Posts in Eating Disorders
A Mother Had a Daughter Who Had an Eating Disorder
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Yesterday on Twitter, a blogger who had read my Dr. Phil anorexia post tweeted to me. I went over to look at her blog and felt the familiar stomach drop when I read this:

A month ago, in Flagstaff, SB had a Subway sandwich for dinner Friday night and at lunch on Saturday she had a few of the sweet potato fries I'd ordered for the table. Yesterday, when it was suggested she needed to drink Gatorade to combat the recent dehydration that led to her fainting twice and being rehydrated in the E.R. this past Sunday, she cried. And said no.

As a mother, my stomach drops for the blogger. As a recovered anorexic, my stomach drops with muscle memory. 

I'm reading THE MATHEMATICIAN'S SHIVA by Stuart Rojstaczer. In a book within a book, the protagonist's mother writes about going with only a tiny bit of food a day in war-torn Russia. Her description of hunger is spot-on:

I want you to follow my instructions. Take your eyes off this page when I tell you to do. Look at the room around you. Wherever you are, simply open your eyes adn look, listen, smell and think whatever thoughts come your way ... Then imagine all of your awareness disappearing. Your eyes work, yes, but they don't see anything. Your brain won't let you process such information. The smells, they are gone, too. Your ears, they work simply to warn you of danger. Your thoughts, all of them are so uncomplicated and pure ... All is about the numbness inside you ... You are truly in hibernation. Everything has slowed, because any processing, physical or mental, requires energy, and that, if you are truly nutrient-deprived, is precisely what you don't possess.

When I read that, I remembered crying from hunger. And I also remembered crying from fear of what would happen if I ate, because the hunger was easier to tolerate than the fear. The space between those places is anorexia. I wrote about that motivation and that place in my young adult novel, THE OBVIOUS GAME. Writing about it forced me to go back and experience those feelings again, and it was no fun. However, it's important for those of us who are recovered and feeling brave to talk about life after an eating disorder, because when you're in it, you can't imagine life on the other side of it. I keep writing. I'm here. I'm on the other side. It blows my mind that I still get 2-3 emails a week from people who love someone with anorexia. They are desperate. They have no idea what to do with this thing they don't understand at all. They want me to tell them what to do. I can't totally do that. I'm not a psychologist or doctor. All I can do is try to explain how their loved one feels so they can support that person in the best way possible.

My new friend Jenn told me about the March Against ED next week (September 30) in Washington, DC. I wish I would've known about it earlier, because I think I would've tried to go. If it happens again next year, I will be there. There is so much misinformation about mental health in general, and anorexia is one of the few mental disorders you can see on a person, which I think contributes to even further misunderstanding, because you form opinions without knowing the person at all just by looking at them. 

I have a list of ED resources in my Young Adult category up in the masthead. I will be updating that list with some more from Jenn. I was never inpatient anywhere (I threatened to run away and I was 18) and I ended up recovering physically in college and mentally in my thirties. 

They were deep ruts in my brain. Deep, self-loathing ruts. Filling them in was the hardest thing I've ever done, and it's what I want for every disordered eater out there. It can be done.

I'm relieved to hear Jenn's daughter is in recovery. There are many other people whose sons and daughters aren't. I know. They email me. It's best if you catch it early. It's often comorbid with other mental illness and therefore hard to separate or identify. (Is she not eating because she's anxious? Is she counting her calories because she's OCD?) If you think there's a problem, it's better to err on the side of caution, just like you would if your kid suddenly sprouted an unexplained lump in her breast or a persistent ache in her teeth. Please don't assume what you see on television is real. It's not dramatic or romantic or disgusting. It's someone who is hurting really, really bad. Someone hungry in every sense of the word.

 

The First Cool Night
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It is the first cool night of fall, and always, I remember how much I feared the cold when I was starving myself.

When I was eighteen, and my boyfriend went off to college and there were no texts or cell phones, and all I had was a Jimmy Buffet CD and letters to warm me.

