Wednesday, 12 November 2008

Less Choice, More Choice...Whaaat?

Some of my decisions have been made for me- for now at least.

Things in London aren't going to work out. So my choices are staying in Edinburgh, or returning to the US. I have a lot to consider. This afternoon has been spent on the phone to insurance companies and programs in the US, and various organizations in the UK.

I like the attitude of providers in the US. Health care is not easily accessible, but the treatment I got, for the most part, was worth fighting for. Sure, some of it was crappy beyond belief, but they all hold the same basic idea that EVERYONE can make a full recovery. I'm looking into various types of programs. I don't know if I want to commit to a long-term program right now- I have nothing stopping me, but I guess...well, I'm scared. I don't know if 3-5 weeks of 4 hours a day is going to make much of a dent in my behaviours/mindset and may make things worse? I don't know.

IF I stay in Edinburgh, the plan is to see my therapist weekly and be monitored by my GP. I've hated the place I go for therapy since I started there. Something about it just really rubs me the wrong way- perhaps the stark contrast between the attitudes there and the attitudes of that in the US. Being written off as a lost cause/hopeless case at the ripe age of 23 when I first went didn't sit well with me.

Staying in Edinburgh means I don't have to get well. I don't have to fight my eating disorder, don't have to face up to my demons and *gasp* move on with my life. I can drift from one low-key job to another, occasionally be admitted to hospital to stabilise, maintain the bare minimum "safe" weight. Forever. And that is what my life would look like- therapy, blood tests, meaningless/boring jobs, the social isolation that anorexia brings. It's a pretty bleak prospect.

The US is somewhere I HAVE to be healthy. It's just not negotiable. And that is what has appealed from day 1- I want to be there? I have to be doing well. No "maintaining the bare minimum weight", no staying in bed for 3 days or walking for 12 hours a day. I have to be eating properly, have to be working, have to be healthy. It works for me because I have so much social support and love the lifestyle/culture/family I have there so much that I desperately WANT to be a part of LIFE. Not like here where I honestly don't give a rat's a** about anything.

I am trying to think of ways of bringing what I love about NY to the's hard. Things are different. People are different. Life is different. I know that peace/happiness/whatever starts from within, but I also believe that environment is where it breeds.

So many things to think about right now.

Meanwhile, I need to figure out how the hell I am going to add in a tablespoon of peanut butter to tomorrow's meal plan...(and yes, I am aware of the fact that eating 90 calories worth of peanut butter should be the LAST thing on a 26 year old's mind).


Anonymous said...

would you ask PI if you could go back? i know people who have been there twice.. and from what i know of your experience there (you were a "good", motivated patient) you'd have a great chance to get back...?!


ellie said...

I did call them and they said I am not eligible- the first time I called they said it was cause of the overdose. Second time they said it was because I didn't live locally. I think they just don't want me back!