Guest guest Posted October 19, 2009 Report Share Posted October 19, 2009 How they diagnose medical versus anxiety versus eating disorder is to evaluate her for each one. Anxiety and an eating disorder can be treated together as they co-exist. To rule out a medical reason for abdominal pain, you'd have to keep a diary of foods she eats, bowel habits, and when and how often the discomfort arises. A good exam will help to point out how bad the anorexia is and if she has some immediate needs for nutrients such as vitamins, ect. The tests are prescribed based on the history and can run the gamut from blood tests to endoscopies. It's probably a good idea to look into all of it, but it does sound like an eating disorder. Your daughter can get well and be happy. My best friend was a severe anorexic into her young adulthood (hospitalizations, feeding tubes, et al). She remains thin, but not too thin. She graduated college and now has 3 children and a husband of 12 yrs. She's a wonderful person and helps explain anxiety to me in ways that I couldn't understand otherwise because I lack that experience. I hope your psychiatry appointment helps and that you also can begin therapy soon. Best wishes, bONNIE > > > Hello All, > > I recently read a post from a here who's daughter was diagnosed with anorexia, and was put on Prozac. She mentioned that the anorexia turned out to be yet another symptom of the OCD. I'm at such a loss with my own dd9. She has OCD and GAD, and possible Asperger's. She's lost 15 pounds since February. Now at 9 years old, she weighs 5 pounds less than she did at her 8 year old check-up! > > We just can't figure out what is causing it. Sometimes she has bad thoughts that keep her from eating, a gross picture in her head or the realization about " where " the meat on her plate comes from (but she loves meat in general). We have to play games at the table to distract her so she'll focus on something else and then eat. > > She complains all the time about her stomach, but the physical exams and radiographs have turned up nothing. She is on Zantac 75mg twice daily, with no change. Now she is on Prozac 10mg once daily to bring down her general anxiety. It seems to have helped overall, but the eating hasn't changed any. She takes Melatonin at night to get past the anxiety rise and get to sleep. > > On top of all this, she asked me the other day how she can still have " folds of fat " on her belly and how the pretty girls on tv can become so " skinny with beautiful flowing hair " (she was sitting down when she noticed the all-together natural folds of her little belly). So I'm fearful we're looking at an eating disorder. She did admit to the therapist once that she's afraid of becoming fat. It doesn't help that I have a weight problem (too much, that is), so I'm not the best role model I suppose. We have an appointment FINALLY with a psychiatrist this Friday, but how do they really diagnose medical vs. anxiety vs. eating disorder in these young girls? > > Thanks for listening...I keep up with the posts here, but often I have no real advice because my family is so new at this (even though we've been at it almost a year, we are far from having any answers ourselves), but I admire each and every one of you on this journey! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2009 Report Share Posted October 19, 2009 I don't know if this is helpful at all, , but when my Mom took Melatonin, it made her stomach hurt. She now takes Benadryl to help her sleep. Did you notice if the stomach pain started at the same time as introducing something new to her system? Just curious. Then again, just stress and anxiety can cause stomach pain and upset. It's so hard to unravel everything sometimes. BJ > > > Hello All, > > I recently read a post from a here who's daughter was diagnosed with anorexia, and was put on Prozac. She mentioned that the anorexia turned out to be yet another symptom of the OCD. I'm at such a loss with my own dd9. She has OCD and GAD, and possible Asperger's. She's lost 15 pounds since February. Now at 9 years old, she weighs 5 pounds less than she did at her 8 year old check-up! > > We just can't figure out what is causing it. Sometimes she has bad thoughts that keep her from eating, a gross picture in her head or the realization about " where " the meat on her plate comes from (but she loves meat in general). We have to play games at the table to distract her so she'll focus on something else and then eat. > > She complains all the time about her stomach, but the physical exams and radiographs have turned up nothing. She is on Zantac 75mg twice daily, with no change. Now she is on Prozac 10mg once daily to bring down her general anxiety. It seems to have helped overall, but the eating hasn't changed