tabitha farrar forever !! like so many others, her approach to recovery just clicks and is what i need. always appreciate her ability to be compassionate and considerate but still give tough love and be brutally honest in ways that empower and motivate you to take control of your own recovery.
your brain is a sponge: rewiring your brain
- “where your attention goes, energy flows”
- “remember, the brain doesn’t think, it reacts to data. lack of food coming in is date to support the notion that food is scarce in your environment… your brain does a similar process as google search does with stimuli that you encounter in the world. if you think of pizza, your brain will draw on your previous reactions or outcomes that are associated with pizza… every time you run into fear and survive, you give your brain information that whatever it was that sparked the fear reaction is actually safe”
- “by not responding to hunger, you just gave your brain data to support the perception that food is not available. you just reinforced the food scarcity notion”
don’t overthink it
- “if you are thinking about food, your body wants food”
- don’t necessarily agree with taking a fully non-psychoanalytical approach/ignoring ED thoughts?? mixed feelings about this - i can see how important/helpful it can be but also, this is what I did the first time I recovered, and I agree its helpful to an extent, but without dealing with the underlying issues, i ended up severely relapsing after 4 years in recovery. but i do agree it is important - thinking of AN as a biological disease etc helps make it easier to counter. moreover, reminds me of the floating ball analogy - you can try and push the beach ball below the water but it’ll keep popping up, sometimes it’s more helpful to validate the thoughts and recognise their function etc.
- minnesota starvation experiment - validation in seeing these are starvation responses not unique to AN
- “i am a mammal. you are a mammal. mammals respond to periods of famine via feasting. this is why the desire to eat once we start eating is so intense. you cannot and should not try and override this basic biological desire to eat a lot of food”
- “i often get asked if i feel “intuitive eating” is possible for a person with anorexia. i don’t like that term as it sounds pretentious to me. i tend to just call it eating”
- “it helped me to let go of all the soul searching and come down to earth with the humbling truth that humans are mammals. of course, we love to think that we are so superior, and blessed, and chosen, but in reality, we’re probably just mammals that got lucky. and that my human body was a hungry mammal desperate for food. and like all of the other down-and-dirty animal instincts that we like to pretend we are better than, there was an urgency to my need to eat. and that i should respect and trust that”
- “anorexia is not evil… the personification of the illness… may serve a purpose in early recovery… but i don’t think it is indefinitely helpful when we start to overly personify the illness. anorexia is not a nefarious imp. anorexia is not a demonic possession. anorexia is not your ex-boyfriend. anorexia is not evil. rather than personifying anorexia and hating it, i found it more productive to look at my situation a little less emotionally”
- “no amount of talking about why you should eat more, and no amount of science is going to stop your brain from freaking out if you eat more. this is because the fear response is coming from your reptile brain and this will override logical thinking”
- “i ate out of anger. i ate out of fear. i ate out of bliss. i ate out of loneliness. i ate out of hate. i ate out of regret. i ate out of exhaustion. some would call that comfort eating. some would call it emotional eating. i would say: stop trying to psychoanalyse eating. i am eating because i have been starving for years. i am eating. that is all. and anyway, even if it were ‘emotional eating’, then i had ten years to make up for. so out of my way and make me a cheeseburger. double”
flee famine perspective
- again, interesting in terms of rationalising anorexia - when you understand why the thoughts are happening, it can be easier to ignore them etc. - thank you brain for trying to protect me, but i know this isn’t accurate etc.
- not eating enough + anorexia genetics = migration response: eating desires shut down to promote migration
- fear of eating too much = can’t stop and eat too much until get to abundant food location, competing with others for food - if you stop and eat too long while they move on…
- understanding biological response = like a toddler. can validate then move on. no longer relevant
toolkit
- spam folder - “shut down anorexia thoughts without giving them further attention. giving attention to these thoughts spends valuable mental energy, which only reinforces these neural pathways… where your attention goes, energy flows”
- staying present - eat and forget, back-to-black
- DRR - detect, reject, redirect - “when you reject a thought, you do not argue with it. you do not spend ten minutes justifying why you should not do what it says. arguing with thoughts is still giving them mental energy and you will still strengthen them unwittingly. rejecting thoughts is like putting up a big red stop sign to that thought. it is like a wall blocking that thought. it is like a barrier than means you cannot give that thought another moment of your energy”
- thinking how i do this with other instruvie thoughts
- deep breathing - “breathing slowly really works… it has to work actually, because it is how your body is designed. it is impossible to freak out when you are breathing long and slow deep breath’s”
- parasympathetic nervous system practice (PNSP) - “by mentally rehearsing… every time you imagine eating a fear food and feeling calm and relaxed about doing so, you are giving your brain data to support the notion that eating that food is nothing to be afraid of”
- “fuck it! what is the worst that can possible happen if I [behaviour ED is scared of]”
- functional detachment from emotions - “i feel guilt, but i am not guilty. i feel disgust, but i am not disgusting. i feel regret, but i have no reason to be regretful”
emotional intelligence - you are not your thoughts. you are in control
- “emotions are not silly indulgences or inconveniences that get in the way of logical thinking. rather, they are rather brilliant sorting methods where awareness, understanding, and memory are built. emotions tell us what is important”
