Helping you free your child of an eating disorder



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Bitesize: list of contents

This is the current collection. Whenever I produce more, you have access to everything. The library is highly searchable (have a play around — press Reset to clear a search) and you can also download everything for offline listening. I very much hope that dipping in and out of this collection will speed up your successes and be super-supportive.

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Introduction to Bitesize


 
introduction

Welcome: what you’ll find in Bitesize

What Bitesize can do for you. How it compares to my book.introduction

Our story, my experience

Our story, so you know what we have in common.introduction

Don't believe everything I say

Despite my best efforts to use up-to-date research and experiences, everything in Bitesize may not be right for you. Check!, , introductionbeginning evidence therapist

Find your way around Bitesize

How to search by keyword or date, to use the playlist, to downloadintroduction

Please only share Bitesize with family

Eva’s copyright requestsintroduction

Which eating disorders will Bitesize help with?

What Bitesize can do for you. How it compares to my book., , introductionanorexia binge bulimia

How about orthorexia or muscle-building compulsion?

How orthorexia and bigorexia / reverse anorexia benefit from approaches like those for anorexia, , , , introductionbeginning evidence exercise reverse-anorexia therapist

Take charge: the start


 

How to get startedtake-charge-the-start

What's the journey ahead?

What’s treatment going to look like? The tasks and priorities of different phases of the journey ahead., , , , , take-charge-the-startautonomy beginning exercise fbt coach-for-normality psychotherapy

Your checklist to get ready for treatment

A checklist to get set up to start treatment, with tips like making arrangements with school and your work, , , take-charge-the-startautonomy beginning exercise school

On the same page: consistency between parents

Parents need to be united and consistent. Different styles, same limits. How parents divide up the work., , , , take-charge-the-startbeginning couple meal-coaching partner therapist

First conversation when you suspect an eating disorder

Your first conversation with your child about having an eating disorder. Phrases to first connect, then to persist with action., , take-charge-the-startbeginning communication motivation

Should I tell my child I'm taking the lead?

You’re about to step in, make food decisions and support meals. Should you give advance warning?, , , take-charge-the-startbeginning communication empathy fbt

“We’re taking the lead”: set a time to talk

To tell your child about the changes you’re going to make, here’s how you can set up the conversation and deal with the first objections., , , take-charge-the-startbeginning communication empathy fbt

Principles for a “We’re taking the lead” conversation

You are ready to step in with decisions on food and exercise. Principles to help you prepare a conversation., , , take-charge-the-startbeginning communication empathy fbt

Words to tell your child you’re taking the lead

If you’re wondering how to talk about the changes you’re making, these words or scripts may inspire you, , , take-charge-the-startbeginning communication empathy fbt

Our child will not accept our help

You don’t need your child’s buy-in. How to announce you will serve the next meal anyway., , , , , , take-charge-the-startbeginning communication empathy fbt meal-coaching motivation rejection

Collaborate or take charge?

Are you hesitant to take charge? Do you think your child needs to involved in decisions? This will help you assess., , , , take-charge-the-startautism beginning collaboration meal-coaching motivation

“Back off! My labs are normal!"

Normal blood tests are no reason to do nothing. How to steer empathic conversation to wellbeing., , , , , take-charge-the-startbeginning communication empathy fbt health medical

"I'll accept treatment if I don't have to gain weight"

When your child asks about weight gain at start of treatment, how not to walk on eggshells., , , , , take-charge-the-startbeginning communication empathy fbt health weight

“I’m eating alone – I'm eating with friends”

You’re starting treatment and your child is unhappy having meals with you. What can you say when they want to eat alone or with friends?, , , , , , take-charge-the-startautonomy beginning communication depression friends-your-childs meal-coaching persistence

My child is 18+ and the therapist wants to promote autonomy

Ask the therapist to empower you, whatever your ill child’s age., , , , take-charge-the-start18 adult autonomy fbt therapist

My child is too independent / too old to take our help

An adult describes how having parents take charge of meals helped. It’s not about your child’s age or desire for autonomy, but about the behaviours they’re unable to correct while in the grip of the illness., , , , take-charge-the-start18 adult autonomy fbt therapist

Who to tell?

