Latest / Becoming Anchored / Becoming Anchored S1E7: Navigating Eating Disorder Recovery Through Mid-Life
Transcript
- 0:00Hi everyone.
- 0:00Welcome back to the Becoming Anger podcast.
- 0:03So glad you're with us today.
- 0:05We're super excited to be here.
- 0:06Um, we are two therapists in the Nashville Brentwood area.
- 0:11I am Lauren Jackson.
- 0:12This is Laura Dineen.
- 0:14Um, we are Like I said, super happy to be with you guys today.
- 0:18Um, we have a, um, great episode, um, some content that we're really
- 0:24passionate about and, um, we're excited to kind of share that with you and
- 0:28explore and be curious with you guys.
- 0:31Like I said, we are two therapists in the greater Nashville area.
- 0:35We work in a group private practice and see lots of different
- 0:39presentations all through the lifespan.
- 0:41Love what we do and are excited to kind of expand our reach
- 0:45through this new platform.
- 0:47And, um, we are ready to just kind of jump in with you guys today.
- 0:52Yeah, thanks for being here.
- 0:54Um, like Lauren said, we really wanted to start this podcast just to Really
- 0:59ride the waves of life with y'all.
- 1:01So we're human first and foremost, we have lived experiences.
- 1:05We go through ups and downs in our lives, and then we also are therapists.
- 1:09And so we get to sit with people in their joy and their pain and their grief.
- 1:13And that is just such a privilege for us.
- 1:15And so the purpose of this podcast is really first and foremost,
- 1:18just to, um, share about our lives and also provide hope and wisdom.
- 1:23Um, from our unique perspective.
- 1:25So thanks for being here.
- 1:26We've got a wonderful episode topic today.
- 1:29We are going to be talking about eating disorder recovery during midlife years.
- 1:35And so we Lauren and I both in the practice see quite
- 1:38a few, um, women and men.
- 1:40who are maybe in their 40s, 50s, 60s and going through eating disorder recovery
- 1:45either for the first time or they've been in it before and they've somehow found us.
- 1:49But this is a population that we really love working with and so if this is
- 1:53you or if you're supporting someone in midlife, we're here for it today.
- 2:00Quick disclaimer, this episode, um, this podcast is intended
- 2:05for informational purposes only.
- 2:06This is not meant to take the place of therapy.
- 2:09So if you find that as you're listening to these episodes and engaging in
- 2:13our content that you could benefit from your own therapy, then we super
- 2:17encourage you to either reach out to us.
- 2:19If you're local, we'd love to connect with you.
- 2:21Or find somebody local to you.
- 2:40So let's dive in.
- 2:43Okay.
- 2:43So this is a really neat niche topic, right?
- 2:47So.
- 2:48You know, eating disorder recovery during midlife years.
- 2:52Um, there's so many things about this stage of life that I think are nuanced
- 2:58to the eating disorder recovery world.
- 3:00Um, I personally love treating clients in their 40s, I've worked with clients,
- 3:08really, up through that age group, and they're just so dear to me.
- 3:13Um, there's something about their lived experiences, their wisdom.
- 3:19Um, you know, they've been around the block a time or two, so to speak.
- 3:24They kind of know themselves in a different way than maybe, say, a 15
- 3:29year old who's coming for treatment.
- 3:31Um, so yeah, Lauren, I'm curious, what have you noticed maybe that sets treating
- 3:38this population apart from maybe an adolescent with an eating disorder or a
- 3:42college student with an eating disorder?
- 3:44Anything come into mind?
- 3:46Yeah, I think just kind of echoing even what you, you said that there is
- 3:53an element of greater intrapersonal.
- 3:58Insight or awareness.
- 4:01So intrapersonal being like relationship with self, then perhaps a 15 year old,
- 4:07a 16 year old, even a 25 year old, honestly, and I think a lot of that
- 4:11has to do with just the, um, biological component of a more developed brain, if
- 4:20you will, um, And so that adds an element of perhaps maybe greater depth up front
- 4:30that you can go, go into with, with, you know, an, an adult midlife client, um,
- 4:38um, you know, to, to a certain extent.
