How do you tell the difference between an elephant and a letterbox? You check to see which one has a trunk and which one is filled with neatly addressed handwritten letters that will soon be lost in the abyss that is “the postal service”.
How can you tell the difference between a brand new slipper and a boomerang? You throw it to see which one comes back and smacks you in the face.
So far so good (apart from the fact you may have just been smacked in the face with a boomerang or lost a perfectly good slipper), but now for the third question:
How do you tell the difference between the genuine preferences of someone with an eating disorder and the disordered behaviours of someone with an eating disorder? The answer? With extreme difficulty…if at all.
When you are on an eating disorder unit, the food aspect of things/what you can and cannot do with food, is a lot more regimented and controlled by sets of rules than it is in normal life.
Rules will vary depending on what hospital ward or inpatient unit you have been admitted to, but as a general list of examples these rules will be things like “no eating cereal with tea spoons”, “no breaking food up into tiny pieces”, “no sleeves at the dinner table”, “you must scrape the plate that you are eating from clean to complete the meal”, “only X number of minutes to eat your meal” and “no inserting parsnips into the nostrils of the person sitting next to you” (pretty sure that last one is also relevant in real life actually but I am not quite sure…my mother was never very clear when it came to table manners.)
These rules are often frustrating and can seem a bit harsh but they exist because often an eating disorder controls how a person eats and behaves around food, as well as how much or little of it they eat, so part of treatment during recovery involves tackling those food behaviours as well as things like the amount of food someone might be eating. Like I said it can be annoying, but it makes sense. Take the “you must scrape your plate to complete a meal” thing. It may seem over the top (and is a rule that will destroy the lovely willow pattern adorning all of your best crockery), but were it not for rules like that in hospital, there is the risk of people arguing that they have finished their meal when really all they have done is smear it across the good china.
With behaviours like that, I think it is easy to tell the difference between them and genuine food preferences as I don’t think I know any people without eating disorders who “prefer” trying to mash a lasagne into oblivion rather than consuming it.
There are however, a lot of actions people do where it is far harder to tell if the person is making a genuine choice or following a behaviour, and in these situations it is less like trying to distinguish an elephant from a letter box, and more like trying to tell the difference between an elephant, a tea pot and a vacuum cleaner (if you line all three up together you have to admit they do look rather similar…trunks, nozzles and spouts are easily confused…I learnt that the hard way…and broke a teapot).
For example at the hospital I am in at the moment, there are certain rules regarding condiments such as “only two pepper/ketchup/vinegar/mayonnaise/brown sauce etc sachets per meal”. The logic behind this is that some people with eating disorders tend to totally cover their food with a certain condiment in order to make it all taste the same/spoil the food and make it taste horrible as a punishment etc.
Then again, as well as people who use pepper to burn the roof of their mouths off by using it excessively, there are people who use what looks like an excessive amount of pepper simply because they like it. Every time my Dad eats a meal he uses so much pepper that even people scuba diving at the bottom of the Atlantic start sneezing because he likes the spice, and I have a friend who uses what may look like a lot of salt because she has been brought up using that amount and things taste wrong without it. Neither of these people have eating disorders, but they would still struggle living by the rules that are in place to help someone in recovery from a disorder. I guess you could say that the way you tell the difference is to see which came first, the food preference or the disorder, but that isn’t as easy as it sounds. Eating disorders are sneaky, they slip into your life gradually without you really noticing, so it is rare for someone to be able to pin point the day they officially became unwell.
What if my Dad, who currently does not have an eating disorder, developed one in years to come and had to go into hospital? Or my friend who likes a lot of salt? They might, quite rightly, argue that their preferences existed years before their illnesses began and they may be right but the thing is, in hospital, that doesn’t really matter and this is where it gets frustrating. Once you are tarnished with the Eating Disorder brush, suddenly people assume that EVERYTHING you do around food is because of that disorder and they rarely give in or believe you even when you are expressing a genuine dislike. It can be really annoying when you know that your love of toast that is not particularly well cooked is because you like soft as opposed to crisp bread, yet when you are consistently told that everything you do is disordered, sometimes you can start to doubt and be unable to tell the difference between your own choices yourself (aka the is it an elephant, teapot or a vacuum cleaner situation).
