The Normalization of Cosmetic Surgery and its Impact on Society and Human Development

(submitted as a final paper for Advanced Human Development, College of Education and Human Development, Counseling and Development Program, GMU, Fall 2011)

Abstract

In 2010, Americans spent nearly $10.7 billion on 9.5 million cosmetic procedures (American Society for Aesthetic Plastic Surgery, 2011). Since 1997, the first year in which the American Society for Aesthetic Plastic Surgery (ASAPS) began collecting data, there has been a 155% increase in the total number of cosmetic procedures. According to a recent survey, more than half of Americans approve of cosmetic plastic surgery. As surgical and nonsurgical cosmetic procedures become normalized in our culture, changing expectations about age and beauty ideals may be altered in a way that can impact physical, cognitive, social, and emotional development throughout the life cycle. This paper explores the culture of cosmetic medicine, the social implications of its increasing popularity, and the resulting shift in ideologies that can contribute to increasing ageism and the unending quest for unachievable ideals, while also considering a cross cultural perspective and counseling implications.

Literature Review

There has been extensive research on the motivations that drive consumers of cosmetic procedures. While much of the literature focuses on college-age females, some studies have looked at the attitudes of older men and women. Regardless of age, many respondents who have either had one or more cosmetic procedures performed, or approve of cosmetic procedures, place less emphasis on the features for which they sought alterations, and more on the extraphysical benefits of doing so (Adams, 2010). In a study of motivational narratives, Adams found that the most prominent theme for the basis of opting for one or more procedures was “the notion that having surgery would have extraphysical effects, such as increased self-esteem or increased attractiveness to potential partners.” (p. 764). Adams went on to add “there was also an acute cognizance of the societal pressures to look young and attractive, and many respondents suggested that these messages, from media outlets and society in general, played a role in their decisions to have surgery.” (p. 764). The impact of media and the expectations of society are shown to have an impact in virtually every piece of literature reviewed for this paper.

In a study of the factors affecting the likelihood of having cosmetic surgery, Swami et al. found that there is a greater sociocultural pressure on women than men to attain and incorporate beauty ideals, and because these pressures are seen as normative for women, cosmetic surgery can appeal to those seeking a way to feel better about their bodies. (p. 217). Sarwer et al. had similar findings in their study of body image in its relation to the pursuit of cosmetic procedures. Their conclusion revealed that “for many individuals, cosmetic surgery appears to be an adaptive strategy to address body image dissatisfaction … thus, the pursuit of cosmetic surgery may be related to some form of psychopathology, which may be more appropriately treated by psychotherapy than cosmetic surgery.” (p. 107). Indeed, in the same study, breast augmentation patients reported more appearance related teasing, and more frequently used psychotherapy than the control group. (p. 106). In a case study by Lijtmaer (2010), a patient’s preoccupation with her outward appearance was a way to mask her intrapsychic feelings which were a result of unresolved conflicts with her mother.

It’s important to note that the pressures to move closer to an idealized image are not limited to women. Returning to the study by Adams, we see that men are opting for procedures that will make them more attractive to others in the “dating scene” (p. 759) and possibly give them more opportunities in a competitive job market where a younger generation is entering the workforce (p. 757).

Because some findings indicate the presence of a cohort effect from Baby Boomers who tend to feel that their physical age is incongruent with their mental age and are, therefore, more likely to resist aging naturally than pre-Boomers (Clarke, 2007), it is important to examine the motivations behind the largest age cohort in America. (Ferguson, 2010). In their examination of older women’s perceptions of natural and unnatural aging, Clarke and Griffin found that while women who had not had any surgical or non-surgical procedures viewed natural aging as the acceptance of the physical realities of growing older, another group who subscribed to the benefits of cosmetic procedures viewed natural aging as “unattractive, if not objectionable, as well as risky in light of the social and physical realties of growing older.” (p. 198). To this group, using medical technology to enhance or alter their appearance is a requirement of aging as later life becomes “further devalued and socially repugnant in a society underscored by ageist values and norms.” (p. 199). In a study by Slevec and Tiggemann (2010), they proposed and confirmed that aging anxiety defined as a “combined concern and anticipation of losses centered around the aging process” (Lasher, 1993), is a strong component in the decision to pursue cosmetic procedures. Aging anxiety and the pursuit of beauty are reinforced in the media and perpetrated by the cosmetic industry with books like The Wrinkle Cure (2000) by dermatologist Nicholas Perricone (as cited by Bayer, 2005) in which he refers to “wrinkled, sagging skin” as a “disease, and you can fight it”. Additionally, with the emergence of reality television programming touting the life-altering effects of cosmetic procedures while minimizing the risks involved, a normalization of participating in cosmetic enhancements has had a persuasive effect on potential patients. (Slevec, 2010).

While some people argue that age-defying and beauty-enhancing products and procedures can be liberating against the seemingly unstoppable effects of aging, Bayer proposes that such options “buttress the notion that looking old — and thus, being old — is socially, medically, and personally undesirable.” As cosmetic surgery and non-surgical procedures become more affordable in a competitive market, it is important to consider the psychological and social ramifications of body altering procedures. (Gilmartin, 2010). In her review of current literature, Gilmartin concludes that the medical system “bolsters and benefits from the larger consumer-orientated society by colluding with the beauty ideal and cultural mores.” (p. 1807). In a report on ethical challenges within the cosmetic surgery industry, Atiyeh et al. also concluded that physicians participating in the selling of cosmetic services and offering aesthetic services face inherent conflicts of interest, pointing out that it becomes “ethically suspect, breaching obligations of beneficence and honesty, when a physician trades on the status of doctor to sell a clinically unproven product (2008).” In so doing, not only is the culture at large exploited through their insecurities and poor body image, but those with psychopathologies such as eating disorders and body dysmorphic disorder are at greater risk of exacerbating their condition through procedures which by virtue of their disorder can not produce the results they seek. (p. 1804).

Discussion

The increasing popularity in cosmetic surgery and non-surgical procedures seems to take us down a slippery slope. Where does one draw the line between getting a pedicure, putting on lipstick, using Botox injections, or having abdominoplasty (tummy tuck)? By participating in a beauty culture, are we adding to our potential or entering into a vicious cycle of body dissatisfaction? According to Sarwer, some studies have revealed continued improvements in psychological functioning in the first year following cosmetic surgery. However, Sarwer also points out it is possible that “improvements may diminish, particularly if they are related to the frequency of positive feedback patients receive about their postoperative appearance.” (p. 109). More studies need to be done to research the long-term psychological impact of cosmetic surgery, particularly in a culture of medicine where many surgeons’ mantra is said to be ‘start early, do often’, (Gilmartin, 2010), a philosophy internalized by many pro-cosmetic procedure participants across numerous studies reviewed for this paper. Additionally, with 19% of cosmetic procedures performed on racial and ethnic minorities in 2010, more research needs to be done on the relationship between the work being done and its psychological impact on members of different cultures who have to mitigate the ideals from their own cultures with those of a new culture in which they desire to become a part of.

