The Psychotherapy &
Training Collective of
New York
 Frozen Grief and Emotional Eating:
 A 3-part series — Part 1
 Part 2 and Part 3 and Reader Comments follow below

  Mary Anne Cohen,


Death is not the only grief that wounds our heart and soul. Any loss or change or trauma or transition in our lives can feel like a threat to our sense of stability, security and self.

Patty was an obese binge eater who came to therapy prompted by a diagnosis of pre-diabetes. We began to discuss what triggered her history of overeating and about her life experiences. In a most casual way, she mentioned the early death of her father.

Patty was four years old when her father died. He had been sick for several years and when he died, her family told her, "Daddy went to Heaven. He is in a better place." Daddy was never spoken about again.

"Tell me about him," I asked. "There's nothing to tell," Patty replied. And with that, she began to cry as the accumulation of 32 years of stifled tears came surging up in a tidal wave of pain.

"Oh my God. I have never shed tears for my father before," Patty sobbed.

With each following session, Patty cried deeply about the death of her father. Then one day she exclaimed, "I wonder if after so many years of not allowing myself to mourn my father, my fat has been like frozen grief. I think with all these tears, my grief is becoming liquid!"

Grief — frozen by fat, frozen by the numbing of overeating, starving, or purging—can be held in the body for years and even decades. Patty's description of "frozen grief" reminded me of a special moment I spent with my grandmother many years ago. Grandma was 86 at the time and was telling me about her father who had died when she was only five years old. To my astonishment, Grandma began to cry about her father's death — a memory from 81 years ago! In that moment, I learned that grief has no timetable. Time does not necessarily heal all wounds. Unspoken loss continues to exert its power. There is no expiration date to memories or pain.

I came to see how much loss and grief can play a significant part in the emotional eating of my patients. I thought about how chronic eating disorders can be related to unresolved frozen grief. And I came to see how therapy for emotional eating needs to help people mourn the sorrows that have kept them stuck in bingeing, purging, starving, or body self-hatred.

I began asking my patients to construct a list of losses they had suffered in their lives. I discovered that these losses did not always have to do with death, but with a myriad of ways that hurt can lodge inside us without resolution. Unable to dislodge the "knot" in their throat by crying and grieving, many eating disorder patients turn to bingeing, purging, or starving.

Louise, bulimic and anorexic, described her losses and pain: "I came from a poor family where neither of my parents held down full-time work. We had to move all the time during my childhood because we couldn't pay the rent. No sooner did I try to make friends at school, then we had to abruptly leave the neighborhood. I eventually married and found out my husband was having an affair with my best friend. After we divorced, he then married her. I went through two losses for the price of one."

To look at Louise, you would never know she harbored so many traumatic ruptures. Although she was very bright with a close circle of girlfriends, the unspoken, underground fears and anguish of her early life continued to exert their pull. They led her to seek the pain-relieving medication of purging and starving. Unable to connect with the rage at her lifelong deprivation, Louise could not move forward to mourn.

Only when Louise began to untangle and express her anger and vulnerability in her therapy could she allow me (and herself) to empathize with the inner little girl who was not well taken care of. Nurtured by our relationship, she finally began to mourn her many sorrows which helped her gradually restore better self-care and healthier eating.

Walter came from a wealthy family with three homes, a boat, maids, and nannies. He was bulimic since his early teens and, in spite of the family's riches, had his own list of hardships that he had never discussed or sorted through — the opposite spectrum from Louise. He revealed: "I knew early on that my mother was cheating on my father — she had a woman lover. My mother ferried me around to our various homes, and she had a parade of different nannies taking care of me and my brother.

"Both of my parents were heavy drinkers and completely self-involved. My father died of alcoholism when I was 20."

Walter had suffered ongoing neglect from both parents, ruptures with homes and nannies, and the traumatic death of his father. "Bulimia is so all-consuming that it has helped me ignore my hurt. When I'm not eating and purging, I'm very depressed. I'd rather be eating and purging."

