What Do I Say To Someone With An Eating Disorder?

What do I say to my friend or family member with an eating disorder? How can I help? Is it possible for me to fix it?

As a survivor of anorexia and an advocate for body acceptance, I get asked these questions all the time. This makes me sick, since it reminds me that if I had a magic wand to make eating disorders go away forever I would wave until my arm fell off, but it also reminds me that my arm is still here and I keep getting asked for more people.

First things first: I am neither a medical professional nor a licensed therapist. I am merely someone who nearly died because of anorexia, spent even more time suffering a whole bunch, and fought her way through to the other side.

Please engage with professionals who can truly help your loved one. The National Eating Disorders Association has a helpline and a host of resources I urge you to check out.

What I have said to many others is based on my experience as a survivor who lost some friends along the way. I have less to suggest in terms of what to do or say, and more in terms of things to not do or say.

Do offer your unconditional love and support. What I most needed were people to love me, not fix me. Leave the treatment to the professionals and don’t try to be “the enforcer” of healthier habits. The “I’ll save you” path isn’t likely to go far, and it can also make it harder for the person to come to you later if they need help. They may not want to let you down when they are slipping. At least, this is the way I was.

Knowing that you will always be there and love them — no matter what — is a powerful weapon that may ultimately support a recovery process led by the person with the eating disorder and the professional team supporting them.

Don’t engage in “fat talk” — about them, or yourself. Your loved one doesn’t need to hear you tell them that you feel fat, or that you ate something “good” or “bad.” And while you don’t want to be dismissive if they bring up their body or eating or exercise with you (after all, it’s probably dominating their thoughts), you certainly don’t need to play the eating disorder-affirming game of good foods and bad foods, fat clothes and skinny clothes, hot bodies and ugly bodies.

Don’t comment on their appearance. “You look good,” or “you look healthy” were horrible swords thrown at me by well-meaning people. Sometimes I used these comments as reasons to be proud of horrible things I had done to myself. Other times I would use them as proof that I needed to punish myself further. You simply don’t need to comment on their appearance. Stay out of it. Comment on and compliment them for who they are, not what they look like or what they are eating.

Don’t participate in trigger activities. Your loved one may most want to suggest activities that serve their eating disorder, such as exercising, going for a long walk, trying on clothes at the mall, baking a batch of cookies (maybe only for others to eat, a common eating disorder behavior), or going to a buffet to eat. Not lecturing them about these activities would be good, but that doesn’t mean that you need to participate. Find other healthy things to do together.

Do support them getting professional help. If your loved one has an eating disorder, support them in getting professional help. No, you don’t have to be the enforcer, but you can support them by scheduling fun group activities at times when they are not going to therapy, not disparaging therapists or anti-depressants and similar drugs, and the like. Further, if they haven’t taken that first step yet, you can share with them names and telephone numbers of places where they can get help and assure them it’s strong, not weak, to reach out for support.

Good luck and I am so sorry for the experiences that have led you to read this.

Video: October 2013 To The Contrary Appearance

I appeared as a panelist on this week’s To The Contrary. We discussed decriminalizing prostitution; women, the government shutdown and the Republican party; and a new book by the president of Barnard College, Debora Spar, that urges women to stop trying to “have it all.” You can check out the video here or here:

 

White Guys Doing It By Themselves

Follow my new Tumblr: white guys doing it by themselves.

From the House GOP conference live-tweeting its get-together during the shutdown under the hashtag “Fairness For All” to the school board in North Carolina that banned The Invisible Man, white guys doing it by themselves is a tribute to white men totally comfortable telling everyone else how it’s gonna be.

Don’t worry, erintothemax.com is still my blog-blog, so stick around here, too!

A Body (Image) Changed: On Pregnancy, Breastfeeding And Eating Disorders

From a self-image standpoint, taking my maternity clothes out of my chest of drawers and putting my old clothes back in has been the hardest part of my pregnancy, childbirth and new mothering journey. This might have been the same if I hadn’t had anorexia, but I don’t know.

My body has changed. My old clothes don’t fit the way they used to. I am larger, rounder and my softer spots gather in different places. Do I have a pouf above a flat spot because I had a cesarean section, or is that the way my body processes any manner of birth? I don’t know.

To put away the maternity clothes ends the imprimatur of “a wild time” when my body was doing something rather than simply being something (me). I was mostly okay before. In response to overwhelming pressures pregnant women and mothers get to engage in body image negativity, I could clutch an ancillary detail and say: Fuck you, I’m pregnant. Or: Fuck you, I’m having a girl. Or: Fuck you, I had a baby. Or: Fuck you, I’m feeding a baby. But now it’s simply time to survive as a mother, a woman, a human being. In this paradigm my best choice is to look at that belly fat, those lines around my eyes, this body I’ve never had, not in this way, and say: Fuck yeah.