Though ideals of beauty change over time as a result of many influences, Western cultures, and in particular, white cultures seem to dominate the ethos of beauty. In Lijtmaer’s review of the literature, she found numerous studies that point to an increase in body dissatisfaction as non-white groups become acculturated into American culture. (pp. 205-207). With the current widening in socioeconomic gaps, access to cosmetic procedures could further reinforce the difference in status between the haves and have nots, which may be delineated across cultures with minority groups in lower income brackets and less access to expensive procedures.

Another concern I have is the possible pressure exerted on those who otherwise have a healthy body image and self perception. As cosmetic procedures become more accepted and affordable, we run the risk that it becomes a new standard and practice in which we are to participate if we wish to be deemed normal. Take for example the predominantly female practice of hair removal. Though women may not want to participate in the practice, in American culture, it is seen as socially unacceptable to have hair on the legs and underarms, and indeed, according to Toerien et al., “body hair is a flaw, unfit for public display”, (2005). Therefore, women practice hair removal as a necessary part of maintaining femininity, an act, which Toerien suggests serves to “reinforce the view that underpins all the body-changing procedures, from make-up application to cosmetic surgery: that a women’s body is unacceptable if left unaltered.” (p. 400). So, although at this time, I choose not to color my hair, accepting the gray as it comes with age, there may come a time when I am competing for a job, or perhaps even a mate, against peers who participate more extensively in the beauty culture and present a younger facade which in turn may give them an advantage — an advantage that I too could obtain by making similar choices. So one can be faced with giving in to a new norm or facing the consequences of trying to stay true to oneself.

There is no denying the inherent appeal of beauty throughout animal nature. Birds have their plumage to attract a mate, flowers have bright, bold colors to attract their pollinators, male lions have large manes to intimidate their opponents. All of these attributes signify their potential ability to be successful in their environment, surviving challenges and attracting a mate to produce offspring. It could be and has been argued that humans, in this regard, are no different, at the basic level, which provides a basis for our quest for youth and beauty. If, at our core, our purpose is to pro-create, then we are likely to seek out those who reflect the ability to successfully do so. However, as humans, we have the benefit of higher thinking to take in a bigger picture when assessing the desirability of others, whether we are seeking a mate, an employee, a friend, or a nanny. What alarms me about the rising numbers of people seeking cosmetic procedures is that it places an increasing importance on outward appearance while potentially diminishing the value of what is inside. As discussed in depth by Namir (2006), when the outward body becomes the ultimate means for expression through transformation, a person risks abandoning the inside for the outside. In Namir’s interpretation of one patient’s decision to have procedures done, she chose to hide “in homogenization, looking as the world deemed attractive rather than emerging from her own aliveness, radiance, sensuality and self-expression.” (p. 218).

Counseling Considerations

The counseling considerations in relation to the booming cosmetic surgery industry are wide reaching since its impact spans all four domains of development across the stages. As children enter into adolescence and face changes in their bodies, pressure to make their bodies conform to physical ideals that may only be met through unnatural means could lead to risky behaviors such as disordered eating. At a time when identity formation is at its peak, increasing emphasis on physical appearance can lead to a devaluation on internal qualities that make up the identity. As a person continues throughout the life cycle, the pursuit of physical ideals might lead to continued disappointments as an individual tries in vain to live up to fabricated ideals that hold no basis in reality. Maintaining a focus on superficial traits can influence social relationships as a person forms personal connections with others based on externally formed values. And while the long term physical affects of plastic surgery and more recent cosmetic procedures have yet to be extensively measured, it seems impossible to escape at least some negative physical ramifications of these procedures.

Interventions

As clients evaluate their own self worth in the therapeutic setting, it is important to consider the impact of the beauty culture within which we live and work with clients to set standards for self evaluation that are less dependent on external measures while also allowing for the inevitable pressures placed on us by society to look our best on the outside regardless of how we feel on the inside. With patients who are considering or have already used cosmetic procedures to enhance their self perception, counselors should evaluate the goals the patient ultimately believes they will attain by having procedures done and work to understand the underlying psychopathologies that may be contributing to a diminished self image. Interventions could include working with a client to discover internal measures of value, focusing on past accomplishments that occurred irrespective of the client’s physical appearance, and working on goals that can continue to build on a person’s inner qualities. Also, since a focus on external appearance may be a coping mechanism for masking interpsychic conflicts (Lijtmaer, 2010), a greater understanding of unresolved issues that may have arisen even far in the past may present a relevant context for their attitudes and allow for an opportunity of resolution.

As a counselor, I would have to be cognizant of my own body image and views on cosmetic surgery. Past struggles with an eating disorder and defining my value based on physical appearance predisposes me to judgements about others in decisions they make based on their own physical appearances, particularly when they engage in surgical and non-surgical cosmetic procedures. Prior to researching this topic, I felt certain that in most cases, a patient’s body image and overall psychic well being would not benefit long term from cosmetic procedures because my assumption was they were focusing on external, easily manipulated “problems” rather than focusing on deeper issues that may present bigger challenges a patient is not ready to face. While that may be the case for some, I would need to remind myself that each person presents different experiences and therefore different responses to those experiences and some may in fact benefit from the very procedures I naturally find myself opposed to.

References

Adams, J. (2010). Motivational narratives and assessments of the body after cosmetic surgery. Qualitative Health Research 20(6), 755-767.
American Society of Aesthetic Plastic Surgery, Cosmetic Surgery National Data Bank Statistics, 2010.
Atiyeh, B., Rubeiz, M., & Hayek, S. (2008). Aesthetic/cosmetic surgery and ethical challenges. Aesthetic Plastic Surgery, 32, 829-839.
Bayer, K. (2005). Cosmetic surgery and cosmetics: redefining the appearance of age. Generations, Fall 2005, 13-18.
Clarke, L.H., & Griffin, M. (2006). The body natural and the body unnatural: beauty work and aging. Journal of Aging Studies, 21, 187-201.
Ferguson, R. & Brohaugh, B. (2010). The aging of Aquarius. Journal of Consumer Marketing, 27/1, 76-81.
Gilmartin, J. (2010). Contemporary cosmetic surgery: the potential risks and relevance for practice. Journal of Clinical Nursing, 20, 1801-1809.
Lasher, K.P., & Faulkender, P.J. (1993). Measurement of aging anxiety: development of the anxiety about aging scale. International Journal of Aging & Human Development, 37, 247-259.
Lijtmaer, R. (2010). The beauty and the beast inside: the American beauty — does cosmetic surgery help? Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 38 (2), 203-218.
Namir, S. (2006). Embodiments and disembodiments: the relation of body modifications to two psychoanalytic treatments. Psychoanalysis, Culture & Society, 11, 217-223.
Sarwer, D.B., & Crerand, C.E. (2004). Body image and cosmetic medical treatments. Body Image 1, 99-111.
Slevec, J., & Tiggemann, M. (2010). Attitudes toward cosmetic surgery in middle-aged women: body image, aging anxiety, and the media. Psychology of Women Quarterly, 34, 65-74.
Swami, V., Arteche, A., Chamorro-Premuzic, T., Furnham, A., Stieger, S., Haubner, T., & Voracek, M. (2008). Looking good: factors affecting the likelihood of having cosmetic surgery. European Journal of Plastic Surgery, 30, 211-218. DOI: 10.1007/ s00238-007-0185-z
Torien, M., Wilkonson, S., & Choi, P.Y.L. (2005). Body hair removal: the ‘mundane’ production of normative femininity. Sex Roles, 52, Nos. 5/6, 399-406. DOI: 10.1007/ s11199-005-2682-5.