Mourning for what he did not have, for what he wished he had, and for what he never would have was bitterly painful for Walter. His bulimia provided a cocoon of deadness. With time and with therapy and a support group, he became less detached from his emotions and was filled with great anger and sadness.

Feeling bad was actually progress for Walter. He was finally feeling rather than numbing. As he absorbed the ongoing companionship and compassion from his therapist and group, the warmth of these connections helped him speak about his painful experiences and thaw his grief. The comfort of other people enabled him to relinquish the protection of bulimia and embrace new possibilities of trusting and supportive relationships.

Blanca alternated between binge eating and chronic dieting: "I never had any big trauma in my life, just drama. I had this constant grinding fear and unhappiness, with my parents always yelling, screaming, fighting. The atmosphere in our house — at the dinner table, even on holidays — was fraught with tension and upset. I knew my parents didn't love each other. It always hurt like hell, but when I discovered dieting and overeating, I just froze, and the pain didn't matter so much anymore."

Maureen, a binge eater, described an example of her grandmother's frozen grief. The grandmother's favorite child, her only son, a beautiful boy with bright red hair, died when he was two years old. Several years later, the grandmother had a little daughter — Maureen's mother. When this little daughter turned two years old, the grandmother began dying her hair a bright red as if attempting to resurrect her dead son. Frozen grief. There is no passage of time.

What Is Grief?
Grief is the normal and natural emotional reaction to any kind of loss. The symptoms of grief are varied:
  Missing, yearning, longing
  Remembering, reviewing
  Feeling like you are going crazy and losing your mind
  Bingeing, purging, starving, rigid dieting

Mourning is the process of sorting out these emotions. We experience, explore, express, and integrate our grief, finally adjusting to going on with our lives despite our loss. It is the inner process of letting go.

Mourning is not a linear progression of moving from point A to point Z and then we are done. Mourning does not have a distinct beginning, middle, and end. Rather, it is like being lost at sea. Some memories and emotions, like strong ocean waves, knock you down by their sheer force. Other waves are gentle, lapping at your feet, making you smile with a soft sadness. Mourning has its ebbs and flows — a high tide with upsurges and hidden riptides that can ambush you and fill you with heartache. And mourning has a low and placid tide. Everyone's grief and mourning are profoundly personal and unique.

Other Losses
Death is not the only grief that wounds our heart and soul. Any loss or change or trauma or transition in our lives can feel like a threat to our sense of stability, security and self.

One of the most unusual experiences of grief I have witnessed was that of Rodolfo, a family friend who had suffered through the earthquake in Mexico City of 1985, which killed 10,000 people. Although Rodolfo did not lose any loved ones, he became quite depressed, "Because of this earthquake, I no longer trust gravity — something you just always take for granted. I trusted gravity and it betrayed me and my country. I feel like I've lost my innocence and faith in the universe." Rodolfo literally had the "earth pulled out from under him" and was grieving this trauma.

Many kinds of loss can trigger significant grief:
  Marital separation
  Breakup of romantic relationship
  Personal injury or illness
  Family injury or illness
  Losing one's job/home
  Financial loss
  Suicide in the family (which also causes shame, secrecy, and feelings of betrayal)
  Sexual or physical abuse/violence
  Family member serving in the military
  Miscarriage/abortion/fertility problems
  Giving up driving because of age or health
  Death of a beloved pet
  National tragedy, such as 9/11 or hurricanes Katrina and Sandy
  Anticipatory grief: When we know that someone we love is going to die, we begin the emotional rehearsal for the upcoming loss
  Stopping smoking/drinking/drugging/eating disorder behaviors

We suffer losses not only through death. As Judith Viorst writes, we feel loss "also by leaving and being left, by changing and letting go and moving on. And our losses include not only our separations and departures from those we love, but our losses of romantic dreams, impossible expectations, illusions of freedom and power, illusions of safety — and the loss of our own younger self, the self that thought it would always would be unwrinkled and invulnerable and immortal."1

  1 Judith Viorst, Necessary Losses (Simon & Schuster, 1984), 15.

In part 2, we will discuss our culture's "hurry up and get over it" messages about mourning, and how to unfreeze grief and restart the mourning process.

