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Support thread 12 for parents of young people with an eating disorder

994 replies

greydoor · 21/03/2024 15:14

Suddenly noticed the old thread is almost full and thought I'd make a new one.

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11
summertimessadness24 · 28/03/2024 18:41

Curlyhairedassasin · 28/03/2024 17:06

@summertimessadness24 95.35%wfh :)

Thank you! X

Slowlyimproving · 28/03/2024 19:08

Following on from Shanghai, DD is having cbt-E and certainly "therapy" was part of getting DD to stop purging and then increase calories.

Still sticking to 3+3 but she did this before ED as well. Snack at morning break at school, something when getting back from school. Something after whatever after-school evening activity. That is one of the reasons FBT didn't work as I felt that's the only thing they told us to do....

Also like others have said, keep pushing for help. A&E didn't do much as such but did write to camhs to says she needed urgent help

WoodenTrain · 28/03/2024 22:33

We managed to get bloods and ECG done at the GP yesterday. He got quite distressed and panicky at one point but we got through it. He said he’s not doing that again. No one has contacted us to say they are not ok, so I assume everything was fine. He’s lost another 0.8kg since Monday and weighs 44.2kg now which is 73.6% wfh. Weight loss seems to be accelerating, not sure where to go from here.

WoodenTrain · 29/03/2024 00:52

Has anyone been at this point and managed to turn it around at home without professional help? I’m concerned about things like refeeding syndrome and I don’t know how much I should be trying to get him to eat? I’ve told him he needs to start 3x snacks and 3x meals or he goes to hospital. He said he can’t/won’t do either.
How long will we be waiting for the ED team? Will we get to see them faster if we do go to A&E. It’s going to take even longer with it being Easter isn’t it.

Mummyoflittledragon · 29/03/2024 05:08

I have backed right off from my dd and allowing her some space, just until the end of the Easter holidays. She’s 15 and only managing 500/600 calories. But she’s eating, which in itself is a triumph. I think she has developed ARFID and there are very very few foods she will actually eat, not recognising hunger signals. This I think is why she had such a violent and distressing reaction to refeeding as I was trying to give her food she’s previously eaten albeit still vegetarian. And because she is very stubborn. Her form teacher at school, for example, has recognised telling dd what to do doesn’t work at all. All it seemed to do was make her totally refuse to eat.

Dd has had more energy over the last few days because she’s eating. Nothing like previously. But she’s less lethargic, sleeping less and warmer. A friend came over on Tuesday and stayed 2 nights, which has kick started the eating. I took the girls out for food Tuesday and they went into town Wednesday and had food together.

I am putting rules in place such as dd has to eat something before going out and has to eat something when out. Emphasis on resting rather than running around or dancing TikTok’s,etc. I am able (albeit expensive) to throw money at the problem and like it when dd eats out as the meals tend to be higher calorie than the food she will eat at home. She ate a vegan burger in town and achieved 600 calories plus a tiny amount at home on Wednesday. Yesterday she maintained this, well perhaps a bit less with her evening meal and that is with trying to add as much fat to her diet as possible. She’s gone off mushrooms now, which is annoying because they can absorb lots of butter. And she ate a small amount of carb 3 days in a row, which is an improvement.

I contacted one of her friend’s mums to tell her about dd’s eating as she’s staying the night with them next week. The mum told me she had very severe ED when younger and was hospitalised several times including being tube fed. She is hopefully coming over today to speak to dd about it. As dd has such an aversion to anything hospital or needles, going down this route for her would be extremely traumatic.

I also paid for an online therapy session for dd yesterday. Heart speak. Dd said it was a waste of time and boring. But I suppose she would say that… it’s a start. Dd isn’t ready for in depth therapy and this is something, where she doesn’t have to talk much. The therapist got her to explore her feelings around seizures, her reaction to needles and helped her to accept that she needs to eat to live, which is an improvement from her being adamant she doesn’t need to eat to do so.

Dd wants to take the train to mooch around the shops in a city 30 miles away with a friend and I’ve said no way. She’s not strong enough. She’s really confused and subdued with me. It’s so hard putting limits on her in this way when she previously had a lot more freedom. Things like wanting to walk to the shops 5ish minutes away come on the proviso she eats first etc. I can imagine it’s confusing as for her she probably feels like I’m treating her like she’s 11.

