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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Your SIL is mentally ill. She has at least one psychiatric condition, an avoidant restrictive eating disorder, and likely others, depression, etc.

She does not need to be on board and the focus needs to be moved off her as some kind of gatekeeper.

BIL needs to take charge of his heath and pass on the Captain Crunch. He needs to provide healthy food to his daughter and get her therapy for her own developing avoidant restrictive eating disorder. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8089271/

One person's mental illness does not need to and should not be allowed to drag down 3 people. If he eats healthy and lower carb (protein and veg NOT pasta w/jarred sauce w/sugar in it) he may reverse own diabetes, esp if he takes up exercise. He should also get himself into counseling and see if the messages from Al Anon resonate, there are Zoom and phone meetings. If he has the money he should order healthy meal delivery for 2.

The mentally ill are unlikely to change. Think hoarding and the like. He needs to focus on what HE can control, himself and at least attempt to support the well being of his child. Her being groomed into an eating disorder by a mentally ill parent is not it. CODA may be another resource that could help him see the need to detach with love and knock off the enmeshment. His child cannot be getting proper nutrition.

Only once he and the child are healthier and have made progress in therapy should SIL's issues be focused on. She may need inpatient treatment, at minimum a qualified psych eval and outpatient treatment plus likely meds. https://psychcentral.com/eating-disorders/avoidant-restrictive-food-intake-disorder-symptoms#symptoms Even for ARFD she is on the extreme end. https://www.eatingdisorderhope.com/blog/effective-treatments-adults-arfid
https://www.reddit.com/r/ARFID/comments/aqua62/can_you_have_arfid_and_be_overweight/

Even depression in a parent can have significant effects on kids, he really needs to step up and shield her. He may well be depressed and overwhelmed himself, thus the need to get support and an actionable plan re: HIS physical and mental health first. Oxygen mask. Since he has asked for help, start there.  [/quote]

OP here. This is one of tho most helpful posts Ive seen. I had never heard of avoidant disorder prior to today. By the way SIL has a shopping addiction and is a hoarder too. I will read up a lot on this and will send him this info.  [/quote]

I am the PP with a child with ARFID. This was a very inflammatory take on the disorder. Many people with ARFID also have severe reflux or other underlying medical conditions. It is a new and complex diagnosis and I do not know a single person who has ever received in patient therapy for it, and have only read of it happening for patients who need a feeding tube. The vast majority of the time the gold standard for people over the age of 8 is CBT.

If your SIL was open to talking to a therapist generally that might help but rushing in trying to get her commited or something is not going to be helpful.

It’s insane her DH just waited and did nothing all these years and is trying to get her to cook pasta. He needs to take a looooootttttt of responsibility for his health and his kids. [/quote]

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