I got a new pair of glasses. Suddenly, the world is super clear. I keep looking around marveling at all I can see, the distinctness of colors and edges. Suddenly, there is focus. I didn’t realize until now how blurred my seeing used to be.
It’s kind of like depression.
Many women with whom I work struggle with depression. They often realize it after they emerge. When in a depression, the blurry fog tainting things feels like reality. Beliefs just under the surface color your experience. Beliefs like:
This is the way it is. It won’t ever change.
Why try? It won’t make a difference.
I should be better. If I just tried harder, I wouldn’t feel this way.
Other people are functioning – and thriving – so if I’m not, it must be my fault.
There are all kinds of environmental stressors that can trigger depression: work stress, losing a job, moving, divorce or marital difficulties, seasonal changes (lack of light during the winter months), having baby. Here are two surprising ones: recovery from an eating disorder and planning for a wedding. Yep. Even “positive” changes in one’s life can trigger a mood shift and/or a full-blown mood disorder.
Change is scary. Even the “good” changes! And if you have a temperament that tends toward “turtle-ness” (risk-averse, anxious, cautious, slow to warm up) then depression can emerge to “help.” Depression can help slow you down when parts of you are afraid of moving quickly. Depression can help you feel “grounded” when you feel “out of control.” Depression can mute anger or make it feel less scary. Depression can provide a source of constancy or familiarity, when it felt as if everything else is changing.
But what are the “glasses” for depression?
Just in case you think I am advocating for depression, I’m not. I am aware that depression signals something (or many things) need attention, need tending. Let’s look at some of the tools, if you are struggling with depression, that may help.
Meditation is a simple (but not always easy) tool that can assist in bringing compassion and grounding to parts of you that are afraid, angry, or overwhelmed. It can help slow down the anxious thoughts. It can help “turtles” navigate change with more ease. It can provide a tiny bit of distance away from depressive thoughts of things always being like this or things that are uncomfortable or not ok being my fault. The compassionately objective voice that can emerge in meditation might say something like:
“Huh. Have things always been like this? I can see a bigger picture…”
I can feel your struggle right now and there is nothing wrong with you.
I can see a part of you that is hurt. It might help you to tend to, and speak up for, that part.
Instead of a cutting off or lifting away from the experience of depression, meditation can assist in being with it from a larger space. It can help you not get swallowed up by it. It can be the “new pair of glasses” that brings clarity to the blurry-ness. It can help you see a bigger picture, and personalize less. It can gently place you back in the experience of being human rather than the suffering of humanity being “my fault.”
I am not a Psychiatrist. I do not prescribe antidepressants. I do know that many of the women I see are hard-working, conscientious, sensitive beings that believe they “should” be able to “just get over” depression or anxiety without medication. Shame and stigma color their vision. They believe that they should just be able to function and thrive by “eating the right food” (that is a whole other blog, but let’s just say for the record, that you are not “bad,” “dirty,” “clean,” or “good” for eating or not eating any particular food), “doing the right spiritual practice,” and working super extra hard. They compare-and-despair what they are feeling on the inside, to sleek, put-together look of other people’s outsides. They think there is something inherently wrong with them. They think they “shouldn’t” need glasses. They “should” be able to just see!
I’m here to tell you that no matter how hard I worked at being good enough, or eating the “right” food, my eyesight did not get better without glasses.
Just in case you think I am pushing antidepressant medication, I am not. Medication, like meditation, is a tool in the recovery tool box. Some people choose to use this tool and some do not. I work with women who make many different choices in this area. I am erring on the side of offering medication as a tool to – hopefully – offer a stigma free zone for people who struggle with depression to make a choice. There is no right answer for everyone. There is the right answer for you, at the right time for you. If you are considering medication, you will need to explore that question with your doctor.
Important caveat: If you are considering medication for depression, and you also have an eating disorder or are a new mom, it is wise to see a psychiatrist who specializes in those areas. There are particular needs for women recovering from eating disorders (ex awareness around how medication can affect appetite and weight, risk of seizures with certain medications if you have a history of purging) and perinatal mood disorders (ex awareness around safety of different medications during pregnancy, postpartum, and breast-feeding) that your doctor needs to have in mind.
I offer you the possibility of clarity. As it says in A Course In Miracles, a miracle is a shift in perception. If you are struggling with depression, may you find, and put on, your new pair of glasses. May you see that hope is possible. May you put one foot in front of the other (or tuck them into seated meditation position) and keep looking for a compassionate space inside yourself. May you find exactly the right therapist and tribe of friends that treat you with compassion when you forget. May you feel that change is possible and you are enough. It is. You are.
