Healing Through Honesty

By Kathryn McCann (she/her/hers)

A few years ago during a period of high stress, I lost my appetite and began restricting food as a form of control. At that time, I was fortunate enough to be able to set myself back on track after I was able to handle the concerns in my life. I never believed it was a real issue, just a temporary coping mechanism to get me through the difficult times. Last Summer, however, it came back with full force. Within a few weeks, I had started restricting again and gave myself stricter food rules. I became enamored with weighing myself and watching the numbers drop. Within a short period of time my weight dropped to the desired number. Once I reached that number, I would continue to set a new goal weight because it was never enough. At my lowest weight, I began feeling some of the most concerning symptoms. I had experienced everything from irregular heartbeat, dizziness, muscle weakness and pain, to memory loss, worsening depression, mood swings, and lack of hunger cues. Much of my time was spent crying over the numbers on my scale, memorizing food labels, and planning ways to get out of meals. This is the reality of anorexia nervosa. It is far from glamorous. It is absolutely miserable. I would not wish it on my worst enemy.

The Wake Up Call

Despite all of this, little convinced me that I needed help. Eventually, I was able to get a few glimpses of reality that made me see that I may have a problem: I could barely eat, and when I did, I felt sick. One of the symptoms of Refeeding Syndrome is cardiac arrest and that terrified me. I had also started blacking out while I was driving, and I could not bear the thought of hurting someone else. A year ago, at the advice of concerned friends, I went for an evaluation at a hospital that had a specialized unit for eating disorders. I felt that I was finally “giving in”, but since I did not believe I had much of a problem, I thought the “worst” I would deal with was an intensive outpatient program. That day became one of the first wakeup calls I had to the eating disorder that within just a few months had become so sinister. I was in complete disbelief and broke down when they advised me that the doctor’s only recommendation was an inpatient stay.  After a few days deliberating, I finally signed myself in.  

Denial and Relapse

In the hospital I cried and wondered how I could possibly be in an eating disorder unit. I didn’t think I had a problem, and if I did, there were people far worse off than I. In fact, I truly did not believe I was “sick enough” to be considered anorexic. After being admitted, I managed to get myself out quickly. I did everything that was asked and I told myself this would never happen again. I withheld my feelings and said everything I needed to be discharged. What I didn’t realize, and what many people don’t realize, is that eating disorders are incredibly addictive. After I was discharged I quickly changed my tune and began engaging in behaviors again.

The Decision to Recover

Eventually, after a few tries, relapses, and programs, I realized that recovery is my only option. I started to see that I was “sick enough” to get help. I realized I didn’t want to continue to live my life the way I was. I’m far from cured, and it’s still a daily struggle and temptation, but I try to remember all that I have learned, and try to remember all that anorexia can take if given the power. I try to remind myself of all the good things to look forward to and that I don’t want to go down that road again. I try to go against the “ED” voice in my head and do the opposite of what it says. Most importantly, I try to remind myself that I need to nourish and take care of my body, not destroy it.

Understanding the Disease

Eating disorders have the second-highest mortality rate among psychiatric illnesses, and yet they are one of the most misunderstood. Many treat eating disorders as a choice purely based on vanity. I can assure you that it is very much not a choice and it is much more complex than people realize. For me, it provided control and stability when things in my life seemed to be in disarray. It became addictive and was a coping skill that I relied on. It became a comfort, and in a way, a very dangerous “friend.” It was a way to deal with past and current struggles that I hadn’t processed. While this disease isn’t a choice, I’ve learned that recovery is.  

Finding Hope and Purpose

This disease will take everything you have. It will take your health, put you out of work, and isolate you from everyone you love. I am slowly learning how to take things back from it. With recovery, I’ve developed new hobbies and have taken up old ones again. I now have the physical strength to continue ice skating lessons. I am able to wake up and think about things other than food and calories. I have begun writing and drawing. And I am slowly learning to love myself and my life. I have realized I now want to work with those with eating disorders, just like myself, and that goal is what helps me on the hard days.  

I share this because I’ve learned that secrets will make you sick, and perhaps, my story can help someone else. Thank you so much for taking the time to read my story.

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)