When I was nineteen, I got a tattoo of the sun on my inner heel to warm me. I was still starving myself. My grandfather rendered the sun in copper, and now I own it but don't know where to hang it.

I don't fear winter in the same way, because I am not that girl anymore. I know how the story plays out, at least as far as the second act. I know the protagonist is no longer starving.

But there is still fear. That I won't be relevant. That I won't be heard. That I'm what I fear: Just another small life on the rock that burns and then flames out for the sake of warming the planet for one second in an ocean of years.

It gets colder and the rock turns, but at least I am better equipped to face the turn.

Because I have grown. And I am no longer starving myself.

Eating Disorders Comments
Win a Copy of THE OBVIOUS GAME on Goodreads

Here I've spent the first half of 2014 thinking I could no longer run giveaways for THE OBVIOUS GAME on Goodreads because it was published in 2013. (The dropdown in the author tools area only give you options for the year prior to your pub date and the year of your pub date.) I was sad, because Goodreads giveaways are such a win/win. They are inexpensive for an author to run (you only pay for the books and shipping) and they provide exposure as each sign-up adds the book to the signee's to-read shelf, thus giving the author and the book exposure she wouldn't otherwise have had. Lately most of my dealings with THE OBVIOUS GAME have been either asking people to review it or answering emails from people who love people with eating disorders (in which really what can I say but, "Well, I wrote an entire book about what I want to say to you now, so maybe you could read that and then let me know if you want to talk more"). The answering the emails part is really hard. Really hard. But I am really glad I at least have the book to point them to.

And this is the part where I say, "Hey, if you've read THE OBVIOUS GAME, could you drop me a review on Goodreads and Amazon? It doesn't even have to be nice! Nobody likes everything." And then I follow that up by saying, "If you haven't read THE OBVIOUS GAME, mightn't you request it at your library, and if your librarian has trouble, she can contact me and I will get her the book with my author discount?" And then you might say, "But I really want to help you MORE." So of course I would smile sincerely and say, "Well, you could buy my book! Or even just share the giveaway so more people will know it exists." And then I burst into tears and throw my arms around you.

 

Goodreads Book Giveaway

The Obvious Game by Rita Arens

The Obvious Game

by Rita Arens

Giveaway ends October 27, 2014.

See the giveaway details at Goodreads.

 

Enter to win

Win a Copy of THE OBVIOUS GAME on Goodreads

Here I've spent the first half of 2014 thinking I could no longer run giveaways for THE OBVIOUS GAME on Goodreads because it was published in 2013. (The dropdown in the author tools area only give you options for the year prior to your pub date and the year of your pub date.) I was sad, because Goodreads giveaways are such a win/win. They are inexpensive for an author to run (you only pay for the books and shipping) and they provide exposure as each sign-up adds the book to the signee's to-read shelf, thus giving the author and the book exposure she wouldn't otherwise have had. Lately most of my dealings with THE OBVIOUS GAME have been either asking people to review it or answering emails from people who love people with eating disorders (in which really what can I say but, "Well, I wrote an entire book about what I want to say to you now, so maybe you could read that and then let me know if you want to talk more"). The answering the emails part is really hard. Really hard. But I am really glad I at least have the book to point them to.

And this is the part where I say, "Hey, if you've read THE OBVIOUS GAME, could you drop me a review on Goodreads and Amazon? It doesn't even have to be nice! Nobody likes everything." And then I follow that up by saying, "If you haven't read THE OBVIOUS GAME, mightn't you request it at your library, and if your librarian has trouble, she can contact me and I will get her the book with my author discount?" And then you might say, "But I really want to help you MORE." So of course I would smile sincerely and say, "Well, you could buy my book! Or even just share the giveaway so more people will know it exists." And then I burst into tears and throw my arms around you.