In continuing with the fabulous interviews for the forthcoming book Good Enough Mama: Taking Care of Yourself and Your Recovery During Pregnancy and Postpartum, today I want to introduce you to Lindsay Stenovec, Dietician, Mom, Recovery advocate, and host of The Nurtured Mama podcast
What made you want to become a dietician that specializes in eating disorder recovery?
My own journey definitely led me to this area of specialty. Having suffered from disordered eating and body image distress informed it. In college, as a nutrition major, thought I was doing the “right thing,” eating “healthily” when really it was diet mentality. I thought I was being a good nutrition major. I was following the rules that were given to me. I genuinely thought there was something inherently wrong with myself in my body for not being able to adhere to these recommendations that just weren’t realistic or appropriate for my body. And that would send me into these cycles of struggling with disordered eating. So, long story short, I hit this point in late in my senior year of college where I said:
“Enough is enough. I just I have to let myself eat enough food!”
I started to experiment with this, and realized I could relax around food! And I found it was actually not so scary. And shortly after that I was introduced to intuitive eating as well as the world of eating disorder treatment.
(Intuitive eating can be defined as a nutrition philosophy based on the premise that becoming more attuned to the body’s natural hunger signals is a more effective way to attain a healthy weight, rather than keeping track of the amounts of energy and fats in foods. For ten principles of intuitive eating from authors Evelyn Tribole & Elyse Resch, go to: Ten Principles )
Intuitive eating – and using this approach to eating disorder recovery – fit in very nicely with my own personal experience. I realized there was this whole world of people practicing intuitive eating and “Health At Every Size” (HAES) who were saying not only “It’s OK to eat,” but also “It’s ok to eat enough and enjoy it! You have permission to do this!” I realized, Oh these are my people and this is my jam! There was no going back.
What is diet-mentality and how did you break out of it?
Diet mentality says that a variety of body shapes and sizes are not OK and that you can’t trust yourself around portions. In my nutrition program at school, they were teaching us that you’re going to have to really work hard to help people not eat too much. It was fear-based: one wrong moved you are going to be out of control.
I remember having a discussion in my nutrition program about portion sizes and all of a sudden I realized “Oh my gosh, the ‘serving size’ on the box is just the unit of measure! Under no circumstances is this like the right amount for everyone to eat, every time they sit down to eat that food.” All of a sudden I had so much validation for myself in struggling with trying to stick with a cereal box recommendation, feeling so hungry, and thinking there was something wrong with me. I could eat more than one bowl of cereal because, even though it said one bowl was a “serving size,” one bowl didn’t fill me up!
I remember raising my hand in class and saying:
“I just realized that this is the unit of measure not the perfect amount everyone is supposed to eat! This is just a unit of measure that manufacturers picked and put on the boxes. It helps their product look good within diet culture, but it really has nothing to do with what you need in that moment.”
Everyone including the teacher just looked at me strangely, and went back to the lecture. But it was a revelation for me. Back in the day, they used to always say a bowl of cereal was part of a complete breakfast. Not your whole breakfast. And if you want to choose to have a cup of cereal, fine. But make sure to give yourself unconditional permission when you get hungry an hour later.
Stay tuned next for part two of this interview, when Lindsay discusses some of the ways she helps moms with the massive food and body changes during pregnancy and postpartum!
Do you ever wonder if change is possible for you? If you’re just going to have to be stuck in despair, your eating disorder, depression, alcoholism, or feeling not-good-enough forever?
I have this posted on my office door:
Butterflies have long been a metaphor for recovery for me. Butterflies (the eggs they start as, the caterpillars they become, the cocoons they build, and the butterflies they emerge into) embody the miracle of transformation that happens in recovery.
In recovery, one model for change, called the Stages of Change,* divides the gap between thinking-about-change and implementing it into 5 Stages. This model was developed from addiction recovery, but can be used for eating disorder or postpartum depression recovery, or another vision you thought was not possible for your life. As an example (because it clearly embodies tangible hope, which can be hard to do in eating disorder or postpartum depression recovery), I’ll take you through my butterfly garden stages of change. As you are reading, you can fill in whatever vision of yours that you think is not-yet-possible.
- Stage 1: Precontemplation or The Hopeless-Caterpillar Stage (Not thinking about changing, Do not want to change, or Feel change is hopeless/not possible. This is the stage in which disordered eating, drinking, or depression feels “normal” and/or there is a feeling of resigned this-is-the-way-it-is-and-will-always-be.)
