I have a severe ED and have used food since I was 6, when the CSA started (I have CSA plus an extremely abusive 'relationship' with a much older man where I was repeatedly abused and raped). My childhood was very difficult because of my father (who had nothing whatsoever to do with the CSA) who was extremely controlling and demanding and punitive. My full-blown ED started when I was 14. I had two admissions to an EDU - once when I was 16 and had a BMI of 14.5 and my second when I was 22 and had a BMI of 12 (I was there 16 months and am only just out). I have binge-purge anorexia... I happen to be very 'talented' at throwing up, I would eat anything and everything I could get my hands on and just get rid of it. Plus I was drinking (at my low weight - just over 5st or 33kg) half a bottle of bourbon a night.
I was doing really well when I left hospital. Since then I have started drinking - now dependant which have never been before. Obviously I wasn't eating much so I wouldn't gain more weight. I am withdrawing now, which is hellish, and if anything I'm eating even less. I'm not weighing myself really but I know I've lost a reasonable amount.
I remember my worst abuser stalking me in his car when I was walking laps around my local block, when I was a ridiculously low weight. I remember him saying ''you look disgusting, you look like a skeleton, nobody would want to f*ck you now, you little whore'' and I remember internally going 'YESSSSSSSSS'.
I know I either feel I don't deserve to eat, or the thought/feeling of having 'something' in my stomach be it food or 'something'
I've had to swallow makes me want to get it out. Purging is a way of getting rid of the anger and the hurt, and it recreates the feeling of being worthless and a 'thing' rather than a person (I really struggle with not feeling human). My weight is also 'mine'. I control what I weigh. I've been on maximum dose mirtazapine, and also on 20mg olanzapine, and neither of those made my weight increase. At the moment I take venlafaxine at the maximum dose and that kills my appetite dead, despite being on 150mg quetiapine too. Eating can also be a big trigger for flashbacks - forcing something in my mouth I really don't want to be there.
I used to also use massive amounts of blood both through self-harm and through a bleeding stomach ulcer, and have needed transfusions 3 times. They have been some of the most traumatic experiences of my life, along with gastroscopies - having something forced into my body (especially blood when it was a bodily fluid, although the scopes were pretty bad with it being my mouth and all). I have never been fed via NG tube - partially because of the physical risks with my throwing up so easily, but I'd never let things get to that point because I know that is something psychologically I could NOT deal with.