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Reply to "Alarmingly underweight tween"
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[quote=Anonymous]I'm the poster from page 4 at 9:12. re: ARFID... technically my son falls in this category where it describes "lack of interest." He is not a picky eater and will try anything. It's just a quantity issue. He wanted to grow and gain weight but just could not eat more. I don't know from reading where OP's child fits in this spectrum, but be aware that the vast majority of ARFID stuff out there is about food aversions and picky eating. Therapies for this kind of thing are not really appropriate for a child who doesn't have food aversions. Meanwhile, therapies for other eating disorders like anorexia involve enforcing a "strict eating regimen" (maudsley, magic plate) as mentioned above. I have real concerns about whether this is the right approach for volume-related ARFID either. P For a kid with volume issues who actually LIKES food and enjoys mealtime, just doesn't eat ENOUGH, this approach seems problematic and likely to cause issues that didn't previously exist. I don't have a good solution, obviously, since we went with the feeding tube. Now he eats whatever he wants and enjoys it, and gets the needed extra calories at night. He isn't stressed at mealtime and neither are we. I also want to push back on the suggestion to pull from activities. If the child is enjoying the activities, for heaven's sake make every effort to keep going. Even physical activities. Yes, they burn calories, but mental health and enjoying life is important. OP is talking about stress and fear...keep things as normal as possible! Pulling her from sports will add to the fear, add to the stress. She absolutely needs to continue doing the things she enjoys unless she actually physically can't. good luck OP. [/quote]
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