So with my butterfly garden vision, there were years of thinking about this. (“Oh! I should do this! Oooh what a great way to practice ecological conservation in my own backyard! I love butterflies! I used to study butterflies! What a great idea! Butterflies are deeply symbolic of the transformation that happens in recovery and motherhood!!”etc, etc.)
Clearly, as evidenced by the exclamation points, they were excited, visionary thoughts. They were so excited that they tired me out even thinking them. I went back to changing diapers, trying to survive early motherhood, engaging with my professional work, and maintaining my own recovery self-care.
- Stage 2: Contemplation or The Asking-Friends-About-Their-Cocoon-Experience Stage (Considering there is a problem, Still ambivalent about changing but willing to become educated about alcoholism/eating disorders)
When I was in the contemplation stage, I would pay attention when my little one and I visited butterfly exhibits in museums or the insect house at the zoo. I would talk to the butterfly curators. I would get inspired by people planting gardens. I read one blog about a guy who re-introduced an endangered butterfly species just by creating a native garden for their caterpillars. I read educational signs at the museum and zoo and thought “Oh! They’re endangered! I could plant a butterfly garden to help! I could do that thing I’ve been thinking about!” Then I went back to my life and didn’t take any action about it.
- Stage 3: Determination or The I’m-Not-Always-Going-To-Stay-A-Caterpillar-Because-I-Know-There’s-Something-More Stage (Deciding to stop the behavior such as drinking or disordered eating, deciding to seek postpartum depression support. Beginning to make a plan.)
So in this stage, I was thinking “Well, even though I’m not much of a gardener, I could do this. I could get a book. I could go to the local garden store and talk to the people there. I could start a list of native plants that attract and feed larva, caterpillars and butterflies…” I was deciding that I was going to take action. I was envisioning how I was going to take action. I was less tired about the ideas, more determined, and getting ready to take action. I saved money to buy plants for my future butterfly garden.
- Stage 4: Action or The Building-Your-Cocoon-Of-TransFormation Stage (Beginning to take actions such as announcing to loved ones they are going to change, seeking support of a therapist or treatment program, beginning to attend eating disorder or postpartum depression recovery support groups or 12 step program)
So at this point, I told my family I would like a butterfly garden book for Christmas. I started actually writing (instead of thinking about) a list of plants. I bought a guide to local butterflies. I made a place on a shelf for my butterfly-garden materials. I posed on a neighborhood list serve about local butterfly plants. I made a special pile of materials that was designated butterfly-garden research. I looked into local gardening stores.
- Stage 5: Maintenance or The I-Now-Know-It-Is-Possible Stage (An alcohol, disordered-eating, or depression-free life is becoming “normal,” and the threat of old patterns becomes less intense/frequent. Relapse prevention skills and support systems are established.)
This is the stage that my garden is in now. Though this may sound like an end-point, (Ta Da! We’re Done! Now everyone lives Happily-Ever-After, The End), it’s actually a beginning. Now I have to water the plants. My husband (who is more of a seasoned gardener) helped to replant some of the plants in wire baskets under the soil so they would be protected from gophers, and in full sun (important for butterflies).
People in this stage of recovery CAN have the luxury of resting somewhat, having done some tough work digging in the soil (therapy, treatment, etc) of planting their garden of transformation. However, the work of continued action is crucial in maintenance. If I don’t water my plants, they might not survive. If you don’t go to your recovery support meetings, or practice the self-care skills you cultivated in your recovery from PPD or an ED, you are at risk of relapse. One of the best ways to prevent relapse/stay in the butterfly stage is to connect with a caterpillar. That is why I work in recovery. So I can remember the darkness of the cocoon AND stay in the sunlight of the spirit.
Here’s to your garden, your butterfly-ness, your recovery. Whatever stage it (You) are in.
*Researchers, Carlo C. DiClemente and J. O. Prochaska, introduced a five-stage model of change to help professionals understand their clients with addiction problems and motivate them to change. Here is one summary article that I referenced in this blog: “Stages of Change” by Mark S, Gold, MD
(Reposting in honor of #Metoo)
It’s National Eating Disorders Awareness Week. And the theme this year is “Let’s talk about it.” Talking about eating disorders isn’t necessarily comfortable. Or pretty. Last week I wrote about women having all of their feelings, including anger, and having the right to assert their boundaries. This means a woman has the right to say no. She has a right to say no to unsolicited comments about her appearance and her body size.
