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.

Life Always Offers Me a Second Chance

Posted on by Astrid

Hi everyone. I haven’t touched the blog in a few days once again. It’s getting old. I often do want to write, but don’t know what about except how shitty things are here at the care home and how I still haven’t got a moving date. Endless venting about the care home isn’t going to please my readers though, so I usually end up trashing those posts. After all, even though I originally intended this blog to be for me to write from the heart, I do care about my readership.

I do still read blogs, albeit not as much as I used to. Today, I came across an inspirational one-liner by Tanya: life always offers you a second chance. It is called tomorrow.

This definitely speaks to me. Of course, it isn’t always true, in that eventually we’ll all die and not have a second chance. However, until that point comes around, we can always create a better rest of our life. It doesn’t even have to be tomorrow, if that just leads to procrastination. It can also be a minute from now.

I employ this logic when it comes to my disordered eating and other unhealthy coping mechanisms. I see each day – or if needed, each moment – as its own opportunity for growth. For this reason, I don’t count the days I’m free from self-harm, in the sense that I’ll have to “start over” when I’ve had a slip up. I don’t do “cheat days” either. Not that I’m on a diet, but even when I did follow a stricter food plan than I currently do, I didn’t consider a day ruined when I had binged. Interestingly, I did at one point struggle with letting go of my 300-odd day streak of reaching my movement goal on my Apple Watch. However, I am happy to report it doesn’t start over when it comes to calculating when I’ve reached 365 days of completing my movement goal (I think it’s going to be this Thursday or Friday).

In a sense, the idea that life will always give me a second chance tomorrow, might be an excuse to laze around. However, that’s not the point. The point of this idea probably is that there’s no use in dwelling on my past mistakes, because as long as I live, there’s time to set them straight.

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.

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 (March 25, 2023)

Posted on by Astrid

Hi everyone. I’m joining #WeekendCoffeeShare today. It’s past 9PM on the night before daylight saving time sets in, so no coffee for me. I just had an apple-and-cherry flavored Dubbelfrisss with my meds and a small bag of chips. I normally have those at 8PM on Saturdays, but was upset then. Let’s have a drink and let’s catch up.

If we were having coffee, first I’d complain about the weather. Oh wait, how’s yours? Ours has been rainy and chilly for spring. I want sunshine!

If we were having coffee, I’d share that I’ve been struggling a lot over the past week. I was in a crisis on several occasions. I will spare you all the details but I’m not proud of my behavior. The triggers to my severe outbursts involved disruptions to my day schedule and unfamiliar temp workers being placed with me for my one-on-one support. However, I must admit I’ve been on edge almost all the time even when there were few disruptions to my day schedule. For example, today I got upset because my laundry was put through the washing and drying process twice and this means I haven’t been able to change into my pajamas yet, something I normally do around evening med time at 8PM. In this sense, I understand my assigned staff’s saying yesterday that even if there are no disruptions to my day schedule and I’m supported by super familiar staff all day, I still may get upset. Which, by the way, wasn’t the case today, but we got as close as possible: a familiar staff supported me for half the morning shift and from handover at 3:15PM up till dinnertime at 5PM. For which, by the way, I explicitly thanked said staff. I’m pretty sure I’ll hear that because I got upset at 8PM for a minor reason, by which time a relatively new staff was supporting me, apparently familiarity of staff isn’t the issue. And indeed, there is probably nothing that will prevent me from getting upset altogether, but that doesn’t mean that nothing can be done to prevent the most severe of crises.

If we were having coffee, I would tell you that I finally saw the dietitian on Wednesday. She’s the same dietitian I saw in my old care home. I had a good talk with her and the absolute best news is I no longer need to lose weight! Not that this ever was the goal to begin with, but I was obese when I started my healthier lifestyle journey with her in January of 2022. Now I’m at a healthy BMI. The dietitian made some recommendations for me to change my diet to get me from losing weight to weight maintenance. She’s also trying to talk my staff into getting me to choose my dinners from the meal service menu again, but I haven’t heard about that so either my assigned staff said no or that’s still up for debate. The reason the dietitian is trying to get me to choose from the menu is the fact that I’m quite a picky eater and, when I don’t like something, I’ll usually skip it and not be sure how to replace it. My eating disorder voice also often chimes in, saying that the fewer calories I eat at dinner the better.

If we were having coffee, lastly I’d tell you I upped my movement goal on my Apple Watch from 300 to 330 calories per day. It’s a bit of a challenge to reach it, particularly now that the weather hasn’t permitted long walks most days. I did go on the stationary bike once (and planned on going onto it several more times but you know how it works with motivation to exercise). I did surpass my goal each day 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?

Five of My Favorite “Cheat” Foods #5Things

Posted on by Astrid

Hi everyone. Today I’m participating in the #5Things challenge, for which the topic today is “cheat day” foods. Now I don’t really do cheat days. I do usually have more high-calorie foods on weekends than week days, just because it’s easier to keep track that way, but there’s not a single day when I completely indulge in whatever I want. I have a history of disordered eating, including binges, but I am determined I never want to return to those days.

