I spoke to a truly brilliant girl today; she had completely recovered from her anorexia nervosa after a total of 8 years suffering it. And she opened my eyes to a very important thought.
She subscribes to the belief in what many specialists call the "Cognitive Shift" theory. That when you are malnourished to the point of detriment down to an ED, girls experience a "Cognitive Shift" reaching BMI of 19, and men when they reach BMI of 19.5.
What IS this? Well, it's the inability to physically understand HOW you will ever be cured, this feeling of absolute helplessness, that you will live every day for the rest of existence trapped in the world of the ED. The problem then, is that you are trapped thinking this way, forcing yourself to stay this way, despite your cure perhaps being the exact opposite. It is logically incorrect, but then again, it is a DISorder!
But reaching this "Cognitive Shift" BMI, many specialists note that the subject almost completely pops. It's almost instantaneous in some cases. The person suddenly learns to appreciate their frame, their being, their existence, as a full human being, restored to health. It is partially psychological, partially physical.
Now, I felt really sceptical about this. I thought it was yet another "trap" those "evil" therapists set to "trick" me to gain weight. Surely so, right? Pah! But this girl I spoke to - she was insisting the entire time during her ED, to stick to "about BMI 18, because it was just right- skinny, but not deathly skinny". But she still had ED. She still counted calories and only ate "safe foods". After six or so years of life like this, she flipped one day and started just - eating normally. She said initially it scared her. Her clothes didn't fit because she gained weight so fast. She self-harmed. She did unspeakable things. And then one day, she just didn't weigh herself any longer. She was too scared to. But then the next day, she didn't check again... because she didn't feel she needed to. After a week, she checked her weight - exactly the same. She was a BMI of 20, and had started eating normally for the first time. And for a week, eating "normal" food, she stayed the same. Normal.
She said she suddenly realised that she was the same weight... but she was the exact same PERSON. She realised nobody thought ill of her, and people started talking to her more. She was excited to just be a part of the crowd. It was strange because for so long she'd lived on the edge of reality and now she was like... just another face in a very, very real crowd. And she loved it.
It dawned on me - the theory of the "Cognitive Shift". I realised it as a metaphor. If you are standing on the edge of a cliff, it is much easier to look over the edge, even if you know all that's down there is doom. Moving away from the edge, it's safe, but wide open ; how far away from the edge should you walk? Just how far is "safe enough"? But when you start walking, you stop counting how far away you are from that edge and just walk. Because the edge - well, now, that's none of your concern any longer.