When women aren’t allowed to directly express these boundaries or when there is trauma such as sexual assault, an eating disorder can become unconscious expression. For example,
- Binge eating or starving can become I’m going to make my body sexually unattractive so I can be protected from ever having to go through the trauma of sexual abuse again.
- Bulimia can become I’m going to take this food in, in a violent, self-harming way, and then I can get rid of it. I can get the trauma and the pain of the assault out of me.
- Anorexia can become I’m going to show you that you CAN be too thin. I’m so thin that I’m smaller than the 12-year-old girls on model runways that your culture says are sexually attractive or coveted.
At the most basic level, women have the right to say no to abuse and feel safe from sexual and physical assault. But when a woman’s right to say no is laden with cultural ambivalence and minimizing, abuse and rape occur at an alarmingly high level. And rape culture thrives.
No Means No.
Violence against women is still frighteningly common. Here are just a few scary statistics:
- 22% of surveyed women reported they were physically assaulted by a current or former spouse, cohabiting partner, boyfriend or date in their lifetime. (National Violence Against Women Survey, November 2000).
- Approximately 1.3 million women are physically assaulted by an intimate partner annually in the United States. [i]
- Of the American women surveyed who said they had been the victim of a completed or attempted rape at some time in their life, 21.6 percent were younger than age 12 when they were first raped, and 32.4 percent were ages 12 to 17. [ii]
I see many of these women in my practice. (No, not all women recovering from eating disorders have a history of abuse. Eating disorders have a complex and multifaceted etiology.) Sexual assault among women is very common though more common than you may think. Among my colleagues, we talk about how the statistics are more likely to be one in three women.
One in Three
Due to survivors being reticent to report it, the statistics reported are often much lower than the actual numbers. The shame of the abuse is still often carried by the survivor. When assault perpetrated against a woman is blamed on the woman, or not believed, or minimized, there is little incentive to speak up. We need only look at the news of the past few weeks to find evidence for this. And when convictions for three sexual assault felonies, such as in the 2016 Stanford rape case, get reduced from 14 years in state prison to 6 months in county jail, there is little incentive for survivors to pursue legal action.[iii]
If one in three women has been sexually assaulted in their lifetime, that means it is highly likely that you, your spouse, your sister, your mom, your child, your friend, or your colleague has been sexually assaulted. The experience of sexual assault is not limited to women of particular socioeconomic status, ethnicity, or religion. I am probably preaching to the converted here, but just to name a few basic educational points about sexual assault:
- Sexual assault is an act of violence, not sex.
- Sexual assault is not caused by what a woman wears, drinks, or doesn’t drink, or whether she is “in the wrong place at the wrong time.”
- Sexual assault is not consensual. If a woman is unable to consent, that is non-consent. If a woman says stop, then that is non-consent. If a woman has said yes in the past, but is saying no now, that is non-consent.
- Sexual assault can leave long-lasting impact of the survivor, including but not limited to Depression, Anxiety, PTSD, Flashbacks, Self-Harm, Suicidality, Eating Disorders, STD’s, and unwanted Pregnancy.[iv]
I could go on and on about the work to be done in healing “rape culture.” I am grateful for the education and advocacy work[v] being done currently. And I am grateful for the January 2017 Women’s March “Pink Pussy Hat” movement reclaiming women’s bodies and rights as their own. I am grateful for every survivor doing their healing work. I am grateful for every woman and man who says “No, this is not ok” to rape culture. And I am grateful for 19-year-old Nina Donovan writing her “I Am a Nasty Woman” poem and Ashley Judd reading this poem at the Washington DC Women’s March. In Donovan’s poem she writes:
“I am not as nasty as racism…homophobia, sexual assault, transphobia, white supremacy, misogyny, ignorance and white privilege.”[vi]
Feminism today is being called to become intersectional, addressing the places where misogyny, racism, and socioeconomic status intersect, and where they don’t. Stay tuned for the next post on how eating disorders do not just affect straight, white, adolescent women. And, in the meantime, what can you do? You can be an ally. You can talk about it. Talk about eating disorders and that recovery is possible. Talk about how rape culture is not okay. Be an ally: for yourself, for others. Healing is possible. You are not alone.
