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

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Scaredmom2019 Show full post »
Scaredmom2019
Sorry for the breakfast comment. I'm probably talking about me specifically🙂 I do agree some people need to have it daily. 

@BetterNow what a well thought post. Thank you! All the information is very helpful! What is your take on ED treatment modalities as they are now? Im in the US as well. I do worry all the over focus on food is causing my D confusion. 

I also do worry she may be bipolar and not being treated for it. Her reaction to the SSRI was to be "activated" though she never actually got diagnostically manic or even hypomanic. Her sleep was not impacted at all. Was yours? She just got really, really "silly". 
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BetterNow
Hi ScaredMom2019,
As for E.D. treatment modalities of today, I really respect variations of FBT relevant to each participant's unique circumstances. So not necessarily manualized FBT, but a form that rebuilds body, brain and spirit through nutrition and mutual support for all.

That being said, much of what is out there that I have encountered in one way or another, is really still psychodynamically focused. The treatments still seem to be based on somewhat antiquated theories and strategies all too often and not especially relevant. Sadly, I feel like some treatment is quite commercialized and tends to brand itself based on current psychological catch phrases, whether they deliver properly or not, even. For example, a residential program may advertise DBT, riding therapy and ACT, but it feels to me like it is really sort of like a "hamster wheel approach." Round and round, but is the E.D. being abolished by correction of proper weight for a given individual, the very best medical stabilization, and suffering being relieved as rapidly as possible? I'm not so sure...

For me, I know that not eating definetely does help my anxiety- in the short term. The price is not worth it, however. So I eat as well as possible and use a few carefully crafted supplements to support me physically. These tend to be good quality multivitamins/minerals and a couple of other items appropriate for my health and age, including probiotics. I would create something like this for a child of mine with an E.D. also.

Regarding Ensure and Boost, my psychiatrist has me use Carnation Breakfast Essentials when I just can not eat. For a young person, I would think that this might feel much more normal than Ensure or Boost, so that might be an advantage! They taste better- certainly more like a beverage vs. medicine  and I find the price to be a little more friendly, as well. The way the product is sold now is either pre-made or powder which you mix with milk so there is some choice there too. Just an idea that might help. It really helps me.

With S.S.R.I.'s I have sometimes gotten really silly, as you describe and not had my sleep impacted. It was not an ordinary silliness at all, but extremely disturbing, much as you have stated. Many times my sleep was diminished or completely obliterated when  S.S.R.I.'s were taken without Zyprexa (or the like) and at  doses which I could not tolerate. Bipolar Disorder and E.D.'s both seem to enjoy mututaing and morphing far too much as time marches by without the needed control. 

If your D does have Bipolar Disorder it can be caught early these days and treated accordingly. Like E.D.'s it is a spectrum disorder and therefore you needn't feel like it will be a worst case scenario kind of thing. Almost without exception  medication needs to be used, based on my experience and knowledge. Often there is much trial and a hearty sprinkling of error along the road. (If this is a possibility for your D, please hold her really tightly along the way and if you can be held just as tight by someone in some way, all the better. ❤) Just like E.D.'s it is sooo biologically brain based. I can just tangibly feel how truly physical it is.

It might seem super tough to decipher what came first, the chicken or the egg right now. You might never really know, but becoming as healthy ("normal" or whatever word will work with your daughter ☺) as possible seems to be what means the most.

There is hope and the suffering can certainly decrease. 

You are welcome to contact me back channel at any point or ask more questions here and I will do anything I can to help. Not that I have all of the right answers, but I'll definetely do my best. I realize this is a lot of information to take in, believe me. I'm pulling for all of you. xx 🌈

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Scaredmom2019
@BetterNow thank you!! I love your idea of carnation drinks for her. Those are more "normal" and probably more acceptable should she go to college etc. I really am trying to do things is a sustainable way rather than just bandaid approaches. Your words of experience are much appreciated! May I also add that im glad to see you are on the other side of things ❤

@edhater we are eating today! Mood seems better! Im still toggling on whether or not she may be bipolar and benefit from mood stabilizers or if the ED/anxiety really does impact her moods SO significantly. 
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BetterNow
It's so wonderful to hear that you are eating today!🎉🎆 Also great that you are able to really take a breath and see what exactly might be going on. Please give each other hugs!
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Scaredmom2019
Just updating🙂

So it seems the vomiting has passed. The advice here was instrumental in how I handled the situation. Huge thank you!!

Weekend went pretty well. D mentioned feeling good about how she followed her hunger cues a bit and was able to eat more easily and without too much nausea too.

We started Buspar today so I'm praying it may help a little and with little side effect!
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PurpleRain
Glad to hear the positive update, carnation milk has been very helpful to us too.
13 yo d started to eat "healthy" September 2018, she had a growth spurt a bit later, followed by tummy bug. She started restricting breakfast and school lunch in January 2019 (that we know). We succesfully refed at home.
I have found inner strenght, patience and compassion that I did not know I had.
Never retreat, never surrender
keep feeding
 
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MKR
You must be so relieved! And your daughter, too because you handled it without adding dramas. 

Do you think this might be that tummy trouble that we are sometimes told to expect at some stage during refeeding, usually at the beginning?

As to the great anxiety, there is a great deal being made nowadays of gut-brain connection. At least general (non-ED) research tends to go in that direction. 
Mum's Kitchen

14-y-o "healthy living" led to AN in 2017 and WR at 16. Current muscle dysmorphia.
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