when it’s really, really a problem

When last we spoke we were focusing on what I decided to call “normal excess.” It can be really hard, especially from inside the problem, to really differentiate what is “normal” versus what is a problem behavior. There comes a time, however, that the problem behavior is clear and when you look at it honestly, you can’t fail to see it. No matter how much you want to rationalize it away.

I made a nice little image today, by the way, to remind us about what we’re talking about on the abuse continuum (as viewed by Zaz). I’ve gone back and inserted it in some previous posts so that some imaginary future reader will have the full benefit. wink

On the continuum, we started with truly social use of food. We’ve covered a kind of gray area between social use and abuse that we’re calling normal excess. I promised you that this time we would get into when abuse is really, really a problem. These are things that fall squarely in the Abuse category. No more excuses.

  • Frequently overeating, making poor food choices, eating when not hungry. Once per year on Thanksgiving is not frequent. Several times per month, per week, per day? That’s frequent. The more often you feel out of control, the more likely it’s a serious problem. This holds true for any addictive behavior.
  • Overeating is normal. Not only is it a frequent behavior, it’s the new normal for you. Neither you nor the others in your life are surprised when you eat too much, graze, finish off that bag of chips or the whole cookie jar. It may be so normal that no one remarks on it.
  • Preoccupation with food. Thinking about getting food, wanting food, planning times to eat, worrying about not having “enough” (not really not having enough, being concerned that what you have will not fill the hole within).
  • Using food to medicate feelings. No matter how normal I’d like to believe this is, it’s not. Using food to “numb” feelings of rejection, to stuff down sadness or depression, to hide or punish yourself.
  • Early denial or rationalization of your behaviors. If you have to make excuses for why you’re eating something, chances are you don’t need it. This includes rationalizing why it’s okay, just this once and how you’ll do better tomorrow.
  • One to three life areas are affected. The affects on your life areas, may be hard to identify at first. It took me years to look back and see where the problems that food caused in my life were occurring. I wanted to believe that those problems were caused by other things, things I had no control over.

It’s hard. We want to see ourselves as normal. Admitting that there is a real problem almost certainly means you need to do something about it. I used to have a Calvin and Hobbes comic up on my wall at my office. Calvin and Hobbes were careening down a snow covered hill and sailing off a cliff. Calvin remarked about how ignorance is bliss because if you see the problem then you have to do something about it and that involves work and work isn’t any fun. Or something to that effect.

[aside]I’ve never found that particular comic in one of the books. If you know where it is, please let me know![/aside] Okay, so there wasn’t snow… Thanks Hannah!

Food Abuse is really a problem when it causes problems in your life, no matter how big or small the problems are. But remember, “Abuse” is on the left side of that heavy black line in the image. Someone who abuses food can re-learn their eating behaviors. They can change. It takes work, it takes motivation, it may take help, but it may be possible for them to learn to deal with food as a “normal” eater.

Many people abuse alcohol during their college years and early adulthood. Some of them have some serious consequences to their drinking. They may get a DUI or miss work or wreck their car or lose a relationship. But many of them grow out of it, for lack of a better way of putting this. Their drinking behavior changes. They may decide it’s a problem, they may just have different priorities as they age. Some of them may even occasionally have a social drink later in life. In the next step along the continuum, Dependency, that change is unlikely to happen spontaneously.

We’ll go there next time and I hope there isn’t as long a time gap as this last post!

All posts in this series.


hello…. is it me you’re looking for?

“We are so accustomed to disguise ourselves to others
that in the end we become disguised to ourselves.”
– Francois de La Rochefoucauld

I’m sorry, I know it’s been a long time since I’ve really written anything. Life has felt really busy around here – though in many ways it hasn’t been that much more busy than usual. I have been hiding in Runescape instead of writing blogs or answering email. It is a good place to hide when you’re feeling stressed. You can kill monsters. Killing monsters is always fun.

I took Dad in for a neuropsych eval a couple weeks ago and we went back for the interpretation visit yesterday. He’s defensive and he isn’t really willing to change anything right now. The good news is that although he’s got significant short term memory loss, cognitive functioning, reasoning and problem solving are all within the normal range. It does not appear that he has early Alzheimer’s which is a great relief for me. What he does have is significant depression and that is hardly surprising given the changes in our lives in the last few years. It’s possible that if we treat the depression, some of the memory issues will resolve. Now – to get him to talk to the doctor about antidepressants. I have to accept that there is only so much I can do. I do think it’s important for him to stay as independent as possible, I don’t want to take over his life. On the other hand, it’s stressful because I know he’s not taking care of himself well.

I spent four hours at the dentist last Thursday. I’ve got a temporary bridge (that’s two temporary crowns and a temporary fake tooth in between them) and it’s driving me nuts. It feels like I have something stuck on my teeth – which I suppose I do! I am given to understand that the permanent bridge will be much more comfortable. I certainly hope so! At the moment, my tongue is constantly trying to pry the thing off.

