Most families report resistance from their child during refeeding and again as their child reaches higher target weights.Resistance can take many forms, from passively refusing to eat to more extreme aggression, property destruction, self-injury and threats of suicide. Following are ideas generated by other families on how to deal with resistance.
Try not to overreact.React as though these behaviors are not occurring and firmly but kindly insist that the meal be eaten.Some families have found that finding a distraction for yourself and/or your child can ease some the anxiety related to refeeding.
Everything (school, exercise, social activities, driving, etc) stops until the person with an eating disorder eats what they are given by their parents. Life stops for parents too.In order to follow through, you will need to have the time to do may need to take sick/vacation time or a leave of absence from work or find additional supports at home and in school. This post, often cited by the ATDT community, describes one family's "Ghandi-like" resolve.
Some resistance may be in the form of trying to get rid of food by throwing it, throwing dishes, dumping food in the trash, feeding the dog, etc.Some families prepare ahead of time by having extra food available, using paper plates, plastic utensils and cups so no time is wasted in providing your child with full, nutritious meals and snacks.
Dealing with resistance can be time consuming and exhausting.Find someone to help and support you – your spouse or partner, relatives, a trusted friend.
Have a detailed back-up plan for dealing with resistance if it becomes too extreme, including calling the police, going to the emergency room and/or admitting your child to the hospital.Work with your physician and/or other team members to develop a plan.
Take threats of suicide seriously.If you can’t ensure your child’s safety 24/7, seek professional assistance immediately.Any patient at risk for suicide should be monitored by mental health care professionals
Some families work with a therapist to develop a contract between you and your child that explicitly spells out expectations for your child, what he/she earns for compliance and what he/she loses for noncompliance.
Your confidence can help your child get through the difficulty of complying.
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