How about timings and things like time limits on eating disorder wards? Admittedly they are necessary to avoid still working on Monday’s bowl of cereal at Sunday dinner time (rather soggy cereal I would imagine), but in addition to timings perhaps being affected by disordered thoughts or behaviours, people naturally have varying eating speeds. I certainly know that in my household my Dad will always finish his dinner a good 10-15 minutes before my mum for the simple reason that he has a bigger mouth and more violent set of gnashers (not abnormally large I might add…like he is still a handsome chap and isn’t frequently being mistaken for a shark who needs to be sent back to the aquarium…just clarifying…love you Dad.)
The main rule/“behaviour” that got me thinking about this topic however, the rule I have seen come up in every single one of my admissions to an eating disorder unit and the rule that is carved in a stone tablet and worshipped on a mountain guarded by holy cherubim:
“Thou shalt not dunk biscuits”.
Some of you reading this, who have never heard of such a rule, may be a little shocked, stunned and perhaps distressed to hear that there are people all over the country being forced to eat rich teas that have never actually taken a dip in a real mug of the beverage after which they are named (I know, it is upsetting but we can get through it).
Again, as with all hospital rules there is a reason behind it, that being that people sometimes submerge and drown their biscuits rather than dabbling in a quick dunk and then smear the soggy remains around the inside of their mugs or leave them in sorrowful abandoned mush mountains at the very bottom.
The issue though, comes when you are someone who wants to safely and appropriately dunk their biscuit, yet are prevented by the rule that may not be relevant to you. Of course rules have to apply to everyone on the ward to make them fair, but that is what is annoying, i.e. having an eating disorder and then having EVERYTHING you do with food put down to your disorder when maybe you have just grown up liking a lot of ketchup on your curly fries, or genuinely prefer the texture of a cookie that has had a quick swim in a mug of hot chocolate. Dunking biscuits CAN be a disordered behaviour, but it isn’t always.
Just imagine if the world had to live by eating disorder ward rules with the act of dunking a biscuit being classed as a disordered/unhealthy behaviour and thus banned for all. How would any of us ever eat an Oreo? The dunking aspect to those delights is even in the damn advert! They literally explain how to eat them on the packet! First you twist it, then you lick it, then YOU DUNK IT. If that bit was deleted from the process the country would grind to a halt and living rooms across the world would be filled with poor distressed people holding opened licked Oreos and crying out in agony “WHERE DO I GO FROM HERE?” Think of the number of teeth that would be broken on undunked ginger nuts!
You could maybe be a generous dictator and say that only people who appropriately dunk their biscuits are permitted to do so (something I have asked for on multiple previous admissions), but how can you tell if someone is dunking appropriately? What if someone is genuinely dunking for the resulting soggy biscuit end goal but is such a poor judge of the strength of their chosen biscuit that they get the timings wrong and remove their Custard cream or Bourbon from their brew not to find a perfectly melted vanilla or chocolate cream centre but instead a blank space, an empty half in which biscuit perfection had existed seconds before it was too late and the perfection turned into a sinking disappointment of heartbreak, sorrow and missed opportunities.
Should biscuit dunking be classed as an eating disorder behaviour just because it can sometimes be used as one or can it just be a preference?
Overall then it is clearly very difficult to tell the difference between an eating disorder behaviour and a genuine food preference, especially when you yourself have the eating disorder. I guess when it comes to people who have no issues with food the answer is obvious…until that person is unfortunate enough to develop the disorder and we are caught in the whole confusing “which came first the soggy biscuit or the mental health problem?” dilemma which has plagued scientists for years (scientists who I feel are doing valuable work but are also perhaps taking advantage of their right to order in free biscuits from the big companies under the guise of “research purposes”….)
Of course there will always be ways to figure out the disordered act from the genuine preference but it isn’t always as clear cut as the elephant and the letter box example and sometimes even knowing your own reasons for doing things can get you into a confused muddle of soggy biscuit yourself.
