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Hendrixt
 Hi all, 13 years old D diagnosed AN restricting since January this year, started re-feeding early May using FBT through CAHMS in the UK. 
 
She is now very close to the weight she was in January before she started restricting and we have Achieved this through feeding a small variety of safe food, loaded up with calories, smoothies and also introducing some new fear foods along the way. We haven’t needed to use any sanctions or incentives, just pushing through the violent meltdowns with persistence up to now.
 
Virtually all meals that are considered safe are now accepted without any problem and we are getting some fear foods in by repeatedly offering when they are refused. 

But we have just hit a wall with one particular food, biscuits. She will not even touch or pick up the biscuits she will not even put it to her nose and smell it and completely refuses it saying that she will never eat them. We do persistently prompt her to try and accept the biscuit and try to eat it but we have never completely insisted that it must be tried at this point.  We’ve tried offering her half a small biscuit (very small). With all her other safe foods we require an empty plate and will push through a meltdown to do this but not with fear foods, yet. 

Just considering options we’ve thought of; should we just keep repeatedly offering the biscuit, leaving a few days in between attempts and hope she eventually gives in. Should we start to consider incentives. 

Any ideas appreciated 
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tina72
Here are my 2 cents:
- offer an incentive that she is really keen on and that she gets directly after eating one bisquit (no half one). It can be a small one for then start but do not accept half things as it is not normal to eat only half of a biscuit.
- offer a biscuit or something with more calories for a snack (if the biscuit is the "better"/less caloric option she might chose it)
- Try it again and again until she is fed up with it and simply eats it to get rid of you...🙂

"With all her other safe foods we require an empty plate and will push through a meltdown to do this but not with fear foods, yet."
I fear you need to tackle that and push through. She will not "want" to eat it again. She is too afraid of it. You need to help her showing her that it is safe to eat a biscuit and that nothing bad will happen if she does.
Keep feeding. There is light at the end of the tunnel.
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scaredmom

Hendrixt: 
There are so many ways to tackle:

From what you write: you could leave it for a few weeks and tackle other foods. Some have done that with good success.
If she is gaining and getting better in her mind it should come in time. 

Of course you can keep trying and see. 
Does she eat other "equivalents" like cakes, chocolates. If so I would let it go for awhile, like a few weeks and then see. 
All the best.
Great job!

 

When within yourself you find the road, the right road will open.  (Dejan Stojanovic)

Food+more food+time+love+good professional help+ATDT+no exercise+ state not just weight+/- the "right" medicine= healing---> recovery(--->life without ED)
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Foodsupport_AUS
You are doing a fabulous job this early in. Any of those options you have suggested could work, as could just letting it slide for a while and trying later.
I was reading Julie O'Toole's blog today about hyperpalatables. Kartini clinic recommends avoiding all hyperpalatables for the first year. There are many arguments for and against this, but one thing she comments on, we found too. If you wait a while there may be  zero resistance when these sorts come up, they want to try them. My daughter self challenged pizza, cookies, cakes, ice cream. For many kids as they get better they start to bring them in themselves. 
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.
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Hendrixt
tina72 wrote:
Here are my 2 cents:

- offer an incentive that she is really keen on and that she gets directly after eating one bisquit (no half one). It can be a small one for then start but do not accept half things as it is not normal to eat only half of a biscuit.
- offer a biscuit or something with more calories for a snack (if the biscuit is the "better"/less caloric option she might chose it)


Ah Tina - I knew you would have some ideas  - thanks - the incentive is something we haven't done before. She's always trying to get money, asking to do jobs around the house for payment as she is into 'K-Pop' (South Korean boy bands - don't know if it's hit Germany yet ðŸ˜‚). I'm sure I remember someone on here saying they offer financial incentives)

- Try it again and again until she is fed up with it and simply eats it to get rid of you...🙂

Well I'm very good at being boringly persistent - I make a good brick wall ha ha! - 

"With all her other safe foods we require an empty plate and will push through a meltdown to do this but not with fear foods, yet."
I fear you need to tackle that and push through. She will not "want" to eat it again. She is too afraid of it. You need to help her showing her that it is safe to eat a biscuit and that nothing bad will happen if she does.


Yes - as with everything this we will be pushing through

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Hendrixt
scaredmom wrote:

Hendrixt: 
There are so many ways to tackle:

From what you write: you could leave it for a few weeks and tackle other foods. Some have done that with good success.
If she is gaining and getting better in her mind it should come in time.

Thanks Scaredmom - all the best to you too - seems this is something that works for others - may try a few more times then leave it for a bit  

Of course you can keep trying and see. 
Does she eat other "equivalents" like cakes, chocolates. If so I would let it go for awhile, like a few weeks and then see. 
All the best.
Great job!
No we've not started on this stuff yet - we've done pizza, KFC, MacDonalds, Ice Cream (work in progress but she has eaten a small scoop of Haagens with some fruit).  We are planning to move onto cake this weekend but I fear we may get the same response 

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Hendrixt
[QUOTE username=Foodsupport_AUS userid=1507322 postid=1309153357]You are doing a fabulous job this early in. Any of those options you have suggested could work, as could just letting it slide for a while and trying later.
I was reading Julie O'Toole's blog today about hyperpalatables. Kartini clinic recommends avoiding all hyperpalatables for the first year. There are many arguments for and against this, but one thing she comments on, we found too. If you wait a while there may be  zero resistance when these sorts come up, they want to try them. My daughter self challenged pizza, cookies, cakes, ice cream. For many kids as they get better they start to bring them in themselves. [/QUOTE

Thanks so much for the advice Foodsupport - I think I've found the article and I will have a good read 

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debra18
Many fear foods my daughter did chose on her own with more weight. One of the few foods that ar still a problem for her are french fries. Everytime we go out for pizza she eats one french fry with her pizza. You can try only a small bite with something else or leave it alone and try again in a month.
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teecee
I think you’ve done an amazing job so do not get disheartened about this. 
My D was never ever going to eat cakes/biscuits again in her life as ‘there was no point’ however she self challenges now (18 months in) - from a girl who could convince the unconvincable that that there was no point to eating cake!
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Hendrixt
Thanks Debra and teecee. I never thought that there is s possibility that she could just decide to challenge herself. I always thought that if we didn’t try to encourage her, then she would never try anything, but from what people say it seems there is s chance that in time she will try herself. 

Think I’ll keep trying though every now and again. Suppose it’s just going to take time.
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