User’s Guide | Rules | Contact a Moderator | Registration or Login Problems? | Eating Disorders Learning Center | F.E.A.S.T.



Custom Search of F.E.A.S.T. and Forum Content:
Register Latest Topics
 
 
 


Reply
  Author   Comment  
abby

Caregiver
Registered:
Posts: 12
Reply with quote  #1 
My 20 yr. old sister has been suffering from AN binge/purge subtype for 7 years. She is one of the smartest, loving people I know, but she hasn't been able to "out-think" her ED. My parents were unable to successfully do the Maudsley method, because my mother would become very angry and verge on verbal abuse. This would obviously end in a screaming (sobbing on my sister's end) match at the end of most meals. For a couple years, my sister ate the same exact meal 3 times a day, which kept her weight at the low, yet "normal", end of the BMI. She admits that she has a problem and hates ED, but the food/weight gain phobia seems stronger than her logical mind. She went to Selah House for 8 weeks a couple of years ago, but quickly relapsed. All while struggling with this ED crap, she has been a remarkably successful student. She's graduating with her BSN this year and is looking to grad school with a GPA of 3.9.

Right now, she is in a  very strange, ED place. She eats exactly 4 different foods, but has volunteered to include Lenny and Larry's cookies in her diet (~400 cals per). She eats 1-2 of those cookies a day in addition to the same 3 meals she eats a day. Recently, because of her clinical days, she has lost a significant amount of weight. The 12 hours of standing/walking around has caused her to become skeletal (86-ish lbs. 5 ft. 2 in.). I'm so worried for her. She only feels safe talking to me, since my mom seems to have no compassion/patience for her ED misery. She's so scared because she knows that this weight is critical. She wants to be independent and knows that ED may ruin her dreams. However, every time she sees the scale budge up, she restricts out of fear. Paradoxically, every time she sees the scale go down, she binges (to gain weight) and purges (bc. she's terrified of the food). She's recently been diagnosed with OCD and prescribed fluvoxamine and diazepam.


Any advice? Sorry about the length of this post.

__________________
22 y.o. sister to a 20 y.o. sister with RAN b/p-subtype who's been struggling for 7 years. Never recovered fully---never been weight restored let alone pre-ED weight. Gonna start Maudsley for a "grown-up" with ED?

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes?
" Matthew 6:25
Foodsupport_AUS

Avatar / Picture

Lead Moderator
Registered:
Posts: 3,002
Reply with quote  #2 
Abby this sounds very concerning. If your sister has been on such a limited diet for quite some time and then lost weight she is likely to have multiple vitamin deficiencies along with all of the health issues associated with being at such a low weight. She is in now way healthy enough to be at grad. school. She is at a very low weight and needs urgent medical care. It sounds as though she needs very frequent medical assessment and quite probably inpatient care. 
__________________
D diagnosed restrictive AN June 2010 age 13.5. Weight restored July 2012. Relapse and now clawing our way back. Treatment: multiple hospitalisations and individual and family therapy.
abby

Caregiver
Registered:
Posts: 12
Reply with quote  #3 
I think/hope that she knows this. I am almost a DNP, and she only has a few weeks left of her BSN (We are a lot a like. [biggrin]) Her blood tests are all smack-dab in the middle of normal, but, eventually, her body will give out. She's only ever had 2 periods when she was 14 yrs. old, but, again, her DEXA scans from a couple years back were completely normal. So, she has convinced herself that she can do it by herself and that she doesn't need inpatient care. I just don't know how to help!
__________________
22 y.o. sister to a 20 y.o. sister with RAN b/p-subtype who's been struggling for 7 years. Never recovered fully---never been weight restored let alone pre-ED weight. Gonna start Maudsley for a "grown-up" with ED?

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes?
" Matthew 6:25
K63

Caregiver
Registered:
Posts: 836
Reply with quote  #4 
Hi abbey,sorry to hear that your sister is so unwell she is very lucky to have you as a sister. Has she a GP she sees . She sounds like she is at a critically low weight and needs rest and nutrition. Can you call on any other supports to supervise meals . Does she make her own food . Even though she wants to fight this illness she can't do it without a lot of support and as her weight gets lower it becomes harder. Have you mentioned in patient care for a period to kick start increasing calories . Do you know a dietician who is used to dealing with eating disorders who she could see. While my d is trying to put on weight she adds supplement drinks to her meal plan she takes two to three daily . Hope you can get some help soon .
__________________
Daughter started restricting in February 2014, tried re feeding at home hospital admission 4 1/2 months weight restored started restricting post discharge, back on meal plan full supervision weight restored april 2016. Starting to hand back responsibility for meals it's scary. 
abby

Caregiver
Registered:
Posts: 12
Reply with quote  #5 
Thank you for your ideas, K63!

