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.

What would a world without eating disorders be like? It would be a world of unimaginable freedom for everyone. It would be a world that each one of us could thrive in. It is only a dream of mine. But think of the possibilities . . .

"Maggie Goes On A Diet" is described by Amazon.com and other retailers as an inspiring tale about a 14-year-old who loses weight and becomes the school soccer star. The premise behind the book is to show how Maggie gains confidence and develops a more positive self-image after losing weight and achieving her goals. There is just one problem. This diet book's reading level and content makes it more appropriate for girls of elementary and middle school ages. The exact group that is  beginning to struggle with body image and weight issues. The exact group that is vulnerable to developing eating disorders.

I struggle with anorexia even now because eating disorders are complex and deadly illnesses. They manifest differently in each individual. For me, anorexia was not about being thin. And yet it was. That is the paradox of anorexia. I was addicted to starving, driven to be thin. I could never be thin enough, and it took years to break the chains of those thoughts. But have I completely broken free?

Today my doctor said to me, "You know, you deserve to be happy. You deserve to recover." I sometimes question if I do deserve to recover. I'm not proud of some of the things I have done in life. I have not always been the kindest person. I have sometimes ignored people who needed me. I have put my husband and loved ones through years of anguish and fear as I slipped further and further into anorexia nervosa and failed at recovery many times. I have made them cry as they thought that I could possibly die from my eating disorder. I blocked myself off from their fears and pleas, and continued to pursue thinness ruthlessly for years like a person possessed. All of these things make me question my worth and if I deserve to recovery. But there's something more. My doctor, a wonderfully perceptive man even when I sometimes sit silently and dive back into the safety of my thoughts, said I have this space within my brain that allows the eating disorder to tell me that I do not deserve to be happy, healthy, and free. This is so true, and I sometimes want to scream at the voices to stop and leave me alone.

A 2008 Harris Interactive study found that about 0.5 percent of Americans are vegan and 3.2 percent of Americans are vegetarians. That equals 1 million and 7.3 million respectively. That's a pretty low number. Why then does it seem that I know so many people with eating disorders who either are vegan, vegetarian, or practice some other type of eating different from the normal population?

Eating disorders and loneliness. It is not something we speak or write about often. It is painful to think about being lonely. But I believe people with eating disorders are often very lonely. It is the nature of these illnesses. But it doesn't have to be  this way. I would like to shine some light into these dark corners of loneliness, and perhaps help other people with eating disorders feel less alone.

The glare of the dressing room's lighting was unforgiving and pointed out every flaw — real and imaginary — on my body. My thighs were too wide, my stomach too round, and my overall body too short and squat. I didn't have the flawless, smooth and stubble-free underarms and legs of a magazine model. I wanted it to magically become wintertime again so I could hide my body under leggings, loose jeans, and oversized sweaters. I kept telling myself that the sizes didn't matter, that these labels were an arbitrary measurement most likely chosen with little thought by some clothing manufacturer in China or Taiwan. But part of my mind wasn't buying it. As I stood contemplating the clothes and the various sizes surrounding me, I felt a little dizzy and my first inclination was to run as fast as I could from the dressing room.

PHP IOP NG Tube AN TPN IP AMA . . . The first time I was hospitalized for anorexia nervosa was in June 2008. I left after 24 hours — AMA. The second time I was hospitalized for treatment my doctor informed me I would need a TPN. I was totally clueless about the acronyms and terms. It can feel like you are swimming in a vast sea of alphabet soup when you first enter the world of eating disorders treatment.

My therapist said to me today, "This is your recovery." Each person is unique, and that includes people with eating disorders. There may be a checklist of symptoms, but how an eating disorder manifests itself in each person is different. It is logical that each person's recovery process from an eating disorder also would be unique. Then why do I find I compare myself to others in recovery and often feel I come up lacking?