{"id":44648,"date":"2019-05-19T20:55:45","date_gmt":"2019-05-19T19:55:45","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44648"},"modified":"2019-05-28T17:01:05","modified_gmt":"2019-05-28T16:01:05","slug":"samuel-pollen-of-all-the-possible-outcomes-of-an-eating-disorder-recovery-is-the-most-likely","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/05\/19\/samuel-pollen-of-all-the-possible-outcomes-of-an-eating-disorder-recovery-is-the-most-likely\/","title":{"rendered":"Samuel Pollen: Of all the possible outcomes of an eating disorder\u2014recovery is the most likely"},"content":{"rendered":"

I developed anorexia when I was 12. It was, as eating disorders tend to be, devastating\u2014both in its immediate physical effects, and the wider impact on my life, family, and friends. Luckily, those around me spotted the problem quickly. My GP referred me for outpatient treatment. I had weekly appointments with a clinical psychologist, and regular check-ins with a nutritionist. Progress was slow, but steady. Over weeks and months, we broke down habits and thought patterns that were long ingrained. I gradually put on weight. And, about a year after starting treatment, I was discharged.<\/span><\/p>\n

Early on in my treatment, my psychologist told me that I could make a full recovery from my eating disorder. I remember interrogating her\u2014she didn\u2019t mean a <\/span>full<\/span><\/i> recovery, did she? Just that I would be able to manage it day to day? But she was firm. There was every chance that I could go back to having a “normal” relationship with food and eating. Someday, she told me, my biggest food worry could be whether the milk in the fridge had gone off.<\/span><\/p>\n

It seemed unthinkable. The idea of eating disorders (and mental health problems generally)\u00a0being intractable is deeply ingrained in our culture. The stories we hear\u2014in magazines, books, films and TV shows\u2014major on the misery, the weight loss, the vomiting, and the impossibility of breaking the cycle. Even when we do hear stories of recovery, they tend to portray a fragile, faltering sort of recovery\u2014achieved over decades, and carefully shielded, like a candle in a storm.<\/span><\/p>\n

In truth, the picture is a little brighter than that. Beat, the eating disorders charity, estimates that 46% of people with anorexia and 45% of people with bulimia make a full recovery. Rates for EDNOS (eating disorder not otherwise specified) are even higher. Of all the possible outcomes of an eating disorder\u2014recovery; improvement; no change; mortality\u2014recovery is much the most likely.<\/span><\/p>\n

I think that\u2019s important message\u2014one that often doesn\u2019t make it to people with eating disorders, and those around them. One that certainly would have been influential for me. And that, in a nutshell, is why I decided to write a book.<\/span><\/p>\n

The Year I Didn\u2019t Eat<\/span><\/i> is about Max, a 14-year-old boy in treatment for anorexia. Written for teenagers, it\u2019s about what an eating disorder feels like\u2014and, crucially, about what treatment and recovery feel like, too. I wanted to make recovery feel tangible and practical\u2014a hard-won consequence of treatment, rather than an elusive Shangri-La. Something that can happen to anyone who has an eating disorder.<\/span><\/p>\n

All fiction is really an attempt to put us inside someone else\u2019s head. Through it, we come to understand them better, and maybe understand ourselves better, too. Fiction often has more power than fact here, because it reaches more people, and because it goes deeper and wider.<\/span><\/p>\n

When it comes to mental health, this can be hugely powerful. A story can, of course, give us an insight into something we\u2019ve never experienced. But it can also crystallise our own experience; we read something and think, “Yes, that\u2019s <\/span>exactly<\/span><\/i> what it\u2019s like.” Suddenly, we feel seen, and understood, and open to new possibilities\u2014like the possibility of recovery.<\/span><\/p>\n

\"\"<\/a>Samuel Pollen<\/strong> is a writer from Cheshire, who now lives in London. He tweets <\/span>@samuel_pollen<\/span><\/a>.<\/span><\/em><\/p>\n

Competing interests<\/strong>:\u00a0<\/span>I am the author of the book mentioned in this piece, <\/span>The Year I Didn\u2019t Eat<\/span>, and earn royalties on its sale.<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

I developed anorexia when I was 12. It was, as eating disorders tend to be, devastating\u2014both in its immediate physical effects, and the wider impact on my life, family, and […]<\/p>\n

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