The Hidden Life of Bulimia

Bulimia nervosa is characterized by recurrent and frequent episodes of eating unusually large amounts of food (e.g., binge-eating), and feeling a lack of control over the eating. This binge-eating is followed by a type of behavior that compensates for the binge, such as purging (e.g., vomiting, excessive use of laxatives or diuretics), fasting and/or excessive exercise.

Unlike anorexia, people with bulimia can fall within the normal range for their age and weight. But like people with anorexia, they often fear gaining weight, want desperately to lose weight, and are intensely unhappy with their body size and shape. Usually, bulimic behavior is done secretly, because it is often accompanied by feelings of disgust or shame. The binging and purging cycle usually repeats several times a week. Similar to anorexia, people with bulimia often have coexisting psychological illnesses, such as depression, anxiety and/or substance abuse problems. Many physical conditions result from the purging aspect of the illness, including electrolyte imbalances, gastrointestinal problems, and oral and tooth-related problems.

Other symptoms include:

  • chronically inflamed and sore throat
  • swollen glands in the neck and below the jaw
  • worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acids
  • gastroesophageal reflux disorder
  • intestinal distress and irritation from laxative abuse
  • kidney problems from diuretic abuse
  • severe dehydration from purging of fluids

As with anorexia, TREATMENT FOR BULIMIA often involves a combination of options and depends on the needs of the individual.

To reduce or eliminate binge and purge behavior, a patient may undergo nutritional counseling and psychotherapy, especially cognitive behavioral therapy (CBT), or be prescribed medication.

Some antidepressants, such as fluoxetine (Prozac), which is the only medication approved by the U.S. Food and Drug Administration for treating bulimia, may help patients who also have depression and/or anxiety. It also appears to help reduce binge-eating and purging behavior, reduces the chance of relapse, and improves eating attitudes.

CBT [or, talk therapy] that has been tailored to treat bulimia also has shown to be effective in changing binging and purging behavior, and eating attitudes. Therapy may be individually oriented or group-based.

Source: http://www.nimh.nih.gov/health/

Evil Gets a Makeover

by Catherine DeMonte LFMT

God delights in changing evil things into good. He has this crazy habit of taking dark things and making them new. Many of us have a checkered past, many hurtful and ugly things have been committed on us, as well as by us. We have been wounded, and we have hurt others.

There are some of us with a mental illness. And some with a chemical dependency. These have been a factor in our sin, but they are not excuses. The Book of Proverbs describes this “playing with fire.”

“Can a man carry fire next to his chest and his clothes not be burned?”

Proverbs 6:27, ESV

The first step we take is to “own up.” But alas, we have hid it for so long, denying and pretending that we have not been harmed, or have harmed others. We are masters of disguise, masquerading as whole people. When I was a boy, I often earned the task of cleaning the barn. You would scrape the manure into the gutter, and then dusted lime over anything left behind. But it was only cosmetic, it was simply covered up.

The deep promise of Jesus is not cosmetic. It is not superficial; it is not just “skin deep.” The profound actuality is that our transformation is inside out. It is a work that starts in our heart, and then works itself out where people can see. We have all tried to clean things up, but what we don’t need is more lime.

The love and forgiveness of our Lord is what we really must have. Our sins are making us very unpleasant people. As we get older we find that our evil has been compounded and extrapolated. The infection only spreads, and it gets worked throughout our lives and relationships. This is ruinous, and David understood.

“Then I confessed my sins to you
and didn’t hide my guilt.
I said, “I will confess my sins to the Lord,”
and you forgave my guilt. “

Psalm 32:5, NCV

We are sinners, and some of us are very talented at it. It is an art form to us. Our entire society, and every social aspect is sick with it. Jesus who knows us completely, and He loves us the most.

“In Christ we are set free by the blood of his death, and so we have forgiveness of sins. How rich is God’s grace,8 which he has given to us so fully and freely.”

Ephesians 1:7,8

“I sinned against the Lord,
so he was angry with me,
but he will defend my case in court.
He will bring about what is right for me.
Then he will bring me out into the light,
and I will see him set things right.”

Micah 7:9, NCV

In Pursuit of Happyness

By CARONAE HOWELL, From the New York Times, dated July 20, 2009

flight1
To fly away

I’m the kind of woman who spends entire days thinking of nothing but birds: woodcocks, goldfinches, kingfishers. I look for loons everywhere I go. Sometimes I find herons in Central Park and they are mysteries. There is one thing in this world that I envy: the hollowness of bird bones. In the three milliseconds of liftoff, a bird separates itself from its problems. The sky is the freest part of the world.

