Arielle's 2013 Thanksgiving Message

My annual Thanksgiving Day video for you:

Eating Well with a Busy Schedule

A twitter follower and recovery warrior asked me about how to eat well with a busy schedule earlier in the week. It got me thinking about what a very good recovery topic for a video this would be. So, without further ado, I give you a thorough bonus video: EATING WELL WITH A BUSY SCHEDULE.

Thanksgiving Message from Arielle

If today is hard for you, the message below is for you. It's my annual Thanksgiving message, and regardless of whether you're an American who celebrates this holiday or are living elsewhere, the message is still relevant. Take care of yourself, be kind to yourself, and celebrate how far you have come today. It's all about gratitude.

Happy Thanksgiving.

Appreciating Your Body

This week's topic is an important one. I had to cut my video down from its original 17+ minutes because I had too much to say!

Weight Gain in Recovery

Here is my latest video, from this past Wednesday. The topic was Weight Gain in Recovery. More non-video posts to come - I'm currently sick and trying to get well. Hope everyone is doing their best to fight off those winter (it's winter in the USA at least) cold germs.

Dessert!

I was asked recently to do a video on the topic of dessert. I think it's a really worthwhile and often overlooked topic, so I was happy to oblige. I will get to all other questions and suggestions as soon as I can. I have a list. :)

Hope everyone is having a wonderful start to 2011. Take a minute to consider "Dessert!"

Meals, Appetite, and a Few Suggestions

Allison asks,

“I recently fell into a relapse, and am trying with all my strength to pull myself out of the tailspin. I have begun eating again, but I can't help but feel the overwhelming feeling of failure every time I take a bite. I think about how ashamed I feel to be the size I am all day. I know that logically, the failure is in me NOT eating, rather than the other way around, but my disordered thinking won't let me be logical. How do I turn things around into being proud of myself for not restricting?”


I usually say “fake it ‘til you make it.” If you know that logically the right thing to do is eat and be proud of yourself, try to just do it without letting your mind make you do other things. If you begin to get down on yourself for eating, remind yourself that you are accomplishing SO much and that the more you eat, the better you will feel mentally and physically. Initially, the annoying things your head tells you are there, but the more you keep up with a routine of eating, the better you will be able to cope with that eating disorder voice.

You could start a rewards system for yourself to help associate feelings of pride with the right actions. For example, if you eat a meal, tell yourself you will get 15 minutes of downtime and pick something to do that you find enjoyable, fun, or relaxing. Or go bigger – if you eat 3 meals a day, reward yourself with something. If you do it for a week or more, allow yourself a gift. The rewards can be anything you want them to be – an hour surfing the internet instead of doing work, a new pair of shoes, etc. But if you set yourself to succeed and be kind to yourself after you’ve done so, you’ll be training your brain to understand what’s really worth it.

I’d also suggest my cell phone trick – if you haven’t heard me talk about it before, check it out here. You could use a message like, “Keep going – recovery is worth it” or something similar instead of what I suggest in that post. It might do the job nicely for some encouragement you don’t have to think about giving yourself.

-------------------------------------------------------

Ally asks,

“I am in recovery, and have been for a year. I am doing pretty well as far as not restricting. However, when I get stressed, I tend to lose my appetite. I know now to eat when I feel hungry, but what if I don't get hungry? I have also learned to not eat if I'm not hungry, so I can prevent binges. I don't ever intentionally not eat meals nowadays, but sometimes just realizing I haven't eaten that day can push me to think ‘Just a little more.’ and triggers me. How do I deal with loss of appetite?”


First – congrats on being in recovery for a year now. I think a lot of people tend to lose their appetites when they are stressed, myself included. Can you schedule time for your meals? I know it seems a bit like back-tracking to earlier in the recovery process, but it might help, especially if you’re stressed right now. That reminder to eat will help you to eat at times you know you should, whether you’re hungry or not. Set your cell phone to alarm at 8, noon, and 6 or whatever times work for you for meals – it can be like your “dinner bell” and remind you that you need to eat, even if you don’t feel hungry. Sometimes you have to go through the motions even if your heart isn’t in it, because unfortunately, if you don’t go through those motions, you might end up back in eating disorder land, even if it wasn’t your intention.


You don’t have to remember to set your alarms each day – do it now and set it to remind you daily. Then you can just focus on what you need to do and rest assured that, hungry or not, your phone will tell you when it’s time to eat.