Mary Anne Cohen is Director of The New York Center for Eating Disorders. This is an excerpt from her book, French Toast for Breakfast: Declaring Peace with Emotional Eating which is available for 9 Continuing Ed credits for social workers, psychologists, addiction professionals, and mental health counselors:

Frozen Grief and Emotional Eating:
Part 2

By Mary Anne Cohen, LCSW, BCD

Our culture, deeply uncomfortable with death, dying, and grieving, encourages us to stifle our feelings. Mourners are advised:
  • God never gives you more than you can handle.
  • Keep busy!
  • Be strong!
  • Time heals all wounds.
  • He's in a better place.
  • You need to snap out of your isolation and start getting out more.
  • Keep a stiff upper lip. (I imagine that "keeping a stiff upper lip" is a person's attempt to quiet the "trembling lower lip.")

Frozen grief can best be described as grief on hold, partial grief, suppressed grief, complicated mourning, survivor guilt, and unfinished business. Sometimes, absence makes the heart grow frozen.

Why Do Emotional Eaters Freeze Grief?

Emotional eaters, obviously, are not the only people to freeze grief. But emotional eaters are prone to derail, detour, and divert difficult feelings through food. And grief is the most difficult of feelings!

Emotional eaters believe if they open their hearts to feel their pain, it will never end. "If I ever start to cry, I will never be able to stop," Yvette, an anorexic woman, declared. Simon, a compulsive overeater, stated, "My Dad has been dead two months already. I should be over it already and shouldn't really feel sad anymore."

Yvette and Simon's beliefs about grief reveal common traits of people with eating disorders: impatience with themselves, the conviction that strong feelings are scary and should be avoided, black or white thinking, and critical and perfectionist commandments to the self. Emotional eaters prefer a "quick fix" rather than tolerating the process of digesting either food or feelings. No wonder they turn to the numbing and anesthetizing substance of food in an attempt to cover up their sorrow and hurt and to "just get over it."

But grief is painful, it is supposed to be! Grieving is the process of untangling the loss of emotional connections to people or experiences that have great meaning to us. And that hurts.1

When someone dies, our mourning freezes if we narrowly view the person as either all good or all bad. This is especially true for eating disorder sufferers who tend to see the world in black and white. (I lost two pounds = I'm good. I gained two pounds = I'm bad.) They are often likely to see their dead loved one as either good or bad, a saint or a sinner. When we cannot accept that most relationships are a mixture of the good with the bad, we get stuck and derailed in the process of mourning. Grief freezes as we commit to viewing this person from just one perspective, without nuances.

Sergio, a classmate, invited me to his house for lunch many years ago. I knew he lived with his brother and that their mother had died seven years before. I was astonished to see that his mother's bedroom appeared untouched from the day she died. In the center of her bed was her nightgown and an old-fashioned black patent leather pocketbook. It lay open, as if waiting for the mother to pack up her powder puff and go out shopping. The brothers had also taken to propagating rubber plants, scores of them throughout the house, in every corner and window. It felt like a shrine of sorts to their dead mother, and it felt like years had frozen in this mausoleum, preserving their dead mother and the brothers from the passage of time.

Sergio described his mother as a saint who had never done any wrong. Yet Sergio's life was stultified—he had no social life, no friends, no girlfriend. Just his brother, his mother's pocketbook, and the rubber plants. He could not progress in his mourning because he feared facing the pain of saying goodbye forever or, perhaps, becoming aware of her less than perfect attributes. Instead, he clung to her perfection but at the price of stunting his growth and development.

