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EDAction

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Reply with quote  #1 
Hello All,

Our D is was diagnosed with RAN 2+ yrs ago, is WR and has been in a good state for a while.  She still has some fear foods and just recently began having some sweets again now and then.  She recently had a few episodes of eating a lot more than usual and feeling out of control, which makes her feel horrible.  

My question is for those who have experienced the same with their Ds and/or Ss.  How did you handle it?  What worked?


Foodsupport_AUS

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Reply with quote  #2 
It is great that you D is generally doing so well. So far we have not had any true bingeing, though D has certainly had some anxiety where she feels very anxious about large amounts. At the time she did not feel out of control. 

A few thoughts, is she truly weight restored, and is there any possibility of occasional restriction? The most common cause of bingeing is restriction.

In general though I think it is important to normalise those times when we eat a lot more than normal, and when it makes us feel uncomfortable. Normal people at times do eat a lot more than planned from time to time. I would add the caveat that eating regularly iwith a balanced diet is essential and skipping meals should be avoided as we know that also makes us unable to judge our hunger as well. 

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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.
mjkz

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Reply with quote  #3 
I agree with Foodsupport.  We don't eat the same amount every day so this is actually perfectly natural.  Having said that, my daughter struggled with it and this led to purging.  First thing is to make sure she is getting enough in a day because the number one cause of binging is restriction.  If she is getting enough and is really weight restored, what we did was figure out what foods she "binged" on and at first didn't keep them in the house.  We then slowly introduced them in single serving containers so she could take one and then stop.  I bought the foods she binged on one or two servings at a time so there wasn't that much available; her therapist worked with her on actually eating the two servings and being okay with it.  The other thing that seemed to help was eating the food with me or having me give her a serving of the food to slow her eating and keep her from just mindlessly eating.
EDAction

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Reply with quote  #4 
Hello All,

Thank you for your responses.

There is always the question of whether one is truly WR.  I think that D is.  She is back on her historical weight curve and her state has been good and stable for a while.  But it is always a question to ask . . .

I think there may have been some instances of lower than normal intake and/or meals/snacks that weren't well-balanced.  Over the 2 week holiday break there were many out of routine days (celebrations with family, days spent with friends, etc) and looking back I think this may have played into the several instances when D felt she binged.  In addition to out of routine days, over this same 2 week break D started having some desserts again.  Conquering these fear foods is a good thing, but D is fearful that she cannot control herself around desserts.  Add to these experiences that at her recent weight check she had gained a pound.  

D was upset by all of this and it came to a head after being weighed, but she recovered from being upset relatively quickly.  We had a good talk.  But I can tell she is struggling. T will work with D on figuring out if, when D felt she binged, she ate more because she was hungry or because of some other reason, et al.  D is back to school and her schedule is more normal.  I am making sure D does not have a lot of time at home alone to support her in not binging and not overexercising.  Overexercising hasn't been a problem in a long time, but under the circumstances I'm sure it's crossed her mind.  I'm planning family desserts a few times a week to try to help her normalize having an occasional dessert.





tina72

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Reply with quote  #5 
Hi EDAction,
we did not have a problem with binging up to now but my d is afraid of it, too. The problem is that they do not know any more what normal portions are. So we buy all this sweets and "risky food" in small packages as mjkz suggested. I try to train her to get an eye for normal portions at the moment. It is interesting, she is not able to chose a normal amount for herself (always too small), but she seem to be able to plate food for me or hubby. So I try to make her plate us meals, snacks, desserts as often as possible and hope her brain will relearn what normal portions are and so be not afraid of binging.
If she was upset about gaining a pound that may be a signal that she is not proper WR. The weight is always jumping around 1 kg just because of menses or a bit more water in the body. So it is not possible to keep the weight exactly on 50 kg for example. She should feel o.k. with one pound more.
Maybe it is just because of the holiday break and all the differences to normal routine. I hope she will feel better with that soon.
Tina72
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