The SRA stuff is relatively contained right now, so it seems the appropriate time to let everything else fall apart, no?  I’m developing psychological neck injuries with the rate of ups and downs regarding food issues.  Things have been going relatively well in that I’ve only slipped in to the b/p cycle a couple of times as opposed to daily.  As of yesterday, though, the calorie count is falling again.  I think I have this reaction to my psychiatrist.  I feel like he’s either not hearing me or not believing me, so I take on the attitude of being a ‘better’ bulimic.  In regards to food issues, I feel like he’s driving a division between my therapist and me.  She tells me he isn’t, but my mind can’t quite accept that for some reason.

Yesterday, I brought up this issue with the therapist.  I told her I’d likely hacked off the psychiatrist and wanted her input on how the interaction unfolded.  She keeps telling me his response to food issues reflects her inexperience in treating them.  Still, I keep seeing the doctor as this smug overlord who’s telling me I’m doing this bit wrong.  Truthfully, the responsibility is on me.  I need his help with this, and it’s up to me to tell him that.  Until then, he is just a passive participant.  Being me and being excellent at standing in my own way, however, my courage drops before I get the words out.

The important bit to figure out, then, is exactly *what* I need and where would be the most likely place to get those needs met.  Just like with trauma, I think the main thing I need is understanding.  I need someone to understand exactly how it feels to get caught up in that cycle and to see food controlling your life.  I need to express that sense of desperation that comes with wondering when or if I’ll be able to get back in control and when or if the control will break yet again.  Definitely something to take to the therapist (and hope she’ll listen).

Even though I’d never be able to tell him, I’d like the doctor to stop trying to box me in to his medical school textbook on bulimia.  Yes, cuts on the knuckles are tell-tale signs of bulimic purging.  They’re also very easy to avoid if you purge in a way that does not cause cuts.  I’m not a walking advert for the disorder.  Why would I *want* to create visual signs of the behaviour?  Between working in medicine and having a good sense of the balance in my body, I can recognise many symptoms of electrolyte imbalances, and I can work to correct them.  It doesn’t always fix issues, and I have had problems in that regard.  The symptoms are fairly easy to hide as well, though.  Dizziness, fatigue, body aches, et c can be attributed to many other problems.  (I won’t say here, lest someone use this post as a guide for hiding bulimia.)  I want the bloody doctor to understand that I might appear fine on the outside and feel miserable in a physical sense on the inside.  This seems a lost cause.

Always, always, always, I feel stuck in the trap of this stupid disorder.  It shifts about in my brain like a living creature.  I’m back to the idea of bulimia as an addiction, though.  As much as I want it out of my life, I’m still terrified at times to see it go.


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