Who tell about the eating disorder? What to say to your other children; the school. Helpful friends. Shame and secrecy., , , , take-charge-the-startbeginning family friends-yours school siblings

How to be in your power right from the start

Step into your love and power. A pep talk from me., , , take-charge-the-startbeginning communication inspiration persistence

A full recovery: why awful statistics are out of date

You need hope, so know that the scary statistics that get repeated are outdated or unfounded. How modern treatment is so different., , , , , take-charge-the-startevidence hope inspiration recovery relapse therapist

Hold up that candle of hope: your child’s full and wonderful life ahead

Keep the vision of complete recovery. You need hope and so does your child., , , , , , , take-charge-the-startacceptance beginning hope modelling motivation recovery resilience wellbeing

Alternative treatments where parents aren’t so involved

Alternatives to a family-based approach (FBT). What’s recommended for various age groups., , , , , , , take-charge-the-start18 adult beginning cbt fbt motivation recovery therapist

Take charge: your child's experience


 

Understand your child’s needstake-charge-childs-experience

I was desperate for my parents to feed me

Hints our children give us. A letter from a 40-year old who is now using her parents’ help., , , , , , , take-charge-childs-experience18 adult autonomy beginning fbt inspiration meal-coaching mind

Why your child will manage to eat

How parents make the impossible possible. Expectations, clarity, trust and love., , , , take-charge-childs-experiencebeginning fbt meal-coaching mind motivation

The hijacker holding a gun to your child’s head

Give your child ammunition against the terrorist. Be more trustworthy than the eating disorder kidnapper. Does your child report having a bullying ED ‘voice’?, , , , , , , , take-charge-childs-experience18 adult beginning externalizing fbt inspiration meal-coaching mind motivation

Your motto: compassionate persistence

Your main tool. You can be kind AND persistent. Treatment is less effective when we shout, and when we give in., , , , take-charge-childs-experiencecommunication empathy fbt meal-coaching persistence

Walking through hell with your child

To give you the courage to support your child and empathise in spite of their anxious resistance., , , , take-charge-childs-experiencebeginning fbt inspiration meal-coaching persistence

Is your child actually hungry?

Are they fascinated by cooking, recipes? Nature’s push to feast. Bingeing. Uncomfortably full. Appetite regulation., , , , , , , take-charge-childs-experiencebeginning binge cbt fbt hunger inspiration intuitive-eating meal-coaching

Meal coaching


 

How to get your child to eatmeal-coaching

The fight-flight-freeze effect of malnourishment

An ED and malnourishment puts your child in an anxious, isolated state: fight-flight-freeze. Kindness counters this., , , , , , , , meal-coachingaggression anxiety communication empathy flexibility hostility meal-coaching mind weight

Use direct prompts

Examples of direct prompts. Use them often. How it cuts through their panic and bypasses long explanations.meal-coachingmeal-coaching

How distraction is your friend during a meal

TV and games: you may need to pause, prompt for a mouthful, then resume.meal-coachingmeal-coaching

Plan distractions for before and after the meal

A meal will be easier when your child knows you’ll help with the post-meal anxiety. The benefits of keeping to schedule and of distraction before, during and after a meal., meal-coachinganxiety meal-coaching

How to be silent at the right moment

Silence may help your child psyche themselves upmeal-coachingmeal-coaching

Talk to the nervous system: “Trust me, I’m on your side, you’re safe”

Words that calm: less logic, more safety messages for the nervous system, , , meal-coachinganxiety calming communication meal-coaching

“What can I say when my child says…?” Some mealtime scripts

A template, then examples of responses to objections like “I’m not hungry”, “There’s too much”; throwing food, , , , , meal-coachingaggression anxiety communication empathy hostility meal-coaching

Things we say which don’t work so well

See how it feels to hear me model words that are not awful but not great either. Why they are usually not so helpful.meal-coachingmeal-coaching

