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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Is she on any medication? [/quote]

No. Hesitant to do so for many reasons. Worries it will suppress her appetite even more. She doesn’t experience hunger as it is and has fallen off the growth curve.

She also may have a heart condition that would be exacerbated by any [b]stimulants[/b].

She’s also still very young and hasn’t hit puberty yet, so I’m wary of putting anything in her system before she even hits her key growth stage. [/quote]

Stimulants are for ADHD.  Anxiety is treated with an SSRI or an SNRI.  I’m not a Dr so I won’t say they can’t impact appetitive but I have 2 kids on anxiety meds and it’s never impacted their appetites.[/quote]

OP, I’m also going to add that anxiety meds don’t necessarily take away appetite. There are many choices. You are making a big mistake to trialing medication - multiple if necessary.  Her anxiety is too big to control through therapy or parental support and consequences.  You have a lot of incorrect assumptions about the side effects of the medications she might need - incorrect assumptions that are preventing her from getting the help she needs. also, I would rather have a kid who turns out to be shorter but happy and able to function in school.

Also, she needs a 504 plan at school.

Does she have a therapist?

She definitely needs an evaluation - I guarantee there is an underlying component that is not anxiety that is making school work so hard. IQ, working memory, processing speed, reading, math, writing, attention, language processing, executive function, anxiety, depression and executive function - all should be assessed by normed standardized instruments. If you can only afford a school assessment, that is better than nothing, and you can ask for an IEE if you want an outside opinion after that. Or you can take the school assessment to an educational advocate or psychologist and get an independent review of the testing.

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