Atypical Anorexia Recovery

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I started looking into online eating disorder support options a couple of years ago when it seemed that my therapist was only a part time social contact person, and then only when it was convenient for her. I didn’t expect constant contact, but wasn’t even getting phone calls when she said she’d call, so I knew I needed to find other options. YouTube has been very helpful with eating disorder recovery information (professional and for patients), ED coaches, and people who have recovered largely on their own with the intuitive eating philosophy.

The general idea is to get to a place of eating what one wants, when they want it- and not to restrict anything. Ever. I have some medical food restrictions, but I’m working on the “no rules” eating goals as much as I can, and it is hard. Back in the 80s, I did something similar with Geneen Roth’s books. The idea there was to avoid the ‘good’ and ‘bad’ food categories, and just see food as fuel. That is still part of intuitive eating. Back then, I got things I wanted to eat, and kept my pantry stocked. That took away the ‘forbidden’ food idea that just leads to craving those items more, and setting up bingeing because of restricting. If the foods are always available, the idea was that I could have them when I wanted, and took away the obsession with something I wasn’t “supposed to” have. It was a good thing for me, and I focused on things I really wanted, and good quality versions of them. I started to enjoy those things in small quantities because I could have more, but mostly, a few bites was all I wanted. I was never a regular binger, so that part wasn’t really relevant, but with restricting so many categories of foods, the idea of ‘no bad foods’ helped make them less terrifying.

With YouTube, I have favorite ‘recovery journey’ channels (Elzani, Elzani Singleton, Megsy Recovery). Elzani’s journey could be triggering because of her severe emaciation in the beginning, but she had the motivation to get well that was helpful for me and still is. I wanted to try new foods because of her channel, and love how supportive her family is. Megsy Recovery is also good, and focuses on daily challenges with specific foods and topics. They are both pro-recovery, and have been incredibly helpful. Often, I’ll eat while watching one of their videos, both for distraction and information.

Tabitha Farrar is a recovery coach, and a recovered anorexic. She is direct, and has a lot of videos that explain the way the body does all it can to survive, and why there is a lot of damage to repair physically as well as mentally. She understands and promotes the idea that body size is irrelevant to the type and severity of the eating disorder. The rules for underweight ED sufferers is no different for those in larger bodies. I’m still coming to terms with that, as I have trouble internalizing the idea that what I see in the mirror ‘deserves’ food, but I’m starting to see how food is simply fuel- but can also be enjoyed just for the sake of liking something. Tabitha has written several books. “Rehabilitate, Rewire, Recover” is her main book (2nd edition now), but she has smaller books on weight gain fears, and dealing with issues common to those in recovery. Elisa Oras is also very good as a recovered person, now in her second pregnancy. Her focus is intuitive eating as well, and she posts videos on various ED topics. “BrainwashED” is the title of her book.

One of the biggest advantages of online recovery help is that there are no “business hours”. With my weird sleep patterns, I can always look up a video or read something (short amounts, since attention span is still messed up). If I didn’t quite grasp something, I can rewatch or reread their content. I’m not judged, and I can pick and choose what seems like it will be helpful. There are some topics I don’t have issues with (spouse, kids, etc), so I can skip those. Repetition happens at my pace, and with the content that is most useful to me. It’s completely customizable. It takes a lot of repetition to rewire the brain to escape the eating disorder voice and rules. That was supposed to be the goal with my former therapist, but there was no instruction on how to do that. YouTube has excelled in “patient education” via these online recovery channels, as well as professionally directed seminars. I also ‘see’ people who have recovered, showing that it is possible, even without a ‘therapy’ angle. I am NOT ‘anti- inpatient eating disorder treatment’. If someone needs a higher level of care, that should be the priority. It can help shave months off of recovery done only with outpatient resources, and if someone is medically unstable, hospitalization is critical. Every 52 minutes, someone dies from an eating disorder, in the US alone.
https://www.southdenvertherapy.com/blog/eating-disorder-statistics

YouTube also has a lot of professional videos on eating disorders, to explain the nuts and bolts of EDs (not dependent on weight), and topics like refeeding, medical implications, etc. As a former RN of 35 yrs (worked 20 before my body broke), I appreciate the professional information. Dr. Jennifer Gaudiani is one I like. There are also good channels by “Balance”, “ACUTE” (medical stabilization unit in Colorado), and many more.

Besides YouTube, there are a LOT of ‘written’ websites that have really good information. NEDA, BEAT, ANAD, Door2, Balance, ACUTE, and professional research sites have a ton of recovery information. There are many others as well, but these are the ones I’m most familiar with. I’m the sort that likes explanations about why something is happening or difficult, and the internet is loaded with them. I am cautious about sites with no connection to a legit organization. I recently learned that while there are great recovery coaches online, there are also pro-Ana ‘coaches’, which horrified me. If any site or ‘coach’ promotes restriction of any kind, they should be avoided like the plague. There is a sub-type of ‘Ana Coaches’ that get into twisted fetishes, asking people for photos of their decreasing weight, and use those photos for sexually pathological reasons. Their ‘coaching’ is a form of grooming for sexual exploitation, and blackmail is often involved. NEVER send photographs in any stage of undress to an online ‘entity’. Once they are on the internet, they can be shared and sold. You become ‘trafficked’, and some perv is out there spanking the monkey while looking at those photos. Ewww…

Well, this is what I’m using now to get well, I hope. I’m able to understand that all bodies are different by looking at animals… I would like to be a greyhound, but am more of a bulldog. Neither dog is ‘wrong’ or ‘unworthy’, but simply how they were designed. Humans are also various shapes and sizes, and those are not ‘imperfections’, but simply how each of us was designed. To deprive the bulldog of what it needs would be so very cruel, and yet that’s what I’ve been doing (or had done to me) for 55 years. It’s hard to undo that mindset, but that’s what I’m hoping for.


Resources:
https://pubmed.ncbi.nlm.nih.gov/37906085/

https://www.acute.org/?msclkid=602e9f1d8169160adfe0f6a1d312e2cd&utm_campaign=Branded&utm_medium=cpc&utm_source=bing&utm_term=acute%20eating%20disorder%20treatment%20center&utm_content=ACUTE%20Brand

https://www.beateatingdisorders.org.uk

https://anad.org

https://www.door2.com.au

https://balancedtx.com

https://www.gaudianiclinic.com