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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sunny6
Hello.  

I need ideas on how to stop purging.  We have had the drains closed, no toilet flushing and 2 hour post-eating rules in place for a year and a half.  Even after 2 hours, they can throw up food.  Everyone says that 1 hour is long enough, but we have clearly seen otherwise.  We have been told at this point, all we can do is hope that DBT kicks in and they want the change.  No meds reduce the anxiety and only increase sh.  DBT has been going on for over a year with no change.

It doesn't happen every day, but they cannot control of it.  They are participating in therapy, but this cannot be kicked.

Any ideas?

Thanks
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scaredmom
I have no experience here. 
Have they discussed naltrexone? 
https://www.aroundthedinnertable.org/post/naltrexone-to-control-binge-purge-urges-9729391

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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sunny6
No one has ever mentioned that product.  They have tried others, but nothing curbs it.
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tina72
The d of my friend could purge anywhere at any time. 1:1 supervision was needed to stop that, 24/7. Not easy at all to do at home, they needed IP.
There are many kids that need more supervision than 1 hour after meals.
Keep feeding. There is light at the end of the tunnel.
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scaredmom
Sunny6 
i know you have done so much for your child and it has been such a difficult time. I know you have supervised like crazy and even then some and it still happens! I hope things get better. Yes please talk to them about naltrexone- maybe worth a try. 
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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sunny6
Thank you for your input.  IOP and IP didn't help.  They do one hour even after I told them she required two hour minimum.  Even interviewing others that are considered the some of the best, that was all they could guarantee was one hour.  We will keep going forward and hope that she can keep fighting the urge.
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yellowcaty
Hi sunny6

I really feel for you and can sympathise with what you are going through. 

My D could purge anywhere and at anytime. She also could purge hours after eating and still loose weight. In IP she had no bathroom privacy at all for 7 months and would still purge at home. Since moving to her 2nd unit things have improved and she has gone weeks now without any evidence of purging. I’m not sure what changed, maybe the therapy, maybe being forced to take responsibility, medication or she has just had enough.

All I would say is to get as much help for her as you can. Purging is so difficult to stop once it  has taken over. We couldn’t get control of it at home but luckily her IP unit were proactive.
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tina72
sunny6 wrote:
Thank you for your input.  IOP and IP didn't help.  They do one hour even after I told them she required two hour minimum.  Even interviewing others that are considered the some of the best, that was all they could guarantee was one hour.  We will keep going forward and hope that she can keep fighting the urge.


In IP it would be very important that they offer 1:1 supervision and no bathroom privacy at all. Without that it is useless.
Keep feeding. There is light at the end of the tunnel.
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Alibi67
We too found that supervision needed to continue pretty much 24/7.  We stood outside the bathroom except more than 3 hours after a meal ie just before the next one. We slept in the room next to hers with both doors open. Only now about 1 year after dx does the urge to purge seem to have reduced. It’s super hard but super important to stop the purging. This was the one area where therapy for her seemed to help.    Hang in there.  
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