Confessions of a Failed Anorexic Has Arrived!

After nearly three years of work, my novel, Confessions of a Failed Anorexic is finally available! Here is the description as it reads on Amazon:

Sarah Thompson went on her first diet when she was seven years old, and has been on a dieting roller coaster ever since. Longing for what she doesn’t have, the unfulfilled stay-at-home mom goes on a journey of self discovery tainted by the pursuit of a perfect body. An unlikely friendship with fun-loving and thin-obsessed Stacy Vargus leads Sarah down a path she believes will bring her closer to a world she has spent a lifetime chasing, only to realize it doesn’t exist. An unexpected reunion with an old friend unleashes a passion for life Sarah had long forgotten, giving her a new lens through which to view her world.

This debut novel by Michelle Cantrell offers an entertaining twist on keeping up with the Joneses while revealing the dangers of losing oneself to the superficial status symbols of suburban life.

Sharing this with the VenusVision community, I am aware that some readers may be fighting an eating disorder. For that reason, I would like to share what I wrote about the title in my novel.

Being involved in the Eating Disorder Community, I’m sensitive to the emotions Confessions of a Failed Anorexic might elicit in some. The reason I chose the title is that for much of my life, that’s how I felt. Years of disordered eating skewed my thinking to the point that I believed an eating disorder would bring me happiness in the form of a thin body. I was naive in thinking that if I could somehow become anorexic, I could control the eating disorder. Though I never did become anorexic, I periodically practiced starvation and purging, and was eventually diagnosed with an Eating Disorder Not Otherwise Specified (EDNOS). I finally sought help when thoughts of food and hatred towards my body, combined with destructive behaviors dominated every moment of my life.

Eating disorders come in all shapes and sizes and as many as 10 million females in the United States suffer from an eating disorder. Despite the fact that eating disorders have the highest mortality of any mental disorder, the majority of people with severe eating disorders do not receive adequate care. (National Eating Disorders Association, 2008)

It is my hope that this novel will demonstrate how the destructive nature of disordered eating can easily cross over into an eating disorder, and bring life and death complications with it. After recovering from my own eating disorder, I began discovering all life has to offer when one isn’t entirely devoted to achieving an arbitrary ideal of beauty and thinness. I hope that others can find the same hope and begin to aim for more in life than a number on the scale.

At this time, the novel is only available on the Kindle. If you don’t have a Kindle, there are still many devices for which a free Kindle reader application is available, such as PCs, Macs, iPads, iPhones, Droids and Blackberrys. To download a free app, go to Amazon.

I am hoping in the future there will be a print edition. Until then, I hope you will share my novel with anyone who has ever struggled with body image and their relationship with food.

Note: This book contains content that may be triggering for some who are suffering from or in recovery from an eating disorder.

Confessions of a Failed Anorexic

Are Words Weighing Down the Development of Policy for Better Health?

New Media Analysis Shows Room to Improve When Communicating About Weight and Health

WASHINGTON, D.C., May 9, 2011 – Unrealistic and uninformed media portrayals of weight not only can negatively influence individual behavior, but can impact how policymakers approach issues of weight and health. The result, according to experts from the Strategies to Overcome and Prevent (STOP) Obesity Alliance and the National Eating Disorders Association (NEDA), is a continued belief that these issues are largely a matter of personal responsibility and that little can or should be done in policy to address them.

Susan Dentzer, editor of Health Affairs, moderated a panel convened today on Capitol Hill to discuss the media’s role in shaping the policy environment surrounding weight and health. Panelists discussed whether policymakers believe that weight is an individual issue or a public health problem and whether media plays a role in driving who is responsible and who should take action.

“In a time of ongoing budget tightening and confusion regarding health care coverage, we must find a way to create policies that address obesity and eating disorders, without letting our own biases get in the way,” said Christine Ferguson, J.D., Director of the STOP Obesity Alliance. “There is no evidence that stigmatizing weight-related health issues prevents or treats these problems — in fact, the opposite appears to be true. It is an important opportunity for members of both the obesity and eating disorders communities to advocate for a focus on health rather than weight as a measure of well-being.”

The groups released a new analysis of media coverage that showed room to improve the reporting on weight and health, based on a series of media guidelines released by the STOP Obesity Alliance and NEDA last year.

The guidelines offer simple message themes to include when addressing weight and focus on the concept that weight status and the importance of maintaining a healthy weight is not about appearance, but about health. A comparison of coverage from sample outlets over the last year however — looking at media that target a “Beltway” audience and those that are more consumer oriented — found that 75 percent of articles initially reviewed were dismissed from the analysis because they lacked substantive content. While many consumer articles focused on weight-loss tips, characterized as “fighting flab”, “shrinking your middle” or “looking leaner naked”, most failed to mention the health implications.

“Our conversation today and the new media analysis echo the ongoing need for us to address the societal pressures and the unrealistic images that we know can be contributing factors among people who develop eating disorders, depression and other esteem issues,” said Lynn Grefe, President and CEO of NEDA. “It is why we have come together to address these issues. These pressures affect all of us.”

The media analysis also found that Beltway media publications were three times as likely to consider external factors beyond will power as playing a role in, and being affected by, weight issues. Examples of this were a higher rate of coverage in Beltway outlets that reported on how weight issues can impact the economy and the workplace.

The roundtable discussion, “Pounds and Policy: Effectively Communicating About Weight and Health” also included experts from a cross-section of fields including media, communications, eating disorders and obesity:

• Jean Kilbourne, EdD, media critic, author and expert on advertising and women
• Sarah Kliff, health reporter POLITICO
• Dianne Neumark-Sztainer, PhD, MPH, RD, Professor, School of Public Health, University of Minnesota
• Rebecca Puhl, PhD, Director of Research, Rudd Center for Food Policy & Obesity at Yale University
• Chevese Turner, Founder and Chief Executive Officer, Binge Eating Disorders Association

The STOP Obesity Alliance and NEDA will continue work and outreach to the media and policymakers regarding the joint guidelines.

