F.E.A.S.T's Around The Dinner Table forum

Welcome to F.E.A.S.T's Around The Dinner Table forum. This is a free service provided for parents of those suffering from eating disorders. It is moderated by kind, experienced, parent caregivers trained to guide you in how to use the forum and how to find resources to help you support your family member. This forum is for parents of patients with all eating disorder diagnoses, all ages, around the world.

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This is an interesting journal article based on interviews of FBT therapists. It reviews some of the dilemmas and concerns of the therapists when they are trying to help families. It makes for revealing reading, and gives some insight into how the ED treatment community is still not united. 
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.
Thank you for sharing this article Foodsupport.  It is indeed interesting to see how therapists struggle to help families, and the dilemmas and concerns they face while trying to provide evidence-based treatment.
It is good to not only hope to be successful, but to expect it and accept it--Maya Angelou
It is interesting that some clinicians stopped working with adolescents because they found FBT too difficult to implement. 
I appreciated the fact that they recognize what a monumental task re-feeding is for parents. (Extracts 6). I often think that there is something wrong with me that I find feeding my RAN 17 yo D so stressful. We have been doing FBT for six months and I am scared when I think of still doing this for years. Our FBT coach and team is excellent. I’m glad we have her/them to keep pushing us. And I’m very grateful for this forum. It helps tremendously,
Thank you for posting that Foodsupport_AUS,

Interesting that there were a few who commented that they felt they had to follow the manual to a T. I guess that way it would be considered evidence based. I get it but don't think it should be that way.  Just as we tell people here and we see first hand how different kids have different needs, I would want my therapist to use their overall experience/clinical acumen  as a professional to "feel" the situation and give the kid/family what they need at that moment rather than follow a handout. 
And to feel that if FBT-AN does not work that it is their fault, is sad. I think we need to tell them, when we see them, that we want them to learn what we as individual families need by learning "our ED" and to  bend the manual to fit our very specific, individual, unique point in the illness. 
Even with medicine, based on the history of the illness, the patient's sensitivities, allergies, protocols are adjusted. Not everyone get the same meds all the time for the same illness if they are allergic or have had side effects  to the usual med for that diagnosis. Why should it not be like that for treatment for EDs?
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)
Lynn403 wrote:
We have been doing FBT for six months and I am scared when I think of still doing this for years.

It won't take years. I used to think that I would need to go to my d's school to supervise recess and lunch until she graduated, but now she's managing herself. I would say strictly following the meal plan took about a year, until she was WR. The next year she was able to eat more flexible. Just hang in there. Sending you lots of hugs 🤗🤗🤗🤗
D became obsessed with exercise at age 9 and started eating 'healthy' at age 9.5. Restricting couple of months later. IP for 2 weeks at age 10. Slowly refed for months on Ensures alone, followed by swap over with food at a snails pace. WR after a year at age 11 in March 2017. View my recipes on my YouTube channel: https://www.youtube.com/channel/UCKLW6A6sDO3ZDq8npNm8_ww
Thank you, Mamaroo, for the virtual hugs, the words of encouragement and all you do on the forum. It means so much to me and I’m sure many other struggling parents.