It’s fun.

Putting away the maternity clothes forced me to face the facts. My body doesn’t look different today because I’m pregnant, or because I just had a baby. My body looks different today because it is different. Accepting this, the difference of a new day with a body, versus a comparison to an ideal of what a person thinks her body once was or someday should be, is both difficult and joyous. For me, having this baby forced this issue.

What I wouldn’t have predicted is this: Breastfeeding is the second-best thing that has happened to my body image, just behind recovering from my eating disorders years ago. Yes, breastfeeding. Not getting through pregnancy. Not getting through childbirth. Breastfeeding.

To watch my daughter cry when she’s hungry and eat only until she is full. To think about how I treat my body directly impacting how well she will be able to feed. To, unlike pregnancy, see the results every day.

She is growing. She is healthy. She is happy. She is thriving. She is strong.

And, fuck yeah, so am I.

Unpaid Interns: An Apology

I regret having supervised unpaid interns while working at a previous employer, and would like to apologize. I’m truly sorry. Free labor is exploitative and exclusionary. I’m writing about it now in hopes that it will spark others to change.

During the course of more than three years at a progressive non-profit organization, I worked with dozens upon dozens upon dozens of unpaid interns. I selected and directly supervised about a fifth of the interns in the office. Supervising unpaid interns means that I was complicit in a modern employment system that is elitist, racist and treats workers in a horrifyingly bad way. Rather than name and further exploit the interns I supervised, who were all somewhere on the continuum between pretty great and really great, I would simply like to acknowledge that if you’re reading this, I can see your faces in my mind, I think you’re awesome, and I’m sorry.

No one should be expected to work for free, especially in order to, as the lore about unpaid internships goes, “make contacts and get a job someday.” While publications make sport of who can most lambaste the millennial generation for being lazy and self-absorbed, they rarely report on the growing expectation that our youngest workers should give away their labor for free. If you work on a regular schedule — not as a volunteer who controls your schedule and the projects you will and won’t do — and report to people who are getting paid, you should get paid, too. Period. It’s unacceptable to force workers starting their careers in a ho-hum economy to work for free, simply because they are young. It’s also unacceptable to replace paid workers, often older, with younger interns who are not (or barely) paid.

Those people in power who insist that unpaid interns are required for an organization to survive should get real. If your organization depends upon the artificial condition of employee-like unpaid laborers to survive, your organization needs to either get a new business plan or dissolve. From both moral and operational point of views, this holds true even for non-profit organizations not legally required to comply with unpaid internship rules the Department of Labor has created for for-profit organizations. From an unpaid intern point-of-view, you’re not any more or less not paid whether or not your employer is driven by profit. On the operations side, if you’re filling a niche that is no longer relevant or resists being filled according to your formula, change your business plan or quit and work with a similar organization doing a better job serving the needs of today. If an organization can’t survive enough to pay its workers, it’s on artificial life support — one that is extremely harmful to the people working there for free.

Everything bad about race, class and gender comes out for unpaid internships. Women are 77 percent more likely to hold an unpaid internship. High-income students are more likely to be involved in paid internships. Whites are more likely to be able to afford the privilege of putting an unpaid internship on a resume. Want to learn more? A recent study by Intern Bridge should be all you need to read, vomit and resolve to push for change.

Beyond those I worked with and/or directly supervised, I have known many unpaid interns in my day. Much, but not all, of the non-profit “equality” organizational landscape depends on the free labor of youth. I know how to recognize when people aren’t eating enough not because they are dieting, but because they have no money for food. I find it reprehensible that “free food” is a joke to fetch interns in Washington, D.C., where many interns go to briefings and parties because they are hungry in the poverty sense of the term. I think, specifically, that feminist organizations can do much better, and I resolve to be a forceful advocate for paid internships wherever my career may take me.

In the meantime, I am sorry to my wonderful unpaid interns past. Even if you were satisfied with our time together, and referrals or recommendations I may have given you since, you deserved to be fairly compensated for your work. If I could go back in time, I would fight for you to be paid. You earned it. What I can do now is help to call for change. I hope that others in supervisory roles will join me.

In Praise Of Slowing Down

It feels funny, from my maternity leave, to write in praise of slowing down. I am occupied. My left forearm, at times, is numb from rocking my baby in the cool, silent dark. During the day we walk outside and observe the slime mold in the mulch. We practice cooing and tracing our eyes around the room. We have one play mat with a hanging stuffed elephant, giraffe, bird and monkey, and it is so stimulating when I lay her down beneath them! We sing songs and look up and learn one new word from the dictionary every day. The world is small and new.

