Aimee,
I don't have an eating disorder, but you and I have a lot more in common than most people would think. I have OCD. I believe you very likely have OCD also, and that many girls with anorexia or bulimia are actually struggling with OCD and not simply nor primarily struggling with the symptoms of anorexia and bulimia.
Please listen to me: I believe you are very smart, very analytical. I believe you want someone to know more than you do about what you are doing. I believe you want to believe they are smarter than you are about your situation, and that so far no one has been. I believe you probably don't trust that someone understands because if they only understand anorexia or bulimia, they still do not understand what is at work within you that is torturing you mercilessly! I believe you feel enslaved, and that you feel you must keep the control in order to protect and now save yourself - unless someone could come along and understand, FINALLY, enough to be trustworthy to guide you out safely. I believe you are able to hide in your brain to protect yourself when you can't hide in your home and body, that you know you are able to fool people - and you wish someone was insightful or wise enough or experienced enough to figure that out! For that is the person worthy of your turning over control, at least the most needy part of the control. You don't believe anyone anymore, do you? No one truly understands exactly, so it feels unwise and unsafe to relinquish control. The problem is, you don't really understand, either, do you? You know when they are being simplistic or misled by you, and you want them to be smart enough to know better.
It's not really about the molestation anymore; it's about the obsessions. It's about their origin every day, or at least what you believe about them. It's not so much about what happened when this all started. What you feel you can't stop thinking, and what you feel you HAVE to do - HAVE to - is what this is about now.
Aimee, you're nearly exhausted. OCD is absolutely exhausting. It will consume and then destroy us; it's bottomless and endless and dark. We become slaves to it. Yet, we can overcome it. So far, it seems not overcome often or easily because I believe most doctors - even those who work with it a lot - are having a difficult time comprehending it like those of us who live with it actually experience it. It's hard even for us to understand. In its grip, we simply don't seem to have choices. We HAVE to do what we have to do.
I don't want you to lose this battle, and I can see you don't want to lose it, either. I never came so close to death in my own battle, but I was also exhausted. I was miserable. Some days I felt such shame and also guilt, I was disgusted with myself, and felt broken. But I made the first simple choice that I finally found I had, and it may be the only choice OCD sufferers actually have. From there, I climbed back out and have been able to live in freedom again, and my control is focused now on keeping the OCD in its place.
What did I do? I ran out of options. I ran out of tolerance. I ran out of stamina and courage and belief in my ablility to figure any of it out on my own. I ran out of everything but hope. I let a new doctor put me on an OCD medication (Luvox) and I "checked out" for a while. On Luvox, I was living in a bit of a sedated fog, I felt thick and slow and had some mild side effects. But I just kept taking it and let go for a while. I stopped working so hard (still working when tortured by the OCD, but when simply irritated by it) and I let that be o.k. I just watched.
I watched my life happen around me and watched people relate to me, I watched myself responding. I watched the cause and effect of everything. For a while, I didn't seem to be "improving"; worse, my life was getting messy and neglected, but I was too doped to do much about it. I kept watching. And do you know what I came to see? I still remember where I was sitting and who was next to me, and it was a specific moment that I had utter awareness of something that I knew was significant. Now I know it as THE significant insight about my OCD. I saw that there was nothing really of any connection to me happening in my environment, that I was detached from it all as I had become accustomed to on the medication.... and I STILL had a relentless and high-pressure obsessive thought from within myself, within my head. I was too doped to do anything about it, which would have stressed me into craziness before the medication, but I just sat there giving up, taunting the OCD with my outrageous, maybe deadly, probably evil neglect this time. And nothing happened. Which was everything. I counted it as a victory, and hung onto it as evidence that I could now argue with myself over the next time OCD challenged me at that level.
I could write a book about the insights I've had since then, and I want to every time I come across a young woman like yourself who I know to be tortured. I wonder if my story could be the handhold you've been reaching for all this time. So, remember this: You are absolutely worthy, you really are safe, you can overcome this more easily and quickly than you believe, you don't have to be perfect, you are loved, the OCD thoughts and the compulsions are NOT what you think they are.
At every moment, with every challenge, you only have to make a choice right then. You don't even have to choose well every time (you won't) to get it right for the long run eventually. With every choice that you choose to trust, to take a risk, and to live, you grow in strength and the OCD (as well as its symptoms of anorexia and bulimia) will wither. You can do this. Stop thinking for a while, with a doctor's help and medication if need be, and take a break. Your thoughts are not coming from where you think they are. That is the part the doctors don't know how to really understand. I hope you will trust me. You have to choose to live and to know that you are not risking something you can't afford t lose. You're simply not. Please trust me.
You'll stay in my thoughts. I'm here if you need me. I'm even here if you don't. Be well, Aimee.