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Anorexia Nervosa : Fear of Weight Gain

 The Brain Pathways     August 07, 2024     No comments   

Antaru, a 36-year-old woman from a rich family, seemed to have everything. Her family owned a big business, and people admired her beauty and happy marriage. But underneath her perfect appearance, she had struggles that few people knew about.

Growing up, Antaru had always felt the pressure to look perfect. Coming from a family that valued appearances and societal status, she was constantly reminded of the importance of maintaining a slender figure. As she navigated her social circles, the pressure only intensified. Fashion magazines and social media influencers all sent the same message: 'being thin meant being beautiful, and being beautiful meant being successful.'

fear of weight gain

Over time, the stress of her social obligations and the pressure to look a certain way began to take a toll. Antaru found herself skipping meals, counting every calorie, and pushing her body to its limits with excessive exercise. She became obsessed with her weight, always feeling that she wasn’t thin enough. Her friends and family began to notice her changing habits, but she dismissed their concerns, believing she was just being disciplined. 

One morning, Antaru went to the gym for her usual intense workout. She had eaten very little the day before and nothing that morning. As she pushed through her routine, she suddenly felt dizzy and weak. Before she could steady herself, she collapsed. The gym staff rushed to her aid and called her family.

Antaru’s husband arrived at the gym in a panic. Seeing her pale and unconscious on the floor was a wake-up call. They rushed her to the hospital, where the doctor diagnosed her with "anorexia nervosa", a condition Antaru never thought she would face. The diagnosis was a shock to Antaru and her family, but it explained the fatigue, dizziness, and constant cold she had been experiencing.

The physician recommended immediate nutritional support and referred her to a therapist specializing in eating disorders. During her sessions, Antaru’s therapist gently helped her uncover the root causes of her anorexia. 

In one of her therapy sessions, Antaru admitted, “I always felt like I had to be the most attractive person in the room. I thought if I looked perfect, I would be admired and accepted.” 

The therapist nodded understandingly. “Societal pressures can be overwhelming, especially when combined with personal and familial expectations. But your health is far more important. Let's work on helping you see yourself in a healthier light. 

The therapist explained, “These are common symptoms of anorexia. Your body was deprived of the nutrients it needed to function properly. It’s important to address both the physical and emotional aspects of this disorder.” 

The therapist explained to Antaru and her family the symptoms of anorexia that Antaru had likely experienced but ignored:

  • Extreme weight loss: Despite being underweight, Antaru saw herself as needing to lose more.

  • Fatigue: She was constantly tired, lacking the energy for daily activities.

  • Hair loss: Her hair had become thin and brittle.

  • Amenorrhea: She had stopped having her menstrual periods due to severe weight loss.

  • Cold intolerance: She often felt cold, even in warm weather.

  • Digestive problems: She experienced constipation and stomach pain regularly.  


Therapy Sessions

Antaru: "I just don't see myself as thin enough. It's like no matter how much weight I lose, it's never enough."  

The therapist: "That's a common feeling among those with anorexia. Let's work on challenging those thoughts. What makes you feel this way?"  

Antaru: "I guess I always compare myself to others, especially on social media. Everyone looks so perfect."  

The therapist: "Social media can create unrealistic standards. Remember, your worth isn't determined by your weight or appearance. Can you think of some positive qualities you have that aren't related to how you look?"  

Antaru: "I suppose I'm kind and hardworking."  

The therapist: "Exactly. Let's focus on those qualities and build your self-esteem from there. We'll also work on setting realistic goals for your body image." 


Nutritional Counseling to her

Dietitian: "Antaru, it's crucial to eat a variety of foods to get all the nutrients your body needs. We'll start with small, frequent meals that are easy to digest and gradually increase your portions."  

Antaru: "I'm scared of eating more. I don't want to gain too much weight."  

Dietitian: "It's normal to feel that way, but our goal is to nourish your body properly. We can start with foods that are less intimidating for you. How about incorporating more fruits, vegetables, and lean proteins into your meals?"  

Antaru: "I can try that. What should my portions look like?"  

Dietitian: "We'll start with smaller portions and gradually increase them. The key is to eat balanced meals that include a variety of food groups. How about a small salad with some grilled chicken for lunch?"  

Antaru: "That sounds manageable."


Family Support to her

The Therapist: "Your family can play a big role in your recovery, Antaru. It's important that they understand your struggle and support you without judgment."  

Antaru's Mother: "We're here for you, Antaru. We want to help in any way we can."  

The Therapist: "Great. It's crucial to create a supportive environment at home. Encourage positive conversations about body image and avoid focusing on weight. Instead, celebrate Antaru's strengths and achievements."  

Antaru: "I appreciate that. I feel like I need all the support I can get."  

The Therapist: "Absolutely. Recovery is a team effort. Antaru, remember, it's okay to rely on your family and ask for help when you need it."  

Antaru's Husband: "We'll do whatever it takes to help you get better, Antaru."  

The Therapist: "With this kind of support, Antaru, you'll have a strong foundation for your recovery journey. Let's take it one step at a time." 

The therapist helped Antaru develop a healthier relationship with food and her body. They worked on building her self-esteem and coping mechanisms for stress that didn’t involve restrictive eating or over-exercising. It was a long and difficult journey, filled with setbacks and small victories. Antaru’s family played a crucial role in her recovery, providing the support and encouragement she needed. 

Years later, Antaru stood before a group of women at a wellness seminar, sharing her story. “Recovering from anorexia was the hardest battle I’ve ever fought,” she began. “But it was also the most rewarding. I had to learn to love myself for who I am, not what I look like. It’s not about the number on the scale, but about being healthy and happy.”

She emphasized the importance of recognizing the signs of eating disorders and seeking help early. “Anorexia isn’t just about food,” she explained. “It’s about dealing with emotions and societal pressures in a healthy way. I’m grateful for my family and my therapist, who helped me find my way back to health.” 

Antaru’s story was a powerful reminder that anyone can be affected by eating disorders, regardless of their background. Her journey showed that recovery is possible with the right support and a commitment to self-care and mental health. As she concluded her talk, the audience erupted in applause, inspired by her courage and resilience. 

Antaru's message was clear: "Love yourself, seek help when you need it, and remember that true beauty comes from within."

no stress of weight gain

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