[iii] “Telling the Story of the Stanford Rape Case” by Marina Koren, The Atlantic, June 6, 2016
[iv] RAINN.org RAINN stands for the Rape, Abuse, and Incest National Network and is the nation’s largest anti-sexual violence organization. RAINN operates the National Sexual Assault Hotline 800-656-HOPE
[vi] Ashley Judd reciting Nina Donovan’s “I Am A Nasty Woman” poem at the January 2017 Women’s March https://www.washingtonpost.com/video/politics/ashley-judd-recites-i-am-a-nasty-woman-poem-at-march/2017/01/21/93205bc6-dffd-11e6-8902-610fe486791c_video.html
Anxiety comes up frequently for people in recovery and moms. When I imagine anxiety, it looks like this:
It is rigid, red and rapidly moving. Usually, we want anxiety to go away. We want to just get rid of it. But when we ask what anxiety has to say, and respond with curiosity or tenderness to the scared-self, a new relationship can emerge. Below are some examples of what the anxiety part of the self might say.
Here’s What Anxiety Says:
- I’ve made a bullet-point list for you. You should do everything on the list and then I will go away.
- (After list is complete): “OK, that was the first one. I now have several more.”
- Other people have it all figured out, so you should pretend like you do. One way to do this is to look good. I will help you with that. Try to look perfect.
- You are the only one that struggles with this anxiety. It makes you isolated, and you don’t belong because of it. Therefore, you should hide it.
- Be very busy. If you’re not busy, doing things, I can help keep your mind be very busy. I can even make your thoughts race.“
- I will always be your friend, but especially from 1:00-4:00am. At that time, I will remind you of the ways you are incompetent, the world is falling apart, and you can’t do anything about it. If you go on social media during this time, I will find lots of evidence for you.
- Other moms are doing it better. You are not qualified to be a good parent. You should read parenting books to illuminate all the ways you are f*cking up.
- Your body is the wrong size/shape. You can (and should) fix that. If you do, I may go away (but I will probably stick around because you will need me to manage you, since you can’t be trusted).
- Not eating, bingeing, purging, drinking, or smoking pot are good ways to get me to go away. (Oh, and you will need to maintain that. And you should hide that you do that, because it is shameful).
- The world is not safe. I have found lots of evidence of this for you.
As you can see, it is not a kind voice, this anxiety. It is relentlessly hypervigilant to the ways that you are inadequate. Strangely enough, this part of the self is often trying to protect you: from vulnerability, from the unknown. In my training as an Imaginal Psychologist, one way we worked with different parts of the self – and integrating them back into wholeness – was to bring fiercely compassionately objective voice into the dialogue. Compassionate awareness can take several different forms: it can be humourous, fierce, gentle. It can be rational and empirical. In my experience, this compassionate part is much more flowing and less rigid than anxiety. It feels like a deep breath down into the cooling water under the anxiety. It might look like this:
Here are some examples of what this voice of might say to anxiety. What the Voice of Compassionate Objectivity Might Say:
- Isn’t it interesting to notice the associations between anxiety and accomplishing or not accomplishing things? So interesting to notice…
- I bet you could choose to do some, all, or none of the items on the list, and your value as a human would remain fully intact and whole. How about you try and I will be the witness observing?
- Is “figured out” an equation? If “it” is figured out, does that mean fear or suffering disappears?
- Who are those “perfect,” and “busy” people? If they exist, might they be struggling with the same fear of inadequacy you are?
- If there are 7.5 billion people (roughly) on the planet, do you really think you are the only one who struggles with these thoughts and feelings? Might it not be the very thing that connects your heart, mind, and body with humanity?
- I wonder what would happen to your thought-speed if I help you breathe. Does it change if you breathe all the way into your abdomen? It doesn’t need to change. But if you are in discomfort from the racing, bringing attention to your breath can help your body shift into parasympathetic (rest) mode. Would you like to try?
- I will do everything I can to help you get a good night’s sleep, honey. I’m going to help you with loving limits: no social media at night. Not helpful.
- We can take stock of your strengths and weaknesses during the day and/or with someone who can add compassion and objectivity to the assessment. When you’re feeling weak, that’s not the time to assess your weaknesses.
- If you can’t sleep, I won’t abandon you. I’ll stay with you and the anxiety. I’ll be right there with you, surrounding you with care and tenderness.
- Body size and shape have nothing to do with your worth, honey. I know you keep really wanting it to be about that. But I’m going to keep reminding you the answers you seek are not there.
- Did you show up to the best of your ability as a Mom today? Your best can be different on different days. That is ok. Mistakes are how we learn. Oh, and put the parenting books down.
- You can tolerate anxiety. It won’t kill you. You can ride the wave of this fear without medicating it.
These are just some examples. The goal is not to get rid of anxiety. The goal is to develop a different relationship with it. Perhaps it might look like this?