“I’m feeling fine and doing fine, so obviously I’m eating enough”

Don’t get drawn into logical, rational debate: an example of what you can say instead, , , meal-coachinganxiety beginning meal-coaching medical

Why might there be stomach and bowel pain during refeeding

Why might your child might have nausea, sore tummy, reflux and other gastro-intestinal issues, , , , meal-coachinganxiety beginning calming meal-coaching medical

What to do about stomach and bowel pain during refeeding

Practical and emotional ways to help reduce tummy pain, gastroparesis and other GI issues, , , , , , , meal-coachinganxiety beginning calming communication empathy food meal-coaching medical

Movement, stretching, breathing: to change the mood and reduce tension

Movement, stretching, breathing all help change the mood and reduce tension, , meal-coachinganxiety empathy meal-coaching

Have a break or change the scene

Change the mood when a meal is ‘stuck’. Allow a break. Continue somewhere else., , , , meal-coachingaggression anxiety empathy hostility meal-coaching

The elephant in the room: name the unsaid

When you know your child already decided not to eat, you might bring it out in the open with an empathy guess, meal-coachingempathy meal-coaching

What can I say during a meal? Demo of main tools

Hear me modelling direct prompts, empathy, trust, compassionate persistence, and avoiding bargaining.meal-coachingmeal-coaching

Direct prompts, silence, response to sarcasm: meal coaching demo

Demonstrating some meal coaching tools. What about when child blanks you out with sarcasm?meal-coachingmeal-coaching

Touch, hug, spoon-feeding

The power of physical touch, whatever your child’s age. Hear how I check., meal-coachingempathy meal-coaching

Empathy, bringing out what’s on their mind

I demonstrate empathy guesses during resistance to meal. Normalising, non-blaming, and eating in spite of those (dangerous) thoughts. Combining this with direct prompts., , meal-coachingempathy meal-coaching normalisation

Joys to look forward to, responding to hopelessness 

I demonstrate changing the mood to a positive vision for the near or far future. Responding to hopelessness., , meal-coachinghope meal-coaching motivation

"I want you to eat it" versus "You need to eat it"

Is it better to say ‘You need the pasta’ or ‘I want you to have the pasta’?meal-coachingmeal-coaching

"You deserve this"

Try telling your child “You deserve the pasta”, , meal-coachingexercise meal-coaching psychology

Countdown to the next mouthful

“Keep the fork in your hand. 5-4-3-2-1…and have a bite” A technique to keep the momentummeal-coachingmeal-coaching

"Listen to me, not to your head"

Reduce your child’s guilt during a meal: “It’s MY decision, listen to ME, not to your head”, , meal-coachingexternalizing meal-coaching shame

Praise, cheerleading and giving hope

Praise at mealtimes can make things harder. Tips for cheerleading, giving hope and picking a good time to praise., , , meal-coachingcommunication hope meal-coaching shame

Should you end a meal that’s not working?

When your child is stuck, be persistent while avoiding one meal running into anothermeal-coachingmeal-coaching

 Set a time-limit for the meal?

Have a time limit? Make it an all-nighter? Two criteria: stay as long as there is hope, and as long as you can stay supportive.meal-coachingmeal-coaching

Ask yourself, "Can I win one more bite?"

To avoid giving up while there’s still hope, check the signs and ask yourself, ‘Can I manage one more bite?’, , meal-coachingempathy meal-coaching persistence

The art of ending a meal without blame

After you’ve tried your best with this meal, how to end it and move on, while staying competent and trustworthymeal-coachingmeal-coaching

Your options after a failed meal 

Should you replace calories, add to the next meal, impose rest, or take your child to a doctormeal-coachingmeal-coaching

Does your child always leave a few crumbs?

Does your child always leave a few crumbs or spoonfuls on their plate? Is it a slippery slope? Might leaving a bit help them for a while, surprisingly?, , meal-coachingexternalizing meal-coaching mind

Is ‘Life Stops Until You Eat’ for you?

