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My daughter has been diagnosed as a bulimic. She is a healthy weight. She leaves the house at 8 each morning and gets in anywhere from 8.30 to midnight . I can’t keep her at home she’s 17 and is adamant she will continue with her life as before. How do I stop her conducting her ed behaviours . I’m so lost and sad . She says she has been doing all these things since she was 11 !!! Well I had no idea at all. She hid it perfectly and still I don’t see any symptoms but I know they must be happening. She refused to be referred to eating disorder services and refuses to tell the school. I feel like she is on the verge of a breakdown she is spreading her self too thin for a healthy person let alone a bulimic . School , 2 jobs , endless auditions , dance class after dance class.
I don’t know how I can help her . I understand many of you follow the Maudsley approach for anorexic children - how do you help a bulimic child ?

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We just did a week long program at the Center for Balanced Living in Columbus, Ohio. I strongly recommend it. It will just be the first step - not the finish line, but it's a great program and easier to start with just one week....


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Reply with quote  #3 
Welcome to the forum.

Caram you don't mention where you are, it can help us to brain storm what options there are for you. 

How do you treat bulimia? As it turns out not that different from anorexia, but with some small differences. If you haven't already read through the FEAST family guides in the learning center 

The general recommendation is regular meals and snacks. Most with bulimia are under their natural weight, even if in the normal range so some weight gain may well be necessary. It can be difficult with an older teen who clearly is doing everything she can to stay out of the house. Her health though comes first, and it is up to us as parents to insist that she gets treatment. This is a life threatening illness. 

She appears to have an exercise addiction along with her binging and purging. These all need to stop. Engaging her into managing her illness and getting her help to look at other strategies for managing stress is the trick here, short of locking the door and insisting she stay. 

She needs to have regular appointments and check ups including blood tests and ECG. Cardiac risks can occur at any weight, with low potassium being the biggest risk of frequent purging, over and above the risks of gastric tears, and teeth damage. 

If you have not seen any symptoms, how is it the diagnosis came about?

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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