Hi Running Queen,
I was never in an inpatient clinic, but I did go to a psychiatrist in private practice for a while. At first I didn't think it was helping; I felt attacked every time I went to see him. I felt like he was trying to trick me into giving away my dirty little secrets about what I was doing to myself. After a few wks I started to realize what he was doing. He taught me to look beyond what I was doing, and to find out why.
It's different for everyone, but I started to learn that I got worse when stressed. If I couldn't control something else in my life, I overcompensated by controlling my weight (always losing weight of course). I stopped looking at magazines for a while b/c I couldn't stand to see all the super-skinny models. Then I started to realize that skinnier isn't necessarily better. He helped me to stop hating myself so much.
How did having simple conversations end up helping me? Um, I'm not exactly sure. Some of what he pointed out to me was pretty obvious (the control thing), other things were far more subtle.
A psychiatrist is not a cure, he or she is a guide. They point things out, and help you to realize what is right and wrong with your life, but they can't do the most important thing which is make you eat (and keep it down). Everyone has to do that for herself.
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