blog · eating disorders · Mental Health

Listening to Your Body: Intuitive Eating

Listening to Your Body: Intuitive Eating

Last week we talked about Poodle Science and the importance of accepting our bodies at every shape and size. One of the techniques that I mentioned that I use for eating disorder treatment with my clients is intuitive eating.

Diet Culture Perspective

Usually by the time I begin working with eating disorder clients, they have gained an unhealthy perspective on food. This perspective usually comes from family, friends, media, and diet culture. My clients view certain foods as good and other ones as bad. According to their perspective, the only way to be “healthy” is to follow a strict diet. This means religiously counting calories, limiting certain food groups, or staying far away from “bad” foods as defined by whatever diet they are on. Throw in excessive exercising, vomiting, and other dangerous habits, and we have a perfect storm for an eating disorder.

What is Intuitive Eating?

One of the ways I help clients going through eating disorder treatment is by helping them reexamine their relationship with food through an intuitive eating lens. Intuitive eating is based on the belief that we are already born with the signals we need to adequately nourish our bodies – all we need to do is learn how to listen.

There are a number of principles or main ideas behind intuitive eating, and I am going to highlight just a few:

Some Intuitive Eating Principles

  • Honor your hunger: Being hungry is your body’s natural way of telling you that it needs fuel to keep you going.
  • Make peace with food: There aren’t good food and bad foods. Rather, there are foods that are more nourishing to your body and there are foods that are more nourishing to your soul. We need BOTH!
  • Respect your fullness: Being full is your body’s natural way of telling you that it’s fueled up and ready to go!
  • Respect your body: You may not love your body, but learning to respect it can go a long way in your recovery.
  • Process your emotions in healthier ways: Most people with an eating disorder have used food or restriction to self soothe or to numb out. It’s important to learn other ways to process your feelings.

You’re Already a Natural Intuitive Eater

Intuitive eating, in today’s diet culture, seems like a revolutionary approach to eating, but it’s not! From the time we are born, we naturally know how to eat. Babies will cry when they are hungry and stop eating when they are full. A toddler will push away their plate full of birthday cake when they no longer want it. Children and infants know just how much and how often they should eat. The problem is that over time, diet culture teaches us not to trust our hunger and fullness cues.

But the good news is that we can become intuitive eaters again. On a personal note, I struggled with an eating disorder for nearly two decades. There were times when I felt so hopeless, as if my only option was to be on a diet my whole life. But I was SO wrong. Through eating disorder treatment, I have learned how to become an intuitive eater. I no longer struggled with dieting or obsessing over the number on the scale. Desserts or “forbidden foods” hold no power over me anymore. As a result of my recovery, I am happier, healthier, and more free than I’ve ever felt before. Remember this: It’s never too late to heal your eating disorder and become an intuitive eater.

Scheduling and More Information

Want to read more from Alyssa? Check out her other blog posts.

If you are seeking support for an eating disorder, please click here to schedule a therapy appointment with Alyssa.

For more information on intuitive eating, check out the resource below:

Homepage – Intuitive Eating

blog · Change · death · depression · domestic violence · Mental Health · self care · sexual abuse · shame · suicide · trauma

Poodle Science: Accepting Who We Are

Hey Everyone, after a year long hiatus, I am back. I’ll be sharing stories, tips, and other useful information that will hopefully leave you a bit better off than when you started reading this blog. So, on with the show.

Diet Culture

Did you know that the diet industry is a $70 billion, that’s billion with a B, industry? Did you also know that 95% of diets fail? I’ll let that sink in for a second!

People spend more than $70 billion in a year on a product that will fail more than 95% of the time! Would you buy a car that wouldn’t work 95% of the time, a house that had a 95% chance of collapsing into a pile of rubble, or buy clothes that had a 95% chance of falling apart on the first wear? Of course not! Yet that’s what millions of people in America do each and every single day when they go on a diet. They’ll spend hundreds or thousands of dollars on something that will ultimately fail them.

Poodle Science

When I begin treatment with clients who have an eating disorder, like Anorexia; Binge Eating Disorders; or Bulimia, one of things I introduce to clients is Poodle Science. I was introduced to this concept by Tianna Smith, a a wonderful dietitian based in California. For the non-dog lovers out there, a Bullmastiff is a HUGE dog that usually weighs 100 pounds or more while a Chihuahua is a small dog that usually weighs around 6-7 pounds. Because of genetics, it would not matter what kind of diet or exercise you did with a Bullmastiff, it would NEVER weigh anywhere close to the 6-7 pounds of Chihauhua. Not only that, that Bullmastiff would probably be pretty miserable from the lack of food and constant exercise. And yet, it would never come close to having the bodily figure of a Chihuahua.

When I work with my clients in therapy, I talk to them about Poodle Science because the same concept applies to humans. We have a biological blueprint based on our genetics that determines the shape and size of our body. Some people will naturally be 100 pounds while others will naturally be 150 pounds or more. Like the Bullmastiff and the Chihuahua, it’s an impossible fight for a 150-pound person to try and get down to 100 pounds. All you will do is fail, be miserable, and in some cases do incredible harm to your body.

