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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Hi all,

Long time lurker here. I am so thankful for all I have learned about FBT and how much it has helped my family.

Now I am trying to help a friend with a sick D. She is underweight (17.5 BMI) and caught in a cycle of binging and purging.

My D has always been RAN so I do not have experience in this area.

My understanding from reading the forum is that full nutrition is the key to stopping the cycle. Is there evidence/studies that support that?

The family seems to believe that stopping the binge and purge behaviors should be first and foremost and weight restoration can come later. They are very scientifically minded so any links to studies would be greatly appreciated. Thank you!
Hi Kford, welcome at last. 

I am not quite sure what you are looking for. There is evidence for weight recovery with re-feeding and all treatment guidelines recommend nutritional rehabilitation as part of    initial treatment. That means stopping restrictive eating (almost certainly present too) along with stopping binging and purging. 

 They all need to be managed together and if managed correctly it is likely she will gain weight anyway. 

 The new book that has been mentioned discusses much of this, other  books that talk a lot about the physiology of eating disorders  include Decoding Anorexia - by Carrie Arnold and the Family Eating Disorder Manual - produced by the Center for Balanced living - helping parents to support older children. 
D diagnosed restrictive AN June 2010 age 13. Mostly recovered 10 years later.  Treatment: multiple hospitalisations and individual and family therapy.