I’m feeling pretty pissed and frustrated today.
I had therapy and I told my therapist that I would not be bringing up my eating habits if I didn’t feel a sense of responsibility to my readers who were concerned and asked me to talk to her about it.
I casually rattled off the information: how many calories I was restricting myself to, the fact that I had lost 8 pounds in 9 days, and after her eyes almost fell out of her head. I remembered to mention the laxatives, at which point I thought she was going to have a stroke.
She told me I have an eating disorder. I told her that fat people can’t have eating disorders. She said that it’s not about a person’s weight, it’s about the obsessiveness with food and weight etc. and that yes, I have one. (She doesn’t think I’m fat but according to medical standards and myself, I am.)
*Commence annoying lecture that sounds like health class from junior high*
I sat there completely disinterested as she went on and on about how the body needs food to function and people who eat the way I am have heart attacks and organ failure. She guaranteed me that I would have consequences from this behavior if I continued.
I couldn’t care less. It was like hearing that teacher on Charlie Brown talking. Just irritating noise.
I noticed that she watched me constantly while she chided and gave a speech worthy of an elementary school play about the basic food groups.
“You need 9 servings of fruits and vegetables everyday, and you need 3 servings of whole grains, and 3 servings of protein, a serving would be like a small deck of cards or a handful of nuts…”
That’s a direct quote via the notes I took to get her to shut up.
What the hell was this? An after-school special?
She started suggesting foods like oatmeal, bananas, yogurt, fish, walnuts and she said that I needed to eat all this stuff at 3 meals a day. I proceeded to take out my calorie counter to see the damage this crap would do and she told me to put it away and that I wasn’t allowed to count calories anymore. I almost laughed in her face. Maybe I did.
I’m pretty sure I rolled my eyes and I told her that I didn’t think I could do that. She said that people who eat in a normal way don’t count calories. *No shit. They’re skinny*
She also banned the laxatives, which was fine by me as I was beginning to worry about what they were doing to my insides.
The rest didn’t mean a damn thing to me. We spent the entire session with her telling me how I was going to eat form now on and promising that I would lose weight if I did things her way.
I was pretty pissed the entire visit. You’re my therapist and I tell you that I’m eating 800 calories a day and that I’ve been working on this diet for a while now to perfect it. You launch into a government approved speech about nutrition and that’s supposed to do what?
Am I supposed to see the light and say, “Of course! What was I thinking! I just need to eat fruits and vegetables and grains and everything will be awesome!”
Seriously? Just like that huh? You think that one speech is going to fix my behavior? Does it look that easy? *Anger*
I just sat there feeling rebellious and unheard. I felt like she didn’t hear anything that I said even though she obviously did because she ranted about food.
There was about 2 or 3 minutes left in the session and I asked her, “What if this is about more than food or weight? My readers seem to believe that there’s some other motivation going on.”
She replied with an ecstatic, “Oh my gosh! Of course there is! There is definitely something else going on here!”
I said, “There is?” in a confused voice.
She said, “Absolutely! You’re just using this to hide from what’s really going on, so you don’t have to deal with it. If you eat the way I’m telling you to, then the real issue will come up and we can deal with it.”
I’m thinking: why the hell didn’t we talk about this at all during the session? It seems to me that motivations should come first before you plan my new, shiny diet.
She also warned me that anxieties will come up as I adjust my eating and that I need to keep track of it so we can talk about it.
All-in-all I feel pretty angry. I had a sandwich when I got home as a goodwill gesture and a couple of snacks. They sat in my stomach and I felt sick on several levels. This morning I got up and I had gained 1.2 pounds. Fabulous…
I decided right there that I can’t do her diet. A) It’s boring as hell. At least my way I could still get a taste of things I liked, just in teeny bites. 2)I don’t have the energy to make meals to her standards. It takes a ridiculous amount of energy for me to cook during the week and that’s cooking the stuff I know.
I just took a bit of banana while I was sitting here typing, and my stomach cramped up. Yuck. My way works a lot better and if I had stuck to it I would have lost more weight, not gained it.
Oh! And to top things off I just got my disability review paperwork to fill out. This will be the first time they review my status to see if I will continue to get disability benefits for being Bipolar. It makes me ill. I have to dig up dates of doctor’s visits and hospital stays and I have to hope that they agree that I’m still disabled. Whether they do or not doesn’t change the fact that I can’t work. It would mean that we’d have to live on just one income.
I would love to work. I miss working, I’m just not reliable. My mood changes from one moment to the next and I can’t keep a job like this. Even in regular life right now I’m not reliable. People will say, “Oooh, it must be nice to just stay home all the time.”
It’s not nice. It sucks and my mind torments me everyday. I can hardly leave the house anymore and my moods are mercurial enough to throw me off-balance.
Anyway, I get to fill out paperwork and then wait for other people to agree or disagree about what my life is like.



This isn’t new news, though, is it? Personally, and I don’t think therapists understand this, but she walked right into your “I dare you,” and said everything you expected her to say. My question is, “Why is this happening right now,” and, “Is this a form of self-harm you’re directing yourself toward?”
(Rhetorical questions.)
She did walk into it didn’t she? I expected her to say that my eating habits were dangerous etc. so I just sat there being uninterested.
As for the rhetorical questions? I’m wondering why she didn’t go down that road herself. She actually told me that eating disorders are her specialty. Woopty damn do!
Maybe she meant she’s a pro at her own disorder.
Ha!
Hmm…not sure how helpful the “just don’t don’t it” advice is. I know I wouldn’t find it helpful. I guess you knew it was going to go down that way though. I think she’s right about there being something behind the behavior and I think it would be more helpful to discuss those reasons in detail and how you might shift the behavior to something healthier. Skipping straight to the nutrition lesson just doesn’t make sense to me.
It didn’t make sense to me either. As I told meredith, I’d hoped rather than believed that she wouldn’t just take the easy road and tell me to quit it.
This is so weird. I was just reminiscing as I threw up my dinner, about how my therapist and I never talked about my eating issues after our first session where she gave me a lecture about the dangers of bulimia which involved patronising comments like: “I’m sure I don’t have to tell you what it does to your teeth”. I felt so defensive that I refused to talk about it any further and never raised the topic again.
You would think these people would realise that eating disorders aren’t there because the person doesn’t know how they should be eating and that telling someone what they should be doing is just going to make them feel guilty or defensive. I really feel for you. It took a lot of courage for you to talk to your therapist about this (even if you did feel ambivalent about it) and it hasn’t paid off. Maybe it would be worth trying to explain to her again that you know the advice and don’t need lectured and that her skills could be better used in helping you explore what’s behind it? Although I’m sure you could probably word it better than I have.
I do hope you might be able to find a bit more of a balance though, even if it’s just increasing your calorie intake a bit. You deserve better things for yourself and your body.
Candycan, I think you worded it perfectly! I agree. Those little speeches are not helpful right now.
I am so, so sorry that you’re having trouble with this too.
I know you’ve been having difficulties yourself with your therapist and I feel for you so much! Please take care of you. I know it’s hard and I know you’re suffering. You’re in my thoughts.
Hi CI,
Can you keep a diary about your reactions to food, regardless of what diet you follow? That seems to be the most important thing to come from the session – a way to potentially find out what the behaviours are addressing. So what happens for you just before you think of food? What happens when you think of food? What happens when you eat? Try to go beyond the “I feel nauseous”, and try to notice what emotions and thoughts are there…
Just a suggestion…
Take care,
CG
It’s a good suggestion. I’ve been thinking about it in my head but I haven’t written it down yet.
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