An opposite example of frozen grief was the case of Marlena. In her mind, her dead mother was the sinner of the century. Unable to find a shred of daughterly love for her mother, Marlena refused to attend her mother's funeral. Although her mother had, indeed, been a difficult and critical person, she could also be loving, generous, and creative. She wasn't just one way. When Marlena finally installed her mother's gravestone, it was shocking in its bare bones message. It read: "Wife, Mother, Grandmother." She was unable to find in her heart one small adjective to favorably describe her mother. I think it may be the only headstone in the world without a warm or loving word in its description.

How would Marlena's refusal to honor her mother's life be considered frozen grief? When we commit to an ideal image of a mother, as Sergio did, or an all-diabolic view like Marlena's, we freeze ourselves from making peace in our hearts. Sergio, with a falsely exalted view of his mother, stayed stuck in the past. Marlena, filled with resentment and bitterness, never really buried her mother emotionally, but instead carries her around like a stone in her heart.

Hope Edelman, age 13 when her mother died, writes poignantly in Motherless Daughters: The Legacy of Loss about the need to embrace ambivalent feelings in order to complete our mourning: "To mourn a mother fully we have to look back at the flip sides of imperfection and love. Without this, we remember our mothers as only half of what they were."2

I personally resonate with this ambivalent range of emotions in living with, loving, and finally letting go of my mother. My husband and I are going to visit my mother in the assisted living facility where she lived for the last two years of her life. My husband pleads with me while driving there, "Can you really try this time not to wind up screaming at your mother? Just this once."

"Absolutely," I answer, not understanding why he feels compelled to ask. Screaming at my mother is not something I believe I do. After all, I am the dutiful and loving daughter going to visit her mother. But 15 minutes after arriving, I am exceedingly irritated by my mother's commandments, her criticisms, and her controlling. I'm shrieking loudly at her. I cannot contain myself.

And yet, after I scream my head off, we come to some sort of peace. Then the visit starts winding down always in the same way. Mama is sitting in her recliner chair by the window of her room at the assisted living home. I get down on my knees and put my head in her lap. She runs her tiny gnarled and arthritic fingers through my hair, "My beautiful daughter," she murmurs, "my beautiful daughter."

"Mama, Mama," I whisper into her lap. I cannot believe she is really going to leave me. Forever.

Grieving thaws and mourning progresses when we can realistically perceive the good, the bad, and the indifferent of the person who has left us. Most people are a mingling of loving and flawed, wonderful and hurtful, kind and sometimes mean. Only when mourners are able to acknowledge the full range of aspects of the person they have lost can they integrate their memories in a way that will lead to genuine healing.

A line from Thornton Wilder's The Bridge of San Luis Rey describes the hopeful grace of productive mourning, "There is a land of the living and a land of the dead and the bridge is love, the only survival, the only meaning."3

Unfreezing Grief: Restarting the Process of Mourning
No pain is so devastating as the pain a person refuses to face . . .
Glenn Schiraldi4

When we are in pain, we naturally seek to protect ourselves from the hurt. And so, after a deep loss, people often sleep, drink, eat, shop, lose themselves on the computer, or engage in any number of activities to dull the ache and fill up the empty space within. But when eating disorders or other addictions become an ongoing pattern and a way to chronically avoid pain, then grief becomes frozen. The substances quell the pain from the outside in. Real and lasting relief comes from unraveling our emotions from the inside out.

However, we cannot selectively numb only painful memories without also tamping down happy memories as well. The energy used to suppress painful feelings also suppresses all feelings. So, when mourning is on hold, our life is on hold.

Healing grief does not mean you have forgotten the person or thing you lost. It means that the grief finds a place to live in your heart where you are enriched by loving memories and not tormented by anguished ones.

Sometimes grief never gets resolved. Hope Edelman speaks of the Resolution Hoax: "I wish I believed that mourning ends one day or that grief disappears for good. The word resolution dangles before us like a piñata filled with promise, telling us we only need to approach it from the right angle to obtain its prize. Some losses you truly don't get over. Grief is something that continues to get reworked."5

We are a group of 40 New Yorkers sitting on an outdoor terrace having lunch at the Hotel Nacional in Havana, Cuba. We are giddy with the freedom of having escaped New York's latest December snowstorm to revel in this warm, tropical paradise. We are enjoying our mojitos and our arroz con pollo as we listen to the music of the Buena Vista Social Club.