Quote:
Has she a GP she sees .
Yes. In fact, she's seen her pediatrician and a psychiatrist, and all they've told her is to gain weight. I think that since she has no anosognosia, they trusted her assurances that she would take care of it. However, it's been months at this weight.

Quote:
Can you call on any other supports to supervise meals . Does she make her own food

She makes her own food. In fact, she HATES eating anything different than her "safe" foods, and she has a lot of rituals (i.e.: picking "fat" of chicken deli meat). She avoids eating with the family (esp. my mother) because she's terrified of criticism. She's the biggest people-pleaser I've ever seen, so it's not just the ED making her eat alone. Though, I never considered just me "supervising" meals! I feel a little stupid. I will definitely talk to her and offer her that option.

Quote:
Do you know a dietician who is used to dealing with eating disorders who she could see.

She has a wonderful dietician that works only with eating disorders. They Skype appointments. Sissy says that dietician knows her weight and what she eats, but I very strongly suspect that Sissy is exaggerating on both accounts.

toothfairy, we are in an interesting situation. Our university is close to home, so she drives to classes and clinicals from home. She mentioned something about her clinical instructor being concerned, but she is very good at hiding her problems. I could see her explaining it away by either saying that it's "genetic" or that she has a GI condition, but these are just guesses. To be honest, I am terrified of doing an intervention. Right now, she trusts me, and school/work is so important to her. I'm so so afraid that doing this may completely destroy our relationship. I know this is selfish because her life is on the line..... Also, I am only 2 years older than she is (dual-enrollment since middle school for the both of us), so I've never really felt like the "big" sister. It'll be really strange to act as an "authority." 
Thank you so much for your support! I've felt so alone. It's like watching her die from behind bullet-proof glass. Helpless. But, at the same time, I imagine how hell-ish it must be in her head and how alone she must feel. Please, pray for us. It's so difficult to make the right decision![bawl] P.S.: We live in the Southeast, so UCSD is not really a feasible option.



__________________
22 y.o. sister to a 20 y.o. sister with RAN b/p-subtype who's been struggling for 7 years. Never recovered fully---never been weight restored let alone pre-ED weight. Gonna start Maudsley for a "grown-up" with ED?

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes?
" Matthew 6:25
mjkz

Avatar / Picture

Caregiver
Registered:
Posts: 1,068
Reply with quote  #6 
Quote:
I think/hope that she knows this.


Knowledge doesn't equal action.  She might know this but she is not applying it to herself.  One of the things that I've seen with my own daughter is that she can tell you everything bad she is doing to herself but she never really truly believes it will happen to her.  She has the knowledge but can't apply it accurately.

Quote:
We live in the Southeast, so UCSD is not really a feasible option.


You are much closer to the program in Ohio that is designed specifically for people like your sister.  Check it out.
http://www.aroundthedinnertable.org/post/center-for-balanced-living-vs-ucsd-all-with-18-yo-8431351?pid=1294992715#gsc.tab=0
Kali

Avatar / Picture

Moderator
Registered:
Posts: 551
Reply with quote  #7 

Hi Abby

Yes I think that the advice to go to the program in Ohio would be a really good idea for you and your sister.
She goes with a support person which would be you. And your parents can go also; perhaps your mom could learn from it and it could improve things at home for all of you. Don't underestimate how alone and frightened and frustrated your mother must have felt when she attempted maudsley at home and it proved difficult. 

It will empower all of you to be able to step in and really help your sister; and be aware that this is quite a commitment. If you are all working together your sister has the best chance for recovery, which you can because you all live at home, right? 

Quote:
Though, I never considered just me "supervising" meals! I feel a little stupid. I will definitely talk to her and offer her that option.


My experience with AN is that I don't ask my d. if she wants to be supervised for meals. If you ask you only give her the opportunity for her AN to say no. Prepare her meals and sit with her until she has finished. And if she purges you will want to tell her that she cannot go to the bathroom for 2 hours after meals and sit with her. This is quite a commitment. You will need to get her to increase her portion sizes, to broaden the foods that she will eat and to eat 3 meals and 3 snacks a day while she is being weight restored. 