As far as that triggering feeling when you do unintentionally skip a meal, you can try the tips from my response to the first question. Anything you can do to reinforce the positive stuff is always a step in the right direction.

You might find these old videos of mine helpful - they deal with the question: "Is it ever okay to overeat or skip meals in response to disturbing feelings? Normal eaters may reach for a candy bar when having a bad day, but they know eating is not a magical remedy for the downside of life. What distinguishes them from those with eating problems is that it is not a part of their everyday eating pattern. They dont beat themselves up, eat in secret, feel shame afterwards or swear to eat differently tomorrow. Their self-concept, self-esteem and general attitude have nothing to do with their behavior around food. Your (the viewers) work is to trust that youll gradually move towards eating more normally, and only rarely, eat or refuse food when youre upset (with absolutely no remorse!). The truth is it takes a lot of practice to sever the connection between feelings and feeding."

Is It Okay? Food & Feelings PART ONE
Is It Okay? Food & Feelings PART TWO

For those of you out there who are trying to figure out what being hungry really means and what good eating practices are, these videos of mine might help:

How to Eat When Hungry & Stop When Full PART ONE
How to Eat When Hungry & Stop When Full PART TWO


Like with the first question, if you can reward yourself in some small way for eating your meals, it will help you push through those times of lack of appetite. You have to push on through – especially when stress levels are high.

Meal Plans, Food Rituals & Other Tid-Bits

A reader asked me this question in an email recently, and I thought it might be helpful to many of you who are struggling with similar issues.

She asked:

"I am a weight restored anorexic (for 11months now) but occasionally struggle with self-harm, and more recently purging.


1. My psychologist who I see once a month (and cannot see any more frequently) is trying to help me expand my food repertoire as I've been stuck on a dietitian's meal plan for 2 years now. However, I have no idea what 'normal' meals are. There a million recipes on the internet but how do I know which one to choose? I do live with my mum, but I work in the evening and she works during the day so we miss each other at dinner. We never have a family meal together so I have no one to look to for ideas about what they eat.


2. I've been at a healthy weight for so long, but I still dislike the look of my body. Every day I look in the mirror to see if I've grown over weight overnight or not (as ridiculous as it seems). Do you personally like your body appearance or do you simply accept it as it is? (I've seen your 'comparison' video and that really helped me a lot to challenge the comparisons and I no longer compare myself to others).


3. I know your did a video on food rituals. I'm honest and say I still have some (food not touching on plate, order in which I eat my food, how I eat my sandwich, weighing most foods before eating them). However, I just wanted to ask whether it is OK to keep them? After all, they are not so bad that I cannot eat out with others (I regularly do) and I personally like them as they make me feel safe. They don't impact on my health, and I don't care if people will laugh at me.


4. I'm going to university next year. I believe you have got a degree/have studied in higher education and want to ask you whether you can give me advise on staying safe if you have a history of an ED? Obviously there are many changes: living away from home, being more independent, being with so many new faces etc. Any tips?"

My responses:

1 - Expanding meal options is always difficult. You're not alone. It might take some time to get adjusted and feel comfortable. Don't give up if you feel uncomfortable with the expansion the first few times (or even the first several). Is your dietitian able to help you with expanding? If you no longer see the dietitian and have simply been following a meal plan for a while, I would suggest making a few more appointments with the intent to healthfully and comfortably expand what you have already been doing. A dietitian will be able to tailor some meals for you and with you that are not part of a strict plan. He or she can hopefully give you some sample ideas you can try to incorporate.

Don't get stuck on the word "normal." There is no "normal" meal. Normal is something different to everyone and we all have different needs and likes. Try to list 5 foods you enjoy and see what's out there recipe wise for them. Forgetting about portion/calories/nutrition for a moment, print a few that look good to you and bring them to your psychologist (or dietician) and discuss. Getting their opinions can help you see if they look sufficient meal wise and may help validate your opinion of whether or not they are good meals for you.

2 - Yes, I do in fact like my body. At first, years ago when I first was putting on weight, I was just accepting it. But in time, I grew to like it and even love it. I know this might sound unbelievable - the women in my group often shake their heads at me in disbelief - but it's true. There was a time I could never imagine weighing what I do, because I thought it 1) impossible 2) thought I wouldn't be "me" and 3) thought it was too much. I stand corrected. :) I'm very happy with myself but it does take time, so be patient. You will get there.

