ICS - First Steps Derbyshire 2019

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First Steps and Derbyshire Healthcare NHS Foundation Trust have been working
together since 2011. Through our intensive community support program,
offering targeted treatment to individuals with anorexia nervosa or
bulimia. Our joint service provides home and community interventions from a
variety of options, agreed by the care coordinator as part of the care program
approach and may include confidence-building, food preparation,
eating at home or in public, volunteering and getting back into work.
44 years ago when I was 15, I started to diet because I felt everything in my
life was racing out of control. A year later I lost both parents and discovered
my mother's passing was due to a history of bulimia. My world was turned upside
down by trauma so, I resorted to the one thing that felt safe. My anorexia.
Struggling with body image and being bullied in primary school I struggled
with self-esteem, so began to control food by restricting and binging and purging.
I was feeling ill and tired not having the energy to socialise and
isolating myself further and now had lost a healthy relationship with food.
Feeling out of control I finally acknowledged I had a problem.
I went to the doctors who referred me to CAMHS and advised me to make my own referral to
First Steps. CAMHS wasn't really somewhere I saw myself but First Steps was
already helping me with my confidence and gave me lots of coping mechanisms
that I had control over, whether I used them or not.
Over the next 20 years I became very ill but somehow I got a job in the banking
industry, often off work sick and eventually got retired on ill health.
The shock of losing my new professional network led to increased anxiety and
following three suicide attempts I was sectioned.
Overwhelming anxiety at such supported mealtimes is the obstacle.
Our multidisciplinary team provides regular
encouragement to support service users to begin to develop a new relationship
with food. Teaching sufferers and families to be in control of their illness.
The NHS saved my life on numerous occasions and over the next few
years I was in and out of hospital, until I met Martin. Also an eating disorder
sufferer. For a couple of years we helped each other stay out of hospital until he
committed suicide leaving, me once again alone with my anorexia.
First Steps gave me lots of independence giving me confidence and this helped me understand
the eating disorder recovery, isn't a linear process or any specific healthy
norm. My supported self-care journey helped me to apply my learning and deal
with my disordered eating and now as a First Steps peer mentor, I use my lived
experience to support new young people on their journey to recovery.
Our ambition is for every young person that we support is to equip them with the
right strategy to recover from their eating disorder and thrive. For some
older adults with enduring anorexia, we continue to work with the building
confidence for them to regain control over their lives.
The support and care provided to me from Derbyshire Community Eating Disorders and First Steps, ensures
that I survive but my eating disorder still continues to have power over me so,
the contact I receive from my NHS and First Steps team enables me to cope with
my daily struggles. My intensive community support ensures that I have
enough quality periods of happiness, helps me to maintain my weight,
reducing my risks of hospitalisation and provides me with support at home
and in my community.

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ICS - First Steps Derbyshire 2019

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