I had one of those moments today. As I was pulling on my jeans, I could feel they were too tight. My midriff was mid-drifting. And that first automatic thought – “I’ve gained weight!”- was quickly followed by a shitload of culturally conditioned fat-shaming judgements. The good news is that then I took a deep breath. And remembered this voice comes in when I am suffering in some way that needs tending. That I have over twenty years of eating disorder recovery behind my back (and in my stomach). That this fearful voice doesn’t pop up very much any more and I have another way of being with myself now. Compassionate-Curious-Recovery-voice kicked back in.
Might these jeans be tight because they just came out of the drier?
If you did gain weight, so what?
Here’s how the rest of that conversation went down:
Anxious-part-of-self: What do you mean so what? SO WHAT? My body is supposed to stay the same. This is my recovery body and it’s not supposed to change.
Compassionate-Curious-Recovery-Self: Interesting. Where did you hear that? Actually, your body has changed many times over the past two decades. Most people’s bodies do. Who told you your body is supposed to stay the same? I think I remember your very first recovery mentor telling you twenty years ago (when I was a young adult and she was middle-aged) two things:
1) The size of your body is not your business.
2) The only constant is change.
When I work with women on body image suffering, often there is a correlation with the uncertainty that come with the life-passage transformations such as young adulthood, marriage, pregnancy, postpartum, middle age, and elderhood- and body image. Life transitions can be challenging, and the culture we live in doesn’t have a container for women traveling through these rites of passage. We do have a body-shaming culture that tells us there is something wrong (with our bodies) and it is our responsibility to fix/change them (our bodies). In the absence of community, and of rituals that assist us in crossing these thresholds, a fearful body-shaming voice can come in to keep us “safe.” Safe from what? Safe from the scary changes of the unknown by assuring us that If you can keep your body from changing, then this (life-change) will not be distressing. Safe from having to go through it alone. Safe from facing all the mixed messages in a culture that feels ambivalent at best, and actively disdainful at worst, about supporting women through the rites of passage into adulthood, motherhood, middle age, and becoming a crone. But in practicing hating our bodies, we miss out on appreciating how wise they are in leading and guiding us through these life transformations.
Midlife Mid-Drift (and other women’s body/life changes)
In perimenopause, the ovaries produce less estrogen, which can cause the body to store extra fat (because fat cells can produce estrogen, which offers the body a safety net). Interesting. Thus the thickening around the middle. Pretty smart, body!
In adolescence, a hormone called GnRH (gonadotropin-releasing hormone) is released, and then forms two new hormones that signal the body to gain weight and become fertile. Smart body!
In pregnancy, weight gain is distributed in all kinds of useful ways, including: increased
blood, breast tissue, fat stores for future breast feeding, amniotic fluid, the placenta, oh, and the actual baby! Wise body.
Just like postpartum, when the stomach carries shapes and marks that show it grew to hold a child. Successful body!
My body is changing again. It’s what happens for women throughout the life cycle. By the way, when I was researching reasons why a woman’s body changes in adolescence, the perinatal period, and midlife, guess what popped up on Google? You got it: 10 Ways to Diet That Away. (“That” being the inevitable changes in your body.)
A Recovery Reminder
If you are in recovery from an eating disorder, or any form of body image hatred (aka if you live in this culture), DO NOT visit Dr. Google for your answers to questions about life transitions. Dr. Google will always tell you that losing weight is the answer to complex life problems. Stop dieting, start rioting, and find your people. Find your support team of friends, professional help, and spiritual sustenance to help midwife you through your life transitions. Listen to the wise, fiercely compassionate and sometimes as* kicking part-of-you-that-knows and act on that voice. Now is not the time to let the weight on your stomach go. Now is the time to let the weight of holding up unrealistic expectations of who-you-are-supposed-to-be vs. who-you-actually-are go. Or, as Brené Brown so eloquently states about midlife:
I think midlife is when the universe gently places her hands upon your shoulders (or your midriff), pulls you close, and whispers in your ear:
I’m not screwing around. It’s time. All of this pretending and performing – these coping mechanisms that you’ve developed to protect yourself from feeling inadequate and getting hurt – has to go.Time is growing short. There are unexplored adventures ahead of you. You can’t live the rest of your life worried about what other people think. You were born worthy of love and belonging. Courage and daring are coursing through you. You were made to live and love with your whole heart. It’s time to show up and be seen.
