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

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Carla
my daughter has bulimia. She is  throwing up dinner after we go to bed. She is also eating after we go to sleep so we can’t control what happens after we are asleep
should I lock the cupboards and fridge and put a lock on her bathroom so she has to use mine?
thank you 
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scaredmom

Hello and welcome, Carla.
Many people have had to lock food away and hide it so the child does not find it. So she is binging too and purging? Some people shop a small amount of food at at time. 
IF your D is bingeing and purging at night, someone may need to stay up with her or sleep with her to ensure she is safe. 
May I ask a few questions about your situation?

Does she have a team to help you all out?

Where are you located? Someone near you may be able to offer up some advice.

What haver you been doing so far to curtail the B+P? 
Yes many have to lock the cupboards and making her use your bathroom with supervision is wise. 
I know it is hard. Please ask all the questions you have. We all wish to help. I will look up some threads on bulimia shortly and post for you. 
XXX

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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tina72
Carla wrote:
my daughter has bulimia. She is  throwing up dinner after we go to bed. She is also eating after we go to sleep so we can’t control what happens after we are asleep
should I lock the cupboards and fridge and put a lock on her bathroom so she has to use mine?
thank you 


With bulemia it is the same as with all other EDs: you need to make the behaviour impossible.
So yes and yes, lock all access to food so she cannot binge while you are sleeping or in the bathroom and lock her bathroom so you can control purging.
If you cannot lock some things put them into the garage if possible and lock that. Be creative 🙂.
Keep feeding. There is light at the end of the tunnel.
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Carla
Good morning (PST here)

Thank you for getting back to me, I’m in Canada. She start seeing a psychiatry today at 10:00 AM. They just email tomorrow. It was supposed to take a while as the clinic is changing staff. 

I buy in on small quantities and I also hide food so she doesn’t eat at night. I thought all was under control because I watch her before school, then she start doing it after dinner. 

I already had had the first orientation with the ED  nurse and dietician. They only explain how it works and why. I was going to book a private counselor tomorrow but now the cliniccontacted me finally

my team will be the psychiatrist, dietician,also another support group for caregivers. These will start tomorrow, finally!

My D is 15 so it’s not possible to stay with her or sleep with her. Yesterday I had enough and told my husband we will put locks in the other two bathrooms as well as the cupboard and fridge since I don’t know what she is up to after we go to sleep. I have hide food in the garage but the door has a lock inside. 

I’ll ask at the orientation. Finally!!!

Thank you for your support. It’s an amazing jsupport we have here. Thank you for the time to organize. It’s a lot of dedication

carla
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tina72
Carla wrote:

My D is 15 so it’s not possible to stay with her or sleep with her.


Why not??? My d was 17 and I needed to do that and here are parents that did that even with adult "children". You need to do EVERYTHING to stop that behaviour that is needed. Your d is severly ill and she needs your help to stop that.
You cannot leave her alone or she will use that to binge and purge. Some kids even get up in the night to do secret exercising while the parents are sleeping. She is in risk for self harm. You really need to supervise her.
Strange behaviour sometimes needs strange solutions...
Keep feeding. There is light at the end of the tunnel.
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scaredmom
Hi Carla, 
Just wanted to get back to you on some resources. 
https://www.aroundthedinnertable.org/post/parents-of-16-year-old-girl-diagnosed-with-bulimia-need-help-6634296?highlight=bulimia&pid=1287198624

https://www.guilford.com/books/Treating-Bulimia-in-Adolescents/Grange-Lock/9781606233511/reviews

https://www.aroundthedinnertable.org/post/anyone-doing-maudsley-approach-for-bulimia-9990213?highlight=bulimia&pid=1307029515

https://www.aroundthedinnertable.org/post/how-do-we-deal-with-toilet-breaksbulimia-5933569?highlight=bulimia&pid=1274333241

Hope there is something in those that may help you. 
I did post a book on bulimia too. 

XXX
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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Carla
Thank you. I’ll read all. 

We we had a meeting at the ED clinic with the nurse, psychologist and dietician. I have more matéria to read as well as a support group starting next month. 

My daughter also has depression, mood swings and anxiety. I think it’s all related to the ED. Psychiatrist mention Prozac. I don’t want her taking those antidepressants. I went through all of them and I just got worse. I’m scared about that mostly

thank you all for the support
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tina72
When your d is already depressive that is another call for supervision 24/7 as they can get suicidal very quick.
Keep feeding. There is light at the end of the tunnel.
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Foodsupport_AUS
Read up lots, it is a steep learning curve. Hopefully the plan is to eat meals regularly and sufficiently , with some weight gain. As for medications there is some evidence of efficacy of SSRI's for bulimia. Many parents here were not keen on medication but ultimately they have been enormously helpful for many children including my own. 
D diagnosed restrictive AN June 2010 age 13.5. Weight restored July 2012. Relapse and now clawing our way back. Treatment: multiple hospitalisations and individual and family therapy.
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Carla
My D is overweight. The plan for now is just keep her eating. She will start going to the gym next week. 