They run the program the 2nd full week of each month so you could go as soon as the week of March 12. 
Why don't you phone them on Monday and describe your situation and your sister's struggle and see what they say?

Honestly her weight is very low and she really needs to be monitored.
She won't be able to gain the weight without supervision at home. She is not able to choose to get better because she is ill. A family member will need to step in and help her. There is a section her on the board with hall of fame posts about how to get someone to eat, and there are some informational brochures you can download. Also visit the high calorie thread on this board. There are lots of ways to get extra calories in the meals.

Are you able to attend dr. appts with her and therapy/nutritionist appointments with her? You will need to get her permission for that and she will need to sign hppa forms. That would be good since you will be her support person. If she deteriorates and needs to be hospitalized you will need to be able to help with her care.

For example add heavy cream and canola oil to recipes whenever possible. Your sister should not be in the kitchen when the meals are prepared. Don't get angry with her at mealtime, just sit and be patient and encourage her to finish. And then change the subject and talk about other things. You want to do everything you can to make mealtimes safe for her but to be firm enough that she eats.

Here is the website

http://www.centerforbalancedliving.org/

Here are some books you can order online to read to start off with: (you can buy the used versions on Amazon and they are not that expensive)

https://www.amazon.com/Help-Teenager-Eating-Disorder-First/dp/1572309083

https://www.amazon.com/Anorexia-other-Eating-Disorders-compassionate/dp/0993059805/ref=sr_1_1?s=books&ie=UTF8&qid=1488642705&sr=1-1&keywords=eva+musby

also visit Eva Musby's website
http://evamusby.co.uk/
she has some good ideas about treatment and how to help sufferers to eat.

https://www.amazon.com/Eating-Your-Anorexic-Mothers-Memoir/dp/0692329951

https://www.amazon.com/Brave-Girl-Eating-Struggle-Anorexia/dp/006172548X

Here is a video from the center for balanced living which explains a little about the neurobiology behind anorexia and talks a little about their program at the end. I think it is really worth a try for your and your family.



Best wishes. Keep posting here and asking questions. You have come to the right place to get support. What an amazing sister you are for helping with this. I know this sounds like a lot and you are young but your sister really needs your help whether she realizes it or not. The first step will be weight restoration and keeping her at a good weight.

Kali


__________________
Food=Love
Kali

Avatar / Picture

Moderator
Registered:
Posts: 551
Reply with quote  #8 
Also Abby are you able to get her to take a good multivitamin every day? This is very important when the person has been malnourished.

Kali

__________________
Food=Love
daddyg

Caregiver
Registered:
Posts: 24
Reply with quote  #9 
Wow, what an amazing sister, your love for her is amazing, and I'm sure she sees it and feels it, make sure you continue to take good care of yourself, FIRST, you inspire me, to step up my love, because I too like your mom get worn down so think I have lost it a few times, and unfortunately those few times out do thousands of heroic loving patient moments.

I don't have much to offer, but keep those cookies going because she enjoys them and that's a start, and I would try to keep working new things in little by little, and I recommend a higher level of care, I am actually in the same situation, we were at home from August to December and the rigidity, and same exact foods, same exact times was getting stronger and stronger until it ended in the ER on Christmas Eve.  And I believe that was a Christmas present for me, because it could have been worse.

Keep up the good work, and stick around this forum, because you inspire me, and I have found so many helpful tips here.

__________________
D diagnosed with AN January 2015, attended PHP, IOP, Residential 18 weeks, back to PHP, IOP 26 weeks, at home struggling, with 1 doc 1 therapy visit per week, til Christmas 2016, back in residential treatment now.
deenl

Moderator
Registered:
Posts: 771
Reply with quote  #10 
Hi abby,

It goes without saying that we think you are a great, supportive and loving sister but you need more practical help than that.

I hear you when you say that you are afraid to damage the relationship that you have and that you fear without it your sister will have no support at all.

First off is to ensure she is medically stable. Would she be open to going to the doctor with her so that you can ensure it? Would she agree with you talking to the doc? Or to you sitting with her while she skypes with the dietician?

I would suggest you read about motivational interviewing and a book by Janet Treasure called Skills based learning for Caring for a Loved One with an Eating Disorder. It is aimed at carers who want to work with the ED patient in a supportive and step by step manner. It encourages you to consider together how to make progress.

