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A personal experience
The reasons I
became anorexic are probably quite simple. I was 14 and I suddenly
began looking at myself and I wanted to be skinny. It was simply to
become skinny; I just ate less every day and kept my motives to
myself. It was luck that my teachers noticed, that my mom eventually
admitted that they were right, and that the NHS doctors bullied me
into eating more. The problem was that I had begun to identify food
with control and success, and I began coping with the stress by
exerting this control over myself once again. I no longer had the
stubbornness and willpower to be anorexic, but bulimia seemed easy
and relatively painless until it began to take control over me. It
began to characterise my thoughts and guide my actions. I became more
impulsive and self-deprecating, everything was a trigger, and
everything was a cure. But again I was lucky, since I sensed that
things didn't have to be this way – maybe I didn’t have
to fight with this my whole life – at the age of 19 I tried
talking about it for the first time. I struggled, with some small
success, without professional help for a year or so before coming to
Oxford and deciding to take advantage of the free counselling service
(couldn’t hurt, I thought). The best thing to come of it was
the recommendation to take part in a Cognitive Behaviour Therapy
study at the Warneford … it was basically a one-on-one
training course for how to eat healthily/‘normally’,
mixed with some basic guidance on how not to directly associate food
with happiness or confidence, nor with hatred or hopelessness. The
course began intensively and tapered out over 6 months, and was in
many ways my saving grace, although it did the hateful thing of
making me eat more and what I want (not, however, eating everything
that could fit into my poor stomach). I continue struggling with it
even now, but I guess recovery is always a slow process when it
sticks. I have the useful ‘therapist’s rhetoric’
to tackle the problems when they happen, and I know how to talk about
the things which make me feel out of control (and I now have a sense
for people who can listen!) A good recovery I think involves seeing
where you’ve been, anticipating where you’re going and
how you might get there, and setting up the support network that sees
you through all the eventualities.