• 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.

  • 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.

  • Can’t in Good Conscience Watch the Super Bowl

    I used to like football. I thought I wanted to play football in high school, but I was overruled by the adults in my life. But I played in the powder puff games in high school and played intramural flag football in during undergrad. It was fun.

    Football was fun to watch . . . sometimes. The guys who play at the college and professional level are incredible athletes. And then I saw the movie, Concussion:

    This film made me more aware of the dangers of repetitive head trauma facing football players. It can cause chronic traumatic encephalopathy (CTE), a degenerative brain disease that led to several players’ emotional downfall, and several committed suicide. I knew concussions were a risk in this sport, but I didn’t know it was this bad.

    Dr. Bennet Omalu, who was portrayed by Will Smith in the film, estimates that 90% of NFL players have CTE. Unfortunately, this disease can only be diagnosed after death. What’s repulsive is the NFL seems to care more about the money than protecting players’ health and safety. I was pleased to see several players retire early after learning about the risks of CTE.

    Knowing what I know, I can’t in good conscious support full-contact football. I can’t even attend a Super Bowl party because it’s based on supporting a sport that’s killing people.

    I could support football again if they changed the rules to flag football. It would change the strategy of the game and what skills and abilities are valued in players. Baseball and basketball are comparatively low-contact sports and people enjoy them.

    Goal Post 2 by Matt Denton from Flickr (Creative Commons License)

    I asked my friends what they thought of the idea of changing all American football leagues (pop warner – professional) to flag football rules. Some of their reactions were disconcerting:

    • Millions of Americans would lose their favorite means of acting physically aggressive by proxy.
    • I honestly think the vast majority of football fans are like the casual hockey fan – they watch to see the “hits.”
    • There would be way fewer head injuries. Many rabid football fans would also cry about their sport being corrupted by liberal worrywarts, no doubt.
    • It would not be worth watching.

    I don’t understand how anyone can endorse and enjoy a sport that is slowly and painfully killing its players. Thankfully some of the responses had a different perspective:

    • It would probably be considerably less popular. But it also might attain a following a “strategy” game.
    • It would stop being a professional sport in the U.S. but would still be a popular sport for kids. I’m thinking something like volleyball in the U.S.
    • The sport would die (and it’s about time it did).

    If that’s the price for keeping people alive, I’m ok with that. So, what will Rosie and I be doing this Sunday?

    Yes, I’ll be gleefully working on my taxes.
    “Gleefully” may be overstating it, but I’ll be happy when they’re done.