Emily: Everything Has Changed

By Emily Grannemann

I always knew I wanted music in my life.

I started taking piano lessons when I was five years old. I remember I plunked out a simple tune like “Humpty Dumpty” on the piano and I asked my mom if I could take piano lessons. The piano teacher in town did not want to take me because of my young age, but eventually, he agreed and I was his best student through high school.

In high school, my band director recognized my musical talent and asked me if I wanted to play the bassoon. I didn’t know what the instrument was, but I agreed, and I took to the bassoon. It became my instrument. 

Music and band became my life. Playing brought me happiness and pleasure. It gave me a sense of purpose. 

I knew applying to colleges I wanted to pursue music as a career. I didn’t even entertain another option. 

The first couple years in college, playing became a safe space for me. I’m not religious or spiritual, but sometimes music feels very transcendent. Like my fingers would move and the music would be happening around me. Playing filled my soul in ways nothing else ever had or really ever would. 

Starting my third year in college, I took lessons from the second bassoonist in the St. Louis Symphony. What a drastic shift in expectations from those of my high school teacher. 

My new teacher demanded excellence and I went from practicing a few hours a day to eight hours a day. I know now that was excessive, but back then I was praised for practicing so much. I thought this was what I must do if I wanted to make it as a musician.

Upon studying with her, I quickly realized that I knew very little about playing my instrument, so we did a complete overhaul of my playing techniques. I felt like a beginner again.

I had so much anxiety, worrying I was not good enough.

I often felt inadequate with this teacher. She was training me for a career in performance, so lessons were demanding. I was scared to make mistakes and felt like a failure when I did.

My teacher would rip apart my playing in sessions. I would play the same measure for an hour to try to make the music as perfect as possible. Little did I know the repetitive finger movements would ruin my playing. 

The playing adjustments my teacher implemented caused problems. 

It got to the point I didn’t know where to put my hand on my instrument. I remember the day I tried to play a simple E-flat major scale, and I could not do it. It was devastating. I broke down in the practice room and cried. I had many sessions in the practice room that followed that ended in tears.

Ultimately, I sustained several injuries. The anxiety combined with the overuse caused me to injure my hand and arm. I developed severe tendonitis and experienced sharp shooting pains up and down my arm. 

I also developed what I know now is a neurological condition known as focal dystonia. It is a debilitating condition that causes my fingers to curl and spasm uncontrollably. It happens often to professional musicians, and it is career-ending. It destroyed my playing, ended my playing career, and at that point, my whole world came crashing down.

I had to go from practicing eight hours a day to 15 minutes a day and reteach myself how to play. I was crushed, feeling the loss of what I once loved. Heartbroken, I grew to be resentful at playing. I repeatedly said, “I loved it so much I killed it.”

At the same time this was happening, I guess I was not eating much. I suppose it was an unconscious way to cope with the stress. I had friends tell me to eat more. Friends also grew concerned about my appearance. I looked unwell.

I know it seems odd, but I was completely unaware I had lost weight. I was so focused on making it through my senior recital and concerto with the orchestra that I couldn’t see anything else. It was only after these concerts were over that I realized I had lost weight, and I liked it. I had the thought “I don’t want to gain the weight back.” That’s when the eating disorder clicked.

I graduated undergrad with a 4.0 GPA and top recognition in the music department. The Chair of the music department said in his letter of recommendation to my graduate school that I was the best student he’d ever known. But now that I knew I could not pursue music professionally, I had to find another direction to go. One of my music history professors said I could write well and that I should try musicology. I didn’t know what musicology was or what it entailed, but I sent out applications and got accepted to Washington University in St. Louis (Wash U), where I was offered a full ride and a stipend. I was burnt out from playing so I thought, why not try it?

Graduate school was where the eating disorder took hold of me.

If I didn’t have an eating disorder before then, the stress and pressure of graduate school solidified it. But it took many years before I realized I had a problem and before I received any sort of help.