any. She takes Melatonin at night to get past the anxiety rise and get to sleep. > > On top of all this, she asked me the other day how she can still have " folds of fat " on her belly and how the pretty girls on tv can become so " skinny with beautiful flowing hair " (she was sitting down when she noticed the all-together natural folds of her little belly). So I'm fearful we're looking at an eating disorder. She did admit to the therapist once that she's afraid of becoming fat. It doesn't help that I have a weight problem (too much, that is), so I'm not the best role model I suppose. We have an appointment FINALLY with a psychiatrist this Friday, but how do they really diagnose medical vs. anxiety vs. eating disorder in these young girls? > > Thanks for listening...I keep up with the posts here, but often I have no real advice because my family is so new at this (even though we've been at it almost a year, we are far from having any answers ourselves), but I admire each and every one of you on this journey! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2009 Report Share Posted October 19, 2009 , I can only give you my thoughts from my experience, but I will share if it might help. I am 53, have GAD and OCD (flares now and again), and I had anorexia as a teen. What my psychiatrist explained to me was that the anxiety emerges in different ways at different times of life. Now I have mostly GAD symptoms (I'm on Lexapro so that helps). When I was a child and also when pregnant, the OCD flared badly: intrusive thoughts, etc. When I was a teen, it was obsessing over food and weight. Speaking " from the inside out " I honestly think it was a little " ocd-ish " in nature, but also rooted in anxiety: fear of getting fat, maybe fear of growing up, need to control my environment,etc. Lots of things intertwined, maybe. There were definitely rituals involved with the eating. And those rituals eased anxiety. So I guess you could say it fit the OCD criteria. Just my thoughts from having " been there " , but everyone is different. As to the stomach pain, of course you want to rule out anything physical, but maybe she is hyperfocusing on her stomach? I'm not saying its imaginary, but I used to hyperfocus on a single body part. I know that sounds so weird now, but that is the way it was! The psychiatrist can help you sort all this out. I remember going through alot of medical testing in my teens as my folks tried to get to the bottom of things (of course this was back in the 70s before eating disorders became more well-known). I wish you all the best in this journey with your daughter. This is tough, but she CAN make it through this and heal. Hugs, Tina > > > Hello All, > > I recently read a post from a here who's daughter was diagnosed with anorexia, and was put on Prozac. She mentioned that the anorexia turned out to be yet another symptom of the OCD. I'm at such a loss with my own dd9. She has OCD and GAD, and possible Asperger's. She's lost 15 pounds since February. Now at 9 years old, she weighs 5 pounds less than she did at her 8 year old check-up! > > We just can't figure out what is causing it. Sometimes she has bad thoughts that keep her from eating, a gross picture in her head or the realization about " where " the meat on her plate comes from (but she loves meat in general). We have to play games at the table to distract her so she'll focus on something else and then eat. > > She complains all the time about her stomach, but the physical exams and radiographs have turned up nothing. She is on Zantac 75mg twice daily, with no change. Now she is on Prozac 10mg once daily to bring down her general anxiety. It seems to have helped overall, but the eating hasn't changed any. She takes Melatonin at night to get past the anxiety rise and get to sleep. > > On top of all this, she asked me the other day how she can still have " folds of fat " on her belly and how the pretty girls on tv can become so " skinny with beautiful flowing hair " (she was sitting down when she noticed the all-together natural folds of her little belly). So I'm fearful we're looking at an eating disorder. She did admit to the therapist once that she's afraid of becoming fat. It doesn't help that I have a weight problem (too much, that is), so I'm not the best role model I suppose. We have an appointment FINALLY with a psychiatrist this Friday, but how do they really diagnose medical vs. anxiety vs. eating disorder in these young girls? > > Thanks for listening...I keep up with the posts here, but often I have no real advice because my family is so new at this (even though we've been at it almost a year, we are far from having any answers ourselves), but I admire each and every one of you on this journey! