1. Low self-esteem
a) Personal development work
I didn’t think it possible to change how I feel about myself so quickly and with such confidence – but I have! I need to watch out for the old self critical thoughts incase they creep back in but overall I think I can mark problem #1 as done!
2. Eating disorder
b) ED clinic, nurse, nutritionist, hypnotherapist and workshop
I had my assessment at the ed clinic two weeks ago. I didn’t post about it because really I wasn’t ready to face the truth. I am underweight and my bmi is 18.4. I have been referred for further groupwork and one to one cbt. Unfortunately the waiting list is around nine months. I can’t wait that long.
3. Hypothalamus hypopituaitary ovarian failure
c) Endocrinologist referral
I’m still waiting for some more blood test results and an mri but it seems a straightforward case of my periods stopping due to losing too much weight/body fat. I had an ultrasound where I was told that I had ‘a smaller than average uterus’ and ‘immature ovaries’. Hopefully these things can be reversed with weight gain. For now the endocrinologist has started me on the contraceptive pill, apparently the oestrogen is sufficent to prevent any further bone damage and protect against heart disease. It should also give me some type of menstrual cycle.
4. Orthapedic problems
d) Bone scan & orthapedic surgeon referral
My bone scan results came back stating that I have low bone density in my spine classified as osteopenia. If only my GP had stated me on the pill eight months ago this may have been prevented. My nutritionist has receommended dietary changes and supplements and hopefully my bone density will improve in time. Physiotherapy to start in two weeks.
5. Depression
e) Anti-depressant
Doctor doubled AD dose as advised by occupational health doctor. Feeling more myself than I have done in ages. I will try coming off them once my weight has increased.
6. Stress & anxiety
f) Yoga & meditation
Yoga is still helping immensly but I do still have moments where the stress and anxiety become overwhelming. I think I need to shift my concentration back to saying no more often and relaxing!
Summary
It seems blindingly obvious what I need to do….gain weight. I feel pretty stupid for not facing up to it for so long. Virtually all my health problems are directly related to my ed. Now I could wait nine months for further treatment and risk getting sicker…..or I could pull myself together, grow up, be brave and grab the bull by the horns.
I am going to do this.6 years ago