When I left graduate school after four years in the PhD program, I quickly entered treatment for my eating disorder. This was the first time I received help and was diagnosed with an eating disorder. 

I wish I could say I found my way back to music or that I reconnected with the bassoon, but that’s not the case. Even today my hand engages in involuntary movements when I hold my bassoon, so it makes me sad to play. Maybe one day I’ll be able to enjoy music again, but for now, I’ve had to find passion and joy in other things. 

After graduate school, I cycled through treatment over the next decade. Going in when it was medically necessary and coming out when insurance deemed me stable enough, only to go right back to restricting and drinking soon after discharge. In all the years I struggled, I never sustained anything close to recovery. 

I had no idea how hard treatment would be. I had a hard time letting go of control and committing to treatment recommendations. I wanted to do it on my terms, which is not how recovery works.

Fast forward to COVID. The pandemic was a time that was both really challenging but also allowed me to make considerable progress for the first time in the history of my disorders. 

I also struggled with alcohol use disorder ever since graduate school, which was intricately linked with my eating disorder. By June of 2020, drinking was still a problem. 

Despite the ongoing pandemic, my company was returning to the office. I knew I could not maintain the level of drinking I was engaging in and do the work I needed to. I decided that my first day back in the office would be my first day sober. Of course, I drank up until that day, but I was sober that first day back and I have not had a drink since.

At that point, I found something I valued more than the drinking and realized I could lose it. I had already lost two jobs to my addictions and I did not want to lose one more.

I could not have achieved sobriety without getting my depression under control. My depression had progressed to suicidal thinking and it was debilitating. Over the years, my psychiatrist and I had tried a variety of depression medications. We were about to move on to another form of treatment, when we tried one last medication and it worked. The suicidal thoughts just stopped. No other word for it than magical. My mood has never been better.

These last few years were the first time in my whole eating disorder history that I made any sort of progress toward recovery. 

A few years ago, I took my first steps towards real recovery. I ate my full meal plan for an extended period of time. I had never made such a commitment to recovery before. It was scary and uncomfortable, but something in me had shifted. And that launched me to be able to do the meal plan for longer and longer over the next months. I say that gesture was the start of my entering eating disorder recovery.

Two other key elements that supported my recovery included working with my own eating disorder recovery coach and participating in the mentorship program through ANAD as a mentee. Coaching provided in the moment support that was missing from all my treatment. The mentorship program along with coaching provided support from someone who had been where I was, offering that direct connection to recovery that I never experienced before. 

Ultimately, I was able to recover because I found internal motivation to do recovery for myself. I felt like I didn’t have a choice but to recover. 

Perhaps the biggest thing that has changed now recovered is I can give back to the recovery community and help others. I just want something good to come out of struggling for so long.

One of my biggest goals with my recovery is to help inspire those in it that recovery is possible.

Now in recovery, I became a mentor myself. Using that experience, I decided I wanted to go even further to become a recovery coach. Even just a few years ago I never thought this would be my path. But my coach was very impactful on my journey and I believe coaching really can be that missing piece in treatment. I made the decision that when I had two years in eating disorder recovery, I would enroll in the Carolyn Costin Institute to become a certified eating disorder coach. 

I finished the program and am excited to say I now have my own coaching business. I have decided this is what I want to do with my life. A friend told me that I took what was the worst part of my life and turned it into the best part. Using my recovery for good feels as good as playing music.

One of my biggest goals with my recovery is to help inspire those in it that recovery is possible. When I was sick, I never believed I would recover. The hopelessness at the possibility of recovery was one of the reasons why I was so suicidal. One of the benefits of coaching is talking with those who have made it to the other side, which offers hope to those still struggling. 

Recovery has been by far the hardest thing I’ve ever had to do, but it’s also been the most rewarding. I have meaningful relationships, I’m doing something valuable to me with the coaching, and my cognition and health back. I have opportunities presenting themselves to me that I would not have if I wasn’t in recovery. Each day brings joy and gifts that come because I’ve put in the work to get here. 