Within the confines of the adult world our activities are not particularly cognitive. I used to spend most of my leisure time reading books that kick my ass. Now I have a baby who depends on crying and screaming to communicate that she is tired and needs my help to calm down. In this space we have discovered silence, quiet, deep breaths, relaxed muscles and gliding on the balls of my own two feet. If the crying escalates I will whisper to her, “We’ll get through this. We always do. Every single time.” We are together and there is nothing else.

During the course of my life, I have found the most happiness in radical presence: immersing myself in the actions of love; running and other physical activities in nature; being totally and completely taken over by ideas and stories. While all of these activities could mean work (caring, physical labor, mental labor), they are typically devalued. During my life I have run in circles with a generation of women for whom “breathing out” is as much of an issue as “leaning in.” We haven’t been trying to have it all so much as prove that we can do it all. From racing from one extracurricular activity to another and then homework into working after hours to please a boss who is under (or not) paying us, and sticking to exercise, and a commitment to the arts, and social time, and the constant streams of unpaid volunteer work, and being in touch online with everyone and all the time, the world is actually so large and frantic as to make noticing the slime mold impossible. Which, I have learned, actually moves around — and quite quickly, if you keep tabs on it.

Anecdotally, men I know seem less likely to suffer from the need to “breathe out.” I don’t think this is because women are stupid. I think it is because we are undervalued within a culture that is held up as a meritocracy. It is unfortunate all this hard work has not translated into fair acknowledgement, much less happier lives.

Innately, my little girl has excellent focus. When she is crying, she is crying. When she is looking, she is looking. When she smiles, it takes effort, and it makes my whole day. I am so fortunate to learn from her.

Breastfeeding In Public

Get ready for a new Wheaties box: My one-month old is a champion eater. Breastfeeding is going really, really well. This little girl started gaining weight before we left the hospital, and during our stay we waved the lactation consultants away.

This is not without amazement on my part. I was scared of breastfeeding, and upon some reflection, I realize that every message I heard about breastfeeding prior to having my baby had at least a twinge of negativity: Breastfeeding is hard, but stick with it. Don’t be ashamed if breastfeeding doesn’t work and you need to use formula. Once I had the baby, people tended to cringe when asking how it was going. I believe other women when they say that breastfeeding caused problems for them, and honor their experiences, but I also have to wonder why we are so down on breastfeeding by default. The frame of protecting women from believing breastfeeding will work well is alienating to moms like me, who have babies who just go for it (I don’t think it’s anything special about me, I took one class prior to childbirth and, listening to the questions others had already prepared, felt like I should have left with a “Least Likely to Succeed” award). Is there something wrong with us because it works?

Now that Baby Wonder is nursing successfully, I am sorting through my feelings along with the mainstream messages about breastfeeding in public. When you have a little one eating every two hours, sometimes with just 40 or 50 minutes between the end of one session and the start of another, through a part of your body that some consider SEXUAL and DIRRRRTY, plans to go out in public become these weird little strategy games that almost always end with staying home. I am really struggling with this junction between privacy and isolation because I want to be someone who is shamelessly comfortable breastfeeding in public and the truth is that I’m not.

For too much of my life, my breasts have been a topic of other people’s conversations. Growing up, I was a late bloomer and therefore “flat” during the school years when kids are most cruel to one other. Somehow I wound up developing fairly sizable breasts for my frame, and have discovered many times they have, in my absence, served as a topic of conversation among masculine classmates and, later, colleagues. Add these personal experiences into a culture where women who breastfeed in public are often given dirty looks or, as a baby book I read suggested, sent to public bathrooms to nurse in toilet stalls, and you may understand why, even though I identify strongly as feminist, I am in this instance (as every other) a human being with my own experiences and emotions. While I’ve nursed in the car more than a few times by now, I’m a little nervous to throw open my shirt and feed my baby in the flea market, or in front of friends and family. What if people dare to sexualize or cast shame on me taking care of my baby?

My delightful baby girl has none of these hang ups, and it’s my goal to start following her lead. Last weekend a friend called and gave me this gift: “Well, Erin,” she said, “You’ve been on the forefront of a lot of things. Don’t stop now.” She told me that she was, years ago, asked by a waitress to breastfeed in the restroom instead of a restaurant dining room and responded: “Do you go into the bathroom to eat?”

I sure don’t, and neither does my little girl. For now we haven’t been straying too far from home.