The many meanings of this popular mantra. Your choices when your child is stuck., meal-coachingmeal-coaching persistence

“Eat, or else”: threats, punishments, consequences, bribes and rewards

Carrot and stick systems, bribes, rewards, incentives, punishments (like removing a phone), may be helpful… or harmful! What about the threat of hospitalization? Suggestions for talking., , , , meal-coachingcommunication hospital meal-coaching school shame

Lunchtime is lunchtime: even when your child is upset

An anecdote: the lesson is, don’t wait for the perfect moment, meal-coachingmeal-coaching persistence

My child won’t even come to the table

Suggested words to persist in getting your child to the table· or to wherever they can eat., meal-coachingmeal-coaching persistence

My child runs away from the table, into their room

Seating arrangement, suggested words, giving them some time, bringing the food to them., meal-coachingmeal-coaching persistence

“I’ll eat alone! Back off!”

What if your child insists that they eat better when you leave them alone? Is it true? Is eating something better than nothing?, , meal-coachingautonomy meal-coaching persistence

If you haven’t seen the food being eaten, assume it hasn’t

What should you do if in spite of refeeding, your child isn’t gaining weight?, meal-coachingautonomy meal-coaching

Meals are not working at home – what's next?

If your child isn’t eating enough, how many days or weeks should you keep trying? When might a higher level of care (like hospital) be needed?, , , , meal-coachingfbt hospital meal-coaching therapist weight

The food


 

What to feed your childthe-food

How many meals, how often?

How frequent meals / snacks protect from ED thoughts and from cycle of binge/restrict. Making arrangements with the school. Your child’s hunger.the-foodfood

How much to feed

What quantities to serve, how fast to go with weight gain, the-foodfood weight

My child is not gaining weight

What should you do if in spite of refeeding, your child isn’t gaining weight?, , , the-foodexercise food meal-coaching weight

Refeeding syndrome

Risk of refeeding lots when your child has been eating very little. Serious, and rare but get medical advice. How fast can you increase food?the-foodfood

What foods should I serve?

All food groups, no more low-fat, low-carb. High-calorie drinks. Vary bowls and glasses., , , the-foodfear-foods flexibility food weight

Give me a meal plan

Pros and cons of receiving a meal plan. How to ensure it serves you well. Without a meal plan, parents empowered.the-foodfood

Fear foods during refeeding

Should you serve foods you child has been avoiding? Should you wait for weight-restoration?, , , the-foodfear-foods flexibility food weight

Can my child stay vegetarian/vegan?

Is the veganism driven by the eating disorder? Prioritise nutritional needs. Also: anorexiafamily.com/vegan-eating-disorder/, , , the-foodfear-foods flexibility food weight

My child insists I eat the same amount

Is your child only able to eat if you eat the same? Is that OK for now? How might you persist in meeting your own needs?, , , , the-foodanxiety empathy food meal-coaching siblings

Comparing: "It’s not fair, I have to eat more than others!" Tips for responding 

Ideas of what to say when your child is comparing, , , , the-foodanxiety empathy food meal-coaching siblings

Exercise


 

Compulsive or excessive exercise055-exercise

Why and how to take charge of exercise at the start

At the start of treatment, why you may need to stop or restrict exercise. How to go about it., , , , , , , , 055-exercisebeginning body_image exercise fat-fear medical muscularity reverse-anorexia school weight

How to talk about limits on exercise

If you’re going to put limits on the exercise your child does, how can you talk about it?, , , , , , , 055-exerciseautonomy beginning communication exercise muscularity reverse-anorexia school social-life

What if my over-exercising child wants to stop but can’t?  

When your child says, “I don’t want to run any more, but I have to”, , , , , , , , 055-exercisebeginning communication empathy exercise externalizing mind muscularity perfectionism reverse-anorexia

What kind of exercise may your child return to later?

What kind of exercise might your child safely return to, and what might keep re-triggering the eating disorder?, , , , , , , 055-exerciseautonomy body_image exercise fat-fear muscularity perfectionism coach-for-normality reverse-anorexia

What drives your child’s attitude to exercise?

