Let’s talk about that “r” word we all seem to live in utter fear of: relapse.
I desperately want to take away some of your fear and a few misconceptions about relapse. I’ve gotten a lot of emails about it, and many people find this site while they’re out searching the web for info on how to avoid or crawl out of a relapse. Instead of writing each of you back individually, let’s discuss it right here out in the open.
What is relapse??
Relapse simply means you have encountered a new situation that is scary or uncomfortable for you. It means that you are suddenly out of your comfort zone. Perhaps you’re faced with change, loss, stress or worry, or maybe you’re feeling some regret over bad decisions, as just a few examples. Remember how thrown I was when we lost our roommate’s beloved little dog. I was a mess of overwhelming pain and confusion. This is exactly the environment that makes turning to our old coping mechanism of food so appealing, even if only subconsciously.
Relapse happens when you find yourself unable to cope well with your new circumstances AND you do NOT take conscious, dedicated action to work through it in a rational, realistic, and optimistic way.
Humans will always find themselves thrown out of their comfort zones, many times when we least expect it or are prepared to deal with it. That’s life. For everyone – not just us. The difference is that your healthy coping skills are not the deepest rooted or most automatic. Remember, you became bulimic because your coping skills were missing or a bit messed up (ie. you tended toward irrational interpretations of situations and your ability to deal with them). Rather than building healthy coping mechanisms, you learned that bulimia was incredibly calming and soothing – numbing you enough to deal with tough times and tough decisions. Even after recovery our coping skills after are still relatively new and relatively UNTESTED. So, don’t become horrified or paralyzed if trauma or sudden change comes knocking and you end up with your head in the fridge.
But, you shouldn’t take this to mean your recovery is doomed and that you should just give up and go back to your old ways. Even if you do succumb to binging or full blown bulimic behavior at first, it doesn’t not mean your recovery is doomed. What it does mean is that you must respond in an active, conscious way. You have to dig out all your old tools and maybe reach out for new tools or other help. Perhaps you thought you had bulimia so far behind you that you don’t even remember what your tools were. That alone can throw you into a depression and compel you to turn to food that much quicker. Now, you have your trauma to deal with PLUS your old bulimia and depression around that.
But, it doesn’t have to be that way or stay that way for long!
Look at how I handled the loss of my beloved little friend over the period of a very tough week and a half:
Stage 1: I was thrown for a loop when I learned of Simba’s death. I cried for 48 hours straight. I overate. I turned to the TV for distraction. I felt distraught and angry at everyone for a week.
Stage 2: I went into serious denial about what was going on. I told myself it’s just the natural grieving process, and all the pain and confusion and anger would surely end on its own very soon. I told myself that my coping skills had grown strong enough since recovery that everything will be just fine if I just ignored it all. I tried to deny my emotions and go to work and be strong and just push through it.
Stage 3: I consciously accepted that I wasn’t dealing well with my loss. My misery and anger were not going to abate in a healthy way on their own. I consciously accepted that to get well, I had to take action, although I didn’t immediately know what action to take.
Stage 4: I finally made a commitment to dig out my old tools, even though I didn’t want to. I finally accepted that this was something I couldn’t handle on my own – that my coping skills weren’t strong enough on their own – that I needed help. I chose to use coping.org and Laurel Mellin’s cycles to work through this.
Stage 5: I set aside time and space and MADE MYSELF DO IT. Even though I really wanted to watch TV and continue to hide from it all.
Stage 6: I started the cycle without much emotion – I think I had pushed it down pretty far over the previous week and a half. But, I kept at it, and by the end, I had successfully worked through my pain and confusion and felt amazing.
Stage 7: I have felt wonderful and empowered and unstoppable ever since.
You can easily see from my experience how food would look incredibly appealing in stages 1) through 3). Hell, you may even go back to active bulimia every day for these periods when you go through these tough times. But, it does not mean your recovery is trashed. It means that you have to ACTIVELY TURN TO YOUR TOOLS FOR HELP IN COPING.
If you continue to deny your needs and what actions you need to take to help yourself, you will continue to be stuck in relapse until you finally take responsibility and take action.
Think about this though: if we never got thrown out of our comfort zone, how fun or interesting or even pleasant would that be?? Think about where you were 10, 5, or just 2 years ago. Would you really still want to be in those circumstances? Going to college was very scary, but do I wish I hadn’t gone and just stayed in my tiny little depressed upstate NY hometown? Hell no! Taking challenging new jobs is very scary and uncomfortable. Do I wish I had stayed in my former jobs doing the same old things for the same old low pay? No way! Quitting bulimia was uncomfortable, but would I still want to be there? Hell no!
