I can so relate to having a daughter and mother ill at the same time...The same year my daughter was her most critically ill my mother first had a stroke, then had a heart valve replacement, and then just as she was recovering from that she fell and broke her pelvis in two places and had to have surgery and some metal rods inserted to hold it all together. So my daughter was in the hospital for 3 months and my mom was in the hospital and then rehab for months as well. I'm not really sure in retrospect how I got through that year. My memories are a misty blur of doctors appointments, trying to figure out how to get my daughter to eat again, extreme and overwhelming anxiety and seeking support on this forum and by learning as much as I could about eating disorders. Fast forward 3 years and my daughter is about to graduate from college, and my mother planned her own very large 90th birthday party this past summer.
The thing with purging is that it is important to do everything you can to stop it. My daughter was purging as well, and in the end what really worked to interrupt the cycle was three months in the hospital where she could not go to the bathroom after eating, while getting as she says "enough therapy to last a lifetime" and then afterwards a very long period of supervision at home. Making the bathroom off limits after eating is important. I used to spend time sitting with my daughter after she ate, bingewatching netflix or walking the dog, or making crafts, to help distract her.
Quote: I'd like to know what we can expect from a full evaluation. What is involved, how long does it take, what kind(s) of practitioners are involved?
I'm sure that sk8r31 will have some good suggestions about resources in your area. Some of the practitioners you may come in contact with if you are starting with treatment at home and setting up a team to support your daughter and family could be an FBT therapist, a psychiatrist if medication is indicated, a medical doctor trained in eating disorders to monitor your daughter's health on a regular basis, and possibly a dietician. The only antidepressant specifically approved by the Food and Drug Administration in the US to treat bulimia is fluoxetine (Prozac), a type of selective serotonin reuptake inhibitor (SSRI). There are also some treatment modalities, CBT, and DBT, which have been found to be helpful for eating disorder sufferers. And I found it helpful to have my own therapist during that time as well, and chose one who had specialized in worked with patients with eating disorders so that I could discuss what was happening with someone who really understood the illness. My daughter was put on prozac after she left the hospital and it has been helpful.
And as we embark on treatment (let's assume at home for now), do we need to stop all other activities, such as sports?
If your daughter is underweight, or has lost a significant amount of weight, or has an exercise compulsion, then it is usually recommended that sports be stopped while refeeding and recovering and for some time after that.
Sending strength and a virtual beverage of your choice....