Eating Disorders Recovery Blog

When family members bring their loved ones to treatment for substance abuse and eating disorder issues, the hopeful anticipation is that at discharge, they will be ‘fixed’. Despite the fact that my magic wand holds a special place in my office, it seldom works the way family members want it to. Healing from substance abuse and eating disorder behaviors is a complex and complicated endeavor and requires more than simply work on the sufferer’s behalf. From my perspective, healing is a family affair revolving around the building of open and honest lines of communication. Getting to this point can be challenging and oftentimes the clinician has to overcome significant defenses inherent within the family system.

The goal of family healing is to subvert any notion of blame. Rather the intention is to move from self-absorption or self- flagellation to a place without guilt and shame – a place of openness focused on utilizing the past only for self-discovery and growth. The creation of substance abuse and eating disorder behaviors usually develops from multiple factors rather than one single cause. There is no need to expend time and energy on examining these factors ad infinitum. Most important is to begin with a willingness to create the open, honest lines of communication towards the development of new behaviors and discovery; a willingness to listen and tackle those issues in a significant enough way that allow for listening closely to the sufferer’s story.

Let’s examine what we know about the complexities of substance abuse and eating disorder behaviors. For the most part, these behaviors are utilized as coping mechanisms by the sufferer to act as numbing behaviors to separate them from ‘feeling states’. But if we look closely with open hearts and eyes, it soon becomes revealed that these behaviors when extreme, become a cry for help, a cry for attention by the sufferer.
There are many contributing factors to the rise of substance abuse and eating disorder behaviors. We live in a world where the media barrage of diet fads and obsessive attention to body image is excessive to say the least. We live in a world where family structures are dissipating which in turn leaves adolescents vulnerable to define their own acceptable sense of self. We live in a world where perfectionism is a common denominator between those who are born to believe they are capable and those who are not. Most importantly there are many exemplifying factors to consider such as stress, depression, socioeconomic positioning, and the list continues.

But let’s get to the bottom line here – the healing process is indeed a family affair.

My goal when working with families is to help understand each individuals’ fears surrounding the sufferer, and to help each person in the system become empowered by creating honest, trusting, and deep bonds with the other. This development is not an overnight process, nor does my ‘magic wand’ help in the endeavor. Rather it is a slow, pedantic process requiring an open heart, mind, and most importantly, the willingness to be vulnerable, introspective, and supportive in a healthy way to the sufferer. I firmly believe that if these elements are in place, magic can happen in the healing process.

The most significant factor of all is that the identified sufferer gleans a new perspective on life as do those in the family system who come to the witness the metamorphosis. Oftentimes the metamorphosis is their very own.







Dr. Michele Lob PsyD MFT is the Clinical Director at the Victorian House in Newport Beach, CA. She also has a private practice working with families and children in Newport Beach.

Labels: Anorexia, Bulimia, Compulsive Overeating, Eating Disorder, Eating Disorder Treatment, Newport Beach Eating Disorder

The coolest thing happened to me this week I received an email from another woman in Overeaters Anonymous who is living outside the US, in an area where there are no OA meetings to attend. She reached out to me for support. What a rock star she is huh? We have been emailing a bit. The other day she asked me a great question, “What does your God look like and how did you find him/her/it?' I would love to hear about your Higher Power if you wouldn’t mind sharing!” I was taken back, by such a deep and profound question than many people new to Eating Disorder Treatment have. I wanted to take some time to think about it and share it with all of you too.

For me, my Higher Power is what I call “God.” I consider God the foundation for my recovery and my life. He’s like, I guess you would say, “The man of the house” (well, my house anyway.) I believe that I can’t change jobs, date this guy, not that guy, not eat dinner or eat a pint of ice cream and not return phone calls without consulting God, “The man of the house” first. I am an artist and by nature a very visual person. So I need to have a visual of what my God looks like and does, envisioning someone I share my life with and have to check in with works for me.

How did I find my Higher Power?
When I came into treatment for my eating disorder I did Step One of the 12 Steps which is “We admitted we were powerless over food and that our live had become unmanageable.” Which was completely true in my case, but you have to read my book for the details ;) My whole life including my food was one big terrifying mess and it was my management of my life that got me there. Doing Step1 helped me to do Step 2 which is, “Came to believe that a Power greater than ourselves could restore us to sanity.” Doing step 2 is a huge leap of faith for anyone. If you’re anything like me you tried to do everything in your power to stop your eating disorder yourself, you spent thousands of dollars on meds, doctors, dieticians and rehab, but when it came down to it the bridge between recovery and addiction was surrendering your life to God and BELIEVING that He could fix you. Sound a bit freaky? Yeah, I’m with you. It is freaky, but oddly…it works. Being humbled enough to say, “Show me a different way of thinking, being and living and show me how to do it.” Is a hard thing for someone with an addiction, but it also the most valuable tool needed to stop diseased behaviors.

