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#eating disorder treatment
questshunself · 2 years
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Having an eating disorder & trying to decide what to eat:
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trans-axolotl · 11 months
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What do you do if you're highly recommended HLOC for eating disorders but for reasons both financial and personal you can't do that? I also don't have consistent access to therapy or regular healthcare either, despite having state insurance and a therapist. It's getting really scary for me but HLOC is just not something I'm capable of doing.
Hi, anon <3
That's a really hard situation to be in, and I know how overwhelming it can be to try to navigate eating disorder care and HLOC, especially when these resources aren't accessible or financially feasible. I can completely understand how scary eating disorders can get, and how challenging it can be to even get the energy to reach out for support.So definitely kudos to you for still trying to figure all this out despite all the difficulties. You deserve support and care in whatever ways make sense for you and your life right now, and I hope that you have the room to process any feelings you might be having.
Something that has been helpful for me to hold onto during my eating disorder recovery journey has been harm reduction values and frameworks. I know for me, the thought of recovery was incredibly scary, and rigid treatment frameworks didn't feel sustainable or accessible at all. Trying to make goals around doing any positive change, reminding myself that I didn't have to wake up and change everything in one day, accessing practical harm reduction tips for how to keep myself medically stable even if I wasn't ready to stop using behaviors, and setting more realistic goals around reducing frequency or severity of behaviors rather than trying to confront everything at once helped. Nalgona Positivity and Pride is an organization that has some really cool resources around eating disorders and harm reduction, and also hosts a monthly support group for POC with eating disorders. Engaging with fat liberation politics and values was also something that was super helpful for me to start undoing some of the really tangled up core beliefs and functions of my eating disorder. (I know that body image is not a relevant part of everyone's eating disorder experience, and I also can share some more specific resources for ARFID or PICA if that's a need.)
I want to really validate that it's completely okay if you don't want to go into HLOC. So often in the eating disorder treatment world, we hear a lot of really rigid statements that try to convince us that HLOC is the only option for healing. I know I felt a lot of shame in eating disorder treatment spaces for not being a "perfect" or "compliant" patient, and dealing with all the coercion when people tried to convince me to go to HLOC was so hard. So just know that it is completely understandable and justifiable that you would have reasons that you're not interested in HLOC, and your autonomy should be respected. I really do believe that there are lots of different ways healing can look like for us, and that all of us are going to be the expert on what would be the most helpful for our own situations. I know I did also feel a lot of grief that there weren't more alternative or easily accessible options, and felt a lot of anger on how alone and panicked I felt when I knew that I couldn't cope with my eating disorder anymore, but didn't want to be institutionalized either. So just really sending love and solidarity your way for whatever you're feeling and going through right now.
One resource that might be helpful is Project Heal, who provides scholarships when insurance isn't enough to cover eating disorder treatment. I don't know if you would be interested in IOP or PHP if that was made financially accessible, but Project Heal might be able to help make that happen if you do want to go down that route. I don't know if you're at all interested in virtual treatment, but I do know a couple people who have successfully just gotten scholarships from Equip eating disorder treatment when they explained their financial need. Quite a few eating disorder treatment centers will have scholarships programs that aren't advertised, and it's sometimes worth calling treatment programs and asking to see what can be done.
If any formal treatment is not an option, it might be helpful to try to make a really intentional plan about how you might want to approach this within your individual support network. Understanding why your providers are recommending a HLOC, whether it's because they think you need medical stabilization, weight restoration, being in a secure environment for behavior interruption, access to meal support five times a day, or something else, might help to focus on priorities and goals. Whether or not you agree with their interpretation of your situation, it might be helpful to sort of figure out what your more urgent priorities are right now so that you can make a plan for what your next couple weeks/months look like. I'm not sure if that's something that your therapist could help with or not, but making a plan with them or someone else from your support network might help to provide a bit of a way forward.
I know some people who have really tried to do a "treatment at home model" where with support from their friends/family/partner, they've set up a more intentional environment where they've made some specific goals, asked friends/family to provide meal support at specific times throughout the day, and done therapy/journaling/art/healing work at times throughout the day. I know that a lot of this stuff depends on what supports you do have in your life currently, and whether you can take time off work/school, or how other disabilities can play into whether things like meal prep and cooking are even accessible at all. But I know some people who've found it really helpful to try to really just set aside time to focus solely on eating disorder coping, even doing some things like copying schedules from treatment programs and doing that in their house. That might be too overwhelming or not a viable option, which is totally valid. But if you want to try to brainstorm what a plan like this might look like, definitely feel free to send another ask with some more specifics and I'm happy to try to help with some of that brainstorming.
