Our 13yo daughter was diagnosed with atypical AN a few weeks ago. I had been reaching out for help since Feb as it was evident that she was losing weight and restricting food choices. From my own reading I had identified that she fit a lot of what I was reading about Orthorexia. She is obsessed with “healthy” eating but has never seemingly shown an interest in weight loss or any body concerns. After trying to support her through lockdown, we reached out to her school who told us about the CAMHS Eating Disorder Service and told us to ask our GP to refer. Wish I had known earlier that we could self refer. We went to our first CAMHS appointment and didn’t come home for 3 days as she had Bradycardia and was hospitalised for 3 days to monitor her heart. We are now doing FBT at home under CAMHS.
We have implemented meal plans and she is eating 3 meals and snacks and gaining weight (6 lbs since she was diagnosed). What we are struggling with is that she only wants very plain food and is very resistant to any fat apart from avocado. I was adding butter, cream and oil to things but she found out and we had a very distressing for all meltdown where she screamed like a wounded animal for 2 hours, while punching herself in the stomach. Now I am finding it hard to plan meals. I know that if I plan something plain - dry pasta, veg and chicken or salmon - she will eat it. If she thinks something has ‘hidden’ fats then she refuses to eat. She does eat avocado and a cauliflower soup recipe which she knows has cheese in, but is resistant to any other cheese, oil, butter etc. Is it just early days and should I just give her what I know she will eat to get the weight on?
She is generally compliant with her meal plan but her mood is low and she is constantly anxious and depressed and I just don’t know how best to help her. CAMHS are very supportive and keep telling me I am doing all the right things but I can’t help but feel that I am missing something.