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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Pandamom
I am so grateful for the help and advice that I received from this forum. My daughter (15) with restrictive anorexia gained 20+ lbs and almost WR. I realized she is entering another phase of feeling depressed, anxious, and low self-esteem. She already tried 4 therapists and now she just started seeing this new therapist. 

The therapist had ED/ anxiety and recovered many years ago. She has 20 years of counseling experience. She knows a lot. She's up to the point and very efficient. After the first session, my D said she learned a lot in an hour and felt very beneficial. But on that same night, my D had a "worry" attack about the next day of school, which is tied to a group project (she has social anxiety). Is it common to see an increase in anxiety after a therapy session?  My D mentioned that the therapist said she is ready to try some exposure to fear food. 

The other therapists who she tried weren't as proactive as this new therapist. They were mainly doing talking about feelings and writing journals about feelings, and with some DBT. 
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ValentinaGermania
Your d is maybe going through extinction burst when she is around WR and that is a phase when anxiety increases again.
Also it could have increased because the therapist told her she is ready for fear food. Try to calm her down and tell her that you will decide what to do with fear food in a slow and laddered approach and that this does not mean she needs to eat all fear food from tomorrow on.
This is a risky time around WR, try to get through it as fast as possible 🙂. If you need help, we are here!
Keep feeding. There is light at the end of the tunnel.
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Foodsupport_AUS
Pandamom I don't think it is common for kids to have worse anxiety after a therapy session but at the same time it does depend a lot on what has been discussed and what challenges have been set. My D found some therapists helpful and others useful. If your D is talking about challenge foods that sounds like a good thing. It is not necessarily bad that she feels more anxious straight after if she learns new ways of dealing with it. The goal of most anxiety therapy is not to stop the anxiety but to stop the paralysing effects anxiety has, that is tame it rather than stop it altogether. 
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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PurpleRain
Love This:
the goal of most anxiety therapy is not to stop the anxiety but to stop the paralysing effects anxiety has, that is tame it rather than stop it altogether. 
13 yo d started to eat "healthy" September 2018, she had a growth spurt a bit later, followed by tummy bug. She started restricting breakfast and school lunch in January 2019 (that we know). We succesfully refed at home.
I have found inner strenght, patience and compassion that I did not know I had.
Never retreat, never surrender
keep feeding
 
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salmy
It's interesting that you've experienced this as well. My D(16) has a terrible night and dinner after her nutritionist and FBT therapist appointments each week...no matter how great of a week she had! These appts really make her ED angry.
D16 diagnosed AN October 2019 -25% of body weight, but still "healthy weight" per Dr.
Started FBT Dec 2019
July 2020 Fully WR + 10%
2 Months in to Phase 2
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