Grace | Lessons Learned

A New Beginning...Maybe?

The summer before my senior year of high school, I experienced my first significant period of sustained recovery from the eating disorder that had defined my teenage years. As I emerged from the detached haze of my illness and re-entered the social circles I had long neglected, I began to grieve the loss of the “normal teen experiences” my illness had kept me from enjoying. In hindsight, it sounds remarkably superficial to say that I was sad about spending time in treatment rather than attending school dances and sporting events with my friends, but the way that my eating disorder took those little life moments was (and still sometimes is) a source of profound regret for me. And so, I made up my mind that college would be different. I clung to the idea of going away to college and becoming a person who had never had an eating disorder, and this idea of reinvention quickly became the single strongest motivator for my recovery. 

As it turns out, that was a pretty good motivator! Throughout my senior year, anytime the eating disorder voice began to draw me in, I reminded myself that I had to prove I was ready to go to college. When I felt like others were defining me by my eating disorder, I reassured myself by thinking about how I would soon have the power to choose exactly how much of my story I would share with others.  The hope college would be different kept me going.

As my parents helped me move into my dorm room, I felt hopeful. Sure, I was nervous, but not more than any college freshman might be. And, in many ways, that school year exceeded my expectations in every way. I took classes in environmental science and sociology, joined a sorority, started a job at a local emergency room, went whitewater rafting and hiking with friends, studied abroad in Africa, and got into all sorts of shenanigans. I was making up for lost time, and it was absolutely incredible. There were days that felt more difficult than others, but that year remains one of the most joyful periods of my life. I told people that my eating disorder was part of my past.I even convinced myself of that!

Stepping Back, To Move Forward

Unfortunately, the summer after my freshman year, my eating disorder began to show up once again. It happened gradually, then suddenly. By the time the fall semester was approaching, when I should have been packing to spend several months studying in Madrid, I was sitting in my no-longer-former doctor’s office being told that I would not be heading back to college, let alone Spain, anytime soon. I was embarrassed, angry with myself, and generally devastated, but in a resigned sort of way. My previous time in recovery had taught me enough to know that I was in no condition to go back to school, but the sense that I had somehow ruined the rest of my life by having to take this unplanned and unwanted detour was overwhelming. I went back to school to pack my things, and then headed home to do the ~recovery thing~ until it was time for spring semester to begin and I could return to my ED-free college life.

In the months that followed, the complicated feelings I had towards my leave of absence continued to evolve. Seeing my friends go to parties and spend time together while I was sleeping in my childhood bedroom made me feel like all the work I had put into my recovery was for nothing. I often had moments of panic when thinking about how I had “fallen behind.” 

Over the last 7 years and with the benefit of reflection, I have come to regard the time I spent away from school as the most meaningful and foundational period of my recovery. I recognize that my words feel more polished now than they felt in the moment, and that, assuming you’re reading this hoping for words to guide you through a similar situation, feel insufficient next to the magnitude of emotions that come along with these decisions.

Before I share the lessons I learned, it feels important for me to acknowledge that recovery is a privilege many people are unable to access. I “looked” like I had an eating disorder, so medical providers never questioned my reports. Private health insurance gave me access to treatment, both in my community and at higher levels of care, and my parents had financial and social resources that allowed me the time and space to heal without external pressures. I recognize that many people reading this will not have the same opportunities that I did, but my hope is that the lessons I learned can be useful to anyone facing the prospect of their eating disorder forcing them off the track they had planned for their life – whether that be related to higher education, a job, a relationship, or anything else.

Eating Disorder Recovery Lessons

I probably wasn’t ready for college in the first place: I went to college immediately after finishing high school because I thought that was what I was “supposed” to do. If I had it to do over again, I believe that my experience would have been enhanced if I had more time in solid recovery before starting. Dr. Lauren Mulheim and Columbus Park treatment center both have fantastic lists of things young adults with eating disorders should be able to do before going away to school, and I would encourage anyone who is preparing for college to work their way through them. These things WILL be challenging. But, they are all daily challenges you’ll face on a college campus. If you are unable or unwilling to try these things, I lovingly ask you to consider how you will cope when you face them at school. It’s OK if you aren’t ready to go away to school right after high school. Your long-term recovery is worth that. I promise.

Those who have attended the ANAD support groups I lead have almost certainly heard me say that recovery is advocacy. Rather than the public advocacy you might be thinking of, though, advocating for your recovery means drawing boundaries with your eating disorder, making lunch plans with friends even though no one would notice if you didn’t, waking up and eating breakfast even after a long night out, skipping the gym just to prove to yourself that you can, and making the sometimes challenging, often boring choices that promote your ongoing recovery.

The eating disorder will slip in wherever it can get a foothold: In early recovery, like when I was first going away to university, my ED would grasp onto whatever little thing it could. In the chaotic, sleep-deprived, mostly-unplanned life of a college student, there are lots of opportunities for the ED to settle in. Practice being ruthlessly honest with yourself about where and how the ED is showing up, and don’t allow it to settle in. When you notice a pattern or thought that is becoming prominent, immediately challenge it. And then challenge it again and again just to cover your bases. Value your education and relationships enough to evict the eating disorder every time it appears – especially when it feels like it’s not a big deal or that it will be OK “just this once.”

I didn’t end up going back to my original university. I loved it there, but the time I spent out of school allowed me to connect with my long-term goals and consider how to best reach them. For me, that meant enrolling in a university closer to home. Because of that decision, I ended up making some of the greatest people I’ll ever know, finding a job that was incredibly meaningful to me, and being able to expand my worldview even more. Just because things aren’t going the way you planned for them to go does not mean that they’re going wrong.

Most people don’t finish college in 4 years (or even finish at all). The idea that you have to leave for college the summer after high school, earn your degree, and start your first adult job when you’re barely old enough to drink is completely arbitrary. Take your time and avoid creating more deadlines for yourself. No employer has ever asked me where I was during the time I spent away from school.

I was terrified of what people who say or think about me taking time off school. Ultimately, they didn’t care. My friends missed me and people occasionally asked where I was, but they all had their own lives to deal with. Even people who don’t know much about eating disorders tend to know that recovery is a process that sometimes requires more than one try to “stick.”

Final Thoughts

Taking time off college to focus on my eating disorder recovery was not what I planned or wanted to do, but I’m incredibly thankful that I did. My life today is richer, my recovery is more sustainable, and I am so grateful that I let go of the expectations (both societal and self-imposed) that kept me feeling like I wasn’t allowed to wobble.

If I could go back in time, I would tell myself that taking a leave of absence from college to focus on my recovery would allow me to have the college experience I deserved – and that will be worth it every time.

Grace H.

(she/her)

Grace made the difficult decision to take time away from school to focus on her eating disorder recovery. By doing so, she learned an invaluable lesson: she and recovery are worth it! She is now an ANAD Support Group Leader and is passing along the lessons she learned to others going through their own recovery.

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)