Monday, June 10, 2013
I feared to approach the issues weighing on my mind the heaviest with my typical habit of dissecting them, knowing that I would just make a big mess and solve nothing...
Several monthss back, I think I gave up... Yes, again...
I discovered for the billionth time in my 28 years on this planet that not one fuck is given about my recovery as long as the state of Texas refuses to insure me via medicaid, despite the fact that I am considered Disabled by the same entity. In addition, I was granted an insulting $16 a month to feed myself and told to try again in December 2013 when I become eligible for SSI/Medicare in addition to my current disability benefits... I'm happy to report that this is because Texas told the Affordable Care Act to fuck itself, so it takes longer to be eligible....
But get this madness, if I don't get a "malnutrition" diagnosis this year and every year I actually need these benefits from now on, I'll lose that too...
So then I filed my taxes (late) and find out that as of January 2014 I would have been mandated to purchase private insurance ANYWAY... So I thought, perhaps it may benefit me to purchase a private insurance plan to get me from now to December... but wait... Disabled? Doesn't that mean expensive? Pre-existing conditions and whatnot? Your sick already? Well, then there's no way we can insure you, we would have to pay for medical expenses like we are supposed to...
Thinking long and hard about abandoning the whole time-tested attempts at recovery...
Not only do i seem to give zero fucks... this disorder is my identity now, and i dont trust what'll be next...
Tuesday, April 9, 2013
We are not worthy!
Things have come to an inevitable head... I had several depressing as fuck phone calls over the past few days... weighing my options (or lack thereof):about the possibility of yet another trip to residential... or even PHP... or anything that I am not doing now...
I was surprisingly excited, or perhaps just desperate, to do the humiliating phone assessments that I've done a thousand times before... I half hoped that some one would say "I know just the thing!" And I'd be scooped up, hugged, supported, and welcomed into an environment that could save me from myself...
Every conversation ended promptly after "What kind of insurance do you have?" Followed by "Unfortunately we won't be able to help you."
I realized how screwed I was... I knew I forgot something... being sick requires money...
Furthermore, many leave you with the impression that you need to take a few weeks to go get sicker.... then call back... Sorry we need you to almost die again before you're worth saving...
Fucking absurd....
So they can tell you again that they can't help you... wish you the best of luck with your descent into madness...and their job is done...
At one point in my life, this constant fuckover made me a staunch supporter of healthcare reform... public option... all that shit...
I identify as a libertarian, but the prospect of not living in terror that my perpetual state of illness goes perpetually untreated, I thought "What the hell?"
I think I should've changed my tone.... been more incredulous...
I feel like everyone around me is fed up and poised to withdraw support.... as a topic I've spent so long running into the ground.... I can't see my bullshit being tolerated much longer....
In fact, I'm damn near the point of banning the topic from my conversations and my life entirely... I'm tired of belaboring this useless argument... "It's not that bad." if I am not yet capable or willing to make the changes then I'm not going to waste everyone's time talking about it incessantly...
Except here I guess... I'm about to expand to some other topical blogs to get my mind off this shit, but rest assured, this disorder has gone absolutely nowhere... I'll keep posting...
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Wednesday, April 3, 2013
When a Cigar is Just a Cigar...
So in case my elaborate post on nightmare babies made it unclear, I've been just a tad erratic lately...
So erratic that I forget most things that cross my mind almost instantly... until something I apparently said-but-don't-
recall-feeling hurts someone else...Then I realize how it came across and prepare my hair shirt and self- flagellation supplies for the guilt trip...
I'm noticing that I have this very unflattering tendency of mistaking my own feelings about my worth and character for the opinions of others... with consequences that are not so pleasant...
Try explaining to someone who's feelings you've hurt, that all of the dirty looks, frustration, and irritation in your words and actions is really you speaking with the disdain you feel for yourself... Not them...
They just happened to be in the vicinity of your entire life...
They may ask you to explain the Easter Bunny next...
Provided you are fortunate enough to insult someone who cares about you (or at least has a sense of humor about your bullshit...), maybe they'll laugh, but they are probably far from amused.