The National Eating Disorders Association (NEDA), headquartered in Seattle, Wash., is the leading U.S. non-profit organization supporting individuals and families affected by eating disorders. NEDA serves as a catalyst for prevention, cures and access to quality care. Each year, NEDA helps millions of people across the country find information and appropriate treatment resources through its toll-free, live helpline, its many outreach programs and website. NEDA advocates for advancements in the field and envisions a world without eating disorders. For more information, visit www.NationalEatingDisorders.org.

The Strategies to Overcome and Prevent (STOP) Obesity Alliance is a collaboration of consumer, provider, government, labor, business, health insurers and quality-of-care organizations united to drive innovative and practical strategies that combat obesity. The STOP Obesity Alliance receives funding from founding sponsor, sanofi-aventis U.S. LLC, and supporting sponsors, Allergan, Inc. and Amylin Pharmaceuticals, Inc. For more information, visit www.stopobesityalliance.org.

Contact:
Alice Sofield
202-609-6006
asofield@ccapr.com

EDNOS: The Eating Disorder You Haven’t Heard Of

When I received the diagnosis of Eating Disorder Not Otherwise Specified two years ago, I had a very mixed reaction. On the one hand, the label didn’t seem to fit. Me? With an eating disorder? I wasn’t underweight, and in fact was technically on the edge of being overweight. I had intentionally thrown up from time to time, but certainly was not bulimic. I had tried starving myself periodically in an attempt to get my weight under control, but I definitely wasn’t anorexic. At the most I considered myself a chronic dieter, or someone who at times could be a little obsessed with healthy eating and exercise. I could agree that my eating was very disordered but to identify myself as someone with an eating disorder made me squirm in my seat a bit. (For more on the differences between disorders and disordered eating, read Disordered Eating or Eating Disorder?)

On the other hand, after hearing my therapist tell me I had an eating disorder, I felt relief. After all, I was there to get help, and if I could label my problem, perhaps the solution would come more easily. I was ready to silence the voice in my head that made me obsess over my body and food 24 hours a day 7 days a week, and if giving that voice the name ED (for Eating Disorder) would help, I was willing to accept it.

National Eating Disorder Awareness Week is February 21-27 this year, which seems like a good opportunity to bring attention to this lesser known sibling of Anorexia and Bulimia. Everyone knows about Anorexia and Bulimia, but EDNOS, which has only recently begun to receive recognition in the mental health community can be as equally dangerous and life consuming as its better known counterparts.

So what does Eating Disorder Not Otherwise Specified mean? Well, the short answer is a “category [of] disorders of eating that do not meet the criteria of a specific eating disorder,” according to the most recently updated version of the Diagnostic and Statistical Manual. Ultimately, the definition is more anecdotal which explains why it is often harder to identify, though according to the publication Eating Disorders: The Journal of Treatment and Prevention, 50 percent of individuals who present for treatment of an eating disorder receive the diagnosis of EDNOS which effects 4 to 6 percent of the general population.*

While many of the criteria for EDNOS may closely mimic anorexia or bulimia, some behaviors are less obvious, and in fact, within our diet and body-obsessed culture, can appear perfectly normal. What may look to an outsider as just another diet involving close monitoring of caloric intake as well as exercise, may in fact become — if not already — an unhealthy and unnatural way to control weight based on an intense drive to be thin combined with an unrealistic body image. On the flip side, EDNOS also includes the sub-category of Binge Eating Disorder (BED) which is often overlooked as a simple lack of willpower and/or self control. Regardless of wherever a patient lies in the spectrum of EDNOS, it is important to realize that the emotional trauma suffered as a result of the disorder is equal to that of Anorexia and Bulimia, and should not be seen as anything less than a serious illness.

The introduction of EDNOS as an accepted diagnosis “gives a voice to sufferers who don’t fit into the narrow diagnostic categories of Anorexia, Bulimia, and Binge Eating Disorder” said Shannon Cutts, author of ANA: How to Outsmart Your Eating Disorder and Take Your Life Back, and founder of Mentor Connect, a community of people in recovery from eating and related disorders.

Cutts, who herself suffered from Anorexia, Bulimia and EDNOS feels grateful for the recognition of EDNOS, and encourages sufferers to seek help. “If you know that your symptoms, thoughts, and behaviors are affecting your quality of life, then you both need and deserve help. Use your voice and ask for help. Do not assume you are the only one who “doesn’t fit” into a category and therefore you don’t deserve help. There are many people who suffer from EDNOS and you help not just yourself but everyone who suffers from it when you demand the care you deserve. Search out a medical professional who is familiar with eating disorders rather than struggling to educate an unsympathetic doctor or therapist. Be your own health care advocate. You know better than anyone else when you are struggling and need help. Eating disorders kill, and just because your symptoms don’t fall into the three most commonly-recognized categories does not mean they are not equally deadly.”

The health complications that arise from eating disorders are extensive, and include low blood pressure, slower heart rate, a decrease in bone density, a disruption in hormones, sometimes leading to infertility, and more. Even more alarming is the fact that eating disorders have the highest rate of death among any mental disorder — just one episode of bingeing and purging can cause an electrolyte imbalance causing sudden death. That is why it is so important to recognize that eating disorders come in all shapes and sizes, and present themselves in a variety of ways.

Is there treatment for EDNOS? Though whole rehabilitation centers have risen to address the problems specific to Anorexia, Bulimia, and even Binge Eating Disorder, there is help for other non specified eating disorders. The effort to overcome any eating disorder is extensive and should not be downplayed. Most of the times, the help of a mental health professional is necessary, and the journey through recovery is never quick and painless. But when you consider the alternative of living a life plagued by self loathing, fear of food, and serious health risks, including a premature death, the effort is one that must be undertaken to break free and live a full and happy life.

As for my own journey, to be honest, it’s an ongoing process. Sometimes it’s two steps forward, one step back. But as Jenni Schaefer, author of Life Without Ed, and Goodbye Ed, Hello Me likes to say, fall down seven times, stand up eight.

Book Review: Women Food and God

After reading a sample chapter of Geneen Roth’s new book Women Food and God: An Unexpected Path to Almost Everything my former therapist sent to me, I immediately went to Amazon, ordered the book, paid for upgraded overnight shipping, and waited impatiently for it to arrive while going back and rereading the sample chapter (which is Chapter 4, entitled “It’s Not About the Weight, but it’s Not Not About the Weight.” Saturday morning, I poured myself a cup of coffee, went out on my patio in the chilly morning spring air, and opened up the book. As I devoured page after page, tears streamed down my face as I felt both happiness and sadness with each sentence I read and identified so deeply with: happiness to realize how far I have come in my own journey to ending years of disordered eating habits and finally reaching levels of fulfillment I never thought possible, and sadness to recognize the isolation and emptiness so many around me feel and try to numb themselves from with food.