I also don’t believe in “good” or “bad” foods. Rather, I believe in healthy and less healthful habits. I had it written on my food plan, for this reason, that no food is completely forbidden. Else, less familiar with me staff might say that a food isn’t on my food plan so I can’t have it.

Anyway, today I’m listing five of my favorite foods to have on a day when I’m less conscious of my diet.

1. Pizza. Every once in a while, when I go to my husband’s and my house in Lobith, my husband will drive by Domino’s on our way from picking me up at the care facility. I love their pizzas. I also love the pizzas from my neighborhood Italian restaurant. Both are a definite nine out of ten on the deliciousness scale. (For those visiting from #5Things, my dietitian a few weeks ago explained that, if I don’t give a “cheat” food an eight out of ten or above on how much I love it, I may consider not eating it at all.)

2. Pringles. These are by far my favorite chips and they too score at least a nine out of ten. My care home recently ordered like a whole box full of Pringles cans at the supermarket because they were on sale. Yum!

3. Cheese twists. These are sticks made of puff pastry with cheese flavor. My husband buys them at the supermarket almost every time I go to Lobith.

4. Licorice. When I still suffered with disordered eating, I would often buy a bag of licorice multiple times a week and consume the whole thing within ten to twenty minutes. Now, I usually have a bag of licorice in my locked kitchen cupboard. The staff aren’t allowed to actually prohibit me from eating the candies, but the fact that they’re locked away does keep me from being tempted too quickly. I usually have three or four candies a day at most.

5. French fries. I don’t have these often anymore, as when we do get takeout food here at the care facility, it’s usually Chinese or Italian because it’s easier to blend for those who have difficulty eating solids. However, I truly love love love good fries! There’s a snack corner here in town who put “special” orange spices over their fries and they’re delicious. (I bet it’s just paprika, but they refuse to disclose their “secret recipe”, even though it’s public knowledge that they don’t mix their own spices.) I also love some spicy snacks to go with my fries. Here in the Netherlands, there’s one called a mexicano, which I think is particularly tasty.

What are your favorite “cheat” foods?

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!

Share Four Somethings (January 2022)

Posted on by Astrid

Hi everyone. Can you believe it’s almost the end of January already? I can’t wait for this month to be over with, honestly. February can be depressing too, but not as depressing as January. At least then the weather may start to warm up a little. Let’s hope! Anyway, today I’m joining Share Four Somethings. I think I joined this link-up once before, but am hoping to make it a regular habit now that it’s a new format. Here goes.

Something Loved

Essential oils. Yay, my three new oils arrived today! Though I haven’t tried them out yet, I will certainly be doing so soon. One, lemon, isn’t really new, but I’d had to throw out the old bottle because it’d gone past its shelf life. This really should be a motivator to use my essential oils more often. The other two, spearmint and sweet marjoram, I haven’t used before.

Something Gleaned

Honestly, I had to Google the definition of “glean”, so I could say I gleaned the meaning of the word. I guess my English isn’t as good as I’d like to say it is.

Seriously though, I have been reading the Bible everyday since January 1. While 24 days isn’t my longest streak ever by far, I do find that the more I study God’s Word, the more I learn. My most recent realization came from the story about the Bible passage I mentioned yesterday. The pastor sharing the story about the passage said that “favor” in Psalms 30:5 could also be translated as “grace”. This, until then, I’d always seen as a decidedly New Testamental term. Then again, I now am beginning to see that the Bible isn’t really strictly divided between OT and NT, but it’s all one story leading to Jesus. To those of my readers who’ve been believers for longer than I have been, this may seem obvious. To me, it’s a big eye-opener.

Something Braved

Well, as regular readers of my blog will know, this month was quite hard. I’ve been dealing with a lot of anxiety and PTSD symptoms. Even though one of my medications, topiramate, which specifically works to combat trauma-related symptoms, was upped earlier this month, I’m not yet noticing the change. On the contrary, in fact, it looks like I’m doing a little worse. That is, I might be noticing a slight positive change over the past few days, but it’s so early on that it’s hard to know for sure and I’m not sure whether the change is positive compared to how I did on my old dosage too. I thankfully will have an extra appointment with my nurse practitioner on Thursday to discuss how things are going.

Something Achieved

Two somethings here, is that okay? First, I have been writing more frequently and more widely than I did before. I am really proud of myself for this, as it is actually one of only a few ways in which I’m still staying active lately. Due to my anxiety, after all, I’m struggling to try new things such as crafting or even to go for a walk. However, I do try out new writing techniques and that’s something at least.

The other achievement is my diet. I started on a healthier eating plan with the help of a dietitian early in the month. Not with the aim of losing weight, although it would be great if I could lose the 1.5kg I need to lose to no longer be obese. My main goal is to experience less inner conflict about eating, as I have a history of eating disorder symptoms. So far, I’m sticking to it pretty well. More importantly, the one day when I couldn’t fully stick to the plan, because we had Chinese takeout, I didn’t resort to eating disorder behaviors. That’s quite an accomplishment!