Two Forms of Relapse

            There are two forms of relapse.  The first I call an ‘emotional relapse’.  It can be identified by an uncomfortable return of thoughts or feelings experienced prior to the start of the recovery process.  By recognizing this for what it is, a full-blown relapse can be avoided.  Generally the emotional relapse precedes the behavioral relapse.  The behavioral relapse involves the returning of the self destructive behaviors associated with eating disorders.  It could also involve a switching to other self destructive behaviors.  Example:  bulimic behaviors to anorexic behaviors, compulsive overeating to compulsive spending, etc.  It is important not to fall into other compulsions at this time.  As I mentioned earlier, the eating disorder behaviors have to be replaced with something else hopefully not self destructive but rather constructive.  Especially in the beginning, it is important that people make a conscious decision of exactly what they are going to use as a replacement.  If left to chance, old behaviors sneak back in or new destructive ones start up often before one is fully aware of what is happening.

            There are not any real statistics on this, but it sure isn’t uncommon for those in the recovery process from eating disorders somehow tend to accumulate speeding tickets.  I have noticed this with all the eating disorders but especially bulimics.  Potentially it may be the result of their tendencies toward being driven and compulsive.  If this applies, it might be worthwhile to lighten up on the pedal pressure.

            To review, coping strategies require plenty of structure, planning and attitude adjustments toward the positive.  The only way this can occur is if it is made a priority.  It rarely happens when left to chance.  Behavioral changes precede emotional changes.  If someone changes their behaviors and actions, changes in emotions and thoughts will soon follow.