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22 Sep 2007

how to approach possible anorexia
My daughter is 19 years old. Two months ago she started eating extremely healthy no fat in her diet, i am not even allowed to put oil in food. She is becoming extremely thin and won't get on the scale in front of me at the gym. She has a CHEAT day on Sundays, but will drink a lot of water on the day. My husband and i seperated about 3 years ago and have a son who is in matric now. She is always talking about food and loves cooking for us. When i told her that she is getting too thin, she just ignores me and she doesnt think that there is anything wrong with her body, her arms are extremely thin, and her ribs are starting to stick out. She also exercises a lot and would feel guilty if she hasn't been able to gym for one day. What is there that i can do, because talking nicely doesn't help, and getting angry and upset doesn't either. She says we must just accept her that she is eating healthy and not able to eat like us. This coming from a child who used too really enjoy her food and has never really had a weight problem. Please help me i am desperate
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Expert
CyberShrink
cybershrink

01 Jan 0001

SOunds like she might call her eccentric diet "healthy" but it obviously isn't. Some fats are worth avoiding, but some oils are extremely healthy and much needed in the diet. She sounds anorexic, including the passion for cooking for Other people rather than for herself. People witgh eating disorders often have a severely disordered perception of their physique, and don't recognize how hirrbly thin they have become --- there's a distortion of their body image. At 19, unless there is reason to fear serious health harm, she would probably not be eligible for compulsory attention, but do work gently but persistently to convince her that she should see a good local psychiatrist for a proper assessment and advice on treatment.
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