What does it look like to have a Higher Power?
At first it’s very difficult to have a higher power. I found that I couldn’t do everything that I wanted, whenever I wanted and that was HARD! When I surrendered my whole life to God I surrender my meals, my time, my food, my faith, my friends, my family and my job to Him. My whole life is under His discretion. If I don’t want to eat a meal, I have to ask my Higher Power, “What should I do?” and my Higher Power usually says, “You need to nourish your body on a regular basis. Now lets go eat dinner.” If I’m dating a guy who I just feel awkward and stupid around, I ask God, “What do you think of him?” and God will say, “I think you deserve to be around someone who makes you shine.”God is the healthy and protective voice of self preservation that I wasn’t born with. He is a voice that I would be dead in a gutter without.

What is your Higher Power like?
My sponsor is a smart woman. She wanted to make sure I would be able to recognize Gods voice when He spoke, so she asked me to write and draw what my God is like. This is the God of my understating. My God….

1.) Thinks I am beautiful no matter what size I am.
2.) Never yells or gets angry with me. He is patient and kind to me.
3.) Thinks I am really funny and cute.
4.) Likes chocolate.
5.) Wears flip flops and kind of looks like a wise hippie.
6.) Is always really relaxed and calm and calms me down when I am overwhelmed.
7.) Wants me to marry a man who respects me and himself.
8.) Thinks I am smart and intelligent.
9.) Likes it when I help out other women suffering from Eating Disorders.
10.) Thinks all women are beautiful just the way they are.
11.) Listens to people share their stories and troubles.
12.) Stays in the moment.
13.) Wants me to use my talents for good.

For me, I wouldn’t have recovery if it wasn’t for my higher power. I do rely on a group of women when I feel anxious about food, I do consult a therapist when I am having trouble in life and I do journal and take care of myself, but none of that would be possible unless I had my higher power telling me to do those things. Before I was in recovery or had a Higher Power I did things according to my rules. It’s so much easier to follow God’s rules and live in God’s world. Because in God’s world, everyone is beautiful, everyone is smart and everyone is worthy of kindness and love no matter what their size. I prefer that world and that thinking over my own diseased thinking any day.

Labels: Anorexia, Bulimia, Compulsive Overeating, Eating Disorder, Eating Disorder Treatment, higher power

When I was active in my Eating Disorder the word "medium" was just about as bad as calling me F-A-T. Crazy, I know. But, for me I was only okay if I wore a "small" shirt or was able to soothe myself with seeing a "LARGE" A+ on an essay….I lived to hear people say, "you are the smallest girl I’ve ever seen" or you are the "BIGGEST help I've ever had." To me, medium stood for mediocre, good, but not great, nice, but definitely not the best. The voice of my Eating Disorder always told me, “If you can’t win, then don’t play.” That thinking works for a while, but for me I found as time went on it became impossible to be the smallest and LARGEST at everything. It started to hurt my relationships. When I saw another girl getting praised for her small body I would hate her for taking my spot. When someone else was given praise for their generosity at church or creativity at work I became jealous and distant from them.


Nevertheless I found that my quest to be the small or be the BEST at something didn’t come from a genuine place of me using say my writing skills, my compassion or my love for children…my quest to be small and the best was simply an avenue for me to quiet the voice of my Eating Disorder, because I thought, “When I am small enough and the BIGGEST success that voice that tells me I’m a piece of crap will finally go away.”

I started to see just how neurotic the voice of my ED was after a conversation I had with my friend Jessica who does not have an Eating Disorder. She asked me why I looked so sad and I told her, “I’m worried about my writing. I’m worried that I spend so much time everyday trying to perfect my craft and what if I never publish one of my books? What if I don’t ever make it on the New York Times Best Seller List? What if I never sell my work?” With a puzzled expression Jessica asked me, “Why are you trying to be the best? I mean I love to paint. I’ll paint until the day I die. I don’t care if my art never gets hung at the Louvre or if children don’t read about me in 100 years. I paint because I love it. I know you love writing, why don’t you just do it and stop worrying about other people reading it and just enjoy your art?” I was shocked by her words, “Just do it for the sake of doing it? Not be the best? Is she crazy? I HAVE TO BE THE BEST!”

But as time has gone on, as life in recovery has settled in I have discovered that I am actually a lot happier when I am not striving so hard to be the best or the smallest. I am more authentic in my writing, I’m not starving trying to be so tiny and I am not spread thin among projects trying to be Super Woman. I may not get as many compliments or all the praise that I was used to, but I guess I don’t need as much because I give it to myself, I don’t look for it from others.

Learning to live life like a “medium” is difficult. You have to give things a lot more thought, like, “Is it really healthy to stay up until 3am writing?” “Do I really need to knit 50 scarves for my friends and family for Christmas?” “Do I really need to only eat a latte for lunch?” I’ll admit it is uncomfortable at times to be a medium. American society focuses on the best and the shiniest. I may not always be the center of the focus and the praise, but I know that I don’t need to be in the center to matter and feel loved.

Love ya'all!
Irvina

Labels: Anorexia, Bulimia, Compulsive Overeating, Eating Disorder Help, Eating Disorder Rehab, Eating Disorder Therapist Newport Beach, Eating Disorders