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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patience20
Doing FBT at home with 17 y.o. AN d x 4 months. FBT therapist thought a higher level of care was needed due to resistance, mood, anger, throwing of food, etc. She has been medically stable so never qualified for inpatient. So I guess that leaves us to either change outpatient providers or move to IOP/PHP. However, with programming being delivered online, I can't imagine 17 y.o. sitting at the computer for 7 hours a day for therapy. Depression and anxiety are also present and are being treated with medication, however, we do not believe it has been effective and in reading the research we know it may not be effective until brain heals. So we are seeking input for ED providers and even a psychiatrist who may have experience with ED with depression and anxiety to help manage meds as we are very confused as to what we should be doing with medication and therapy related to depression and anxiety.
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teecee

Hello and a warm welcome. 

Depression and anxiety appears to coexist with ED or at least it certainly did here. We treated our AN D with food and plenty of it as our mantra was always ‘food is medicine.’ We flirted with meds a couple of times but in the end she decided against it and her mood has improved greatly since she has been consistently eating all foods. 

2 years ago she was suicidal but these comorbids seem to have melted away with sustained nutrition.
In my experience it was 18months post WR that attempted therapy was really successful.  

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Scaredmom2019
@patience20

Hello- I'm in Minneapolis with a 17 D. Feel free to message me and I can tell you about providers we have used. Anxiety and depression large part of our treatment as well. 
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patience20
Scaredmom2019 I would like to message you. I am new to this site so I'm trying to figure out how to do that.
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LaraB
Hi when you are logged on, click on her profile and the option to email the individual person comes up. X
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Foodsupport_AUS
Anxiety and depression do go hand in hand with ED. Your d's behaviour as regards resistance sounds very normal this early on in illness. For me the real question is not whether she is resisting and struggling still but whether you are making headway with weight restoration despite this. If you are managing to do so, well, done. May be you just need to keep going. If you are struggling with headway on weight gain, no amount of therapy is likely to help, rather you may need a higher level of support, to try to get that weight up higher. 
We had severe depression and anxiety here too, for some years in our case. Consistent meals in - over a prolonged period of time helped, as did medication. 
I am sorry I can't help you with providers, wrong side of the world. 
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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Scaredmom2019
Hi @patience20
Got your email and responded. 
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mamabear

Depression and anxiety are commin and normal at the stage you’re at. If your daughter is not yet nutritional both brain and weight restored, no amount of therapy will benefit her. These behaviors you’re describing are very normal. 

My advice is to get the weight on as fast as possible. 2 pound a week gain minimum. Shoot for 10% above where historical growth curve was. The vast majority of us who have kids in recovery saw massive improvement in behaviors and mentality  once the weight got to where it truly needed to be and stayed there. It’s so hard. 

I am originally from MN. My daughter was at Melrose for a month in 2011 and it was not good. I’ve talked with many recently in MN who have not had good experiences with Melrose or the Emily Program or Minneapolis Childrens unfortunately.  All set weights too low and push independence too quickly. Keep that in mind as you navigate the system. 

Persistent, consistent vigilance!
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Scaredmom2019
@mamabear

That's interesting! I have heard that Rogers ED program is good... but only the Woodbury location. 

I'm wondering... if the anxiety and depression were there years before the ED, would it still be reasonable to expect it to pass with weight gain? I'm thinking not. I don't think my Ds anxiety/OCD/depression will pass with even large amounts of weight gain. 

I think the ED was a new manifestation of her anxiety. And the focus of that anxiety has morphed and changed over the years since a young child. It could be about her eyes, stomach pain, overactive bowels, hair, intelligence and on and on...

For us, therpay was super helpful during and after the ED treatments. I think the resolution of mood related things is highly dependent on whether they were present way before the ED settled in.  Just my thoughts. 
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mamabear

I would agree that it is largely dependent on whether those things predated ED. For those who didn’t have pre-existing mental health issues, food/gain etc is often the ticket. But kids like yours are a different story. 

But until the person has a brain capable of rationale thought and dialogue, therapy is often not helpful. It’s often very helpful for the parents. 


I have a non ED son with mental health issues and for him DBT and CBT therapy on a regular basis is absolutely essential. . 

Persistent, consistent vigilance!
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