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ED How to help anorexic friend?

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Teasel

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For those who have or used to have anorexia, how best can I help / be there for a friend with anorexia?

She has reached out and now has an ED consultant which is great.

She hasn't eaten in a week, has been very unwell with a lung condition, is on IV antibiotics, and yesterday vomited bile, today she is faint everytime she gets up.

She also has been diagnosed EUPD.

I've asked if she might let her GP know at least but she won't. She said her friend is concerned and wants to contact her ED consultant but she hasn't told her friend about being sick and faint.
 
My superpower is that I’m obnoxious ;)

Meaning, in this kind of case, I’d most likely -since I have in the past- walk in with a case of meal replacement shakes, open one, hand it to them, and tell them to drink.

Any argument? Fine. Shrug. Walk out the door. Leaving both the drink and the case.

I don’t do power plays around food. I’m not going to slather attention on someone who knows they’re hurting themselves, and has the resources to hand to deal with it. I’m not going to argue wih them, or force feed them, or chase them around pleading and begging, or guilting and shaming (I WILL very cheerfully do any of the above with certain other things ;) Weapons are meant to be used, but used to a purpose). Because all that bathing them in attention or argument is doing; is rewarding f*cking shitty behavior, if it’s BPD attention seeking being fed whilst the body starves; or making an internal argument harder by giving them an outside source to argue with, if its pure anorexia. Nope. Not going to make it easy/hard on them by focusing their rage at me. They can focus it where it needs to be. The internal argument. Not uniting against a common foe.

I will solve the immediate problem, access, and then I will walk my happy ass out the door.

Less than a week, or more than 2 weeks? My actions would be different. 2+ weeks, I’d ring 999 and have them sectioned. Anorexia is the single most lethal disorder out there, and you’re looking at organ failure at around 2 weeks. They’re also going to be half mad/delusional/erratic as f*ck, if they’re conscious, so it’s an exceptionally easy 999 call to make. A) they’re dying & B) they’re incapable of making rational decisions. Either of which rates a boot to the neck. Under a week, meanwhile, I’d be far more willing to hangout, as long as it’s clear they’re not attempting to manipulate me into being the bad guy for them to quit arguing with themselves, and turn on me. The moment THAT little bit of nonsense happens, I tell them I won’t play, and walk out. It almost never gets to that point, because under a week is just a slip, for most people, most of the time. They’ve forgotten to eat, rather than are fighting against themselves.

^^^^
THIS is just what I’ve done in similar situations... being a smidge anorexic myself, and having trauma related food issues up to my eyeballs. What I would recommend anyone ELSE does? Is actually to call their ED specialist and ask them what to do. Because doing that does 2 things; 1) It clues them in that their client/patient is lapsing or relapsing, if they didn’t already know & 2) It’s concrete advice from someone familiar with that persons case.

The reason I shared what I would do is a) you asked... & b) so you could see that calling their specialist or 999 isn’t the “worst” scenario in the book. To the contrary, it’s one of the more reserved/helpful ones for supporters to action.
 
I used to bring in whatever form nutrition & liquids they can with, and sit with them for hours talking about life / listening / whatever until we trashed out the other issues and food was just not main topic of the day... and got done.

But those days, there were 2 of us minimum for that talking. One doing the talking and the other monitoring both blind angles & no go arguments, and the health of both other two.

And I'm not above force feeding the person, but then that could have both legally-ethical issues attached and be something you're simply not trained for, so do not recommend attempting.

Just something I've done awful lot in life / and that are intervention options.

Your girl? I'd talk to the nutrition T first.
As well as make aware the GP, even if not visited - because they are legally responsible for their patient in the event of death. And could lose their license & life stability if sued for negligence.

Tldr it's not just about the person's refusal but many others they effect.

And whichever you do, you are doing the right thing -

Do not let her guilt or blame you into feeling like an abuser. Just because in anorexia it's common and anorexia plus EUPD / BPD double.
 
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Very much appreciate your replies, letting them settle in my brain so I can think clearly.

Couple things I forgot to mention- she's not a close friend, she was my Dad's friend, she's 100 miles away and in the time of coronavirus and with her shielding for 12 weeks cause of her lung condition and my having had covid 19 symptoms walking in with anything is not an option. I don't know her address, GP or ED consultant. I do know her friend's name and could contact her on Facebook if it get's to that.

Also she's been having what she calls vitamin drinks - I don't know if that means meal replacement shakes or not. She said she was going to have a milky hot chocolate too.

As I said she told me her friend wants to phone her ED consultant on her behalf, whether she likes it or not, and I asked her to tell her friend about being sick and feeling faint which she promised to do.
 
Yep, in that case the most you can do is really monitor developments, keeping updated on changes, in contact with who's contactable by you, and provide positive reinforcements.

Gentle nudges about eating / praise on it - OR qualities that drove the people to restrict food intake - can be a lot.

With a lot of (I'm tempted to say 'my people' lol) people I talked with, we could be aages on how good artist, musician, mom, pets-mom, woodcrafter, biker, make-up artist, comedian, they are. And others, but imma focus on the civs side to even respond to this thread cough.

So there's a lot that can be pointed to, to help keep her will to live afloat and steer her to actually do something while yet having the time.

But the ultimate decisions are hers.
 
Ok so brain not parsing the info well.

To try n summarise, be encouraging, and contact her friend if n when I'm more concerned, that about right?
 
I think Fridays post about the protein shakes is a good idea. Or tell her that you couldn't wait for her to come out of the hospital being well and being the beautiful person that she is. That you were excited when she got out to do shopping or getting a bite to eat at ________ or watching the ducks at your favorite lake. Be on her side and listen.

I think you will be fine, once you get there.
 
Well I have to say I'm proud of her. Suspecting her reluctance to speak to medical staff was based on minimization due to thinking herself not so important rather than out of wanting to manipulate ~ I asked her how she would feel if I told her I was experiencing just the things she is currently, and would she be concerned for me and that seemed to get through to her quite well.

She'll be visiting her ED consultant tomorrow.
 
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