Misadventures in Eating
The photo may seem incongruous. Just wait…
During our first year, our girl ate like a wild thing. She and her brother were undernourished, so I allowed them to have seconds and sometimes thirds.
Since “thirds” seemed to help them feel secure, I made portions smaller once they reached a healthy weight—they were eating the equivalent of maybe one-and-a-half helpings. As they settled, third helpings became unnecessary.
Then, one school day she neglected to finish her lunch. I mentioned she needed lunch to fuel her brain for the afternoon. She asked lots of questions. We spent about thirty minutes discussing nutrition.
I thought we’d made a breakthrough; it was our first real connection. The inaugural Mother-Daughter Conversation of True Meaning.
The next day, she’d eaten even less, but then we had another great conversation.
By the next week, she’d stopped eating lunch.
Within a month, she barely ate anything. Every meal was a struggle. Some days, we actually resorted to spoon-feeding her to get her to finish a meal. She was eight.
We went to the psychiatrist and pediatrician and ended up in a Children’s Hospital feeding program (outpatient) after six months. By that time, she was emaciated.
I was terrified she was developing an eating disorder. Foster children are at high risk for eating disorders; one study found a quarter of the foster children monitored engaged in “aberrant” eating behaviors. Others show similar numbers.
Their psychologist is an understanding genius. She helped me understand what I’d done, though inadvertently, to foster the behavior—and how to reverse the process.
Ignore the negative behavior and make it inconvenient for her. Reward ANY move toward positive behavior.
She patted my shoulder. “You can’t blame yourself. You didn’t know. But you can’t EVER give attention to a behavior unless you want it continued. It’s her way of controlling her world.”
She recommended that we ignore her eating issues altogether and substitute the worst-tasting Ensure-type product I could find. Give her only the meal substitute for a few days, then put both a meal and the bottle in front of her.
“Tell your daughter, ‘we don’t have a preference for which you ingest; either way, whatever you eat needs to be finished within half an hour. If you are finished when I return, you can go to bed five minutes later.’ Walk away,” the psychologist said, “then come back in half an hour and remove anything left over, without comment.”
Our girl was eating again within a week.
This was only the beginning. Now, I am always on alert…hypervigilant, if you will…in my quest to protect her from scheming against herself.
As parents, it’s easy to make mistakes. Here’s the great secret: almost no inadvertent mistakes cause permanent damage, as long as you make changes.
The best way to avoid those mistakes:
- Surround yourself with individuals who are experienced with similar situations.
- Find a mentor in an adoption professional you trust.
- Talk to a counselor (either the child’s or a separate one for you) about your tactics. Ask them to be honest about whether they recommend what you’re attempting. Beforehand, make sure the counselor is experienced with foster/adopted children and their issues.
- Read blogs and articles and medical journals and social work websites.
- IGNORE (or be selective* in taking) advice from anyone who has never adopted or fostered. *Instances may occur in which one of these individuals brings an epiphany.
- Don’t allow others to guilt you into anything (e.g., “She fell down AGAIN? And you didn’t pick her up to soothe her? You totally missed a bonding opportunity.” No, in my case, I prevented seventeen more falls).
- Go with your gut: as you learn this child’s triggers and nuances, you’ll know when to avoid certain situations or try a tactic others might consider ridiculous. If you think it will work, try it. Trust yourself.
And finally, if you have been through the wringer, SHARE YOUR KNOWLEDGE. Someone needs help.
Yes, you. Right now. Start typing.
Can’t wait to hear what you have to say. Add your advice below.
Posted on February 25, 2016, in Adoption, advice, Food, Parent and tagged adopt, adopted, adopting, adoption, adoptive, eating disorders, food, foster, foster child, foster parent, refuse to eat. Bookmark the permalink. 6 Comments.