Posted by Dr. Beth Steinhauer on December 23, 2004, at 16:26:38
In reply to Elizabeth Steinhauer, MD, posted by anneL on December 22, 2004, at 22:29:18
Dear Anne,
By my calculations, your daughter's current weight is well within normal limits, with a BMI of approximately 23. While I understand your fears that her eating is out of control and she may become too heavy if this continues, it is quite expectable for bingeing and overeating to follow a period of prolonged starvation. It can take some time after weight is restored to a normal level before anorexics re-learn how to eat when they're hungry and stop when they're full. Their usual cues of hunger and satiety have been overridden for so long that they remain distorted. I would try to reassure your daughter that she looks healthy and strong, deemphasize appearance as much as possible, and focus on her accomplishments and strengths. If she is concerned about binge eating late at night, perhaps you could help her structure her evenings so that she is less vulnerable to late-night overeating, e.g. taking the dog for a walk, going to sleep a bit earlier, etc. I'm happy that you've found experienced clinicians to help your daughter. While I agree with you that you don't want to overemphasize a focus on food and weight, it is important for other family members to model healthy eating behaviors, to refrain from dieting or being self-critical re: their own weight or appearance, and to exercise regularly (but not compulsively). There are some good books on the market for parents and family members, including the one I mentioned previously by James Lock and Daniel le Grange.You deserve a great deal of credit for helping your daughter to find the help she needs. Good luck to both of you! ES
poster:Dr. Beth Steinhauer
thread:433131
URL: http://www.dr-bob.org/babble/eating/20041128/msgs/433435.html