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

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Scaredmom2019
17 RAN D. We have dropped 5 lbs im 10 days. She claims that the weebly weigh ins were with jacket on but I can't recall. With jacket on the weight is only one pound less. I did check jacket...nothing heavy in it.
Either way I am scared. 
She broke up with boyfriend last week and so anxiety is really high though depression lower. Every morning this week she has thrown up straight out of bed. I've seen it. Panic attacks - heart racing, sweaty and...then vomit.
Of course eating has been really,  really hard when she is so anxious and nauseous. We have declined in amounts for sure. 
What should I do? She literally gags when trying to swallow sometimes. Her therapist does believe this is anxiety (fight or flight) that is causing the issues currently. But we both say you have to eat anyway. 
Lunch was rough today but she ate 1000 calories in ice cream instead...so that is good. 
How do I stop this? Do I just do smaller meals, more often, during this rough patch of anxiety due to break up? I know that for myself I also lose my appetite entirely when I'm really, really anxious. I've easily dropped 8lbs in a week or two when really anxious. 
She just hates the thought of food during high anxiety. Im scared. Im scared she needs to go back to ED intensive treatment. Could this be a blip we need to work through? Considering there is a heavy anxiety situation occurring? Im worried but trying to act strong and confident that she will get back to eating normally.
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Enn

I understand the fear/anxiety you are feeling and you will get ahold of this as you know what to do. What foods does she keep down and has the team given meds for the acute anxiety/panic attacks? 

Are you able to distract her during and episode?
Nutrition has to be full and everyday anyway you can. What does work for her? 
You know, this happens, it really does. This is part of the course of EDs. They have to go through normal life things and learn to cope and so do we. The fact she lets you help her is the great. My d would restrict when anxious about school and it is subconscious and so I have to remind her that the anxiety is separate and we cannot use restriction to ease the anxiety. Your situation is more complex with the vomiting. Is she on meds for that? Would she benefit from a motility agent (motilium or domperidone) or an antacid that is taken regularly, like omeprazole, pantaloc and others in the same class of agents?
She will have to fight through the gagging. Has the team given any relaxation techniques during the gagging? 

Just throwing it out some thoughts. 
You will get this done, I know you will.

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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Scaredmom2019
So... we started Lamictal, mood stabilizer. It definitely is helping with mood stability but not anxiety....at least yet. It does have a side effect of nausea and loss of appetite so that could play a role here. Only two weeks on it but huge improvement on depression..
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Foodsupport_AUS
Yes, you can get a grip on this. The important thing is to stick at it. Anxiety is not a reason not to eat. For those of us without AN it doesn't cause too many problems if we don't eat when anxious however for your D it could be life threatening. Liquid meals/ Icecream etc. will not stick in the stomach as long. Small meals frequently three meals and snacks, extra snacks if needed. 

With the gagging learning diaphragmatic breathing or sometimes called square breathing is a good technique when she is feeling anxious and needing to self calm. 
Keep up the good work. 
D diagnosed restrictive AN June 2010 age 13. Initially weight restored 2012. Relapse and continuously edging towards recovery. Treatment: multiple hospitalisations and individual and family therapy.
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ValentinaGermania

How do I stop this? Do I just do smaller meals, more often, during this rough patch of anxiety due to break up? 


I think small, calory dense meals and snacks every 2-3 hours are a very good idea. Maybe she finds it easier to drink the calories or eat ice cream at the moment?
Keep feeding. There is light at the end of the tunnel.
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Scaredmom2019
Thank you all for the feedback and boost of confidence which I need right now. 
I think this boy is really messing with her and taking advantage of her and her illness. 
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ValentinaGermania
So at least that might be a blessing that he is gone now 🙂...
Keep feeding. There is light at the end of the tunnel.
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Torie
With the gagging learning diaphragmatic breathing or sometimes called square breathing is a good technique when she is feeling anxious and needing to self calm. 

I forgot about that.  YP used to report good results with that so I think it is worth looking into.  Can't hurt to try. xx

-Torie
"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
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