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.

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At A Loss

I just don’t have words anymore.

I feel empty. Pure emptiness.

I don’t want to be with people; I don’t want to be alone.

I’m not happy; I’m not sad.

I don’t want to be awake; I don’t want to lay in bed.

I’m not lonely; I’m not overwhelmed.

I want to cry; I don’t want to cry.

I want to confide in someone; I don’t want to confide in someone.

I want to live; I don’t want to live.

I don’t feel anything.

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I just don’t know what to do. I have to go see my doctor on Tuesday but I feel like I shouldn’t say anything because I don’t want to be a burden and I already have enough issues for them to worry about. I don’t even know what’s causing it, I mean life has just become so unraveled since I spoke up about my eating disorder. I have had to officially give up my marathons and completely stop running, drop my fall semester classes because PHP will prevent me from going to classes and the doctors said to medically withdraw from the term, I have had to tell people, i had to stop going to the gym. dealt with the stress of getting into a treatment program, go to the doctor weekly, start new medications and deal with the stupid side effects.

It’s a lot.

Maybe I am just over stressed. Maybe it’s the new medicine that is making me feel like this. Maybe it’s just in my head. Maybe it’s anything. Maybe it’s nothing.

I’ve just never felt like this before. Ever. Not even when I was alone in my struggle with this eating disorder but now I can’t get rid of the emptiness and I don’t know what to do to make it stop.

The one thing I do know: I am losing myself. I am barely inside anymore. I am just a shell of who I used to be but the fire inside me, my soul, my self is smaller and farther away than ever; and I’m not sure I can get it back.

MEDICALLY CLEARED for Treatment!!!

This GIF pretty much sums up my feelings: a touch of relief/excitement mixed with sheer horror. One hurdle down and closer to getting into a program. My doctor (or rather, Nurse Practitioner since that is who I see) is the bomb dot com and called me back and said although my labs are consistent with being malnourished and she is concerned that they are still stable and she can clear me! I am both terrified and relieved.

I am going in tomorrow afternoon for another set of follow-up labs to check my potassium and other levels (because they are pretty out of whack) and I can get the letter and paperwork I need too. It’s all getting so real again whereas the last 10 days have had me living in a neutral state where I have been allowed to exist with my ED. Not that I mean anyone supports the ED, but where they are just trying to be supportive toward me while I get everything sorted out and they’ve been trying to encourage me to eat more but haven’t given much push back when I struggle or give into my ED brain. But now, now that I can get medically cleared it’s one step further. Now, I am going to have to talk to the treatment center again, have the case re-reviewed by the medical board, hopefully get this cleared by insurance (that’s my next major hurdle that I am freaking over) and then beginning treatment. But tomorrow, tomorrow is the next step and it feels horrifying, scary and slightly relieving at the same time.