Treatment FAQ

how to help someone with an eating disorder who doesn't want treatment

by Jayden Veum Published 3 years ago Updated 2 years ago
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Offer ongoing support to the person, including reassurance, listening, comfort and assistance to get help. Give the person hope for recovery by reassuring them that people with eating disorders can and do get better.

Full Answer

How to start recovering from an eating disorder?

Stick to a regular meal plan in terms of timing, and having all the food groups, but see where Christmas food can fit in. From the 24th December to 3rd January, the Beat Helpline will be open from 4pm till midnight every day and the online support groups will be running as normal.

What are some ways to overcome an eating disorder?

Self-help involves participating in activities that strengthen your ability to avoid the return of an eating disorder in the future. Some suggestions for self-help include meditating or practicing spirituality, learning a new skill, writing your memoir, or sharing videos to social media about your recovery journey.

How I can help my loved one with an eating disorder?

Provide practical support, and don't forget about the person behind the eating disorder. Offer to help with practical tasks (laundry, transportation to and from appointments) Arrange activities that don't involve food or eating so your loved one can continue to take part. Encourage the sufferer to follow through with treatment recommendations.

How do I Help my Friend with an eating disorder?

Support during treatment and recovery

  • Listen, don't analyse. It might be tempting to try to understand what's behind your friend's eating disorder, but probing and diagnosing can have the opposite effect; instead of opening up, ...
  • Pick conversation subjects carefully. ...
  • Let them do the talking. ...
  • Be thoughtful. ...
  • Plan something fun to do. ...

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How do you help someone who doesn't want to eat?

First steps towards supportLet them know you are there. Make sure the person knows you're here to listen and can help them find support. ... Try not to get angry or frustrated. They might already feel guilty about how their behaviour is affecting you. ... Don't make assumptions.

What to say to someone who opens up about eating disorder?

5 Things to Say When Someone Has an Eating Disorder:“I know this is difficult, but I am proud of you.” ... “You are worth more than your eating disorder.” ... “I might not understand, but if you need someone to talk to I will help as much as I can.” ... “Let's do ____ together.” ... “I trust/believe you.”

What should a person do if he she has an eating disorder?

Avoid discussions about food, weight, eating or making negative statements about your own body. But don't be afraid to eat normally in front of someone with an eating disorder. It can help set an example of a healthy relationship with food. Take care of yourself.

What is it called when someone doesn't want to eat?

Anorexia is a general loss of appetite or a loss of interest in food.

What is an Orthorexic?

What Is Orthorexia? Orthorexia is an unhealthy focus on eating in a healthy way. Eating nutritious food is good, but if you have orthorexia, you obsess about it to a degree that can damage your overall well-being. Steven Bratman, MD, a California doctor, coined the term in 1996.

What are consequences of purging?

Frequent purging often causes dehydration; it can also throw electrolytes out of balance and strain the heart. This could also cause a heart attack or a seizure.

When should you go to the hospital for not eating?

Any time a person is experiencing medical complications due to their eating disorder including but not limited to an unstable heart rate or blood pressure, fainting, or bleeding from vomiting, they should be screened for hospitalization.

How do you help someone with body image problems?

7 ways to support someone with body image issuesShow support with meals. ... Show support outside of meals. ... Be patient and actively listen. ... Understand their boundaries. ... Ask what they need. ... Be encouraging and build them up. ... Encourage them to talk to someone. ... Don't force them to eat or exercise.More items...•

What are two signs of bulimia nervosa?

Bulimia signs and symptoms may include:Being preoccupied with your body shape and weight.Living in fear of gaining weight.Repeated episodes of eating abnormally large amounts of food in one sitting.Feeling a loss of control during bingeing — like you can't stop eating or can't control what you eat.More items...•

Should I force myself to eat if I have no appetite?

Forcing yourself to eat can be detrimental, especially if you make yourself sick. It would be better to have a light snack, like a piece of fruit or small bowl of granola, than to force yourself to eat a full meal if you are not hungry.

Is Picky eating a mental disorder?

Although pickiness has not yet been officially recognized as a mental disorder, the American Psychiatric Association is considering its inclusion in the next edition of the DSM (Diagnostic and Statistical Manual of Mental Disorders), the official compendium of emotional and mental disorders.

