I was due to start some body image work with my counsellor yesterday. I have gained enough weight and kept it stable for long enough that body image work is now an option. for me. I was both terrified and excited. I am feeling horribly uncomfortable in my body right now. I’m trying to ‘deal’ and barely managing it. It’s that pervasive ‘can’t look in the mirror, need to try on a zillion outfits generally ending up in tears in front of the wardrobe, self-harming due to a photo’ kind of feeling. I keep telling myself I’m ‘over-evaluating weight and shape’ but the rational voice isn’t making a dent.
So I went to my appointment and we went through the usual reporting behaviours etc. I admitted I’d purged a few times over the past fortnight since my last appointment. My counsellor responded with ‘it just has to stop’ and that there is no point in doing body image work until the purging is under control. Apparently I can’t work on accepting my body until I stop behaviours.
My counsellor is amazing, so I trust her that this is the way to do things, but man, I am struggling to see the sense in not helping my accept my body due to the behaviours that are occurring because of the fact that I can’t accept my body. It just goes round and around. I understood this with weight gain, there’s no point in learning to accept a body that is only temporary until the weight stabilises. But my behaviours aren’t due to weight. I know binging and purging will only make me gain weight, and I know purging after normal sized food is more likely to end up with me eating more overall.
I understand the behaviours need to go but I honestly do not know how to do this. I said this to her and she seemed to really think I can. I really wanted to believe her but I don’t think she really understands how ingrained the purging and the binge/purging is. If I’m not restricting, I’m purging, and I have been doing this for more than 20 years now. This is the way I live my life. I have never been able to conquer it without resorting to restriction.
She set me the challenge of 4 weeks of no purging. I told her how incredulous this was and she told me that I just have to do it and that I know how and I can do it I just have to follow through. I was sceptical initially but by the end of the session really committed to trying. I want to get rid of this more than anything in the world and I am willing to give it my all.
So today I felt full after lunch and distracted with a walk. I ate crisps that weren’t planned and I distracted with a nap after work. I ate a healthy meal with a friend and observed the feelings of eating more than her. Then she showed me a photo of me from a race that someone had posted online and bam the urge to purge was there. I distracted by sitting down to do some phd. I got stuck with PhD and the urge grew stronger. I repeated and repeated to myself that it was just an urge and that it was not my rational brain (thanks, ‘brain over binge’). I did everything I should have and yet, there I am a while later purging my dinner and crying in the bathroom.
It wasn’t about undoing any calories, it was about trying to survive the feelings about my horrible grotesque body and my stupid brain that is stuck with my phd. It didn’t help, as I still feel bad now, and even worse as I failed to last even a day. I feel pathetic but I’m also really frustrated as I don’t know how to make my counsellor understand that I can’t ‘just stop it’. I honestly do not know how to recover, and I’m so scared that I can’t make anyone else understand this. She is meant to be my ally in all of this but right now I just feel so alone. It’s not about not wanting it enough. I want to be free of this horrible demon so so much, but I genuinely do not know how. I don’t want to the person that can’t even go one day, but in the moment I seem to have no power.
So here I am, failing again and struggling to see how I will ever stop ending up back in this place.