Deepak Chopra is always tellin us to embrace uncertainty because that is how we grow and fully experience life and all it’s challenges and excitement and wonder. He calls it the Wisdom of Insecurity and the Wisdom of Uncertainty. You should definitely go back and read that old post.
And, please remember to be compassionate with yourself. You’re only struggling with relapse because you’re scared and uncomfortable. Acknowledge that and be tender with yourself about it.
This is the perfect place to plug Laurel Mellin’s stuff because her approach (her whole career) is based on the fact that people tend to have a hard time balancing nurturing (the urge to soothe ourselves to excess with food when we’re under stress) and limits (the discipline to remain rational and reasonable about our situations and what we need to do – even when we don’t want to or are afraid). And, while I recovered using various tools my coach taught me (you can find them scattered throughout the older posts in the **Exercises for Recovery** section), my favorite tool so far is the Laurel Mellin cycle. They bring me down into some fierce emotion and my deepest subconscious beliefs where I can look at them rationally and objectively. And, then they bring me right back up to feeling calm and peaceful, as well as optimistic, proud of myself, and excited about how I’m actively changing my mood and my future. They’re quick and very powerful.
My friend, e, is actually thinking about enrolling in some coaching with Laurel or someone trained in Laurel’s approach. E asked me my opinion, and while I hadn’t thought about it before, I now think it’s fabulous! I know this approach works (I’ve successfully used it on myself with no formal training), and it’s quite a bit cheaper than working with my coach and perhaps other coaches out there. I’m really proud of e for reaching out to see what types of non-traditional help are available, and I want to say, on the record, that I think Laurel’s approach should be on your radar, too, if you’re considering getting professional help. I’m in no way affiliated with Laurel, but I think I should make contact someday considering what a big fan I am.
Let’s recap on some scary but crappy beliefs about relapses:
MYTH #1: Relapse means you have to start from scratch in your recovery.
TRUTH: Relapse does NOT mean all the good work you’ve done is trashed!! It means you are faced with a new uncomfortable situation, and your subconscious mind is automatically seeking comfort via its old reliable standard: food and purging. You will need to dig out some tools to help you work up some courage and some different, more optimistic ways of interpreting your circumstances. Optimism will nurture your creativity which is your best solution to dealing with any new situation. This is a great reason for you to NOT count the days you remain “abstinent” from purging.
MYTH #2: Once you relapse, it’s a long fight back.
TRUTH: this myth is very dangerous because it can lead to feelings of depression and hopelessness. In reality, you could relapse only once and get right back on your feet. The “essential pain” (in Laurel Mellin-speak) is that you do need to take some kind of action to figure out why you are struggling emotionally and what you can DO to cope in an optimistic and courageous way with your situation.
MYTH #3: Relapse means you need to focus harder on your eating patterns. TRUTH: Relapse is not about food unless you're restricting too much and your body is revolting. More often than not, relapse is about fear and upset. Focusing your attention and efforts on food is not going to solve the problem. You have to focus on the REAL problem: your emotions, your needs, and how to cope with your circumstances.
TRUTH: Anytime you are faced with change, loss, heightened stress, or frightening emotions like regret, you need to be on the lookout for any urge to turn to food (good post from May 2006). You can learn to head off any sneaky cravings by proactively using your tools. Don’t assume you’ll be able to handle turbulent times without effort. You might be just fine. But, maybe you’ll need to be extra aware and conscious and bring out your tools. Even if you can slog through it, your tools can only make it easier. Use my experiences between July 27, 2007 and August 7, 2007 to remind you: I got cocky and I got knocked flat. It only took me a couple of hours of really working my favorite tool to end 11 days of pain and confusion and anger.
MYTH #5: You should live in mortal fear of relapse.
TRUTH: Relapse means things are changing or you have a challenge. Both change and challenge bring opportunities and potentially wonderful outcomes, even though it can feel horrible when you’re in the midst of them. Every time you successfully deal with change and upset, you get stronger and braver and your mind gets exercise in working through stress more automatically with optimism, creativity, and courage. Relapses are opportunities for great leaps in growth and for ridding yourself of heavy, old emotional garbage and deeply held irrational subconscious beliefs. Relapses can be very short lived depending on how quickly you choose to actively and consciously work your tools and/or reach out for help. Living in fear of relapse, like living in fear of ANYTHING, sucks all your energy and keeps you in a bubble. Stop fearing and start living!
What other powerful but not necessarily true beliefs do you have about relapse? How can I help you to face them and take away their power?






