GUILT and SHAME: How Abuse Distorts Perceptions

WARNING: This post may cause triggers. Sharing about self body image, psychological abuse and sexual abuse.

How many of us can recognize how our pasts effect our present and future? Not being able to see this connection is not as uncommon as you might think. As a matter of fact, it is more common that you could imagine. That is why I will periodically write about past events and explain how those events affect me today.

Eating disorders don't start out of the blue. They develop over time. For every addictive or hurtful behavior there is a root beginning. There is a point where things shift and move towards an unhealthy path. It is time to recognize those points of shifting, work through them and propel ourselves into a healthier direction.

I don't think that I've talked much about my feelings of guilt, shame or disgust. Though I do not feel at fault for what my parents have done to me, I do feel fault and guilty for what I've done to myself. I've also recently discovered that I feel fault and guilt about things my parents blamed me for especially if there was something I did want to do and I am told that something bad came of it...I believed it.

GUILT

When I was very young, about 6 or 7 we had this lovely dog named Brutus. Funny, I'm just now able to remember his name. He was a large brown boxer. My parents had just recently gotten him. I was a little afraid of him because he was so large, but I cared for him very much and wanted to bond with him. One day after finishing my school work I went out side to play with Brutus. He was lying beside the back porch. I called his name, but there was no response. I called is name again and still no response. Then I began screaming his name over and over again. I ran in the house still screaming and crying. My mom had her back to me. "He's dead...he's dead!" I guess my mom got tired of me screaming. She turned around and glared at me. "It's YOUR fault!", "It's YOUR fault that he's dead!", "YOU never wanted to feed him or clean up after him! I had to do it all!", "He died because YOU didn't want to take care of him!" Eyes stretched wide and completely silenced, I stopped crying. Was it really my fault? Did I kill Brutus?

To this day that moment still haunts me and yes, in a strange kind of way, I still feel guilt for Brutus' death. I feel guilt when I get a little angry with my son and just want him to go to another room and be quiet for awhile. It's not that I would have said anything. Usually it's just a passing thought. But there have been times when he's gotten sick after I had a thought like that and I wondered...was it my fault? Will God take him away from me because I wanted him to be quiet? It is truly unfortunate what I experienced that day so many years ago. And it is even more unfortunate that I am still affected by my mother's words.

Recently there has been another incident when I've felt profound guilt for something I ultimately had no control over. It was when my son had his bout with constipation. Even though his pediatrician said it was common, I still felt as thought I had done something wrong. I could not sleep for carrying the guilt. My guilt turned into anger. How dare my body work properly when my son's body cannot. The guilt was more than I could bare. I hated myself and I began starving myself again. I know this is extreme. I can't help how I felt. I believed bad things happen when you don't do things perfectly and being a less than perfect mother caused my son to get sick. This way of thinking is a product of the abuse that I endured. I realize that. Now I need to figure out how to combat those strong emotional responses to my past. How do I shake this?

SHAME

My parents were ashamed of me and I was ashamed for embarrassing them especially in public. I could always tell they felt this way. It was how their voices dropped when it came time to introduce me. "And this is my (pause) daughter." Not only did I not behave normally like other kids my age. I wasn't as attractive as my parents. They were picture perfect...on the outside... I felt like an alien, often wondering if they found me under a bush or perhaps someone left me on their doorstep. I would imagine a spaceship flying by and I haphazardly thrown from the ship landed in my parents yard. I can't ever remember feeling as thought I belonged. Oh well, they were stuck with me and I them.

I  about being fat and an eyesore...a disappointment. They would constantly point out all of my flaws and tried earnestly to figure out how to correct them. I lost the ability to see myself as worthy of being loved or worthy of anything. I lost the ability to see myself at all.

I never believe that I deserved how I was treated, but I didn't believe that I deserved to be treated any better either. I wasn't sure what better was anyway.

I still feel the shame for being fat and unattractive. And fat is still my safety net, never to worry about being touched again. Just thinking about it makes me want to scarf down a few oatmeal cream pies as I schlep around the house in old socks and loose clothing camouflaging my girth. It's not working. I tell myself that I dress this way because I want to be comfortable. Lie! I'm hiding...hiding in plain sight. If only I could implode and disappear.

Everyday is a struggle...going through life hoping no one sees me. I hate having to deal with the outside world, my tenants, especially. When I go to the properties, I feel like everyone is staring at me because I'm so fat and disgusting. Shame oozes out of my pores as I encounter each new person. There is silence and  Dear God, please make this go away. I am that same little girl walking down the street with her parents and feeling as though she is a complete outcast and does not belong. Only now I'm not with my parents, I'm with my son. My beautiful son, tall, handsome and well dressed. And here I am...well, I just am.

This reminds me of a book I once purchased for a friend, "When will I Be Good Enough: Healing the Daughters of Narcissistic Mothers." I should have kept that book for myself. I'm always stuck in between feeling or not feeling good enough to be my son's mom. Almost identical to feeling that I was not good enough to the daughter of my parents.

Are you starting to see the distinct patterns between past and present?