What short-term benefits might your child be getting from over-exercise or compulsive exercise? I list possible reasons, to help you have therapeutic conversations., , , , , , , , , , , , , 055-exercisebeginning body_image communication empathy exercise fat-fear muscularity perfectionism psychotherapy reverse-anorexia school social-life therapist weight

How to coach your child towards a positive attitude to exercise

Conversations and actions to help your child transform their attitude to exercise, , , , , , , , , , 055-exercisebody_image cbt education exercise fat-fear flexibility muscularity psychotherapy reverse-anorexia social-life therapist

Cautious steps as you allow more exercise 

Appropriate levels of movement. Guiding principles: monitoring, refuelling, rest days, and go back a step if needed., 055-exerciseexercise food

Why schedule rest or recovery days as you reintroduce exercise

Physiological and psychological reasons to ensure every week has rest days, , , , 055-exercisecalming exercise exposure ocd psychology

Psychology and the Mind


 

The role of psychology. Your child’s mental wellbeing.psychology-and-the-mind

What is the externalizing model? Meet the eating disorder demon

What is ‘externalizing’ and what are the benefits of the model: love your blameless child , fight the demon ED. If your child senses and fears a ‘ED voice’, you can give your child ammunition against it., , , , , , psychology-and-the-mindaggression communication empathy externalizing hostility mind therapist

Why your child might feel misunderstood by the externalizing model

If your child does not see themselves as separate from the eating disorder, the externalising model might make them feel even more alienated from you if you insist on using it. Words you can use instead., , , , , , psychology-and-the-mindaggression communication externalizing hostility meal-coaching mind psychotherapy

What if your child both loves and hates the eating disorder?

If your child senses an ED part, they may be ambivalent about it, defending it as their friend, or deciding to beat it as their foe. It’s normal psychologically to have many parts. How might this guide your communication?, , , , psychology-and-the-mindcommunication externalizing meal-coaching mind psychotherapy

If you ‘hate ED’, does your child feel your love?

When you tell your child you hate ED, do they hear your love or your hate? Do they sense fear or your compassion?, , , , psychology-and-the-mindcommunication externalizing mind motivation psychotherapy

What helps you do a good job: 'Slaying the beast' or 'Walking alongside your child'?

Are you ‘Slaying the ED beast’ or walking through fire alongside your child? Which attitude helps you best to give effective and loving support? Review as this may change., , , , , , psychology-and-the-mindcommunication externalizing mind motivation psychotherapy resilience self-care

Should you 'attack' the eating disorder on all fronts? 

Should you deal with all ED behaviours at once? Is the illness a many-headed beast, a game of Whac-A-Mole? Or can you risk-assess and determine priorities?, , , , , psychology-and-the-mindcold communication exercise externalizing meal-coaching mind

Why isn’t my child getting psychotherapy right away?

Why talk therapy sessions are rarely useful during the refeeding phase. When you might ask for them all the same., , , , , psychology-and-the-mindbeginning mind phase-1 psychotherapy therapist trauma

Should my child have individual psychotherapy after weight recovery?

Talk therapies after weight-recovery. The short focus on adolescent development in Phase 3 of FBT, , , , , , , , , , , psychology-and-the-mindadhd anxiety autism body_image cbt depression fbt mind phase-3 psychotherapy therapist trauma

How to choose a psychotherapist for your child’s individual sessions

What to watch out for if your child is to have one-on-one sessions with a therapist, , , , , , , , , psychology-and-the-mindcbt depression fatphobia fbt mind coach-for-normality phase-3 psychotherapy therapist trauma

Should my child like their therapist?

When is it necessary for your child to engage with the therapist? Tips if they resist., , , , psychology-and-the-mindcbt fbt mind psychotherapy therapist

Could your child be autistic? Autism resources help us all

Introduction to autism with eating disorder. How knowledge of autism helps us all. Read more on https://anorexiafamily.com/autism-eating-disorder-tips, , , , , , , , , , psychology-and-the-mindanxiety asd asperger autism autonomy collaboration flexibility ocd psychotherapy social-life therapist

What if your child has ADHD? 

