Therapist said I may have to be hospitalized if I do not get my eating under control

Anonymous
She made me promise I would eat. She said that she thinks it is more than just my depression and that if I didn't get control of it this week then I was to talk it over with my p doc, but she isn't convinced it is just my depression. I do eat on vacation or if I go out to dinner. I am just not great at it left to my own devices.

Yes, I got a cold recently. Yes, I've lost a lot of weight, some of it I actually wanted to lose. I am only about 10 pounds under my goal weight and my BMI is right around 19, so I guess I am not sure why she is throwing out words like hospital. She was saying my metabolic system could get messed up and make my depression even worse and cause other problems. This whole situation has been going on for about 6 months, but my wieght hasn't gotten any lower than this , and sometimes I get it to go up a few pounds.

Does anyone have any insight?
Anonymous
It sounds like you should take your doctor's advice and try to eat more and get your weight up, right?
Anonymous
Just stop seeing that therapist if you truly feel like she is off base.
Anonymous
You need to eat.
Anonymous
So unless you are going out to eat or you are on vacation, you don't eat? And you really think you don't have a problem? You are delusional.
Anonymous
I'm not very good at eating at home by myself, so I have a couple easy foods that I make for myself: grilled cheese and carrots, mac and cheese, etc.

I count calories to make sure I get enough. Every day. When I don't eat enough, then I feel low the next day, low energy, low mood.
Anonymous
How much do you weigh OP?

I have a hard time seeing why any therapist would put someone in the hospital with a BMI of 19?
Anonymous
Your therapist is attempting to do the job you hired you for. Your appearance and affect are setting off warning signals for her. You can rationalize your way out of it, but before you stop going to sessions and carry on with the status quo, take a moment to consider that perhaps she is right. It may be that you are too scared to put the weight back on- but not eating is not a long term plan for managing that fear.
Anonymous
I am not planning to quit seeing my therapist. OP here. I weigh 110-112 right now and I am 5'4". My goal weight was 120, which is what I weighed when I go pregnant with my first child 12 years ago. I am in my late 40s, if that makes a difference.

I have taken the anorexia quizzes and I never score in the anorexia or even disordered eating range, so I am just trying to get some insight into her thinking.
Anonymous
Just curious..how many calories do you eat a day?
Anonymous
OP, do you have any relatives who have problems with addictions -- whether alcohol, sex, food, or drugs? If so you may want to look into whether you have an eating disorder. These things run in families.
Anonymous
It varies a lot - I really have no idea. On the low days, probably about 500-600 because I skip a lot of meals - small breakfast, snack for lunch, maybe very lgiht dinner. On the high days, like vacation, I have no idea. I try not to count calories but just eat healthy. My husband used to say a lot to me about my weight and getting in shape, so I used to keep track, but now I don't anymore since I don't want to go lower.
Anonymous
Anonymous wrote:OP, do you have any relatives who have problems with addictions -- whether alcohol, sex, food, or drugs? If so you may want to look into whether you have an eating disorder. These things run in families.


No, that's my husband's family, not mine. Alcohol, drugs and anorexia all three in his family. My maternal grandfather was an alcoholic, but that's it. Depression, yes, that we have. And cancer.
Anonymous
Some people do see signs of eating disorders where they don't exist. I would challenge her on it. Threats of hospitalization are not to be made lightly.
Anonymous
500-600 calories a day is a sign of disordered eating. You are in denial.
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