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Coping Skills for Eating Disorder Recovery

Eating disorder resolutions for the new year should focus on health, not food, weight, or exercise. All too often in this culture, New Year's resolutions focus on those things. It's just another confirmation that society as a whole is image-obsessed to an unhealthy extreme.
When did I start eating disorder recovery? The timelines don't add up. Whenever I talk about my eating disorder recovery, there seems to be an inconsistency in the timeline I give for when my eating disorders first really began to flourish, and when I entered recovery. This disparity didn't occur to me until I listened to the video I prepared to introduce myself as an author here at HealthyPlace. In the video, I say that I battled with anorexia and bulimia for almost two decades. Then, I say that I've been in recovery for almost 10 years. I also mention that I'm 38 years old. So what gives?
If you have dealt with any patterns of disordered eating in your life, chances are these behaviors were—or continue to be—fueled by negative self-talk around body image. Since the brain is a complex, independent, thinking organism, self-talk is an intrinsic part of the human experience. You are hardwired for internal dialog with yourself, and this is not always problematic. That endless stream-of-consciousness in your head is shaped by the beliefs, perspectives, attitudes, and observations that help you negotiate the world around you. When used constructively, self-talk can empower you to confront fears, gain motivation or discipline, boost confidence, and strengthen areas of improvement. But if this self-talk turns critical toward yourself—in particular, how you look or what you weigh—it causes shame to take root and harmful behaviors to manifest which could result in an eating disorder. So it's important to learn how to reframe your negative self-talk around body image into a kinder, more compassionate dialog.
It's official: The holiday season has arrived, and Thanksgiving is just around the corner which means that eating disorder (ED) survival tips are now more important than ever. This time of year is known for family traditions and cultural festivities, but it can also feel like a burden if you are in recovery from an eating disorder. Maybe there's a relative who points out the number of calories everyone is about to consume at the dinner table. Perhaps your well-intentioned grandmother hounds you to take seconds on dessert or the conversation detours to how "healthy" and "normal" your weight has started to look.
Secrecy and bulimia (and all eating disorders) often go hand in hand. But this is especially true for bulimia, where people struggling with the illness may not appear to be unwell. There are so many unspoken layers of complexity to the disease that a person can suffer for years without getting the help that they need. But breaking the secrecy around bulimia is one of the best antidotes to isolation and stigma. By opening up and sharing their difficulties around food with others – even anonymously – people can stop the illness from worsening over time. Talking about it out loud is often the first step towards healing. So, how do people go from years of silence and secrecy about bulimia to admitting that they have a problem?
Eating disorders have been trivialized for decades. However, people struggling with these illnesses have an elevated risk of death by suicide compared to other psychiatric disorders, with bulimia having the highest attempted suicide rates. High comorbidity associated with bulimia – and the dearth of research – makes it difficult to tease apart what contributes to suicide risk. But it’s important for people to know that both bulimia, and the suicidality that accompanies it, can be treated and overcome. (Note: This post contains a trigger warning.)
Is it possible that an improved body image can prevent eating disorders? Research has been fairly consistent in identifying the link between body image issues and eating disorders. So, can school-based intervention programs help reduce the onset of eating disorders in young people by giving them the tools to develop high body esteem and satisfaction?
Eating disorders and vacation: Do you find it difficult—maybe even impossible—to enjoy a summer vacation without the influence of your eating disorder at the forefront of your mind? I can relate, and it's a continuous process for me to release those obsessions and insecurities around exercise or food anytime I travel outside my normal routine. Recovery from eating disorders and vacation plans can, however, come together.
New research suggests that poor “interoception” – the process by which we notice and understand internal sensations, like how hungry or thirsty we are –- may contribute to eating disorders. It turns out that when it comes to disordered eating, the common stereotypes that restricting stems from an unrelenting quest for thinness and bingeing is due to a lack of self-control are wrong.
There’s been significant research to validate the correlation between the personality trait of perfectionism and bulimia nervosa, although, the causality has been debated. A 2010 study in the "International Journal of Eating Disorders," researchers showed that perfectionism plays a role in the “etiology, maintenance, and treatment of eating disorders.”