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Daughter has Eating Problem

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Q. Dear Bracha, I'm beginning to suspect that my teenage daughter might have an eating disorder. The other day, I thought I heard her throwing up in the bathroom after dinner. I know she is very self-conscious about her weight and considers herself somewhat over her ideal weight. I really don't want this to get out of control, but I also don't want to be overreacting. Please help.

A. Your question presents a very serious situation and I must inform you that I have asked a specialist for input because of the medical implications of your daughter’s actions.

The very first thing you must do is to carefully listen for those sounds of throwing up that you heard. Take or two or three days even a week if necessary, be very circumspect. It is vital that your daughter not know that you are listening to her when she goes to the bathroom after meals. The time you spend making absolutely sure that she is throwing up, is well spent. You will be repeatedly questioned on this, once you seek professional help, so you must be able to state your proofs with absolute confidence. You will also be questioned how many times, with a potential for the belittling of the situation if you can say “only once”. So listen at the door for a few days, see if there is an established pattern. Write your observations down, in a secure place daily, and then go to your pediatrician or GP.

There is nothing to be gained by confronting your daughter; the most likely result will be that she hides her condition better. Eating disorders need the intervention of trained specialists, if your doctor is not able or willing to help it is vital that you let nothing stop you in getting the help your daughter needs. Access other health care professionals though other means such as Public Heath or Family Services.

If you have been listening at the door but are still unsure, you should still try to get help from your family physician. Ask that he put you in contact with specialists in this area to help guide you in determining if this is really a problem.

Wishing you and your family all the best, - Bracha


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