I’ve also been back to Springfield to the eye doctor. I have not noticed any improvement in my vision since starting Restasis but it apparently remains the best chance of me being able to see with glasses. I go back in a couple months for another orb scan to gage the progress. Did I ever remember to write that I have warped corneas? Anything to do with my eyes and visions pretty much freaks me out. I still think that my greatest personal fear is going blind. Still, this doesn’t seem to be a crisis so much as an annoyance at the moment. The warped corneas apparently explain my double vision and depth perception issues.

It feels like I have been running back and forth to Springfield a lot, a drive which I have come to loathe. I’ll be back next week for shrink and support group and then I think I’m done for the month! Yay. Funny how I never want to go up there just to shop anymore. I will shop on days I’m there but no way I’m driving an extra time just to go shopping. The mall ain’t that great.

And with regard to the poor delayed Addiction Series, it is not really forgotten. It’s hard to write about food abuse and eating addiction when you are making such stupid food choices yourself. To be fair to me, I have spent the better part of 48 years eating for emotional reasons, it isn’t going away that easily just because I had lap-band surgery. The problem isn’t falling off the horse, the problem is getting back on. One day at a time, right? On the plus side, I found the notes I was looking for to help me organize my thoughts for the next 3-4 posts. Look forward to the post about what really constitutes (in my mind) food abuse and when it is a “problem” to be finished in the next couple of days.

Hello to anyone still out there. Please say hi and let me know you are still around!


weekend fluff blogging

stasia in tube

She preferred the old cardboard box to the bed I bought her. She liked the paper bag. But finally she seems to enjoy something I bought her – the “crackle tube.” Of course, it could be the catnip I sprinkled inside.


why yes, I am still alive

“Did you ever stop to think, and forget to start again?”
A. A. Milne


spots of light

If there’s one (more) thing I have trouble wrapping my head around it’s to remember that happiness and depression are not mutually exclusive. While I continue to deal with my own version of The Dark™ I also have moments or periods or whatever of happiness.

Today was cookie day at the nursing home. I’ve been talking about it for weeks, telling Mom and the other ladies that I would bring in cookies and we could decorate them. I think I learned a fair amount from the gingerbread incident and so I kept the project simple. I baked sugar cookies and made cream cheese frosting (because I really like cream cheese frosting) and bought a couple varieties of sprinkles, cheerful Valentine’s plates, a cheap plastic tablecloth ($1.50 Walmart), and Dixie cups so that everyone could have their own sprinkles. I also picked up a cute heart shaped platter ($1.50 Walmart) to put extra cookies on so that those who did not participate could have a cookie later.

It took a bit of coercing to get Mom out of bed. We all have those days, don’t we? But I was determinedly cheerful and eventually dragged her up and out to the dining room. We spread the tablecloth and several of our lady friends helped. The ladies were curious and we ended up with a half dozen or so helping to decorate and eat cookies. One of my favorite ladies, a doll even shorter than my mother, absolutely loved the sprinkles and ate most of her’s before I got her a cookie to decorate. Another lady spent a lot of time fussing with her cookie and plate but never did eat it. It was all okay. Even some of those who have almost no communication left enjoyed eating their cookies and playing with the sprinkles. Cookies are a universal language of happiness.

lonely heart

I will post my cookie recipes on Chickens and Eggs eventually but I forgot the camera so no photos were taken. Well, I think you can imagine heart shaped sugar cookies with frosting and sprinkles. Sprinkles make everyone happy, don’t they? (Okay, I did have a leftover cookie to shoot.)

It went well enough that I think I’ll try it again. I have some ideas in my head. Green tinted sugar cookies with frosting and green M&Ms for St. Patrick’s day? I’m thinking pastel sugar cookies with – you guessed it – cream cheese frosting and green tinted coconut and jelly beans for Easter? I’m open to some new ideas. They seemed to enjoy the idea although I ended up doing most of the decorating. If we do it again, I think they’ll gradually enjoy the decorating part more. At least, that’s my theory.

There are lots of ways of being miserable, but there’s only one way of being comfortable, and that is to stop running round after happiness. If you make up your mind not to be happy there’s no reason why you shouldn’t have a fairly good time.
– Edith Wharton


sidebar

In my food and addiction series, I’m trying to examine, consider and write about the issues in a more or less pragmatic manner. But things come up. While I’m trying to understand and really take a close look at how compulsive eating mirrors addiction (at the least) I am also living it.

I am in the middle of a – shall we call it a hump? – depression right now. I deal with some depression much of the time and I have periods more severe depression, of which this is one. One of the unhealthy uses of food is to try to self-treat or mask depression.

The thing is, I reach for comfort foods to feel better. I crave and obsess about foods that my head says will make everything better. Eating can temporarily numb out feelings for me.

The flip side of that is that eating does not make me feel better. It doesn’t help hardly at all, even in the short term. And when I do give in to the impulse and eat, I end up feeling worse, more depressed, beating myself up for my failures once again.

This is not a healthy pattern. This is an addiction pattern. I doubt that I will ever be able to shed this pattern entirely – but we’ll get to that. The understanding of the patterns and behaviors comes before the solving of them, at least the long term solving. In the short term, I need to break the cycle. Each time I don’t eat in response to feelings is a step in the right direction.

