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Frozen Grief and Eating Disorders….

“Jess was an obese binge eater who came to therapy prompted by a diagnosis of pre-diabetes. We began to discuss what triggered her history of overeating, and she mentioned casually the death of her father when she was four years old. Her family said, “Daddy went to Heaven.” Daddy was never spoken about again. “Tell me about him,” I asked. “There’s nothing to tell,” Jess replied. And with that, she began to cry as the accumulation of 32 years of stifled tears came surging up in a tidal wave of pain. With each following session, Jess cried deeply about the death of her father. Then one day she exclaimed, “I wonder if after so many years my fat has been like frozen grief. I think with all these tears, my grief is becoming liquid!”

Grief frozen by fat, frozen by the numbing of overeating, starving, or purging can be held in the body for years. Time does not necessarily heal all wounds. Unspoken loss continues to exert its power. I came to see how much loss and grief can play a significant part in the emotional eating of my patients, and how chronic eating disorders can be related to unresolved frozen grief.

I realized how therapy for emotional eating needs to help people mourn the sorrows that have kept them stuck in bingeing, purging, or starving. I began asking my patients to construct a list of losses they had suffered. These losses did not always have to do with death, but with a myriad of ways that hurt can lodge inside us without resolution.

Unable to dislodge the “knot” in their throat by crying and grieving, many people turn to emotional eating. The more you run away from intense emotions, the more your eating problems run after you.

Grief must be witnessed to be healed. Therapy can help to unfreeze grief. You learn that your pain is not the whole of who you are. Tears thaw grief. Shared pain is soothed pain.

 

9 Truths about Eating Disorders….

Truth #1:Many people with eating disorders look healthy, yet may be extremely ill.

Truth #2: Families are not to blame, and can be the patients’ and providers’ best allies in treatment.

Truth #3: An eating disorder diagnosis is a health crisis that disrupts personal and family functioning.

Truth #4: Eating disorders are not choices, but serious biologically influenced illnesses.

Truth #5: Eating disorders affect people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses.

Truth #6: Eating disorders carry an increased risk for both suicide and medical complications.

Truth #7: Genes and environment play important roles in the development of eating disorders.

Truth #8: Genes alone do not predict who will develop eating disorders.

Truth #9: Full recovery from an eating disorder is possible. Early detection and intervention are important.

 

 

Nutrition in Recovery …..

True recovery is about restoring your mind and body — and eating healthfully is one of the best ways to replenish a body that’s been ravished by addiction – whether by drugs, alcohol, food, gambling, sex, video gaming, social media, or something else. 

Many addicts are malnourished by the time they seek help, in fact, as they may not eat enough or eat properly when consumed by finding their next fix. A healthful diet simply isn’t on their radar….and it should be. 

Also, addiction wreaks havoc on the body’s ability to absorb essential nutrients. The type of malnutrition someone experiences typically depends on the substance of abuse, however. 

Opiate addicts, for example, often show deficiencies in calcium, vitamins D and B6 and iron, while cocaine addicts generally have low levels of omega-3 fatty acids. 

Common deficiencies among alcoholics include pyridoxine (vitamin B6), thiamine and folic acid. Alcohol use also damages two major organs involved in metabolism and nutrition: the liver (which removes toxins) and the pancreas (which regulates blood sugar and the absorption of fat), resulting in an imbalance of fluids, calories, protein and electrolytes.

The Power of Good Food

You may not be able to reverse all the damage done by your addiction. But good nutrition can go a long way toward repairing damage to tissues, organs and the brain’s reward centers, and there are plentiful benefits beyond this: You’ll feel better, your mood will improve and you’ll have the physical and mental energy you need to handle the hard work of recovery.

Further proof of nutrition’s powerful role in recovery: More rehab centers are offering nutritional counselling and cooking classes as part of treatment. 

It’s not uncommon for someone to reach recovery from drugs or alcohol only to develop a “cross” or “transfer” addiction to so-called “hyperpalatables” — sugary, fatty, salty food combinations. 

These foods trigger the release of the pleasure chemical dopamine and affect the brain’s reward center in much the same way that drugs and alcohol do. But far from being a lesser evil, unhealthy food can be just as damaging as drugs or alcohol, leading to weight gain, which mean a greater risk for high blood pressure, type 2 diabetes and heart disease, not to mention a serious knock to self-esteem. Weight gain can also lead to relapse; it’s not unusual for those in recovery to turn back to their drug of choice as a quick fix to shed extra pounds.

11 Simple Eat-Healthy Tips

A registered dietitian can identify what your body needs most, but if that is not someone you have access to – following the guidelines below is a good starting point to begin revitalizing your body, brain chemistry and self-esteem with proper nutrition. And remember: You don’t have to overhaul your entire diet overnight. Start by simply being a bit more mindful about what you put in your body — for instance, skip processed convenience foods and fill your plate with lots of fruits and vegetables. Have fun by experimenting with different recipes or various ways to prepare foods you eat regularly. Here are more changes to consider making:

1. Stay hydrated. Your body needs regular hydration, so be sure to drink plenty of water. Women should aim for about 2.7 litres (91 ounces) of total water — from all beverages and foods (yep, foods have water too!) — every day, and men an average of approximately 3.7 litres (125 ounces daily) of total water, according to the Institute of Medicine. 