Wired Claims Exposing Sexism Is Just Like Being Exposed As Racist

Uh-oh, looks like the editorial team at Wired got their garbage and their clean towels confused!

In a new piece, Why You Should Think Twice Before Shaming Anyone on Social Media, writer Laura Hudson claims that getting flak for sharing racist bullshit on Twitter is just like reporting a climate of sexual intimidation at a tech conference, and requesting some help, and then getting fired from your job because you, unlike the white guys you exposed, are a woman of color and therefore just as guilty.

Say what?

As a publication that holds itself out as an arbiter of tech, it is disturbing that the Wired editorial team can’t leave crappy enough alone. It has been more than four months since Adria Richards was fired for making it clear that forking and dongle jokes don’t belong at tech conferences. That she is a woman of color exposing routine sexism, and by the way paying a pretty big price for it, makes it even more outrageous that she is being put on the same plane as people who are racists.

Just like exposing sexism and being a racist are totally separate things, so are embarrassment as a tool for social change versus shaming. As I have written before, these are totally separate tactics. People should be embarrassed when they are caught being an oppressive bigot. It helps to dispel future oppressive bigotry. Shaming, on the other hand, is attacking the core of who someone is. No one, at their core, is a bigot. Bigotry is learned social behavior. Very bad learned social behavior that relies, among other things, upon false claims in service of the status quo.

I Had A Baby

He is seven paces in front of me when I realize he is too far away. The pain and fear take over my body, move toward each other, join into one awful spot in my back. I stand still, hoping nobody will notice. We have been through this routine so many times, moving wordlessly through the grocery store, dividing and conquering. For the previous three nights we have also been in labor all night long, not sleeping, squeezing hands when a new contraction starts, breathing together, he timing, me moaning if it gets that bad, occasionally crying or screaming or swearing, having the dog lean against my leg and breathe meaningfully as if to coach me along, and unfortunately, not really dilating. It is hell.

The contraction passes. I catch up to him. “Don’t walk away from me,” I say, allowing the panic to show on my face, hoping only he can see it. Being overly pregnant in public has its issues. People make jokes (are they jokes?) that they don’t want to be on an elevator with you, “just in case.”

He asks if we need to go home. “Nothing is going to happen,” I say, frustration creeping into my voice. “We know that nothing is going to happen. Just stay close to me.” We stand close together for several contractions throughout the store, choosing cereal, juice and pasta. In the space between the deli and the cheese I realize this is getting serious again. This isn’t the daytime labor I’d been hiding through conference calls that week, the kind where you can close your eyes, press your back against the chair and push your palms flat into the table. This is evening labor coming back, the almost-real deal, with contractions strong, long and close together. They play by the rules of when you are supposed to go to the hospital. And then I get nothing.

Standing in front of a display with ready-made dip I realize this isn’t going to work, although it — playing it cool, getting the groceries, having a baby — has to work. I am terrified. The pain is strong. When will this end? He stands with me, we try to make it look natural, I murmur that we are going to need to pick up some deli food for dinner to keep it simple, okay, I am indecisive and having contractions that stop us so it takes awhile but we do that, and then we leave.

In the car, I begin to cry. I have never loved my husband as much as this terrible moment. I was alone in public, but I could trust him, and so then we were alone in a bustling fucking grocery store, standing there, two statues waiting for the wind to blow.

Having been through three nights of it, the evening is, predictably, a nightmare. Some screaming, some crying, mostly resignation, a “k” coming out of my mouth or a squeeze from my hand when it is time to start the timer. By this point I am not ready to trust my body to direct us to the hospital unless there is a tiny hand sticking out of the cuff on my pants. I believe there is no way this baby is going to come fast, by the side of the road, although I wish.

By 3:45 a.m. we are downstairs with the lights on, “watching” a TV show to the extent that is possible. Finally I break down. We call the doctor again. He explains that he knows I have not been dilating, but less than five minutes apart and over a minute long is a big deal. (Believe me, it felt that way the last three nights.) The only way we can know is to go to the hospital. We draw out leaving as long as we can, and at 5 a.m. my husband suggests we just try lying down to see what happens. We haven’t slept since Sunday night. Exhausted, we lie there holding hands, squeezing them through contractions, breathing together, and then sleeping for the three or four minutes in between them. It is sweet, sad and intimate. The sleep is too precious, and we call the hospital and let them know we’re not intending to come over just yet.

Around 9 a.m. we call one of the OB-GYNs we have been seeing. I try to talk, and then burst into tears, unable to speak. He takes the phone for me and communicates our questions. It is time to go to the hospital for the third time in five days. Here goes nothing, I think.

