Urgent advice please for Dd17 stopped eating

[SupportNeededED]

Hi
I am posting on behalf of a friend.
Her DD has just disclosed to a school support worker that she has been restricting her food for the past month to around 200cals per day. She has lost around a stone, friend thinks but not sure due to loose clothes etc.
She is very sporty, we are seeking urgent advice please - what should friend do immediately? She is Surrey / Hampshire - could do a private consultation if needed (GP wait is around a month she thinks).
She was shocked by her DD response to her trying to persuade her to up calories - DD was angry and defiant- totally out of character.

She has looked at BEAT and is after any advice on next steps / who to take her to for help / how to talk to her about it / how to handle school and sport …
Please help if you have advice and expertise. X

GP.

She has tried GP. Wait is over 3 weeks.

She should phone the GP surgery back first thing tomorrow, explain the situation and say that she needs an urgent same day appointment. They will not make her wait 3 weeks for this sort of thing.

I agree, she needs an urgent GP appointment in the first instance.

CAMHS is equally as rammed..in all honesty you'll only get a same day psych appointment via A&E.

Thank you @DramaAlpaca , @Freshair1 and @mylittleprince , I will tell her she needs to call the GP back and give detail. If you are aware, what is the GP likely to offer? My understanding is that action as quickly as possible is preferable to avoid things getting worse quickly.

Also, any advice on how to talk to the DD about it? DFriend feels like she is on a tightrope between keeping her DD talking to her and addressing the ‘not eating’.

Or when she addresses the not eating, her DD becomes very defiant and won’t entertain it, beyond the 200cals she has as her regular food for the day.

Contact Beat, she may be eligible for one of their services. You mentioned she'd looked but has she called?

Yes she called and was told to take her to the GP. She has been referred urgently to a specialist. She had lost 1 1/2 stone in a month, she still is only eating 150-200cals per day. She’s 5ft5 and 7 1/2 stone now.

Sorry for delayed reply @SupportNeededED

The mum might be able to join one of beat services to help her support her daughter. If you wanted you could call on her behalf to get the information to share with your friend.

It's great her daughter is being referred and I hope there's been more movement on that since you posted.

Really important mum gets help too.

You sound like a wonderful friend ❤️

Hi @SupportNeededED they can call their local CAMHS Crisis Team and they will arrange for an urgent assessment and refer her for ED treatment.

Sorry! Didn’t see this was an older post!
Glad your friend’s DD has been referred.

If she's in Surrey/Hampshire, she'll be covered by SABP CAMHS. I doubt they will take 7.5stone and 5'5" seriously. They don't take suicidal ideation particularly seriously in my experience.

The family will have to pay for help I am afraid.

For private referral…
https://www.orri-uk.com/eating-disorder/?utm_campaign=Orb+%7C+Eating+Disorders&utm_source=adwords&utm_medium=ppc&utm_term=eating%20disorder&hsa_net=adwords&hsa_ver=3&hsa_ad=673914120129&hsa_src=g&hsa_mt=b&hsa_acc=8613226101&hsa_cam=20546570571&hsa_kw=eating%20disorder&hsa_grp=151886835525&hsa_tgt=kwd-10644471&gclid=EAIaIQobChMIsuSOnIjlggMV8ZNQBh3ThQKGEAAYASAAEgIfjvD_BwE

It isn't the weight that is the problem, it is the calorie restriction and rapid weight loss. When we were in a similar situation when DD1 was 15 (Hants) we were told to take DD1 to A&E and she was admitted to hospital for 9 days. She wasn't restricting anywhere near as much as your friend's DD @SupportNeededED .

Thank you all so much. She has had blood tests and is now getting weighed regularly at the GP - she won’t let DFriend be involved in that, but GP is updating her as her DD is under 18.

Still waiting for CAMHS but DD is now getting private counselling with a specialist in ED. Things seem to have stabilised a bit. DFriend has found it so difficult because her DD seems to have become Jekyll and Hyde, with the ED sometimes saying the most awful things.

I’ve been able to support DFriend with a shoulder to cry on and, thanks to you all, some really useful practical information. Thank you lovely vipers.

Less than 500cals for more than three days is an a&e trip, a weight loss of a stone is significant and her internal organs could be massively struggling.

She needs urgent bloods, lying/standing bp and pulse and an ecg.

All sport must stop and your friend needs to start researching FBT which is the main treatment for restrictive eating disorders. There's a teens with ED thread and I'd encourage her to find her way there for support.

Thank you @Girliefriendlikespuppies we are two weeks on from the first post - and she is now regularly seeing the GP and has had the blood tests and pulse checks. Don’t know whether she has had an ecg.
She was referred on the urgent pathway to the CAMHS ED team, but nothing yet. She has stopped all sport and is no longer allowed to drive.

Sounds exactly like my DD this time last year. We're in Dorset. She was 100% weight for height by the time she was assessed but had lost 2 stone in around 2 months.

Our GP was amazing and we got referred to the ED team in days. She had an assessment and we started FBT within a fortnight.

We have been extremely lucky, she responded really well. It has been a massive emotional rollercoaster but I personally found the FBT really effective in giving me the confidence to support her more authoritatively.

I hope your friend and her DD get the support they need.

I'm in Surrey and know a private therapist who specialises in teen eating disorders. She helped DS when he was borderline anorexic during lockdown. could find her details and PM you if you like.

Thanks @CountryShepherd and @OwlWeiwei
She is now having fortnightly appointments with CAMHS and they have found a therapist- though DD is engaging well with CAMHS she won’t see the therapist at the moment. She has gained 500g in 2 weeks, not managing three meals and two snacks but a gain seems better than a loss.