Take care everyone x
Born without marbles 
This was part of the reason I didn’t end up being treated on a an EDU specific ward, pre eating disorder I had many routines I followed, they make me feel safe. Apparently this is due to me having Aspergers. I couldn’t accept the EDU rules which went against some of the things which keep me calm/make me feel safe. Even when I am recovered those things will still be as they were.
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Exactly! Having “behaviours” is often a lot more complicated and there are often a lot more reasons for these things than people think. I sincerely hope you are able to make a full and fabulous recovery soon/one day whilst managing to stay calm and feel safe. I am rooting for you!
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Got a review meeting on Friday to go over my care, I feel like such a hopeless case.
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I will hold the hope for you then because I do not think you are hopeless at all 💕 xxxx
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OK, I get why a lot of the rules exist but not the no dunking one!
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I know right! The right to dunk a biscuit should be universal! Nobody has time for a crunchy cookie!
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I remember getting annoyed with the no dunking rule. Surely you could just scoop collapsed biscuit much out with a spoon?
Weirdly they allowed napkins though?!
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THAT WAS MY POINT. If the dunk goes wrong, there is always a spoon! Everybody wins! Goodness me some nurses and doctors have no sense when it comes to biscuit dunking…Can’t believe they allowed napkins though?! Where is the logic?! Damn it the things I would do to be able to have a napkin at the dinner table again…to use appropriately obviously…no sneaky hiding…ORANGES MAKE MY FINGERS STICKY WHEN I PEEL THEM AND THE JUICE GOES EVERYWHERE.
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I know! The rules were so rigid and often ridiculous (wasn’t allowed to make my own breakfast on the ward even after I began going home!) yet napkins were allowed there but not in the other more relaxed ward I’d been on… (That ward allowed dunking!)
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Gosh do I hear you so much here! One unit I was in banned salt totally. I am very like your friend and without salt food just tastes like nothing – I would go blue in the face trying to explain that a tiny bit of salt was my preference not anorexias! It can feel totally dehumanising as well. They tell you to separate yourself from your eating disorder but at times they do the exact opposite. Hang on in there, biscuit dunking awaits!
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No salt at all? What about sodium? YOU NEED SODIUM TO MAKE YOUR HEART BEAT! That is actually even funnier reading that comment today because today the doctor took my bloods and found that my sodium had got too low again so I was actually told to use more salt on my food…even though we are still only allowed one sachet per meal…how am I supposed to have more if it is locked in a cupboard let alone banned altogether! I am honestly shocked! How can you eat chips without salt? What is this madness!?
To be honest I think the dehumanising aspect you mentioned is the worst bit. Yes not being allowed to have certain things is frustrating but when genuine preferences are not taken seriously it feels like you are not a real person and don’t have choices anymore. Like you said, how can you separate yourself from your eating disorder when you can’t have the salt and ketchup that your Non-eating disorder part craves! Ah well, I guess it is just a case of holding onto the hope. To quote the most inspirational part of your comment…”Biscuit Dunking Awaits!” xxxx
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Omg. This is so true! I remember when I was at the hospital, they put tartar sauce in my plate. I hate tartar sauce and I’ve hated it since I was a child, so I refused to eat it and noone believed me that it was bacause I hate it. It was so frustrating. And the thing with making food taste bad, I’ve never realised that I might be doing that for purpose (I’m a bad cook, but I refuse to get better). Thank you for this article 🙂
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Oh my goodness I hate tartar sauce too! luckily I have never been stuck in a similar forced tartar situation but damn I feel for you! Oddly enough I had never heard about people spoiling food until people explained the rules of the ward to me so it is new information to me too! I hope things manage to improve for you in that department very soon! You do not deserve bad food! Much love xxx
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Amazing post Katie! So true! Like, seriously, no dunking? Luckily in my hospital, they allowed me to choose two foods I was allowed not to eat (goodbye beans and fish).
I hope you’re better my angel ❤
I'm so sorry if I haven't been around but school is taking all of my time. I barely have time to breathe and I want to apologize for my future absence cause I will probably be away until mid December.
