It was 3 a.m., January 1, 2012. I had been struggling to sleep for hours. All had did though was constantly shift around in my hospital bed and throw covers on and off, as my head throbbed and waves of heat flushed my face. It left me hot and then freezing cold. It was the last night of my hospital stay and I had gotten progressively sicker in the past few days. The nurses simply told me I must have the flu or something since I had a slight fever and struggled to eat — not a good thing for a recovering anorexic. I pushed the call button for the night nurse, hoping for some relief but knowing I had just taken a pain killer a few hours before and, therefore, there was nothing anyone could do. He brought me a box of tissues as I started crying and tossing around, saying "I guess this is what they call hitting rock bottom, huh?" He told me to go ahead and cry. I had been in the hospital since December 26. It has been both the hardest and most rewarding thing I have ever done.

In February 2010, I entered inpatient treatment for anorexia nervosa, anxiety, and depression. I felt like a complete failure that this was my sixth inpatient admission, and I vowed that it would be my last admission. On Monday, I will once again admit myself to the hospital for six days of psychiatric treatment. It was a difficult decision to make, and one that many of us struggling with eating disorders and co-morbid illnesses often face.

I haven't been sober more than a few days each month since October. I have only eaten a handful of what would be considered real meals in several months. I consume more calories in alcohol than food, and simply admitting that has to be one of the hardest things I have ever done.

For weeks, I have struggled to do anything beyond the bare minimum. Eating disorders are in part coping mechanisms, and can be deceptively helpful in masking painful emotions. That can make recovery from an eating disorder very difficult, because most people struggle with painful emotions and would rather push these feelings aside than face them. I always like to think I am different - but I am not - and that I can push through the emotions the recovery stirs up. Each time I begin the recovery process with a fierce determination to beat anorexia nervosa for the last time. I feel strong and sure as I start to eat regular meals and snacks and stop all related eating disorder behaviors, and I know in my heart that I will travel the road to full recovery without roadblocks or detours. But emotions can only be suppressed for so long, and I inevitably become anxious and depressed as I begin to eat like a normal person. Determination fades and strength wavers as all the emotions that I couldn't feel while in the middle of my eating disorder come roaring back, leaving me cowering in the corner.

I live in a small town, and it was very noticeable when I first developed anorexia four years ago. The roller coaster of recovery and relapse also has been very noticeable, and each time I find myself having to explain either weight loss or weight gain. It's frustrating because I am more than my eating disorder.

Eating disorders can be extremely isolating and lonely. Counting calories or throwing up your food after you eat makes it hard to be around other people. There is the fear that you might eat too much, or that someone will notice that you are just pretending to eat. It takes a lot of energy to hide your eating disorder symptoms, and that makes it easier to stay home and disconnect from your friends. I have been very lucky. My friends know about my struggles with anorexia, and we have stayed close in spite of my attempts to isolate and hide at times. This week I was again reminded how important friends are to me, and how they play a role in helping me stay in recovery.

"We must be willing to get rid of the life we've planned, so as to have the life that is waiting for us." ~ Joseph Campbell I have struggled with anxiety and depression for weeks. Several mornings I stay in bed, huddled under my covers where it feels safe, until the very last possible moment. I think about the life I had before I developed anorexia. My husband and I were still together, sharing life and love, enjoying each other's company and spending time with family and friends.

For some reason, I knew drinking a glass of wine at 9:30 in the morning was not a good way to start off the week. I have been struggling, and that includes continuously arguing with that Nazi Brunhilde voice in my head that keeps telling me I am fat and don't deserve to eat. It has been a bad week.

Many days I don't want to get out to bed. I am dealing with some difficult life issues right now, and of course the first thing I turn to is restricting my food intake in order to numb the pain and anxiety I am feeling. There are some days that I feel as if this will go on forever. I contemplate my future and I can't see the light at the end of the eating disorder tunnel.

My thinness is an outward manifestation of my inner pain that I am unable to voice. This is my last year of graduate school and I have started working on my thesis. It will be a creative non-fiction piece divided into two parts. One part will be about my struggles with anorexia nervosa, and my ultimate decision to begin the work of recovery in the midst of personal chaos. The other piece will review the memoirs and creative non-fiction writings written by women who have experienced anorexia and/or bulimia. I deliberately chose to write my thesis about women only, in part because I plan to apply feminist theory to my thesis and I believe that eating disorders develop differently in women and men. I have been enmeshed in writings about eating disorders these past few weeks, and I have found a common thread throughout the writings that resonate with my own experiences with anorexia. Silence. At some point, each of these women have written about feeling silenced and having to regain their voices during recovery. I believe at heart that eating disorders are illnesses of silence, of an inability to speak about inner pain, to give voice to what we are feeling and going through in the deepest reaches of our souls.