When I was really struggling with my eating disorder before I ended up in a HLOC, what I tried to do was have some sort of eating disorder support every day of the week. I think it's so hard to heal in isolation, and a really important step can just be trying to start to create some way of accessing community. What that looked like for me was going to like four different eating disorder support groups a week through different organizations, and accessing support from a recovery coach. Recovery coaches are usually people who have gone through the process of eating disorder recovery, and a lot of people might be in school for their license as counselors or dietitians. They can provide meal support several times a week, do things like go grocery shopping with you or do challenging food exposures. It's more informal than therapy, but can provide some more of that material support. If you're interested in that, I know several providers who provide sliding-scale services and are really willing to make things accessible. I can't share their names publicly for privacy reasons, but if you send in an ask off anon or dm me I'm happy to send you their information.
I also went to support groups through FEDUP, the Eating Disorder Foundation, and ANAD. There are several different groups that happen at different times virtually throughout the week, and some are identity specific while some are open to anyone. Those can be an awesome source of peer support and people can provide really helpful feedback and advice or help you talk through specific challenges you're having.
Overall, I just want to affirm that whatever steps you are able to take to take care of yourself and engage with your eating disorder recovery are worth celebrating. This stuff can be so difficult, and even small steps you can take to try to stabilize, reach out for support, making a small goal, are all amazing accomplishments. Sending love and solidarity during this difficult time, and please feel free to reach out again with any more specific questions or even just to vent. Truly wishing you the best of luck <3
Any followers who have relevant knowledge of other resources or helpful tips, please feel free to add on.
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teddybear-heart · 1 year
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About Me
I thought it might be a good idea to make a self-introduction post for a little more context into who I am and how this eating disorder affects me.
Online, I go by TeddyBearHeart, or just “Teddy” for short. This is obviously not my real name, as I still wish to remain anonymous. However, I will share how I got this name: the love of my life was sharing a dream about how he had dreamt that we were in a scary situation and I had said “my little teddy bear heart can’t handle all this” and it was so on-par with how I talk that we adopted its use into our waking life.
I am 24 years old, as of writing this in January 2023, and I live in southeast Wisconsin. I work a 12 hour night shift job as a EMS dispatcher.
I grew up in Kansas with a big adoptive family that became a broken home. Shortly after graduating high school, I was kicked out by my adoptive mother and struggled with homelessness for months. My first jobs were in fast food before I landed a job in healthcare, and I had stayed in the spare room of a kind stranger (not recommended!) before meeting the love of my life and moving in with him.
Just before the COVID-19 pandemic struck, we we able to move up here to Wisconsin. I struggled to find work, but happened to meet an EMS manager through one of the odd jobs I had taken at a bakery who liked me so much she gave me a recommendation to get me hired.
I was diagnosed with Binge Eating Disorder on January 10, 2023 after being referred to a dietician to be put on a GERD diet for gastrointestinal issues. During the routine questioning about my eating habits, my dietician discovered a disturbing pattern that had been lying undetected since my childhood. Honestly, I can’t even say I was surprised when she told me, because I had known something had been wrong for a long time.
In addition to the eating disorder, I was at the highest weight I had ever been in my life. At only 5’3.5” tall, I was an entire 290.6 lbs with an estimated body fat percentage of 50% or higher. I did not feel healthy, I was not comfortable in my body, and the added weight exacerbated my pre-existing asthma.
Due to the “fat acceptance” movement and overwhelming diet culture, it was impossible to get anyone to take me seriously when I said I wanted to lose weight because I wasn’t feeling right. I feel like I had begged my PCP for resources and assistance in losing weight, but I had been told I “looked fine”.
Now that my eating disorder has been diagnosed and is being addressed, I feel much more confident that something is going to change.
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mashupofmylife · 1 year
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I’ve written and rewritten and debated this post on all other socials, so naturally it goes up here without a second thought.
I finished residency today. 4 years and 25 weeks after starting. But Psychiatry is a 4 year residency? And American residencies finish at the end of June? 
It took me 25 extra weeks because I spent those 25 weeks in PHPE, and PHP, and IOP, working on my eating disorder, and my depression, and my PTSD. And when I came back to residency I continued to work on all of those things, while also doing the doctor training thing.