The psychological community has sought to understand the loosely defined concept of "transference" (and it's close pal "projection") for decades... Originally, transference was a very specific therapeutic event in psychoanalysis. It occurred when a patient began responding to the analyst as they would a significant authority figure/parent)...
Then the patient, eventually realizes that he is undeniably incorrect in attributing his childhood trauma (and subsequent adult neurosis) to a fucking stranger he paid to listen.
In an ideal world, this would illuminate which of his sexual organs was really to blame for his troubles... Catharsis happens...
And he'll ride a winged unicorn into the sunset...
It was thought that allowing the patient to express undesirable or shameful emotions to the therapist would cause him to process them differently than he had at an earlier stage of development. Bring the subconscious (and perhaps some of the of the unconscious) into consciousness and it won't sneak up on you and make you act crazy...
Or it will anyway, but at least you'll know why.. Transference in therapy and projection as a defense mechanism, have since become common explanations for any instance of misplaced emotion. Once Sigmund Freud had expounded upon his theories, and they gained global momentum, it became apparent that assumptions such as these permeated social situations that do not always necessarily involve a cigar, a couch, or your mother. In fact, had Freud steered clear of referring to anuses and penis envy, his enumeration of the ways we defend ourselves was pretty accurate and still holds...
The feelings each of us have (that we really wish we didn't) are easier to understand and ignore if we don't have to assume direct responsibility for having them...
This causes most of us to repress them, rationalize them, and project them all over creation rather than be stuck with the discomfort... Recently, my own desperation to ignore the state of total relapse I've been in for months, has been making me furious with myself for being so weak... Unfortunately, since the restricting and purging was failing to ease the discomfort, I had to get rid of it some other way. I don't know why, but making it everyone else's fault was how I excused it this time...
That's not to say I was always accurate in my attribution of blame before, but most of the time it's pretty consistently self-directed... I'm neither usually so bold or self-pitying as to feel like it's the cold, cruel world's fault that I'm fucked up, nor is it typical for me to assume that the problem lies with those around me for not caring...
But, alas, this has been going on all fucking week...
I know that I am the one responsible for the relapse, I know that I am the one who pissed away the professional help and shrugged off the loving support that I've been offered... Now it feels like I'm back in it too deep and I almost don't want to be stopped...
The long and tedious climb up the scale is fully in reverse and my brakes are fucking out...
I find it strange how quickly things have escalated... it took months of slow and tedious work to gain the weight and trust of those around me... It only took weeks to undo about half of the weight gain and all of the trust. I keep telling myself that if I just stop right now, stay put, BE CAREFUL, that I could walk in both worlds. Recovered, but not quite so OBVIOUSLY recovered... I like to think I could teeter on the verge of "normal" indefinitely... without stepping over the edge and careening towards certain death below... I like to think that every time I've supposedly done so in the past is grossly exaggerated... was it really a cliff? or did I just fall a few feet?
I suppose that if I were to analyze how many blatant defense mechanisms just shot out of me in the last paragraph or two, I could deduce that I am definitely in denial... Unfortunately, merely dissecting all of the tricks my mind plays just leaves me with a big mess splayed all over the autopsy table... I'd like to clean it up and put everything back where it belongs, but I have no idea where anything goes...
Saturday, March 30, 2013
"I think the Bad Man is Gone, Mr.B"
No resolutions to the laundry list of grievances, but that's ok, what's the point of grieving if you aren't eventually going to move on in spite of yourself...
So I woke up this morning feeling like proper shit and decided to immerse myself in a nightmare of someone else's creation...rescue and harvest some children on Xbox for a bit... That is, I played Bioshock...
In the game, which I am actually playing through for the first time, I'm being presented with this moral dilemma each time I die 60 times and finally kill the giant Big Daddy Robot who protects the Little Sisters...
Friday, March 29, 2013
The Girl Who Cried "Recovery"
Sometimes, I regretfully admit, I take for granted how lucky I have been to have access to treatment for my eating disorder in the past...
When I reflect on all of the tools I've been provided over the years, the care I've been given, the friends I have made, I get all warm and tingly inside and rainbows nearly shoot from my ass I'm so grateful...
