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Hendrixt Show full post »
Hendrixt wrote:

Dr Sarah Ravin emailed me this in relation to anxiety, brain healing and recovery following weight restored;

1.) It has been proven that 60-70% of people who develop anorexia nervosa have a history of anxiety starting in early childhood.  In many cases, this anxiety persists after the patient has recovered from anorexia.  Anxiety is often a part of someone's temperament, which is largely genetic.  This anxious temperament is a predisposing factor, which means that people who have it are more likely to develop anorexia in adolescence than people who are not anxious.  Thus, it is possible, perhaps likely, that your daughter has an anxious temperament.


2.) The cognitive and emotional symptoms of anorexia nervosa, including anxiety and depression, often persist for 6-12 months after weight restoration.  This is because the brain is a complex organ and it takes time to repair itself following the trauma of malnutrition.   So if your daughter has been fully weight restored for less than a year, it is likely that her brain is still in the process of healing, which could explain the continued anxiety.


3.) Recovering from anorexia nervosa requires a person to face her greatest fears: eating more food and gaining weight.  When a person first confronts these fears, anxiety gets much, much higher.  Over time, as the person habituates and learns new skills to help her cope, anxiety starts to decrease.  Perhaps your daughter hasn't had enough time yet in her new body, eating foods in the types and amounts that she fears, to become desensitized.  This takes time!

That is a really great quote.  Mods, is there still a Hall of Fame for these posts? xx

"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
krae wrote:
Hi Hendrixt, i haven't posted for quite some time as D is WR and has been for the last 6 mths, doing really well eating of her own voliation most of the time. Anxiety is sky high and has been for the last 5 mths. She hasn't been to school or her piano lessons for the last month and it is tearing her apart. She wants to participate but at the last moment she loses the plot and just can't.

Thank you for posting Dr Sarah Ravin's email. It does explain a lot. 

Hi Krae.
Glad the stuff from Dr Ravin is helpful - I can't believe she replied - she's very helpful

Here's some more stuff;


Well done for getting your D to WR. Do you know whether the anxiety is related to ED  or something else. This is what out therapist is saying; that because our D is WR then the anxiety must not be related to ED. What does your therapist say about the anxiety?

Such a shame she's not in school and not doing her music. I play guitar and know how theraputic playing an instrument can be but with all the stress of looking after my D I just haven't got the energy to play as much as I normally do. I play in a rock band and sometimes  I leave practice right until the day of a gig - sometimes not having played all week.

In the UK we have to have the written confirmation of a psychiatrist to say our D is too ill to be in school. Ours is refusing to provide this as the therapist says our D is WR therefore there is no reason for her to be off school. We are in a difficult position as our D has a major panic attack if we try to take her to school - she has developed a massive fear to it and won't go anywhere near the school building or even look at her uniform. The only way to get her there would be by physical force which we are not prepared to do - do you have something similar?
Hi again @Hendrixt,

Yes. Your attached article is what I saw because I recognized the rest of the discussion. 

Wow, you have such a supportive school! And I can see they love your girl very much. What an amazing idea to have a supervisor funded. We know that schools can be stretched for staffing and funds. 

To be honest, for some reason I thought our school called a meeting not to offer a solution but to give a final warning, because our D was taking those 30-minute "toilet" (= exercise) breaks.  I'd feared she might have clocked up enough absences to be expelled or something.  And I'd told her so. However, the first thing the teacher said to her was: "We like you and we wish to keep you.  So we need to help you." I was moved to tears and so was the D.

And yes, WR is just the beginning.  Less drama but still a lot of ED behaviour and a high risk of relapse. 
Mum's Kitchen

14-y-o "healthy living" led to AN in 2017 and WR at 16. Current muscle dysmorphia.
I agree with torie, is it still possible to bump Dr. Ravin's quote as hall of fame?
13 yo d started to eat "healthy" September 2018, she had a growth spurt a bit later, followed by tummy bug. She started restricting breakfast and school lunch in January 2019 (that we know). We succesfully refed at home.
I have found inner strenght, patience and compassion that I did not know I had.
Never retreat, never surrender
keep feeding