3 - As for food rituals. I don't know that I'm qualified to say whether it's okay to keep them or not. My personal opinion is that they hold a person back, as they are still technically a piece of their disorder. Try to examine WHY you are keeping them or want to keep them. WANTING to keep them indicates that they make you feel safe or comfortable and that is not necessarily a good thing, but ideally (to be truly recovered) you should be able to get more and more out of your comfort zone until you can eating "normally." If the food rituals are like a security blanket for you, eventually it will be time to let go and move beyond them. That time may not be now if you have other things to focus on first. It is all about progress, Diana. If your intent is to progress in recovery, do not intend to hold on to your food rituals. Realize that they are just coping mechanisms for feeling comfortable in situations. That said, don't get hung up on this issue - you are clearly doing well in your recovery and this does not seem like a priority at the moment.

4 - I did a video a long time ago about going away to university (college here): Coping with College

It's quite an old video (when my video camera still gave me a lisp and I was fairly new to the YouTube community). I think you'll find that it will answer what you are asking. I know there are differences between the school systems here and where you are, but the concepts I talk about are the same. I started college/university in 2002 and definitely understand where you are coming from. I graduated with a degree in 2006 so it's a bit in my past, but I well remember what it was like. :)

Eating Disorders & The Media

This week's topic is The Media & Eating Disorders. This has been talked about many times over, and I've spoken about it/written about it before, but today's video touches on it again. In this video, I mention my feelings on the media, how it affects me, and what we can do to keep negative effects of the media at bay.

The Food Side of Things

Here's this week's video - The Food Side of Things. We talk so much about the emotional and psychological aspect of eating disorders (which are very important), but this week I talk a bit more about the food aspect.

Beating the "Eating Out" Dilemma

This is a question I received from a friend a couple of months ago. I responded to her and told her I planned to post that response on my blog so you could see it too. Hope it helps. :)

***"So my boyfriend LOVES food. Of course he knows about my eating disorder, but we are planning a bunch of trips... and he wants to eat out like all the time.. and I'm just not comfortable. You know what it's like... eating out is just a different ball game... I can eat out like once a day max, have whatever I want, without getting uncomfortable. And I mean I can eat out for lunch and dinner if I need to but I usually get crabby and uncomfortable about it... I was just wondering.. have you ever had that issue in recovery and what has helped you with it?"***

Yes, I definitely know what you mean about eating out. I used to really get antsy about it and it takes the joy out of being on trip.

1 - I found that knowing exactly what the plan was beforehand really helped any anxiety I had about it. So if there's any way you can sort of a) figure out where you two will head for the meals (or what kind of food you will be getting) the night before or first thing in the morning, that's ideal and b) if that's not gonna happen, YOU can at least plan what you will have for each meal. I know you won't have any menus in front of you, but you can set yourself a little generic plan for breakfast, lunch, dinner. That way when you get to the restaurant you already feel more secure and contained and know what to "look for" on the menu.

2 - Remember that if he knows about your ED you can be up front with him and make point 1 able to happen. Tell him it may help you to plan things out more before just doing, doing, doing so that you can enjoy yourself more. That at this point it's hard for you to just go with the flow, etc.

3 - Eating out doesn't necessarily mean you're eating unhealthily. If you can break your mind of that thinking, you'll feel better. Sure, one of the meals might feel heavier and more like "junk" than the others, but eating in a restaurant can honestly be every bit as FINE as eating a home cooked meal. So try to think of it in a different light.

4 - Make a deal with him that if you are going to eat 2-3 meals out per day, YOU and only you get to pick at least one of them. Then YOU pick the place. You'll feel more in control AND you'll be able to find a place that feels safe and healthy to you if you've had a day of eating a lot. And if you keep that "deal" up for the duration of your trips, you will feel lots better.

Food Rituals

This week's video is on Food Rituals.

Complications of Binge Eating Disorder

My Wednesday video for this week was up yesterday. My topic for the week is: Complications of Binge Eating Disorder. I tried to stay very specific as others in the collab are covering other aspects of BED.

I'm Your Voice of Reason :)

I was thinking a lot last night - about a particular friend, about the world in which we live, and obviously, about eating disorders. I had responded to this friend's post and the more I wrote, the more I realized that the way she is currently feeling is the way a lot of people are currently feeling. There was so much I wanted to tell her and there is so much I want to tell you. So I propped up my webcam and made a quick video. It's below. As usual, click to view on YouTube as embedding has been disabled.

