I stand in a bathroom next to an open window. I am not allowed to flush the toilet. Someone waits for me outside the door. I expect if I turned on the water in the sink with the door still closed, there would be questions asked. The absurdity of it all hits me, so that I almost smile in spite of myself.
I take a breath and open the door. A young woman whisks in, glances at the toilet, and says, “OK.” That is my cue that I can finish now. I flush the toilet and wash my hands. The door opens onto the kitchen, and I see two or three other women congregated at one end of the kitchen island, waiting for their turn in the bathroom.
I can’t take time now to fuss with my hair, even though I’ve wanted a chance to freshen up. I will have to make due with the little mirror in the hallway, which leaves everything below the chin to the imagination.
This is Prison. At least, that’s my code name for it. It has a real name, and a website about eating disorder treatment, and there is a long waiting list to come here. I sign myself in on a Monday in April, exactly one week after running the Boston Marathon.
I want to sign myself right back out. Actually, to be fair, I cope pretty well for the first day and a half. Tuesday begins with a brain-scrambling caffeine withdrawal headache, since Prison does not permit refreshment in the form of diet Dr. Pepper. But I know I am stronger than the headache—the suffering is temporary. I have managed to unpack and organize my clothes, take a shower, and generally fall in line with the routine. It seems like I could make it here, only I can’t remember why I should try.
Sometime before the end of Tuesday, I center all my hopes on release. The Prison staff won’t have it. My opposition to treatment clashes with their good intentions. I think of the Borg from “Star Trek”: “resistance is futile.”
I distract myself by following baseball and choosing marathon pictures.
My existence in Prison evolves into a mix of real fear and ironic humor (my favorite kind). I am scared by the level of control I have relinquished to these well-meaning people, because I am convinced their very goodness will misguide them. I am scared because I don’t know when I can reestablish a sense of normalcy, or whether I can even find that again once I go home. I am scared because my running shoes are locked away in my car and my car keys are locked away “upstairs.” I’m afraid because it seems that control—however illusory—is all I have, all I can hope for or aspire to. And maybe that’s true, in Prison or out: choices may be limited, but agency can never really be taken away.
Sometimes the fear rises in my chest and my throat, and I have to tamp it down. I try to make myself laugh. Yeah, you are really being tortured here, I joke to myself. How awful, they are going to make you do yoga, and the very kind yoga teacher will expect you to lie down on a mat covered by a blanket that smells … unpleasant. This, you can’t handle?! Come on!
The humor helps. Still, it is hard to be here, and everyone else here knows it. I don’t argue with the staff when they imply that I must have been pretty desperate to come. I have no Italian villa to retire to, and even if I did, I’d go there and there I’d be—I couldn’t escape from the person I need a rest from, myself. So I didn’t retire to Italy . I drove two days to St. Louis to stay in an inconspicuous house where no one will let me run and where they talk to me about nutrition. Human beings need food, the dietitian claims. Humans need to eat whether they run or not. Well, I don’t, I think, but I learn to keep some thoughts to myself.
We have good times in captivity. I care about the people around me. I know I will think of them long after I leave. In Prison I am free to say things I wouldn’t usually say. I tell about feeling judged by the grocery store cashier who wants to chat about my purchases, while I sense the pulsing of the neon sign across my forehead blinking, “This woman does evil things with food.”
For the first time since 2009, I go days and days without running. I hear kids shooting hoops in the backyard next door and I think it sounds fun. I walk around the neighborhood with my fellow captives, noticing the interesting architecture of old houses. I sit on the porch in the sunshine and color. I dance. I start to dream about running again. I wonder wistfully about my shoes, whether they will be safe in my car. I used them for a run the morning I checked into Prison.
Two weeks and more pass. When my chance for release arrives at last, I know it will be hard to leave, just as it would be hard to stay. I try to focus on the moment. My first run is intense and sweet. My first sip of diet Dr. Pepper tastes like manna, or so I imagine. I promise myself to stay grateful for the privilege of being outside on my own.
At home, I walk down the aisles of the grocery store contemplating physical laws. In the treatment center, Code Name: Prison, some rules seemed suspended. I believe if I ate the way I ate in Prison for even a single day, I would gain weight. In Prison, I felt embarrassed to be hungry. Outside Prison, hunger comes as a sign of safety. If I am suffering, I must be doing what I’m supposed to. Outside Prison, I am preoccupied with numbers. I know the nutrition information for everything I eat. I also know that no matter how much I run, it will not be enough. I take that for granted by now.
I run anyway. Two weeks out of Prison, my speed improves, as if my body is revving up. I look forward to my next marathon, in Luxembourg on June 8. I try to appreciate moving outside in sunshine, shopping by myself, going to the bathroom without a monitor.
FYI My response was a page long and blogger wouldn't take it so Im going to add paste all pieces.