Accepting Your Biological Blueprint

After explaining Poodle Science to my clients, I then work with them in therapy to help them accept that they are beautifully unique individuals no matter the shape or size that their genetics have given them. By accepting their biological blueprint and working with me on techniques like Intuitive Eating, my clients begin to lead happier and healthier lives! So, the next time you see or hear the diet culture in the media, brush it aside and be proud of the beautiful body you have!

Want to read more from Alyssa? Check out her other blog posts here.

Want to schedule with Alyssa, click here.

blog · Change · death · depression · domestic violence · Mental Health · self care · sexual abuse · shame · suicide · trauma

I Escaped With My Life

It has been eight years….

….eight years since I packed all my bags, scoured the room for my keys, and made my way down the stairs and into the foyer, much against the loud opinions of the people around me. I pushed aside the man who stood in my way, the one who told me I’d never be okay out there on my own, the one who told me everyone I know and love is dangerous and that I need to be careful. As he stood in front of the door telling me I couldn’t go, I felt myself flooding with rage. As tired as I was, as hurt as I was, as sick as I was, I mustered up every ounce of strength I had and looked him directly in the eyes:

“LET. ME. GO” I said coldly. There were no hysterics in my voice, just a rage simmering beneath the surface which I knew he could sense. 

“You want to leave? Fine, GO. GET OUT,” he said as he quickly stepped aside and opened the door for me, hoping I would collapse back into his arms and tell him I needed him. But I didn’t do that this time.

Instead I pressed forward until I was outside in the hot, sticky July air. I don’t remember the walk from the front door to my car, but I do remember putting my key into the ignition and turning on my little Mazda. I drove away as fast as I could, but not before taking one last glance back at my rearview mirror to see if he was following me. 

He wasn’t. In fact, his door was already shut and the house sat quietly on the block, pretending as if it hadn’t just housed a horribly abused woman for six months. 

Eight years feels like so long ago and very recent all at the same time. I wish I could tell 21 year old Alyssa that she’s going to do great things in this world. But this time eight years ago, I left the home of an abusive, violent man and felt like my only option was death. 

I’ll never be able to go back in time and tell my 21 year old self that in just 6 days, a puppy will be born who will find her way into my arms come September and will save my life. Nor will I be able to go back and tell younger Alyssa that she’s going to graduate college and get her Master’s degree. I wish she knew that in the next 6 years she would start her own business that would grow, seemingly overnight, into a success that is beyond her wildest dreams. 

I never would have imagined all of this for myself. Quite frankly, at 21 years old, I didn’t see myself surviving long enough to turn 22. 

There are parts of this period in my life that I still cannot speak about. And this time of year, the flashbacks are always more intense, the body memories are also ever-so-present. To be honest, I have no clue why he let me go that day; and what I want you to know is that my escaping has nothing to do with who I am as a person. It’s not about me being “strong minded” or anything like that. SO MANY VICTIMS OF DOMESTIC VIOLENCE DO NOT ESCAPE OR DO NOT SURVIVE. And there is no telling which of us will escape with our lives and which of us won’t. I feel so lucky that I made it out with my life. And while I am always thankful for my fur babies and husband coming into my life, today is definitely one of those days where I appreciate this beautiful family of mine just a little bit extra. 

blog · Change · depression · Mental Health · self care · shame · trauma

Lessons From The Skaneateles Lake

The COVID-19 pandemic has made me forget part of the reason why I love traveling so much – the unexpected lessons, the character sculpting, and the major moments of insight and awareness that come from being in a completely different place. 

This past weekend, David and I finally got to go away together to a place neither of us had ever even heard of: Skaneateles, NY. We’ve heard of the Finger Lakes, but we had never heard of specifically the Skaneateles Lake/Town. I cannot say enough great things about this town! It was both stuck in the past and way ahead of its time in all the best ways. As we soaked in the views from the lake, hiked up mountains with dozens of waterfalls, and explored various nature preserves, I realized that this was the most at peace I have felt in a long time. 

And then, on one of our last days in Skaneateles, I found myself standing on the dock, peering down at the fish swimming in the lake below as we prepared to take a boat tour. Suddenly I was hit with a feeling that I still don’t really have words for. All I know is that the feeling was so strong, it nearly took my breath away. The wind suddenly picked up, the water from the lake sprayed my face, and, almost involuntarily, I whispered to myself “It’s time.” 

“It’s time? Time for what?” I asked myself almost immediately. And then, a few moments later, I understood what was happening. 

In this midst of moving to a new state, selling our current house, recovering from health issues, watching my business change, and adjusting to post-pandemic life, I’ve done a lot of fighting – fighting for relationships, fighting to keep certain friendships, fighting because it felt like something I “should” do. Or perhaps I have been fighting to keep these relationships so I could avoid the grief that comes with letting go. Either way – the last few months have found me holding so tightly to the people who continuously seem to be slipping through my hands. 

While I know I’m on the right path for myself, I also recognize that I have been pushing away the fact that this path I am taking means I will be saying goodbye to people I once held close to my heart. The fact of the matter is that not everyone is meant to stay in our lives forever; and, perhaps most importantly, not everyone is meant to fill the role that we think they should fill. 

