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Relapse Prevention

I have an eating disorder voice that needs to be turned off. I first began the work to heal from an eating disorder in 2010, and it's been a passion of mine ever since. But despite all those years of hard-fought experience in the eating disorder recovery trenches, I am still learning how to turn off the eating disorder voice in my head. This voice was a staunch, relentless companion for most of my adolescence. At times, I could not even separate my own inner voice from the eating disorder beliefs, anxieties, and compulsions always shouting at me.
In a previous article, I wrote about feeling anxious about starting my first session with a personal trainer. But now that I am two months into the program, I have to admit there are many clear benefits to working with a certified professional who knows much more about fitness and nutrition than I do. It has been a challenge, but under her instruction, I am slowly learning how to create a balanced relationship with exercise. I can even see myself building stamina, resilience, strength, and athleticism. Here are some of the lessons from personal training that also help me out in ED recovery.
My eating disorder relies on selective memory in order to maintain a stringent foothold in my life. Selective memories are enticing and compelling. They can also be quite dangerous. In fact, as I have come to realize, the presence of selective memory is often the difference between making continual strides in recovery or free-falling back into a cycle of relapse. What do I mean by this, and how am I learning to combat selective memory in my eating disorder? Let me explain.
I have learned so many important lessons and revelations in the course of my interminable healing from anorexia, but one stands out above the others: I cannot take a day off from eating disorder (ED) recovery. Sometimes I want to, of course. Sometimes I'm convinced that enough time has passed since my life was at risk—or I have enough experience and self-awareness at this point—to ease off the accelerator and simply coast for a while. But I really can't take a day off from ED recovery.
For most of my life, I was plagued by the question, "What will I do without an eating disorder?" It felt unattainable even to imagine an alternate reality in which those obsessions with food, exercise, or body image weren't constantly humming at the forefront of my brain. Each waking moment was a conquest to burn calories—or simply avoid them altogether. At the time, it seemed euphoric, but now I can see just how bleak of an existence I forced myself to live. So these days, I ask another question: "What can I do without an eating disorder?"
I'm anxious for my first session with the personal trainer I hired to coach me for a Himalayan trek I'll be doing in about six months. It's quite unlike me to invest in an exercise program financially. Usually, I just lace up my sneakers and start running until I can't summon the energy for one more step. I even forget to stretch my muscles beforehand sometimes (terrible habit, I know).
At times when devastation from earthquakes exists and legislative restrictions against women and minorities are rampant, I view eating disorder (ED) recovery as superficial and inconsequential. Why should I bother to prioritize my own mental health when so many others lack access to the most basic, essential resources? Who cares about some trivial anxiety in the wake of countless horrific tragedies? I know that's not the most constructive inner monologue, but these are my thoughts on ED recovery when the entire world feels heavy. 
I have a long history with perfectionism. In fact, I cannot recall a time in my life when this fixation wasn't driving my performance and achievements. I suspect this is one reason I have always been drawn to activities or pursuits that measure excellence in visible, quantifiable terms. In school, I only accepted straight As. In athletics, I gravitated to sports like archery, where I could aim for the center of a literal bullseye. And in my career, I have turned to writing—a skill based on technical precision. But as I continue to heal my thoughts and behaviors from the residue of anorexia, I am learning to appreciate that eating disorder recovery is not about perfection.
I talk about eating disorder recovery all the time. You might call them healing conversations. I unpack the layers and nuances of it with my therapist. I excitedly share these revelations with my partner once the session is over. I journal about what I'm learning in the process. Then I pass on those lessons to the younger women I mentor, who deal with similar experiences of their own.
I am not the type who writes a meticulous, in-depth list of resolutions each year. But with the start of 2023 just around the corner, I have been reflecting on which aspects of my life should come with me into the future and which ought to be left behind in the past. Which behaviors, mindsets, attributes, or relationships have I outgrown? Which characteristics align with my core values, and which no longer serve the person I want to become?