- 4:42So that's, that's kind of the first thing.
- 4:44That stands out to me.
- 4:46Um, um, you know, typically when I, I have a client that comes in to the room
- 4:53who's, yeah, in their forties has had this kind of lifelong eating disorder,
- 4:58maybe, um, there, there also is, Um, sometimes usually perhaps a level of
- 5:05like motivation and readiness to change that, um, is that can be exciting to
- 5:12work with, um, now that, and I don't want to overgeneralize too much by any
- 5:19means, you know, because we certainly, I certainly have teenage clients and young
- 5:23adults who are ready to change as well.
- 5:26And I think with the, you know, the lived life that they have and a few
- 5:31times there on the block that you said, um, um, adds a bit of fire under
- 5:39them, um, to, to live the rest of their lives in a more meaningful way.
- 5:46Um, so that, that is.
- 5:49That is something I notice as well with my clients in that age
- 5:53demographic with eating disorders.
- 5:55Um, and there are certainly some, some, some, uh, what's the word I'm looking for?
- 6:03Elements of, um, difficulty that come along with it as well.
- 6:08Um, clients who have had an eating disorder for longer, um, tend to be
- 6:17just much more entrenched in, um, Kind of enmeshed in, uh, you know, in,
- 6:26intertwined with those patterns and behaviors and beliefs and ways of thinking
- 6:32and, and that can sometimes be harder to dismantle and untangle and rewire.
- 6:37Um, um, so, um, there's, you know, obviously that element too.
- 6:44And, and, and, and, and.
- 6:46There is always hope.
- 6:47However long you've had an eating disorder, however old you are, um, there,
- 6:52there is always room and space for that rewiring and for that change and, and
- 7:00for you or whoever it is to, um, to start living a more meaningful life.
- 7:07Um, because the lie of the eating disorder is that, is that living
- 7:11with the eating disorder is the most meaningful and that's just not true.
- 7:15Um, so yeah, those are just some, some initial thoughts that come to mind.
- 7:19I don't know, what do you notice Laura?
- 7:22Yeah, I mean, so just to kind of tag off of what you're saying, I mean,
- 7:26yeah, what we call the neural pathways in the brain and the way that I explain
- 7:30this to clients that I've, I've worked with over the years is just this
- 7:33idea of it's a well traveled road.
- 7:35Right, so the longer we're in it, it's, it's not that we can't recover, but we've
- 7:40been down that road for many years, right?
- 7:43No matter what behaviors you've used and no matter what your
- 7:47presentation or diagnosis is.
- 7:49And so starting to like pave a new road in air quotes can be really tough and
- 7:54whether it's an eating disorder or OCD or, you know, a mood disorder, whatever
- 7:59we have going on, paving a new road.
- 8:02to reduce our behaviors is incredibly hard.
- 8:05Um, and if, especially if we've been using those behaviors for 30, 40 plus
- 8:09years, um, one of the things that I notice in this population that I really love
- 8:14working with is this idea of unlearning.
- 8:17And so when clients come to us, maybe for the first time, so some people in
- 8:23their forties or fifties have worked with a different provider and maybe have
- 8:27stopped treatment or, and then come back to treatment, or maybe we're, Getting them
- 8:31as a new client, and this is their first time working with a specialized provider.
- 8:36Um, and this idea of unlearning, and so, I know our generation, Lauren,
- 8:41has been more open to going to therapy and really unpacking our stuff.
- 8:46And, I feel like for people in their 70s, not that it's uncommon, but
- 8:51maybe it wasn't as acceptable or maybe it was a little bit more taboo back
- 8:55in the day than it is now, right?
- 8:59So a lot of our college students and even adolescents talk about therapy
- 9:04in a way that's more normative, in a way that's more, Um, more accepted.
- 9:08And so, yeah, we, we do this unlearning process in eating disorder treatment,
- 9:13especially really for any eating disorder, but especially for, for people
- 9:18and individuals that work with us that are in their, their midlife years.
