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

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dtc

I am looking for book or website to help 16 yo daughter understand the food tradeoffs. She was in intense treatment at 12.  We have maintained since the with some ups and downs managing at home. She is in more significant relapse now. We know how to do menu planning, etc., learned it all in treatment. The issue is she's 16 now and thinks Mom and Dad are wrong and/or misleading her. I know in ideal world she would be working with dietician, but not quite willing yet. I don’t want calorie counts for foods---I know how to find that no problem (and know that's a bad idea!) Wondering if there was something written for anorexia that showed exchanges or “pick 3 items from this list” for a lunch that would help you gain weight. Thanks for any ideas!

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Enn

Welcome!
sorry for the relapse.
Here is a site:  https://ep.bmj.com/content/edpract/102/4/175/DC1/embed/inline-supplementary-material-1.pdf?download=true

Do you feel she can comply to gain on her own? Do you have a specialist team for support? You have been dealing with this for 4 years. Did she get to a proper WR and was she able to gain for her height and and age properly ?

i don’t think one needs a dietitian necessarily but is your d trying to do this on her own? Are there other ED behaviours ? Sorry so many questions but it would be nice to know what you have done before.
Please ask all the questions you have. There is such a wealth of experience and knowledge here.


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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MKR
Excellent resource, @Enn.

Dear@dtc,

Great job maintaining the recovery over the years.  Given that your daughter is 16, and you say she may have relapsed (could it be just a growth spurt?), I would go straight to Meal Plans 7 and 8.  That is what our 16-y-o is having at the moment, a year after being discharged by the therapist.

Would it help to put out a box of snacks for school or a list of lunch options for the next day? You got this!

All the best,
Mum's Kitchen

14-y-o "healthy living" led to AN in 2017 and WR at 16. Current muscle dysmorphia.
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Foodsupport_AUS
That is an interesting meal plan list @Enn. It does sound somewhat low aiming though. 
It seems to come from Monash Children's which is one of the hospitals that has a specialist ED unit in Melbourne .  I am not sure when the protocol dates from but it may be 2017? It seems to be very low aiming on intake. My D was in another hospital in Melbourne, there were several children who had been at Monash who were then transferred in, as they had been admitted "out of area". Monash at the time would increase meal plans every three days, regardless of weight gain. The hospital my D was in would increase dependent on weight gain, however having a look, her meal plans would have been higher than 8 within 2 weeks of admission, with supplements given of double the volume. 
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.
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dtc
Thank you all so much for the help! That is what I was looking for. I will have to study to see what level she's at.
I am so impressed with this community as a new member!

I don't think it's a growth spurt. She had a make-up growth spurt and has plateaued at realistic height. She has been mostly within 95% of goal weight for vast majority of last four years until now. So we're calling it relapse. She has started a therapist. Steps in the right direction.
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Foodsupport_AUS
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 She has been mostly within 95% of goal weight for vast majority of last four years until now. So we're calling it relapse. 



Just wanting to clarify, given she was 12 when first ill and is now 16 - has she been close to her goal weight at age 12 or has this progressively increased? Weight gain continues separate to height till early adulthood. So if her goal weight has not been progressively increasing she has been "losing" weight all along. 
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.
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dtc
Yes her goal has increased throughout those years. We  know how to calculate that.
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