Anything crisis team can do

[Eatinghurts]

A traumatic experience aroune food, leads me to not eat when anxious. The local talking therapy service have said not eligible for support eventually spoke to the crisis service who wrote to my GP saying to do an ED referral, but the GP hasn’t recieved this. They instead have referred to gastro due to abdo pain which they think may well be connected to the surgery I had for the trauma.

I think the GP is right but there is then an emotional comonent to. I had a stressful afternoon at work on friday and have not been able to bring myself to eat since. I have had water, electrolites and a multi vitamin. Had hoped I could eat some avacardo, blueberries and chicken sausage this morning. However, cant bring myself to do it because my stomach is so much more comfortable and i fear that food will hurt whi ch is linked to the surgery and I needed to have surgery.

on the one hand it obviously is not long with out eating and bmi is overweight. I am not doing it because of vody innage more because of wanting to never be in the pain I ewas in again. I may try a fortasip compact or yogurt as liquid food may hurt less but fundamentally need support to recognise out of the abusive situation and food wont harm. Is there anything the crisis team can do.

Phone them and they can talk. For me, sometimes that talking things through is enough for my brain to relax ‘the rules’ around controlling food. A bit like a jigsaw? Once one piece slots into place, I can gradually slot other into place and relax my control around and over what I consume. Like my brain relaxes bit by bit. But it’s that initial conversation that starts it.
I’m in a similar situation ED clinic won’t accept a referral despite meeting all the criteria.
You are doing great in being in a place where you are considering which nutrients you need, and accepting where to source them from. Fortisip is better than nothing and hopefully won’t aggravate your stomach. Could try mixing it with some milk or yogurt to make it less thick.
But yes, the crisis team can talk through things with you and that’s the first step to helping you gain some control and calm.

Sorry to hear your struggles! Wghy are the ED clinic rejecting your referral?

I spoke to the crisis team, but they said I did not need to speak to a clinician, as not suicidal. However, really wanted to break the cycle of thinking food would poison me

I managed some avacardo, some slices of banana, a yogurt and cheesie mash. I seem to be better with food I can hold so also made some lunchbox style mini frittata with ham and tomato and some cheese muffins with grated carrot parsnip and corjet.

I really think I need EMDR as honestly dont think its about food. Hpowever, NHS talking therapies say I dont need anything. Privately cant find anyome private to take it.

Honestly I think the local nhs services are overwhelmed. Plus, although it isn’t in their criteria I’m not yet underweight. NHS talking therapies are not great with ED here, however the crisis team are!
I do have the very good luck to have a brilliant private therapist.
You are doing very well to be able to identify what you can tolerate with food and how it needs to be presented. Keep going forward with that. Eating something is always better than not. Little and often (snack type) is much easier for me than a sit down meal x3. I know that given time I will eventually get back to small regular meals.

Thanks struggling to find a private therapist who will take this on.

will give crisis team another call. Its the whole weight thing with me as well

I don’t think the ED team will take this on. It’s disordered eating but not an eating disorder. Your usual MH team will probably see you though

What are the.criteria for an eating disorder. There was talk about it potentially being ARFID or ED not otherwise specified.

I am unsure if the intemtion is to get the ED team to assess to refer onto another area. I think the thought was it requires an MDT approach with psychology and dieticians. I have unintentionally lost about 7% of body weight and blood tests are showing deficiencies. I obviously do not want to take services fromsomeone in greater need.

i am not sure if thde intention isto try to get me assessed by the ED team to refer to another service I am exausted though. 4 months of trying to get help and no service will take this on and the private services say too complex and needs handling by NHS secondary care.

Microsoft Word - X DSM-5 Criteria - approved.docx

thanks spoke to GP again on Friday and they are doing a referal to ED service understand they think trauma is more appropriate but cant reffer into this.