- 9:21And just this idea of all the things that they've learned about food or
- 9:26their bodies that are unhelpful, um, and, and saying those things with a
- 9:30trusted professional and then having feedback around those things and.
- 9:34Starting to consider that maybe something else could be more helpful to believe,
- 9:39or maybe something else is true.
- 9:42I love watching clients go through that process.
- 9:45Um, so a lot of clients that I've worked with in their forties,
- 9:48fifties, sixties, you can kind of see it happen when we talk about it.
- 9:52But you know, if, if maybe somebody hasn't eaten breakfast for years and then all
- 9:56of a sudden they're like, Oh, I have permission to eat breakfast and maybe
- 9:59I won't have my daily morning headache.
- 10:02And.
- 10:03it just feels like this light bulb moment for them.
- 10:06Um, and so yeah, the unlearning is just such a, I think, crucial component of
- 10:13treating eating disorders in midlife.
- 10:16Um, that's been so special to me over the years working as a provider.
- 10:22Yeah.
- 10:22I, as you were talking, Laura, Um, I was just thinking about a client that I've
- 10:30had in the past and, um, her journey.
- 10:35Um, through, um, disordered eating recovery, body image work, breaking
- 10:43free from kind of chronic dieting.
- 10:45Um, all of that for us really kind of lives under the same camp, under
- 10:50the same kind of big umbrella.
- 10:52Um, we're, we're really approaching it and kind of treating it the
- 10:55same way as somebody who maybe has a diagnosable eating disorder.
- 11:00Um, and so, so this sweet client, um, we, we had a session where, where she, She
- 11:08had kind of had this light bulb moment in between our sessions and she came,
- 11:13she came back and she was like, you know, I've, um, she's just kind of telling me
- 11:17about her food experiences and, um, some of the self awareness she had been making.
- 11:24And she was like, you know, I think I, I've realized this week that I think I've
- 11:28really been fighting my body for so long.
- 11:31I've really been like fighting against what my body has been
- 11:37trying to tell me, which is.
- 11:39Like, Oh, maybe I'm actually still hungry.
- 11:41Or maybe I want this thing when I'm, you know, maybe I have these
- 11:45kinds of certain cravings or certain desires for food or whatever, when
- 11:49I'm like on my period and I'm just, I'm not listening to what it's saying.
- 11:52I've been, it was this like radical, like, Oh my gosh, I haven't been
- 11:57listening to my body and I can, I can listen to my body now.
- 12:02And it was just this moment for her of.
- 12:05Unlearning this thing and learning this new thing.
- 12:08And yeah, she's, she was in her later thirties, I think.
- 12:13Um, and so that was, like Laura was saying, it's, it's a, it's cool to see
- 12:20when that is actually happening with our older clients who have learned
- 12:26something so disordered for so long, have been living in that space,
- 12:30and then have a moment of, I can, that's, I can do this other thing.
- 12:36And that's actually.
- 12:38more functional, that's more authentic, that's more healthy, that's more, um,
- 12:48in line with what I want my life to be and the meaning I want my life to have.
- 12:54So that story comes up for me just like in terms of seeing that kind
- 13:00of play out in a session before.
- 13:04One thing that is kind of coming to mind with this unlearning just
- 13:09as you were talking as well, um, what we can see oftentimes in
- 13:14midlife is a deep shame, right?
- 13:17And shame typically is a part of any eating disorder diagnosis, right?
- 13:21No matter what the client's age is.
- 13:24But this shame around, oh my gosh, I don't have an eating disorder.
- 13:30I, you know, that's only for like, young girls or shame that I've
- 13:35struggled for so long with food.
- 13:38Like, why can't I just get it together?
- 13:40Why can't I just eat normally, you know, whatever normal is.
- 13:44So I think that's one piece to that.
- 13:46I see quite frequently in this population is just this deep rooted shame.