I have always been depressed, and I have always wanted to fly — not to emulate Superman or to travel faster. I want to fly because of the elation. In my dreams I am a butterfly or a fairy or a honeybee. Depression, for me, is when you want to be a bird, but can’t.

There is a specific moment in which I became a woman. It was February — always the worst month with its aching light and its slip-induced bruises. I had been trying to fall asleep for at least four hours. At 3 a.m., I found myself sobbing and shaking and confused, sitting on my metal dorm bed in the bird-with-a-­broken-wing position. I dug my fingernails into my forearms, leaving shell-shaped trenches behind. I have the kind of skin that refuses to heal, just stays eternally raw and mottled. It was five weeks into my fourth semester.

In late January, a freshman hanged himself in my old dorm. I found myself asking, really, how hard is it to suddenly find yourself perched on a sink, rope around your beautiful neck, ready to fly? How hard? My dad drove through four states to pick me up the next week. On the way home I had tea and ice cream. He asked me if I remembered the time he took too many of his antidepressants. I did not. Nor did I remember my uncle’s suicide (gun to the cerebrum) or my sister’s delicately sliced arms and hips. These were things I had only been told. The space between my skull and my irises hurts sometimes — hurts like the shatter of a tiny bird that has fallen midflight.

And so it was that sour February night that I took the delicate step into the adult world: realizing that I was too depressed to stay at college was realizing I had not only lost my flock; I had fallen from the air entirely. Michigan has many birds. My favorite might be the wood duck, with its banded neck and flat little wings. When I watch birds take off, I hold my breath. They always make it to the sky.

Every Monday morning at 9 I see my therapist, mug of green tea and honey close at hand. I take new pills now. I have a routine: oatmeal in the morning, Wednesday nights with my father. I tell my therapist about Toni Morrison’s “Song of Solomon.” Who isn’t searching for their people? I arrange my thoughts. (No, I have never been in love and I am, in fact, afraid of men; I panic in Times Square; I grow attached to almost everyone I meet.) I have feathers and questions.

I moved to New York City for college in 2007. School did not grow me into an adult, nor did voting for the first time or doing my own banking. These things were not confrontations. How did I arrive at the place where I could look at my disease and say, “Yes, you are here, but I will not let you take the joy out of looking for birds”? I like to think it was New York, or my newfound discipline, but it was a more internal revolution. I acknowledged my traumas: I was not crazy, just damaged. I was molting. Columbia gave me many new things: a copy of the “Iliad” with a note saying the first six books should be read before orientation, a job in the oral history office, a sense of time management.

But without my sanity — without joy — these things had little value. I knew nothing until I knew I was hardly living. Hobbes and Locke and all the philosophers in the world could not matter when each day was insurmountable and burning. In my year and a half at Columbia, I began to learn how to love myself. I tell my therapist about my earliest memories and the bizarre geography of my family. I’m anxious and I have no self-esteem. But I am mending. Fifteen lost credits is a small price to pay for happiness. Perhaps I am learning how to fly. My bones may not be hollow, and joy will never come easily, but the beauty is in the struggle. The birds are everywhere.

Caronae Howell, Columbia, class of 2011, history major

The Virtual Yule Log

I love Christmas.  I love what Jesus has done in bring peace and joy to each one.  Unquestionably, this time of the year can be difficult.  Those of us who struggle as mentally ill believers find that things are more tinsel than terrific.

This is a perfect 20 minute break in your work day at the office or to escape from the kids!

A virtual yuletide video fireplace right on your computer screen, any time you want! With highest quality video, stereo audio and high definition TV picture resolution.

First make sure you select the “HQ” icon at the bottom of the widescreen video for HDTV quality, and the button that opens the video to FULL SCREEN so it fills your entire computer monitor. Dim the lights if you can, and sit back to relax and listen. We have selected six of the softest songs from Sam’s album “On This Night”, mixed together to blend smoothly, and with a bit of invigoration at the end with Sam’s self penned song “All I Need This Christmas”, to get you back on track to your daily routine. The order played in the video is:

1) THE FIRST NOEL
2) LITTLE DRUMMER BOY
3) THE CHRISTMAS SONG
4) HAVE YOURSELF A MERRY LITTLE CHRISTMAS
5) ANGELS WE HAVE HEARD ON HIGH
6) ALL I NEED THIS CHRISTMAS

Please enjoy this.  Both Linda K and myself want you to understand Jesus and what He means to those “who walk with a limp.”