For years I’ve held on to certain hopes and expectations about what some of the relationships in my life should look like, and doing so has often sent me into bitterness, anxiety, and depression. When I fight to keep a relationship that simply isn’t meant to be, I end up abandoning myself. And in this last year of my 20’s, I made a promise to never abandon myself again. 

I have spent far too many years sacrificing my own needs, blaming myself for miscommunications, and overlooking painful moments just so I can maintain communication with people who I thought I needed in my life. Over the last several months, as I fall more in love with the woman I have become, I am realizing I cannot have it both ways. I cannot please others just to avoid confrontation or abandonment AND honor my own needs. While I know this on an intellectual level, emotionally speaking it has still been very difficult for me to let go of the things/people that need letting go. But leave it to traveling to teach me some of life’s most difficult lessons; for when I was standing on the dock taking in some of the most beautiful sights I have ever seen, my gut told me it was time. It’s time to release my grip. It’s time to grieve over what happened, because I can’t change it. It’s also time to grieve over what won’t ever happen, because I can no longer operate in relationships that aren’t two-way streets. 

It’s time to acknowledge the hurt and rejection I feel instead of pushing it down, telling myself that if I just try harder, I’ll get the acceptance I’ve been craving from the people I’ve been craving it from. 

The fact is that I am so loved. I am loved by people who see my light and celebrate it in ways I never imagined. And I am so grateful for it – for my friends and family, for my dogs, for my clients, for the podcast listeners, the blog readers, and all the supporters in my life – each and every single one of you! 

All of these feelings seemed to hit me at once, and I found myself both smiling and crying at the same time. While I know that so many good things await me on the other side of letting go, it’s still a sad process. I wiped my tears away, stepped onto the boat, and climbed my way to the second floor (for the best views of course!). I peered back at the little village of Skaneateles as the engine revved and we started gliding across the lake. I know the path ahead of me, and I know with absolute certainty that what is behind me is no longer meant for me. I turned my head up to the sky and let the sunshine dry the remainder of the tears on my face as a mixture of grief, gratitude, and relief flooded my soul. I know that it’s not just time to let go of the past – it’s also time to move forward to the next part of my career. This strong intuition has been simmering just beneath the surface for some time now, but I wasn’t ready to acknowledge any of it until this moment. 

How will I make it happen? How do I move through the grief? Where do I even begin with the next chapter of my career? God only knows. The only thing I am certain of right now is this:

It is time. 

blog · depression · Mental Health · self care · shame · trauma

Chameleon

I really wish that we were talking about Pascal, the chameleon from Rapunzel. He is one of my favorite Disney characters! Has anybody ever discovered a stuffed animal Pascal? I’ve looked high and low but cannot find one anywhere! So if you know where I can buy one, please let me know. Clearly it’s a very urgent matter! 

But I digress. What I really want to talk about today are the human versions of chameleons – those whose thoughts, beliefs, and opinions can change depending on their environment. Pete Walker, author of Complex PTSD: From Surviving to Thriving, first coined the term “fawning” as a trauma response. Fawning is essentially described as being a chronic people pleaser. Some trauma survivors will engage in fawning, or people pleasing, as a way to diffuse tension if they feel unsafe or uncomfortable. But what I don’t think many people know is that fawning extends beyond saying “yes” to everything and everyone’s requests. People pleasers are also the kind of folks mentioned above – the ones who tend to have different beliefs or different personalities depending on who they are around.

For example, someone who is fawning could look like your friend that tells you all the time she is a Democrat, but in a room full of Republicans she will quickly turn into one of the most passionate Republicans the world has ever seen. Someone who is fawning might also look like that cousin of yours who complains constantly about how much she hates this one person in her friend group, but the second she hangs out with that person she acts like the two of them are best friends.

As a whole, the public generally doesn’t take kindly to people who behave like this. It creates a sense of mistrust and frustration among people when they see that somebody acts one way one minute, and is completely different the next minute.

Now I am not saying that every single person who engages in these types of behaviors is fawning, because that simply isn’t the case. But what I am trying to say is that sometimes people aren’t trying to copy others and sometimes people aren’t changing their beliefs and values out of a desperation to fit in. What this behavior actually could be is fawning, or in other words, a type of trauma response.

I myself can be like this when I feel threatened in some ways. Recently, I found myself in a situation that felt tense, uncomfortable, and downright awkward. The topic of conversation was very triggering to me, and I had many triggering events take place in the hours leading up to this conversation. Thus, I was already on edge. The people around me were in a heated discussion about something that I actually found offensive.  On a good day, or even a so-so day, I might have chimed in and dared to have an opposing viewpoint. But on this day in particular, I was already having such a bad day, and between the topic of conversation and the harsh tone of everyone’s voices, I was triggered beyond belief. I did the only thing I could do to try to get the conversation to come to a close: I simply agreed with them. Yep, against everything I believe in, I became the person that I thought that they wanted me to be and I agreed with what they were saying, even though, if you were to ask me to speak on that same subject any other day of the week, I would have given you a completely different opinion.  

I didn’t agree with them because I had an overwhelming desire to fit in, and I didn’t pacify them by siding with their beliefs because I wanted to make friends with them. It was more so that I felt emotionally unsafe, and feeling that way put me in such a high state of emotional distress that I said whatever I could to get myself away from the situation. Fawning, like fight or freeze or flight or any of the other trauma responses, is a survival tactic. I wasn’t able to fight or flee the situation, so I became a chameleon and I blended in with my surroundings in the best way that I knew how. 