All posts in this series.


the dark

I don’t write much about the dark times these days. It isn’t because they’ve gone away, it’s more that writing about it feels old and tired and far too self-pitying. I know I’ve said before at some point that the strangest thing for me is that down here in the rabbit hole, I don’t really feel sad. I don’t feel much of anything at all. Everything seems so clear.

We hold these truths to be self evident… Nothing ever really changes. Certain things are true and will continue to be true. Maybe nothing we do ever really matters.

I’m sorry. I don’t want to keep playing this old refrain. But there it is, always coming back no matter what I think I’ve done to banish it, control it, change it.


is that a wow moment?

We have this thing in group called “wow moments” in which we talk about something that has been exceptional or has made us say “wow” since having the weight loss surgery. I’ve had a lot of them including things like shrinking out of old clothes that were formerly too tight and having to keep adjusting my car seat forward as I lost weight. This one is a little odd and I don’t know whether I’ll share it or whether it’ll make much sense.

It’s been a tough few months. Starting in November I’ve had two colds, a stomach bug, bronchitis, my mom’s birthday, Thanksgiving, Christmas, my birthday, the stomach flu (a whole new level of suck), my dad having sudden serious symptoms of dementia and me getting diagnosed with warped corneas. I’ve missed a lot of rehab between being sick, holidays, and two snow storms. My eating has been up and down. Sometimes I do well with my plan, other times I find myself grazing and carbing out.

But, even with all that, I’ve managed to lose a little weight. I’ve bounced up and down some but overall, I think I’m down about 10 pounds since the beginning of November. And though I’ve eaten like a crazy person at times, I have not eaten like the crazy person I used to be.

I’m relatively sure I will get back on track – especially since I sat outside myself and watched myself last night. I don’t want to eat to stuff the feelings down. I don’t want to feel out of control. But what’s most important is that even when doing badly – I’m doing better than I used to do. My a1c is 5.7 (down slightly) and my blood sugars are amazingly stable.

So I say wow that even though I’ve been far from perfect, I’m still okay.


silence

“Silence propagates itself, and the longer talk has been suspended,
the more difficult it is to find anything to say.” – Samuel Johnson

I’ve been feeling quiet lately. You know these times come and go. Life, I noted today, just feels a little overwhelming. But I never shut up for that long, so I reckon I will be back soon.


normal excess versus food abuse

This has been a difficult topic. There seems to be a clear, yet ill defined gray area between what is normal and what is abuse. You could, back to our alcohol example, characterize any over-use of alcohol as abusive drinking and some people would do so. I see a subsection of over-use as essentially normal behavior. Say, for example, that you have a couple drinks too many at a wedding or a super bowl party. It’s not a frequent behavior and for the sake of the example, say there are no real consequences to it. On the one hand, any over-use is outside of the ideal but on the other, it’s still more or less within the “social use” framework.

Food seems to me to be even more complex. Within it’s complexity, I’m afraid, are my own issues and desire to rationalize bad behavior. Do so-called normal eaters really always stop when they are full? Do they really only eat the foods that are good for them? Do they really never eat when they aren’t hungry? It may be easy to be too rigid in our definition of the ideal “normal eater.” But then again, once you start stretching that definition, it is easy to rationalize or justify bad eating behaviors.

What might we call “normal excess” then? A good example is probably Thanksgiving. Thanksgiving is a holiday built around food, or so it seems. Many, but certainly not all, people over-eat on a holiday like Thanksgiving. It’s almost expected that you will over-eat. We as a society seem to have an ideal of the holiday that includes a large number of dishes, some of which are only made during the holiday season. We expect to gain weight between Thanksgiving and Christmas. It is enough of a “normal” behavior to be stereotyped.

I don’t think we could fairly characterize someone as a binge eater based solely on Thanksgiving behavior. So where is that line? Along with Thanksgiving, there are a myriad of other days that can one may stereotypically overeat. That same Superbowl party where we had a couple too many drinks is bound to have been full of snack foods and other treats. We may eat too much candy around Halloween. We want to get our money’s worth at that buffet.

The line, in my view, has to do with frequency and consequences. The more my food behavior impacts my life, the more it moves from “normal excess” to abuse. It also seems that the more my food behavior moves toward abuse, the greater my desire to rationalize it. I suspect that most of us with issues around food and eating are well aware that we eat too much or make bad food choices. It is not comfortable to admit that we are making these bad choices – it creates a state of cognitive dissonance and therefore, we want to explain away the behavior.

The thing is, that human beings seem to have an almost limitless ability to rationalize. If you want to eat too much or drink too much, you will find a reason to do so. “It’s not that much.” “I deserve a treat.” “Everyone else is eating those doughnuts.” “I’ll do better after the holidays.” “I am so depressed.” “Everyone eats too much at a buffet!” “It’s a celebration, I don’t usually eat this much.” “My team won!” “My team lost!” Chances are, however, if you have to rationalize your behavior then it’s outside of what might be considered “normal.”

Again, when our eating behaviors begin to have a serious impact on our life areas, we have moved from the social use arena into abusive eating behaviors.

Coming up: Abusive Eating – When is it really, really a problem?

All posts in this series.


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