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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SiriusHertz
I just recently finished Carrie Arnold's Decoding Anorexia. I always take notes when I'm reading, and I would like some feedback - I converted one of my drawings to a graphic, so I could post it here.

This, as I understand it, is the feedback cycle that kicks in with serotonin and anxiety in anorexics, including what happens with that hormone during refeeding. I know this is only one part of the many complex biological processes taking place in an eating disorder, but this one cycle, as Carrie describes it, clarifies things in my understanding because it resembles feedback loops in electronic control systems, which I am very familiar with.

Can you guys check my understanding and see if I've got this right? Click image for larger version - Name: AN-serotonin.jpg, Views: 113, Size: 686.73 KB
New Mexico USA | Step-Daughter dx. AN on 10th birthday (2012) | Still fighting back

The most beautiful people I've known are those who have known trials, have known struggles, have known loss, and have found their way out of the depths. - Elisabeth Kubler-Ross 

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Cherryusa
Hi Sir,

I can't download this on my IPad and I would love to see it. Wonder if it's my IPad or the file?
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IdgieThreadgood7USA
I can see it on my I phone , jan
"Sometimes you just have to be your own hero"
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YogurtParfait_US
I found this interesting old blog by Julia O'Toole on anxiety (and other symptoms and disorders) and anorexia.  It doesn't apply to my daughter, I don't think, but it is interesting.

The many disguises of an eating disorder
http://www.kartiniclinic.com/blog/post/the-many-disguises-of-an-eating-disorder/

YP
"Hope is a wonderful thing ... but hope by itself is not enough. Hope is the reason to take action, to make a plan and then to change the plan when it isn’t working - over and over and over again if necessary." Hannah Joseph (Let's Feast Friday Reflection, "Just Keep Going," Friday, March 3rd, 2015)
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nevermorED
There are many such pathways and feedback loops at play in the brain controlling feeding behaviors, appetite , anxiety and mood. In my opinion the reason the field has had such a difficult time finding good genetic targets for anorexia nervosa (and other brain diseases) despite the disease's high heritability is because of the complexity of neural pathways. many moving parts mean lots of small differences can cause the predisposition.

I would caution anyone against using tryptophan supplements since I've seen reports of side effects and the absence of benefit, when this has been tried for depression.


Whatever the cause real food is the best medicine with its balance of nutrients and energy, together with Exposure to break the cycle of avoidance. Which isn't at all to say that it won't be possible someday to find a drug that could help, but I feel like the serotonin pathway is looking unlikely as a target. I 'd be overjoyed to be proved wrong, as usual!
Mom to recovered RAN daughter, now age 18
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basrplay
Cant xee graphic herecbut will look at it tommorowon pc. Just want to add that for dd ssri (sertraline) was a godsend to dd during refeeding and sometime after. Early after dx her anxiety and ocd behaviors went over the top ...and even developed tic like symptom they attributed to stress/anxiety..ssri helped gget these under control . She is med free now but was on ssrifor about 2.5years, and there was a short time thay we tried to reduce/ wean nher off and it was evident that it was truly helpful....just our experience.
basr
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basrplay
Of course in the end re her ruminagtion syndrome it was not meds alone, but multidiciplinart treatment that was successful . Meds plus therapy plus biofeedback, plus breathing/ physical t. So not saying meds are cure all. Food is first line treatment....for sure. But in our case meds helped us / her be stable enough to go forward with refeeding
basr
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nevermorED
Great to hear! My H has OCD but he can't tolerate ssri side effects too bad because I know for many with OCD they really work.
Mom to recovered RAN daughter, now age 18
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