Millions of folks do this. I’ve watched it time and time again, and while a younger version of me might get annoyed and accuse that person of not being genuine, the person I am today realizes that so many people engage in fawning because they have found themselves in situations that trigger their previous traumas.

While I have come a very long way in my PTSD recovery, I was reminded by this event that there is more work to be done. Even though I am tempted to sit in a pit of shame and self-loathing, I’m refusing to do so because my brain did whatever it could to keep me safe in the moment, and that is no reason to feel ashamed. So here I sit, pouring vulnerability onto the page in the hopes that I can educate other people on this type of trauma response, as I think it is often misunderstood and creates a lot of tension in relationships.

To those of you who have never engaged in fawning and don’t quite get it, please be patient with us. 

And to those of us who struggle with fawning, let us try to have more compassion for ourselves. We have brilliant minds, built for survival. And although fawning doesn’t always serve us well, it did keep us safe and alive for many years. We are all a work in progress, but please oh please, don’t forget to love yourself throughout the journey just as much as you’ll love yourself once you’ve arrived at your destination. 

blog · Change · Mental Health · trauma

The Loss of the Living Part 2: Does Time Really Heal Us?

A few months ago, I sat down with a new client who had just been deeply traumatized and was in a state of crisis. “What do I do?” she asked. “How do I make the pain stop? Why did this happen? I’ll never get through this, I just know it!” Immediately the old adage “time heals all wounds” came to mind. I carefully chose to take that saying, open up the metaphorical garbage bin in my head, and throw it right the hell out. Lord knows, the last thing my grieving client needed at that moment was to hear me say “give it time.” She felt like her whole world was crumbling. A traumatized person doesn’t want to hear that things take time. They want to hear that they can get some type of relief to the seemingly endless agony that they feel. My heart broke for my client, who wished and begged for there to be a way to reverse what had happened to her. But I didn’t rush her agony. I didn’t try to find a bright side to it all, nor did I tell her that her feelings would change eventually. In that moment, it was important to meet her exactly where she was at. As we sat in my office with her grief and despair, I knew that over time she would have a different perspective on what had happened to her, and that new perspective would change her entire life.

As honored as I was/am to walk this journey with my client, I would be remiss if I did not acknowledge the fact that I knew what she was feeling all too well…

It has been about five months since I posted “The Loss of the Living” on my blog: and in case you didn’t read it, I’ll bring you up to speed: About six months ago I lost someone who is still very much alive, and at the time of my loss, I truly thought my world was ending. I was betrayed and violated by someone who I thought cared deeply for me. After the initial impact of the loss, a few people here and there would say “Give it time, you’ll feel better.” and I hated hearing it. I didn’t want time – I wanted ANSWERS. I wanted answers for the abandonment, for the vile words that were spoken about me, and for the completely unprompted betrayal. But I couldn’t find them because my pain was so blinding.

Time hasn’t healed my wound, nor do I believe it ever will. Pain doesn’t disappear over time, it transforms. So while myself and any other grieving person may not experience the same earth-shattering pain that we initially felt at the time of our loss, we still ache in other, more subtle ways. For example:

-Some people who go through breakups and initially feel that they cannot breathe without their ex-partner may realize over time that their partner was actually controlling, abusive, or perhaps the relationship as a whole was not healthy. Their pain can transform from “I can’t breathe without this person.” to “How dare this person abuse me.”

-Parents who lose children to an overdose often take their pain and use it to combat the stigma of addiction and help save others from being lost to drugs. Their pain can transform from “I’ll die without my child here on earth.” to “I’ll never stop missing my child, and I’ll take what time I have left on this planet to save other families from the same fate.”

My pain isn’t gone, but I understand so much more now than I did six months ago. Time has taken the myopic view I had on the situation and has allowed me to see that the woman who hurt me is the epitome of a wolf in sheep’s clothing. Time has revealed that, contrary to what I used to believe, this woman is wounded in ways she isn’t capable of accepting, going through life projecting her own insecurities and pain onto everyone she meets. I thank God that our relationship did not last, because I know she would have made me extremely sick.

With my new perspective, I realize that the downfall of our relationship was rooted in one thing: pure, unfiltered envy – envy over the flourishing parts of my life that reminded her of the places in her own life where she still has significant voids. And with every passing day, I learn new information of how I’m still being copied and stalked by this person, who used to make every effort to tear me down and tell me that my ideas and dreams were way too far out of my reach. In understanding this, I am no longer sad over the loss. If anything, I’m thankful she is gone, as my health and wellbeing have significantly improved without her narcissistic presence. The pain remains, but these days, that pain looks so much more like determination. In trying to tear me down, she has made me stronger and healthier than I’ve ever been before – what a shocking turn of events!

So does time truly heal all wounds? No, I wouldn’t say so, and I doubt many other trauma survivors would say so either. It’s how we treat our wounds that matter. Do we nurture them? Do we seek justice? Do we find new perspectives? The answer is different for everyone. Only time will tell. Thus, while time might not heal us, it certainly will tell us all that we need to know.

