In the car…

On the way to WI. I’m sick to my stomach. Why have I done this to myself?!?!?!

I try to keep telling myself it won’t be as bad as I think but I know it probably will be… Or worse. At least initially. 

So much to do.

i have so much to buy and get before leaving Sunday morning. First, I have been living in the same 10 clothing pieces for forever bc I hate shopping right now but at the same time none of that is conducive to WI weather soooo I have been buying new (cold weather) clothes and getting things we are allowed to have. 

Top on the list: a cell phone WITHOUT a camera 📞📵 That was a struggle but I got one so at least I can text my family and friends since I’ll probably only see them once or twice during treatment due to the geographical challenges- unlike most of the other patients. 

Also an iPod without a camera, easier to get but still a pain in the butt. I have to talk to Admissions later about a few other things but those two things have been worked out so at least I feel connected to the normal world and not so isolated.

I told my bosses too. They were shocked but since there’s not really any notice I can give they can’t exactly complain to me. And I actually told 2 friends who I work with (and am friends with outside of work) the real reason I am going to be out and they’ve been sooooo supportive. 

My friend at PHP has evil insurance and moved her to IOP yesterday quite unexpectedly so I am scared that’ll eventually happen to me. She doesn’t feel ready to be on her own for meals for that long each day and has been having a rough couple days but thankfully we’ve developed a good friendship in the short time at PHP so we are staying in touch and I think it helps both of us 😊

Other than that I am at a couple doctors appointments and then headed to my last day at PHP. 😔😰 I am terrified. I can’t believe I leave at 6am on Sunday. It’s surreal and the panic comes more frequently as I get closer to it. I haven’t slept and last night went to the gym for 2 hours at 1:30am to work out bc the compulsion was tremendous and because I was wide awake. The whole time I knew I should stop but I couldn’t, it was compulsive not desired it was like I wasn’t myself there. It sucked. 

I just got done seeing one of my doctors, I told him about the exercise and the exercise on Sunday too. He said he thought residential was a good idea before just based on my blood tests showing evidence of purging, but he definitely is on board unquestionably after hearing about my late night gym escapades and running 😔.

I’m scared. I need to do this but it doesn’t change the emotions. 😰

PHP Recap: Week 1- So much doubt.

I have mixed feelings about recovery and treatment right now. I know I’ve been MIA the last week (sorry!!) but adjusting to being open and honest about my eating disorder is almost as difficult as hiding it.

2 things I would love advice on:

  1. If anyone knows/has experience with CBT focused on ERP (Exposure Response Prevention) treatment, please tell me I am on the fence as to if it is going to help (I don’t have any co-existing disorders). Do you find group therapy and more talk therapy helpful? Or no? Idk.
  2. I hate hate hate hate my psychiatrist.

Here’s my life since beginning treatment in a (quickish) recap:

Trigger Warning: calorie and food specifics. (I don’t want to trigger anyone but part of it is needed to make sense, and the other reason I am doing this blog is to remember it for myself so I want to be able to look at how far I have come. Please do not continue if you are easily triggered or pro-eating disorder.

  • I started Partial Hospitalization (PHP) on 9/3, two days after my birthday.
  • My program runs 8 hours a day. 8 *jaw drop*
  • I have cried every. single. day.
  • Day 1 I actually ate less than I typically eat in a day and they are now letting me bring my safe foods to make sure I am eating enough while they reintroduce food.
  • They think they want to send me to residential
  • I only had 1 safe food going into treatment, and ate 200-300 calories per day.
  • PHP requires we be at 1000 minimum *jaw drop* and they are trying to get me there ASAP
  • My therapy is CBT with Exposure Response Prevention being a BIG component of it I am still now sure how I feel about it, any advice is greatly appreciated.
  • I DESPISE my psychiatrist. I told my therapist and I am praying they let me see a different psychiatrist because this one is evil, mean and honestly I would trust a murderer before I trust him. Some perspective on this: I’ve only ever said I flat out dislike 4 people in my ENTIRE life. He is #4 so it’s not just me clouding my judgment.
  • I LOVE my dietitian!!! She has been so STELLAR about getting me adjusted to more than one food and up to the right number of calories and really doesn’t judge anything.
  • I wish there was more group therapy. If I go to residential I will need to find somewhere with more of this because I am a very, VERY social person and I feel like I am able to come to terms with my situation when I can talk it out with others.
  • I have had 2 EKGs and so many vials of blood drawn in the last week but the new medical doctor they make us go to was super nice and very trusting. I was petrified to go but I really liked him and in 20 minutes of talking to him I told him more about my ED than I revealed to my psychiatrist in 2+ hours.
  • Did I mention I have cried EVERY. SINGLE. DAY. !?
  • I have a family session tomorrow. Eek! My family is amazing but I am very unaccustomed to being vulnerable and sharing my feelings with them. I don’t like it.
  • I have lied about how much I purge and restrict out of fear of going to residential.
  • I am not sure what to do because part of me is realizing I need residential (one of the other ED patients even said she thought I needed it)
  • Part of me has no desire to get better even now that I am in treatment.
  • Part of me really wants to get better, especially now that I am in treatment.

But, things got better than they were day 1; however, I am still not sure about everything. Is it weird that I am more motivated to recover when I am there and not so motivated at home?!

I’ll be sure to write more now that I am semi-acclimated. Plus, I definitely will need to after my family session.