Hannah, one of the women in our group, begins to speak, "Twenty years ago, my husband and I were driving our daughters to college in Boston. We pulled off the highway onto the grass because our car was overheating. We all got out of the car to wait for the car to cool down when a truck veered into us. My husband and my daughters were killed instantly."

This moment freezes in time as we all fall silent. We don't know what to say.

Over the years I have thought about the meaning and the timing of Hannah's declaration. It could mean:

• I have gone on with my life as proven by this exotic trip to Cuba. But in the midst of my pleasure, I would like to take a moment to pay tribute to my dead family. If only they could be here with me. May they rest in peace.

• Every enjoyable experience I have gets ruined by my intrusive memories of the family I have lost. I just have to blurt it out.

• I feel safe in this group of people and would like to share the most intimate wound in my heart.

• Why should you all be enjoying this day while I am still grieving? I want to puncture the happiness of this group. Since pleasure invariably gets spoiled for me, let me spoil it for others as well.

Maybe Hannah's grief contains all these elements. Her life does go on. Her trauma lives on as well.

Grieving is ambiguous. It concludes, it continues, it intrudes, it retreats, it pounces, it ebbs, it flares up, it settles down. Perhaps, like Hannah, we need to learn to contain within us the contradiction that life does go on, there are still pleasures to be enjoyed, and yet we are forever altered by having lost and suffered.

1 Elizabeth Kübler-Ross, a pioneer in the study of grief and mourning, describes in her book On Grief and Grieving how she became involved in this field. As a little girl, her family raised rabbits for food on their farm. Elizabeth had a favorite rabbit, Blackie, who her father eventually insisted be taken to the butcher for slaughter. Elizabeth, aged seven, was the one to take Blackie. After the butcher slaughtered the bunny, he told Elizabeth, "Too bad you didn't wait a couple of days. Blackie was pregnant and about ready to have babies." Elizabeth brought the dead rabbit home, its body still warm in the bag, and watched as her family ate the rabbit for dinner that night. Her heart was broken. "That night at dinner when my family ate Blackie, in my eyes they were cannibals. But I would not cry for this bunny or anyone else for almost forty years." Dr. Kübler-Ross later considered this event pivotal in her future interest in grief and mourning. Elizabeth Kübler-Ross and David Kessler, On Grief and Grieving (Scribner, 2005), 212.

This story is of particular interest to me, since I have heard many traumatic stories from eating disorder patients over the years about their intense grieving for the pets they deeply loved:

"Our cat had kittens and my mother flushed them down the toilet." "My stepfather furiously kicked my dog Molasses until she bled. She died." "My parakeet flew away when I was a little girl, and no one helped me look for him. I searched the neighborhood all by myself. I was so lonely."

In French Toast for Breakfast: Declaring Peace with Emotional Eating I recount a story from a patient named Jenny that reveals the deep connection we can feel with animals:

Jenny's father had died from a drug overdose when she was five. "When I was ten," she said, "I had an experience that was unbearable to me. My mother had just come out of a drug rehabilitation program. She and I found a baby robin on the sidewalk with a broken wing and we brought it inside to nurse it back to health. My mother put the bird on the stove and turned the heat on low to warm him up, but when I came home from school, the bird was lying dead on the stove. She had forgotten to turn the heat off. I felt destroyed, and no one could understand the depth of my reaction. People said 'But, Jenny, it was just a bird.'

"When I came to the eating support group 30 years later and began telling my story and my struggles with overeating, those memories of the bird came back. It occurred to me that I had felt like this little bird—that despite all my mother's good intentions, she was unable to really care for anyone, herself included. These memories of the bird made me experience for the first time the shock and fear I had felt about my father's death. The little robin had seemed so tender and helpless. That bird was like my tender self that had to go underground with food because I could not trust anyone to take good care of me." Mary Anne Cohen, French Toast for Breakfast (New Forge Press, 2015).