 

Goodreads Book Giveaway

The Obvious Game by Rita Arens

The Obvious Game

by Rita Arens

Giveaway ends October 27, 2014.

See the giveaway details at Goodreads.

 

Enter to win

Watching 'THIN'
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I'm watching a documentary about eating disorder treatment called THIN. I think I understand better why so much in-patient treatment doesn't work.

I don't see staff showing compassion. They refer to the patients as antidepressant junkies, even the suicidal ones. The parents seem clueless. I'm angry, watching this.

I get 3-4 emails a week from people who have read my ED posts. I can't believe there is so little out there that is real. I want to wrap my arms around these women and girls (and sometimes boys). They are so scared of their own bodies. They should be more scared of their minds, and their minds are being sadly neglected.

ED is about the mind. It's about looking into your future and asking yourself if you can stand the thought of suffering at this level in five, ten, fifteen years. If you have ED, you have three choices: you can suffer indefinitely, you can recover, or you can die.

Those are your choices.

Some of us contract terminal diseases. The difference between those people and the general population is that those people know how they will die.

We will all die someday. The human mortality rate is currently 100%.

The question is: Do you want to speed it up?

I didn't care when I was sick. When I looked at recovery, I started to care. I reached for happiness, for peace. I didn't want to go on like that. That daily struggle between life and death is awful. How can anyone keep it up indefinitely? At what cost?

It is my hope that anyone reading this while hating his or herself can see the three choices clearly and want, seriously want, to eliminate the more dismal two.

There are evolutionary reasons our brains can drive us for perfectionism that don't seem necessary in 2014. It's okay to tell that part of your brain to stand down. In a First World country, you can get water from the tap. Stop listening to the part of your brain that says you need to run five miles to deserve it. That's not true. Your brain is stuck on evolutionary default, but you have a frontal lobe. Let your frontal lobe win.

Life is short. Life is beautiful. Seize the desire to be fierce, to live free, to tell your asshole inner voice to go back to the cave and wait for a saber-toothed tiger. In 2014, what matters is staying sane despite the photoshopping and the Pinterest and the perfect family Facebooks. Stay with us. Value yourself in your soul enough to keep that shell that carries your soul around alive.

In Celebration of Katherine Stone

In preparing to write this post honoring my friend and activist/entrepreneur, Katherine Stone of Postpartum Progress, I searched my gmail, which has also archived my old hotmail account, to see when we first found each other. I dug up an email from Katherine dated April 15, 2009, which would've been a few weeks after my daughter's fifth birthday and about a year after I started getting help and taking medication for my anxiety disorder. Katherine wrote:

This Mother's Day - Sunday, May 10 -- Postpartum Progress will host its first annual Mother's Day Rally for Moms' Mental Health.  Each hour, on the hour, for 24 hours straight I will post a different "Letter to New Moms" written by survivors of and experts on perinatal mood and anxiety disorders.

That email signified just one of Katherine's countless efforts to make moms suffering from mental illness feel more normal. I did write that post, and Katherine and I have written for one another on the subject of maternal mental health again and again, knowing we can prop each other and even strangers up over the miles with our voices. 

The first time I remember clearly having a long conversation with Katherine in person was at Type A Mom in 2010. She was a little intimidating with her long, red hair and tall, lanky self and these totally adorable sparkly heels, which she later said her kids bought her. The kids and the shoes stuck, because it's important to remember even people who present as physically beautiful and loomingly tall and effortlessly stylish are people with insecurities and doubts. It's easy to meet people at blogging conferences and think they are perfect, but nobody is perfect, and everyone has her struggles. Katherine embodies that dichotomy for me.

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Here is this person who looks completely pulled together but who is so willing to share her pain in order to make the rest of us sitting around in our yoga pants and flipflops feel human again. For that, Katherine, I salute you.

