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8 Keys to Recovery from an Eating Disorder

8 Keys to Recovery from an Eating Disorder

Effective Strategies from Therapeutic Practice and Personal Experience
by Carolyn Costin 2011 296 pages
4.30
500+ ratings
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Key Takeaways

1. Recognize the Eating Disorder Self vs. Healthy Self

Your healthy self will heal your eating disorder self.

Two competing voices. People with eating disorders often experience an internal battle between their "eating disorder self" and their "healthy self." The eating disorder self drives destructive behaviors and thoughts, while the healthy self represents the core, authentic person. Recovery involves strengthening the healthy self to take control.

Dialogue for change. A key technique is engaging in internal dialogues between these two selves. Write out conversations, challenging eating disorder thoughts with healthier perspectives. This process helps internalize recovery and builds the ability to resist harmful urges.

Integration is the goal. As recovery progresses, the eating disorder self gradually loses power. The ultimate aim is for the healthy self to fully integrate, eliminating the need for the eating disorder as a coping mechanism. This results in a whole, unified person free from disordered thoughts and behaviors.

2. Understand It's Not About the Food

An eating disorder is fueled by a cultural climate, which causes negative feelings about your body, your image of it, and your relationship with it.

Underlying issues. Eating disorders are complex and rarely solely about food or weight. They often serve as coping mechanisms for deeper emotional, psychological, or relational issues. Common underlying factors include:

  • Poor self-esteem
  • Need for control
  • Perfectionism
  • Trauma or abuse
  • Difficulty expressing emotions
  • Cultural pressures

Cultural context. Western society's obsession with thinness and unrealistic beauty standards contributes significantly to eating disorders. Media images, diet culture, and the equation of thinness with success and worth create a toxic environment for vulnerable individuals.

Identifying real issues. Recovery involves exploring and addressing the root causes behind disordered behaviors. This may include therapy, journaling, and honest self-reflection to uncover what needs the eating disorder is attempting to fulfill.

3. Feel Your Feelings, Challenge Your Thoughts

You can never undo the past or change the fact that you were born with "anxious" genes or were teased in school, but you can work on managing or lessening your feelings of anxiety.

Emotional awareness. Many people with eating disorders use food behaviors to avoid or numb difficult emotions. Recovery requires learning to identify, tolerate, and express feelings in healthier ways. This involves:

  • Naming emotions
  • Accepting feelings without judgment
  • Using coping skills to manage intense emotions
  • Expressing feelings to others

Cognitive distortions. Eating disorders often involve distorted thought patterns that perpetuate harmful behaviors. Common distortions include:

  • All-or-nothing thinking
  • Overgeneralization
  • Catastrophizing
  • Mind reading
  • Should statements

Challenging thoughts. Cognitive behavioral techniques can help identify and challenge these distorted thoughts. This involves examining evidence, considering alternative perspectives, and developing more balanced, realistic thinking patterns.

4. Embrace Conscious Eating and Balanced Nutrition

Conscious eating is the ultimate goal for you and your relationship with food.

Mindful approach. Conscious eating involves being present and aware during meals, paying attention to hunger and fullness cues, and making food choices based on both nutritional needs and enjoyment. This contrasts with rigid rules or chaotic patterns common in eating disorders.

Key principles:

  • Eat when moderately hungry
  • Allow all foods (unless medically contraindicated)
  • Balance meals with protein, fat, and carbohydrates
  • Pay attention to fullness and satisfaction
  • Enjoy food without guilt

Gradual process. Transitioning to conscious eating often requires intermediate steps, such as following a structured meal plan or working with a dietitian. The goal is to eventually trust your body's signals and make peace with all foods.

5. Change Behaviors to Support Recovery

Changing the myriad of behaviors that contribute to your eating disorder or interfere with your recovery can feel insurmountable. In fact, you are most likely thinking, "If I could do that, I would be recovered." That is exactly what we are talking about here.

Identify behaviors. Recovery involves changing both overt eating disorder behaviors (restricting, bingeing, purging) and less obvious recovery-sabotaging behaviors like:

  • Compulsive exercise
  • Calorie counting
  • Body checking
  • Food rituals

Three-step process:

  1. Raise awareness by tracking the behavior
  2. Make a plan with small, manageable steps
  3. Notice the difference and analyze the impact

Compassionate approach. Changing ingrained behaviors is challenging and often uncomfortable. Practice self-compassion, celebrate small victories, and remember that setbacks are a normal part of the process.