- 13:52that shows up, whether it's that they, they've bought into a myth that, you know,
- 13:56an eating disorder only affects a certain age group or certain socioeconomic status
- 14:02or whatever it is, um, or it's shame, kind of the twofold nature of this is shame
- 14:08that they've been in it for, for so long.
- 14:10And, and they know that, man, I've caused my loved ones quite a bit of pain.
- 14:15Um, and so this population can feel that shame on a deep level.
- 14:19And so being able to offer.
- 14:22A space to experience the shame and then release it can be just a really
- 14:27beautiful part of their treatment.
- 14:28Yeah, yeah, and piggybacking off of that, so shame being a common experience.
- 14:39population and eating disorder recovery, um, as well as, um,
- 14:47grief and, and a grief experience.
- 14:50And I, and I would say that with, with anybody recovering from an
- 14:55eating disorder, whatever your age is, there's, there is an element of grief.
- 14:58I mean, we, we probably should do a whole episode on grief.
- 15:01We could probably do a million episodes on grief.
- 15:03Um, um, but just the uniqueness of.
- 15:08middle age eating disorder recovery and the grief that comes along with that
- 15:13I think is important to maybe point out and name, um, because there, there
- 15:22are, and you know, I've just, I've experienced this with, with my clients
- 15:26in this demographic of realization.
- 15:29around what has been lost to the eating disorder, what, what life
- 15:35has not maybe been lived in the way that now you want life to be lived.
- 15:39Um, grief around relationships, um, grief, just really around what the eating
- 15:48disorder has kind of, robbed you of.
- 15:52Um, and so there's a whole element within the recovery process of
- 15:57grief work, grief processing.
- 16:00Um, and then, you know, there's typically always a grief experience and process
- 16:08within the kind of acceptance of releasing this ideal body that we have always
- 16:17kind of been striving for or hoping to have that within the recovery space.
- 16:23Maybe there's a realization that that doesn't exist because that
- 16:25actually isn't going to help me live a meaningful life or a life
- 16:30worth living or a life in my values.
- 16:32And so, so shame and grief, um, are also, you know, are, are pretty,
- 16:41um, Significant experiences that we've, I think we both find this.
- 16:50this age, um, has in the, in the recovery process, um, kind
- 16:58of throughout the process.
- 17:01Yeah, and one thing that you mentioned is letting go of this
- 17:03kind of idealized body, right?
- 17:05I think that especially for individuals in their midlife years, that can
- 17:11be really challenging, right?
- 17:12Because if you think about bodies that are elevated, right, in air quotes,
- 17:17typically they're, they're younger.
- 17:20Right.
- 17:20And they're, they have a certain look.
- 17:22And so I think even Like being allowed to age for, for all genders, but
- 17:29especially for, for women, right.
- 17:31Can just be something as you're working both on your relationship with food
- 17:36and then your relationship with body that can just be another kind of piece.
- 17:40of the, of the pie, so to speak, that we have to address of, you know, how,
- 17:46how do I embrace my, my aging body?
- 17:49And, you know, I, our culture teaches us that we have to do all of these things
- 17:54to like counter the aging process.
- 17:56Right.
- 17:57Um, and so that's another piece too that I think, especially in midlife,
- 18:03I'm talking about with clients.
- 18:04Right.
- 18:05So.
- 18:06What does it feel like to you to not only grieve and then to accept
- 18:10your body now, knowing that it will continue to change, right?
- 18:13Because my body has changed from my 20 year old body, right?
- 18:16And I'm in my mid 30s, and I know it will continue to change.
- 18:20And I have a strong foundation of therapy, but, um, You know, sharing personally, my,
- 18:27my hair has gone gray and now I dye it.
- 18:28So I'm not ready to go fully gray yet.
- 18:30Lauren knows this, but that, that has been hard for me.
- 18:34Um, I've always loved my hair.
- 18:36I have always had like almost.
- 18:38black dark hair and I've just always loved it and so that that can just be
- 18:43hard is seeing the grays and just kind of embracing oh my gosh I'm getting older
- 18:48and what is that what emotion does that cause in me and then what do I need right
- 18:52so oftentimes I'm able to work through that pretty quickly by telling Lauren
- 18:57or telling my best friend or my husband or whatever and getting some support
- 19:00in that way and that's just a really really small piece of the body image.