I’m going to take dd to the city she wants to visit with her friend next week for a couple of hours with the intention of eating lunch. We have an appointment with a cardiologist nearby next week. Dd has (or had idk as it needs checking) a heart murmur and I’m paying for that to be checked and an ecg. It’s in a children’s hospital and this will be more relaxed than going the nhs route.

We also have an urgent referral to the ED clinic, just waiting for dd’s bp and pulse. Dd has agreed to allow me to try to do it when her friend comes. I fear this may make her have a seizure, which is the last thing she needs right now.

It is so difficult to know the right thing to do. She’s very emotionally fragile even if she is in denial and GCSES start in 6 weeks. I really would rather stay away from the ED clinic as for someone with her medical condition and the knock on effect of having a seizure in what she considers to be a very unsafe environment (hospital) this could actually end up making things a lot worse, not better.

Proseccoismyfriend · 29/03/2024 07:39

@WoodenTrain I think your son would fall under the meeds guidelines for admission if you went to a&e. My son did and within 24hrs we had an assessment with the ed team, ok they said he'd got stuck in a habit and we needed to break it (possibly arfid, no diagnosis yet) and discharged us after 6 days but when the paediatrician rang them back as he wasn't improving and still struggling on less than 1000 calories a day we were in their services 48hrs later and I haven't been able to fault them since. The main reason they didn't want to say he had an eating disorder was because of his age (10 now 11) but he definitely had anorexia behaviours/thoughts due to the brain starvation. I maybe wrong but I suspect your son is the same, saying they can't or won't eat is because the ed voice or feeling is so big and powerful it's screaming at them not to. My son doesn't remember those early days/weeks and he was 76% wfh. I didn't realise then how unwell he actually was and how much he was struggling, he appeared to have dementia he was so confused and one nurse explained how his organs were beginning to shut down. With a proper meal plan and weekly increases which was the hardest thing I've ever done and his distress and anxiety with food was indescribable we got him weight restored in 8 weeks. His brain I'd say is just catching up now 3/4 months later, sorry I'm rambling and I don't even know if I've answered your question what I'm trying to say it the longer it takes it more danger he's in the more entrenched the ed becomes. Watching your child curdled up in a ball rocking on the floor sobbing because of food goes against all maternal instincts but food is what he needs, it's vital to survival. Remember you're feeding him like he used to eat and he will fight it, that's the ed not your ds. A&e I hope would kick start the refeeding process for you and that environment helped my son start eating again.
@Mummyoflittledragon great news your dd has started eating again, I'm pleased there is an adult with previous ed experience. My cousins wife had anorexia and bulimia teens - early 20s and her advice and support really helped. You can help your daughter through this as you know the foods she likes and what she ate before, even small gradual increases (it's a slow process!) will help. Definitely stick to your rules no food no going out etc, use any leverage you can. If our ds had eaten or stuck to the plan he sat with no phone or tv, it seems cruel but after a day he tried harder. It is so difficult for them and so frustrating for us.
We're about 8 months into this now, things are so so much better. We're tackling fear foods and reintroducing social eating again. Attempting another restaurant 🫣! He's going to a sports camp over Easter for a day so we'll see what the lunch box comes back like, his best friend will be there too and hopefully he's going back to unsupervised lunches at school after Easter but morning snack is supervised.
@summertimessadness24 great news on the wfh. At 95% wfh we had what others have described as an extinction burst (some ed clinics don't believe in this) it's the ed clinging on to the hope it can still keep control of your child and we had a lot of resistance at this stage. I hope it doesn't happen but just in case, it completely threw me as things had been so calm at meal times then boom the refusal, screaming and throwing was back. Just remember how close you are and keep going, it hit us at Christmas and we just stayed home and pushed those extra calories to get over 100%wfh. Things didn't calm immediately and even now he's afraid of 'the feeling' coming back and tries to leave little bits just in case, I chose my battles and the clinic are thinking of cbt to help with the remaining behaviours we have. We hope to get a diagnosis within the next two weeks, they've been struggling as he doesn't present or following a typical ed pattern and even for arfid the shape and texture doesn't seem to bother him but appearance and smells do.

