The National Council of Psychotherapists
Eating Disorder Early Recovery: "How Do I Begin?" The 84,000 Ways
Eating disorders are reaching epidemic proportions in the United States and other countries. The disorders affect both genders, people of all ages and ethnicities. Eating disorders reach into any education level, professional achievement position, and social status. They jeopardize careers, education, families and the medical complications can be life threatening.
How a person begins to get help in recovering from an eating disorder depends on:
1. What form the eating disorder takes;
2. How entrenched it is;
3. What kind of social supports are available;
4. What financial resources are available;
5. How accessible the person is to deep psychological learning;
6. How much commitment there is;
7. How willing and genuinely informed the person's intimates are;
8. The quality of therapy available;
9. The quality of programs available;
10. What touches an individual's heart.
The main theme or guiding principle necessary for recovery is, "Get well no matter what." That's the commitment and focus it takes to recover from an eating disorder. Usually a lot of exploring occurs in the process of finding the methods and people who are best for you. Your best choices will not be based on control issues but on healing issues.
Sometimes you are lucky and quickly find a psychotherapist who can go the distance with you. Such a person has knowledge of eating disorders and unconscious processes. He or she is more than willing for their patients to participate in various ethical, responsible and respectable groups where the patient explores body, mind, spiritual and creative issues and opportunities while maintaining ongoing psychotherapy.
Sometimes such a person is just not available, and a program can offer these things better than anyone else in your healing environment. Sometimes a combination of program first and then one on one psychotherapy is best. Sometimes it's one on one, then a program and then back to one on one.
If the patient is really lucky, her family and significant others also go into therapy. They work out many of their troublesome individual and group boundary issues they may not have known existed. In this way their personal lives can improve and the environment they contribute to creating in the life of the person with the eating disorder also improves. Everyone benefits.
Eating disorder residential or out patient programs often offer family sessions. Sometimes these are conducted with the eating disorder person present. Sometimes not. Sometimes they are conducted with other eating disorder families. Sometimes not. Or a combination of all is offered in a structured setting.
The challenge is to find what is best for you. In Buddhism they say there are 84,000 doors to enlightenment. I like this philosophy.
The best way for you may not be the most comfortable way. Healing from an eating disorder is not comfortable. It's eye opening, mind opening, soul opening and body healing with joyous times, but it's definitely not comfortable.
In healing, you begin where you are. You check out the reputation and credentials of people you associate with because people with eating disorders have difficulties with trust. They can trust too quickly when it's not a good idea, and they can withhold their trust when they are in a good place and in so doing lose a potentially helpful relationship. So credentials and recommendations are important as you explore what is available for you.
1. Eating disorder specialists
3. School counselling programs
4. 12 step organizations
6. Churches, temples and synagogues
7. Eating disorder web sites
Ask for people you can talk with who have experience in either treating eating disorders, achieving recovery from eating disorders or have received good feedback from referring people to helpful situations.
Guides come in all kinds of forms. You might discover a simple, direct path when someone or several people highly recommend a particular psychotherapist. But information might take a different shape entirely.
Someone might recommend a creative writing group that has a lot of people in recovery as participants. By visiting or joining that group you might get a creative boost in your life plus meet people who can give you solid recommendations for treatment.
Local hospitals may have programs (residential or out-patient) or know where programs exist.
School counsellors, priests, pastors, rabbis and monastics may know what local resources have helped students and parishioners (and which have not).
Twelve step programs are always a grab bag of unpredictable surprises, but
they are also consistent in that people who actively participate in their
personal recovery show up and tell "how it was and how it is." Hearing
these stories and meeting the people can be enormously helpful, even if
it's just one meeting and just one story that opens your mind to a path
Eating disorder web sites often have a list of people you can contact for information. Many eating disorder psychotherapists, dieticians and medical doctors are part of a world-wide information-sharing network. It may be possible for this network to find you referrals to resources in your area that are worth exploring.
There are 84,000 ways to begin. If you trust and commit to your own desire to get well, you will recognize the door that is right for you.
Copyright, 2000 Joanna Poppink Joanna Poppink, MFT, licensed
psychotherapist, specializing in eating disorders 10573 West Pico Blvd.
#20, Los Angeles, CA (310)
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