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.
We all know how easy this was in our former lives. Just hop in! At any time! With no interruptions and for as long as you want! This is no longer the case. However, a shower can make a world of difference. It is actually one of the main action steps I encourage not only new moms, but also clients recovering from depression to take. Cleaning your body helps your mind. It has the capacity to wash away some of the sleep deprivation and frustration. And it has the added benefit of cleaning away stinky-ness having old milk, snot, and poo that your little one may have generously shared. For at least one moment, your body can be clean, and all your own.
Don’t stop reading yet! I know, if one more person tells you “sleep when the baby sleeps,” you are going to punch them. So I’m not going to tell you that. However, I want to encourage you to carve out in whatever way works for you and your family, a good chunk of sleep for yourself. There is a reason why sleep deprivation is used as a form of torture. Sleep deprivation can cause difficulties in concentrating, irritability, problems with reading, speaking, and an increase in appetite. If the deprivation continues, disorientation, visual hallucinations, social withdrawal and/or challenges, memory lapses, and breaks in reality occur.[i] One of the main treatments for moms recovering from perinatal mood disorders (anxiety, depression, psychosis), along with therapy and medication, is sleep. And the sleep needs to be for prolonged period of uninterrupted time. (Disrupted sleep is as bad as no sleep – more on this
in upcoming sleep blog).
Here some ideas: hire a night doula, have your partner or grandma take over night feedings for one night, ask your partner to do the middle-of-the-night feeds, or do modified sleep training. Preserve and protect your sleep, however you can. Don’t succumb to the temptation for late night Facebook/Online shopping/Great-ideas-planning-your-new-business-vnture-as-a-mommypreneur. If these are still appealing when you are rested, you will know they are coming from a true need. Otherwise, it’s adrenaline-fueled exhaustion that would be better fed with restoring your sleep.
Did you know that vitamin D is one of the best antidepressant vitamins? Low vitamin D has been linked not only with postpartum depression for the mother[ii] but also increased risk of eating disorders in female offspring.[iii] Getting out of the house can be one of the best ways to bring new perspective to what can feel like drudgery of new motherhood. So pack up all your new accoutrements – diaper bag, pacifiers, bottles, snacks, diapers, etc.- and get out into the sun. It may just be to walk around the block. It may be an adventure like getting to the playground or the coffee shop. You may even coordinate this adventure with another new mom, which leads to the next tip…
It is a recent cultural phenomenon that moms are trying to care for their babies alone, at home, by themselves without a “village” of support. This used to be the extended family, or way, way back in human experience, the tribe. Humans thrive on attachment. Without it, we wither. There is no wrong way to have support as a new mom, other than to not have support as a new mom. Your support could be a mom’s group. It could be your partner. It could be your therapist. It could be YOUR mom. It could be your non-mom friend. It could be your friend who is also a mom. It could be your doula, lactation consultant, or mother-in-law. It could be all of these or some combination of these. But having none of these is a recipe for trying to be Supermom (who doesn’t exist, and lives in the isolated perfectionist imaginations of moms who have no support), which can to Postpartum Depression. I love this quote from Dr. Sue Johnson, the founder of emotionally focused therapy:
“Being the “best you can be” is really only possible when you are deeply connected to another. Splendid isolation is for planets, not people.”
If you are providing attachment to your new little one, YOU need to be strongly attached.
Trying to hold, provide food, and give emotional sustenance to your baby without support yourself is like being a tree without roots. You will fall over, you will wilt, you will not thrive. An then this will happen to your baby, too… It is not only okay, but also essential that you have support! Put on your oxygen masks first, Mama.
