#if you put any pro weight loss eating disorder shit on here ill kill you btw | Explore Tumblr Posts and Blogs

nicolekidmanwigfactory · 6 years

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ok, so listen to the shit my psychiatrist told me yesterday because IT. IS. JUICY. (TW: eating disorders)

i need to vent but here’s a read more in case you wanna skip this because this is LOOOOOONG

i was describing to her how i’m currently pricing out personal trainers to help me start exercising again in a healthy, non-disordered way because the last three times (in the past 18-24 months or so) that I tried to start working out again, I found myself spiraling and getting overly anxious or unrealistic about my goals, so i’d either overexercise, restrict, and/or purge.

as i described the height of my exercise compulsion-- highest intensity elliptical for 60 minutes or 2000 calories burned (whichever came second) every single day, no exception (Sundays were my off day and I relished them)-- from seven years ago, which was worse than the actual bulimia at times, she just cut me off and said an hour a day wasn’t too bad, ignoring 1. the 2000 calories thing, 2. that i weighed about 130lbs less I do now, and 3. i was either severely restricting or compensating for binge behaviors from voracious appetite swings 4. caused by hormonal fluctuations 5. due to then-undiagnosed thyroid cancer.

BUT WAIT. THERE’S MORE. then she laid into my dietitian and said eating disorder dietitians in general are overly focused on “making sure their patients are comfortable eating” instead of losing weight (if they're ones who need to, of course). ummm...getting me less regimented in my eating is the fucking point. i’d eat something i wasn’t “supposed” to and then purge it somehow (exercise, vomit, restriction, etc.). <-- that’s the fucking basics of the fucking disorder, and that’s not even explicitly mentioning the mental illness aspect.

again, she told ME, A LONG-DIAGNOSED, DEPRESSED GRADUATE STUDENT WITH A HISTORY OF TREATMENT FOR BULIMIA AND OTHER EATING DISORDERS that i need to lose weight. Yes, i know that. does she really think i don’t know that? i wear my clothes and look in the mirror and have been in eating disorder treatment for the past five fucking years. what makes her think this is news to me? does she not think i don’t remember how I bust my ass off to healthily lose 100 pounds in college, and then gained it all back (and then some) in FOUR FUCKING MONTHS when my bulimia turned into binge eating disorder and my EATING-DISORDER AND QUASI-SUICIDAL MIND tricked myself into thinking this was the healthier option?! BECAUSE I SURE AS HELL REMEMBER. she does have the point that my weight is not healthy in the long-term (of course i know that), but neither is a fucking depression and any kind of eating disorder.

i WANT to lose weight but my dietitian agreed to work with me on the condition that my focus COULD NOT be on losing weight (she was gonna work with me no matter what, but she’s a genius with how she approaches her clients) until my eating patterns were stable and the frequency of my disordered behaviors dropped dramatically (which they have- i’ve only purged ONCE in the past year. My binges are not just far and in between but also much smaller and cheaper than they used to be). so if she’s gonna come after my dietitian, this psychiatrist is also coming after me because i would not be where i am without her (+ my therapist).

okay, i did expect some of this coming into the appointment though, so i did subject myself to this a little. she said some of this stuff in october at the first appointment i had with her but i was able to talk back against it in my head and discuss it with my therapist and i didn’t think about it again for a couple weeks. but the shit she was saying yesterday was just so much more inappropriate and insensitive that I only tolerate it for the refills on my meds.

i’m not saying she’s an awful psychiatrist. i just feel she needs to work on her bedside manner, or at least with her overweight eating disordered patients (because we already feel pretty shitty about that, and you don’t even need to have an eating disorder to feel that) or she needs more training in eating disorder treatment protocol. at one point in both appointments, she implied with the subtlety of a sledgehammer that it won’t be possible for me to have good self-esteem at my current size and weight, which completely defeats the point of body positivity and loving yourself at any size (FYI: Loving yourself at any size ≠ pro-obesity. Anyone who says otherwise is looking for a socially acceptable way to hate on fat people. The key word is “any.”).

All this said, she is a capable clinician. the medication regimen she has me on is working beautifully. my depression is so much more stable and the highs and lows of my mood are more like speed bumps and potholes than the mountains and ocean trenches of before. my anxiety is under much better control too (though a lot of that is because of the strategies I’ve been working on with my wonderful therapist) and the anxiety is also more situational. after all, i did go a gay bar by myself last weekend for the first time ever (it was at 2:00 on a Sunday afternoon, but i still did it despite the anxiety!).

I am also so appreciative of her ADHD diagnosis. I was apprehensive at first because the diagnosis was so quick and not even the focus of the appointment, but the medication she put me on is working. i thought that high school killed any enjoyment i once had for serious, intellectual reading, but since the medication i’ve started paging through the plethora of books i’ve bought over the years but never read and gotten absorbed by random pages even though i don’t know what’s going on. I don’t remember the last time was able to concentrate for extended periods of times without a deadline or outside pressure. i can read lengthy journal articles in record time and still absorb the information. the only downside is they kill my appetite, which she admitted she is part of the reason why prescribed them for me. (this part i’m not that upset about since i have been on binge suppressants for years and I see this as an additional tool- I’ve had no urge to abuse them other than the ED voice that instinctually tells me to, but I’ve just ignored it from the beginning).

so even though she is highly insensitive to my needs, she is also a highly capable and otherwise qualified psychiatrist. however, during therapy today, i discussed her comments with my therapist and that I would continue to see her while i searched/waited for an appointment with a different psychiatrist, since I had to wait 7 months to see this current doctor. instead, my therapist jumped on the phone, called a couple numbers and was able to get me an appointment with a psychiatrist she trusted for right after the new year. so i only have to see this current one once more and that’s only so I can get refills and continue my current medication regiment, which been working wonderfully for me.

i didn’t mean to make this so long but it feels good to get this out. my clinician is gonna inform my dietitian (which is making me impatient for my next appointment because she was ready beat a bitch last time because of this doctor and i want to see what she has to say this time) and then, if i didn’t mind, she wanted to bring this up with some managers at her location. i don’t care if she informs some higher ups, i just don’t want my name to get back to the psychiatrist until after the next/last appointment. i’m also going to file a complaint, not for vengeance or anything, just so her superiors can hopefully let her know how other patients might interpret her comments.

at least for me, this psychiatrist’s comments aren’t about me not being able to handle what i don’t want to hear. they were unprofessional, inappropriate, and frankly, uninformed and dangerous. if i hadn’t been further along in my recovery, i might have been liable to abuse my adderall as an appetite suppressant for weight loss purposes, start exercising and dieting again when i’m not mentally ready, or just accept her fat-shaming for what it wasn’t since since it was coming out of the mouth of an MD.

But I’m lucky to be in a place where I can recognize those comments for what they are. And I give credit to my therapist and dietitian, who’ve gotten me that place in the past year and a half (and I guess the current psychiatrist deserves some credit too for her medication regimen that was effective right off the bat, but that’s where I’ll leave it). And to the therapists, dietitians, and doctors I’ve have in the past five years, but mostly to my current ones, because they got me back on track when I moved back to WI and then further along than I have ever gotten before. Their voices are nagging in my ear to myself credit to, so I guess I played my part too.

@lorinwasadiver let me know when you’ve read this bc i want to know your angry thoughts

#tw eating disorder #depression

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