But there is a deep-rooted, seething, mess of agression and pain bubbling beneath the surface of that gratitude that leaves me cold, cynical, embittered and utterly enraged with myself...
The latter is, unfortunately, often the more prevalent sentiment... Especially over the past year...
I know I've probably betrayed this fact in previous posts: The "poor-pitiful-me" sob story where I whine about losing my insurance, and my job and my entire fucking life over the last year... How I relapsed instantaneously, gave up completely, resigned myself to a life of quiet desperation and suck, then magically resolved after almost dying, having some scary fucking seizures and heart problems and osteoarthritis, etc. and reuniting with the love of my life, to at least try to muddle through the complicated business of changing my entire fucking life...
Or maybe you heard the one where "I'm never purging again" rolled off my bloody, seizure bitten tongue back in November before I'd even fully regained consciousness, and that was the start of actually trying to recover...or something like that...
What really happened is that everyone in my life wanted to have me involuntarily committed to a psychiatric hospital with a court order, specifically one where I would be completely immobilized, tube fed, and forced to lie there thinking about why I had to be in such a position... My boyfriend, friends, and family had gone about the business of researching this option extensively without my knowledge, and proceeded to terrify me with the notion that I had just better do something... Before they inevitably got to their wits' ends, threw up their hands, and followed through with their diabolical plan... I was incessantly looking over my shoulder in absolute terror for the proverbial padded wagon and white coats "Coming to take me away... (ha ha!)"
They had concluded that I was becoming a legitimate danger to myself, or rather, had always been a danger to myself, and that I had been so for far too long to continue much further... To me, this all seemed wildly melodramatic...excessive... Surely I had not actually gone crazy enough to warrant such extreme interventions...?
This was the kicker... They placed this drastic plan on standby, subtly revealed details that scared the shit out of me, then said that I would have no knowledge of when it would happen, if it would happen, etc. so I couldn't hop on a passing freight train and elope... So every time I got into a car, since I was not yet allowed to drive given the seizing, for the last few months of 2012, I would instantly commence panic mode, terrified of the destination...
Oddly enough, my idiotic behavior actually underwent very few significant changes, overall at least. More like it underwent a brief superficial makeover...
At first, In October, I was pretty serious about "getting better..."(or was it just not getting hospitalized?) My boyfriend supervised my every move for two or three months, my therapist got in on the Involuntary Commitment plan, and I was forced to have all meals with the bf, take medications that skyrocketed my weight, and make weekly weight gains (while assuring my therapist that I didn't care that I was doing so), in order to be permitted to remain an outpatient...
The sad truth of all of this is that I was never really "outpatient material" to begin with... in fact, the only reason I had ever become one in the first place was because I received my termination notice from work on the same day I attempted to re-enter 10 hour/day treatment...
Fast Forward to January 2013...
3 months and 40 lbs later, I was at the low end of my "range", and off the wagon in a major way, I had convinced them I was no longer about to die, got off of supervision, and was back to purging every fucking time I looked at food... My saving grace in these dark times was simple: Alcohol... Kept just enough fermented sugar and carb juice down to keep my weight from dropping too noticeably or quickly, while secretly vowing to carefully and covertly wick away what I'd gained and then some...
The sheer absurdity of this ridiculous scheme is not lost on me...
I don't have any idea why I thought I could get away with quietly tiptoe-ing back to the verge of death, or why I continue to entertain that notion in the back of my mind today... Perhaps I'm taking the results of that Barry Manilow shirt study from the last post a tad too seriously... But a HUGE part of me actually desires to go completely unnoticed as I make a total ass out of myself...
I digress...
In the interest of continuity, as January, February, and now March passed, I began to get more and more freedom from those around me. I'm sure you can imagine the finesse with which I handled that freedom if you have not already read about it...
Did you imagine lots and lots of bullshit and almost no action?
Well give yourself a gold star, because that is exactly what I've been up to since the moment I got off their radar...
With the boyfriend, I'd reveal a fuck up after doing it countless times a day for a few weeks, then I'd eventually break down and cry and confess what a naughty girl I'd been... But what I failed to acknowledge in these breakthrough moments of accountability, was that I had not once asked for help in the moment I was actually doing the up-fucking...
