We are back again seeking some recommendations and guidance. It has been a while since we were on F.E.A.S.T. website and we are really impressed. It is so well organized and well-presented / very easy to navigate with a ton of useful information. Thank you so much for such an amazing website.
Here is the background and updated information:
Our daughter had two previous episodes of ED first at the age of 12 (BMI 15.5) as a result of a growth spurt and not gaining weight as in she increased her involvement in competitive swimming. We re-fed her at home with the guidance of a nutritionist and were able to restore her to set weight (BMI 22.7) and the symptoms disappeared. Her next episode was at age 17 (BMI 21.2) during the fall of her Senior year of high school when she experienced another growth spurt. We re-fed her and were able to get her weight restored before she entered college.
While there were concerns at various times throughout college, including her decision to become a pescatarian, sophomore year, it wasn’t until this past summer when she began training for a ½ marathon that her weight began to decline from a calorie deficit during training. She also became increasingly intense about fitness and body image in general, adopting the Kayla fitness program. Her boyfriend is a competitive body builder which may have increased her focus on body image and influenced her interest in “Having Abs.” Her healthy weight was in the 124 range (BMI 22.7), she is 5’2” tall. We have attached her BMI history.
Her weight has declined rapidly since she began training for the ½ marathon and adopting the Kayla program, she is now 22 and think she weighs close to 100 lbs, (BMI 18.3) there are clear signs that she is restricting, has increased food related anxiety, and we recently learned that her pulse rate is 45. We were led to believe during Christmas by she and her boyfriend that she would go through a period of "Bulking" consuming more calories to build muscle. We saw her last week it was evident that the her weight was continuing to decline and other symptoms had intensified.
Because she is away at school in Atlanta (We live in CT) and because she is now a young adult pursing re-feeding in the same we have successfully done in the past is not feasible. She and her boyfriend plan to stay in Atlanta, he in grad school and working and she planning to do an internship preparing for Medical school.
We need help identifying the best programs in Atlanta but are not averse to pulling her into a treatment center elsewhere. We are looking for recommendation for programs. We plan to as a first step have her do a complete physical ideally with a doctor who also is knowledgeable about ED and would like help identifying a few doctors in Atlanta.
Thank you in advance for any information you can provide.