Growing Older With An Eating Disorder.

“I will not eat cakes or cookies or food. I will be thin, thin, pure. I will be pure and empty. Weight dropping off. Ninety-nine... ninety-five... ninety-two... ninety. Just one more to eighty-nine. Where does it go? Where in the universe does it go?”  -- Francesca Lia Block

Left: In Rome. Right: At a Buddhist Wedding.

These pictures of me in my 20s make me feel wistful, but not because I long for my youth. In truth, my sadness comes from remembering my lack of appreciation for myself as a young woman. From the age of fourteen, I struggled with eating disorders that would often manifest during periods of distress. Regrettably, much of my youthful energy was spent exercising and dieting. I was fixated on trying to attain an idealized weight because I thought I could be happy once I was ‘perfect.’  If I could go back in time, I would give my younger self a big hug and unconditional love. I certainly needed it.

Although it’s a difficult topic to discuss, I felt compelled to share my experience after reading a recent article titled, How Eating Disorders Impact Older Women: ‘The Changing Body is a Trigger.’ Often associated with young women, incidents of eating disorders in midlife women have been increasing steadily in recent years. Weight gain and body changes, along with other stressful events such as divorce, death of parents, and financial strains are common eating disorder catalysts. Additionally, the societal emphasis on thinness and youth may evoke feelings of invisibility and contribute to women's fears about aging.  

Some women experience eating disorders in adolescence or young adulthood and may have recurring episodes throughout their lives. Other women may have their first onset in midlife or even later. How eating disorders develop is not entirely clear. Aimee Liu, author of Gaining: The Truth About Life After Eating Disorders, suggests, “Eating disorders are like a gun that’s formed by genetics, loaded by a culture and family ideals, and triggered by unbearable distress.” In looking at my own family environment, I was raised to be a perfectionist, and being ‘good enough’ was not an option. Moreover, I was expected to be cheerful and self-sufficient, even when I felt as if I were falling apart. As a consequence, controlling my weight via starvation diets and vigorous exercise became my way to cope with stress and anxiety. Sadly, these dysfunctional behaviors have been fairly constant throughout my life.

Aside from weight and body shape concerns, eating disorders pose serious health risks. According to AARP, starving, binging and purging have detrimental effects on health and may lead to heart problems, gastrointestinal problems, damaged teeth, and osteoporosis. Older women with eating disorders suffer the greatest harm, as bodies become less resilient with age. Just as alarming as the physical damage is the fact that anorexia nervosa has the highest mortality risk among all mental health issues. According to the National Eating Disorders Association, people with anorexia have a 10 percent mortality rate at 10 years with the disease, and 20 percent mortality at 20 years. 

At 50, I am experiencing bodily changes and finding I no longer fit into much of my wardrobe. Still, I have learned to be much kinder and accepting of myself. Recognizing that eating disorders can be reignited at any time, daily self-care is a priority. For many years, my eating disorder was a dark secret. I rarely, if ever, acknowledged that I even had it. Now I wonder if any women I know might be struggling with similar challenges? For readers who are in midlife and/or going through menopause, how do you feel about changes to your weight and body shape? I would be interested in hearing your thoughts and experiences. Thank you for reading my post.