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Coping Skills for Eating Disorder Recovery

I have a long history with perfectionism. In fact, I cannot recall a time in my life when this fixation wasn't driving my performance and achievements. I suspect this is one reason I have always been drawn to activities or pursuits that measure excellence in visible, quantifiable terms. In school, I only accepted straight A's. In athletics, I gravitated to sports like archery, where I could aim for the center of a literal bullseye. And in my career, I have turned to writing—a skill based on technical precision. But as I continue to heal my thoughts and behaviors from the residue of anorexia, I am learning to appreciate that eating disorder recovery is not about perfection. 
This year, I started training for a particularly ambitious fitness goal: a 10-day trek in the Himalayan Mountains. In October 2023, I will travel to Nepal and embark on the adventure of a lifetime, but first, I need to acclimate to hiking in extreme weather conditions at the highest altitude on earth. That's no small feat for someone who lives in Phoenix, Arizona, a desert with minimal elevation.
When I spent three months in residential treatment back in 2010, the clinicians would frequently encourage the other patients and me to communicate and honor our needs. This practice was meant to teach us how to separate our own inner voices from the control and influence of an eating disorder. As well-intentioned as these clinicians were, however, I remember asking myself: "How can I learn to express my needs if I'm not sure what they are?"
I talk about eating disorder recovery all the time. You might call them healing conversations. I unpack the layers and nuances of it with my therapist. I excitedly share these revelations with my partner once the session is over. I journal about what I'm learning in the process. Then I pass on those lessons to the younger women I mentor, who deal with similar experiences of their own.
Do I have a just relationship with my own body? Until a week ago, I never thought to ask myself this question. But thanks to an insightful podcast I recently listened to, it's now at the forefront of my mind. The podcast featured an interview with Sonya Renee Taylor, activist, and author of "The Body Is Not an Apology," who feels that body acceptance (which she calls "radical self-love") is an essential, intersectional component of social justice. She poses the idea that how someone views or treats their body is an internal reflection of their external convictions about equity, inclusion, and justice in the world. I think this concept is fascinating, so I can't help but wonder: Do I have a just relationship with my own body? To be transparent, I seriously doubt it.
I am not the type who writes a meticulous, in-depth list of resolutions each year. But with the start of 2023 just around the corner, I have been reflecting on which aspects of my life should come with me into the future and which ought to be left behind in the past. Which behaviors, mindsets, attributes, or relationships have I outgrown? Which characteristics align with my core values, and which no longer serve the person I want to become?
I was raised in a family that took holiday celebrations to a stratospheric level. We started listening to seasonal music in August. We had Christmas trees in almost every room of our house. We hosted multiple events—from Secret Santa exchanges with my parents' friends to cookie decorating parties with my aunts and cousins to the traditional feast with all of our exuberant Italian relatives. In this whirlwind of festivities, my mom turned entertaining into an art form, and her energy was infectious. But now that I am an adult, celebrating the holiday season on my own terms feels essential in order to prioritize my eating disorder recovery.
Anxiety can negate your appetite. Anxiety and eating disorders often co-occur—that's hardly a shock to those who live with the harsh realities and ramifications of both illnesses. As the National Institute of Mental Health reveals, 65.1 percent of those with binge eating disorder, 47.9 percent with anorexia, and 80.6 percent with bulimia meet the diagnostic criteria for anxiety.
I constantly move—so much so that I feel anxious if I have been sitting for more than about 20 minutes at a time. In fact, even as I type this sentence, I am doing calf raises while standing in front of my computer. On most days, I run or walk an average of 20,000 steps, and if I fall below that threshold, I frenetically pace around the living room while I watch TV at night. I happen to be someone with a lot of natural energy, but I often wonder: Am I just active, or is it my exercise addiction? Moreover, how can I strike a healthy balance in this area? 
I prefer the version of me without an eating disorder—honestly, I do. Just a few short years ago, I never thought I would be able to utter those words from a sincere, authentic place. But so much about a human can change and transform in recovery. I used to fear that I would not recognize myself in a healed state, that I would lose my sense of personhood in the absence of those compulsions and behaviors I identified with so strongly. This fear still creeps in sometimes, but now I can spot the distortion beneath it. These days, when I look in the mirror, it's deeper than recognition. I see the real me, not the masked, hollow pretense I once believed was me. It feels exposed and vulnerable, but it also feels right.