Obviously, you will have to see what your own voice of Compassionate Objectivity has to say.
For now, I will leave you with a summary that I and some of the people I work with find helpful:
There is nothing wrong with you.
Nobody has it all figured out.
You are safe right now.
You are not alone.
Have you ever had a song come on the radio that suddenly transported you somewhere? A recovering alcoholic friend of mine takes it as a “sign” whenever she hears the song from the movie Frozen “Let it Go,” reminding her that she is not in control and that is a good thing. Another woman I know listened to “I Gotta Feeling” by the Black Eyed Peas every day when she was recovering from Postpartum Depression. It was the thread she held onto when she had forgotten what joy felt like. For those four minutes and fifty-one seconds, she could remember. Music enters the nervous system through the brainstem, which neuroscientists suggest may be the “seat of sentience..(To read full article go here, to Psyched in San Francisco, a San Francisco therapy site, where I am guest blogging. Then come back here for the list below!)
Dr. Linda Shanti’s Brief List of Music for Different Life categories
For Recovery, Patience, and Affirmation:
Let it Go (Indina Menzel)
Love After Love (Jami Sieber and Kim Rosen)
Good Day (Nappy Roots)
In My Car (I’ll Be the Driver) (Shanaya Twain)
One Day At A Time (Elton John)
Butterfly, Next Right Step, or Sing, Love, Dance (Jana Stanfield)
Have A Little Faith in Me (John Hiatt)
I Am Loved, Gentle With Myself, Prosperity Chant (Karen Drucker)
Just Let Go (Thin White Duke Remix)
HOPE Let My Love Open the Door (Pete Townshend)
Dream Machine (Downtempo Mix) Hotel Costes
I’ve Gotta Feeling By Urban Beats (Black Eyed Peas)
A Little Bit Of Riddim (Michael Franti & Spearhead)
Golden Bowls of Compassion (Karma Moffett)
Inspiration or Vision (Dr. Jeffrey Thompson)
The Empty Sky (Anugama)
Gaia (Michael Brant DeMaria)
Returning (Jennifer Berezan)
For Romantic Love:
The Way I Am and Giving Up (Ingrid Michaelson)
Can’t Help Falling in Love (Twenty One Pilots or Haley Reinhart)
I’m Gonna Be (The Proclaimers)
All My Days (Alexi Murdoch)
Breaking Up (the Bitter and Recovery Stages):
Gives you Hell (All American Rejects)
Send My Love To Your New Lover (Adele)
Breakable (Ingrid Michaelson)
Love After Love (Jami Sieber and Kim Rosen)
Get Your Booty Out of Bed, Song in Your Heart, or Peanut Butter and JAM, (Charity and the Jam Band)
We’re Going to Be Friends and The Sharing Song (Jack Johnson)
Crazy ABS’s or Food Party (Barenaked Ladies)
Itsy Bitsy Spider (This version: Party Like A Preschooler)
For the Earth and its People:
Keep A Green Tree in Your Heart (Charity and the Jam Band)
With My Own Two Hands (Jack Johnson)
Down to the River (Alison Krauss & Union Station)
Creating a Dream (Xavier Rudd)
Imagine (John Lennon)
Dreamy Music For Sleep (Dr. Jeffrey Thompson)
Every morning my little one pulls up my shirt, kisses you, and says, “I came from there!” You are fleshy now, stretched. I feel warmth and softness when I touch you. Mother. You hang over my jeans a bit. My sagging muffin top. I try not to mentally airbrush you out of pictures- the little traces of shame that still linger, the empire cut shirts, even though I haven’t been pregnant for five years.
Twenty years ago disgust for you filled my world. And crushed my spirit. All the self-loathing, anger, fear and shame were stuffed into you. I’m sorry. So many apology letters written to you in those first years of eating disorder recovery. But I did grow to accept you! And fed you. And then you created an amazing child! (Ok it was my womb, but you are the flesh that stretched to accommodate). You grew and stretched beyond what I thought was possible
Belly, I’m sorry that there are so many images in the world that don’t look like you. I know those images make you feel unloved, disgusting, flabby. I’m sorry those images make you feel wrong.
Those images tell you all kinds of crazy sh*t:
“Be smaller! Be flatter! Do this to be loved! Be big and full of yourself until age seven and then be flat and hungry. But don’t feel hungry! Just look thin! Don’t get angry! Hide your intuition. Don’t listen to it. Be attractive by not being yourself! Don’t get stretched. If you get stretched, get sucked and stitched back in.”