All I've ever wanted was to be loved and accepted. No matter how I look I would never be accepted or loved by my parents, many family members and past so called friends.

Fact: In the past, most of the people in my life were only in my life because they wanted or needed something. I am not mad at them. I only wish that I could have had a healthier relationship with them. I wish they could have seem more value in me as a person.

Now that I have been blessed with both love and acceptance from my son and a few friends, I still struggle with believing that it's real or perhaps I just don't know how to accept unconditional love, because it's not something that I'm familiar with.

I hope to become a healthier slimmer me without the fear. I don't know what it's going to take to get there, but as many of you already know, I am always searching for answers and solutions and I believe I will find those answers and solutions one day.  

A huge thank you to those of you who I've come to know and love. Thank you for your support, love and kindness and thank you most of all for your acceptance.

Slippery Slope

June 2013

Week 2

 

 I continue to assessing and documenting my life with NES, always keeping in mind that the struggle is ever present especially in the now.

I am a long way from combating Night Eating Syndrome. I’ve made great strides in accepting that I have this condition and am actively working towards a healthier life and lifestyle. My struggle with this disorder is more prevalent now because I am seeing the reality of it. Writing this blog is a way for me to relieve my mind of some of the facts and feelings associated with this disorder. This is my attempt at taking a stand and be accountable for my actions no matter the root source or the outcome.

I’ve been doing fairly well managing my NES this past year, much better than a few years ago. For the most part, I am able to consume more of my caloric intake before 7pm which is monumental for me. In the past my caloric intake was next to nil during the day. Even though I would start eating around 4:30-5:00pm, I would only take a few bites before hoarded the rest for later.

This week I have been experiencing a little more stress then my norm and I find myself reverting back to some of my old ways. I am picking up on a definitive pattern. The onset of binge eating tends to occur when stress levels are on the rise; daytime appetite decreases rapidly as I fast approach full binge mode, that is, if I’m not careful. Note to self…continue working on managing stress. Can’t stop stressors from occurring, but I can change how I deal with them. There is one good thing in all of this...I am identifying the problems and working towards correcting them. Besides, beating myself up about this is not going to help. Let’s face it, it took more than a day to develop this disorder and it’s certainly going to take more than a day to cure it.

My most recent binge happened a few days ago. I hoarded some food from dinner specifically to consume during late night hours. I was fully aware of what I was doing and proceeded anyway. The urge was strong and I gave into it. I did not want to fight it and possibly cause a bigger binge. That night, I tried several things to relax like playing music or writing. This helped for a while, but I still could not fight the urge to feed before sleeping.  So I did. I consumed the foods designated for my night time feed and then off to sleep I went. The next day, I forgetting to eat breakfast. I did not eat a morsel until about 2:30pm. Not good, but not my worst. Of course eating later in the day throws everything off. I still cooked dinner, but opted to eat much later than my new norm.

The next day, I didn’t eat anything until after 5pm. This is getting very bad. I’m heading towards a bigger binge. I can feel it. I have to get focused and get back on track with my eating. It is imperative. I can’t afford to continue going backwards. I’ve come too far and my health is on the mend. I don’t ever want to get as sick as I was before buckling down to combat this dreaded thing.

Since Friday, my stressful period has calmed and all is well. Yesterday and today I ate breakfast, lunch, dinner and a snack. So far I do not have the urge to binge tonight. I've already put away the left overs from dinner. Now I’ve got to come up with a better strategy for maintaining a healthy eating plan during high stress times. I've really got my work cut out for me with this one.

There are slippery slopes on this journey and last week I slipped pretty hard. But I’m regaining my footing and so onward and upward…one step at a time…one day at a time.

Where do I begin?

A few years ago I was forced to make some hard decisions about my eating disorder, Night Eating Syndrome (NES).

At present time NES is not in the DSM IV/V.

The three main components identifying NES are Morning Anorexia, Night Binging and Insomnia. There is hope for us. Binge Eating Disorder recently added to the DSM-V under (EDNOS) Eating Disorder Not Otherwise Specified has given way to the possibility of two new additions to the DSM-V, Purging Disorder and NES.

I have been ignoring NES for 25 years. Three years ago my health took a turn for the worse. It quickly became evident that I needed to change my ways or else I would surely die. So I claimed my dirty little secret, frequent night time binges, and began looking into steps I could take to make positive life changes.

First steps toward recovery:

Acknowledge having an eating disorder.
Increase awareness of my own eating patterns. Note how I feel before/during and after meal times.
Identify possible beginning of NES behaviors.
Assess feelings, emotional state and reasoning behind late night eating.
Contact Psychologist to begin work on underlying issues.

No matter if you binged last week, last night or just a few minutes ago, it's not too late to get on the road to recovery.

 

 

Related Articles:

 

Night Eating Syndrome: Should it be Included in the DSM-V 

http://www.psychotherapybrownbag.com/psychotherapy_brown_bag_a/2009/10/night-eating-syndrome-should-it-be-included-in-dsmv.html

 



Night Eating Disorder
http://www.allianceforeatingdisorders.com/night-eating-syndrome

Issues for DSM-V: Night Eating Syndrome
http://ajp.psychiatryonline.org/article.aspx?articleID=99701

What is Night Eating Syndrome?