Oh, and I’d hate to end on a cliffhanger, so suffice it to say this: The client I referred to at the beginning of this post is now the happiest and most confident she has ever been. That is due to new perspectives, not the passing of time.

blog · depression · Mental Health · OCD · trauma

“I’m So OCD About It.”

**Trigger Warning**

I am quite guilty about having talked like this in the past: “I’m so OCD about it.” About what? How clean I like my house to be, how I organize my closet, etc. I can even recount many times at the gym where I would be in the middle of a fitness class – God forbid the instructor accidentally lost her place and we ended up doing 11 kettlebell swings with the right hand and 10 kettlebell swings with the left hand. I’d be the first to say out loud: “Oh my gosh, we’re uneven, we have to do one more one this side – I’m so OCD about it!”

A lot of us do this, but as I got older and started becoming more seasoned as a therapist, I realized how wrong those comments were. Obsessive Compulsive Disorder (OCD) can be a crippling mental health disorder in which we find ourselves having to act on certain impulses in order to quiet the thoughts in our head that just won’t seem to stop.

Yes, people can develop OCD symptoms around cleanliness, disorganization, and numbers, like I mentioned above, but the obsessive thoughts can also be much more than that. You see, when I would make those comments like the ones I mentioned above, I would laugh, my friends would laugh, and we would go about our day. But the truth is, I was joking about an issue that runs so much deeper and is more serious than most folks know. While many of us joke about having OCD, the truest form of the disorder is brutal.

Of all the issues I have been battling, one of the ones I talk about the least is my OCD, mostly because I know that my OCD is a result of my trauma and in treating the trauma, I am also treating the OCD.

But truth be told, OCD is an absolute beast, one that lives with you, follows you everywhere you go, and keeps you from sleeping at night. It’s the worst friend you’ve ever had, but cannot seem to get rid of. It’s counting how many times you chew your food before you swallow, it’s making sure you step on the scale 3 times just to make sure the scale is right. It’s this irresistible compulsion to say your prayers exactly the same way every night, fearing that something bad will happen to you if you don’t.

This elusive beast comes in many forms, and what I named above are only a few symptoms that people with OCD may struggle with. Looking back on my childhood, I know that my OCD began as early as 3rd grade, where I remember washing my hands so much and for so long that my skin would bleed. As I got older, my obsessions then became about people breaking into our home. I would have to check the doors at night, dis-arm the alarm that my mom already armed, check to ensure the garage door was shut, and then re-arm the alarm. After about 3-4 rounds of doing this each night, only then could I be assured that the doors were truly locked and the alarm was truly set.

My symptoms have come and gone throughout my life, worsening during times of extreme stress. COVID 19 of course sent my obsessions and compulsions through the roof. I would cry if anyone came too close to me, I refused to see anyone but David for months on end, and any time I needed to go anywhere, I would come home and strip at the front door, throwing my clothes immediately in the washer and jumping into the shower to scrub my skin raw. We even used disinfectant to wipe down every grocery item that we bought before allowing it into the house. It was exhausting, time consuming, and needless to say, very rough on my skin.

And have I mentioned intrusive thoughts? I could write an entire blog post on intrusive thoughts so I won’t dive too deeply into this, but they often couple with OCD. For example, if you’ve ever been driving your car on a highway and suddenly thought to yourself: “What if the car next to me runs me off the road and I crash into a tree and die?”, this is an intrusive thought. Or maybe worse, you’ve even pictured the entire event taking place in your head. This is also an intrusive thought, and you are not alone if you have them.

Often times we develop compulsions to quell our obsessive and intrusive thoughts. Over the last few years, my obsessions and compulsions have come back in more crippling waves, likely due to extreme stress. Back in 2018 when my mom was severely ill and in the ICU, I believed that I caused her sickness. I recall sitting in the spiritual room of the hospital, feeling the urge to pray the same exact prayer, in the same way, for the same amount of time, because somehow, I believed that would save my mother. I remember those dreadful times when I would have to leave the hospital after spending a day with her in the ICU, I would make sure I didn’t step on a single crack on the floor as I walked down the hallways, because I thought that if I stepped on a crack it would be the reason why my mom didn’t survive.

In more recent months, I have been battling health issues, including an autoimmune disease that is – to put it lightly – excruciatingly painful, rendering me, at times, incapable of even breathing without severe, nauseating pain. I have also had multiple tests done on my eyes, as doctors were concerned that I had inflammation in my optic nerves that were being cause by a brain tumor. I was referred to one of the best neuro-opthamologists in the country, but had to wait nearly two months for an appointment. (I just had my appointment this week – no brain tumor!) Naturally, these last two months have been wrought with compulsion after compulsion to try to quell the obsessive thoughts about dying. Some examples:

-Driving to work: Did I check the stove to make sure the gas isn’t on? (after having checked it 20 times before leaving) Am I sure my dogs are safely in their crates? What if there is a fire and my house burns down? My dogs will die. Oh god, I can’t go to work. What if David dies? Let me call him to make sure he and the dogs are okay. NO, don’t call him. Don’t give into the compulsion.