ReplyDeleteoh Wow! This invokes many feelings in me but then again your last two posts invoked very different feelings. This time instead of running away from the feelings with I'll come back later and comment I'm forcing myself to stay and write.Forcing myself to feel? Perhaps if I just start I can get out some bottled feelings. I sit here frozen not sure how to express what I'm feeling. The worry, the tears, the jealousy of what you had. Hmmm which to dive into first?
The tears came first. Tears come from the worry I have that nothing really changed and you just went straight back to your own prison. You admitted that your mind is really a prison. I know that it took you a long time for you to develop that prison in your brain so 3 weeks isn't going to change those pathways in your brain. I remember from my cognitive psych class that every time you learn something new it makes new neuro pathways. Each time you then do the same behavior/action it reinforces the neuro connections. The behaviors that you are trying to break have been strengthened my doing them so many times they appear to be a habit. Habits can be good or bad. You must ask yourself if your habits will lead to health or lead to dire consequences. How has your ed served you? Can you undo years of self abusing behavior in 3 weeks? You admitted that you were afraid you would go back to behaviors. Did you voice this concern to staff?I know you left because you were afraid you had been out too long from work. Thing is how many times have you left work this year? Over your time working? Your body pays for mistreatment. I'm hoping that you will treat your body better. I'm hoping that you are now making healthy decisions. That your mind is free from the prison you have been caged in for years. For myself I know the times I left treatment before insurance wanted me to leave it was because I was afraid of gaining weight while I gave everyone the same excuse that I needed to get back to work. Truth was I hadn't done the underlying work that would help me develop new healthy behaviors. I still hadn't let my body recover so my thinking and decision making wasn't all that great either. Once out it didn't take my behaviors long to come back.
ReplyDeleteYears later I lost everything to my ed. I lost my job, spent 6 months in and out of medical hospitals, lost my teeth, etc. I had finally hit bottom. I entered treatment not realizing how sick I really was. Within my first week in treatment I had been rushed to the hospital with an over night blood transfusion and reaction 3 times. I couldn't even climb up in the van to take me to treatment. For the first 2-3 weeks I wanted to leave every day. I couldn't even go on the outings for 6 weeks. Everything felt like I was in a dream haze. It was so scary. I vowed never to get that sick again. I know myself very well. I knew what hadn't helped in treatment so I went into treatment willing to give recovery a chance. Yes, I knew that I would have to give up some freedoms for now but it would open up freedom in my life. Was I willing to trust these people so that in the end I would have all the freedoms that "normal" people enjoyed? I remember before going to treatment I would go to Whole Foods and be excited because after I was done with treatment there would be so many choices of vegetarian foods I could try. I went into treatment not calling it "prison" but hoping that this time I would conquer (SPQR ) my ed. I was willing to give control over to the treatment professionals for a short time because if I recovered I would have a very long healthy life. Without a recovery my life is in danger any time I use a behavior.
ReplyDeleteI'm not saying that I was the perfect patient and did everything without a fight in treatment. There were many days that I would want to run from treatment. When I did want to run I would just think,"You will be running right back to ed. You aren't ready. "I was in treatment for five months. In the end I didn't want to leave. I finally found people I could trust and then I had to leave. Not having a treatment team back here was a very bad idea. We all know that when you are in treatment and not making the decision to eat etc that you can't be considered in recovery. I find the most critical point is when you come out and have to continue to make the healthy decisions. It is critical to have support during this time.
So for that long ramble. I want so much to value yourself. I was very hopeful that you would give recovery a chance. Sigh. You have admitted the first step of powerlessness but you couldn't completely turn everything over and give it all to the program. (Don't mean to sound like 12 steps cuz I hate that.lol) I pray that you don't loose everything to your ed. Ed will kill you. I think that has something to do with the tears I shed after reading this. It is also hard to know that you have been in so much pain and I can't do anything to help.
ReplyDeleteI honestly think that maybe a paradigm shift needs to occur. A start would be not calling treatment prison. See it as support in getting to your goals. The song that keeps coming to my mind is one I left on my last blog.https://www.youtube.com/watch?v=GMeFzFUbmJo
The chorus in this song goes: What if your blessings come through raindrops? What if your healing comes through tears?What if a thousand sleepless nights are what it takes to know you are near?What if trials of this life are your mercies in disguise? So "prison " could be turned into a healing place but its gonna take a lot of work"sleeplessness nights" O.k. enough for now. I will get to the other feelings but need to shower and go plant my strawberry plants.
Amber, Amber. We all have prisons of one kind or another, and we all have to relinquish control, as challenging as this is. I think it is our biggest challenge and our greatest life lesson. Please, please take the steps that you need to. We all want to see you whole and healthy. I know about prisons too; the one of your own making is the most difficult to unlock. I am praying for you and rooting for you and worrying about you--in that order.
ReplyDeleteLove the Star Trek reference. Love you. LOL&H.
ReplyDeleteThank you for opening up and sharing difficult feelings. I only wish that I could unlock the mental prison you are locked in. Love you!
ReplyDelete