Love to all.

Holiday Encouragement

This video says it all. Take it to heart and have a wonderful week, everyone.

Eating with Others

Just a quick video in the middle of my responses to reader questions.

This week, for my Wednesday video, I responded to the question: "Is this rare or does anyone else find that eating with others can be easier than eating alone?"

The Bigger Picture

It's easy to lose sight of the bigger picture when there's something you want to accomplish but aren't quite sure how to get there. Your mind can get overwhelmed with what you want to achieve, what you want to BE, what you want to feel. You can lose control. You can turn to tactics to make you feel better. You can try to make it through the day so as not to freak out.

You slip at times back to where you started. To the very things you want to get away from. But you're trying to make yourself feel better. It's a strange concept. But it happens.

Lose weight
Eat less
Throw up dinner
Use the diet pills
Use the laxatives
Harm, hurt
Gain back the control

I'm all about living in the now--but what will those things do for you in the long run?

Make you sick?
Slowly kill you?
Wreck your life?
Destroy your pride?

Don't forget to look at the big picture in terms of recovery. Take one day at a time...but be sure to have a happy, healthy life as your long term goal. Let it be your candle in the darkness, your flag waving in the distance, your lighthouse beacon showing you the way to shore.

If you focus too much on all the little steps of recovery and forget what it is you're shooting for (i.e. a new life) you're doing yourself a harsh injustice and making your already difficult journey that much harder.

Mind Versus Body

How can you know what to do? Life can be so crazy and frustrating. It's so difficult to try to get a handle on something as complex as disordered eating. Especially if you've been disordered a long time. It's like a label, a mechanism for survival, and your mind is trapped inside of it.

As usual, I wish had magic comforting words. I wish I could say the things that would make you feel better and be able to do something with the situation.

If you’re really struggling, you don't have to know all the ins and outs of how to eat. You don't have to have this big plan that looms and feels so difficult to achieve. You just have to eat to sustain. It's not a long-term solution, but it's the beginning of one. Sustain yourself. You can worry about re-learning how to eat once you've gotten a handle on eating sufficiently enough to survive. Understand what I'm saying? At the very least, you need to give your body what it needs to function. To "fulfill" might seem tough for you; to "deprive" is much worse. So, "sustain." And when your body begins to thank you for nourishing it, you can let your mind pick up the slack and work on the other issues at hand.

Setting a big mountain of a goal for yourself isn't easy and can be daunting. Set some hills instead.

When you don't eat properly, your mind works against you. That's the best way I can think of to describe it. I always felt that way. It was amazing how much my mind seemed to "clear up" as I got better and better.

Sometimes, when you're at the end of your rope, the best thing you can do is NOT think. Don't think. Just do. Just try to eat. Just try. And deal with the aftermath when your mind is better able to deal with it (i.e. after it's been fed). It's a struggle and you may have negative emotions afterwards, but it's better than slowly dying or making yourself more and more ill...because taking a step backward every day is no way to climb a hill.

It's a lot easier to make yourself feel better mentally once you are doing better physically. You have to make your strongest voice become your true and only voice. It takes a lot of work and perseverance, but you can do it if you really want it. It's okay to have feelings of despair as long as those feelings don't cause defeat. And if you don't give in to defeat, those negative feelings will eventually dissipate.

You're already fighting a battle with your eating disorder. You don't need another battle going on inside yourself. It's already You Versus Eating Disorder. Don't let it be Mind Versus Body too.

Condition Your Intuition

Many of us have heard of intuitive eating. It sounds good. It sounds difficult. It sounds…interesting. So how is it accomplished?

Well, to be able to practice intuitive eating properly, you have to have good intuition. Working intuition.

I was not always good at this. But I am now. It is how I eat.

In order to do this, you first have to really want what is best for your body and do what it tells you at all costs.

As I'm sure you may well know, this can be extremely difficult. If you can't do this or your body doesn't accurately tell you what it wants when it wants it, you are not ready to do intuitive eating that way it needs to be done to keep you healthy.

I've found that a strict meal plan can keep a person in a restrictive mindset--it was always the case for me. You can, however, follow a meal plan that incorporates intuitive eating. That is, one that leaves room for your own desires and inclinations. It's designed to give you what you need, has lots of guidelines, but is loose enough to make you feel comfortable. For example, if a strict meal plan keeps you in a restrictive mindset, a looser meal plan that provides basics to go by (types of things you should always eat) plus some room for playing around with intuitive eating might be the way to go.