Glitterfarti · 29/03/2024 09:05

@WoodenTrain I echo this advice, sounds like your DS is struggling. If you’re worried, take him to A&E. Can be for anything - feels cold/lethargic/low hr/missed a meal. It seems to shake things up a bit with other services even if all they do is a full set of obs (when we went they did ecg but not bloods)

lyriccat · 29/03/2024 09:31

@WoodenTrain I do agree with other's advice, though unfortunately we have had quite a different experience with services. A couple of months ago DD got down to 58% wfh, the lowest she's ever been. She looked awful and clearly needed help but for some reason her obs always came back fine in a&e, except sometimes low glucose, that's all. Her calories were 200-500 a day. That lasted for about 2 months, before our ED team finally decided to step up and an inpatient service was offered to us. DD was adamant she wasn't going there so since then she's started increasing little by little. She eats around 1600 now. Some days she struggles much more but on average we're doing better than we were at least. I don't want to say this to scare you but thought you should be prepared in case your experience is the same, if your DS isn't engaging with FBT and his obs are also okay, like my DD. It's very hard when hospitals refuse to take them in, even when they are dying right in front of them. Please hold hope and keep encouraging your DS to try to make even one tiny change every day, little increases are better than nothing at all. How does he feel about inpatient services?

WoodenTrain · 29/03/2024 10:54

This is my fear - that it won’t be taken seriously as his obs will be fine and they’ll send us home. Or that they won’t even do his obs because he refuses. If he agrees to go and we wait ages and nothing comes of it, it’ll be ages before I’ll be able to get him to agree to go again. I’m also not sure whether he would be considered an ‘adult’. The paediatric ward says it’s 0-16. DS is 16 so would he be classed as a child still? He wouldn’t cope on an adult ward or on his own without me.

lyriccat · 29/03/2024 12:32

WoodenTrain · 29/03/2024 10:54

This is my fear - that it won’t be taken seriously as his obs will be fine and they’ll send us home. Or that they won’t even do his obs because he refuses. If he agrees to go and we wait ages and nothing comes of it, it’ll be ages before I’ll be able to get him to agree to go again. I’m also not sure whether he would be considered an ‘adult’. The paediatric ward says it’s 0-16. DS is 16 so would he be classed as a child still? He wouldn’t cope on an adult ward or on his own without me.

My DD is 17 so when I suggested paediatric ward at a&e they said no. I'd have thought your DS's age would be ok, rather than having to stay in an adult ward if need be. I can't be sure though. Have your ED team given you a MEEDS checklist to pass onto the hospital if you're planning to go? We had to go down to a&e very prepared, they knew next to nothing about eating disorders. The MEEDS list was never passed on properly for us so DD wasn't sufficiently checked.

WoodenTrain · 29/03/2024 12:55

@lyriccat No, we’ve not even heard from the ED team yet, we are still waiting. We’ve only spoken to generic CAMHS as he’s already known to them but they didn’t give any support in terms of a meal plan, the most they said was to build up food slowly. They suggested supplements but DS said no and then they said no one would make him do anything he didn’t want.

I had thought that if I do go to A&E I would be best taking a printed sheet of the guidelines with me, as I figure they probably wouldn’t know what to do. I don’t want to have to take him, but I want to expedite things as the weight is coming off so quickly now. 2kg in 2 weeks which I think is red on the MEEDS list and I’ve worked out he only needs to lose another 2.5kg before he’s less than 70% wfh

WoodenTrain · 29/03/2024 12:57

If they are ‘red’ on that MEEDs checklist should they definitely be admitted? Is that the guideline or can you be red and they still say actually you are better off at home?

PrimitiveSoul · 29/03/2024 13:13

, my 14y/o son is currently in hospital, feeding via NG tube - his CAMHS ED team are saying they can’t begin meaningful psychological support until he restores weight (currently 42kg) yet he’s begging for help - his self loathing and sadness is off the scale and I’m feeling so overwhelmed, I can’t ever see an end to this nightmare. I just need to hear from anyone who can relate - thanks 🙏🏻

Shanghai101 · 29/03/2024 13:37

@WoodenTrain my understanding of MEEDS is that any red flag means there is an impending risk to life so in your situation I would take him to A&E and highlight the 2kg loss in 2 weeks and any other red/amber flags. I imagine he will need hospital admission unless he is being monitored closely elsewhere with a plan to increasing his food intake and halting the weight loss. Once it starts coming off at this rate it can be extremely hard to turn around and he will probably need intensive treatment as well as close monitoring for refeeding syndrome. My DD had daily blood tests and obs. HCPs liken this stage to turning around the Titanic. There are others on this thread with much better medical knowledge than me and hopefully they will reply soon but I would go to A&E now with MEEDS printout. Thinking of you.