I take more meds than most of my outpatients. I have more frequent appointments than most of my outpatients. There are definitely days where I’m jealous of patients who seem to be doing great compared to me. 
Part of me wanted the full story to get shared, because it was a lot on top of a lot, and without the full story you can’t appreciate what my life’s been like. Part of me thinks that no one needs to know how hard I worked and what I overcame to make it to the point in my career. Or that I’m fishing for compliments by sharing all of this.
But hey, shits hard and I’m trying to let myself really appreciate what life has been like.
So maybe I sometimes still end up on the couch for hours wishing I didn’t have to be alive.* I graduated psych residency while juggling treatment for my own mental health issues that have literally knocked me to the ground on more than one occasion. Maybe, just maybe, I can talk about that without turning into a giant tomatohead.
*My therapist knows. And my psychiatrist. And my primary care doc. Honestly this is an improvement from where things were.
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junkratswifey · 1 year
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Guys, I am so sorry for not uploading in 973638752862972757683236 billion weeks, I was busy with eating disorder treatment! I'm happy to be back, and I just have one request!
PLEASE DO NOT SPAM REQUESTS RIGHT NOW, I'M RECOVERING. YOU CAN REQUEST, JUST PLEASE LIMIT THEM A LITTLE. (especially you @mintchocolatemagic. I'm watching you. 📸)
Anyways, I love you all, and thank you so much for bearing with me!
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Anyways I went to my parent's house to house sit and ended up stepping on the scale for the first time in who knows how long. I'm a fucking idiot. Really not smart on my part. That place was really bad on my mental health growing up, so going back there sort of.... Reheated those old ways of thinking. So I did it. I weighed myself.
I'm at my highest. Legitimately.
1. I don't like that number on the scale.
2. My body doesn't look how I want it to look.
3. I don't care enough to do anything about it.
So I'm still on top. I acknowledge I'm not exactly happy where am physically, and I move on with my day. I notice it, I shrug, I go do whatever I wanna do.
It's fucking sweet. I honestly never EVER thought I'd get to this. Have a body I used to despise, be in a body I don't particularly like, see a number that would ruin me, and being able to just shrug it off like it never really mattered. Best feeling ever. Holy shit. It just doesn't fucking MATTER ANYMORE. Can I get a W in the chat.
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On a less cool note, my coworker put his dog down today. I babysat that dog a lot, loved them. It's been rough. It's brought up a lot of pain from when I put my own dog down, absolutely excruciating. By far the worst thing I have ever been through. And I've been though enough to put anyone in therapy, but man.... Putting down my dog fucked me up majorly. And it's just bubbling up again, the sadness and pain and fear. Reliving it all. Getting nightmares again too.
I haven't gone grocery shopping in weeks. Dreading it for some reason.
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sanctumwellness0 · 27 days
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drsarahhewes · 2 months
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Eating Disorder Therapy: A Breakthrough in Virtual Eating Disorder Treatment
In recent years, the field of mental health care has witnessed remarkable advancements, particularly in the realm of eating disorder therapy. Dr. Sarah Hewes, a pioneer in this field, has introduced a groundbreaking approach to treatment through Evergreen Teletherapy.
This innovative platform offers virtual eating disorder treatment that is both accessible and effective, revolutionizing the way individuals receive support and care.
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Understanding the Need for Eating Disorder Therapy:
Eating disorders, such as anorexia nervosa, bulimia nervosa, and binge eating disorder, are complex mental health conditions characterized by unhealthy relationships with food, body image disturbances, and often severe emotional distress. These disorders not only impact physical health but also significantly affect mental well-being, relationships, and overall quality of life.
The Limitations of Traditional Treatment Methods:
Historically, accessing treatment for eating disorders has been challenging for many individuals. Traditional in-person therapy may be hindered by various barriers, including geographical distance, scheduling conflicts, and the stigma associated with seeking help. Moreover, finding specialized eating disorder treatment near one's location can be a daunting task, further exacerbating the challenges of seeking support.
Evergreen Teletherapy by Dr. Sarah Hewes:
Evergreen Teletherapy offers a solution to these barriers by providing virtual eating disorder treatment that is convenient, confidential, and tailored to each individual's unique needs. Led by Dr. Sarah Hewes, a seasoned therapist specializing in eating disorders, this platform combines evidence-based therapeutic approaches with the accessibility of telehealth technology.