Last year, while covering the Olympics at BlogHer, I had to come up with a group of bloggers who fought for their dreams, and the very first person I thought of was Katherine, who said:

I always felt I needed to do something meaningful with my life but continually struggled to figure out what it was. Then I was struck with postpartum depression and I had this gut reaction – the kind that nags at you that you can only ignore for so long until you must act – that I needed to help other women. It's hard to imagine something so awful could lead you to your avocation, but it pushed me toward focusing my life on being a voice for suffering pregnant and new mothers.

It's been my great pleasure and honor to watch Katherine over the years blossom and grow and fight to become the owner of the most widely-read blog on PPD in the world. Thank you, Katherine, for all that you do. You are amazing. Congratulations on ten years at Postpartum Progress.

 

Stuck in the Boot
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I felt it right after I ran my first half-marathon. The twinge, right at the base of my middle toe. It was not quite the same twinge as those around my arches. Those faded each night after mercilessly rolling a golf ball along tendons lining the soles of my feet. No, this twinge didn't respond to that, nor to ice. This twinge pricked instead of ached.

But I didn't really want to think about it.

Then at Zumba on Monday night I pulled up from a weighted lunge, and as I rolled the entire weight of my body across the ball of my foot, pain shot up from my toes and pierced my skull before leaving the back of my head to blot out the sun.

Later that night, I actually screamed when I squatted to pick up laundry from my daughter's floor. I knew: Something was wrong. Unignorably wrong.

Yesterday I broke down and dragged myself to my doctor. She knew I'd been running since July. She knows about my generalized anxiety disorder and how I partially treat it with drugs and partially with exercise. She knows about the eating disorder.

She ordered an X-ray. It was inconclusive.

She smiled sadly at me. "You know, because I know you've read up on this, that often stress fractures aren't visible on X-rays." She held my foot, gently pressing at the base of my middle toe.

YUP.YUP. RIGHT THERE.

"I'm sorry. You need a boot." She sent her assistant to go get a plastic thing that pumps up with air and makes it impossible to bend anything inside it.

She put the boot on my foot and pumped it and there it was, that thing that I've feared since I first started working out five days a week in high school: immobilization. "I suppose you could bling it out," she said.

Now, it's not total immobilization. I know this. I'm very fortunate. I'm not paralyzed. I'm not even on crutches.

But I can't run. I can't dance. I can't jump.

And when I was at the doctor's office, the scale registered five pounds up from where I thought I was since I initially lost ten pounds last year from running.

This, the dreaded combination: Higher scale number coupled with a boot. The axis of ex-anorexia evil: You're heavier than you want to be and you can't exercise and you can't starve yourself because you don't do that anymore.

I admit I cried last night. Hard. I wanted to punch a person, really. Not any of my family, of course. But I was angry enough to want to connect with something that would crunch when I hit it. Awful, isn't it? Awful doesn't it make it not true. When you've known what's like to hate yourself, you hate anything that dares to drag you back there, hate it enough to hurt.

It's hard to resist the voices that still linger around the edges of my psyche only to make their appearance in badly lit dressing rooms and unfairly tagged Facebook pictures and days when I realize I can't do anything about a little weight gain without tempting regression. And I should be bigger than this. It's five fucking pounds, not the end of the world. If only my brain knew the difference. I'm still trying to teach it the difference. Most days there's nothing to teach. It's these days, these boot days, that challenge me.

I didn't fall into the abyss. I hit nothing. I ate dinner. I went to bed. I got up. I worked. I went to the gym and did the one thing my doctor said I could do with a boot: ride the stationary bike. I set that bike on intervals and pushed the hills until I could barely breathe and the sweat poured down my face. I didn't care what anyone thought of the frazzled person wearing a boot and huffing like a freight train. They don't know that this is the safer alternative to crazy town.

When I got off the bike, my legs were like jell-o, but my brain felt flooded with starlight. People looked at me oddly as I clunked my way back over to the stretching area and tried to wrestle the boot into the right position to stretch my hips and hamstrings. Can't be getting another injury, you know.