Some pointers on exercise, weight, medication if your child has ADHD, , , psychology-and-the-mindadhd exercise psychology weight

Why is my child so withdrawn?

It’s not necessarily depression; could be anxiety’s ‘freeze’ or shut-down state. They have so many challenges! Normalise and validate their need for safety., , , , , , , psychology-and-the-mindacceptance aggression anxiety depression empathy hostility mind withdrawal

Socially isolated: what to say

Suggestions to empathise and problem-solve about your child’s reluctance to see friends. Your parental role if you judge they need a push?, , , , psychology-and-the-mindcommunication empathy limits mind withdrawal

Withdrawn in their room: allow or intervene?

Is alone-time beneficial for your child or do they need structure from you ? What to say?, , , , , , , , , psychology-and-the-mindacceptance aggression communication empathy hostility limits mind coach-for-normality school withdrawal

If your child is self-harming

The main tips if your child is engaging in self-harm / non-suicidal self-injury, , , psychology-and-the-mindanxiety depression mind psychotherapy

The differences between self-harm and suicidality

Does self-harm lead to a higher suicide risk? How do the two relate?, , , , , psychology-and-the-mindanxiety depression mind psychotherapy self-harm suicidal

Self-harm: “I’m fighting my internal bully, not myself”

If your child’s self-harm is about harming the part that distresses them, , , , psychology-and-the-mindanxiety depression mind psychotherapy self-harm

If your child is suicidal

Some pointers if your child has suicidal ideation or has attempted suicide, , , , psychology-and-the-mindanxiety depression mind psychotherapy suicidal

A safety plan, if your child is suicidal

What does a suicide safety plan look like?, , , , , psychology-and-the-mindanxiety depression mind psychotherapy self-harm suicidal

Is anorexia a need for control?

Anorexia controls people, yet it’s often said to be “A need for control”. I propose that control is a strategy to meet needs for calm and safety., , , psychology-and-the-mindautonomy mind psychology psychotherapy

A healthy weight


 

Weight targets, BMI, percentiles, weight-for-heighta-healthy-weight

Overview: how full weight recovery is essential

Overview of the next audios on the weight that your child needs for mental and physical recovery. For experts’ quotes on my site, search ‘weight recovery’, , a-healthy-weighthealth relapse weight

Should your child be weighed during the refeeding phase?

If weighing your child during the refeeding phase makes things worse: pros and cons of weighing, , , , , , , , , a-healthy-weightaggression anxiety beginning body_image fat-fear health hostility mind phase-1 weight

Weight is more like shoe size than hair style

Why weight charts and calculators can be dangerously wrong for half the population. Explaining where these figures come from, including median BMI and “100 percent weight-for-height”., , , , , , , a-healthy-weightfat-fear fatphobia health mind muscularity relapse therapist weight

Start on weight gain NOW. Worry about targets later.

Why any youngster who lost weight or flatlined needs to gain weight as a priority (check out refeeding syndrome, though), , , a-healthy-weighthealth mind muscularity weight

Previously ‘overweight’? Weight gain is still the early priority

Regain some weight now, worry about how much later: previously ‘overweight’ kids, or very muscular ones, can be in medical danger., a-healthy-weighthealth weight

The need for body fat, not just muscle

Weight gain through muscle is not the answer. Body fat is needed for health, whether underweight or very muscular., , , , , a-healthy-weightbody_image fat-fear health mind muscularity weight

How announcing a weight goal might create problems

Pros and cons of your child hearing a weight goal / target: here are the cons, , , a-healthy-weightbody_image fat-fear therapist weight

How announcing a weight goal might be positive

Pros and cons of your child hearing a weight goal / target: here are the pros, , a-healthy-weightfat-fear therapist weight

Open or blind weighing?