I took every very single anti depressant out there. Side effects were terrible. I suffered for 15 years. That’s why I’d rather she not take. But now you said that I’ll look into it. Which AD did your daughter take?
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Foodsupport_AUS
You may wish to read this in terms of the significance of weight suppression in bulimia. https://www.eatingdisorderhope.com/information/bulimia/weight-suppression-and-bulimia-nervosa

As for anti-depressants my D tried fluoxetine (which has most evidence in bulimia) but ultimately found venlafaxine the most helpful. My D has restrictive AN however. 
D diagnosed restrictive AN June 2010 age 13.5. Weight restored July 2012. Relapse and now clawing our way back. Treatment: multiple hospitalisations and individual and family therapy.
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tina72
"She will start going to the gym next week."
Control that very strikt. Last thing you need now is an exercise compulsion in addition. Many ED kids start to do over-exercising and cannot stop that then.
Keep feeding. There is light at the end of the tunnel.
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Carla
Thank you tina72. I’ll bring that up on the next meeting 
🙏🏼
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Kali

Hi Carla,

You might want to take a look at this study which studied the efficacy of Prozac in relationship to bulimia. The study did demonstrate that it was effective. My d. had anorexia with purging and after weight restoration was on the prozac for a couple of years. She seems to be ok now. I have found no evidence of purging for years.

https://www.ncbi.nlm.nih.gov/pubmed/9924649

warmly,

Kali

Food=Love
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Carla
Hi Kali

I’ve been reading on the anti depressants and every article and book mention it’s efficacy on AN as it help to bring up the weight

my long experience with antidepressants, and I have been on most of them, is weight gain. Risperidon is the worse as I was starving all the time and it did not matter how much I exercised I’d still gain weight. It wasn’t just a few pounds. It was a lot!

We are trying CBD oil at 1:20 as prescribed and it’s night and day. She doesn’t feel depressed and I can see a huge difference

im still reading and trying to find a book that is about bulimia only

blessings 🙏🏼
Carla
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tina72
"Treating Bulemia in Adolescents: a family approach" by Lock/LeGrange is one of the most recommended.

"We are trying CBD oil at 1:20 as prescribed and it’s night and day. She doesn’t feel depressed and I can see a huge difference"

That is great! Keep posting as this experience might help other parents in same situation.
Keep feeding. There is light at the end of the tunnel.
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Ellesmum
Just a thought but you might want to look into Inositol  which is a natural supplement that used to be called vitamin B8. There’s some evidence it can be useful but do research. 
Ellesmum
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Carla
Thank you for the book Tina72 and for the supplement Ellesmum

i started with CBD for pain with a doctor from a pain clinic. It did not work for pain but depression is gone. I have not taken one pill since October

i have severe bipolar depression 
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tina72
There is another mom here that is bipolar, maybe you can share experiences, I hope she will contact you.
Keep feeding. There is light at the end of the tunnel.
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Carla
Thanks Tina. Everything helps
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tina72
Carla wrote:
Thanks Tina. Everything helps

How are you doing? Can we help with anything?
Keep feeding. There is light at the end of the tunnel.
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Carla
Hi Tina

i have an apt with the ED nurse on Friday. It’s for myself and my husband. Next month a 8 keek workshop. On top of that my D refuses to eat. I’ve been more successful with dinner then keep an eye on her with no bathroom break at least one hour after and with her bathroom door open

Last night dinner was a success. I put food on her plate and she ate it all! No bathroom break. I need to see her room today to see if there aren’t any surprises left in containers, towels or bags.  Up Oates and fridge are locked at night

I decided to put her on Prozac and hope it will improve faster. Our FD called yesterday to give me information on proven research. They all have been wonderful. Just need to get a paediatrician  now.

At least  I haven’t had a bipolar crise and depression is under control with CBD oil (1:20 ratio). Howetver I have an emergency appt with a gynaecologist because I had bleeding and I’m in menopause for two years. It seems that it’s a sign of cancer in the uterus. Like if I need another thing to worry about!

Thank you so much Tina for your help and attention 
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tina72
Sounds you have a good plan and some progress! It is a really good idea to see the nurse without her first.
Try to tell her that regular eating avoids binging (that is evidence proofed) and that she needs to eat every 3-4 hours but what you serve (fake you are now and expert with that). Yeah for the success of plating last evening!!!

I hope that the bleeding is due to stress (that is possible and hopefully no cancer). Nobody needs that in addition to ED. I hope you do not need to wait to long to get to know where it comes from! Please keep us updated, we are all with you in spirit.
Come around to ask and to vent if needed!
Keep feeding. There is light at the end of the tunnel.
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scaredmom
I am glad that you are seeing gynaecologist.
post menopausal bleedin should be taken seriously and stress is not usually the cause.
i hope all is fine.
Sending support.
XXX
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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Carla
Thanks Tina

i thought dinner had gone well. We watched the bathroom but I found a bag with vomit in her room this morning 😞

I sent an email to the dietician and nurse asking for help. I’m ready to try Prozac now

D has a trip to Hawaii in December with her marine biology class. I’m concerned to let her go
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