Let me preface this review by saying I am not a religious person, and when the book was first brought to my attention, I initially dismissed it, turned off by the title. I didn’t feel that God has anything to do with my relationship with food, and, I was guilty of judging a book by its cover (or in this case, the title). So, if you are inclined to dismiss it for those reasons, don’t. The book is less about God, and more about finding a space within ourselves — a space we often fill with food, rather than exploring to its depths. Some people, when they open themselves up to that space have a name for it in God. Others might define it in broader terms like spirituality. And some might simply feel it as being one with themselves and all around them. The point of the book is to demonstrate how the relationship so many people (or more specifically in this book, women) have with food keeps us from any of those things, and more importantly how to change that relationship.

In part one, Roth addresses the “God” part of the book and how God related to dieting for her in the past. “Dieting was like praying. It was a plaintive cry to whoever was listening: I know I am fat. I know I am ugly. I know I am undisciplined, but see how hard I try. See how violently I restrict myself, deprive myself, punish myself. Sure there must be a reward for those who know how horrible they are.” She talks about how dieting gave her a purpose — perhaps much in the same way religion might for some people, and then she goes on to say “bingeing gave me relief from the relentless attempt to be someone else.”

Roth has written many books (which I am sad to say I have not yet read) on the subject of emotional eating, but a realization she says she has only recently come to is that “the radical part of the tale is not that I stopped dieting; it’s that I stopped trying to fix myself.” This reminded me of a similar realization I came to and wrote about in the article Self Acceptance vs Body Acceptance in which I proclaimed to end the urge to fix myself.

And yet, it is often hard to imagine a world in which we are not constantly trying to fix ourselves, especially our bodies. For one, it’s how women have learned to relate to each other. As Roth points out, “we fit in by hating ourselves.” I’m sure from time to time you come across that person who seems to hold that secret to happiness and balance the rest of us struggle daily to find, and isn’t there just a tad of resentment towards them? Maybe you’re just waiting to see them fall in order to prove they too  are actually imperfect humans like you, which probably explains our obsession with celebrities and the great joy many find in seeing photos of their cellulite and jelly rolls as we go through the check out line with smirks on our faces. It’s almost as if there is something wrong with someone if they don’t hate themselves — or at least some part of themselves. And yet, the ability to see their imperfections and embrace them as part of a greater whole is what makes them happy, and it’s the lack of that ability that keeps others from achieving true happiness.

It’s also hard to let go of the belief that achieving weight loss will be accompanied with the answers to all of our problems. Though on a rational level, we can understand that a number on the scale won’t change the world, “the promise of weight loss is that it will allow [us] to live on a magical piece of earth from which everything else will be manageable … If I fix myself so that I am no longer myself, then everything will be fine. My feelings will be manageable.”

In the chapter entitled “Never Underestimate the Inclination to Bolt” Roth addresses head on why we might avoid overcoming compulsive eating (or dieting). She bluntly states it when she says “compulsive eaters wouldn’t have an obsession with food if we believed that life was tolerable without it … There is madness in obsession, yes, but its value is that it drowns out the madness of life.” This sentiment is followed by the chapter that hooked me on the book: It’s Not About the Weight, but It’s Not Not About the Weight. And that’s when Roth goes on to explain the conundrum of addressing the very real problems that are created by excess weight: diabetes, joint pain, shortness of breath, and for many, a general decrease in the quality of life due to health complications, while all the while trying to unsurface the deeper issues which are being covered up by the weight problems. Here is a very poignant passage from the chapter:

“The bottom line, whether you weight 340 pounds or 150 pounds, is that when you eat when you are not hungry, you are using food as a drug, grappling with boredom, or illness or loss or grief or emptiness or loneliness or rejection. Food is only the middleman, the means to the end. Of altering your emotions. Of making yourself numb. Of creating a secondary problem when the original problem becomes too uncomfortable. Of dying slowly rather than coming to terms with your messy, magnificent and very, very short — even at a hundred years old — life. The means to these ends happens to be food, but it could be alcohol, it could be work, it could be sex, it could be cocaine. Surfing the Internet. Talking on the phone … Weight (too much or too little) is a by product. Weight is what happens when you use food to flatten your life.”

And, if you’re thinking your compulsive eating stems from a simple case of too much love for food, Roth has an answer for that too: “When you like something — love something, you take time with it you want to be present for every second of the rapture … Overeating does not lead to rapture. It leads to burping and farting and being so sick that you can’t think of anything but how full you are. That’s not love; that’s suffering.” How can you love something that makes you sick over and over again? It’s like returning to an abusive partner every time they say they are sorry, and really, they do love you, and really, it won’t happen again. But like so many women who are abused and feel that they somehow deserve the abuse — as if they brought it on themselves, compulsive eaters and dieters continue to punish themselves through their relationship with food because they don’t feel worthy of something better.

Like most other books that address emotional eating, Women Food and God is for those ready to do some serious work and reflection on their lives. Roth challenges the reader to face head on the pain and uncomfortable feelings that drive them to eat when they’re bodies are telling them not to. What she reminds the reader over and over throughout the book is that the very feelings they feel will destroy them are the same feelings that allow us — everyone of us to feel alive. If you are ready to top numbing yourself with food and dieting, start feeling alive, this beautiful written, incredibly powerful book is for you.

Book Review: The Body Love Manual — How to Love the Body You Have as You Create the Body You Want

You might find it strange to think that you need a manual on loving your body, but in fact, there is a book written by Elizabeth “Lily” Hills called The Body Love Manual*, and that’s precisely what it sets out to do — teach you to love your body. Right now, go to a mirror, look yourself directly in the eye and say “I love my body.” How does that feel? When one person I know said those words out loud, she said she felt silly. Silly because nothing could be further from the truth for her, as I suspect is the case with most people. I don’t have any statistics on how many people dislike their bodies, but if I were to take a guess, I would probably say that most people range somewhere from a vague dislike to an intense hatred of their bodies. And our eating habits confirm that.

It seems like most of us are either on a diet, trying to create a body that we can feel happy with, or treating our body with complete disregard, filling it beyond capacity with foods that would make our body scream in pain if it could talk. And then, when we can’t stand to look in the mirror anymore, or feel totally out of control around food, we go on a diet. Again. But let’s face it — diets don’t work.