Then I came home and ate lunch, thumping my boot against the desk as I chewed. Not hard enough to hurt anything. Just hard enough to make some noise.

I'm going to wear this damned thing for two weeks, then I'm going to do whatever the doctor says to do, because I need my foot back. I need to be able to run and to dance. I need to know there are safe outlets for me, that I never again need to restrict and restrict to feel good about myself.

It's scary. But I'm trying. Here, with my boot. 

*THUNK*

 

#BodyThanks & Girlfriends With Eating Disorders
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This week my friend Pauline Campos approached me about participating in her #BodyThanks Twitter party on Monday night at 8 pm CT and donating a copy of THE OBVIOUS GAME, since Diana struggles mightily with body image and anorexia in my novel. I said yes, and I'm excited for the conversation. 

Later this week, someone passed along to me a post a guy wrote about why you should date a girl with eating disorder. Chief among the reasons: Hot and a cheap date because she doesn't eat much.

You know I wrote something, right?

Here's the beginning: 

[Editor's Note: ED trigger alert]

Last week, the misogynist-troll website Return of Kings published 5 Reasons to Date a Girl with an Eating Disorder, by a writer named Tuthmosis. When I first read the post, I thought surely it was written ironically. (Of course, I also thought that the first time I heard the lyrics to Blurred Lines.) The “reasons” included hot thinness, cheapness to date, and wildness in the sack. Ugh. Understandably, the Internet freaked out. Then the site’s publisher posted a response to the freakout, including this paragraph:

I want to make it clear that we at ROK are not promoting eating disorders. These are devastating illnesses on those whom they afflict, and we wish sufferers are able to receive the treatment they need. It is unfortunate that sufferers continue to be stigmatized by society, so it surprises me that Tuthmosis’ article has been angrily received when it attempts to reduce stigma by encouraging our male readership to give women with anorexia and bulimia an opportunity for real intimacy.

I had boyfriends when I had anorexia. And they may have thought they were benefiting from some of the items on Tuthmosis' list. Yes, I was thin in a fashionable way … before I got thin in a starving-person way. Yes, I was an extremely cheap date – for dinner in high school, of course, but also for drinks in college. Someone who ate six hundred calories all day before going out gets wasted on one cocktail. Sweet, right?

Please to read the rest on BlogHer. When I finished writing it, my hands were shaking with anger. 

All I can do, though, is keep repeating that eating disorders aren't cute, they're not just for white girls and they aren't vain or a cry for attention. Eating disorders are serious psycho-social-biological maladies that can be a matter of life and death. Please join us on Twitter on Monday night with the hashtag #BodyThanks as we move into the week of Thanksgiving -- a week very triggering for some -- being thankful for our families, our friends, our lives and the bodies that carry us through them.

Thanksgiving Is a Special Kind of Hell When You're Anorexic

Thanksgiving posts have taken over the internet, and everywhere I look I am confronted with pictures of food. 

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When I was anorexic, Thanksgiving was my least favorite holiday. My extended family got together, and someone always made pie that not only had half the calories of my daily self-imposed limit, but also came attached with happy childhood memories and the knowledge it was made by someone I loved very much.

Holidays can be hard for any number of reasons, but for anorexics and their people, they contain so many potential landmines. If the anorexic has been hiding out under baggy clothes, her condition might not be noticed as much by those who are with her every day, but it will be glaring to someone who hasn't seen her in six months or a year. When an entire holiday is about eating too much, not eating or eating very little makes everyone else sit up and pay attention. Someone not eating can make someone who has overeating problems feel doubly defensive. Plus, family. Just family. It doesn't take much to set people off who have been forced to leave their own houses and spend an afternoon crowded together being thankful.

Then there's being thankful. It's hard to be thankful when you're depressed or in the grips of anxiety or OCD or an eating disorder. My head was extremely crowded in those years, mostly thinking about food I wouldn't let myself eat. 

