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9 year old neice with an eating disorder? Help!

11 replies

Terraviva · 04/04/2011 19:20

My brother's DDs are 9 and 7. The 9 yo has had a problem with food since she was about 6 - she is tiny and light as a feather. The 7 yo, who is perfectly 'normal' for her age, is now taller and considerably heavier than her older sister. My brother and his partner split about 4 - 5 years ago. It has been a horrific breakdown and the kids have been affected a lot by it. The eating problems are clearly linked to it but as a family we don't know what to do!

To describe the problem, she's basically an incredibly fussy eater. She'll eat crisps, sweets, cucumber, chicken nuggets / other processed crap & McDonalds, but nothing else. She used to eat vegetables, sausages, roast chicken, shepherd pie - you know, homecooked food. When she was 6 / 7 her eating was really bad, then she started spending the week with my brother and her eating got loads better. He managed to get her weight up and eating regular dinners. The last few months though she's just got worse and worse and now won't even eat sausages - previously her favourite food. My brother says she's obsessed with food but won't eat. Although she doesn't say she's fat - thank god!

He's tried ignoring it, shouting, coaxing her, reward systems. He got the girls to take in turns choosing what they had for dinner (as it wasn't fair on the younger one always having dinner dictated by her older sister) but she wouldn't eat what she'd chosen. He is at his wits end and asked me for help. So I turn to you Mumsnet... (I don't have children, am TTC) Any suggestions?

The girls now live with my brother, because their mother can't look after them. The most immediate problem was that she wasn't taking them to school. She's never been to a parents evening or sports day. There has never been any regular pattern of the parents sharing care or having regular access, as she'll suddenly want them one minute, then cancel or not turn up, or ring my brother and demand he collects them straight away. It has caused absolute havoc and means my brother can't plan anything. If he didn't run around dropping the kids off etc, they'd never see their mother. Although personally I don't think this would necessarily be a bad thing, the girls adore their mum.

So my brother has the girls during the week and she has them some weekends. This has made my brother 'bad cop' because he makes them do their homework, eat a proper dinner, go to bed, go to school etc. Whereas their mum feeds them McDonalds (she can't cook), lets them run around the streets until god knows when and doesn't make them do their homework. Obviously my brother is playing the 'long game' and hoping that the girls will understand when they're older that he is looking after them properly, but at the moment he is having constant battles with them. He manages to get them into a routine by the end of the week, then they go to their mother's and it all goes out the window. Come Sunday evening they're back with him & going mad because he's trying to make them go to bed for school in the morning.

So it's quite clear that this stress is causing the eating problems, and I welcome any suggestions that deal with the source of the problem. However, anything that involves their mother just isn't going to work. She refuses point blank to establish a routine and has told my brother she feeds them crap because 'that's what they want'. He points out that all kids want to eat junk food but that as their mother it's her job to make sure they eat properly - and her retort is that while they're with her she decides what they eat.

I've given all this background info so you can see it's not just a case of 'fussy eating'. However, any practical suggestions that I can pass onto my brother to stop mealtimes being a warzone would be brilliant.

If you've got this far thank you so much for reading all this! Please help me help my brother and my beautiful neices.

OP posts:
Tiggles · 04/04/2011 20:08

Hi on phone so apologies if typos. My sister suffers from anorexia and has done for a long time although only acknowledged that was issue about 5 years ago. Anyhow, the point I an making my way arround to is that her issues don't relate to how she looks it is much more of a control issue. Eg dad died when she was 6, so she couldn't control that but she could control what she ate. So looking at your nieces history she could be very similar.
Although I guess she really needs to talk things through, possibly with someone removed from the situation, would it be possible to help her gain her control if food in a different way. Not sure how, but maybe a chart of food types that make a healthy diet and each day she has to eat something from each one and gets to put sticker onto chart. If end of week she has stickers in rightcplaces on chart reward is junk meal of her choice on Friday (depends when goes to mums). However I would recommend counselling or somthing too, maybe gp or school nurse can refe?

Terraviva · 04/04/2011 20:57

Thanks for your reply. We've been thinking about getting her some professional help. Will suggest the sticker idea to my brother.

OP posts:
Terraviva · 05/04/2011 18:19

Anyone else got any ideas at all for helping my niece with her eating? Please...

OP posts:
OracleInaCoracle · 05/04/2011 18:27

i want to mark my place as an anorexic who started aged 6. will be back to post a proper response once ds is in bed.

Terraviva · 05/04/2011 18:55

Thank you Lissie - we are so worried about her. I had an eating disorder for a couple of years when I was teenager, so although I understand it to a certain degree, I was 14 so have no idea how to relate it to the mind of a 9 year old. One main worry for me is that because she was so young when it started, it is now completely normal behaviour for her.

OP posts:
Mahraih · 06/04/2011 07:57

I had an eating disorder as a teenager so, like you, don't understand it in a 9 year old.

But, it does sound as if she needs professional help. If she's not too underweight (although if she's lighter than her 7 year old sister, it sounds like she is), then. If it turns out to be more serious than that, I'd suggest something more:

www.rhodesfarm.com/home.html

www.careukeatingdisorders.com/

OracleInaCoracle · 06/04/2011 11:36

ok. an eating disorder at this age is not driven by a desire to look good (as many later developing anorexia cases are) but is all about control and punishment.

limiting food intake creates a distorted reaction to hunger. you dont get hungry. many young children can quite happily skip meals, child anorexics dont respond to hunger. then the sugar hit that she gets from a glass of squash or "junk food" gives her a sort of "high".

she feels (i assume) like she isnt worthy of food and probably doesnbt really understand just how dangerous it is to starve yourself in this way. she is on one hand attempting to control something in her life, it sounds like everyone has been through the mill and its rather traumatic and she doesnt really know where she stands. on the other hand, she is punishing herself and her parents for the situation.

your DB has to take her to the doctors and she needs some form of therapy, that is the only way that things will change, if he forces the food issue she will become secretive and withdrawn. and no one lies like an anorexic! contact B-eat for support and advice as well. if youy want to PM me, please feel free xx

Janoschi · 06/04/2011 23:31

Do you think she's just too stressed to eat? I had a very difficult childhood (violently abusive bipolar mother) and I felt physically sick with stress most of the time. It started when I was 4 or 5 and only went away when I left home. I was horribly thin. Now I eat like a horse so it's not always a downwards slide. I knew I was horribly thin and desperately didn't want to be. It wasn't a control thing at all for me. I wanted to be invisible... maybe that had a bearing, maybe not. Both my sisters also developed eating disorders later on.... we're all well and happy now though. Just thought I'd share a different perspective...?

Simic · 07/04/2011 09:24

It sounds too as if your brother could maybe do with some support re: managing contact with the mother. Is he getting any help with that? I don't know what possibilities there are - mediators? social workers? But the picture you paint of the mother suddenly wanting to see the kids one minute and then cancelling or not turning up sounds likely to make a kid want to have control over SOMETHING. I know you say that you can't look for a solution involving the mother. But, if some independent professional could offer some support in getting to a more regular time-table of contact, I could imagine it would help the situation a lot.

AmyStubbs · 06/12/2011 13:43

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brettgirl2 · 06/12/2011 18:42

I was a very fussy eater as a child and at that age was identified by the doctor as being very underweight (mum had taken me due to lack of energy, feeling faint).

Just to redress the balance I was not and have never been anorexic. I was very stubborn about food though and would rather not eat than eat something I didnt like. I think mum just fed me the foods I would eat, I was put on glucose tablets and went to a normal weight. I had never considered or thought about my weight at all.

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