Ninety-five percent of people who go on a diet regain the weight lost, and often more, within five years. But how are we supposed to reconcile those statistics with things like “obesity epidemic” or “1 in 3 Americans are overweight” and “war on obesity”. If diets don’t work, how are we supposed to cure our country of unhealthy eating habits and an inactive lifestyle? Jamie Oliver thinks he has the answer with his Food Revolution. Michelle Obama hopes she has the answers in trying to eradicate childhood obesity by encouraging kids to get off the sofa and get outdoors. In both cases, the focus, ultimately, is about teaching people to live healthier lives — to choose apple slices instead of chips, grilled chicken instead of burgers, bike riding instead of Playstation. But together, both Obama and Oliver are only getting at half the problem — which is what people eat, and without addressing the other half — why people eat, they will never reach the long term success they both genuinely want and hope to achieve.

The concept of intuitive eating is gaining momentum and working towards that goal with the help of books like Intuitive Eating, and Eat What You Love, Love What You Eat will be far more effective than wagging the finger at people in an effort to get them to make better choices. The Body Love Manual takes intuitive eating one step further by guiding readers through a process of identifying what it is that keeps them so disconnected from the bodies, preventing them from listening to and properly nourishing their bodies. Though the subtitle of the book is How to Love the Body You Have as You Create the Body You Want, don’t be mistaken. This is not a diet book in disguise. The Body Love Manual is for anyone ready to put away dieting forever, deciding to become an intuitive eater, and challenging the thoughts and feelings that so far have preventing you from achieving that goal. Integral to this process is learning, as the title suggests, to love your body. As Hills points out, “The human body is tragically under-appreciated, neglected, and abused…The fact is that it is very hard to feel motivated to take care of something you don’t care about. Conversely, when you care deeply for and truly honor your body, you will be far more likely to make the healthier choices for it.”

The Body Love Manual should not be a quick read. It requires reflection and real emotional work. But ask yourself if you identify with this passage from the book:

“As the number I saw on my bathroom scale went up, my sense of self-worth plummeted. During this period of my life, it was rare for me to appreciate and value any of my other qualities … [which] became secondary in comparison to my weight.”

If you feel like you could have written those words yourself, then perhaps it is time to begin the work towards loving your body because “When your thoughts about yourself are respectful and appreciative, you will begin to attract more positive experiences of all kinds into your life.”

Though the Body Love Manual talks about achieving your ideal weight, you might begin to question what your “ideal weight” is and in fact you may find that you are already there, because your “ideal weight” should reflect a healthy lifestyle that is not measured by a number on the scale but by the feelings that come from your mind and body which will tell you when you’ve reached it.

*As required by FCC law, I am disclosing that The Body Love Manual was donated by the author for purposes of this review.

When Weight Loss Is the Ultimate Indicator of Success

If you’ve read some of my more personal posts on VenusVision, or you otherwise know me, you know my body image and food issues go way back. In fact, my first diet was the Beverly Hills Diet at age 7. I don’t remember feeling fat at the time, but for some reason my mom and I went on this diet together (for the record, she wasn’t fat either). The main thing I remember about the diet — which I didn’t realize as such — was that all the nuts and dried fruit were having an “effect” on my digestive system. I was worried about all the trips to the bathroom, but my mom explained that the food was doing its work “cleaning out my system.”

Other early memories include giving my pudding away because I knew it would make me fat, and later on in elementary school, being offered incentives to lose weight (though again, I wasn’t fat, but perhaps on the high end of “normal” and therefore bigger than most of my peers).

The diets increased, though the weight loss never came, and as for so many girls and women it became nothing short of a quest. I was searching for the Holy Grail of weight loss because surely with it would come the label of success which I otherwise felt unable to reach.

I graduated from high school as an honor roll student after pulling my grades out of the gutter. But it didn’t mean anything when I put on my graduation dress and it was tight, revealing my large tummy. (As soon as I took off my graduation gown, I immediately changed out of my dress as well before anyone could see me in it.)

I graduated from college, again with high marks, but still didn’t feel as though I had reached success because I had not lost weight.

I earned a black belt in Karate, but could never stop thinking about how my Ghi pants never got looser during my training.

I ran half marathons, but felt defeated after looking at the race photos and seeing my flabby legs.

I birthed two children but always lamented my flabby middle from which they came.

I completed a triathlon, but worried about how I looked in my wet suit, and cropped the after-race photo before sharing with my friends to avoid showing my legs in my bike shorts.

No matter what great accomplishments I succeeded in, it was always overshadowed by one thing. My failure to lose weight.

Once, actually, I did manage to lose a fair amount of weight, reaching the lowest number on the scale I had ever seen as an adult. When I reached what I thought would be my “goal” weight, I wasn’t happy. That weight did not reveal the body I desired. So still, I felt like a failure.

And of course, any temporary weight loss I ever did manage to achieve was met with what seemed like far more recognition than any other accomplishment. I learned early on to judge others by their weight and assumed accordingly that every person judged me by mine.

So if I was able to do all of these other things, why couldn’t I succeed at the one thing I had been working at my whole life? At least that’s one way of looking at the situation. Of course, another way of looking at it was to ask myself why I defined success almost entirely by a number on a scale or the size clothing I was wearing? And, after living and thinking that way most of my life, how was I going to change that way of thinking?

Well, it’s taken a lot of work, much of which was done with the help of a professional. I have worked on reframing the constant barrage of negative thoughts that used to invade my head 24/7.  In the past, I would take note of every body (not ‘everybody’ but EVERY BODY) that came into my visual range, and compare my body to theirs. Was I thinner or fatter than each person in the room, I would think to myself. Now I still notice everyone in the room, but instead of seeing what might be noted as flaws, I look for their unique characteristics that make them beautiful.

By judging others less on their appearance, and  stopping the constant comparison of myself to them, I was able to begin the work of accepting my body, and end the cycle of constant dieting/deprivation/calorie counting that has made me miserable for so many years. Of course, there were many elements to my progress, many of which are highlighted in the article Celebrate Your Body.

I have come a long way, and most days, I can look in the mirror, noticing all the things about myself I used to see as flaws, and simply see them as they are — parts of me. At the same time, my reflection in the mirror has little do with any of the things I accomplish day to day. All of my successes, both large and small have come about through hard work and dedication, and are — I realize now — completely unrelated to a number on the scale.

Some days, every now and then, the old thoughts come creeping back in, and a voice starts telling me I am fat, but I know now that I need to ignore those voices, not just because they are  negative, but because they are irrelevant. Yet, what I have noticed, is those days crop up when other things are bothering me, and I don’t want to — or don’t know how to — deal with them. Dealing with feelings of self loathing may be pretty terrible, but they are familiar. And like an abusive spouse, you sometimes take comfort in what you know, even if it’s unpleasant.