Can you throw up from not eating?

Yes. Not eating can make you feel nauseous. This may be caused by a buildup of stomach acid or stomach contractions caused by hunger pangs. Learn more about why an empty stomach can trigger nausea and what you can do to quell hunger-related nausea.

Setting Up A Treatment Plan

You and your treatment team determine what your needs are and come up with goals and guidelines. Your treatment team works with you to: 1. Develop...

Medications For Eating Disorders

Medications can't cure an eating disorder. They're most effective when combined with psychological therapy.Antidepressants are the most common medi...

Hospitalization For Eating Disorders

Hospitalization may be necessary if you have serious physical or mental health problems or if you have anorexia and are unable to eat or gain weigh...

Hospital Day Treatment Programs

Day treatment programs are structured and generally require attendance for multiple hours a day, several days a week. Day treatment can include med...

Residential Treatment For Eating Disorders

With residential treatment, you temporarily live at an eating disorder treatment facility. A residential treatment program may be necessary if you...

Ongoing Treatment For Health Problems

Eating disorders can cause serious health problems related to inadequate nutrition, overeating, bingeing and other factors. The type of health prob...

Why do people with eating disorders eat?

People with eating disorders use food to deal with uncomfortable or painful emotions. Restricting food is used to feel in control. Overeating temporarily soothes sadness, anger, or loneliness. Purging is used to combat feelings of helplessness and self-loathing.

What is eating disorder?

Eating disorders involve extreme disturbances in eating behaviors— following rigid diets, bingeing on food in secret, throwing up after meals, obsessively counting calories. It’s not easy to watch someone you care about damage their health—especially when the solution appears, at least on the outside, to be simple. But eating disorders are more complicated than just unhealthy dietary habits. At their core, they’re attempts to deal with emotional issues and involve distorted, self-critical attitudes about weight, food, and body image. It’s these negative thoughts and feelings that fuel the damaging behaviors.

What is the cycle of binge eating?

Bulimia. Bulimia involves a destructive cycle of bingeing and purging. Following an episode of out-of-control binge eating, people with bulimia take drastic steps to purge themselves of the extra calories. In order to avoid weight gain they vomit, exercise to excess, fast, or take laxatives. Binge Eating Disorder.

What is family therapy?

Family therapy. Examines the family dynamics that may contribute to an eating disorder or interfere with recovery. Often includes some therapy sessions without the patient—a particularly important element when the person with the eating disorder denies having a problem. Group therapy.

What are the health problems that eating disorders cause?

All eating disorders can lead to irreversible and even life-threatening health problems, such as heart disease, bone loss, stunted growth, infertility, and kidney damage.

How to avoid weight gain?

In order to avoid weight gain they vomit, exercise to excess, fast, or take laxatives. Binge Eating Disorder. People with binge eating disorder compulsively overeat, rapidly consuming thousands of calories in a short period of time.

Why do people with anorexia starve?

People with anorexia starve themselves out of an intense fear of becoming fat. Despite being underweight or even emaciated, they never believe they’re thin enough. In addition to restricting calories, people with anorexia may also control their weight with exercise, diet pills, or purging. Bulimia.

What to do if someone has not responded to treatment for eating disorders?

If the person has not responded to treatment for eating disorders, reassure them that this does not mean that they will not succeed in the future. Encourage the person to be proud of the positive steps they are taking toward recovery. Suggest to the person that they surround themselves with people who are supportive.

What to do when someone won't go to an appointment?

If the person won’t agree to go to their appointment: Let them talk about what is worrying them. Give them emotional support and encouragement. Talk about what kind of practical help the person needs to be able to go to their appointments.

What does it mean to be disorientated?

is expressing thoughts of suicide or of killing someone else. is disorientated (does not know who they are, where there are, or what time of day it is) has delusions (false beliefs) or hallucinations (seeing, hearing, feeling or smelling things that do not exist) is confused or not making sense.

How to avoid conflict over food?

Do not let issues of food dominate your relationship with the person and try to avoid conflict or arguments over food. Try not to give advice about weight loss or exercise. Try not to reinforce the idea that physical appearance is vital for happiness and success. Try to avoid comments about the person’s weight or appearance .