The Benefits of Virtual Eating Disorder Treatment:
Frequently Asked Questions about Virtual Eating Disorder Treatment:
Q: Is virtual eating disorder treatment as effective as in-person therapy? A: Yes, research has shown that virtual therapy can be just as effective as traditional in-person therapy, particularly for treating conditions like eating disorders.
Q: How do I know if virtual therapy is right for me? A: Virtual therapy can be a suitable option for individuals who prefer the convenience and privacy of online sessions or who face barriers to accessing in-person care.
Q: What types of therapy are offered through Evergreen Teletherapy? A: Evergreen Teletherapy offers a range of evidence-based therapeutic approaches, including cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness-based interventions.
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Conclusion: Embracing Innovation in Eating Disorder Treatment
As we continue to navigate the complexities of mental health care, embracing innovation is essential to ensuring that individuals receive the support and treatment they need to overcome eating disorders. Evergreen Teletherapy, led by Dr. Sarah Hewes, represents a significant step forward in this journey, offering accessible, effective, and compassionate virtual eating disorder treatment.
By harnessing the power of technology and expert therapeutic guidance, we can empower individuals on their path to recovery and healing. In conclusion, if you or someone you know is struggling with an eating disorder, don't hesitate to seek help. With Evergreen Teletherapy, support and healing are just a click away.
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caspiansrecovery · 4 months
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I forgot about Baron the Bus Buddy from when I would wait for the bus to take me home from treatment 5 years ago. :)
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the-boxy-journals · 8 months
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A year ago, I spent 3 weeks in residential eating disorder treatment (basically like a mental hospital specific to EDs) followed by 2 months in a partial hospitalization program (basically 40 hr/week group therapy).
It stabilized my physical health, and taught me some useful skills (mostly DBT and distress tolerance). It was certainly my coziest and most constructive “mental hospital” experience. Most of the staff and patients were great. I was comforted to meet a number of transmasc patients like me (we were treated well), and even a couple AMAB patients.
But the program was not designed to treat ARFID. I didn’t need mandatory group body image counseling and felt guilty sitting in on the vulnerable discussion there. The root causes for me- sensory aversion, executive dysfunction, and a phobia of food contamination- were barely addressed.
It was not made for autistic patients either. I had some of the worst autistic burnout of my life. The programs were nonstop and changed last minute. We were locked out of our bedrooms during the day, and monitored even in the bathrooms. I was masking to strangers 24/7 for weeks until it broke me.
Not to discourage use of resources like this, if you or your doctor decide you need it. I just wish I had access to ED treatment that understood ARFID and patients on the spectrum.
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mental-mona · 1 year
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trans-axolotl · 2 years
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had my first night of freedom since JULY. moved into the supportive living apartments and the apartment complex is so cute and has so many halloween decorations. i got the apartment fee waived so i'm living here for free for as long as i'm in treatment which is pretty fucking amazing! we walked to target and got hair dye and then i tried to cut my hair and well. two people's input and help later and i now have a buzz cut after some bold hair decisions that were a bit disasterous. currently dyeing it pink and refusing to unpack and just like. overjoyed. i don't have a bedtime. i'm out of the hospital. i can do whatever the fuck i want and i'm just going to spend time living in this place with someone i rly care about and like. it's fucking amazing to be out of res it really truly is. and the eating recovery part of it all is going okay and it defintely isn't easy but is feeling Easier than months ago when I entered residential treatment.
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henrysmithpu · 1 year
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Contact an eating disorder psychologist in Sydney to get the right treatment for any type of eating disorder.
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teddybear-heart · 1 year
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About This Blog
This is my personal blog to share my experiences in recovering from a mental illness known as Binge Eating Disorder (BED).
That being said, this is an eating disorder recovery blog, and therefore might be triggering to some people.
However, with as little literature as I can find about the nitty-gritty of recovering from this fairly obscure eating disorder, I thought it would be important to share my experiences on a public forum so that they may help someone else when they feel isolated or maybe even give guidance to someone who cannot afford treatment.
With Tumblr ultimately being a social media site, I understand that people may wish to comment, ask questions, or otherwise interact with this blog. I welcome this, as I believe open conversations lead to understanding, but I will not engage with blatant harassment. I ask others to follow my example in this and do not feed the trolls.
To anyone suffering with a restrictive eating disorder who may happen upon this blog, please be aware that due to the nature of my eating disorder, weight loss will eventually be a part of my recovery. I will do my best to tag any posts with such a trigger warning, but peruse this blog at your own risk.
