My Kid's Being Bullied, ARFID, and More *Podcast Listener Questions Answered*
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Before we get started, I just want to note that if you have a question, whether it's something that you've been wondering about for a long time and just don't really know who to ask, or you've been asking like every single person you see and you want another take on it, let’s chat. Send me an email, DM me on Instagram, whatever it may be, and add “Podcast Listener Question” in the subject line so I can be sure to add it to a future podcast episode.
Choosing the Right Level of Care
This first question revolves around the decision-making process regarding various levels of care for eating disorder treatment. Many individuals with eating disorders receive outpatient treatment, but some may consider stepping up to higher levels of care like intensive outpatient programs, partial hospitalization, or even residential treatment. The challenge is figuring out which level of care is best for them. The answer is not one-size-fits-all.
Selecting a level of care requires careful consideration. Historically, professionals often recommended moving to a higher level of care when traditional outpatient treatment wasn't effective. However, recent insights from patients and their experiences with higher levels of care have made me rethink this approach.
The ideal situation is when an individual is genuinely suffering and needs the extra support that higher-level care provides, acting as a launchpad for their recovery. But it's not always that straightforward. We also have to consider the motivations, goals, obligations, and potential consequences of transitioning to a higher level of care. The decision isn't solely based on symptoms; it's about the whole person and their unique situation. For more examples of what I mean, listen to the full audio.
Teasing Kids About Their Weight
The second question tackles a sensitive topic: children being teased about their weight. This is such a tough situation because it can have long-lasting effects on a child's self-esteem and mental well-being. But how should weight-inclusive providers address this issue?
The quick answer: don’t fall into the trap of thinking changing your child’s weight will solve the issue. Love them and support them and hold them when they are struggling.
The long answer: It's crucial to remember that children should not be burdened with the responsibility of changing their weight. Any attempt to address their weight (if you choose to do so, I wouldn’t suggest it, though) should be a family matter. Even if weight management is the goal, the child should not be aware of it. Children should never be subjected to discussions about changing their bodies, especially not directly. This responsibility lies with the adults and caregivers. (Buyer beware, this comes with all sorts of underhanded messages that your kids will pick up on.)
The focus should be on offering unwavering support, addressing the bullying at school, and letting the child know they are loved and accepted. Resilience lessons are taught through love, not shame. When children come home upset, we have to provide emotional support and let them know they're not alone.
ARFID (Avoidant/Restrictive Food Intake Disorder) Treatment
Lastly, we tackle ARFID, Avoidant/Restrictive Food Intake Disorder. It’s different from traditional eating disorders because it doesn’t necessarily focus on weight. Rather, ARFID focuses on food aversions and specific challenges with eating. So, how does treatment for ARFID differ from other eating disorders?
The fundamental approach isn't entirely different. It still involves behavioral elements like working with a dietitian to increase food intake and expose the individual to fear foods gradually. However, the emphasis shifts to exploring the why behind their disorder.
What's triggering them?
When did it start?
How do their emotions factor in?
Eating disorders are often a means of emotional regulation, and ARFID is no exception.
In ARFID treatment, curiosity and an open-ended approach are crucial. We should ask questions about the person's relationship with food, emotions, and their experiences. It's essential to be flexible in our approach, adapting to the unique individual and their needs.
All of these questions help us to remember that mental health, eating disorders, and the well-being of our children are intricate and multifaceted issues. There's no one-size-fits-all solution for treatment or support. Instead, we should strive to understand, support, and adapt to the unique experiences and needs of those we are trying to help.
Don’t forget to send in your questions or topics you’d like to discuss! I might just share them on the next episode!
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Tweetable Quotes
"We are strong and we feel terrible about it, but we are together. And if that is the message that you can provide to your kids, whether or not they're being teased or teased for their weight, then you have provided your kid with the most valuable emotional lesson that you can possibly teach them about resilience." - Rachelle Heinemann
"Look at the person, ask the why, wonder why, even if you're not asking, and then go from there.” - Rachelle Heinemann
“When you're confronted with the choice of ‘what do I do’, I also think that we have to take into account people's past experiences with treatment.” - Rachelle Heinemann
“We can't just put a blanket statement or prescription on somebody's symptoms and say, you must choose a higher level of care.” - Rachelle Heinemann
Related Episodes
Episode 98. Body Stuff with Dr. Jennifer Gaudiani
Episode 82. Secrets and Eating Disorders with Dr. Kathryn Zerbe
Episode 75. Mothers and Daughters with Judith Ruskay Rabinor Ph.D.
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