As long as we continue encouraging restriction for eating disorder patients in larger bodies, we are setting them up for failure.
If you are not #HAES aligned, get the hell out of the ED field because you are causing further harm to your patients.
This includes colluding with the ED & saying that you’ll help your patient lose weight once their behaviors stabilize -which happened to me more than once.
It sent me the message yet again that my body was wrong, eating was bad, & that I wasn’t safe to exist in my natural body.
I spent a long time blaming myself for going through intense ED treatment without achieving recovery.
I believed that I must not have wanted recovery or that I didn’t try hard enough but the truth is that I wasn’t given the chance with my restriction being PRAISED and encouraged
Restriction is at the root of eating disorders. We need to challenge our own internalized fatphobia and make it safe for our clients to eat freely if we want them to recover.
-Not being allowed snack because of my body size
-Going to bed hungry in residential treatment
-Being taught to measure and weigh every bite I consumed
These things STUCK with me.
Unlearning all of it is a huge challenge with my ED brain.
I remember begging to be allowed to eat “real food” instead of a Luna bar in PHP. I was so damn hungry and just wanted food.
I said this while in treatment for anorexia. Imagine a patient with an ED begging to eat more. They said no and that I was being manipulative.
So I learned in treatment that I shouldn’t listen to my hunger. That it wasn’t meant to be trusted. That I wasn’t meant to be trusted.
I can’t even begin to explain the lasting impact that it had and continued to have on me.
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Every time I get on a plane, I feel absolutely sick to my stomach — terrified that the person sitting next to me will take a picture of me and I’ll end up being mocked on the internet.
Put your anger on the airlines for making seats smaller & smaller.
Interesting how it’s never a picture of a really tall person impeding the other person’s space.
Instead, we are supposed to be discuss whether a fat person deserves basic humanity and dignity.
If body size was a choice like so many people think it is, do you think I’d choose to have a body that is hated, mocked, and ridiculed? A body that denies me safe medical care and the ability to travel comfortably?
It’s so easy to call us lazy and undisciplined, huh?
If you need to eat this Yom Kippur because you’re in ED recovery, please know that eating is not just permissible, but a MITZVAH.
Your connection & spirituality happens through eating, not restricting. Hashem doesn’t want you to be harming yourself in the name of religion.
Obviously, please confirm with a treatment team + Rabbi who understands eating disorders and mental health. But your mental and physical health comes first. 💗
I want to clarify that this is referring to ALL eating disorders. Not just anorexia. Your mental health and recovery is a priority whether you struggle with restricting, bingeing, purging, or any other ED behaviors.
I used to be concerned that sharing my negative experiences in ED treatment would be harmful to people attempting to get help.
But no more beating around the bush. ED treatment is built for thin, rich white women and it’s a broken system that doesn’t work.
I said what I said.
I’m not trying to be an asshole but until treatment is created for ALL people in mind, more people will continue to be harmed and retraumatized in treatment.
Black people, trans people, fat people... they deserve safe care. And the current system does not provide that.
Also, OBVIOUSLY there are exceptions! Of course there are people who’ve found treatment lifesaving but overall, the system is often ineffective if not not harmful and it’s important to be talking about this.
When I was around 19 & roughly the weight I am now,I went to an endocrinologist bec my RD & I couldn’t figure out why I was my size given how I ate.
(Spoiler alert: body diversity is a thing but my ED RD wasn’t aware)
It was also the only period of recovery I’d ever experienced
TW calories
The endo forced me on the scale after I pleaded not to &then said I had 2 options.I could get WLS or I could eat less than 1k cal a day w 1 hour vigorous exercise daily.
Yes, she was aware of my ED of 10 yrs (at that pt) that I was was just starting to recover from
Imagining what it could’ve been like to have been told, your body isn’t broken, you aren’t broken. You can trust your body and it’s okay.