- recognising and accepting = more helpful than dismissing - have compassion for how you choose to cope - recognising reasons, brain trying to help you - once you understand the why, you can start to work on other ways to achieve this function, address the lack, treat your ED like an irrational toddler - thank you for trying to protect me but…
- “a thought is just a thought. having a thought doesn’t mean that thought is true. having a thought doesn’t mean that you have to believe that thought. having a thought doesn’t mean that you cannot choose, in that instance, to dismiss that thought without further ado. when you invest your attention and energy into negative thoughts, you strengthen the neural pathways that spark them”
- “this takes mental discipline. it gets easier with practice. you never, ever, have to allow a thought or emotion to dominate you. you are the wizard in control of your own brain”
utilise your traits/strengths
- “anorexia cannot make you do anything. it can merely suggest an action… you always have a choice… you take control by running towards it… you’ll feel a lot more in control about it all if you are the one pushing for change”
- “you are not powerless in recovery. far from it. you are the person who will make this happen. and that is great news, because you can do anything you set your mind to”
- use your desire for achievement to be good at recovery: “there was a sense of contentment and peace to be found in the fact that i was really good at eating less than anyone else… when i started [recovery]… i also felt powerful. i knew i was doing it. i was doing recovery. but there was at times, a sense of loss. i didn’t know what i was good at now that restriction and exercise were not an option. it is a bit like taking a chessboard away from a world class chess player. the game i had winning at meant nothing in the real world. the only thing that i was really great at held no value. i struggled a lot with missing being good at something. it was important for me to do something that made me feel successful in the recovery time… that filled a gap”
- dr laura hill and temperament based therapy - “using your character traits to your advantage in recovery” e.g., determination, stubborness, courage, self-compassion, bloody-mindndness
- using your rules/traits to your benefit: e.g., if you do find yourself comparing calories, have to choose the higher calorie option; if you can’t stop counting calories, set minimum goals each day instead
other helpful recovery reminders
- “you cannot beak your metabolism. your metabolism is not a china vase. when your metabolism reacts to energy deficit by slowing down, it is not broken, it is actually doing its job of conserving energy in times of energy scarcity perfectly”
- “failure is a gift to learning… failure gives you information that success cannot. self-disparagement is a distraction you cant afford to indulge in.”
- “if any aspect of your life is compromised by an eating disorder, then you are unwell enough to take recovery action… don’t settle for anything less than full recovery”
- reframing ‘binge eating’ as ‘feasting’
- chapter on mental/extreme hunger very validating and definitely a chapter to return to
- “chocolate bars are delicious… who the hell doesn’t like chocolate bars?”
- “it doesn’t matter what the general recommendations for the general public are in terms of nutrition. you are different. you are special. you have anorexia - it could kill you should you allow food rules and energy deficit to take over. you simply cannot afford to allow your brain to go there. all food is equal. no scrap that, in fact, for someone like you, chocolate cake is healthier than kale because chocolate cake is far more likely to keep anorexia at bay”
- “we baulk and scrabble around looking for science to give us permission to [eat more]. and the chances of finding large peer-reviewed studies on people like myself who simply surrendered to mental hunger and messily and freely ate their way into recovery aren’t there, because we’re outside of the system and, therefore, not counted. so ultimately you have to make a choice that is right for you… i chose food... i chose to stop fighting and to allow unrestricted food”
- “strong, authentic people do not suppress their natural body weight”
- “sitting and arguing with the computer doesn’t fix it… i could sit there and argue with anorexia all i wanted but doing so changed nothing. taking action put me in a position to rewrite the code”
- “what are the tiny, almost insignificant ways i make daily living harder than it should be? how can i make life for myself?”
other interesting/important bits
- history of anorexia: “the cultural mask… anorexia hid behind religion in the same way that it currently hides in our thin-obsessed society. the reasons for anorexia are shaped to fit whatever the culture of the time period” - had heard of the fasting saints etc but never clicked that as still being anorexia because i always associated anorexia with current society…
- energy debt metaphor: debt of running a house, but debt becomes more because not been able to do upkeep a lot more to pay off
- interesting research - anorexia and epigenetic - increased changes in DNA methylation for people with AN for longer; societies where thinness is valued/promoted = over-expression of genes that suppress appetite/weight gain
- who is included/left out of research? research generally own from those who are statistically underweight because other people aren’t generally diagnosed so not in samples. people who recovery in ways that don’t align with the system (e.g., don’t follow a meal plan and eat according to extreme hunger, outside of IP etc) aren’t included in the research
- “the even more important point i need to make here, is that it was scarier for me to eat a restrictive amount of food and gain 2lbs a week than it was for me to eat an unrestricted amount of food and gain more… when i ate only a couple thousand calories a day and my malnourished body began to gain weight on that, it scared me. i would step on the scale at the end of the week, see it rise, and reflect on the fact that i had been starving hungry all week and i still gained weight. i could have eaten so much more. that felt out of control. conversely, when I went gung-ho and ate as much as my mental hunger really wanted, i stepped on the scale and saw the weight gain - but i felt in control. of course I had gained weight! i had eaten with that intent. it is soul destroying to be eating a little more but still restricting heavily and gain weight. it is devastating to see the scale rise and reflect on the past week and realise that you had been hungry the whole time. i decided I was going to take control of my own weight gain by eating enough to really gain weight”