In closing, please understand that the purpose of this blog is not to promote eating disorders as lifestyle choices, look down on anyone for having an eating disorder, enable diet culture, give medical advice, or shame anyone for their weight or eating habits.
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mashupofmylife · 1 year
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I saw your post forever ago about going to a NEDA walk. I am going to my first one on April 1st and I’m super nervous!!! Could you give me any advice on what it is like? I’m walking with a team.
It's really chill. All the ones I've been at really tried to have a laid back vibe. I wasn't on a team but met a group of friends (so we were like, a fake team?). There's yoga and some speakers and a bunch of treatment centers set up booths and give out stuff like snacks or lip balm or other small things. The first one I went to, I was really really sick. No one forced anything on me. I didn't feel judged. I did pick up some info about treatment options. The "walk" at a NEDA walk is kind of a joke. Obviously, they're not encouraging a ton of physical activity.
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liftwellnes · 1 year
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Eating Disorder Treatment in Westport, CT
Our team of certified and trained eating disorder experts provides comprehensive outpatient and intensive outpatient eating disorder treatment for the following conditions:
Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder
Compulsive Overeating or Emotional Eating
Avoidant Restrictive Food Intake Disorder (ARFID)
Compulsive Exercise
Orthorexia
Body Dysmorphia
Chronic Yo-Yo Dieting and Disordered Eating
BODY MATTERS: A TAILORED RECOVERY APPROACH TO EATING AND FEEDING DISORDERS, FOOD ADDICTION, AND PROBLEMATIC BODY IMAGE
As a certified eating disorder specialist and a licensed marital and family therapist, Mary Dobson views eating issues from both an intra-psychic and inter-personal framework.
LIFT employs a multifaceted, results-driven and personalized approach to address the myriad of psychological, neurobiological and medical implications of eating disorders. Our treatment process leverages the strength and power of families (natural environmental supports) as well as skilled auxiliary providers (our partnered panel of medical doctors and nutritionists) in a client’s recovery efforts.
Our weight science informed approach utilizes family-based therapy, exposure response prevention (ERP) and dialectical behavior therapy (DBT) to help clients develop the tools of emotion regulation, distress tolerance, and inter-personal efficacy.
Whether you are facing a clinical eating disorder such as anorexia, bulimia or binge eating disorder, or struggling with repeated dysfunctional patterns relating to food, exercise and body image, LIFT clinicians work to co-create a personalized action plan with you to set you towards revolutionizing current behavior and unleashing a healthier, happier you.
FOOD AND THE FAMILY
Your relationship with food and body does not merely impact you: it affects family dynamics, romantic relationships, career aspirations and parenting outcomes. Your food choices and amounts send a message about your self estimation to bosses, friends and loved ones. LIFT is the only center on the east coast to effectively implement Family-Based Treatment in an individual’s recovery efforts.
Eating is a family affair. As the former director of residential treatment centers, I have expertise in treating food issues and body loathing, while triaging families in crisis. Children and adolescents take cues about food from parents, loved ones and peers. Often the entire family is in need of a reassessment of eating patterns. In these cases, I will gently work with you to get your family back on track. My approach is nonjudgmental and meet-you-where-you’re-at. Therapy is a journey that we are on together, and the goal is insight that drives behavioural change and an improved quality of life.
— Mary Dobson, LMFT, CEDS, CEO & Executive Director, LIFT Wellness Group
BODY DYSMORPHIA: WHO SUFFERS?
More than ever, societal demands place pressure on both sexes to maintain an unachievable physical ideal. Throughout the media, we see proof that Americans are obsessed with extreme food and exercise behavior.Our culture is obsessed with food: simultaneously glorifying and demonizing it.Learn to break free of the yo-yo of extreme eating and exercise behaviors, while finding balance and enjoyment in food, and love for your body.
We collaborate with the premier eating disorder experts in Fairfield County: registered dietitians, medical doctors and other specialists. We conduct comprehensive assessments of clients to determine a course of action that meets their specific needs and engage professional resources to support clients in their recovery process.
Your life can be richer and more joyful. Your relationship with food and your body matters. You matter. We are waiting to take your call for a phone consultation.
According to the National Eating Disorders Association (NEDA), “35% of ‘normal’ dieters progress to pathological dieting.” For a number of reasons, college students are at increased risk of developing an eating disorder that could have long-term adverse health effects.
To learn more, check out the infographic below created by Regis College’s Post-Master’s Certificate program.
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If you’re interested in scheduling an appointment or you’d like more information, please contact us.
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