I say my situation is unique because that's how my doctor and counselors describe it. They all informed me that they've never encountered an issue like mine. So first, let me start with that (and please bear with me if I'm long-winded).
To start, I have panic disorder with agoraphobia. Until a few weeks ago, I hadn't left my home in about two years. Believe it or not, that isn't my biggest issue. I woke up one morning last year and I was suddenly terrified that my food could be drugged. Not poisoned, but drugged (pot, LSD, Rx pills, etc.). I had never feared this before and it has never happened to me. It was like someone had just flipped a switch in my head.
This sudden fear led to a serious eating problem. I was too afraid to eat anything. I could take tiny little nibbles of crackers or bread, but not much else. When this started I weighed 230 pounds. Now, at 5"9, I weight about 105, and my bloodwork has shown serious malnutrition, including dangerously low potassium at one point. The fear also extends into drinks, so dehydration is also an issue.
This fear is literally killing me.
I'm a patient of a group of Dr.s and counselors that make house calls for special cases. My main Dr. prescribed clonopin last year, which I was very reluctant to take (the fear of drugs). I took it, and it made my attacks worse, because I was in fact drugged and felt completely not in control of myself. I had to stop the meds (ativan and xanax had also failed me in the past). I do not want to take drugs.
My fear became so great that I won't ingest anything I haven't made myself. I make my own bread, mayo, and on and on. Making and obsessing about food has become my entire life. I won't let anyone prepare food for me, and I'm constantly washing and rewashing dishes for fear of drugs being on them. I'm just so hungry and sick, and I want this to stop.
When I do eat, I spit out about half of the food. I don't know why, but the thought of swallowing the whole bite terrifies me. So here I am now, sick and weak and literally killing myself with fear. I have managed over the last few months to increase my food intake, and I often feel that I'm getting stronger mentally, through sheer determination.
I got sick of being trapped in my house, so I began sitting out on my front stoop. Then I pushed it further until I was walking to check the mail, and then to taking a walk around the apartment complex. This past Friday I went grocery shopping with my husband for almost 3 hours. I haven 't been shopping in years. It felt so good, and I thought that if I could do that, I can beat this food thing, too.
So I've been working through this course, and it feels so good to be getting help. I'm starting the exposure work now, and that's where I need help.
I don't know if it's my fear tripping me up, but I don't know exactly how to go about exposure work for the food issue. The thought of swallowing every bite in a full meal makes me want to cry just thinking about it. Is that too big a step, or is it a good one?
Does anyone have any ideas for my situation?
Any help is appreciated, and thank you for reading my life story :D