Can an adult refuse treatment?

Generally, an adult has the right to refuse treatment. But they can be treated without their consent if their life is in danger or if they lack the capacity to consent. If the situation is not an emergency, continue with your support, and be open, approachable and nonjudgmental.

Ways to Help Without Directly Speaking to Them About It

Oftentimes, your family member or friend might not realize or accept that they have an eating disorder. The best chance for treating this problem is by speaking with a mental healthcare professional. ‌

How to Speak to Someone With an Eating Disorder

If you're ready and feel the time is right to speak with your friend or loved one about their eating disorder, here are some tips that may help:

How to help someone with eating disorder?

Practice meal planning. Establish regular eating patterns — generally, three meals a day with regular snacks. Take steps to avoid dieting or bingeing.

What to do if eating disorder doesn't improve?

If an eating disorder doesn't improve with standard treatment or causes health problems, you may need hospitalization or another type of inpatient program. Having an organized approach to eating disorder treatment can help you manage symptoms, return to a healthy weight, and maintain your physical and mental health.

What is the treatment for eating disorders?

Treatments for eating disorders include therapy, education and medication. Find out what works. By Mayo Clinic Staff. Eating disorder treatment depends on your particular disorder and your symptoms. It typically includes a combination of psychological therapy (psychotherapy), nutrition education, medical monitoring and sometimes medications.

What are the health problems associated with eating disorders?

Health problems linked to eating disorders may include: Electrolyte imbalances, which can interfere with the functioning of your muscles, heart and nerves. Heart problems and high blood pressure. Digestive problems.

How long does eating disorder therapy last?

It involves seeing a psychologist or another mental health professional on a regular basis. Therapy may last from a few months to years. It can help you to: Normalize your eating patterns and achieve a healthy weight.

What type of therapy is used for eating disorders?

Cognitive behavioral therapy. This type of psychotherapy focuses on behaviors, thoughts and feelings related to your eating disorder. After helping you gain healthy eating behaviors, it helps you learn to recognize and change distorted thoughts that lead to eating disorder behaviors. Family-based therapy.

How does a treatment team work with you?

Your treatment team works with you to: Develop a treatment plan. This includes a plan for treating your eating disorder and setting treatment goals. It also makes it clear what to do if you're not able to stick with your plan. Treat physical complications.

How to help someone with eating disorder?

Attend family or individual therapy sessions as needed yourself to address any issues that may be contributing to the maintenance of the eating disorder. Assist your loved one with getting to and from appointments if needed. Attend appointments with your loved one if needed.

What is the best way to approach an eating disorder?

Being armed with information about your concerns is a helpful and neutral way to approach the subject. You can let the person know that it is not their fault and that you realize it is not their choice to have an eating disorder.

What to consider when navigating treatment and recovery?

The most important thing to consider is that you do not have to do it alone as there are many resources available.

Why is it important to remain calm and communicate in a composed manner with your loved one?

It is important to remain calm and communicate in a composed manner with your loved one to assist them in remaining calm as well. If you know their location or if you are with them, 911 can be contacted to assist your loved one in getting help to them quickly.

Is eating disorder difficult for family?

This can be a difficult aspect of an eating disorder for family and friends. It is important to recognize that this does not mean that the individual isn’t interested in recovery, but that they are struggling with what recovery may look like for them.

Can you gossip about eating disorders?

Gossiping about their eating disorder will only increase their shame and damage your relationship. Play therapist: You are not their therapist, so encourage them to seek out professional treatment. It is not helpful to try to be your friend’s therapist no matter how much you think they want to hear your advice.

Can eating disorders be sensitive?

Health issues can be sensitive, and eating disorders are especially so. They are difficult to talk about for both the person who has an eating disorder and the person who is concerned. Here are some suggestions for approaching a friend with an eating disorder: DO:

Is it normal to worry about weight gain?

It's natural to worry about gaining weight, but some people become so preoccupied with food and weight that they find it hard to focus on other aspects of their lives. This mindset can be an early sign of an eating disorder.

Can nagging help with eating disorders?

Shaming or nagging won't help someone with an eating disorder , and it might worsen the condition. Instead, before discussing your concerns, read up on eating disorders so that you can have an informed and empathetic conversation.