In my disorder, I didn’t think I’d make it to age 40 and this past January I turned 40. Birthdays used to make me sad because they marked another year I had not recovered. Now there was so much to celebrate. It is the first decade I am not sick, and I have a long future ahead of me.

Emily outside, smiling at camera.

Emily Grannemann

(she/her)

Emily Grannemann, from St. Louis, Missouri, is a survivor of an eating disorder, alcoholism, body dysmorphic disorder, and severe depression. An advocate for eating disorder awareness and passionate about helping others get the support they need and deserve, she serves on the Board of the Missouri Eating Disorders Association and volunteers with the Eating Disorder Foundation, where she mentors others. She has her own coaching business, We Do RecoverED Coaching, where she is a Carolyn Costin Institute (CCI) certified eating disorder coach. As a recovered coach, she wants people to realize recovery really is possible.

Yoga

  • Reconnect with one’s body
    • Promotes mind-body connection, awareness of self, and acceptance.
  • Stress and anxiety reduction
    • Yoga activates the parasympathetic nervous system, counteracting our body’s stress responses.
    • Deep, slow breathing can reduce cortisol  levels (stress hormone) and help calm our minds.
  • Intentional movement
    • Yoga provides a space to mindfully enjoy movement and explore a healthy form of exercise.
  • Long term healing
    • Provides a practice to safely and sustainably lean into.
  • A space for community and support
    • Oftentimes, yoga is done in a group setting, which can increase feelings of connection and lower feelings of loneliness.

After the completion of 7–12 yoga classes, a statistically significant decrease in anxiety, depression, and body image disturbance was seen (Hall et al., 2016).

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Some classes are targeted for rigorous exercise, such as “heated flow” or “power flow.” Please be mindful with what you practice, and look for “slow flow,” “yin,” “vinyasa,” and “restorative” yoga in non-heated rooms.

Music

  • Music can have a powerful effect on people’s mood

    • listening to uplifting or calming songs can help reduce stress and anxious feelings.
  • Music stimulates the limbic system, the part of our brain responsible for processing emotions
    • music triggers the release of serotonin and dopamine, which are associated with reducing feelings of anxiety, depression, and stress (which are often associated with eating disorders)
  • Slow tempo music has been shown to decrease cortisol, our stress hormone, as well as lower blood pressure and reduce heart rate.
  • Music increases the brains neuroplasticity, enhancing brain functions like mood regulation, decision making, and memory.

A study done by Mindlab International revealed that the song “Weightless” by Marconi Union resulted in a 65% reduction in participants’ overall anxiety (Dr. David Lewis-Hodgson).

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  • Ludovico Einaudi
  • Claude Debussy
  • Johann Sebastian Bach
  • José González
  • Laraaji
  • Bill Evans
  • Vance Joy
  • The Paper Kites
  • Moby
  • Tycho

Aromatherapy

  • Aromatherapy can be a helpful, low- cost (or free) tool for people managing eating disorders.
  • Aromatherapy involves using essential oils to help manage emotions and restore balance.
  • Scents can help ground people, encouraging mindfulness about physical and emotional sensations.
  • Can promote a tranquil environment and give a sense (& scent) of peace.
    • creates an atmosphere for individuals to feel safe in processing emotions

Lavender has been shown to reduce anxiety levels. It is seen as a “anxiolytic” solution to providing a coping method for those with anxiety disorders (Yoo & Park, 2023).

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  • Lavender: calm, sleep, relax
  • Chamomile: calm
  • Rose: anxiety reduction
  • Lemon: energy, nausea reduction, concentration
  • Orange: brighten, uplift
  • Jasmine: anxiety reduce, sleep
  • Peppermint: alertness
  • Ylang ylang: calming, stress and anxiety reduction
  • Rosemary: focus

Art

  • Art can help provide a safe space for communication.
  • It can promote a sense of relaxation, and become a calming, meditative like experience (especially in “flow state”).
  • Gives an outlet and coping mechanism for managing difficult emotions.
  • Helps develop healthy habits and routines for self-management.
  • Increases an individuals sense of awareness and understanding of their emotions and thoughts.