2 Hope Edelman, Motherless Daughters. (Da Capo Press, 2006), 19.

3 Thornton Wilder, The Bridge of San Luis Rey, 1927.

4 Glenn Schiraldi, Ph.D., Post-Traumatic Stress Disorder Sourcebook (McGraw Hill, 2009), 193.

5 Hope Edelman, Motherless Daughters.

In Part 3 will discuss The Process of Thawing Grief and Grieving the Loss of an Eating Disorder.

Mary Anne Cohen is Director of The New York Center for Eating Disorders. This is an excerpt from her book, French Toast for Breakfast: Declaring Peace with Emotional Eating which is available for 9 Continuing Ed credits for social workers, psychologists, addiction professionals, and mental health counselors:

Frozen Grief and Emotional Eating:
Part 3

By Mary Anne Cohen, LCSW, BCD

  The Process of Thawing Grief

Thawing grief involves telling the story of your loss to safe and empathic people you trust. Sorrow needs to speak. As Shakespeare wrote: "Give sorrow words; the grief that does not speak / Whispers the o'er fraught heart, and bids it break."

Thawing grief includes:
· Recounting the story of what happened
· Describing the impact it had on you when it occurred
· Expressing the feelings of anger/guilt/self-blame/regrets you may have
· Imagine the effect this loss will have on your life as you move forward
· Consider the connection between your loss and your history of bingeing, purging, starving, drinking, taking drugs, or any other addictions
· Allow yourself to feel the physical impact of your story
· Remember and re-experience the good memories, if any, connected to this loss
· Acknowledge the pain and hurt of the bad memories
· Recognize whatever unfinished business is connected to this loss
· Accept the fact that your life does go on despite your loss and grief
· Make peace with the "new normal" that your loved one will always be missing
· Decide to get help if depression/anxiety/self-blame/or any addictions are ruling your life
· Integrate a ritual or create a memorial, to honor your loss
· Cultivate other secure relationships, such as a support group or therapy, which will encourage you to take good care of yourself without the crutch of emotional eating

Crying is our natural healing process of releasing emotions that well up. Tears are a gift from deep inside. "There is a sacredness in tears. They are not the mark of weakness, but of power. They speak more eloquently than ten thousand tongues. They are the messengers of overwhelming grief, of deep contrition, and of unspeakable love," wrote Washington Irving.

As we recover from grief, we find inner signposts that may illustrate our progress. Glenn, a widower and in recovery from compulsive overeating, tells his story:

"My wife, Camille, and I always loved to go out to eat. We would go to this local restaurant in our neighborhood, Aubergine. That's French for eggplant. After Camille died, for a year and a half, I had this series of dreams of the two of us going to Aubergine for dinner. It was soothing and comforting as if she were still with me, at least in my dreams.

"Then two years after her death, my dream changed: We went back to Aubergine, but they had changed the name. The restaurant's new name was Au Revoir which is French for goodbye. Then I realized that Au Revoir also means 'til we meet again.' The dream felt like my wife was telling me to move on with my life, that we would see each other again, but now was the time for me to begin a new life without her. The dream made me sad, but I also found it amusing—Camille was sending me a message from heaven!"

As Judith Viorst writes, "So perhaps the only choice we have is to choose what to do with our dead: To die when they die. To live crippled. Or to forge, out of pain and memory, new adaptations. Through mourning we acknowledge that pain, feel that pain, live past it. Through mourning we let the dead go and take them in. Through mourning we come to accept the difficult changes that loss must bring—and then we begin to come to the end of mourning."1

  Grieving the Loss of an Eating Disorder

As emotional eaters begin to recover, they need to grieve the loss of their best friend and enemy (their "frenemy") of bingeing, purging, starving, and chronic dieting. People often experience grief when they recover from their eating problems because they lose a tried and true way of soothing themselves, a way of giving meaning and focus to their life, a well-worn way of coping with stress, and the magical belief that weight loss will solve all their problems, repair their self-esteem, and help them feel happier.