Likewise, the therapist who I've been avoiding appointments with for over a month now, has become a luxury that I can no longer afford to keep... He too, has become a total waste of my time, energy, and very limited budget, all because I tell him about 3% of what I actually do... Because, in his words, he will "send me to the hospital so fast it will make my head spin", if I "play" with him...
And like the fucking child I am known to be, all I have done is play...
You see, in my mind, eating once every day or two and only purging like 3 or 4 times a day is me kicking some serious ass... at least in comparison to how I was operating 5 months ago... and most of my life, for that matter... but if I currently had any the financial means to access to a professional opinion, I don't think I would exactly be getting patted on the back...
Which brings us to tonight...
I have been chain-smoking and thinking and writing all day. This evening, I stumbled upon some news that should have made me happy, a friend who is also struggling is reluctantly returning to a treatment program we attended together... And what started out as relief that she was going to be taken care of and admiration of her strength, slowly morphed into a whole slew of emotions that but sent me spiraling into a pit of despair... And wow, did that ever make me feel like a piece of shit...
I tried to ignore it... Mostly, because I felt like a sorry excuse for a human being for allowing my thoughts turn in such a selfish direction... But the din soon became an uproar and within moments I was sobbing uncontrollably in my boyfriends arms before I even had a chance to figure out why I was so fucking upset in the first place...
Eventually, I began to have coherent thoughts, and told him every little awful thought in my head... Most notably, how I have had so many opportunities, so many chances, so many treatments to fix this stupid eating disorder and I pissed away every single one of them... relapsed immediately each time and now that I am utterly destitute and uninsured, I have no help when I would actually put it to good use...
To really blow the kazoo at this pity party, I continued to kick myself...
I cannot blame anyone but myself for the situation I'm currently in. I was the one who stubbornly resisted every step of the way, I was the one who used up all my chances, and now I am laying in the bed I made for myself. Treatment is not an option for me now, it may never be again. This puts this whole business of trying to "getting better" entirely in the hands of the worst possible person: ME...
And I fucking suck at it...
And its unfair to ask him to stop me... or help me...
And he can't anyway...
And I've exhausted my family and all of their resources years ago...
And so on, and so on... You get the idea... Girl Who Cried "Recovery" when it wasn't really there, one time too many, eventually she gets ignored and it eats her...
So, then he hits me with this, "So you feel like your doing this alone, but who exactly have you asked to help you?"
Fuck me sideways!
After rattling off a seemingly endless list of places I had worn out my welcome and people who had (justifiably) given up on me, he rephrases it...
"Well, what is it that you need?"
I snickered through the swollen slits of my eyes, "If I knew that I wouldn't need help!"
Then, it really hit me, the real answer:
"I have no concept of what I need. What I need is someone to fucking follow me around telling me what I need...or I'll forget that I have needs..."
Love and fucking Neurosis
Ain't Nothing but a Barry Manilow T-Shirt...
If I am in anyone's direct line of sight when these topics are discussed, or if I am visible to anyone when asked to "connect with" or "be aware of"the fact that I even have a fucking body, I almost invariably: (a) have a full blown panic attack, (b)storm out and refuse to participate, or (c) pout in the corner scowling in silence... This even happens in individual therapy sessions, medical appointments, and everyday occurrences, probably because the second I think about my disgusting and overwhelming "PRESENCE" I immediately want to obliterate it into nothing... Seriously, put me in a Yoga class, ask me to role play, or "notice my (fucking) breathing" and watch the fun..
I begin having a veritable tsunami of disturbing and horrible thoughts and ideas, and will be in another room sobbing, breathless, popping a Klonopin, or vomiting within the first 3 minutes... Then I'll be playing out scenarios in my mind for the remainder of the day involving grotesque self-evisceration... Where I imagine carving all of the fat and muscle off of my body with an oversized potato peeler, then replacing my skin neatly over the remaining skeleton...
Trust me, the serial killer-esque nature of this image is not lost on me...
Also believe me when I say that you would cry too if this was your response to something as innocuous as a Doward-Facing Dog pose...