I just want you to know, Belly, they’re wrong, those messages. Contrary to what the images tell you, there is nothing wrong with you. Let me say it again as you have received those other brutal messages so many times.
Belly, there is nothing wrong with you.
In introducing this month’s Butterfy Effect theme of CONNECTING, I am honored to share an interview by the founder of Recovery Warriors, Jessica Raymond, MS. Recovery Warriors is a multimedia resource hub for hope and healing from an eating disorder. Here is a link to the podcast: RecoverywarriorsPodcast
The desire to become a mom can be a motivating factor in eating disorder recovery. However,the challenges of pregnancy and the postpartum period mirror the early stages of recovery. Both pregnant and new mothers and women recovering from eating disorders experience anxiety, body image distress, difficulty sleeping, hormonal changes, appetite changes, and ambivalence/excitement/distress around cultivating a new identity. In this episode of The Recovery Warrior Show, expert Dr. Linda Shanti shares personal and professional stories of recovering from an eating disorder and entering into motherhood. Listen in regardless of where you are at in the biological cycle because there is much to learn.
What You’ll Learn
- Why people don’t talk about miscarriages
- How pregnancy is similar to early stages of recovery
- Why you need to be proactive in seeking professional help before having a baby?
- Why how a mother eats affects her child
- Is there a right time to have a kid
The moment a child is born, the mother is also born. She never existed before. The woman existed, but the mother, never. A mother is something absolutely new. -Bhagwan Shree Rajneesh
Advice to Former Self
You’ll get through this honey, you will. It’s going to change you and it is changing you and that’s ok; that’s the way it’s supposed to be. There’s no parallel life that you’re supposed to be leading; this is it, this is not a detour. Just because you’re suffering doesn’t mean you’re on the wrong path; you’re absolutely on the right path. Keep going.
Definition of Recovery
Taking care of yourself physically, emotionally, psychologically, and spiritually. Not engaging in behaviors that hurt me. Moving toward growth edges. Accepting my body as it is. Allowing and inviting all feelings. Lowering the bar on perfectionism. Thinking in the rainbow between black and white. Listening to my heart and connecting with a larger purpose.
As I’m wrapping up this month’s theme of CREATIVITY, I’m reflecting on some of the fabulous resources I found for recovering women, moms, people who think-they-are-not-creative, and mommy-preneurs (which I’ll share at the end of this blog).
One of those resources was The Right Brained Business Plan by Jennifer Lee (Novato: New World Library, 2011). In it, she offers all kinds of creative tools for entrepreneurs, mommy-preneurs, and people recovering from vagueness in their finances and their visions (which is a lot of recovering people!).
One exercise looks at the values you want to embody, and that you want your business to stand for. As I started to collage this, I realized the best way to image it was to use the thank you notes I have accumulated from clients over the years. These expressions of gratitude most clearly vision WHY I do this work and feed the values I believe in, and want to continue to cultivate in being a therapist:
Listening to your Heart, Trusting your Body, and Finding your Recovery Voice
Mostly I want my clients to know: YOU CAN DO THIS. I believe in you. It is possible to recover. I am so grateful to have been given the gift to be of service to help women on this journey. As they say in recovery, You can’t give it away unless you have it, and you cant keep it unless you give it away.
Stay tuned for lots of fabulous GUEST BLOGGERS as this month’s theme is CONNECTING.
In the meantime, here are a few fabulous creativity resources for recovering women, moms, and mommy-preneurs. (This is by no means an exhaustive list):
- The Artists Way or The Artists’ way for Parents By Julia Cameron
- The Creative Journal (or anything else by) Lucia Cappicione
- Big Magic by Elizabeth Gilbert
- Bird by Bird, Operating Instructions, or Help, Thanks, Wow by Anne LaMott
- Soulcollage Evolving by Seena Frost, MFT
- How to Make MeCards: Creative Expression for Children and the Grownups in their Lives by Nancy Weiss, Jane Raphael
- The Right Brained Business Plan by Jennifer Lee
- Momosas: Fun Alcohol-Free Drinks for Expecting Moms (and those that are sober) By Paul Knorr
- Color with Me, Mom! Color, Create, and Connect with your Child by Jasmine Narayan and Hannah Davies
- Between Mom and me: Mother Son Journal by Kayie Clemons
I recently gave a talk for parents on Eating Disorders and what parents wanted to know most was: How do I prevent my child from developing an eating disorder?