Drinking water flushes out toxins and aids in overall digestion and healing.

2. Start your day right with a good breakfast. You need the fuel from food — not just a quick cup of coffee — to keep you going through the morning, and your brain functions better with a breakfast boost as well. The best breakfasts include a mix of protein, fibre and healthy fats – this combo will keep you full for at least three hours and prevent blood sugar dips that can affect mood. Try some eggs with sautéed spinach and a pear, or low-fat Greek yoghurt with a handful of nuts and a sliced banana.

3. Cut out the caffeine. Whether from coffee, tea, soda or even food (like chocolate), caffeine can exacerbate anxiety and insomnia, which are especially prevalent in early sobriety. Sleep troubles are common partly because addiction disrupts the body’s circadian rhythms, making it difficult to fall (or stay) asleep without your drug of choice. 

If you find it impossible to completely cut out caffeine, limit intake to two beverages per day and neither too close to bedtime. (The effects of caffeine can last from eight to 14 hours.) Decaffeinated coffee is a better choice, but even decaf has a little caffeine.

4. Choose foods closest to nature. In other words, it’s better to eat an apple than to drink apple juice or eat applesauce, and it’s better to opt for a dry nut and fruit trail mix than an energy bar.

5. Read labels. Don’t worry about the calories and fat grams, but instead focus on the ingredients and minimize foods with a laundry list of items on the label (especially ingredients you don’t recognize or can’t pronounce).

6. Avoid sugary foods and refined carbohydrates. As mentioned above, it’s very common for those in recovery to turn to sugary, starchy foods to provide the rush and comfort that drugs or alcohol once provided. The result can be a “cross addiction,” or transfer addiction, in which a dependence on one substance is replaced with another. 

Sugar functions much as a drug does, triggering the release of the feel-good brain chemical dopamine in the same area of the brain affected by cocaine and heroin. In fact, a much-publicized study in PLOS ONE showed that rats preferred sugar to cocaine. 

Turning to healthy sugars (especially those found in fruit), “good” carbs (such as brown rice and quinoa) and protein (low-fat dairy, nuts, legumes) can help fight the siren song of pastries, cakes, candy and cookies. 

Try satisfying combinations with a touch of sweet, such as apple slices and all natural almond butter, string cheese and a peach or low-fat Greek yoghurt mixed with berries and walnuts.

7. Eat antioxidant-rich foods. Fruits and vegetables are jam-packed with powerful antioxidants, making them a good choice for rebuilding a strong immune system during recovery. Add fresh fruit (consider apples, strawberries and blueberries) and raw or lightly-cooked vegetables (broccoli, peppers and carrots are vitamin-packed choices) to your daily diet. 

As a bonus, these nutrient-dense foods help restore skin and hair, which often deteriorate when using alcohol or drugs.

8. Power your body with protein. When it comes to nurturing a recovering brain, protein is a key building block. Amino acids from proteins are used to make the neurotransmitters that allow your brain cells to network and communicate. 

Heavy use of drugs or alcohol combined with a decrease in nutrients also lowers your liver’s ability to filter toxins. If your liver isn’t extremely damaged, quality protein in food can help it become more efficient. Just be sure to choose healthy, easy-to-digest protein sources like fish, poultry and beans.

9. Fill up with fibre. Since alcohol and drug abuse upset your digestive system – often causing diarrhoea, indigestion and constipation — adding fibre to your diet will go a long way toward helping your body recuperate. Fill up on fruits and vegetables and start replacing white flour foods (white pasta, rice and bread) with 100% whole grains (brown rice, quinoa, barley). 

Foods like brown rice, black beans, artichokes, peas and pears will also provide valuable roughage for your system, which can improve elimination. Start slow and in small doses so your body adjusts to the additional fibre; for example, add a piece of fruit to your breakfast and then some vegetables to your snack. The next day, keep those foods in your diet and then add some beans to your salad at lunch.

10. Choose healthy fats. To assist in cellular repair and the absorption of vitamins and nutrients, it’s essential to consume an adequate amount of “good” fats. These include olive oil, flaxseed oil and omega-3s (found in fatty fish, nuts and flaxseeds).

11. Be a smart snacker. Eating regular, healthy snacks that contain some protein will help regulate your blood sugar, which keeps your mood stable. Light snacks might include hummus with carrot sticks or raw unsalted almonds and cashews.

Adding healthy eating to your addiction-fighting arsenal along with the therapeutic aspect can go a long way toward helping you make the right choices to stay sober. 

If nothing else, a well-rounded diet will help you look and feel better — and being happier with the person you see in the mirror is no small thing. 

The clearer eyes, hair and skin and heightened energy and mood that good food can bring are proof of progress and of your commitment to a better life.

 

 

International Herald Tribune