One thing that I think is helpful is that your sister is motivated by her studies and knows that they will suffer if she deteriorates. This may be useful in helping her to take the necessary steps.

I wonder if she would be open to doing closed weighing. We told my (much younger) son that it was a less stressful option for him and just did it. He surprised me very much by only complaining half-heartedly at the beginning and never trying to cheat and discover his weight. It has made recover possible for us as he has been able to 'trick' ED and ignore weight gain in a way that would never have been possible if he knew his weight.

I wonder also if you have the resources to talk to an ED therapist who could help you to figure out steps that might support your sister. The combination of their expertise and your knowledge of her character can be a winning combination.

Having said all that, I do think a full professional assessment and the support of a place like CBL would give her a far better chance of kick-starting recovery.

Wishing you all the very best,
D

__________________
Mother of 13yo son restricting but no body image issues; inpatient 6 wks Sept/Oct 2015 but lost weight! So emotionally destroyed they agreed to let him home to us. Stable but no progress. Medical hosp to kick start recovery for Feb 2016. Slowly and cautiously gaining weight at home and seeing signs of our real kid. Hovering around WR. Mood great, mostly. Building up hour by hour at school after 18 months at home. 

Swedish proverb: Love me when I least deserve it because that's when I need it most.

We are what we repeatedly do. Excellence Recovery, then, is not an act but a habit. Aristotle.

If the plan doesn't work, change the plan but never the goal. (but don't give up on the plan too soon, maybe it just needs a tweak or a bit more time and determination [wink] )

abby

Caregiver
Registered:
Posts: 12
Reply with quote  #11 
Thank you so much for the support! I talked to her this morning. I started off by saying, "I love you, which is why I am not going to ignore your pain anymore. You have many options, but fighting this alone is not one of them." I then said that someone, either Dad, Mom, or I, had to sit down with her and her dietician and decide on a meal plan. I said that once a meal plan was determined, someone had to make her accountable and sit with her during meals to make sure they were eaten. She started crying and said that we'd tried this before and everyone ended up hating her. I grabbed her hands and said, "I will never, ever hate you. If you chose me as your accountability, I promise to remember that ED is NOT you.  It's either this, or you can choose somewhere to go inpatient. I will not watch ED starve you to death, though." Then, we hugged and cried. During her dietician appointment this week, we are going to determine a meal plan, weight goals, and what happens if she is unable to eat the amount that's decided (i.e.: nutritional drinks, adding to next meal). Thank God she's never become physically violent when ED's been cornered before. In the past, all she's ever done is screamed, sobbed, and/or ran from the table. I think that maybe each week I'll check-in with the dietician at the last-half of her appointment. I'm just really relieved I didn't have to bring out the big guns and directly threaten to tell the university.  Did I do alright? Any other suggestions?

To daddyg: Yes, the cookies have been so helpful for her. They are somewhat a "safe-er" food because they are touted as all-natural protein cookies with fiber, but she still sometimes struggles to eat them because of their calorie-density and sugar content (which ED HATES).

To deenl: She showed me all of her blood results. They're on an online portal that her HCP uses. They are all completely within normal range, except her creatinine (kidney function determinate) is a little high. Though, that's explainable from her muscle-wasting.

One more thing: Do y'all think the Kartini Meal plan might be a good first step? I'm just worried that she'll become really rigid with it because of her OCD. A positive/negative is that it may be a little easier for her to eat it because she/ED has a huge fear of sugar. However, she has always hated cheese, so this would make the meal plan even more limiting.... I'm just not quite sure.....

__________________
22 y.o. sister to a 20 y.o. sister with RAN b/p-subtype who's been struggling for 7 years. Never recovered fully---never been weight restored let alone pre-ED weight. Gonna start Maudsley for a "grown-up" with ED?

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes?
" Matthew 6:25
deenl

Moderator
Registered:
Posts: 771
Reply with quote  #12 
HI abby,

Sounds like you said all the right things. Really, really well done.

Keep this attitude when you are supporting her mealtimes. Loving, firm and calm support will really help. Don't forget that you can also use non-verbal cues like nudging the plate or fork as a slight reminder. My son for example freaks out at ANY comment so it is all non-verbal support for us. I expect you will have some trial and error to find out what works between you and your sister.

I would also suggest you pre-plan scenarios with her beforehand. Ask her what she feels is the best way you can help. Do not discuss this sort of thing at a mealtime as she will be too overwrought to be reasonable. Then during a meal you can calmly say, we agreed this please take one more bite (it can be very helpful to break it down into the single next step she needs to take, less overwhelming) Any adaptions can be agreed at a scheduled conversation in between meals.