Shanghai101 · 29/03/2024 13:50

@PrimitiveSoul im not sure how helpful it will be but I will tell you our experience. You are definitely not alone and many of us here can relate to you and your son’s despair. My daughter is autistic and needed therapy at every stage of the illness, even when she was in denial that anything was wrong. Initially it was offered on the NHS but she was discharged for not engaging (she was engaging as much as she could but her AN and ASD made it hard for her and although the unit followed the PEACE pathway we didn’t see how it was tailored for autistic people. We sought private therapy but it took us a while to find someone that she could build a relationship with. It was incredibly frustrating for all of us not to see obvious improvement but I believe that by doing some therapy it was better than nothing as it kept hope alive. We were also with a psychiatrist throughout this stage and they tried many different meds but unfortunately none seem to make a big difference but again it seems to be better than nothing. Restoring weight is the most important thing which is why the NHS focus on that but I do believe therapy is also necessary to help with the trauma.

Girliefriendlikespuppies · 29/03/2024 15:36

PrimitiveSoul · 29/03/2024 13:13

, my 14y/o son is currently in hospital, feeding via NG tube - his CAMHS ED team are saying they can’t begin meaningful psychological support until he restores weight (currently 42kg) yet he’s begging for help - his self loathing and sadness is off the scale and I’m feeling so overwhelmed, I can’t ever see an end to this nightmare. I just need to hear from anyone who can relate - thanks 🙏🏻

Hi I'm really sorry to hear your son is so unwell. The ED team are right, unfortunately when the brain is starved therapy is completely pointless. If it's any consolation once they are weight restored it's possible he won't remember any of this. My dd has only very hazy memories of what was happening at the time she was most unwell.

The self loathing and disgust is also sadly very normal and it's the brains reaction to food as your ds has 'taught' the brain that food = something dangerous and best avoided. The brain therefore thinks it is doing your Ds a favour by chucking all these negative emotions at food to stop him eating.

The only way to counteract that is via food and feeding him. The brain will eventually start to recover (at the low weight your ds is currently it's possible his brain has lost a significant amount of mass) and the feelings of self loathing and guilt will start to reduce.

It's important that you learn how to manage his anguish and keep reassuring him that food is safe and that nothing bad will happen when he eats.

Nan that hands off approach would make me very nervous tbh especially if your dd is avoiding the high calorie foods she needs 😕 it is so much harder once they turn 18 though.

Proseccoismyfriend · 29/03/2024 18:39

Sorry you're here @PrimitiveSoul but welcome. Sending hugs

Cantfindthewordsddstruggling · 30/03/2024 14:03

How do people manage when their loved ones refuse to finish a meal? Dd alleged it tasted funny. Thought we were finally getting somewhere as weight restored plus buffer. She is also trying to negotiate lower calorie snacks, not just lower in calories but skinny ones.

Girliefriendlikespuppies · 30/03/2024 14:49

Cantfindthewordsddstruggling · 30/03/2024 14:03

How do people manage when their loved ones refuse to finish a meal? Dd alleged it tasted funny. Thought we were finally getting somewhere as weight restored plus buffer. She is also trying to negotiate lower calorie snacks, not just lower in calories but skinny ones.

I'd pull this face Hmm at the last bites tasting funny tbh! If you can try and get them to push through and finish everything as once they've left food a few times it's much harder to get them back to eating it all. It's something dd still struggles with and it drives me up the wall tbh.

I wouldn't have any low calorie snacks in the house tbh and dd knows me well enough to not even bother arguing about buying a low calorie snack if we're out 😉

Cantfindthewordsddstruggling · 30/03/2024 15:05

@Girliefriendlikespuppies thanks. Makes more sense when someone else says it as you start second guessing yourself and can’t see the wood for the trees.
DD has a friend coming over and apparently one of the low cal desserts is what the friend is keen to have for pudding. The friend doesn’t get much of their own choosing at home as siblings take priority so I like to try and make sure they have what they enjoy at our house when they come over.(it’s only once each school holiday). I think I will get it but won’t have it count as part of dd’s meal plan for the day(hopefully removing any incentive for such items). Will make sure no other low calorie snacks are brought into the house or purchased when we are out of the house over the holidays. Will make sure that dd finishes everything on her plate moving forward as challenging as that might be.

