Hey,
I think you've probably come further than you think you have, but there are always going to be ups and downs. I think you do give yourself a very hard time for things which most people would consider perfectly healthy and not think twice about, I think maybe the health anxiety makes you question every tiny little thing you do maybe?
The majority of people wouldn't even consider obsessing about whether they are 'allowed' to have cake, for example, and that
is part of eating disordered thinking, as I'm sure you know. As is obsessing about physique. It isn't a choice between obsessing about physique and having physical/mental health damage caused by junk food and obesity - there's a lot in between that. You can have foods which aren't so nutritious (I'm not going to call it 'junk food' or 'unhealthy' food, because as the dietitian at our EDU told us regularly, snacks don't
have to be nutritious - sometimes they are just nice to have, when you want them - other times you may not be in the mood for them - and sometimes they are just to give you an energy boost), but you can have them in
moderation, without them causing any negative health effects. You certainly don't have to have them every day, but if you are
obsessing about whether you should have them, then that is disordered. Muscle dysmorphia, for example, can be a consequence of obsessing about physique, and there's orthorexia too.
I think it might be worth having a chat with your GP about the eating/physique-related thoughts though. Even if it's not a 'problem' for you at the moment, it's having a negative effect on your life and it sounds like you could do with some help with your views about eating/health. I suspect you may be right, the anxiety and insecurity sounds like it's the underlying issue for you, but I think speaking to your GP (or your support team if you are already having any therapy?) would be beneficial there.
Good luck for the Asperger's assessment, I hope it's helpful.
---
As an update for myself...things aren't going well. I've been out of hospital since September, and I have lost a significant amount of weight since then. I am back to being in the 'anorexia' weight range, and I had blood tests and an ECG last week which showed that bloods were fine but my heart rate is slower again. Not hugely slow, but it has dropped to being 49, which is significantly slower than it usually is. SEDCAS have now moved me from their 'green' risk category to the 'orange' category. My SEDCAS worker has said that the next 2-3 weeks are critical for me, if I can't manage to stabilise things I will be back in 'full-blown anorexia'.
And even then, I am struggling. My dad has been away since Wednesday (until Monday) and my eating has deteriorated a lot this week. Uni know I am struggling again, and I had a very long talk and cry to my supervisor on Thursday. I am so cold I can barely function, I just hurt because I am so cold. I am exhausted again, I have no energy. My team have said to me that it is critical than I maintain my weight this week, and I haven't even managed that yet. I am going to try really, really hard tomorrow. The thoughts in my head are so strong at the moment, the guilt is so intense, I feel so greedy and self-indulgent and selfish and disgusting if I allow myself to eat. And I am trying to fight it so hard - I am still managing 3 meals a day until this week, but it's not enough to maintain my weight, and the eating disordered thoughts have just taken over again.
I've got an advent calendar for December and I'm so terrified of letting myself have the chocolate. I'm trying to not do it as 'part of my snack', but to do it as 'extra' as a challenge - anything 'over' frightens me because I feel self-indulgent and greedy for doing it. But I'm so, so frightened.
I am fighting it, I am trying my best, although things are very bad at the moment. I just hate this illness. I want to get my MSc and do the best I can in it, I want to have the energy to train properly, and to enjoy life. But I am struggling so much.
Apologies for negativity.