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Nov 02, 2010 11:57

Still more praise for the flipping Maudsley method

“It doesn’t work that way,” Ms. Brown said in an interview. “You need the physical recovery first, and then the cognitive recovery. The patient is racked with guilt, anxiety, feeling she’s fat and loathsome if she eats - it was our job to be louder and drown out those voices in her head.”Dear New ( Read more... )

actually i am legitimately upset, eating disorders

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ladybretagne November 3 2010, 03:30:10 UTC
In the same way that someone who was self-injuring would need to be stopped from preventing further harm to themselves but would be given time to develop new coping mechanisms and then supported as they continue to recover, it seems like the most responsible way to handle someone dealing with any form of ED would be to take care of the immediately critical health concerns (making sure that they're receiving at least baseline nutrition on an ongoing basis but not expecting to be able to magically force "normal" eating habits) and then to address whatever the underlying emotional or psychological concerns are so that long term, meaningful recovery is possible.

It's shocking really that psychiatric illness of whatever variety is still looked at as something that someone can be in any way forced to recover from. It doesn't work like that! It's not like appendicitis where once you perform surgery recovery is awfully quick. Pardon the bad analogy, but it's like what you would see on an episode of House. You see the outwardly apparent symptoms and then have to dig and dig to figure out what the underlying cause is and THEN you can start the (typically rather lengthy) process of finding a workable treatment regimen and implementing it. If I had a dollar every time I was told by someone who used to be very close to me that I should go take a Xanax because I was irritable, I would be a wealthy woman. There was this attitude that I should just take the pill and be done with it, without ever touching the WHY of the irritability or panic or anxiety or short-temper or anything else. Yes, I love my Xanax. Yes, I take it when I need it and I am very glad I have it at my disposal. But don't you dare tell me to just go pop a pill as if that should be a solution I'm happy with.

Wow, got off on a bit of a tangent there. Sorry.

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lovefromgirl November 3 2010, 03:47:10 UTC
Love your tangent. Wonder if people realise just how addictive Xanax et al. really are? Had a doctor put me on benzos without telling me that. Seven years later... well.

Your entire first paragraph says what I would love to say to everyone who Doesn't Get It. ♥

And -- yes to the digging. Yes to being unconventional about it, while we're thinking about broadening horizons. What helps me nowadays? Self-administered art therapy. Writing. Music. What helped me then? -- Well, rebellion kind of powered the second recovery. Oops? But not oops, because I figured out what I was doing to myself and why. Therapist Twit was a mirror for me: in her, I could see everything I hated about ED-recovery culture, and I struck out on my own.

I look back now because I believe there is so much room for change.

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ladybretagne November 3 2010, 05:34:18 UTC
Benzos are great, and I'm glad they're there, but there is a reason I take them only when absolutely necessary and only in the tiny dosages that my (thankfully brilliant) psychiatrist has prescribed. Because yeah, bad shit otherwise. Potentially very bad.

The whole issue of clueless therapists or doctors who don't get it is such a huge point of frustration. Even people who are allegedly trained specifically as therapists or psychologists or psychiatrists can have such ridiculous blindspots. I spent about seven years misdiagnosed because I didn't fit the cookie cutter image of bipolar (at the time, the new DSM clarifies a lot of that finally) so, despite the fact that mood lability should have been pretty apparent to anyone looking and I was always very honest about the fact that my FATHER is bipolar I and pretty severely so at that, I went in circles with the idea that the sort of marginal degree of relief I got from SSRIs was as good as it was going to get. It wasn't until I started seeing a psychiatrist who wasn't concerned with making things line up in one of the perfect little diagnostic boxes and actually paid attention to my symptoms and adjusted treatment in reference to that that I really felt like I was making any progress. I'm so grateful I have her, but I'm still massively frustrated that it took as long as it did to get to that point.

There are really only two kinds of treatment -- the one that works and the one that doesn't. Music helps me immensely. IMMENSELY. Reading certain books at certain times can help me hugely. Talking to certain people helps. Sometimes sleeping helps, sometimes it makes it worse. These are the sorts of things that only time and support and patience and a willingness to keep trying are going to reveal to you.

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lovefromgirl November 3 2010, 05:37:04 UTC
These are the sorts of things that only time and support and patience and a willingness to keep trying are going to reveal to you.

*glances at, holy shit, nine years since the crazy got turned up to 11*

Yes.

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ladybretagne November 3 2010, 05:38:48 UTC
Just about that long for me, too. Scary to think about, but glad we both made it this long. ♥

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