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

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Our boy has been weight restored over the past year and is now 16kg above his lowest weight, and about 6kg over where it was suggested his minimum would be. However he still looks slim to me - not a bit of fat on him - he did initially have weight around his middle but that redistributed on its own as the Dr said it would.
He still not eating intuitively but does appear at mealtimes, ask how long it is until the next mealtime etc. Doesnt ever say directly that's he's hungry or ask for food but eats what he's given, and can make a reasonable choice when given a few options.
Anyway he is however incredibly volatile now. He will have 'tantrums' where he is kicking furniture, shouting, crying. They normally blow up in the evenings, and can be sparked by anything but during them no logic, calming etc works except to make him more angry. I have to put him in his room, put music on to distract him and then he calms down on his own. Tonight it was that he had dropped his phone. Who knows what the neighbours must think as he is shouting and banging around!!
In addition to this there is his ongoing extreme school performance anxiety as well.
We just can't catch a break with him! We see the pysch tomorrow, and am seriously considering asking for anti depressants, even as young as he is.
Are these moods normal? Any advice on how to deal with them? I feel like we make them worse. My instinct is to comfort or reason and both make him madder!!
13 yr old son diagnosed April 2015 with Anorexia.
Hi Boysmum-

I have a son a bit older than yours (16) who was WR in February. We saw a real increase in anger, throwing, breaking things, behavior he had NEVER had before a month or so after WR. The rages were really quite scary, and like you nothing we did or said made anything better. They would pass, and after he would act normally. The rages are awfull. I started thinking they may be a combination of the brain starting to fire on all cylinders again (overwhelming after a period of dulled emotions) combined with an increase in testosterone. His T actually said that this does happen in boys, that the jump in Testosterone when back at full nutrition/ appropriate weight can happen and the rages can be associated with that. There's much less info on boys and ED and hormones, but like girls who lose periods boys do lose testosterone when malnourished/starving. Is your son in puberty? Is he showing other signs of increased testosterone?

My other thought is that I think the rages for us may be more frequent when he's more active and thus maybe not getting quite enough nutrition. At 13 your son likely has much growing left to do. Has he grown taller, meaning it may be time to push weight higher? Or perhaps he's ready to grow but doesn't quite have enough extra to grow on? Either way, maybe bumping up calories a bit would be helpful.

We had dropped calories down a little after WR, but have gradually been increasing as he needs to keep slowly gaining as teen boys do and his weight stayed flat for a few months. Knock on wood, since we've bumped calories up, his rages have become less frequent (going on a 14 day rage free streak....). My son is likely almost done growing, and had already gone through his peak height growth and puberty before ED. Guessing you will be chasing much more growth with a younger son. Good luck!
13 year old girls are not exempt from this behavior I can personally attest to this!  I've seen all you have described and more.  

In my d's case I believe some of it can be attributed to poor sleep (ED and anxiety keep her up at night).  School related anxiety has decreased a bit since re-feeding so I would say most of the tantrums are food related.  Nothing I say or do seems to help during the event itself so I basically ignore much of it and then after things calm down we can sometimes discuss what triggered it.   She definitely needs a bit more weight to get her back to historic growth percentile.  We are starting 10mg fluoxetine next week to see if it helps get her there.

"Lineage, personality and environment may shape you, but they do not define your full potential."    Mollie Marti  


15 yr old d diagnosed with AN late December 2015 at the age of 12 after a 23 lb weight loss during prior 3 months. Started FBT/Maudsley at home on Christmas Eve with support from amazing local nutritionist specializing in ED and trained in FBT. WR Feb 2016 and pushing our way through puberty and rapid growth.
Thanks so much both. We sat down with the pysch yesterday without son, and discussed. We are going to start on fluoxetine 5mg and see whether we can help his low mood. He's now 106% weight for height, so she doesn't think it's lack of calories related. All safeguards on food supervision are to remain though and we have decided to add in a milkshake per day. Any experiences with young teenagers and fluoxetine? We are reluctant to medicate but also reluctant to see him suffering, after weight restoration for 6 months. We hope we made the right decision!
13 yr old son diagnosed April 2015 with Anorexia.