Every time I see someone in the maternity ward I feel like we’re crashing a car into someone’s bedroom. There is a memory that continues to haunt me from 4:30 in the morning two nights before, a couple by the elevator.  Her husband trying to help. The sounds she made. The movement of her leg. The invasiveness of our presence, our pillows, our being sent home next to an illuminated elevator button not changing quickly enough. The day before, when we had been sent over for fetal monitoring after the doctor was concerned at a routine appointment and told us to be prepared for an induction on the spot, another woman had been standing by the entry desk. Uncomfortable and trying to play it cool like me. And with all three visits, exhausted and intense men darting out for supplies to bring back into labor and delivery rooms.

In the hospital, juice is served in a humiliating fashion, these tiny little cups that can never satiate you when you’re dehydrated. You need a straw and from the bed, attached to the monitors, the juice drips on your gown. Finally, this third day in the hospital, nurses sympathize with my totally terrible fucking “prodromal labor,” as I learn it is called. (Later, I will learn the total adventure was also back labor.) By this point I am swearing constantly, which I am assured is just fine to do. “Try to surprise us,” the nurses say. “We’ve seen it all.”

I have grown most familiar with the labor and delivery room beds. There is a digital LED clock moving needlessly slow in the upper right corner, drawing out the days. Fortunately upon arrival I am dilated 2.5 centimeters. I nearly cry with joy. We agree to induce labor around what would have been lunchtime if I hadn’t failed to eat the vegetarian sushi picked up at the grocery store the night before, and observe every other meal or snack interval following that. By 4:30 p.m. I am receiving pitocin, which will induce additional contractions on top of the ones my husband and I have been breathing through all day.

To speed things up, the doctor comes in and breaks my water after the pitocin begins to drip. It is a hot gush that keeps coming out with subsequent contractions. It is difficult to be bothered by the soaking and bloody pads I’m sitting on, because these contractions hurt like hell. For four hours my focus is so painfully narrow, on breathing and the pain. I start to get too frustrated and my husband knocks me back into shape. “Don’t get frustrated,” he says firmly. His eyes never stray, and when mine do he speaks up.

I need an epidural. In advance, I had planned to use pain medication only if I needed it. I need it. I tell a nurse that I need it at 7:30 p.m. and it doesn’t arrive until 9:36 p.m. Within five minutes my field of vision expands from the kaleidoscope that was the LED clock, my husband’s eyes and the pain. My nurse has light blue nail polish on. I compliment her. The epidural works. I can’t feel any contractions anymore, as strong as they are. We watch an episode of LOST on the iPad and then nap through the contractions until 2:36 a.m., when I wake up with a nurse standing beside me.

“Uh-oh,” she says. My husband is sleeping in the corner, calm on his face. Suddenly everything moves fast. The print out of my contractions shows dramatic lines strong and close together, whereas the fetal monitoring line has reacted in a way that makes the nurse nervous. She tells me so. I ask if she is going to slow down the pitocin. She says she has already cut it off. A doctor is in the room. I need to have the baby now. We are going to do an emergency cesarean section. My body is shaking uncontrollably. My throat begins to close. My husband wakes up and walks over. I cannot calm down. I am terrified. 40 weeks and six days pregnant. What if we lose her?

The shaking will not go away. The nurse says bodies do that sometimes when they are ready to go into labor. But beyond that, I cannot calm down. My husband tries to calm me down. He is trying so hard. We are both trying so hard. It doesn’t work. I stammer, “I need a logic puzzle, something else to think about. Help me.” We realize that going through the presidents of the United States, backwards, is what I can handle. When we exhaust those, we go through the states from north to south, west to east. He is holding my hand and helping me remember them as I am wheeled into the operating room, tears running down my face, no longer whispering, “I am so afraid.”

I am nauseous and alone in the operating room, behind a vertical blue sheet. Top 40 music is playing on the radio. My husband is gone for a few minutes that seem longer than my collective 34 hours staring at the labor and delivery room clocks, returning in scrubs and a face mask. I continue shaking. The C-section is not painful, but there is heavy pressure and pulling on my abdomen. It ends.

They tell us we can pull away the sheet to the right of my head. She is crying and flailing her arms. “I am going to throw up,” I whisper. There is a kidney-bean shaped yellow pan to the left side of my head. I turn, dry heaving several times as she screams. Finally I vomit, and I’m able to turn right again, lift the sheet once more and watch my little girl.

Her story begins here, in a plastic tray surrounded by doctors as her parents watched from a short distance beneath a red clock that said 3:32 a.m. on Saturday, June 8, 2013. I suspect her story is and will remain much more interesting than mine, but that’s for her to sort out. Remarkably for me, I had a baby.