Girliefriendlikespuppies · 30/03/2024 15:48

Can't** I totally relate to the second guessing, this illness melts your brain! I would ignore that request for the low calorie pudding and say something like 'okay thanks for letting me know about 'friends name' request however we don't do low calorie puddings in this house so your friend can have what we normally have'

If you wanted to compromise you could offer the friend a choice of a couple of the high calorie puddings you normally have. Tbh (and call me cynical) but my instinct would be the friend had either not made that request at all or dd had said to the mate 'do you like the low calorie option' and the friend said yes not knowing she was being manipulated.

Ime if you give the ED an inch it will take a mile.

Cantfindthewordsddstruggling · 30/03/2024 15:56

@Girliefriendlikespuppies yep I think you’ve hit the nail on the head, thank you!

Proseccoismyfriend · 30/03/2024 20:43

@Cantfindthewordsddstruggling sometimes when ds is trying to leave a lot he says it doesn't taste nice, is too brown, too white his list of excuses is endless. I just say we'll quickly get it down and washed down with a drink. The first time he took 45mins, I think he hoped I would give in but I didn't, now if says it doesn't taste nice he follows up with I know I need to finish and I will so I praise him. I'm not sure what I'd do regarding the low cal dessert, I'd be tempted to say ok as the friend is coming but be worried it's hard to go back to higher cals or make it clear it's a one off as 'friend' is here. Sorry not helpful! Go with your gut and if you decide she can make it clear it's because there is a guest and it's not a regular thing/not on the plan etc

Mummyoflittledragon · 31/03/2024 08:08

Thanks @Proseccoismyfriend. My dd is doing even better now. When her friend (friend 2) and mum, who had the ED, came to talk to dd on Thursday, dd agreed to eat 3 meals a day. The variety from before isn’t there yet but she’s already expanding what she will eat.

Friend 2 was an absolute Angel pushing dd to eat every last morsel of dinner and even getting dd to eat chips off of her own plate so dd ate even more than I served up! They then went out to the cinema in the evening and dd ate almost a large packet of Doritos (so at least 700 calories in those alone). Consequently dd ate possibly as much as 1500 calories on Thursday and definitely more than she ate for the entirety of the 2 weeks following the traumatising trip to A&E.

Friend 2 then stayed Thursday night and she got dd to eat her breakfast when dd was adamant she wouldn’t. Only half a dry bagel. But it’s a start. She is two years younger than dd, so year 9, 13 and she should be so proud of herself. An absolute superstar.

Friend 2 then left yesterday and another friend (friend 3) arrived for another sleepover a hour later. Friend 3 also had a ED and has a close family friend currently in hospital being tube fed. They went to town for the afternoon and ate at Nando’s. She said dd ate all her lunch and halloumi, something dd hasn’t eaten for at least a month. They then came home for a couple of hours and said they wouldn’t be hungry for a while as they ate lunch late. I inwardly groaned as I thought dd wouldn’t eat her third agreed meal.

At about 7pm the girls announced they were off out for a while to meet a couple of boys they are friends with at the park in the village. A while later, I called dd and said it was time to come back and have their (pre prepped) dinner. Dd said they wanted to stay out. She put friend 3 on the phone, who said she planned to take dd to Tesco for a meal deal and would still be supervising dd’s eating. I told friend 3 I was ok with this plan as long as dd ate all of the meal deal food, ie meal plus crisps or pudding (which friend 3 says she did). Tbh I was happy for dd to eat the meal deal as she will have eaten willingly rather than begrudgingly at home. And she will have had to eat either pasta or rice as those are the only meal deal foods she’ll eat and she has refused both for a few months now. She’s really re-expanding what she will eat again.

From Tesco they walked a couple of hundred yards to the pub with the boys for a (soft) drink. My jaw did hit the floor a bit at this but at the end of the day, she’s eating and in year 11, the boys year 12, plus one of the boys works there so it’s probably not an event for him…. Dd is very sociable, which I think is evident from my posts, and within reason I don’t want to put limits on what she can do. The pub is a couple of minutes walk away from our house and this is the first time she has gone down the pub with friends. The boys brought them back at about 10.30pm. All very sensible.

When they came in, friend 3 and I talked to dd about eating meat again. She’s adamant she won’t. I explained that dd has a history of severely restricting the variety of food she would eat right from a baby and that I had worked very hard over the years to expand that variety. That becoming vegetarian is a way of restricting food and clearly this has proven to be dangerous for her. Friend 3 said she gently read dd the riot act yesterday when they were out.

