I have a new friend, for whom I will call Poppy in this post, to maintain her anonymity. Poppy and I have been hanging out for about a month now. When we first met for coffee, I of course, noticed that she was very tan,evenly tanned....all over...fingers, feet, arms,legs, chest, face...all the same color. My first thought was, "tanning bed goer, for sure." And then there's me, pale as one can get, with a history of melanoma. Where do we go from here? What do I say? How do I start this dialog? (my brain going full speed with these thoughts)
Yeah, you know I did....I told Poppy my story, she read my blog, we talked a little about what her current tanning practices involved, etc. And here is one of the many acts of Providence, that I believe occurred for a reason...It is revealed to me that Poppy is a tanorexic tanning addict.
Before I share Poppy's story with you, I will lay out a few key points in the understanding of tanning as a behavioral addiction.
~Despite warnings of dangers, tanning continues.
~UV rays may trigger a release of pleasure inducing chemicals in the brain.
~Studies show that tanners experience brain activity that mimics the same patterns as the brain activity of a brain on drugs.
~Using tanning beds has a "rewarding effect" on the brain, so people may feel compelled to continue with this behavior, ignoring the dangers.
~Tanning addiction is different from tanorexia, in that addiction is a brain/reward circuit in nature, and tanorexia is more along the lines of body dysmorphia , where the mind distorts the truth, and in turn creates a misconception about what one sees in the mirror. For example, a statement such as, "I'm getting SO pale and ugly." might be said by someone whom otherwise appears to others as tan.
*So, here is me (obviously, on the left, pale and sporting my latest biopsy scar)and Poppy (on the right) after not tanning for a month..and she thinks she is pale!
Ok, let's have a look at the interview I did with Poppy about her tanning addiction, and see just how similar this behavioral addiction is to other addictions.
Q: How and when did you begin tanning?
A: I started when I was in 9th grade. It began when my friends started doing it, and I liked the way I looked. At first, I just did it for things like prom or if I was going to be wearing a bathing suit.
<possible peer pressure related to image, self-esteem, etc.>
Q: When you started, did you know it was bad for you?
A: Yes. I knew it was dangerous, had heard it could cause skin cancer, but did not know the specifics, and just thought that the dangers could only happen if you went tanning all of the time. I was young and healthy, so why would anything bad happen to me?
<having some knowledge of the danger, yet doing it anyway>
Q: How did tanning make you feel?
A: It made me feel prettier, skinnier, more attractive in all ways. I liked how I felt after I'd go tanning. It made me feel better about myself.
<possible brain reward and dysmorphic thinking>
Q: Can you identify a "tipping point" when your tanning went from occasional use to frequent use?
A: I think it was when I started going during the winter, with no reason or occasion. That started for me around the age of 18. My mom would notice, and tell me to stop. I would tell her I'd stop, and then try to hide it from...with no intention of quitting.
<increase in frequency, lying about behavior, trying to hide it>
Q: How did you "support your habit" of tanning?
A: Well, in college, all of the girls were so pretty, and I noticed I would tan more, so I got a job at a tanning salon. That way, I was able to get free tanning when ever I wanted.
<hmmm...this can't help but remind me of an addict that becomes a drug dealer in order to keep up with the increase in use>
Q: Looking back now, did you ever feel the "need" to increase your tanning, more and more, over time?
A: Oh yes. I would get used to the way I looked and feel like I needed to go to a darker shade.
<sounds like tolerance and a progressive nature>
Q: Were there ever specific situations you can recall that showed your tanning was high priority?
A: Many! One thing is that I remember being on antibiotics, and knowing you are not supposed to be exposed to UV rays while on antibiotics, yet that did not stop me. I didn't care about the risks. And when I'd go to the dermatologist for acne or whatever, the doctor would tell me to stop tanning, but I never listened.
<continued behavior even with warning>
Q: So, let's talk about the present, about where you are today. You just turned 26 a few days ago, which means you've been tanning for about 12 years now. Tell me about your decision to stop, and how things have been since you stopped.
A: I have not been to the tanning salon since we became friends...after you shared your story with me, introduced me to Jillian's story . Those really stuck with me. I could really relate and identify with a lot there.
At first I just told myself I'd cut back, not go as often. But after learning about the reality, the dangers, the fact that young people get melanoma and can die from it...all that has made me not go.
There's this one statistic that I can't get out of my head... "From the first time you step into a tanning bed, your risk of developing malignant melanoma is increased 75%"
I am starting to notice my skin tone changing, getting lighter...and I don't really like that. I'm just now getting to the point where I'm not comfortable with the color of my skin. I'm committed to not tanning, but honestly, I can see getting to a certain point where I'd say to myself, "Just 10 minutes!"
<withdrawal, having full knowledge and awareness of dangers, yet still knowing you may be back to it anyway, the struggle to STAY stopped>
And so there it is.... an addiction, awareness of the addiction, admitting there is a problem, and then taking action to facilitate change. As Josh Billings said, "It is easy to assume a habit; but when you try to cast it off, it will take skin and all."
I am grateful for a new friendship, and for the many reasons Poppy and I are connected! It's times like this, I clearly see the gifts that come out of something as ugly as melanoma.
Change by Tracy Chapman
#WEcanmakechange #WEcanspreadtheword #WEmust