Kisses from Portugal ❤
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Ahh it is so lovely to hear from you! Do not worry about being busy though! I would much rather you were taking care of all the madness going on in your own life rather than wasting time reading about mine! I think your hospital allowing two dislikes is really helpful, thankfully this one does too! Not that I would say goodbye to beans though…have to say I am quite the bean fan myself! Really hope things are going ok with school and that you know I am here for you if you need. Sending lots of love and kisses from England xxx
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This reminds me of being told as well that disliking specific foods is an eating disordered thing… Everyone dislikes certain foods, ED or not!
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EXACTLY! For example, I hate celery…HOW IS THAT DISORDERED
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As a non-eating disordered person (but uh, loopy nonetheless!), the rules seem to make sense to me. Although I can definitely understand the frustration, absolutely. What kind of barbarian doesn’t dunk a biscuit?! I guess… if they allowed biscuits to be dunked, people might want to start dunking all sorts of things, and in all sorts of fluids?!
This is a whooole different topic, but I know that a friend of mine used her veganism as a way to restrict her intake. Obviously, veganism is ‘restrictive’ in nature, and usually chosen for ethical reasons, so it becomes difficult to separate that from the ED mind. It turned into a whole ‘food is poison’ thing for her. I’m sure you must’ve met vegans in hospital… are they forced to be veggie? It seems like it would be a bit of a battle.
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I am so glad that someone who can see the logic behind some rules still cannot see the logic behind the biscuit dunking thing! It goes to show how ridiculous it is specifically! It is funny you bring up the vegan thing (I actually wrote a blog about how some people use it as a behaviour last year! It is still here somewhere!), especially as I am vegan BUT for entirely ethical reasons. I do however think there are a lot of people out there who use it as a disordered behaviour (for example people I have known who refuse to eat cheese but will wear a leather jacket and use non-vegan shampoo without a thought…), but I think when you are like me with the eating disorder and veganism it is easy to get confused. In the unit I am in I have to be vegetarian but I am allowed Soya milk and Soya yoghurts so that is one thing as well as another vegan on the ward who is the same. I think it is a good sign that when I was forced to eat an omelette the other day all I was thinking about was the egg industry so I like to think that my veganism comes from the right place…damn is it hard though! You guessed right when you said it must be a battle!
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I can certainly see how not dunking a biscuit (or a donut/muffin in my case) would make coffee/tea a bit empty! On the other hand, I do see the logic, as one of your other readers pointed out, behind it. An IP unit is communal living in a sense and a standard set of rules needs to be in place to address the entire continuum of behavior. Kind of like the routine in the military. Everyone must have the same routine and live by the same set of rules/behaviors to keep everyone moving in the right direction, which is hopefully a return to health. Not all likes/dislikes or personal eating habits are, in fact, eating disorders, unfortunately, when an eating disorder is present, teasing out the difference is often difficult. I remember when my son complained bitterly that his brother was able to vary his eating schedule and basically “ate like a teenager” which could be a bit erratic with mealtimes, and he couldn’t. I explained to him that his brother didn’t have an eating disorder. It was and wasn’t just that simple. We talked about the fact that we all have “something”, an Achilles Heal of some sort or other and his was the OCD and the eating disorder. If it was Diabetes, he wouldn’t be able to eat sweets whenever he wanted and would also be subject to regular meals and mealtimes. If he was an alcoholic, he couldn’t drink alcohol and might not even be able to tolerate parties where alcohol was served (at least in the beginning of recovery). We talked about how what seems like perfectly innocent “eating behavior”, for him, can be a very slippery slope since he was so focused on food that “innocent” behavior could very quickly spiral out of control for him. I also cautioned against “all or nothing” thinking. This is how it had to be then, not necessarily forever. Get well Katie!!
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Ahh that is such a good way to think of it! How do you come up with these amazing ideas! I swear you are some kind of genius when it comes to looking things from different angles like that army example or even the diabetes one. You are so right, thank you so much. Sending much love to you and the family, I will keep fighting and I hope you all are too xxx
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