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Coping Skills for Eating Disorder Recovery

For those of us who have or have had eating disorders, the feeling of a full stomach can be an extremely disconcerting sensation. Sitting after a meal while feeling full can cause anxiety and guilt. I've been in recovery for nearly a decade and I still sometimes struggle with feeling full, but learning how to be okay with being full was an important step in my eating disorder (ED) recovery.
I don't believe in eating disorder triggers. Sounds pretty bold, right? We live in a world awash with eating disorder (ED) trigger warnings and those of us who are in ED recovery are constantly warned to avoid our triggers lest we slip back into old habits, and I straight-up say I don't believe in them.
Social justice and eating disorder recovery are two of the driving forces in my life. It informs my relationships, conversations, and writing, but I cannot take credit for this—eating disorder recovery introduced me to social justice. 
Eating disorder resolutions for the new year should focus on health, not food, weight, or exercise. All too often in this culture, New Year's resolutions focus on those things. It's just another confirmation that society as a whole is image-obsessed to an unhealthy extreme.
When did I start eating disorder recovery? The timelines don't add up. Whenever I talk about my eating disorder recovery, there seems to be an inconsistency in the timeline I give for when my eating disorders first really began to flourish, and when I entered recovery. This disparity didn't occur to me until I listened to the video I prepared to introduce myself as an author here at HealthyPlace. In the video, I say that I battled with anorexia and bulimia for almost two decades. Then, I say that I've been in recovery for almost 10 years. I also mention that I'm 38 years old. So what gives?
If you have dealt with any patterns of disordered eating in your life, chances are these behaviors were—or continue to be—fueled by negative self-talk around body image. Since the brain is a complex, independent, thinking organism, self-talk is an intrinsic part of the human experience. You are hardwired for internal dialog with yourself, and this is not always problematic. That endless stream-of-consciousness in your head is shaped by the beliefs, perspectives, attitudes, and observations that help you negotiate the world around you. When used constructively, self-talk can empower you to confront fears, gain motivation or discipline, boost confidence, and strengthen areas of improvement. But if this self-talk turns critical toward yourself—in particular, how you look or what you weigh—it causes shame to take root and harmful behaviors to manifest which could result in an eating disorder. So it's important to learn how to reframe your negative self-talk around body image into a kinder, more compassionate dialog.
It's official: The holiday season has arrived, and Thanksgiving is just around the corner which means that eating disorder (ED) survival tips are now more important than ever. This time of year is known for family traditions and cultural festivities, but it can also feel like a burden if you are in recovery from an eating disorder. Maybe there's a relative who points out the number of calories everyone is about to consume at the dinner table. Perhaps your well-intentioned grandmother hounds you to take seconds on dessert or the conversation detours to how "healthy" and "normal" your weight has started to look.
Secrecy and bulimia (and all eating disorders) often go hand in hand. But this is especially true for bulimia, where people struggling with the illness may not appear to be unwell. There are so many unspoken layers of complexity to the disease that a person can suffer for years without getting the help that they need. But breaking the secrecy around bulimia is one of the best antidotes to isolation and stigma. By opening up and sharing their difficulties around food with others – even anonymously – people can stop the illness from worsening over time. Talking about it out loud is often the first step towards healing. So, how do people go from years of silence and secrecy about bulimia to admitting that they have a problem?
Eating disorders have been trivialized for decades. However, people struggling with these illnesses have an elevated risk of death by suicide compared to other psychiatric disorders, with bulimia having the highest attempted suicide rates. High comorbidity associated with bulimia – and the dearth of research – makes it difficult to tease apart what contributes to suicide risk. But it’s important for people to know that both bulimia, and the suicidality that accompanies it, can be treated and overcome. (Note: This post contains a trigger warning.)
Is it possible that an improved body image can prevent eating disorders? Research has been fairly consistent in identifying the link between body image issues and eating disorders. So, can school-based intervention programs help reduce the onset of eating disorders in young people by giving them the tools to develop high body esteem and satisfaction?