“Are you going to eat all that yourself?“

The delivery guy’s expression was incredulous as he handed me my order–an order, which, I’d used compromising means of obtaining, so desperate and pathological the means of my destruction had devolved.

I paused, immediately conjured a plausible lie, dismissed it and admitted, “Yes.”

“Whaaat?” He assessed my frame in disbelief.  “But…how?”

I had no energy for shame or mortification.

“I’m going to throw it all up when I’m done.”

Caught off guard by my candidness, his speech faltered, “Oh!  OhmyGod.  I’m sorry.”

“Don’t be.  It’s not your problem.”  I pause.  “Only, if you don’t ask your customers so many personal questions, you might not have to deal with so many personal answers.”

He nodded, reaching for the signed receipt.

Now, he is finally walking away, and I think he is going to let me be.

Still, not put off, he’s got one more for me.

“So…you’re like, Anorexic or somethin’”?

Yeah, buddy.  Or somethin’.

They don’t understand.  It isn’t gluttony.  And isn’t hedonism.

This is not about pleasure.  This is all about pain.

Near or distant, it’s likely that nearly every family has at least one “mad” relation.  You know who I’m talking about; the one who’s responsible for the legendary tales of insane behavior, collective embarrassment, and general familial strife? Chances are if you’re reading this essay, you either love a “mad” person or are one of them.  Well, you’re in good company my friend.

As late as the 1970’s, those “affected” were institutionalized in barbaric versions of asylums and hospitals, a la One Flew Over the Cuckoo’s Nest.  Strides made in modern medicine and mental health care ought to reduce the destructive ripple effect these individuals wield upon their respective families, but, in my estimation, it hasn’t done much to help.

At best, positive changes have been minimal;  mental illness poisons entire families.   The reality of mental illness is that there is no cure, only strategies of maintenance and coping.  The management of mood disorders is largely guesswork: trial and error requiring time, patience, resources and information.

And step one is diagnosis.

Correct diagnosis, that is.

From childhood into my early 30’s, I’ve been the unwilling passenger of a perpetual rollercoaster, with violent emotional waves dictating my behavior, decisions, and interactions.

I felt (and still feel) so wrong in the head, not understanding the constant intensity of emotion, the internal turmoil always clutching at my insides.

I’ve been confused by the behavior of those around me.  Everyone else seems so relaxed, so unaffected, so very, very even.

When I was younger, in elementary, middle and even high school, it frustrated me to no end that, when I was in a manic rage or sobbing desperately, my parents didn’t seem to take me seriously, dammit.  In fact, they often appeared amused.

Outrageous! How dare you! This is life and death we are talking about here!

I was quite indignant.

Talking to my dad about it now, he tells me: “I didn’t realize anything was really wrong.  I just assumed the fighting with your mother, the emotional outbursts, the dramatics…that it was all part of being a girl.”

Sexist, maybe.  Understandable? Absolutely.

Most of the time, I covered up the illness.  I desperately wanted (and still want) to fit in, be accepted, appear normal, be liked and admired.

And still, to this day, I seek external validation.  My 20+ years of Anorexia and Bulimia can certainly attest to that.

But of course, an Eating Disorder is not ever about just one thing.  Yes, a significant part of me wants to appear attractive, controlled, on top of things, and strong (ha ha…ha), BUT the main role of my Anorexia and Bulimia has been a homemade mood stabilizer,  only I never realized its true function until 2014, when I was finally diagnosed with Bipolar Disorder.

For years, family, doctors, psychologists, and therapists attempted to treat only the presenting symptoms: the starving, bingeing, purging, over-exercising, self-harming behaviors.

All the while, not seeing the forest from the trees.

At my sickest, I felt angry at them.  Patronized.

My problems were chalked up to the trivial pursuit of beauty.  Thinness. Perfection.  Attaining the unattainable, blah, blah, blah.

My parents theorized it was a preoccupation with vanity; a hyperbolic representation of societal standards for the aesthetic ideal.

The times when I veered toward the danger zone, more dead than alive, they realized it had become an obsession over which I’d lost control; a set of destructive behaviors so addictive and necessary that I was willing to die for them.

And I may, still.

My parents tried to understand, but they did not have all the information.

Wanting very much to keep me alive, they’ve attempted all conceivable ways to help: spending tens of thousands of dollars on treatment, hospitals, rehab, therapists, doctors, and dentists.  Arguing with insurance companies on my behalf, fighting for more comprehensive care.  Seeing me through divorce and bankruptcy.  Moving me back home and opening their own homes to me, all the while providing financial and emotional support.  Straining their own relationships, prioritizing my needs at the expense of my siblings.

I am a living, breathing investment.

And then.  

Then, the true and full extent of my family’s unconditional love, support and patience was tested when I had my first psychotic manic episode.  I had initially not been diagnosed with Bipolar Disorder because, for years, doctors, psychologists, therapists, and counselors had been focused on the presenting symptoms of my eating disorder.  Forest…trees…you get it.  

 Around the time of my divorce, my family had helped moved me back home, at their time and expense, I might add, but I’d already been relapsing into Anorexia once again.  Historically my anorexia has always manifested as sub-type 2: purging type.  What this means is, that I primarily restrict my calorie intake, but if I do binge, or even eat normal portion sizes, I will purge through vomiting.  During anorectic relapses, this behavior is always accompanied by excessive exercise.  I normally run 45 minutes to an hour, but during a relapse, a two to three-hour workout would be about average for me.  OCD behaviors always intensify during these times as well.  

Having refused to go to inpatient eating disorder treatment during this relapse,  I was seeing both a medical doctor and an outpatient therapist regularly, at my family’s behest.  The doctor, in an attempt to treat my “depression and anxiety” prescribed me anti-depressants, which promptly sent me into full blown mania.  

Starvation-and not in the hyperbolic sense, mind you-combined with, well, basically speed for Bipolar people, made me a fucking lunatic.  

 Compounding that, a Bipolar person, having a mixed-manic episode, I was readily and enthusiastically putting myself in peril. There’s that impulsive, risky element that’s so magnetically attractive in this state; even suicidal thoughts are idealized and appealing.

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