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By Megan Samuels, Intern for The Eating Disorder Center  Eating disorders are often accompanied with behaviors. Some behaviors include restricting, binging, and/or purging. These behaviors can arise with intense emotions (such as sadness, loneliness, anger, etc.). Eating disorder behaviors are not “fun”. People struggling do not choose to use these behaviors, the eating disorder chooses and that is often already hard-wired into our brains. As the eating disorder evolves, it chooses certain ways to protect us from those intense emotions or anything in life that is too much to handle. An aspect in recovery that you may choose to work on with your therapist or treatment team is understanding the role that your eating disorder played in your life and how it protects/protected you, also acknowledging all of the harmful aspects of eating disorder behaviors. There are a couple of go-to strategies that I like to use, one of which being creating time between the urge and the behavior (also known as the action). This could mean when I recognize the urge to purge, I will decide to do five coping skills first. The hope is that some coping skills could help soothe the intense emotions and use the behavior with more time after the urge or not use the behavior at all. Some coping skills I like to use are coloring, collaging, knitting, texting a friend, and putting my weighted blanket on me. I often like to think of this skill as a pause button. For example, let’s say you get an undesirable grade on an exam. You begin to have feelings of anger (at how difficult the exam was) and disappointment (that you let your parents down). You decide that you are going to go to the nearest grocery store and buy a bunch of binge food and then eat all of it in one sitting. PAUSE (this is where the skill comes in). The first step is recognizing that you have an urge to use a behavior (in this case it is to binge). Next, I like to actually say the word “pause” out loud to myself. This can allow your body to slow down and realize that you have some control in the next few decisions that you make. Then, you separate urge and action. This could be telling yourself that you will call and talk to a recovery friend before going to the store. While you are on the phone with a recovery friend, you can practice talking through your anger and disappointment from the exam and you ride the waves of those emotions without feeling the need to go to the grocery store and binge. After talking to your recovery friend, you may feel much better and continue on with your day, acknowledging how proud you are of yourself for standing up to the eating disorder and working on your recovery journey. Give this skill a try for yourself and see what you think! **Please note that bingeing is a resilient response to coping-even if it's no longer serving you. Try to practice compassion for yourself if you do end up bingeing, rather than beating yourself up. The Eating Disorder Center is a premier outpatient eating disorder therapy center founded by Jennifer Rollin. We specialize in helping teens and adults struggling with anorexia, binge eating disorder, bulimia, OSFED, and body image issues. We provide eating disorder therapy in Rockville, MD, easily accessible to individuals in Potomac, North Potomac, Bethesda, Olney, Silver Spring, Germantown, and Washington D.C. We also offer eating disorder therapy virtually throughout California and New York (NYC) serving those in cities including Palo Alto, San Francisco, Newport Beach, Los Angeles, Woodland Hills, San Jose, and Beverly Hills. We provide eating disorder recovery coaching via Zoom to people worldwide. Connect with us through our website at www.theeatingdisordercenter.com
By Jennifer Rollin, MSW, LCSW-C  “It seems like I’m actually experiencing my feelings, now that I’m no longer bingeing and purging my emotions,” my client in recovery from bulimia shared. Eating disorders are believed to be caused by a combination of factors including, genetic, temperamental, and environmental influences. However, one thing that almost all of my clients with eating disorders have in common is difficulty in expressing, processing, and coping with their emotions. Emotional Avoidance and Eating Disorders Emotional avoidance, is described as actions that are intended to prevent an emotional response from occurring, such as fear, anger or sadness. People struggling with eating disorders often turn to their eating disorder behaviors in an unconscious effort to try to help themselves to “feel better” and to cope with difficult emotions or life circumstances. For instance, for many people struggling with anorexia, their response when it comes to coping with feelings of anxiety, sadness, or loneliness, is to restrict their food. This may give them a false sense of “control” and specialness. For individuals with bulimia, bingeing and purging provides them a momentary feeling of comfort, “control,” or relief. For people struggling with binge eating, eating often feels like “an escape,” comforting, calming, or a way to numb out. The reality is that eating disorder behaviors often provide short-term relief or satisfaction, and long-term feelings of increased depression, loneliness, and misery. Let Yourself Feel Eating disorder treatment involves a variety of tools and strategies for helping clients to reclaim their lives. However, one important element is helping them to learn how to identify, process, and cope with their emotions in ways that align with their life values. I often say to clients that trying to suppress our emotions, is kind of like trying to hold a beach ball under water. It takes a lot of effort and eventually the beach ball will fly up above the water with force. As a culture, we are often not taught to express our emotions. It’s important to share with clients that their eating disorder behaviors are often coping strategies that they are using for “self-soothing.” These behaviors may have helped them to get through some difficult and traumatic times, however they are also no longer serving them. With treatment and support, people with eating disorders can learn how to heal their relationships with themselves, food, and their bodies. They can also learn how to express and process their emotions, without the constant strain of trying to suppress or run from their feelings. Part of living a meaningful life is being able to experience all of one’s emotions, both pleasant and unpleasant. One of the great privileges of doing this work is being able to see the light return into someone's eyes, for them to be exploring their true passions and interests, for their brain space to be no longer ruled with thoughts about food and their body. Full recovery is completely possible. The Eating Disorder Center is a premier outpatient eating disorder therapy center founded by Jennifer Rollin. We specialize in helping teens and adults struggling with anorexia, binge eating disorder, bulimia, OSFED, and body image issues. We provide eating disorder therapy in Rockville, MD, easily accessible to individuals in Potomac, North Potomac, Bethesda, Olney, Silver Spring, Germantown, and Washington D.C. We also offer eating disorder therapy virtually throughout California and New York (NYC) serving those in cities including Palo Alto, San Francisco, Newport Beach, Los Angeles, Woodland Hills, San Jose, and Beverly Hills. We provide eating disorder recovery coaching via Zoom to people worldwide. Connect with us through our website at www.theeatingdisordercenter.com