Dd has the most incredible friends and mums, especially the mum friend offering to support me. I sent friend 3 a text before she arrived yesterday. I presumed out of anyone dd had confided in her and she sent me the most lovely text about what a good mum I am and to never doubt myself. She is so incredibly mature for her age at only 16 and even offered to support me! I feel so validated as a mum right now even if dd thinks I’m the enemy right now. It was my birthday on Tuesday and the friend (I’ll now call her friend 1), who kick started dd’s eating, in my post above got me a ‘for my mummy’ birthday card and calls me her ‘second mum’. All with her mum’s blessing btw. I’ve helped to guide friend 1, especially over the past 18 months or so.

I know it’s to be expected that dd is hostile and withdrawn from me. It’s so incredibly hard and the love and care I have received from dd’s friends has really bolstered me, albeit I won’t be asking them for any real support. They are still very young and have far too much going on, including GCSEs. The teen years are tough ones even without this to add into the mix. I’m disabled and suffering quite badly at the moment with my chronic fatigue as the ED has taken so much of my finite resources. I really don’t have much of a life and my mental health has taken a big bashing over the last few months as I realised dd was reducing food. I was just trying to get her through her GCSEs to then tackle it. But she didn’t last that long.

All in all dd is a completely different person from what she was a week ago, huddled up in bed in winter pyjamas, dressing gown and an electric radiator blasting heat 24/7. I am just so relieved she is eating again. I know this is only the start of recovery and that it’s only been a few days. But the rate at which things have turned around is phenomenal.

It is important to keep going and I’ve seen how quickly these illnesses can take hold. I have decided I’m going to pause the referral to the ED clinic for the moment. Any trip to a medical environment risks dd having a seizure and in her fragile state put her back to stage 1 again. I am, however, taking her to see a cardiologist privately on Wednesday to check the heart murmur, perform an echocardiogram and ecg. I think that is really important before she restarts any sporting activities, which I will get her to do slowly as she is very sporty. I don’t know if dd will have a seizure there. However, this is much more of a protected environment than an nhs hospital and I’m hoping not… or that it won’t traumatise her in the same way.

I’ve also got dd to agree to taking a good quality supplement to fill in the gaps. I have had advice from a friend on that. She said zinc and probiotics. But didn’t talk about iron so I’m going to clarify that one as my (high quality bioavailable) multivit doesn’t have that in it. The probiotics makes sense as the good gut bacteria will have been wiped out leaving all the bad stuff to keep dd alive and zinc is first line. When zinc is low, the body struggles to utilise the nutrients in food.

Thank you so much for reading.

I truly hope that your children will do better and thank you thank you for your support and sharing your stories with us.

Big hugs @PrimitiveSoul and @WoodenTrain. I know my dd has had a much easier ride than both of your boys for the ED. I just wanted to say I do understand the despair. I have had desperate moments, not just about her eating but about dd’s seizures. They’re not epileptic. But cardiological, an overload of the vagus nerve. Her heart stops beating and automatically restarts. Most children stop having them before they start school and dd is devastated at having them as it may have big implications on her life, including impacting on her ability to drive.

It all seemed relatively easy when she was little and protected. Now, however, there are also all sorts of things she needs to consider as well. Don’t drink a lot of alcohol. If you vomit, you will die unless someone puts you in the recovery position (she can’t move for at least an hour after a seizure and vomiting = seizure), don’t go swimming unless you are in a very safe environment and being supervised, do this, don’t do that etc. Added to this, the medical profession knows next to nothing about older children or adults with them and she is left feeling like a complete freak. She cried her heart out over just over a week ago, which is when she finally opened up about it.

Right now, I feel like I will never, ever be able to rest easy until I die. And yes, I will be getting some therapy for me too…

sammyspoon · 31/03/2024 12:37

NotDonna · 21/03/2024 22:44

How’s everything going @sammyspoon have you been seen by the ED clinic yet?

ED clinic was helpful. They spent 90 minutes with us and gave a provisional anorexia nervosa diagnosis. We will have weekly sessions with nutritionist and therapist. In the meantime they gave us the 3 meals and 3 snacks framework. She's finding it tough going but has accepted it's what she needs to do.
She's also been talking to us so much about what she's feeling and the extent of her social anxieties. Seems she feels she lost the ability to make friends during covid.
She asked to sub the mid morning snack with easter chocolate (i thought she would put it jn the cupboard) so i will take that as a positive. It's going to be long and dull easter break as we can barely leave the house.