-Driving home from work: Did I really blow that candle out in my office or did I just imagine it? Let me turn around, I have to check, I can’t be responsible for burning down the building. *drives back to office, confirms that the candle is blown out, starts driving home again* Okay but what if I imagined that? Did I really blow out that candle? *Gets home from work 45-60 min later than expected because I have to act on my compulsions*

-Getting ready for bed: *Hears David cough* He must have COVID. Oh God I probably gave it to him. He’s going to die and it’s going to be my fault. He can’t die, because I’m going to die because I probably have a brain tumor. He has to live because someone needs to take care of the dogs. Speaking of dogs, are mine safe? I know I checked earlier but let me check on them again to make sure they are breathing. While I’m at it, let me check the locks on the doors again. If I don’t, something bad will happen and everyone I love will die and it will be my fault.

It’s terrible. It’s exhausting. And sometimes I so desperately want out of this head of mine. This is the case for so many folks with OCD. It’s not just about wanting your house to be neat and orderly. It’s about needing to do certain things to avoid horrible things from happening and to quiet the brain.

I understand things so much differently now. I used to have the attitude of “I’m not changing the way I speak just to save other’s feelings” but the older I get, the more I realize how much of an impact words have on myself and others (I am a therapist, after all!). Intent does not equal impact – and even if I was just joking all those times when I said “I am so OCD about it”, I realize that it is nothing to joke about.

1. If you have been diagnosed with OCD, know you’re not alone and there is no shame in sharing the thoughts and compulsions you are having. In fact, speaking them out loud takes the power away from them.

2. If you have never been diagnosed with OCD, but resonate with some of what I’m saying in this post, please reach out for help. You don’t have to live like this forever and managing the symptoms truly does get much easier.

3. If you have no experience battling OCD, but often say phrases like “I’m really OCD about it”, maybe consider trying to change your words. What else could you say instead? “It makes me feel frazzled and disorganized when my house is a mess” or “I prefer my closet to be organized by color because it makes me happy” are just a few examples. The beautiful thing about language is that there are millions of ways to say something without using words that might minimize the beast that is OCD.

To learn more about obsessive compulsive disorder, please visit https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml

*All information about OCD is derived from my training as a clinician. No articles or websites were used to create this post.*

blog · eating disorders · health care · Mental Health

Intuitive Eating and a Smack in the Face

When it comes to my intuitive eating journey, I have been so gosh darn proud of myself lately. In fact, two days ago I said to my husband how drastically different our lives are now that I’m not obsessed with food, micromanaging how much salt he puts in meals, asking him to hide cookies from me so I don’t binge, forbidding there to be any ice cream in the house, and, most upsetting of all, bursting into tears after every meal because I hated the feeling of being “full.” Today, we have a minimum of 3-4 pints of Ben and Jerry’s ice cream in the house at all times and we eat it whenever we want it. It has become such a normalized food, as have Oreos, chips, pizza, and any other kind of fear food that I had. For the last few years, I have been crushing it when it comes to letting go of my food rules.

And yet, I still haven’t felt well physically, as you may have read about in my previous blog posts.

But yesterday I finally received some answers!! We traveled two hours to see a highly recommended doctor to help me figure out what is going on with me, and I must say – she was fantastic! To summarize the appointment, I am intolerant to the following foods: onions, garlic, gluten, dairy, beef, and anything fermented (alcohol, kombucha, soy sauce, balsamic vinegar, etc.). Because I have been freely consuming these foods, my body is having a major inflammatory reaction in the form of weight gain, water retention, painful joints, aches, fatigue, and my personal favorite, an excess of candida (yeast), which would explain why I have had about five yeast infections in the last two months. SO, the goal is to kill off the excess candida in my system by eliminating the above foods, plus maintaining a low carb and low sugar diet. I’m also taking supplements that will help kill off the candida so my gut bacteria can get back to its normal state. I will do this for about 3 weeks, go back to the doctor to see how I’m feeling, and from there I’ll see if my body can tolerate some of these foods in smaller amounts.

So hooray! Off I went on the drive home, talking about how nice it is to hear someone tell me that my aches, pains, and weight gain aren’t a result of laziness and over eating. I was all rainbows and sunshine and butterflies for about 3 hours until I went home and tried to find sauces, spices, and other foods that don’t contain ANY of the ingredients listed above.

And suddenly I was back in it – “it” meaning my anorexia. From about 2pm-10pm, my husband and I sat on the couch, hard-pressed to find meals and sauces that had no trace elements of onions or garlic, only to realize how near-impossible it is. I mean, for the love of God, I’M ITALIAN! How DARE I be intolerant of garlic?! I scoured the internet, reading the find print of every ingredient list and nutritional info chart, thinking to myself “Okay, if there are no onions or garlic in something, then there’s dairy. If there’s no dairy in something, then it’s high in sugar. I should be low in sugar, but how much sugar is too much? What did the doctor mean by low sugar? Should I just eliminate sugar? Yep, I’ll be the best patient ever and I’ll eliminate ALL sugar and ALL carbs and I’ll just eat steamed veggies for the next 3 weeks. NO, I can’t do that. I’m starving just thinking about it. WHAT THE #*%$ CAN I EAT?!”