I'm thankful every day that those painful Thanksgivings are behind me now. This is the first Thanksgiving I've had something to offer besides a blog post for those who are anorexic or those who are going to find themselves sitting across the table from a very thin person and worrying this holiday season. For less than the price of a turkey, I can offer my novel. 

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I haven't done a lot of promotion in the past six months here, but I wanted to share the background of my book again for anyone new. 

“Everyone trusted me back then. Good old, dependable Diana. Which is why most people didn’t notice at first.”

"Your shirt is yellow."

"Your eyes are blue."

"You have to stop running away from your problems." 

"You're too skinny."

Fifteen-year-old Diana Keller accidentally begins teaching The Obvious Game to new kid Jesse on his sixteenth birthday. As she buries her shock about her mother's fresh cancer diagnosis in cookbooks, peach schnapps and Buns of Steel workouts, Diana both seduces athlete Jesse and shoves him away under the guise of her carefully constructed sentences. As their relationship deepens, Diana avoids Jesse's past with her own secrets -- which she'll protect at any cost. Will Diana and Jesse's love survive his wrestling obsession and the Keller family's chaos, or will all their important details stay buried beneath a game? 

Praise for The Obvious Game:

"Lovely, evocative, painful and joyful all  in one ... much like high school." --Jenny Lawson, author of LET'S PRETEND THIS NEVER HAPPENED 

“I couldn’t put down THE OBVIOUS GAME. Arens perfectly captures the hunger, pain and uncertainty of adolescence.” -- Ann Napolitano, author of A GOOD HARD LOOK and WITHIN ARM'S REACH

"THE OBVIOUS GAME is a fearless, honest, and intense look into the psychology of anorexia. The characters—especially Diana--are so natural and emotionally authentic that you’ll find yourself yelling at the page even as you’re compelled to turn it." -- Coert Voorhees, author of LUCKY FOOLS and THE BROTHERS TORRES

"Let’s be clear about one thing: there’s nothing obvious about THE OBVIOUS GAME. Arens has written a moving, sometimes heart-breaking story about one girl’s attempt to control the uncontrollable. You can’t help but relate to Diana and her struggles as you delve into this gem of a novel." -- Risa Green, author of THE SECRET SOCIETY OF THE PINK CRYSTAL BALL

"THE OBVIOUS GAME explores the chasms between conformity and independence, faith and fear, discoveries and secrets, first times and last chances, hunger and satisfaction. The tortured teenage experience is captured triumphantly within the pages of this unflinching, yet utterly relatable, novel. -Erica Rivera, author of INSATIABLE: A YOUNG MOTHER’S STRUGGLE WITH ANOREXIA 

Book Information:

Publisher: Inkspell Publishing

Release Date: Feb 7th, 2013

ISBN: 978-0-9856562-7-0 (ebook), 978-0-9856562-8-7 (Paperback)

Paperback Price: $13.99

Kindle: $4.99

Thanksgiving is a time when things start coming to a head for Diana, who started out "normal." The novel follows her thoughts and feelings into the abyss ... and back out. If you're a family member or friend who wants to throttle their anorexic loved one, this book can help you understand the psychology of suffering from this condition. If you're full-blown anorexic yourself, I'm so sorry. This book contains the sentences that helped me break out of the mind-space that could have killed me. If you just have a weird relationship with food, you might find yourself examining why you initiated your set of rules that determine when you can eat, why, with whom and how much. And if you just like contemporary young adult novels that ask really hard questions about growing up, you might like it as a read.

The next few weeks are going to be really hard for a lot of people who struggle with their relationship with food. For some, it's never "just a doughnut." If you're anorexic, taking one bite more than you planned can feel like bungee jumping off a bridge. I remember wondering why these people who loved me kept asking me to put myself through that. So be kind if you see someone staring in misery at her plate on Thanksgiving. Eating disorders are nobody's fault, and recovery takes a village. Take care of each other.