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Hi. Welcome. I am a Licensed Master Social Worker with more than 20 years experience working with individuals and families on a variety of issues.
I am so very glad to answer your question. I ave worked with people with eating disorders for many years. Your sister is in the midst of a very serious eating disorder with many associated features such as the purging and now the cutting.
Eating disorders can often occur after a diet or a lifestyle change as you report happened when you Dad had a heart attack.
the stress from your Dad having a heart attack could have been the precipitant to the disorder
Hi. Thank you for responding. I would appreciate your insight about all of this.
I believe that the counseling did not help because it was not enough
I think you are probably right.
I believe she needs more intensive treatment.
eating disorders and one of her magnitude cannot really be treated by one hour a week.
She would benefit better from a stay at a place that specializes in the treatment of eating disorders.
yes you are correct.
where do you live?
with it being this entrenched I am not of the belief that outpatient will help very much.
The nearest cities of notable size are Ashland, Mansfield and Norwalk.
What kinds of facilities are available in Ohio?
I am looking right now...but my thoughts are inpatient fist and then transitioning to an intensive outpatient program. I understand the stigma that your parents think comes with this but eating disorders are quite common but very deadly
How should we transition her to inpatient care? Is it possible to do so without completely disrupting her life and all of the things she is invested in?
if her symptoms are very sever now then the symptoms alone will disrupt her life. Getting her into inpatient care will be what is necessary for her to live a productive life.
I see. How long will she be in inpatient care? What is the typical approach of that kind of care?
Will we be able to see her while she is in treatment?
Here is one that i would start with getting some information from. http://www.river-centre.org/
in a residential treatment facility they will work with her on all facets of the illness...physical, emotional, nutritional, etc.
Thanks, XXXXX XXXXX into it.
yes you will be encouraged to attend family meetings. She will not be locked away...these are open and therapeutic environments where she will have therapy, medical therapy, family therapy and ore so that she can undrstand the underlying cause to these symptoms.
eating disorders are very hard to recover from on their own as each time new stressors appear one can revert back to the symptoms as a coping mechanism.
That makes sense.
The goal for her treatment is to know what the reasons are, how she is feeling at any given moment and not let food, weight or cutting relieve her of any of these feelings.
eating disorders have nothing to do with food.
My father was diagnosed with kidney cancer just over six months after his heart attack. He survived it, but he has just been diagnosed with bladder cancer. I think these have contributed to her relapses.
absolutely and I am sorry to hear about your Dad. It seems to me that she is under much stress arounf this and her fear of losing him keeps coming at her over and over
Her disorder is about feelings of control, is that right? She needs to feel in control of her life, so she resorts to this kind of thing?
the preoccupation around food and weight is a way to avoid any other pain that she is experiencing. The cutting is a relief as it is real physical pain to focus on rather than the emotional.
with the right support and outlet for her feelings she could do well. I have seen many that recover, but it does take work and the proper treatment.
that is the answer that all of the lay person literature likes to focus on....she is feeling so out of control and so scared of feelings that this focus on the food and weight avoids having to deal with the rest of it.
connecting her back to her feelings is the goal so that she doesnt use the eating disorder as a way to feel.
sounds simple...but it takes a long time. her fears and worries are deep.
Is she suicidal? Is it possible for her to recover from this and to live a healthy and normal and happy life?
not a starchy hospital but rather a very healing environment that has the specialty of treating eating disorders.
some sya that an eating disorder is a slow suicide.
I think when you take a look at the River Centre you will be comforted by what you see.
It is possible for her to get better but with the right treatment as I am suggesting.
I have worked in many places both inpatient and out with people suffering from eating disorders and I have seen many do quite well.
I will do what I can to make sure that she gets the treatment she needs. I think the facility you have recommended seems very promising.
I am hoping the family can move past feeling the stigma so that she can get the help that she desperately needs.
I think my mother is beginning to be more open to getting her the help she needs.
Eating disorders are deadly and she has shown you that she cannot do it alone or in the way she has had treatment already.
the whole family needs to be on board and support her.
wonderful. you can come to me anytime by requesting me. I am glad she is coming around.
I do not share her convictions, but my mother is very religious. When she is afraid or when she does not understand, she turns to God. She believes that God can help my sister to heal, and wants to find a counselor or facility that shares this view.
I think my sister's mental health is the priority.
I agree with you and also understand your mom's fears.
I hope that my mother's fanaticism does not cause her to neglect my sister's care.
I hope so too as this disorder is deadly if not properly treated.
Thank you for your help. You have offered some valuable advice and I appreciate your time.
It is my pleasure. I hope you Dad does okay and your sister. Please come to me if you need more help. you will have a copy of this chat when you complete the rating and I hope I have earned a rating of EXCELLENT service.
You have more than earned that rating. Thank you.
Thanks for taking the time to say that and to click on the rating tab. I am here if you need.
Thank you again for your help. Good evening.