What is open or blind weighing? Your options, and the pros and cons., , , , a-healthy-weightbody_image fat-fear fbt therapist weight

How to weigh blind, and what to say

Stepping on backwards, special scales, commenting only on trajectory, helpful words, , , a-healthy-weightbody_image fat-fear fbt weight

Poor mental state: need more weight or more time?

May need to experiment. Watch out for weight bias. The healing effect of time., , , , a-healthy-weightbody_image mind coach-for-normality psychotherapy weight

Overshoot: extra weight might be essential for healing

Lots of anecdotal evidence, plus the Minnesota starvation experiment, indicating an extra ten percent or so might be essential. But not for everyone., , , , , , a-healthy-weightbinge fat-fear fatphobia hunger mind therapist weight

'My kid is/was overweight: is the target to regain it all?'

Reasons to regain most or all of the lost weight, irrespective of BMI ‘overweight’ category, , a-healthy-weightfatphobia health weight

Regular periods: a poor criterion for weight recovery

Menses don’t mean she is healthy, nor that she has reached a healthy weight., , a-healthy-weighthealth therapist weight

How to use a growth chart as part of predicting recovery weight

How to use weight and height data from previous years. Images on anorexiafamily.com: search ‘target, gift’ or my YouTube https://youtu.be/2yVa7jlUsMY, a-healthy-weighthealth weight

Is that weight target a gift to the eating disorder?

Comparing the one-size-fits-all calculator results with the number predicted from your child’s growth chart. Beware of huge under-estimate. Images on anorexiafamily.com: search ‘target, gift’ and on YouTube https://youtu.be/2yVa7jlUsMY., , , , a-healthy-weightfatphobia health mind therapist weight

What does BMI or 100% weight-for-height mean?

Explaining BMI and percent weight for height (WFH). How they can yield misguided weight targets. Also my YouTube https://youtu.be/akoXXuyXA2g, , , a-healthy-weightfatphobia health therapist weight

The work after weight-restoration

Once your child is weight restored, what can you expect and what more needs to be done? How weight recovery is necessary but not sufficient., , , , , , , , , , , , a-healthy-weightautonomy exercise exposure fat-fear fatphobia health mind muscularity coach-for-normality psychotherapy relapse therapist weight

Exposure work to bring back normal foods and behaviours


 

Exposure work to bring back normal foods and behavioursexposure

Why we need to expose our children to their fears 

Our children fear fear, yet need to do it anyway. How exposure and desensitisation work. Analogies for brain rewiring., , , , , , exposureafter-weight-restoration autonomy exposure fear-foods flexibility normalisation coach-for-normality

Eating out: an example of exposure work

Steps you could take to get your child comfortable eating out: practical examples of gradual exposure work. Coping with variety and not knowing the calories., , , , , , exposureautonomy calorie-counting collaboration exposure fear-foods flexibility normalisation

Exposure: freedom from fear of the fear

Exposure liberates us from the fear of fear, , , , exposureafter-weight-restoration exposure flexibility normalisation ocd

Exposure: don’t allow compensations 

Don’t be tempted to make a challenge bearable by allowing eating-disorder compensations: exposure requires ‘response prevention’, , , , , , exposureafter-weight-restoration exercise exposure fear-foods flexibility normalisation ocd

When to do exposure and desensitisation work?

When is a good time to expose your child to fears and work on flexibility?, , , , , , exposureafter-weight-restoration autonomy exposure fear-foods flexibility normalisation coach-for-normality

Will things not get better naturally, without exposure work? 

Is it necessary to do exposure work? Would more time or weight not fix things?, , , , , , , , exposureafter-weight-restoration body_image exercise exposure fear-foods flexibility normalisation ocd weight

Make a list of everything that is not yet normal 

To keep your focus throughout the exposure work, make a list of everything that is not yet normal. Examples, including food, restaurants and even money., , , , exposureexposure externalizing fear-foods flexibility normalisation

Exposure to fears: small, gradual steps or dive in?