Around 10pm, I slammed my laptop shut and sobbed out of fury. Because WHY? Why did I work SO HARD to become an intuitive eater only to end up feeling like crap and needing to go back on a ridiculously restrictive diet? What’s going to happen to me? Am I going to start eliminating these foods and then just fall right back into my anorexia, continuing to restrict until I waste away? Am I going to start binge eating again as a result of not being able to have certain foods? I don’t want to die, whether it be from starvation or chronic binge eating. Eating disorders kill, and now I have to figure out how I can do this without letting mine resurface and kill me. It feels like all of the hard work I have done has gone right out the window and I’m infuriated. Not to mention, in the middle of our hunt for foods I can actually tolerate, we ordered dinner. I ordered scallops with gluten free pasta and steamed veggies from one of my favorite places in town, and to add insult to injury, they forgot my gluten free pasta, and both the scallops and the veggies were quite literally smothered in garlic, despite having asked for zero garlic. So I sobbed. I yelled. I let out every single thought and feeling I was having. I went to bed and despite being utterly exhausted, I tossed and turned until 3am, wondering if I’m being punked (Ashton, where you at, man?!).

I needed (and still do need) some time to process all of this. It’s a major ask for me to have to monitor and ask questions about every single thing that goes into my body, because it is so triggering of my diet days, when I clung to the Weight Watchers program like it was the gosh darn Bible. But now that I’m a little bit removed from the initial meltdown and now that I have 1. joined a Facebook group for folks allergic to onions and garlic (I know, I know, I’m secretly 89 years old), and 2. found some sauces from a company that I can try out (and I only had to spend a small fortune!!), I feel a bit more relieved. I realize that other people have it worse and that this isn’t the end of the world, but when I watch my husband eat sourdough garlic bread while I chomp on celery sticks, it sure as hell feels like it.

In my fury, I actually wanted to blame intuitive eating on why this is so hard for me. It sounds ridiculous, but at one point I truly was like “Screw you, intuitive eating! If I never knew how much freedom came with giving up my diets and restriction then this wouldn’t be so hard!” But beneath my fury, I am beginning to realize that all of this is another lesson in intuitive eating.

Intuitive eating is about normalizing “bad” foods and allowing our bodies to determine what we want to eat and how much. If I’m being intuitive, then I have to recognize that something is very wrong with my body right now and some foods are not jiving with me. It is my job to honor my body, to feed it what feels good. And truthfully, any time I have had any of the foods listed above, I end up in agony, crying to David, asking him why I feel like I binged after having a decent-sized meal, and wondering why my body is storing fat at an unbelievably fast pace. So if the goal is to listen to my body, then eliminating these foods is doing exactly that.

Just when you think you have it all down, just when you feel like you’ve mastered the art of listening to your body, you get a curve ball thrown at you. It’s unfair, but it’s another challenge I will fight to overcome. And at the end of the day, it’s going to make me stronger in my own eating disorder recovery and stronger as a therapist working with others in their recovery. Intuitive eating really does look different for each and every one of us at different points in our lives, and for me right now, this is what it looks like. Is it ideal? No. Is it triggering? Yes. But I will tell myself over and over and over again that this is my choice. Despite the doctor’s recommendations, I can still choose to ignore her and eat however I want. But what I want more than anything is to feel better, so right now, this is how I’m going to feel better. I will not starve, nor will I restrict my caloric intake. This is an opportunity for me to listen more carefully to my body and to experiment with alternatives types of foods and ingredients.

While this major change in lifestyle is admittedly very frustrating, this journey will help strengthen my ability to tune in to my body’s needs, and in turn, I will be able to help others who have food intolerances to do exactly the same. There’s my silver lining!

blog · health care · self care · trauma

You’re Not Listening!

No one likes it when they feel as though they aren’t being heard. For me, over the years, not being heard has become a debilitating trigger. Sometimes it feels like all I do is scream at the top of my lungs and people don’t seem to hear me – especially when it comes to my health.

I have known for months, if not years, that something is wrong with me. But because of my history of trauma and because of my weight, I typically get one of two responses from doctors, therapists, etc.:

  1. “It’s the trauma! Your body is holding so much pain.”
  2. “It’s your weight. You’d feel better if you worked out a little bit.”

I mean, I typically would say “don’t even get me started” when it comes to healthcare providers saying this type of stuff, but who am I kidding? We all know I’m about to get started!

  1. Perhaps this is shocking coming from a trauma therapist, but I truly don’t believe that every single sickness is a manifestation of trauma. Sometimes people are, in fact, sick. I don’t know how many times I tried to tell my therapist “my body hurts, I’m so tired. I cant function” only for him/her/them to go “Well of course! It’s the trauma!” This therapist believed that people get illnesses due to undigested trauma, and while I do absolutely agree with that, I don’t think that means that trauma therapy is the be-all, end-all cure. I think I needed a medical doctor, stat, but never got one because I was told the trauma therapy would cure it all.
  2. Ah, the “It’s your weight” comment – a personal favorite. Here’s my truth: You could put me in a boxing ring with a man ten times my size, and STILL, the strength of my right hook alone would knock him off his feet. So what is it that these doctors want me to do when they tell me to exercise more? Push-ups? Not a problem. Deadlifts? Child’s play. Planks? Sure! Triathalon? Let’s go!