- Spiritual practice
Last but not least, having a mindfulness practice can be a helpful tool for tolerating the distress and practicing acceptance with all the learnings of new parenthood. This may be 5 minutes of meditation per day. Or it may be one bite of mindful eating during a lunch otherwise filled with Cheerios being thrown on the floor. It may be a yoga class or writing 1 page in your journal every day. You could practice deep breathing every time you hear your baby cry and your stomach tenses up with anxiety or discomfort. For new moms, it is important to Keep It Simple. Remember: the Buddha was NOT a parent when he became enlightened. Unlike him, you don’t have seven days to sit under a tree uninterrupted. You may have seven minutes. Take it. A good practice is to breath in the suffering of all new moms all around the earth and breathe out loving-kindness to all the new moms all around the earth. I used this practice when I was a new mom. It made me feel so much less alone at 3am.
You are not alone, Mama. Keep going. Keep practicing any and all of these self-care practices as much as you can for as long as it takes. You are NOT allowed to use this blog to beat up on yourself for what you are not doing. If you are doing that, stop now. Thousands of other moms are struggling right along with you, trying to sleep, shower, get support, see the sunshine, and do spiritual practice! Try, to the best of your ability one moment at a time, to find the kind mother inside yourself for yourself. This kindness is where the real strength of motherhood is: it is this place that is rooted and flexible, fierce and tender. It is the one that defends her right to practice her own self-care as a way to then be able to care for others. It is the mother putting her own oxygen mask on first. In the words of Sue Monk Kidd:
“You have to find a mother inside yourself. We all do. Even if we already have a mother, we still have to find this part of ourselves inside.”
You can do it mama. If you can’t find her, keep looking. You may need to grow your capacity to be a good mom to yourself along with learning to be a good one to your baby. That is okay. She is there, waiting for you to feed, nurture, forgive, and grow her. Oh, and shower her, too!
Linda Shanti McCabe is a Mom and Licensed Clinical Psychologist in San Francisco.As always, this blog is written to provide experience, inspiration, and hope – not to provide psychological treatment. If you are struggling with a perinatal mood disorder, a good resource is Postpartum Support International.
All original art images copyright Linda Shanti McCabe
[i] Bulkeley, Kelly, “Why Sleep Deprivation is Torture” Psychology Today, December 15, 2014.
[ii] Robinson et al. Low maternal serum vitamin D during pregnancy and the risk for postpartum depression symptoms, Archives of Women’s Mental Health, 2014.
[iii] Allen KL, Byrne SM, Kusel MM, Hart PH, Whitehouse AJ. Maternal vitamin D levels during pregnancy and offspring eating disorder risk in adolescence. International Journal of Eating Disorders. Jun 26, 2013.
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.
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.
Life is short. If you doubt me, ask a butterfly. Their average life span is a mere five to fourteen days. -Ellen DeGeneres
THE BUTTERFLY EFFECT
The butterfly effect is a term from chaos theory that refers to a small change resulting in large differences in a later state or place. Each month I will be making small changes in different areas.
Here are the areas:
- Vision (January)
- Clarity (February)
- Make A Plan (March)
- Cultivate Creativity (April)
- Connect (May)
- Honor Sensitivity (June)
- Receive Support (July)
- Embrace Change (August)
- Play (September)
- Romance (October)
- Health (November)
- Release Shame (December)
1. It is ok to choose the level of your participation, to make mistakes, and to change your mind.
2. You do not have to do it alone.
Butterflies are fragile. They collapse easily and don’t survive well alone. They need each other, they need heat, and they need light. 4th generation monarchs, the ones that travel to California
and Mexico and live for 180-240 days, travel together for astounding distances. They do this together and then, when they hang in the trees, they do it together. So when you feel alone or collapsing in shame or sick and tired of being sick and tired, Do not give up. In the words of Richard Bach,
What the caterpillar calls the end of the world, the Master calls a butterfly.
…and recovery is always possible
My first year with the baby was dreamy, so when I started to decline, I didn’t think it was Postpartum depression (PPD). The docs had said PPD could occur anytime in the first year. They didn’t say what it was when depression occurred after that. Since my self-esteem was plummeting, which is one of the hallmarks of PPD, I concluded that my downward spiral was my own fault, due to poor management of my time and energy. It got ugly as the chemistry in my brain lost more and more balance.
What it felt like is that the sun that energizes the earth and had brightened my day was no longer available. I couldn’t feel its warmth. People often use the sun metaphor when talking about depression. When the depression lifts, they say, it is like the sun comes out again. This is very much what it was like for me. When the sun was absent, it was so frustrating because I knew what was missing – a connection to the universe – but I could not get it back. Movement, light, forward momentum – they were gone.