Do young adults rely on their parents for support?

Many young adults still rely on their parents for financial and other types of support. Some parents have found that requiring their child to engage in treatment as a condition for certain types of support (car, cell phone, housing, paying for college) has been enough to convince the sufferer to seek help.

Can eating disorders be ambivalent?

Many of those with eating disorders are ambivalent about recovery . They may not believe there is a problem or that the problem is serious. The thought of not engaging in eating disordered behaviors is often tremendously anxiety-provoking, which can also lead someone to turn away from treatment. Regardless of why, it is important to encourage your ...

Can a loved one get treatment for eating disorder?

For all of these types of actions, the advice of lawyers and of the medical community is paramount to a successful outcome. Often, knowing that a loved one is able and willing to require treatment is enough to get the eating disordered person to back down and enter treatment themselves. Studies have shown that many eating disorder sufferers who ...

What does eating disorder do to your self?

One of the most insidious kinds of damage an eating disorder does is not just to chip away at one’s self-esteem, but to wear away one’s sense of existing at all beyond the disorder. Reminding someone that (s)he is still valued for what (s)he is can be a beautiful gesture of confidence and commitment. With someone who was there for me.

What are the major national eating disorder charities?

The major national eating disorder charities all have helplines: in the US, for example, there’s NEDA’s; in Canada, NEDIC’s; in the UK, Beat’s; in Australia, the Butterfly Foundation’s. advertisement.

Is it bad to say something when there is no problem?

In general, probably the danger of saying something when there is no problem, or saying something unwelcome when there is, is far less than the danger of saying nothing at all. Even when it feels like everything hangs in the balance of a word or an act from you, it probably doesn’t. And with someone else who was.

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Definition

Overview

Prognosis

Causes

  • Bulimia Bulimia involves a destructive cycle of bingeing and purging. Following an episode of out-of-control binge eating, people with bulimia take drastic steps to purge themselves of the extra calories. In order to avoid weight gain they vomit, exercise to excess, fast, or take laxatives.
See more on helpguide.org

Symptoms

  • Binge Eating Disorder People with binge eating disorder compulsively overeat, rapidly consuming thousands of calories in a short period of time. Despite feelings of guilt and shame over these secret binges, they feel unable to control their behavior or stop eating even when uncomfortably full. Many people worry about their weight, what they eat, and how they look. This is especially tr…
See more on helpguide.org

Risks

  • The decision to make a change is rarely an easy one for someone with an eating disorder. If the eating disorder has left them malnourished, it can distort the way they thinkabout their body, the world around them, even your motivations for trying to help. Bombarding them with dire warnings about the health consequences of their eating disorder or trying to bully them into eating normal…
See more on helpguide.org

Prevention

  • Be prepared for denial and resistance. Theres a good chance your loved one may deny having an eating disorder or become angry and defensive. If this happens, try to remain calm, focused, and respectful. Remember that this conversation likely feels very threatening to someone with an eating disorder. Dont take it personally. As a parent, there are m...
See more on helpguide.org

Management

  • Be patient and supportive. Dont give up if the person shuts you down at first. It may take some time before theyre willing to open up and admit to having a problem. The important thing is opening up the lines of communication. If they are willing to talk, listen without judgment, no matter how out of touch they may sound. Make it clear that you care, that you believe in them, a…
See more on helpguide.org

Treatment

  • Aside from offering support, the most important thing you can do for a person with an eating disorder is to encourage treatment. The longer an eating disorder remains undiagnosed and untreated, the harder it is on the body and the more difficult it is to overcome, so urge your loved one to see a doctor right away. If your friend or family member is hesitant to see a doctor, ask th…
See more on helpguide.org

Diagnosis

  • A doctor can assess your loved ones symptoms, provide an accurate diagnosis, and screen for any medical problems that might be involved. The doctor can also determine whether there are any co-existing conditions that require treatment, such as depression, substance abuse, or an anxiety disorder.
See more on helpguide.org

Mission

  • Listen without judgment. Show that you care by asking about your loved ones feelings and concernsand then truly listening. Resist the urge to advise or criticize. Simply let your friend or family member know that theyre being heard. Even if you dont understand what theyre going through, its important to validate your loved ones feelings.
See more on helpguide.org

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