6. Reach Out to People Instead of the Eating Disorder

You need to turn to someone who offers a better relationship than the one you have with your eating disorder.

Break isolation. Eating disorders thrive in secrecy and isolation. Recovery requires reaching out to others for support, accountability, and connection. This might include:

  • Therapists or treatment professionals
  • Support groups
  • Trusted friends and family
  • Online recovery communities

Overcoming resistance. Many people resist reaching out due to shame, fear of burdening others, or belief they should handle things alone. Recognize these as eating disorder thoughts and challenge them.

Building a support network. Cultivate relationships with people who support your recovery. Learn to communicate your needs and accept help. Remember that connecting with others not only supports recovery but enriches life overall.

7. Find Deeper Meaning and Purpose Beyond Food

Key 8 is about what you are recovering to.

Spiritual connection. Recovery involves reconnecting with your authentic self and finding meaning beyond appearance and food. This doesn't necessarily mean religion, but rather connecting to something larger than yourself.

Four guiding principles:

  1. Show up (be present in your life)
  2. Pay attention (practice mindfulness)
  3. Tell the truth without judgment
  4. Don't be attached to the results

Mindfulness practices. Incorporate activities that foster present-moment awareness and connection to your inner wisdom:

  • Meditation
  • Yoga
  • Time in nature
  • Focusing on "soul moments"
  • Practicing gratitude

By cultivating a deeper sense of purpose and connection, the obsession with food and weight naturally diminishes, allowing for a richer, more fulfilling life in recovery.

Last updated:

FAQ

What's 8 Keys to Recovery from an Eating Disorder about?

  • Focus on Recovery: The book provides a comprehensive guide to understanding and recovering from eating disorders, emphasizing both therapeutic strategies and personal experiences.
  • Eight Key Principles: It outlines eight essential keys that facilitate recovery, including conscious eating, changing behaviors, and finding meaning and purpose in life.
  • Holistic Approach: The authors, Carolyn Costin and Gwen Schubert Grabb, integrate psychological, emotional, and spiritual aspects of recovery, making it a well-rounded resource for individuals struggling with eating disorders.

Why should I read 8 Keys to Recovery from an Eating Disorder?

  • Practical Strategies: The book offers effective, actionable strategies for individuals seeking to overcome eating disorders, making it a valuable resource for both patients and professionals.
  • Personal Insights: It includes personal reflections and stories from the authors, which can provide hope and relatability for readers facing similar struggles.
  • Comprehensive Guidance: The authors cover a wide range of topics, from understanding hunger and fullness to the importance of reaching out for support, ensuring readers have a thorough understanding of the recovery process.

What are the key takeaways of 8 Keys to Recovery from an Eating Disorder?

  • Understanding the Self: The book emphasizes the importance of recognizing the "eating disorder self" versus the "healthy self," which is crucial for recovery.
  • Feelings Matter: It teaches readers to feel their feelings and challenge their thoughts, highlighting that emotional awareness is essential for healing.
  • Conscious Eating: The authors advocate for conscious eating practices, encouraging readers to develop a balanced relationship with food rather than adhering to rigid rules.

What are the best quotes from 8 Keys to Recovery from an Eating Disorder and what do they mean?

  • Mindset Matters: “If you think you can do a thing or think you can’t do a thing, you’re right.” This quote underscores the power of mindset in recovery, suggesting that belief in oneself is crucial for overcoming challenges.
  • Internal Struggle: “The battle you have to fight to get better is inside of you.” This emphasizes that recovery is an internal struggle, highlighting the importance of self-awareness and personal responsibility in the healing process.
  • Emotional Understanding: “Feeling fat is not a feeling.” This statement encourages readers to explore the underlying emotions behind the feeling of being "fat," promoting deeper emotional understanding and healing.

What are the eight keys to recovery outlined in 8 Keys to Recovery from an Eating Disorder?

  • Key 1: Motivation, Patience, and Hope: This key focuses on the importance of maintaining motivation and hope throughout the recovery process, acknowledging that setbacks are normal.
  • Key 2: Your Healthy Self Will Heal Your Eating Disorder Self: It emphasizes the need to strengthen the healthy self to combat the eating disorder self, fostering self-acceptance and resilience.
  • Key 3: It’s Not About the Food: This key explores the underlying issues that contribute to eating disorders, asserting that recovery involves addressing emotional and psychological factors beyond food.