Usually, when you walk, you go forward.
In the dark season, your footsteps dissolve in the mighty, silent ink.
Lost, you have no choice but to sink into what you cannot see.
You reach out but your hands slide down the slick walks of despair,
This relentless, downward pitch can only be a vein of hell.
the baby sleeps through the night, you get a day off, you lie down and rest.
beats your heart. Your mind says nothing.
You feel heat again in your spine. You see orange at the corners of your eyes.
This quiet place at the bottom where the flame always burns,
must be a chamber of heaven
that it took the darkness for you to see.
I wish that I had known sooner that what I was experiencing was a delayed onset of PPD. I would have sleep-trained the baby earlier, and arranged for more visits like the one I just had at my mom’s. A late-onset PPD diagnosis also might have prevented a lot of anger directed at myself for being such a failure at managing my life. So I say, if you have a child under two and you meet the criteria for PPD, it probably is PPD and deserves to be treated as such. At the risk of stating a cliche, you deserve the support you need to feel better.
Sheira Kahn is a recovered bulimic and Marriage and Family Therapist who practices in the East Bay and Marin County. She teaches self-esteem workshops and classes on reducing emotional eating and is co-author of The Erasing ED Treatment Manual, available on Amazon.
At the age of 50, she gave birth to Alexandria in April of 2014. Her blog can be found on www.sheirakahn.com.
Recently I observed a 3-year-old girl with her family in a restaurant. She
was having difficulty walking due to the heels on her sandals. I actually understand her desire to be “more grown up.” However, I did feel sad and curious about a cultural paradigm that promotes preschoolers to be hobbling in order to look thinner.
You might be saying “But she wasn’t trying to look thinner. She was just copying Mommy, or wanting to play dress up.” To which I would say “And why was Mommy wearing high heels?” I was at a [dress up] event for parents of young children recently and one of the dads curiously asked “why DO women wear high heels?” To which I heard a mom reply:
“To enhance their legs or look thinner.”
I myself have worn high heels (though much less after becoming a mom as walking/running/getting shoes dirty and protecting my back have become more important). There is nothing wrong with wanting to feel and look attractive. However, I do question certain underlying values including
- Looking-thin-or-smaller-is-more-important-than-being-able-to-walk; or
- A woman’s-value-is-in-their-appearance-rather-than-their-skills, abilities, or being.
The comedian Jim Gaffigan (Dad is Fat, New York: Three Rivers Press, 2013) riffs on the ridiculous-ness of this strange cultural phenomena when he talks about the obsessive interest in his newborn baby girl’s weight:
The masses of family and friends want to …get information on the baby. For some reason, it’s really important for people to know how much the baby weighs. This always baffled me. ‘How much does she weigh?’ That’s rude. She’s not even a day old, and people seem to be obsessed with my daughter’s weight? She was nine pounds, but I remember telling friends, ‘She was eight pounds, sixteen ounces’ because it sounded thinner. Either way, she carried the weight very well, but we put her on the Atkins diet anyway…
My latest celebrity hero is Adele: not because I like her music or even follow celebrities much. But because she is one voice of opposition within the airbrushed media culture challenging lies such as:
- Looking Good= You will Not Suffer or Die and
- You can never be too rich or too thin.
She is speaking out, modeling for women and mothers, that is it okay to be yourself, in the size that you are. There are more valuable compasses from which to steer your life than appearance. Though admitting to some body image problems, she states:
“I think I remind everyone of themselves…I’m not perfect. I don’t let [body image problems] rule my life…I’m motivated by … a legacy that I’m leaving for my child.”*
Amen to that.
*Us Weekly, “Adele Choosing Family Over Fame,” Issue 1086, December 7, 2015.
I remember when I was a brand new first-time mom, like four days brand new, and went to a new mom group. I was in the no-sleep, hormones still rollercoaster-ing daze. I was trying to look like I knew what I was doing, even though it felt like the bottom had dropped out of my body, my breasts were bowling balls, and I was wondering why no one ever tells you about urinary incontinence…
(This is Guest blog- to read full article, go to psychedinsanfrancisco.com )