Many on here have also developed contracts and have found them very useful. Just search for contracts in the search box on the top left.

My son does not have OCD (but had many of the symptoms when starving) but does have enormous, unbearable terror of food so we have been feeding him his safe foods for over a year. I took over cooking for him, explaining that when he cooked it just activated the ED and made him more distraught. I began just with his safe foods/recipies and very slowly started adding extra calories and expanding his range. We are lucky that he eats 2 bowls of soup a day. When we began he had 4 recipies of about 100 cals a bowl, now we are up to about 16/18 recipies and 800 cals a bowl and I can get enough variety for health.

I do notice that now he is just about weight restored that flexibility is coming back. Just last week he started eating bananas, grapes, mandarins, apples for his 2 snacks after eating kiwis for a year. He also varies his evening snack now too.

But remember this is what worked for us, a sample of one. Each patient has their own medical needs that must be addressed and their own path back to health.

I think priorities are important in recovery but with a robust end goal in mind. Our priority was to get him eating regularly every day, then to increase calories to a healthy level for him, then to increase variety and continue to increase it. At the moment we are working on flexibility in timing of meals so that we can leave the house for longer if we have an outing. Then we will work on eating outside the house and finally eating with friends and strangers. Our goal has never deviated, just the way of getting there.

I am sure the dietician will tell you that variety is a very important goal in order to get all the major and minor nutrients for full health but enough calories, protein and fats are the first essential step. You could use the Kartini clinic plan as a base and ask the dietician to help adapt it but it is likely that your dietician has already given your sister a very similar plan. And finally remember that an initial weight goal does not have to be the final goal. Full recover is not possible without FULL and continuing weight restoration so I would advise being vague about the final goal and continually state that there is no definitive weight goal, that you will know the right weight for her when she has her life and happiness back. If given a range she will latch onto the lowest number and if OCD will not deviate even if it turns out to be too low for her. I would not really talk figures with her and gloss over it with comments like 'We'll know when we get there'

Wishing you continued success,
D

__________________
Mother of 13yo son restricting but no body image issues; inpatient 6 wks Sept/Oct 2015 but lost weight! So emotionally destroyed they agreed to let him home to us. Stable but no progress. Medical hosp to kick start recovery for Feb 2016. Slowly and cautiously gaining weight at home and seeing signs of our real kid. Hovering around WR. Mood great, mostly. Building up hour by hour at school after 18 months at home. 

Swedish proverb: Love me when I least deserve it because that's when I need it most.

We are what we repeatedly do. Excellence Recovery, then, is not an act but a habit. Aristotle.

If the plan doesn't work, change the plan but never the goal. (but don't give up on the plan too soon, maybe it just needs a tweak or a bit more time and determination [wink] )

K63

Caregiver
Registered:
Posts: 836
Reply with quote  #13 
Hi Abbey, I had tears in my eyes reading what you said to your sister she is so lucky to have you. Well done on how you spoke about supporting her and hating her ed not her.
Just wondering does your sister know her weight . Obviously she needs to put on a lot of weight but would her not knowing her weight and how much she puts on be easier for her. My d is almost 20 and was getting very caught up in numbers and how much she had on and now the dietician doesn't tell her the actual weight only if she is up or down . She focuses on her body muscle her protein and body fat . She needed a lot of protein to repair muscle and explained all of this to her and also the importance of carbohydrates .
It is difficult for one person to do all the supervision of meals could ye rotate this . Have you looked at Eva Musby s video of how to help your child to eat . I found it helped me to be more compassionate with her and how awfully difficult it is as for us we love eating for them food is the enemy. If it helps ask mom and dad to look too. Also it may help with support from dietician to add something different to meal plan each week my d was very restricted in what she ate . We still make goals each week of having something eg two weeks ago we had a burger in a restaurant and this week we are going to do pizza. When my d was very ill I didn't think I would ever see the day when we could do this . Best of luck with dietician s appointment.

__________________
Daughter started restricting in February 2014, tried re feeding at home hospital admission 4 1/2 months weight restored started restricting post discharge, back on meal plan full supervision weight restored april 2016. Starting to hand back responsibility for meals it's scary. 
mjkz

Avatar / Picture

Caregiver
Registered:
Posts: 1,068
Reply with quote  #14 
Quote:
Did I do alright? Any other suggestions?