In addition to my desperation not to acknowledge the existence of my own body, I am even more determined for the rest of the world to forget that it exists as well... The fantasy I have when I have to talk about a body part, or how I look, or how I see myself, in front of anyone, typically involves transforming into a disembodied head... I become consumed with the fear that the second that I mention anything regarding my appearance, everyone will suddenly hyperfocus on my flaws, notice how gross I really am... The scales will fall from the eyes of those present and there I'll be in my true form: Jabba the Hut's stunt double...
Part of me knows all of this is highly irrational, but that does absolutely fuck all to change the horror movie that plays in my mind... And although logically, I know that "The Spotlight Effect" is deeply at work in me and almost certainly everyone I encounter, I still long for a cloak of invisibility to wrap around my body, leaving just a floating head to face the world...
Behavioral researchers Gilovich, Medvec, and Savitsky did an experiment almost bordering on inhumane to examine this "Spotlight Effect" in 2000. They describe the phenomenon as an overestimation of the extent to which others actually give a shit about what you are doing or how you appear... especially when you fuck up or are otherwise doing something you perceive to be socially unacceptable... Put simply, when you make a mistake or possess a flaw, you are suddenly the center of the universe. The spotlight is fixed on you and the horrifying spectacle that is your botched life is on display for the world to see. To challenge this erroneous perception we all supposedly possess, Gilovich and Co., evil geniuses that they were, required college students to wear a fucking Barry Manilow t-shirt... because it doesn't get any more humiliating than that, right? Then they each were led into a room full of other students for a bit, then back out eventually, and allowed to remove the loathsome garment... Once they had slightly recovered from the social trauma, the researchers asked the Barry Manilow Fan Club how many people they thought noticed their fashion faux pas. When compared to how many people in the room actually gave a flying fuck, the t-shirt group significantly overestimated how many people noticed...
While I should find reassurance in the fact that it is highly unlikely that others are judging me by my own ridiculous standards, somehow, it doesn't diminish the wattage of the spotlight...
I recall a group I had weekly in one of my countless treatment programs in which the therapist had these little blank body diagrams:
Thursday, March 28, 2013
Commitment to Failure
I've taken a short break from blogging this past week... mostly because my perspective was so fucking inconsistent that if I were to attempt to write about about any topic, I would have changed my opinion on the matter before I could finish a sentence...
You would swear that I was Robin Williams I changed character so often... Doing serial impersonations of wildly varying personalities with no discernible attachment to any of them... I think my head has finally cooled to a simmer, giving me a chance to plot my next move...
Which is oddly enough going to be to stop dead in my tracks...
I cancelled therapy for the 3rd week in a row, hid from the world and all of its ugly judgements and obligations, relaxed, slept late, read, sang in my car, schemed, had a couple of orgasms, played xbox, blew some shit up, even did my taxes... The mundaneness of my week was so comfortable I had absolutely no desire to do anything productive OR destructive... Which has caused me to emerge from my cocoon surprisingly pleased with the consequences of doing nothing... there were none...
Now were this to become the norm, I could see it becoming problematic... but my external inaction was the only way I could handle a surplus of internal activity... my thoughts were racing and my emotions were all over the place... so I stopped and waited for the shit-storm to pass...
The thing that wavered the most this week was my confidence that I would ever be recovered, or happy, or anything at all... I was beginning to get extremely tired of running in place on this hamster wheel that never goes anywhere... trying so hard to not purge and not restrict and not be a pussy...
Got me really fucking confused about what to actually DO...
It would be incredibly exciting if I could say I had deduced from my countless failures the precise course of action required to recover from an eating disorder... come to think of it, I guess repeated failure is the burden and source of all expertise...
But the trick to failing successfully is to learn from your unsuccessful attempts... This week, when my motivation was sapped and recovery seemed hopeless and the familiar sense of impending doom descended upon me... I kind of shrugged and said, "Bring it!" And I cannot help but feel that this attitude towards fuckups is going to be a key element in getting out of my 18 year rut... Lacking the ability to commit to anything else, I can always commit to milking my failures for every bit of insight they have to offer... Its not exactly a box of kittens, but it keeps me here...
Until next time...
Love and Neurosis,
Little One









