Reply to Calorie-dense and easy-to-eat, lunch ideas

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Soup isn’t going to be enough. Is this a private school? Most middle and high schools allow nuts.

Ravioli/tortellini with sauce would be my recommendation. Look at jarred sauces at the store and pick the one with the most calories. We use Rao’s Sensitive Marinara.

My teen is in recovery from anorexia, so unfortunately I have experience with this.

If she’s a slow eater AND a picky eater AND you have trouble with her weight, please look into ARFID. If it resonates at all, please get her treatment. You do not want this to persist into adulthood, and it can create health issues, short and long term.[/quote]

She doesn't like anything with tomatoes, so sauce is out.  Generally all condiments or sauces are out.  Butter is a preferred favorite.

I read up on ARFID and it does resonate somewhat.  But I would say she is much less pickier now, then she used to be between the ages of 6-8.  She will at least try everything now.  But the complete lack of interest in eating, lack of appetite, and also the frequent choking episodes (going down the wrong pipe), and lack of growth- that all sounds familiar.   What does treatment look like for ARFID?

Her aunt also had a very severe eating disorder, but she says now that it was just undiagnosed celiac disease.  We have tested multiple times for celiac.[/quote]

EDs are genetic, so your daughter is at risk, regardless of symptoms. Celiac and EDs have a high co-morbity rate - in fact, I’ve read that everyone diagnosed with ED should be tested for celiac. It is very possible her aunt had both.

Treatment for ARFID is a mix of CBT, exposure therapy, food-chaining. You want someone who used evidence-based methods (they should use that phrase). Ask what specific methods they use. They should be able to back each one up. Talk therapy is a waste of time here, as is yoga, equine therapy, etc.

Lack of growth is a big red flag, btw.

I don’t know if this will help motivate, but picky eating can have a big impact on your social life later. Dating, lunch meetings at work, etc. My high school BFF was a crazy picky eater, and it has impacted her whole life. [/quote]

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