- 19:03You know picture, but I've experienced that too, and I don't necessarily feel
- 19:08pressure to dye my hair I'll probably make a decision at some point to like
- 19:11stop dyeing my hair It's quite expensive.
- 19:14It's time consuming and I love my hair girl shout out to Shelby, but
- 19:20Still it's it's this thing of like yeah, we're like not allowed to age
- 19:25especially as women And so that adds just another layer of complexity I
- 19:28think To healing body image, especially for individuals that are like 40 plus.
- 19:35Um, so that just felt important to, to
- 19:38note.
- 19:39Oh my gosh.
- 19:40I'm so glad that you named that.
- 19:43Um, I, I almost kind of forgot about that just in terms of our, our clients who
- 19:52are in their thirties, forties, fifties, sixties, forties, fifties, sixties.
- 19:56That is like, so their reality, like aging.
- 20:01I mean, that's all of our realities, right?
- 20:02We're all growing up.
- 20:04We're all.
- 20:06You know, getting older.
- 20:07Um, and then, and there's something about once you get into your 40s,
- 20:11I feel like we're, and we're both early, early thirties, mid thirties.
- 20:16Um, but it feels like there's something about getting into your
- 20:20forties that it's like the aging like really starts or something.
- 20:24I don't know.
- 20:24And so I'm just so glad that you named that because, um, I wonder too, if that
- 20:31is a component in our midlife clients.
- 20:36Eating disorder experience that is so influential in the eating disorder, being
- 20:43there and playing the role that it does play in their lives at that point, right?
- 20:48Um, I was having a conversation with my mom and one of my cousins
- 20:53who I don't see a ton recently.
- 20:56And my sweet cousin, she's, she's in her twenties.
- 21:00Um, and she was asking my mom about how, if she dyes her hair, my mom does.
- 21:05And my mom is, you know.
- 21:06beautiful, beautiful.
- 21:07And it's funny, she has my hair on my, she has her mom's hair for sure,
- 21:14because she's like, if she didn't dye her hair, she'd be fully great.
- 21:16Which she would tell anybody.
- 21:18Um, and she's like, I'm just not, I'm not ready for that.
- 21:20I don't, I don't want, I don't want that.
- 21:23Um, and so my, I don't know why my cousin was asking, but we, then we
- 21:26were talking about aging and whatever.
- 21:28So I was just having a conversation about this the other day and my cousin,
- 21:31she's like, you know, aging, it's, it's.
- 21:34It's a privilege to age and I'm like, totally, and that's probably easier
- 21:39for us to say because we're not really like in the thick of it yet, right?
- 21:42And so just to, I think just to validate that that is such a real deeply kind of
- 21:50embracing aging is, it can feel like such a deeply counter cultural thing to do.
- 21:54Um, and so I'm really glad that you named that because yeah, I mean,
- 22:00it's, it's, it's You know, we're getting, we're, you and I are getting
- 22:03snippets of it here and there.
- 22:04Like I've had a lot of lower back stuff.
- 22:07You have, you know, your gray, your gray hairs, all the things, right.
- 22:11And, and so we're just going to keep tasting that and, and how
- 22:16are we going to embrace that?
- 22:17I think it's just a helpful question to be, continue to be curious about.
- 22:22So
- 22:23yeah, I think too, what I noticed about, you know, Really, a lot of our clients and
- 22:29even my own self is and Lauren knows this about me, but I'm a dreamer and so I'm
- 22:34kind of always thinking about what's next.
- 22:37So for our clients, sometimes in midlife, they may be that way.
- 22:41And then I think there's also this like longing.
- 22:44for their younger years or kind of reminiscing.
- 22:47And, um, so really the work that I try to do with myself is staying present.
- 22:52Right.
- 22:52And so the same thing is true with our clients in midlife.
- 22:56It's like, Hey, we can long for younger years and we can reminisce.