With new coping tools and more attention to self care, I am now able to concentrate on the deeper issues. The effort it takes to push back at times like this is considerable, but I also know I have come a long way, and the effort is worth it. More importantly, I can finally look at all of the amazing things I have accomplished and take pride in each of them, rather than feeling inadequate

Talking with Jenni Schaefer, Author & Eating Disorder Activist

I admit it. Jenni Schaefer is one of my personal heroes. It’s not just because she’s battled with and recovered from an eating disorder. It’s not just because she travels around the country, talking about eating disorders and raising awareness on the most deadly of all mental disorders. It’s not just because she’s written and published two books. It’s not just because she is pursuing her dream of becoming a country singer. Perhaps it’s the culmination of all of these things, combined with her candidness and a comfort with herself that comes through in conversation, but each of her qualities are ones that I admire and feel inspired by. Jenni and I spoke for the second time after I finished her second book, Goodbye Ed, Hello Me, and through the course of our discussion, we covered topics both old and new, but each subject we touched on gave me another look at her perspective on herself and the world.

Before we dove into some of the questions I had for Jenni, I decided to be frank with her in regards to my first impression of her. To be honest, I can sometimes be skeptical when I hear someone say “I’ve learned to accept my body as it is” and when I look at them, I see a body which to me, represents our society’s ideal of being thin. Sure, I thought. That’s easy for you to say. You have a body that everyone else accepts too … what’s not to accept? These are the same thoughts I had when Jenni stood up to speak at a Congressional hearing on eating disorders. To me, she was thin, and I was envious of her flat stomach. When I shared these thoughts with Jenni, she was not the least bit surprised (or offended, as I feared) and she said that this subject is one frequently discussed at eating disorder conferences, saying that the “size and shape of a therapist is like the elephant in the room no one is talking about.” Eating disordered patients will definitely scrutinize the body of their therapist and it’s an issue that must be addressed. Jenni also personally related to my feelings as she put it into perspective for me.

“My ideal my body size with my eating disorder was many pounds lighter than I am now … The Jenni that was sick would have looked at Jenni today and say ‘wow you’ve really let yourself go.’ Jenni today looks at me and I actually love my body. My brain is now nourished and I can see I have a healthy body.” She also talked about the height of her eating disorder when she was severely bulimic and actually overweight by most doctors charts. That fact made it more difficult for her to seek the treatment she so desperately needed. She looked healthier compared to when she was anorexic, making it harder for others to understand the depth of her struggles. During this time, she looked at others with eating disorders, and thought she wasn’t thin enough to deserve help and get treatment. When she finally did seek treatment, one of the coping skills she learned early on was to look for similarities instead of looking for differences in other people.

“We will always find differences and use that to seperate us from the rest of the world which is what I used to do, or we can seek similarities and try to look at how we are all the same.” She then added this wonderful pearl of wisdom: “Eating disorders come in all shapes and sizes and recovered bodies also come in all shapes and sizes, and where I am recovered at my current body size, someone else might be recovered and actually be thinner than me, or heavier than me.”

If you read my previous interview with Jenni, you know that when I saw her at the hearing, she was wearing a black shirt which said “Recovered.” in white lettering (that wasn’t a typo — there is a period at the end of ‘Recovered’ in order to drive home the statement). This was an issue we discussed last time, but because of a recent blog post by Life Coach Andrea Owen entitled Can We Ever Fully Recover?, I felt the subject had to be explored further.

One of the things I really admire about Jenni is that she is very good about encouraging people to find the approach that best works for them. She asks the question “Does saying you are in recovery from an eating disorder keep you sick or keep you healthy?” For Jenni, always saying she was in recovery kept her sick, but she recognizes that for others, it keeps ED away.

“As long as I said I was in recovery, my eating disorder was waiting around the corner to get me. I really had to claim [recovery] for me and that’s what worked best for me.” She then added, “I am recovered from my eating disorder. I am not recovered from life. I still am constantly getting better at perfectionism. Of course I have a negative voice in my head. What’s different today is that negative voice is not surrounded around weight and food. My personal ED is gone. Does that mean I never have a bad body image experience? Do I never think anything bad about my body? Of course not, I live in America!”

But the negative voice Jenni hears from time to time is one that most of us deal with even without any history of an eating disorder, and Jenni refers to this voice as societal ED. Jenni recalled a chapter in Goodbye Ed, entitled The Worst Pick Up Line Ever, in which she describes an experience at her gym when a guy asks her “Are you here to lose weight too?” Her initial reaction was to ask herself why he would say that? But her therapist quickly reminded her that most women would have a negative reaction to his comment, and it isn’t necessarily the voice of an eating disorder. It was time to stop identifying herself with her eating disorder. When asked if she ever had moments when she questioned if life wouldn’t be better or wouldn’t she be happier at a lower weight, Jenni emphatically says no.

After writing two books about ED and traveling around the country raising awareness about eating disorders, Jenni is ready to focus on something new in her life — balance. While she enjoys talking about eating disorders and recovery, she is spending more time making room to talk about other things. In her own words, “I don’t want to always be defined by an illness I once had. Now that I’m recovered, I can do anything.”

Jenni has a variety of interests that have nothing to do with eating disorders, and those interests are leading her in new directions as she works more on her music (she has recorded two singles so far) and having fun. Being close to nature has become an important part of Jenni’s happiness and helps her feel grounded, so she tries to find activities that she can enjoy outside ranging from hitting the slopes to simply sitting outside reading a book. And speaking of books, she is already in research mode for her next one — and it’s not about ED! As she further explores the world of dating, finding new challenges and new experiences, she is realizing these are also experiences worth sharing. I for one can’t wait to read about them.

4 Steps To Ending Emotional Eating

by Nicole Ohebshalom

One late night while working Boston’s needle exchange van I realized the early stages of drug addiction is no different than the sugar or coffee cycle many of us succumb to in our daily lives. This particular evening a young man walked into the van, and we talked about his drug use and life in the gay community. He had just come out about his sexual orientation without any support and used drugs to mask his fears.

As we spoke further, it surfaced that many of his fears were tied to him giving into his every temptation. He wanted to feel comfortable in his skin but had a certain pleasure tolerance that diminished any positive thoughts about himself. At this point, many of us look to the outside to heal and grow in life instead of looking and loving within ourselves. What happens at this point when we reach for a heroine needle or the cookie jar? We reach our pleasure tolerance, or our happiness quota and, the addiction cycle begins.

For many people food is an addiction, just like a drug. We receive the same cycle of highs, lows, and reasons for cravings. Many of you can relate to the subtlety of sugar cravings in the office setting. When stressed, you open up that drawer of hidden chocolate bars and the cycle begins.

Have you had a time in your life when you were eating very healthy and exercising? You’d think to yourself, “I’ve got this down!” then out of nowhere you grab a few cookies and weeks later you notice your healthy lifestyle has vanished! This is because the way we eat is the way we live. Our interaction with food is an interesting insight to how we live our lives.