Night eating syndrome, or NES, also "midnight hunger", is an emerging eating disorder diagnosis, which primarily characterizes an ongoing, persistent pattern of late-night binge eating.^[1][2] NES was originally described by Dr Albert Stunkard in 1955^[3] and is currently proposed for inclusion in the next edition of the Diagnostic and Statistical Manual of Mental Disorders.^[4] The diagnosis is controversial; its validity and clinical utility have been questioned^[5] and there are currently no official diagnostic criteria. - Wikipedia.com

More information on the Characteristics of NES
http://jama.jamanetwork.com/article.aspx?articleid=191250

There are several night time eating disorders listed in varying resources. So while looking up more information you may want to check into these...

Nocturnal Hyperphagia
http://en.wikipedia.org/wiki/Kleine%E2%80%93Levin_syndrome

Nocturnal Eating Disorder
http://en.wikipedia.org/wiki/Nocturnal_sleep-related_eating_disorder

Parasomia (SRED) Sleep Related Eating Disorder (also linked to NED)
http://en.wikipedia.org/wiki/Parasomnia

EDNOS Eating Disorder Not Otherwise Specified

Exert from http://www.eatingdisordersonline.com/explain/ednos.php

According to the Diagnostic and Statistical Manual, 4th Edition there exists a category of eating disorders that do not meet the specific criteria for the two defined disorders, Anorexia Nervosa and Bulimia. When people exhibit behaviors in the spectrum of disordered eating but do not meet all the criteria for Anorexia Nervosa or Bulimia, they are given a diagnosis of an Eating Disorder Not Otherwise Specified (EDNOS). Over one-half to two-thirds of people diagnosed with eating disorders fall into the category of EDNOS. More people are diagnosed with EDNOS than Anorexia Nervosa and Bulimia combined.

Binge Eating Disorder (BED) is the only type of eating disorder under the category of EDNOS. A person meets the definition of having EDNOS if they have exhibit all the criteria for Anorexia Nervosa but have regular menstruation or a normal body weight, or if they exhibit all the criteria for Bulimia but purge less than two times per week or for a duration shorter than three months, or if only small amounts of food are purged, or if a person spits out food rather than swallowing it.

People diagnosed with EDNOS can experience the same negative psychological, social, and physical consequences as a person diagnosed with Anorexia Nervosa or Bulimia. The seriousness of their condition is no different than that for people diagnosed with specific disorders. The only difference is that the person may experience a spectrum of disordered eating behaviors and these behaviors may change over time.

Although BED is the only one of the types of eating disorders categorized under EDNOS, people who are considered to have Sub Therapeutic Anorexia Nervosa or Sub Therapeutic Bulimia are also given a diagnosis of EDNOS. To have Sub Therapeutic Anorexia Nervosa or Bulimia means that a person displays some but not all of the criteria for the full-blown condition.

Read more about EDNOS

Huffington Post
http://www.huffingtonpost.com/2013/01/04/eating-disorders-ednos-dsm-5_n_2398373.html

Wikipedia.com
http://en.wikipedia.org/wiki/Eating_disorder_not_otherwise_specified


Educate yourself

It's going to take some time before NES enters the realm of legitimized eating disorders. In the meantime you will need to education yourself on the subject and take carful not of your relationship with food.

Have your information handy when approaching medical professionals for help. NES is not commonly known or spoken off in general medicine. If your medical professional is not familiar with the term Night Eating Syndrome, you may want to try a couple of the other terms listed with exception the EDNOS which umbrellas only one eating disorder, Binge Eating in the DSM-IV/V.

My Experience

A seemingly lack of interest of the subject has been my experience with medical professionals. Though my concerns duly noted, they are still unaddressed. There is no definitive diagnosis so it is simply put into my file as a general note.

Medical professionals can be rather harsh when dealing with weight related issues. They don't understand for many, "obesity" is a band aid for internalized emotional scars. A self made barrier of protection. Obvious distain for one's heaviness and harsh words do not help the situation.

NES is very real and can be a debilitating disorder. I have lived with NES for 28 years and it has taken me until 3 years ago to figure out ways and strategies to begin helping myself.

I strongly recommend seeking council to help with this process. NES has a root and one of the ways to combat any problem is to find the root source. Having a psychologist to help you strategies your way back to a healthy relationship with food is key.

More Reading Materials about NES

Overcoming Night Eating Syndrome: A Step-By-Step Guide To Breaking The Cycle
by, Kelly C. Allison, PH.D., Albert J. Stunkard, MD, with Sara L. Their

Night Eating Syndrome
by Frederic P. Miller (Editor), Agnes F. Vandome (Editor), John McBrewster (Editor)

Night Eating Syndrome
Research, Assessment, and Treatment
Edited by Jennifer D. Lundgren, Kelly C. Allison, Albert J. Stunkard