By Jennifer Rollin, MSW, LCSW-C  Around the New Year we are inundated with diet-culture messages that emphasize a focus on “fixing yourself.” Each New Year many people resolve to “lose weight,” and “get healthier.” There seems to be an increased focus on joining the gym, dieting, and “lifestyle changes” (aka diets in disguise). For individuals in recovery from an eating disorder, the New Year can be a particularly challenging time. With everyone around you racing to join the nearest gym and obsessing about their new “clean eating plan,” it may be difficult to maintain focus on recovery and body acceptance. Plus, it's super hard when your eating disorder is validated over and over again by diet culture (whose main aim is making that money $$$). The following are three quick tips for navigating the New Year and staying on track in your eating disorder recovery. 1. Do a social media detox. Food related “detoxes” are a ridiculous waste of time and money. There is simply no scientific evidence to support the need for a “detox." If you’ve got a functioning liver and kidneys, they are already doing this job for you. However, there is one kind of detox that I support, which is a social media and diet-culture detox. Essentially, the first step is to go into your social media and unfollow or unfriend anyone that causes you to feel badly about yourself. Make sure that you remove any social media accounts that talk about weight loss, changing your body, dieting, “lifestyle changes,” and promote an unhealthy fixation with food and exercise. Next, you can go ahead and add in some body-positive, health at every size, and eating disorder recovery accounts. While you cannot effectively remove all aspects of diet-culture from your life, you can work to make your social media feed pro-recovery and body-positive. It can also be helpful to follow people who promote body-diversity and demonstrate that you CAN be happy at any size. 2. Set some pro-recovery, body-positive, and self-compassion related intentions. I’ll be honest in that I’m not really into the idea of New Year’s resolutions. First off, here’s simply not a lot of data to support that people actually stick to their resolutions. Additionally, I think that it’s helpful to utilize goal setting throughout the year. The New Year is a fresh start and a time to really think about your priorities and values. It can be helpful to use this time to set some goals/intentions that support your recovery. However, rather than setting goals for the whole year, I think that it can be more useful to set them for the next month or so. This feels less overwhelming to some people and can make it easier to stick to the intentions that you have set for yourself. Some ideas for pro-recovery goals to set could include challenging yourself to certain “fear foods,” working on practicing body-appreciation, and developing a more compassionate approach to yourself through your self-talk and self-care. 3. Reach out to your support system if you start to feel triggered. It’s important to practice self-compassion if you start to feel triggered around the New Year. Eating disorder recovery is tough, especially when everyone around you is racing to join the nearest gym and ranting about their new “diet” plan. However, with time and practice you can learn how to effectively manage your triggers and use healthy coping strategies. If you are starting to feel triggered to return to disordered behaviors, it’s crucial to reach out to members of your support network, which could include family, friends, and your treatment team. Eating disorders thrive on shame and secrecy, thus it is important to be open with the people in your life about what you are experiencing. No one should have to struggle alone and you deserve to have some support. If you are not meeting with a therapist-i'd highly encourage you to reach out to one who specializes in health at every size and eating disorders. Therapy can be a crucial part of healing from an eating disorder. The Bottom Line The New Year is an exciting fresh start and a great opportunity to refocus on your values and priorities. However, it can also be a triggering time for those in recovery from an eating disorder. Work to practice compassion for those who are still stuck in body-hatred and the diet cycle. When they say that they want to “lose weight,” often this is simply masking their true aim, which is to feel loved, accepted, safe, and joyful. Remind yourself that your worth is not found in your weight, eating habits, or your body. Additionally, people of all shapes and sizes are worthy of love and belonging. If you must make a resolution this New Year, the following are some things that you can work to lose (instead of weight).
Ultimately, talk back to that voice in your head that says that you 'aren't enough.' The voice that whispers that 'wouldn't things be better if you just lost a few pounds?' The one that argues, 'well other people are doing it-so why can't I?' Your eating disorder is lying to you. A focus on weight loss and shrinking yourself, only serves to shrink the rest of your life too. You are enough, just as you are. The Eating Disorder Center is a premier outpatient eating disorder therapy center founded by Jennifer Rollin. We specialize in helping teens and adults struggling with anorexia, binge eating disorder, bulimia, OSFED, and body image issues. We provide eating disorder therapy in Rockville, MD, easily accessible to individuals in Potomac, North Potomac, Bethesda, Olney, Silver Spring, Germantown, and Washington D.C. We also offer eating disorder therapy virtually throughout California and New York (NYC) serving those in cities including Palo Alto, San Francisco, Newport Beach, Los Angeles, Woodland Hills, San Jose, and Beverly Hills. We provide eating disorder recovery coaching via Zoom to people worldwide. Connect with us through our website at www.theeatingdisordercenter.com
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The Eating Disorder CenterWe are a premier outpatient eating disorder therapy center in Rockville, Maryland. Archives
September 2024
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