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TouchandGo Show full post »
Foodsupport_AUS
Touchandgo, I don't suppose that you have any private health insurance? Your D may not meet criteria for medical admission and cardiovascular instability but she may meet criteria for mental health admission. Would she be suitable for a mental health admission to a private hospital program? Some of them will offer that support and structure that she needs to get things going. It is probably too expensive if you don't have insurance.  
D diagnosed restrictive AN June 2010 age 13. Initially weight restored 2012. Relapse and continuously edging towards recovery. Treatment: multiple hospitalisations and individual and family therapy.
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TouchandGo
Touchandgo, I don't suppose that you have any private health insurance? Your D may not meet criteria for medical admission and cardiovascular instability but she may meet criteria for mental health admission. Would she be suitable for a mental health admission to a private hospital program? Some of them will offer that support and structure that she needs to get things going. It is probably too expensive if you don't have insurance.  


We do have private health insurance, thank god, so a lot of stuff is covered and if need be we can try and get D into a private mental health ward, although I don't know much about the ones available or how good they are with ED's.  know Psych thinks medical ward + refeeding is best options for us and it's terrible, but I don't think D is going to stay 'well enough' to keep out of med admission requirements for very long. The public system is an extreme last resort I think and while it was a few years ago the private ward here was terrible with ED's.
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TouchandGo
D has been spiralling worse in the last couple of days. I caught her at 2am power walking in circle around the house like she's possessed and who knows how long she had been walking for. Told her to go to bed and leave her door open and she went without a fight. Now I'm up listening to the house and worrying every creaky noise is her. 

She's doing purely strength training at the gym for 3 weeks now, only one to two sessions a week, with a personal trainer who knows she isn't to be doing any cardio and that D needs to take it slow. So far, it has been okay as I've made sure D eats before + after she goes and those days she does eat more than normal. She's supposed to have another session tomorrow, and I told her point blank she's not going when I caught her. D didn't say anything, and I know there's going to finally be real push back later this morning. I'm terrified and upset and I'm worried about how to deal with it. My D is very rarely overtly obstinate. She cries and feels guilty over wanting to do something I tell her I don't agree with, even if it's something silly like a video game that I wouldn't be upset over. I'm not sure how to convince her not to go, now that she can play the 'adult' card and she's paying for it. I'm terrified that her ED is suddenly sorry entrenched. I don't know if I should call the gym and tell them what's going on with D and if I can get them to refuse her entry if push comes to shove. Or would it be better to let her go because at least she's with a good PT who is taking it slow and will get her to take a break when it's too much. If D doesn't back down and exercises on her own she will just be doing cardio and won't have someone to make sure she exercises for a reasonable amount of time or stop if she feels ill.

Exerxise never used to be a part of her ED. She would do it occasionally when sick, but never excessively or for long. But this whole relapse has been different, moving from AN-BP to just AN-R (which just furthers her delusion she isn't that sick, as if not eating and walking in circles in the middle of the night is normal.). She's dropped weight faster than ever before and is now at a lower weight than any past relapses. I think the conversation about hospital and tube feeding has finally sunk in and with that hanging over her head what little control she had over the ED is gone. She wants us to agree to maintain instead of gain, or if she's going to hospital soon why can't we let her 'be happy' and lose a little more so at least she actually looks/is underweight enough to deserve being determined crazy. She was so good during the psych session, but I think it's because hospital/weight gain felt like an abstract concept then and now reality has sunken in she's lost in ED.
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ValentinaGermania
It is very common that they do extreme exercising with AN. Reed KLBs post to have an idea what that could lead to.

It is good that you found out about that walking circles. Sleep with her so you can stop that. Many of us slept with their kids.

It is good to stop exercising in the gym totally. Be strict with that. She is not in the state to burn any extra calories. I would call the gym and explain it so they hopefully will send her home if she goes there. Tell them that her health is in danger and she can collapse there. They hopefully will avoid that and not be responsible.
Keep feeding. There is light at the end of the tunnel.
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