Aced that one Abby.  Really great start.  Keep the Ohio program in your pocket and get yourself support too.  If you are the one who will be supervising meals, etc. you need to hook yourself up with a good therapist that can help you deal with the stress that you will be dealing with on top of your studies.  You will get angry.  You will lose your cool.  It is just as important for you to have support as for your sister.  This is not a sprint but a marathon so this will take lots and lots of time.  My therapist has saved my life in so many ways.  As a single mom, I am all my daughter has.

Quote:
I do notice that now he is just about weight restored that flexibility is coming back.

Sorry to interrupt this but just had to say high five to Deenl!!!  Glad to hear your son is about weight restored.  Hugh accomplishment [thumb]
Kali

Avatar / Picture

Moderator
Registered:
Posts: 551
Reply with quote  #15 
Wow Abby you really spoke to your sister in a kind compassionate and loving manner and she is so lucky to have you.
I so hope she is able to over come her ED with your help and any other professional help she has.

Let us know how things are going!

Kali


__________________
Food=Love
mjkz

Avatar / Picture

Caregiver
Registered:
Posts: 1,068
Reply with quote  #16 
Abby, with both of you training in the medical profession, I would really show the video Kali posted to your sister.  It is absolutely fascinating to see how EDs happen and the neurobiology of the brain changes.  I showed it to my daughter who wished at the end she had seen it 10 years ago.  My daughter has an IQ that is way, way above normal.  She is extremely talented and can do just about anything she puts her mind too but she has felt so guilty and stupid for years because she couldn't outthink this disorder.  For the first time, she actually got to see why it has been so hard and it has made a huge difference in her outlook, her hopes for her future-just about everything.  I don't usually show things like that to her but it has made such a huge difference.  I think it might do the same for your sister.
abby

Caregiver
Registered:
Posts: 12
Reply with quote  #17 
@mjkz and @Kali: Thank you. It's a very good video! I actually took a web course at my university that was only about eating disorders, so it was a great refresher. The biological piece of ED is fascinating!Also, I've tried to read everything I can about it- to try to understand what it's like.
__________________
22 y.o. sister to a 20 y.o. sister with RAN b/p-subtype who's been struggling for 7 years. Never recovered fully---never been weight restored let alone pre-ED weight. Gonna start Maudsley for a "grown-up" with ED?

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes?
" Matthew 6:25
deenl

Moderator
Registered:
Posts: 771
Reply with quote  #18 
Hi abby,

Another great book is Decoding Anorexia by Carrie Arnold.

Hope things are going ok

Warm wishes,

D

__________________
Mother of 13yo son restricting but no body image issues; inpatient 6 wks Sept/Oct 2015 but lost weight! So emotionally destroyed they agreed to let him home to us. Stable but no progress. Medical hosp to kick start recovery for Feb 2016. Slowly and cautiously gaining weight at home and seeing signs of our real kid. Hovering around WR. Mood great, mostly. Building up hour by hour at school after 18 months at home. 

Swedish proverb: Love me when I least deserve it because that's when I need it most.

We are what we repeatedly do. Excellence Recovery, then, is not an act but a habit. Aristotle.

If the plan doesn't work, change the plan but never the goal. (but don't give up on the plan too soon, maybe it just needs a tweak or a bit more time and determination [wink] )

Previous Topic | Next Topic
Print
Reply

Quick Navigation:

F.E.A.S.T. Families Empowered and Supporting Treatment of Eating Disorders
is a 501(c)3 charitable organization committed to maintaining the Around the Dinner Table forum as a FREE service for any caregiver of a loved-one with an eating disorder.

P.O. Box 1281 | Warrenton, VA 20188 USA

US +1 855-50-FEAST | Canada +1 647-247-1339 | Australia +61 731886675 | UK +443308280031 

This forum is sponsored by F.E.A.S.T., an organization of parents serving parents and caregivers of patients of all ages with anorexia, bulimia, and other eating disorders. Information and advice given on this forum does not necessarily represent the policy or opinion of F.E.A.S.T. or its volunteers and is meant to support, not replace, professional consultation.

F.E.A.S.T. is registered as a nonprofit organization under section 501(c)(3) of the United States Internal Revenue Code.

Terms of Use | Privacy Policy | Community Rules | Forum Rules | F.E.A.S.T. Principles | YMadmin | WTadmin
Custom Search of F.E.A.S.T. and Forum Content: