SELF COMPASSION IN EATING DISORDER RECOVERY

SELF COMPASSION IN EATING DISORDER RECOVERY  

Many of my clients express to me that as their symptoms and eating disorder behaviors increase so does the volume of the eating disorder “Ed” voice. Let me tell you, Ed’s voice could not be further from one of compassion but rather it is critical, shaming, cruel, persuading, and even violent. Some clients have told me “It’s like a drill segreant. If I do not obey my safety feels threatened.” I am not suggesting that people suffering from eating disorders literally have another person living in their head, but once eating disorders are triggered the thought patterns that fuel the behaviors are par for the course and addressing Ed’s voice is a fundamental part of treatment and treatment outcomes.

I will make a quick statement that as one becomes nutritionally rehabilitated (regardless of weight) with a balanced meal plan provided by a registered eating disorder dietician the voice will quiet naturally. Addressing malnourishment is the first step of recovery but that does not mean that starting the work of self-compassion cannot go hand in hand. Self-compassion is a life practice not just a recovery practice. 

WHAT IS SELF-COMPASSION? 

Dr. Kristen Neff is widely recognized as one of the world’s leading experts on self-compassion. She was the first person to operationally define and measure the construct around 20 years ago. You can check out her website here. Here is how Kristen understands self-compassion. 

“Self-compassion is extending compassion to one’s self in instances of perceived inadequacy, failure, or general suffering.” 

Kristen’s three key ingredients to self-compassion are: 

1. Mindfulness -a non-judgmental, receptive mind state in which individuals observe their thoughts and feelings as they are, without trying to suppress or deny them.

2. Common humanity-suffering and personal failure is part of the shared human experience rather than isolating.

3. Self-kindness -being warm towards oneself when encountering pain and personal shortcomings, rather than ignoring them or hurting oneself with self-criticism.

TIPS TO START PRACTICING SELF COMPASSION IN RECOVERY

Imagine you are carelessly strolling down the street and suddenly you catch your reflection in the shop window and BOOM Ed voice says…

 “I can’t believe you chose to eat that gelato with lunch. I told you not to and now look at you, you’re bloated. Honestly your stomach is disgusting. You are so weak. I can’t believe you have the nerve to be out in public right now. You need to get your act together and (insert ED behavior) exercise, restrict, purge, isolate, cut etc.” 

Instead of mindlessly obeying Ed you could instead take a Self-Compassion Break.  Even if you end up following through with the behavior pausing and trying something different is building towards your recovery and diminishing the power of ED. 

 SELF COMPASSION BREAK: 

Mindfulness: Recognize you are experiencing some form of struggle. Emotional, physical, or mental pain. Identify the pain and in a compassionate tone, you might say “This is scary, I am afraid I gained weight. I am afraid if I don’t punish myself for the gelato I have failed. I feel guilty.” The goal is to recognize and validate the difficulty with a compassionate tone.

Common Humanity: Remind yourself that everyone (especially others suffering with ED’s) have experienced this form of suffering and know how you feel. You are not alone, and it is exactly suffering and relating to one other through empathy, validation, and compassion that binds humans closer to one another.  

Self-Kindness: The final steps is offering yourself kindness amidst the suffering ( fear, guilt, and ED’s mean voice) through giving yourself kind words and actions. Kristin Neff has called this the yin and yang of self-compassion. The yin being kind words to oneself and yang being kind actions. Kind words could be “You are brave for facing your fears and pursuing recovery. You enjoyed that Gelato and it was so such a fun lunch with your friend. There are others who would be inspired by your recovery action today.” For a kind action you can choose any out of your self-care toolbox as long as it represents kindness towards self-amidst the suffering and goes against the will of Ed’s voice. 

I encourage you to try using Self-Compassion Breaks as much as you can. The Ed voice will not get any weaker unless we become mindful of it, validate and feel our feelings, and respond with kindness. 

Follow this link for more tools to practice self-compassion! 

By Shaundra McGuire, MHCI

Book an appointment with Shaundra Mcguire:

https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

REFERENCES: 

https://self-compassion.org/

https://www.edcatalogue.com/3-mindful-self-compassion-tools-eating-disorder-recovery/