- 22:59And how do we help you be present in this stage of life and, and work on.
- 23:05At least body respect, body tolerance, maybe moving towards body acceptance,
- 23:10even if you don't have the body that you had when you were 20 or 30 years old and,
- 23:15um, That longing I think is, is there.
- 23:18That's something that I find to be present with my clients in this, in this stage.
- 23:23So, yeah, and that's a normal part of the process, right?
- 23:27And, and it's okay to long.
- 23:28It's okay to maybe miss those years or grieve that maybe you, you don't
- 23:33have the body that you had back then.
- 23:34And, or maybe you're struggling with chronic pain or whatever it might be.
- 23:38And how do I really work on being present?
- 23:41With my, with my current self.
- 23:43Um, and hello, I struggle with that.
- 23:45So, This is not me talking at you guys.
- 23:48It's really, it's really just in me talking to myself.
- 23:53So we're so glad that y'all joined for this episode.
- 23:58You know, just we want to leave you with some homework, with an affirmation.
- 24:01So if you're in your midlife years.
- 24:05We want you to know that you are so cared for and loved and that
- 24:10you deserve appropriate treatment.
- 24:13It's never too late.
- 24:15So that's the affirmation that I really want to leave with you.
- 24:20Um, but yeah, it's never too late for me to be deserving of appropriate care.
- 24:25Um, and, and we work with clients of all ages in the practice and Lauren and I,
- 24:31And several of other of our clinicians have a really sweet spot for, um, people
- 24:37in their midlife or even elderly years.
- 24:40So thanks for joining today.
- 24:41Lauren's going to follow up with some homework for y'all.
- 24:46Yeah, I feel like I could give So much homework, but I won't
- 24:50give you so much homework.
- 24:51Um, so a couple things that have come to mind.
- 24:54Um, first of all, if you, whether you're midlife right now or anybody
- 25:01who's listening, if you, um, notice in yourself, struggling in any way with your
- 25:09relationship with food, with your body.
- 25:12You've maybe invalidated your, your need for support.
- 25:17And after listening to this, you feel some hope around getting support.
- 25:21I want to challenge you to reach out to someone, um, find a local therapist,
- 25:30preferably who maybe works with eating disorders, body image, disordered eating.
- 25:34Again, if you're local to us, we'd love to We'd love to connect with you.
- 25:37Um, but like Laura said, you, you deserve, you deserve treatment.
- 25:42You deserve support.
- 25:44Um, and so, and so that's my first, my first thought, my first bit of homework.
- 25:50My second, my second thought to leave you guys with today is, um,
- 25:55This idea of radical acceptance.
- 25:58So go look it up, go Google it.
- 26:01Um, it's, it kind of encompasses a few different things, but it's
- 26:05this like radically accepting kind of where you're at now, present
- 26:09moment being present with yourself.
- 26:11Um, and so, um, if you're finding yourself in that midlife, stage, um,
- 26:17maybe trying to implement where you can a practice of radical acceptance.
- 26:22Um, and then there is a book that I'd love to encourage you all to, um, maybe try
- 26:30and get your hands on or take a look at.
- 26:32Um, it's this book called, I'm actually reading it right now.
- 26:36It's not necessarily particularly related to eating disorders.
- 26:39It's kind of a broad stroke on like, um, Um, our culture's pressure on
- 26:45women to look and be a certain way, um, which I think we can kind of all
- 26:49relate to as, as females in our culture.
- 26:51So the book is called Beauty Sick.
- 26:53Um, like I said, I'm reading right now.
- 26:55It's really, really great.
- 26:57So I think that could be a really helpful resource, um,
- 27:00um, for anybody who's listening.
- 27:01And then, yeah, for those of us mid age, who are finding that we want to,
- 27:06we want to change our relationship with food and with our body, um,
- 27:10that could be a helpful place to.
- 27:11Maybe start.
- 27:12So thanks Lauren
- 27:16and thanks for being here y'all today.
- 27:18See you next time.
- 27:19Bye.
- 27:19Bye