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2009 Report Share Posted October 19, 2009 HI , Many eating disorders are connected with OCD. I found this out just recently while I was investigating Remuda Ranch, an intensive treatment place for eating disorders, originally, but have now extended their programs to include an anxiety program. It is only for girls. although they do accept boys, but in a different area. My daughter does not have an eating disorder, but we are most likely going to send her there for her OCD. It has a 90 to 95% success rate with eating disorders and they are using the same techniques with the anxiety program. You might want to check out their website. I am quite impressed with them thus far. Remudaranch.com It is located in Wickenburg AZ, about an hour north of Phoenix. Good luck to you! Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2009 Report Share Posted October 25, 2009 Thanks, Tina, I appreciate you sharing your journey. I'll continue the investigation! :-) Sent via BlackBerry by AT & T Re: OCD and Eating Disorders , I can only give you my thoughts from my experience, but I will share if it might help. I am 53, have GAD and OCD (flares now and again), and I had anorexia as a teen. What my psychiatrist explained to me was that the anxiety emerges in different ways at different times of life. Now I have mostly GAD symptoms (I'm on Lexapro so that helps). When I was a child and also when pregnant, the OCD flared badly: intrusive thoughts, etc. When I was a teen, it was obsessing over food and weight. Speaking " from the inside out " I honestly think it was a little " ocd-ish " in nature, but also rooted in anxiety: fear of getting fat, maybe fear of growing up, need to control my environment,etc. Lots of things intertwined, maybe. There were definitely rituals involved with the eating. And those rituals eased anxiety. So I guess you could say it fit the OCD criteria. Just my thoughts from having " been there " , but everyone is different. As to the stomach pain, of course you want to rule out anything physical, but maybe she is hyperfocusing on her stomach? I'm not saying its imaginary, but I used to hyperfocus on a single body part. I know that sounds so weird now, but that is the way it was! The psychiatrist can help you sort all this out. I remember going through alot of medical testing in my teens as my folks tried to get to the bottom of things (of course this was back in the 70s before eating disorders became more well-known). I wish you all the best in this journey with your daughter. This is tough, but she CAN make it through this and heal. Hugs, Tina > > > Hello All, > > I recently read a post from a here who's daughter was diagnosed with anorexia, and was put on Prozac. She mentioned that the anorexia turned out to be yet another symptom of the OCD. I'm at such a loss with my own dd9. She has OCD and GAD, and possible Asperger's. She's lost 15 pounds since February. Now at 9 years old, she weighs 5 pounds less than she did at her 8 year old check-up! > > We just can't figure out what is causing it. Sometimes she has bad thoughts that keep her from eating, a gross picture in her head or the realization about " where " the meat on her plate comes from (but she loves meat in general). We have to play games at the table to distract her so she'll focus on something else and then eat. > > She complains all the time about her stomach, but the physical exams and radiographs have turned up nothing. She is on Zantac 75mg twice daily, with no change. Now she is on Prozac 10mg once daily to bring down her general anxiety. It seems to have helped overall, but the eating hasn't changed any. She takes Melatonin at night to get past the anxiety rise and get to sleep. > > On top of all this, she asked me the other day how she can still have " folds of fat " on her belly and how the pretty girls on tv can become so " skinny with beautiful flowing hair " (she was sitting down when she noticed the all-together natural folds of her little belly). So I'm fearful we're looking at an eating disorder. She did admit to the therapist once that she's afraid of becoming fat. It doesn't help that I have a weight problem (too much, that is), so I'm not the best role model I suppose. We have an appointment FINALLY with a psychiatrist this Friday, but how do they really diagnose medical vs. anxiety vs. eating disorder in these young girls? > > Thanks for listening...I keep up with the posts here, but often I have no real advice because my family is so new at this (even though we've been at it almost a year, we are far from having any answers ourselves), but I admire each and every one of you on this journey! > > > > Quote Link to comment Share on other sites More sharing options...
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