• My Disease is Always with Me

    My disease is a bitch. Even in recovery, there isn’t a day that I’m not aware that I have an eating disorder.

    The best way I can describe my disease is it’s the Fast-Eddie-used-car-salesman-older-cousin of The Oatmeal’s The Blerch. It feels like it’s floating next to me, everywhere I go, and I can’t shut him up. For St. Patrick’s Day, I had a constant barrage of thoughts about binging and purging. I felt like my Blerch was hovering next to me saying:

    Back to My Old Life: Alone by Rachmanuddin Chair Yahya from Flickr (Creative Commons License)

    “Check out all the St. Patrick’s Day goodies. You can have an entire tray of cupcakes with green sugary buttercream frosting. Oh – and a Shamrock shake. You’ve never had one of those. You can eat all the things, and don’t worry about the calories – because you won’t keep it down. It’s win-win. It’ll be great.”

    Reality check: When I was in my active disease, forcing myself to binge and purge was not great. It hurt – a lot. Eating that much hurt my stomach, and then forcing it to contract to vomit really hurt. It’s violent, and when it’s over, my head throbbed, I had no energy, and I felt like shit.

    Ugh. I wanted to growl, “Shut up shut up shut up. Shut the fuck up!” My disease tried to convince me that it’s not dangerous, that all the literature that binging and purging is hard on your heart and rips your esophagus apart was written by neurotic doctors. My disease said those are rare instances. It wouldn’t happen to me. Reality check: Eating disorders have the highest morbidity rate of any mental illness.

    I dragged my fingers through my hair in frustration, then grabbed my phone and sent a single request to two of my confidants: “Tell me again why it’s bad to eat all the things and puke my guts out. My disease is messing with my head.” They both reminded me of the myriad of ways this disease can destroy my health. One of my confidants is also in recovery from an eating disorder. He reminded me of the powerlessness that comes with this disease. Giving in once makes it that much harder not to give in next time (and the next time, and the next).

    I asked my therapist if my Blerch will ever go away. He said it might not, but it can get quieter. I likened that idea to Russell Crowe as John Nash in A Beautiful Mind making the decision to ignore his hallucinations, though they seem to always be lurking in the shadows. As he said, “I’ve gotten used to ignoring them and I think, as a result, they’ve kind of given up on me. I think that’s what it’s like with all our dreams and our nightmares . . . we’ve got to keep feeding them for them to stay alive.”

    I’m not fond of the idea of living with my Blerch for the rest of my life, but that may not be something I can control. The disease of addiction never goes away. My default setting may always be to self-medicate and self-destruct, but choosing recovery means I don’t have the luxury of indulging these thoughts. Perhaps if I ignore it long enough, my Blerch will finally shut up.

  • Not Running is Not an Option

    I’m at a point in my life where not getting a workout every day is not an option. Getting up early to go for a run at sunrise helps me feel calm and focused throughout the day. It’s so peaceful to start my day pounding pavement by myself with music or podcasts in my ears. Starting my day with a run helps with my entire demeanor.

    Arizona Cactus Sunrise by WillHolmes from Flickr (Creative Commons License)

    And have you seen a sunrise in the desert? It’s gorgeous!

    I know I have no sense of moderation, so I have to be careful not to over train and take out my shins or my feet. As an act of self-care, I skipped running on Tuesday this week and went to the office early instead. By 10:30am, I hated everyone on the planet.

    Lesson Learned:
    Skipping Workout = Bad Idea

    I know some people who run every day, no matter what, but I was pretty sure that’s not a good idea for me, even if I’m only doing 4-6 miles/day and 20 minutes of yoga for runners. I reached out to triathlon coach David Roher for his recommendation. (He wrote my training schedule for my last half marathon.) He suggested running no more than two days in a row and biking on my off days.

    Based on David’s advice, I think this will be my workout schedule for a typical week:

    • Day 1: Run and yoga
    • Day 2: Run and yoga
    • Day 3: Bike
    • Day 4: Run and yoga
    • Day 5: Run and yoga
    • Day 6: Bike
    • Day 7: Fun Workout

    I want to use my fun workouts to get my sweat on by doing things besides running. It could be walking around a museum or street fair, hiking, rock climbing, going to the ropes course, horseback riding, step aerobics – really anything goes as long as it’s a workout.

    With all the client work, speaking engagements, new projects, and the California bar exam on my plate this year, taking time every day to move my muscles and clear my head is going to be essential for my sanity.

  • Suicide or Homicide

    Every person, when pushed to their limit, is a Suicide or a Homicide. The Homicides are people who take their stress and frustration out on other people who don’t deserve it and blame others for their misfortune. These are people who scream at wait staff, key your car, engage in road rage, and get referred for anger management training. In the worst-case scenario, these are also the people who “go postal” and physically attack others.

    Image by eflon (Creative Commons License)

    The Suicides are the opposite. When they reach their breaking point, they self-destruct and vent their emotions against themselves. A Suicide who acts out will berate themselves, engage in self-injury or eating disorders, self-medicate with drugs and alcohol, and possibly attempt suicide (accidentally or intentionally). The Suicides are sly because a lot of what they do happens behind closed doors or only in their minds. Outsiders often only get to hear about a Suicide’s process after it’s over. It’s not a public display like a Homicide.

    I’m a total Suicide – always have been, probably always will be. I remember being self-destructive when I was just 8 years old. One day, I was really angry about something, and I decided the best way to deal with it was to cross the monkey bars in the backyard 100 times. Don’t ask – it made sense at the time. Around pass 65, my hand started to feel weird but I didn’t stop. Finally, after pass 88 I took my hand down from the bar and saw I had a huge blister that covered my palm that had popped.

    Even as an adult, I’m a Suicide. Early on in my relationship with my current therapist, he started to confront me by saying, “Don’t throw the pillow me, but . . .” When I see my therapist, the first thing I do when I get into his office is take off my shoes and make myself comfortable on his couch, usually with a pillow under my head and another one my knees. I started laughing and said, “You know I’m only a threat to myself.” I’m such a non-threat, it would never cross my mind to do such a thing.

    One of the ways I knew I was getting healthier in early recovery was when I started to shift from being a Suicide to having appropriate angry thoughts against other when warranted. Such as, when a person cuts me off in traffic, puts pressure on me, or says something rude, instead of wanting to take the negativity out of myself, I had fleeting non-serious thoughts like, “You’re an asshole,” “I’m going to kill you for this,” and “I hope you get crabs.” Remember, I said they were fleeting thoughts and I’m still inherently a Suicide. I don’t actually wish ill-will on others. These thoughts mean I can direct my anger at the appropriate target instead of myself and in a way that validates my feelings and without causing harm. I don’t always deal with my emotions in an appropriate manner, but I’m getting better.

    Author’s Note: Using “suicide” and “homicide” in this post may be crass, but I assure you, it’s not meant to be offensive or minimize the experience of anyone who has been truly suicidal or homicidal. It’s just how my mind works – I process ideas best in unambiguous forms so I can’t overthink them. I think I picked up this idiom from someone else in the recovery community. When I first heard this idea, it made perfect sense to me. If it doesn’t work for you, don’t use it. If you feel suicidal or homicidal, please seek help.