Monday, August 31, 2015

Meditation Monday: Replacing Illusions with Values



By Nancy Hall, MA, NCC, LPC
In an effort to take the “manic” out of “Monday,” this weekly post explores techniques, issues, latest research, and other thoughts on meditation. Nancy facilitates a weekly meditation group at The Awakening Center. For more information, contact her at 773.929.6262, extension 17 or nancyhalltac@gmail.com

When we examine our coping behaviors, how many are truly reliable? Or even actually helpful for that matter? We often take refuge in behaviors or habits that we believe give us control or comfort. But when we can step back and connect to our own clarity, we realize that we’re believing in an illusion.

Instead of giving true comfort or control, many behaviors leave behind shame and regret; self-compassion becomes difficult. The need for comfort and soothing remains present and we turn to our old habits. Then more shame, and the cycle continues

But the short-term rewards of unhealthy coping behaviors seem so great; the desire to numb, distract, disconnect, soothe. The needs at the core of these urges are never quite satisfied. Instead, cravings remain, triggering behaviors, triggering more cravings, and so on.

The urges and cravings take up space in thoughts and feelings. As you begin to connect to your deep wise self, what can you place at the center of your life? What gives you true comfort, soothing, peace?

Take a moment and connect to a behavior or belief that has caused you suffering yet it still takes up a prominent position within you. Perhaps it’s not at the center, but it might be a behavior or belief that seems hard to live without

How have you relied on this behavior? Whether it’s an addiction or compulsion, have you clung to it? What are the consequences?

Check in with your body to notice if any tension or stress has crept back in. Re-engage with your breathing—let it anchor you.

Now, take a moment to ask yourself, what matters to you? What inspires you?

Where are you able to experience stillness…compassion…curiosity…peace?

As you experience the calmness of this moment, ask yourself, what can you truly put your trust in? God as you understand? Nature? Goodness of people? Yourself? A combination?

Whatever that looks like to you, allow yourself to connect to that trust. Where can you turn when you suffer? Where do you go to find your values?

Again, there is no right answer. And the image might not be clear—just let the possibility exist. If you are not sure where you can turn to find values or trust, see what it feels like to turn somewhere…even if you don’t have a clear idea of where that is.

This We Have Now

This we have now
is not imagination

This is not
grief or joy

Not a judging state,
or an elation
or sadness

Those come and go.
This is the presence that doesn’t.
--Rumi

Tuesday, August 4, 2015

What Does It Mean to Be Recovered?


By Michel Harris, MS, RD, LDN, CDE
With most illnesses, a person is recovered once their symptoms have resolved. However, with eating disorders, it's not this simple.

For safety reasons, many of the medical symptoms associated with eating disorders must be resolved prior to discharge from an in-patient program. However, even though discharge criteria has been achieved, there is still a lot of work to do. All types of eating disorders are composed of an accumulation of misguided beliefs and behaviors associated with food. In most cases, one has suffered with his or her disorder for years, so it stands to reason that a few months of intense therapy before transitioning to out-patient treatment is not enough time to change all of these beliefs and behaviors.

There are several opinions and science-based definitions as to what it means to be "recovered" from an eating disorder. The results of research studies can rarely be applied to a whole population, and this concept applies to our definitions of recovery; they do not apply to every single person with an eating disorder.

So the question still remains: what does it mean to be recovered? Overt signs include:

Being able to accomplish daily tasks and be productive without obsessive thoughts about food
Going to a restaurant and ordering what he or she really wants, not the item that is the healthiest or safest. Exercising without the main goal being weight loss

I can go on and on, but you get the picture. Each person's recovered state is individualized, and a major portion of out-patient therapy is spent exploring and identifying what that means. Some behaviors that are considered disordered for one client may not be so for another. A good example is food choices. A few years ago, I worked with a client who questioned whether she was recovered because she still did not eat desserts. Further probing revealed that prior to her disorder, she did not have a sweet tooth, but she did enjoy savory snacks. Since she was able to enjoy the savory snacks (among other factors), we concluded that yes, she was recovered. However, the client who enjoyed cheesecake before the onset of the eating disorder and still experiences anxiety when trying to eat a small slice is still in the process of recovery.

You might feel frustrated because I have not provided conclusive and specific criteria for what the "recovered" mean; but each client has his or her own unique recovered state that must be patiently pursued with the help of the treatment team.

One last thought. The surfacing of an eating disorder thought or behavior that had been dormant for years does not indicate a relapse. Remember, years of disordered eating–related thoughts and behaviors can be reversed but are likely to surface on occasion. The recovered person is able to acknowledge when this happens and apply coping mechanisms to resolve the issue.

The important point here is that although it might emerge differently for everyone, full recovery is possible. So go for it!

Michel Harris is the nutritionist at The Awakening Center and believes in the mindful approach to develop a peaceful relationship with food and exercise in the recovery process of eating disorders.