The bonus to this approach is that you slowly learn your body, its responses, and are able to listen to yourself without worrying you will go crazy and have major setbacks.

I'm no nutritionist, but I would suggest integrating intuitive eating into a regular food plan so you can get the hang of it and be ready to try it in the future if you're ready and able. There are some who rave about intuitive eating and say it's always the way to go, and there's nothing wrong with it, but it's not for everyone right away. It takes practice. Relying solely on intuitive eating right from the start might not be a good thing. If you eat based on intuition for two days and then review what you ate and your intake wasn't enough to be considered healthy and nutritional, then you need to work on some more things first before using intuitive eating on a daily basis.

But it can be a goal.

As I said earlier, intuitive eating requires working intuition. :)

Advice? Talk to your therapist/nutritionist/parents/spouse and tell them that you are having trouble recognizing the signs of being full/hungry and the other things that go along with that, like poor perception of proper intake, etc. See if a looser meal plan might work for you—a plan where there is space for you to play around with what you eat as you become more in tune with yourself and your body, and as you make your way farther along on the path of recovery. It takes time to learn yourself again. Be patient. Be kind.

The 3 Hs

The problem: How to deal with people who talk constantly about weight, weight loss, and/or dieting.

What this problem can be:

-Triggering

-Sad

-Annoying

-Unhelpful

-Angering

-Any or all of the above

A lot of the time this person in question is someone you love, respect, or call a friend. So it gets tricky. And sticky. And well, downright icky.

I tend to suggest the 3 Hs.

The 3 Hs:

-Humor

-Honesty

-Heart to Heart

Let me explain. Let’s say the person in question says, “I can’t believe I gained 5 pounds.”

You could laugh and say, “You probably just need to go to the bathroom,” and soften the situation with a little humor, making light of it, and therefore letting the person know it’s OKAY, but at the same time not getting into it with them if it would make you uncomfortable or be triggering.

Let’s say the person in question says, “I am so fat.”

You could respond with, “Of course you’re not fat. You are beautiful just the way you are. That’s one of the reasons I love you.” It’s honesty. And people sometimes shrink away from it because it feels so serious and so open. And because people without eating disorders don’t always put it out there like that. But if you DO care about the person saying this, then combat her negative comment with something REAL.

Another example is this: Let’s say the person in question says, “I need to go on a diet.”

Your response could be, “No you don’t. A diet isn’t necessary to make you feel better. It isn’t the answer.” There’s some more honesty for you. People don’t usually talk frankly and poignantly like this with one another. But sometimes, it’s the best thing. Sometimes the person with whom you’re having a conversation needs to hear it. You might feel strange giving so bold a reply to their comment, but it takes the conversation in a different direction—a non-triggering direction, an empowering direction, a GOOD direction.

On to the last H. Let’s say the person in question says, “I’m trying to lose weight. I only ate a salad and a diet Coke last night,” and goes on to detail their food intake or their pride in dieting—even if it’s NOT unhealthy.

You’ll be doing yourself a favor if you have a little heart to heart and say, “I don’t want to blow off what you’re saying because I am listening. And I want you to feel like you can talk to me about things, but it’s really hard for me to hear details about food and dieting. I want to be honest with you about this for my own good. I don’t have a problem with you, I just have a problem that I’m working on. I hope you can understand.”

You’re not apologizing. You’re being truthful. You’re worrying about yourself first, as you should. And you’re still being a good friend. And you can be as vague or as open as you feel you need to be when having the little heart to heart. If the person knows about your eating disorder history, it might be easier, but even if the person doesn’t, there are still plenty of ways you can say what’s written above without revealing more information than you’re comfortable with. If the person asks something you’re not happy answering, you have simply to say, “I hope you won’t mind, but I don’t really want to talk about that right now. But let’s keep talking.” These kinds of things are difficult, but once you learn to do them, you’ll be much better off and much better equipped to handle what gets thrown at you in this life.

After all, using the 3 Hs is better than just sitting or standing there quietly, listening to comments like these, feeling triggered and trapped. Am I right? You might be surprised how much your own voice thrown into the mix makes a difference. You also might be surprised about how easy it really is when you start saying something back. These weight/weight loss/dieting conversations happen far more often than you might like, so learning how to handle them is a definite must.