Art can boost cognitive function, emotional resilience and self-confidence. It has also been shown to reduce stress and aid in conflict resolution (Hudson University, 2024).

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  • Coloring books
  • Digital coloring or drawing
  • Collaging
  • Sketchbook/journaling/ diary
  • Painting
  • Water coloring
  • Air dry clay (model magic) or traditional clay (ceramics)
  • Photography (use your phone!)
  • So much more!

Creative Journaling & Writing

  • Journaling allows space for self reflection, and emotional release.
  • Free writing can help you connect to your inner voice without judgment.
    • This can look like a steam on consciousness, a short story, or even poetry.
  • Both of these can give you space to problem solve, and look at a situation from a new angle.
  • Try out a prompt, or guided writing exercise if free writing isn’t your thing.
    • Examples & resources below!

Positive writing has been shown to promote positive emotions, as well as positive cognitive mechanisms in the general population (Lai et al., 2023).

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  • What are three things I’m grateful for today?
  • Write a letter to your future self. What do you want to tell them?
  • Write about a positive affirmation you want to start telling yourself.
  • How do you like to relax? Write about your favorite way to unwind.
  • What does “peace” look like to you? How can you bring more of it into your life?
  • What is something that always makes you laugh or brings you joy?

Self-Care / Self-Talk

Positive Self Talk

  • Positive affirmations are short, encouraging statements that can help build our self-esteem and challenge negative thoughts.
  • Repeating these statements daily can help foster a more loving relationship with yourself over time.
    • “Mirror-work” is when you look into the mirror and say kind, positive affirmations to yourself. It might feel awkward at first.
    • Try statements such as “I am enough,” “I am deserving of all the good things life has to offer,” or “I am strong, capable, and confident in everything I do.”
  • This can help build mental resilience, making it easier to cope with challenges and setbacks.
  • They can elevate your mood and promote a more optimistic view of life.
  • They help build confidence and self-worth by focusing on your strengths and capabilities.

Self Care

  • Self-care directly impacts emotional, psychological, and physical well-being.
  • Engaging in regular self care practices helps maintain balance and resilience, ensuring we can cope with life’s challenges.
  • Regular self-care allows the body and mind to recover, recharge, and maintain a sense of calm.
  • Taking care of yourself helps prevent burnout by ensuring you have the energy and mental capacity to meet the demands of life.
    • Without regular self care, you may become overwhelmed, leading to fatigue, frustration, and decreased productivity.
  • Giving yourself mental space helps clear your mind, improving focus, decision-making, and problem-solving.
  • Allows you to engage in activities that bring you joy, pleasure, and fulfillment. These experiences elevate mood and provide moments of peace and happiness.

Positive Self Talk

Affirming personal values has been linked to boosting ones happiness and meaning in life (Nelson et al., 2014). MRI’s show that self- affirmations affect brain activity! (Cascio et al., 2015).

Self Care

“Engaging in a self- care routine has been clinically proven to reduce or eliminate anxiety and depression, reduce stress, improve concentration, minimize frustration and anger, increase happiness, improve energy and more. From a physical health perspective, it has also been clinically proven to reduce heart disease, stroke and cancer” (Glowiak, 2024).

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POSITIVE SELF TALK

 

SELF CARE

  • Up to personal preference, ideas listed in the guide
  • Sleep: Make sure you get enough hours in
  • Making time for hobbies: painting, gardening, etc.
  • Doing chores: cleaning dishes, doing laundry, cleaning space, decluttering
  • Spending time outdoors: taking nature walks, sitting in a park
  • Being with people you love: friends, family, partners
  • Reading or learning: something of interest, and limiting technology/screen time
  • Personal care: shower, bath, deep breathing, meditation, massaging
  • Treating yourself: occasionally indulging yourself with something you love (ex: buying a new book, or a coffee from your favorite shop)
  • Mental care: attending peer support groups (for free with ANAD!), going to therapy (we can help connect you with someone)