The path to recovery from an eating disorder is rarely a straight line. While treatment programs offer structured support, the journey beyond – and even *during* – can be marked by setbacks, fluctuations in motivation, and a return of familiar, harmful behaviors. Understanding this non-linear nature of recovery is crucial for both individuals experiencing an eating disorder and those supporting them.
The Myth of Linear Recovery
Many people initially approach eating disorder recovery with the expectation of steady progress. The desire to “fast forward” to a recovered state, as described by Equip Peer Mentor Elizabeth Moscoso, is common. This expectation, however, can be deeply discouraging when faced with the inevitable challenges that arise. The idea of a linear progression – a consistent upward trajectory – simply doesn’t reflect the reality of the recovery process.
Moscoso’s experience highlights the internal conflict many individuals face: a commitment to recovery alongside a lingering attachment to the eating disorder. This can manifest as periods of progress followed by regressions, fueled by fears about body changes or uncertainty about life without the disorder. Similarly, Kelsey Gilchriest, an Equip Peer Mentor, struggled with feelings of shame after completing a treatment program for avoidant/restrictive food intake disorder (ARFID), finding it difficult to reconcile the “definition of recovery” learned in treatment with the ongoing urges and behaviors she experienced.
What Recovery Really Looks Like
Recovery is not a destination, but rather a process of learning to manage the underlying issues that contribute to the eating disorder. It involves developing coping mechanisms, challenging distorted thoughts, and building a healthier relationship with food and one’s body. This process is often characterized by periods of stability interspersed with moments of difficulty. These setbacks aren’t failures, but rather opportunities for learning and growth.
As the Equip article emphasizes, recognizing the non-linear nature of recovery is key. It’s about accepting that slip-ups and challenges are a normal part of the journey, and not allowing them to derail progress. Instead, these moments can be viewed as data points – opportunities to understand triggers, identify areas needing further attention, and refine coping strategies.
How – and Why – to Keep Going in Recovery
Maintaining momentum in recovery requires self-compassion, patience, and a willingness to adapt. It’s important to remember that recovery is not about achieving perfection, but about striving for progress. Seeking ongoing support from therapists, dietitians, and support groups can provide valuable guidance and encouragement.
The availability of support, however, can be a significant barrier. Gilchriest’s experience underscores the importance of adequate post-treatment support. Without continued guidance and connection, individuals may struggle to maintain their progress and may experience increased shame when facing challenges.
it’s important to acknowledge that eating disorder treatments don’t work for everyone, with success rates around 50%. As research suggests, a broader approach may be needed, recognizing that aspects of the eating disorder can become ingrained as coping mechanisms. In Australia, changes to Medicare are expanding access to psychological and dietary interventions, acknowledging the complexity and difficulty of recovery. However, access to these options may still be limited.
Several resources are available for individuals struggling with eating disorders or in crisis. The National Association of Anorexia Nervosa and Associated Disorders (ANAD) helpline offers support and referrals between 8 a.m. And 8 p.m. EST. Numerous other hotlines and text lines provide 24/7 access to trained volunteers who can offer immediate assistance. These services are available for a range of eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, and ARFID.
It’s also important to remember that eating disorders are complex conditions that can significantly impact mental, physical, and emotional health. While recovery is possible, it often requires a long-term commitment to treatment and self-care. Recognizing the non-linear nature of the process, and embracing self-compassion along the way, are essential components of a successful recovery journey.