How does 8 Keys to Recovery from an Eating Disorder suggest I challenge my eating disorder thoughts?

  • Identify Automatic Thoughts: The authors encourage readers to recognize their automatic, distorted thoughts that contribute to their eating disorder behaviors.
  • Use Dialoguing Techniques: They recommend engaging in a dialogue between the eating disorder self and the healthy self, allowing for a clearer understanding of thoughts and feelings.
  • Practice Opposite Action: The book suggests using opposite action to counteract urges, helping individuals respond to their feelings in healthier ways rather than resorting to eating disorder behaviors.

What is conscious eating as defined in 8 Keys to Recovery from an Eating Disorder?

  • Mindful Awareness: Conscious eating involves being fully aware of what you are eating, how much you are eating, and the feelings associated with eating.
  • Hunger and Fullness Cues: The book explains that reconnecting with your body’s hunger and fullness signals is crucial for developing a healthy relationship with food.
  • Food Journals: Keeping a food journal is recommended as a tool to track eating patterns and emotional responses, helping to foster mindfulness around food choices.

How does 8 Keys to Recovery from an Eating Disorder address the importance of support systems?

  • Building Relationships: The book emphasizes the need for individuals to reach out to friends, family, and professionals for support during their recovery journey.
  • Sharing Experiences: Engaging with others who understand the struggles of eating disorders can provide comfort, validation, and accountability.
  • Overcoming Isolation: The authors highlight that many individuals with eating disorders feel isolated, and building a support network is crucial for healing and recovery.

What role do food journals play in recovery according to 8 Keys to Recovery from an Eating Disorder?

  • Tracking Progress: Food journals help individuals track what they eat, their hunger levels, and their emotional states, providing valuable insights into their eating patterns.
  • Identifying Patterns: By reviewing their entries, readers can identify patterns in their eating behaviors and emotional triggers, which can inform their recovery strategies.
  • Mindfulness Practice: Keeping a food journal is also a mindfulness practice that encourages individuals to be present and aware during meals, fostering a healthier relationship with food.

What is the hunger scale mentioned in 8 Keys to Recovery from an Eating Disorder?

  • Rating Hunger Levels: The hunger scale is a tool that ranges from 1 (extremely hungry) to 10 (extremely full), helping individuals assess their hunger and fullness levels before and after meals.
  • Awareness of Body Signals: Using the hunger scale encourages individuals to reconnect with their body’s natural signals, promoting conscious eating habits.
  • Preventing Overeating: The authors explain that understanding where one falls on the hunger scale can help prevent overeating by encouraging individuals to eat when they are moderately hungry (around a 3) and stop when they are comfortably full (around a 7).

What is the significance of finding meaning and purpose in recovery as discussed in 8 Keys to Recovery from an Eating Disorder?

  • Beyond Symptoms: The authors argue that recovery is not just about eliminating eating disorder behaviors but also about discovering a deeper sense of meaning and purpose in life.
  • Spiritual Connection: They emphasize the importance of connecting with one’s soul self and recognizing the sacredness of life, which can provide motivation for recovery.
  • Personal Fulfillment: Finding activities and relationships that bring joy and fulfillment is essential for maintaining long-term recovery and preventing relapse.

Review Summary

4.30 out of 5
Average of 500+ ratings from Goodreads and Amazon.

8 Keys to Recovery from an Eating Disorder is highly praised for its practical approach, personal insights, and comprehensive coverage of eating disorder recovery. Readers appreciate the authors' firsthand experience, the book's non-judgmental tone, and its focus on both psychological and spiritual aspects of healing. Many find the journal prompts and exercises particularly helpful. The book is recommended for those struggling with eating disorders, their loved ones, and professionals in the field. While some found it condescending, the majority of readers consider it a life-changing resource that offers hope and practical strategies for recovery.

Your rating:
4.63
31 ratings

About the Author

Carolyn Costin is a renowned advocate, therapist, founder, author, and educator in the field of eating disorders. After recovering from her own eating disorder, she became a therapist in 1977 and has since treated numerous individuals with eating and body image issues. Costin has founded several treatment programs and authored five books, including "8 Keys to Recovery from an Eating Disorder." She is recognized for her advocacy work, receiving awards from the National Eating Disorders Association and Sierra Tucson. Costin actively lobbies for insurance reform, organizes campaigns against inappropriate advertising, and continues to educate professionals through monthly study groups.

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