Grief includes the realization of how much wasted time, energy, money, and obsessing the eating disorder has consumed.

Eventually, through the process of healing, we need to part from our eating problems, honor the help they have provided, wave goodbye, and go our separate ways.

This farewell engenders its own grief as the question remains: "Who am I without my eating disorder?"

Rose Ann has struggled with binge eating disorder, anorexia, and laxative abuse. In her poem, written as she emerges from the bondage of her eating disorders, she portrays the transition from an eating disordered identity to recovering the vitality of living. She captures the confusion, the hope, the vision of how life could be, as well as an acknowledgement of what it has been like living under the tyranny of an eating disorder.

Who Am I Without My Eating Disorder?

Rose Ann F.
Who am I without my eating disorder?
I am the dirt on which you walk, Or am I the ground for which things grow?
Who am I without my eating disorder? I am the rose about to wilt, Or am I the bud who needs to bloom?
Who am I without my eating disorder? I am the sky that brings such darkness, Or am I the dawn that brings the light?
Who am I without my eating disorder? I am damaging thunder that brings the storm, Or am I the rain that brings the rainbow?
Who am I without my eating disorder? I am the re burning destructively hot, Or am I the flame that wants to glow?
Who am I without my eating disorder? I am the mouth that craves to eat, Or am I the lips seeking a kiss so sweet?
Who am I without my eating disorder? I am the tears that carry sorrow, Or am I the tears that set you free?
Who am I without my eating disorder? I am the eyes that refuse to see, Or am I searching just for me?
Who am I without my eating disorder? I am the heart that anxiously skips a beat, Or am I the pulsing rhythm in my feet?
Who am I without my eating disorder? I am the life that waits for death, Or am I the child still unborn Who waits first breath To greet new dawn?

The more you run away from intense emotions, the more your eating problems run after you. Grief must be witnessed to be healed. Therapy can help to unfreeze grief. You learn that your pain is not the whole of who you are. Tears thaw grief. Shared pain is soothed pain.

  Food for Thought

To chronicle your own history of loss and grief, create a time line from birth to now. Include any rupture, disruption, change, loss, family death or turmoil, significant illness, accident, or violence that occurred to you.

Then, chronicle your time line history with weight and eating disorders.

1. Are there any parallels between these two time lines? Can you relate an upsurge of eating problems to the times of loss or grief?

Doreen made an abridged time line and described it to me: "I actually made a graph of all the losses and changes in my life, then I superimposed my eating disorder history on top of it. Here is what I learned:

• When I was five years old, I was a normal weight kid. Then my parents moved into a house of our own in the suburbs. The photos after that move showed me getting heavier and heavier. I imagine I felt bereft to leave my little friends behind; they were the very first friends I ever had. My mother may have been more socially isolated in the new house because she didn't drive, and my father had more financial responsibilities with the mortgage. I think the heightened anxiety level in my house began fueling my compulsive overeating.

• I had an abortion when I was 24. My guilt, confusion, and shame led to another upsurge of compulsive bingeing in which I gained 30 pounds.

• When I was 40, my older brother was diagnosed with leukemia. As he became more emaciated, I went through a period of anorexia. Part of me really enjoyed the self-control of starvation. Brad died two years later, and my anorexia continued until I went into treatment. Treatment helped me to eventually start eating again, even though a part of me really prefers being anorexic to being normal. Just a part of me, though."

2. If I open my heart to pain, what is my biggest fear?

3. What do I lose if I keep it locked up?

4. How does my emotional eating help keep my pain under wraps?

5. And, as Rose Ann's poem asks, "Who am I without my eating disorder?"


1 Judith Viorst, Necessary Losses, 264.

Mary Anne Cohen is Director of The New York Center for Eating Disorders. This is an excerpt from her book, French Toast for Breakfast: Declaring Peace with Emotional Eating which is available for 9 Continuing Ed credits:


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