    And the most dysfunctional thing of all about doctors telling me to move my body more is that they incorrectly assume that exercise is a weight-management tool (it’s not!!!). Doctors are taking one look at me, observing that I’m fat, and assuming I’m lazy (not true for anyone, fat does not equal lazy). Therefore, in their minds, the solution must be that I need more exercise.

Thus, because of my weight, because of my trauma history, I am stigmatized. I am not heard. And quite frankly, I’ve been getting downright disgusted by it. A few weeks ago after being told by yet another doctor that nothing is wrong, I was ready to quit and live the rest of my life only maybe 40-50% of the type of person I knew I could be if I were feeling better. But thankfully I have a supportive partner at home who reminded me that I have never been one to give up or take “no” for an answer.

And so I continued to fight. And over the last few weeks, my fighting is starting to pay off. I have seen multiple doctors who have run tests on me that have never been run. I went back to a doctors office for the second time in a month and requested a new doctor because I didnt’ like the answers I got from the previous doctor. And this time, I got a few more answers. I was HEARD. This doctor, bless her sweet soul, sat down next to me and handed me tissues as I cried and told her how horrible I felt. She validated me, listened to me, comforted me, and after an examination she gave me a diagnosis. She confirmed that what is going on with me is NOT my fault and that my weight gain, fatigue, and chronic pain is a result of this diagnosis, NOT a result of being lazy.

I am now being referred to a doctor who specializes in this specific autoimmune disease, as my doctor suspects that I have multiple autoimmune diseases that are contributing to my symptoms. All in all, I still don’t have all the answers. I have a few different doctors that have varying concerns ranging from issues in my brain, potential loss of vision, multiple autoimmune diseases, etc.

But low and behold, people are finally listening to me. I have no idea what will come of the journey ahead, but I am so much more hopeful knowing that people are hearing me, believing me, and truly wanting to see me feel better.

It’s so easy for us to fall into silence and not question anything when a doctor is not giving you the proper time and attention that you deserve. But it’s so important to push through your triggers and never stop fighting for your right to be heard. You know your body better than anyone else, so if you feel as though something is wrong and you are not getting the answers you want, use your voice! Use it one time, ten times, or a hundred thousand times if need be and I promise you that someday, someone will hear you and someone will provide you with the answers for which you’ve been searching.

blog · domestic violence · eating disorders · Mental Health · self care

Our Children Are Always Watching

I often say to the families I work with, “It’s takes a village to raise a kid.” I do not yet have biological children, so I will never profess to know what it is like to be a parent. However, I do have nearly two decades of experience working with children (first babysitting, then summer camps, then substitute teaching, then crisis intervention, and now, my independent practice).

All of my experiences with children thus far have led me to believe that it truly does take a community to raise a child. It takes teachers, parents, grandparents, aunts, uncles, school counselors and other adults to raise a healthy, well-adjusted kid. If you work with kids in any way, you have likely had an affect on their upbringing. As kids get older, they tend to spend more time in school and in extracurricular activities and less time with their parents, which is why I say “our” children are always watching. While they may not be your biological children, if you are spending a significant amount of time around kids, then you can rest assured that they are watching you, too.

Why does this matter? Well, let’s look at a few examples below:

-A few weeks ago I had a teenager and her mom in my office. It was brought up that during dinner a few nights back, the rest of the family ate pasta while mom ate a salad with grilled chicken. Mom mentioned that the pasta looked amazing but she wouldn’t allow herself to have any because she is on a mission to lose weight. While this may not seem overtly harmful, adults talking about their diets and weight-loss often leads to children feeling highly dissatisfied with their own bodies.
-Many years ago when I worked for a crisis intervention unit, I performed an assessment on a young boy who said to me “My dad tells me that he loves me, but sometimes I hear him talking to my mom about how they would have more money if they didn’t have kids.” While dad surely did not mean for his child to hear this, the child now, unfortunately, can never un-hear it.
-On a more personal level, when I was in kindergarten, I did not follow directions on one of my assignments. My teacher looked at me and yelled “Are you stupid?!” To this day, looking back on that memory still floods my body with shame from head to toe.
-As another personal anecdote, I had a soccer coach in high school who always tried to have genuine conversations with me and made efforts to get to know me on a deeper level. She acted this way with all of the kids on the team. The respect that she had for all of us was palpable and we all felt seen and heard by her.

The list of impressionable moments that can change or solidify the way a child feels about themselves is limitless. What I’m trying to say is this: Kids are always taking in information, even when we think they aren’t. They are listening, they are observing, and most importantly, they are picking up on the feelings of the ones around them. If we’re not careful as adults, we can send dangerous messages to children that reinforce diet culture, low self-esteem, perfectionism, feelings of abandonment and being unloved, etc. All of this can ultimately lead to depression, anxiety, and other mental health disorders.

This is not a call-out to parents only, nor is it an attempt to parent-shame. We’re all doing the best we can and need to treat ourselves and others with compassion. Rather, this is a shout-out to all of the adults in this world, as most of us will find ourselves around children at some point in our lives. The next time you find yourself in the presence of a child/children, please make every effort to leave them feeling like they matter and that they are accepted; for this is how we start building self-esteem in children, which will have positive ripple effects on generations to come.