We’re all born with a certain amount of happiness, but this is not our comfort zone because we aren’t always happy or comfortable with our life and ourselves. This has been keeping you from connecting to the love you want, enjoying the relaxing lifestyle you want, realizing your desires and inspiration, or savoring the yummy stimulation from a meal.

Guilt is a major quality that has been preventing you from enjoying your meals and life. We feel guilty for indulging in too much food, sex, power, and money. We can experience guilt when we’re going through change and becoming happier in life. But you shouldn’t feel guilty for having it all. It’s your moral prerogative to have it all and be happy about it. Give those self-conflicting voices about pleasure a rest.

When you let yourself feel good, you feel better about life and thereby are more open to connecting with yourself and feeling balanced. Creating a new way of enjoying eating can be intimidating because it’s new and requires courage and fearless love for yourself. Remember: change can be scary but it’s the only way to grow and achieve happiness. Ask yourself: What would it be like if you got on board with your eating or body changes? How can you celebrate them?

Follow these steps for increasing your happiness tolerance and end the cycle of emotional eating!

Step 1: Write down the reasons behind your emotional eating. Sometimes, just seeing them on paper makes it easier to get a handle on the problem. Take one week and keep a food journal. Write down absolutely everything that you eat, as well as making a note about your mood at that exact time. By taking this step, you’ll be able to target which foods you turn to when you are in different moods.

Step 2: Connect with your desires. Who do you want to be? What do you want in life? What do you enjoy and dislike in your daily life? Being in tune with your desires helps you understand your true self and optimize life satisfaction. Have you written down your desires? Be true to what opens your unique, fun, and happy heart. Embodying these desires by writing them down will allow you to connect to and trust yourself. Next time you think negative body or food thoughts, come back to your desires. Ask yourself what is your stand– what will create happiness in your life?

Step 3: Make a list of things you are grateful for while experiencing this change in food and body image mentality. Put it up on your fridge and look at it to remind you of all the wonderful things in your life. This will help you stay on track, even though the change might be difficult at first. Remember, there’s always a light at the end of the tunnel!

Step 4: Say YES to something that you would not normally say yes too. See if you enjoy any activity that you normally would not include in your routine.

Nicole Ohebshalom is the owner of Radiant Living Wellness which offers programs to address weight and health concerns, increase energy levels, or simply to help clients eat better. A firm believer in the power of balance, Nicole is also a Kundalini Yoga Instructor. To learn more about Nicole and her services, visit Radiant Living Wellness.

Does Your Diet Rob You of Life’s Surprises?

by Melissa Henriquez

Do you know what it’s like to have your wonderful husband fear cooking you dinner because he knows you’re so obsessed with food that if every iota isn’t measured, you’ll freak?

Sadly, I do … because that was me.

Though we usually cooked together, I was usually the one dictating what ingredients we “could” use (only fat-free cheeses in lasagna, only 96% lean beef in burgers … “nothing else!”). I “had” to be in control. (Well, my brain said so, sad but true).

And because of this (unbecoming) controlling nature, my husband feared cooking for me. How sad is that?!

It’s not like he wouldn’t have eaten those versions of foods, but the “this is all I will accept” mentality I had was tough to swallow, and caused many an argument — all because of food or, rather, control about food.

And so one night, when we were newly married and living together, he confessed that he had been wanting to surprise me by making dinner, but feared how I’d react…

Sadly, no surprise there. The truth is, back then, I probably would have freaked, however terrible that sounds now.

That should have been the sole warning I needed that it was high-time to snap out of my disordered eating world.

But as life goes, it wasn’t. Instead, it was just one example of many along the way that led me to believe, “Houston, I have a problem” last summer, when I began blogging and sought therapy.

It makes me sad now to think I’ve squandered almost three years of my life living a life without surprises, without much spontaneity when it could have been more.

Still, instead of looking back with regret, I’d prefer to look ahead, and to think of the progress I’ve made recently. Because as my relationship with food and anxiety and my body improves, so, too, do my relationships and friendships. Amazing, right?!

The truth is, I’ll probably always check out party spreads before choosing, probably always scout out menus online before going out to eat when possible … but I think that’s just being a savvy “shopper,” if you will.

I mean, it’s summer and I’m not going to turn down a BBQ or a party because there will be food there. The old me might have, but I just am not her anymore. And so I might still load my plate with salad or fruit first, but so what, if I’m enjoying everything else, too? Really, no one else cares what anyone else eats.

Food can be pleasure, and now that I’m not mutilating it, it has even more meaning to me.

(OK full disclosure: sometimes I still mutilate — like taking chocolate chips from a cookie — but that’s nothing new, and I’m NOT c/s)…

Another example of progress? I’m not “afraid” if friends suggest dessert after dinner anymore. If I didn’t personally want it, or hadn’t planned on it, I can always have a little taste and enjoy it. And if I want it, I can dig right in!

I know balance more than I think I do, more than I give myself credit for. And I’m really seeing that a life without surprises is boring and not worth living.

Surprises are fun. Sunday night, my husband and I lit our new firepit and were just sitting outside, enjoying the balmy night air. He asked if I wanted to make S’mores.

For a split second, I admit, I paused. Technically, I hadn’t “planned” on them. The old me would have politely declined.

But you know what? With his hectic work/MBA schedule how often are we outside together on a summer night?! How often are we eating S’mores by the fire?!

So I grinned, said, “Sure,” and went inside to grab the fixins’. We made S’mores and laughed and enjoyed each other’s company, and it was just wonderful.

Later that night, laying nestled in my husband’s arms on the deck as the embers faded to a dull glow, I wasn’t thinking about the unplanned S’mores, but rather how nice it felt to just “be.”

I wonder if I could have been that girl before, if she was hidden in me? Or if I needed this experience to drag her out? I’ve never been laid-back or easy-going; those adjectives have never described me. But it doesn’t mean I can’t learn to be more flexible.

I don’t want to live a life where surprises are feared anymore.

I want my friends and family to not think of me as being “weird about food.”

I want my husband to feel like he can suggest going to Chicago on a whim, where I don’t turn him down because I’d planned to work out and hadn’t yet.

(Um, yes, we dealt with that during the Christmas holiday in 2006; I’ll never forget it — he was so hurt and I realized I was being ridiculous too late. We ended up going the next weekend, but I’ll never forget that …).

And because I WANT it, I can BE it.

Life without surprises just isn’t fun, and it took me a long time to “get it” but I’m hoping for a surprise home-cooked meal soon

How about you? How do you handle surprises?

Melissa Henriquez is  PR professional living in Michigan. She shares her experiences and wisdom that has come from disordered eating and the process of overcoming it at her blog Tales of a (Recovering) Disordered Eater.

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