I am sorry to hear that you are struggling with this so much. I know it is true that not everyone with PTSD has issues with eating, but know for myself that it is something which has been an issue for a lot of years. About six years ago I was at my most severe with full blown anorexia and lost half my body weight in a relatively short space of time. At the time I was in complete denial and it took a lot to even acknowledge that it was an issue.
I think you are being very brave to be so honest on here, and really do hope you are also able to talk through and be honest about this within therapy too, because I do believe that it is a serious issue. You say that you only feel clean when you are hungry, and these feelings, are such massive negative thought patterns, which are not of any help at all. I know logically just saying that that is not true is not going to be able to help you in this, and would expect that there is a massive link somewhere under it all which would need to be addressed. I am very aware for myself that all of my not being able to deal with food was about negative thought patterns I had about myself. I am not going to pretend that it is all easy now and that these thought patterns have gone away, but I know that for me a massive turning point within it came, when I was at a very low point, and actually went for a week away to a Christian ministry retreat, and in that place I made the decision that I was going to choose life and not death. That meant life to all the parts of me, including all the ones I wanted so much to shut out and make go away, who I felt were so bad and dirty and horrible. That for me has still been a massive journey and I am not going to pretend it has been easy, but I know that decision and having again and again to come back to it, even when I do turn away from it again at times, has been so important.
I am also very aware that physcally no matter how it all feels emotionally, our bodies do need nourishment. There is no way I would be able to be going through the therapy I am having now if I was not in a place where I was choosing that I am going to feed my body. I am not going to pretend that is easy, and daily at the moment am having to ensure that I do actually eat, and within this at times really am having to look at those feelings inside me and say actually I am not bad and dirty for the things which hapened to me and actually I do deserve to eat, and though at times that is so hard. I know it is a choice I do have to make and really am trying so hard to continue to.
I know so well how hard the cycle of anorexia is to get out of once it has got a hold, and know that every day I really do have to ensure that I do eat, and know it is so important for the way I think and function too, as it really does have such a massive effect on the workings of the brain and everything anyhow, which on top of the PTSD I find is a recipe for disaster.
In terms of yor son, I do not know how old he is, but would be surprised if he does not notice. My children are now between seven and twelve, and were a lot younger six years ago when it all got so bad, but I know that they have been very aware, and though I always ate everything I did eat with them and did everything I could to shelter them from it, I do agree that children do notice and pick up on a lot more than we give them credit for and that it does have an effect. My children also have a friend at school who in the last couple of weeks had their mum die of anorexia, which ended up pretty sudden as her heart just gave up, and my nine year old around the time was very aware of the things which had happened through talking to other friends at school too, and when I was struggling with food around the time too made the comment to me that I had to eat or I would die. Not every child is going to have such a clear understanding of the consequences which can happen if you do not eat, but with all the massive health promotion within schools about healthy eating and things like that I would be surprised if they do not pick up on something and eating habbits within the home can prove to be so influential in so many ways too.
I know for myself when I am in that place I find it very hard to be able to hear things like this, and really hope you do not mind all of what I have said, but I really do believe that you do deserve more. Your feelings of being unclean, though they are so massivly powerful, are not going to go away by the act of starving yourself. You deserve so much more, and in those places I believe that you need to be able to recognise where those feelings are coming from so that you can really find the courage to face up to them and bring them to the light so that you really can be free, and this involves not starving yourself, but actually nourishing and looking after yourself, so that you can find the energy and strength to really be able to come through and be free of the massivly negative feelings which appear to be holding on to you so much.
Really hope that some of what I have written is able to be of some use to you, and that you really are able to find the help which you deserve as you face all this and acknowledge all that is going on.
God bless
Helen