working on the perfect pair of polymer clay earrings. It seems baking directly on the ceramic tile is for now the way to go. Thankfully, some people gave me som advice on how to prevent air bubbles being trapped between the tile and the clay, which would create little (or not so little) dents in my clay. If I baked on paper, I would not get those, but my earrings would consistently get curved, which I think is worse than the small dents I got now that I followed the experts’ advice.

I haven’t turned my earring pieces into actual earrings yet, because the ones I decided to keep look better with silver than gold. I would like to report though that I am so grateful, because a staff’s daughter had some silver-colored earring hooks that she wasn’t using and that she was happy to gift to me. How nice!

How have you been?

I Am Overweight!

Posted on by Astrid

Hi everyone. Today I’m joining Di of Pensitivity101 for Saturday Swapit, a weekly weight loss meme. I am not intending for this to become a weekly feature, but, because I had a dietitian’s appointment yesterday, I wanted to share some things I learned.

First though, I have a major win to share: when stepping on the scale yesterday, it told me I’m now 70.1kg. This means I’ve crossed the line back from obese to just plain overweight! I did kind of trivialize the achievement by saying it’s the absolute minimum I had to lose to cross this line and hence I may be back into the obese category next week. That may be so, but I did lose 1.7kg since starting on my food plan five weeks ago. That may not sound like much, but I’d rather lose the weight slowly and keep it off than lose more weight only to gain it all back and then some.

Like I said, I’m doing my healthy eating plan under a dietitian’s supervision. The main goal is not weight loss, but relative mental stability with respect to food and a healthy eating structure. You see, I have a history of bulimic tendencies and had a slip-up with respect to purging just before Christmas. Every opportunity to eat still leads to inner conflict.

With respect to this, the dietitian taught me about my negative and positive voices: the healthy-eating voice vs. the bulimic voice. Even if you’re not bulimic, you’ll likely recognize some of the disordered things the negative voice is telling me, such as that, if you’ve eaten a “bad” food, now the day’s gone to waste and you can just as easily call it a cheat day and binge eat whatever you want. The reality is, though, each healthy food choice will ultimately contribute to your weight loss (or other healthy lifestyle goal).

Another thought is that you have to make up for one small treat by restricting on another food. The idea that this thought is unhealthy, may contradict the previous one, but, in reality, it’s all about balance. If you’ve had one small treat that’s not on your food plan in the morning, it doesn’t mean the day’s gone to waste, but it doesn’t mean you need to be restricting or making up for it later in the day either. It doesn’t mean you can have said treat each and every day, of course. Your food plan is there for a reason, after all.

Another thing I asked the dietitian about is late evening snacking. I have a serving of fruit on my food plan in the evening. My staff felt that, for practical reasons, it’d be best if they’d offer it to me at 9:15PM. I countered that, since this is pretty close to my bedtime, I wouldn’t burn it off then. Thankfully, the dietitian was able to reassure me that people’s digestion works 24 hours a day. It’s a myth that late evening snacking causes you not to burn off the calories you consume!

A New Client Came to Our Home

Posted on by Astrid

Trigger warning: mentions eating disorder behaviors
So a new client came to our care home yesterday. It was completely unexpected also to the staff. They didn’t hear she was coming till Friday evening. She has some form of brain injury, dementia and she broke her hip, which is why she had to come here. She lived independently until this. She seems okay, but due to her dementia she needs a lot of support. This did upset some of us, particularly Rachelle. It completely wrecked with her sense of structure and also the trust she had in the staff.

Today we had an Easter dinner. We had had the choice between pizza or fries. We chose pizza, but weren’t sure about it after all, as everyone else got fries. This further upset us, particularly Agnes. Agnes was feeling off, so she wanted to binge, but the staff prevented her, saying she was full already. This led her to a teenage tantrum.

Then once we talked to her about the importance of sticking to a somewhat healthy diet, she wanted to purge. Thankfully we were able to talk her out of it. Then however Rachelle took over again, with me (Eleanor) being present too. We were able to articulate our feelings to some extent.

Part of the problem is Agnes wants to be independent and make her own choices, including unhealthy ones, but Rachelle really needs more support than we’re currently getting. Thisdispute between them was also triggered by the new client getting pracctically one-on-one support all day, while we were in our room by ourself a lot. There is an extra staffer for the new woman, but we still feel like a burden.

We talked to our assigned staff about maybe making some form of communication cards that don’t require speech, so that Rachelle (and others) can ask for help when we can’t quite talk. We also talked about us getting a more structured daily routine particularly on week-ends.

We’re not sure this will help, but we’ll see.

Eleanor with some others chiming in here and there

Working On Us Prompt: If Disordered Eating Isn’t About Food or Weight

Posted on by Astrid

Today, I am once again joining in with the Working On Us Prompt. I hope the link works, as it once again gave me an error 404 when I tried to visit it. There are really two question prompts for this week’s Working On Us. I may post a separate post about the second question. The first asks what if eating disorders aren’t about food or weight? What are they about?

As a person with disordered eating tendencies, I can totally empathize with this question. I mean, yes, I am obese, but that in itself doesn’t qualify you for help with disordered eating other than a monthly kick in the ass from a dietitian. Well, that just isn’t enough for me.

Then again, I was told by my psychiatrist that I do not have an eating disorder, because the amount of food I eat during a “binge” isn’t big enough. Well, I understand. That doesn’t mean I don’t struggle with my relationship with food or weight.

Because that is really what disordered eating is all about: the relationship we have to food and our bodies. It isn’t about how much you eat, how much you weigh, or how often you exercise. It’s about the thoughts that go on in your mind.

For clarity’s sake: at the time that I was told I do not have an eating disorder, I was in the early stages of recovery from purging, which in itself does warrant an eating disorder not otherwise specified diagnosis. I was never fully bulimic, but I was coming close. That’s not my point though.

I struggle a lot with disordered thoughts about food and my weight. In fact, I think about food the majority of the time and those thoughts are not usually healthy.

Once, when I read a book about someone with an eating disorder, her psychiatrist suspected she was an alcoholic too. She administered a simple screening tool, which asked whether the girl had tried to cut back on alcohol, was getting annoyed or angry when people commented on her drinking, ever had alcohol first thing in the morning, and then there was another question. She answered “Yes” to three out of four questions. Well, I can answer yes to the three I remembered here when substituting alcohol with food. I occasionally overeat first thing in the morning, have very regularly and unsuccessfully tried to control my food intake, and I do get angry like all the freakin’ time when someone makes a comment about my food-related habits.

Yes, I knnow that to the outside observer, I appear like just an unmotivated, overindulgent fatass. What they don’t see are the inner battles I fight each and every day to deal with my disordered eating tendencies.