25 September 2011

Defining Recovery: The 'Official' Bit...

So, after writing down how I would define recovery, what I will feel when I am recovered and all of the things that will be different when 'Ana' has vanished, I wondered  how recovery is defined clincally. What will 'Team Recovery' want to see before they agree I am recovered?

Then I came across this on FEAST website...and I realised how far I have to go to tick all these little boxes - They are 25 keys to kicking Ana aren't they really?


Published by Cris Haltom in the EATING DISORDER SURVIVAL GUIDE, May 25, 2006

1. Eating occurs at regular intervals and is guided primarily by physical rather than emotional hunger.
2. Metabolic rate, if measured, is restored and maintained at a healthful level.
3. The ability to recognize and respond to hunger as a guide for eating appropriately has returned.
4. Weight for height based on age and gender is restored to a healthful range.
5. For females, menstruation is achieved or restored and maintained without oral contraceptives.
6. Skin health, dental health,thermoregulation, hair growth, and digestion/ absorption functions are restored to normal. - I can't wait! 
7. Healthy body composition (lean body mass and body fat) is restored and maintained.
8. Caloric and nutrient intake is appropriate for maintaining a healthy weight and body composition. - 2000? Maybe one day.....
9. Purging behavior, e.g., self-induced vomiting and laxative or enema use, is absent.
10. Use of diet pills or appetite suppressants is absent.
11. Excessive exercise is absent.
12. Binge eating behavior is absent or rare.
13. The ability to tolerate a wide variety of foods so that a good balance of high- quality protein, carbohydrates, fatty acids, minerals, and vitamins is maintained.
14. The ability to tolerate natural shifts in weight (one to several pounds) related to such factors such as hydration changes, illness, and season of the year.
15. The ability to tolerate 'spontaneous' natural eating - especially out in public. - This is going to be my stumbling block - I can feel that No15 will be the last ticked off.
16. Weight gain does not deter from eating well.
17. Acceptance of genetically-determined body type, size and shape.
18. The percentage of waking hours spent obsessing about weight, food, and/or body image is reduced to 15% or less. - Only 85% to go ehy?
19. The ability to effectively cope with problems in ways other than through disordered eating behaviors.
20. After physical health is restored, the ability to understand and resolve, other than through disordered eating, the issues underlying and driving disordered eating.
21. The ability to recognize signs of relapse and to seek appropriate help if relapse occurs.
22. Triggers for relapse thinking or behaviors can be identified.
23. The family as a whole has moved beyond food and weight preoccupation.
24. The family as a whole is able to identify, explore, and cope with normal adolescent issues.
25. The family as a whole has created a healthy culture around food and regular meals.

1 comment :

  1. This has really helped me come to terms with some stuff i've been struggling with admitting to myself lately.
    Really accurate and thorough list - i likes it :) xxxx