Here are five things you can do (and some you can be conscious of NOT doing) to assist with preventing your child from developing an eating disorder:
- 1. DON’T Diet.
Diets don’t work. This has been proven again and again. Here are a few scary statistics:
*95% of all dieters will regain their lost weight in 1-5 years (Grodstein, Levine, Spencer, Colditz, & Stampfer, 1996; Neumark-Sztainer, Haines, Wall, & Eisenberg, 2007).
*80% of 10-year-old girls in America have dieted to lose weight. (Bates, 2016)
Women who were put on diets as young girls are more likely to struggle with obesity, alcohol abuse and disordered eating as adults. (Keel, 2014).
*35% of “normal dieters” progress to pathological dieting. (Shisslak, Crago, & Estes, 1995).
- 2. DO eat intuitively.
Intuitive eating can be summarized by: relying on internal cues for hunger and satiety, eating for physiological rather than emotional reasons, having no dietary restrictions/unconditional permission to eat, and body size acceptance (Tribole, and Resche, Intuitive Eating A Revolutionary program that Works, 1995, 2012). Listen to your own hunger and don’t restrict. Give yourself permission to enjoy eating!
- 3. Take care of your own body image.
Be mindful that you are your child’s mirror. You may be tempted, as I saw in a humourous newspaper wear a “Mom’s Bathing Suit as One Giant, Body-Ecclipsing Ruffle.” You many gaze disgustedly in the mirror at your postpartum muffin top. Postpartum body image and ageing can be brutal. However, don’t allow yourself to buy into the culture’s message around self-worth being tied to “getting your postbaby body back in shape.”
A) Your postpartum body will never be the same shape. You grew a baby in there.
B) Your worth is bigger now. You have been changed by life. Try and embrace and radically accept that. Be proud of your tummy like your child is proud of theirs. You are beautiful because of the life you have lived and your body reflects that: all the scars, stretches, and wrinkles. A wizened tree does not Botox itself to look like a skinny leaf-sprout. Be the tree that you are proudly (or, on a bad day, good-enough).
- 4. Follow the “Division of Responsibility” when feeding your child.
Briefly, the division of responsibility is: The parent is responsible for What, When, and Where you eat. The child is responsible for How much and Whether they eat. This is based on Ellen Sattyr’s work. To see a handout on this, click here
I know it can be hard to trust that your child WILL choose to eat vegetables. But it CAN and DOES happen. See this amazing transformation in my own little one, who used to only eat anything soft and white. Notice how one carrot and two bits of pepper have grown into a plate almost entirely filled with vegetables!
(By the way, DO respect sensory sensitivities. If your child prefers soft texture, make soft texture food and gradually without a fight and making it fun introduce other textures.) And, remember: there are no bad foods. Kids need carbs and fat, and so do you. They help you have enough energy, they feed your brain.
- 5. Allow all feelings in your family (especially uncomfortable ones like anger, fear, and shame).
Low tolerance for negative affect has been shown to be one of the factors contributing to eating disorders. What does this mean? It means, in order to create an environment where your child will not feel they have to hide or stuff parts of themselves in order to be loved, you have to allow discomfort. Anger is a tough one. Most people error in one direction (rage at others) or the other (blame self and stuff into depression). Work on expressing anger at the level of irritation before it gets too overwhelmingly big. Have weekly family meetings. If you get in a fight with your partner, make up and show your child you have made up so they can see people re-unite after being mad at each other. When your child is mad, don’t withdraw your affection. Notice: “I see you are mad. I’m going to help you. I love you even when you are mad. You can hit the pillow, but not me. I’m going to stay with you until we work this out.” Allow fear. Allow insecurity, embrace imperfection. When someone makes a mistake in our house, we say “Yay! I made a mistake!” This is not my natural inclination. The natural inclination with shame is to hide it. Sweep it under the rug quickly! Pretend-like-you-know-what-you-are-doing-before-you-get-in-trouble-or-someone-sees-that-you-are-a-fraud! Don’t do this. Turn toward your own and your child’s imperfections and growth edges. Growing requires failing, and failing, and failing before succeeding. Support your child in practicing new skills. When your little one is learning to walk and falls down, you say “Hooray! Try again!” Continue to do this with yourself and your little one. Again and again.
It is possible to prevent eating disorders. And it is also possible to build a strong protective factors so that if your child develops one, they can recover with more ease. Do what you can. Eating Disorders are complex and develop from a unique and individual interplay of many factors. Eating disorders are no-one’s fault, but everyone’s responsibility. Prevention and recovery are possible.