Exposure choices: a ladder approach (small steps), or flooding (diving in at the deep end); soothe or not, , , , , , exposureafter-weight-restoration exercise exposure fear-foods flexibility normalisation ocd

Exposure: Repeat soon, with variations  

To extinguish a fear, repeat the exposure and vary the details so that the brain can generalise, , , , , , exposureafter-weight-restoration exercise exposure fear-foods flexibility normalisation ocd

Small steps make challenges manageable and safe

How breaking down challenges in small steps means your child will succeed, and nothing can go too wrong, , , , , , , , , exposureafter-weight-restoration autonomy collaboration exercise exposure fear-foods flexibility normalisation ocd coach-for-normality

Techniques for fear foods in small steps

Four techniques using small gradual steps to succeed with fear foods and expand your child’s range: increase amount, food chaining, fading in, and deconstructing., , , , , , , , , exposurearfid asd asperger autonomy collaboration exercise exposure fear-foods flexibility normalisation

How to talk with your child about exposure work

How can you talk with your child about fear foods and all the exposure and coaching work?, , , , , , exposureautonomy communication education exposure fear-foods flexibility normalisation

Is your child motivated to expand their range? 

Is your child challenging themselves to be more flexible? How to make use of their motivation, , , , , , , exposureafter-weight-restoration collaboration exposure fear-foods flexibility motivation normalisation ocd

Exposure: forewarn or surprise?

Should you plan exposures with your child? Should you inform them of the upcoming challenge?, , , , , , , exposureafter-weight-restoration collaboration exposure fear-foods flexibility motivation normalisation ocd

Soothing your child while exposing to a fear

Should you help reduce the fear during a challenge? If so, how? How exposure THERAPY might be different., , , , , , , , , exposureafter-weight-restoration calming collaboration exposure fear-foods flexibility motivation normalisation ocd therapist

Is a particular fear food just too hard?

If your child has an extreme reaction to some fear foods, it could be OK to put these on hold while working on other aspects, , , exposureexposure fear-foods flexibility normalisation

Should I compensate for a fear food that failed?

You’re coaching your child to manage a fear food – what if they don’t eat it?, , , , exposureexposure externalizing fear-foods flexibility normalisation

Independence (Phase 2 tasks)


 

The work after refeedingindependence

Handing back independence: what is Phase 2?

An introduction to Phase 2. Think in terms of a series of tasks towards independence, rather than a distinct phase that comes after refeeding., independenceautonomy coach-for-normality

When does Phase 2 start?

When to begin on Phase 2 and work towards normality? It’s not a sudden cliff edge, more of looking for aspects your child is ready for., , , , independenceafter-weight-restoration autonomy fbt normalisation coach-for-normality

List the competencies required for independence

Examples of how you could list and plan the tasks of returning independence to your child (Phase 2), , , independenceautonomy exercise normalisation coach-for-normality

Coach your child to serve themselves 

How to coach your child to serve their own portion and move away from ‘Magic Plate’. When it might be too soon to stop plating and portioning., , , , , independenceafter-weight-restoration autonomy exposure flexibility normalisation coach-for-normality

The extra care needed when weight-restored

How upon learning they’re weight-restored, your child may need extra support, rather than unrestricted new freedoms (Phase 2), , , , , , independenceafter-weight-restoration binge body_image fat-fear mind coach-for-normality weight

Don’t rush or skip Phase 2

Like the rehab phase after leg fracture. How to bring facts to the therapist so that this phase is done properly., , , , , , , , independenceafter-weight-restoration autonomy exposure fbt flexibility normalisation coach-for-normality relapse therapist

When does Phase 2 end and Phase 3 begin? 

When and how does Phase 2 end? What about Phase 3, and the end of treatment?, , , , , , independenceafter-weight-restoration autonomy fbt normalisation coach-for-normality phase-3 recovery

How will your child become independent and not slip back?  

As you risk-assess and promote autonomy, design experiments that give you feedback, that can’t fail too badly and where you can go back to the last thing that worked., , , independenceafter-weight-restoration autonomy normalisation coach-for-normality

Intuitive eating versus rule-based eating

What is intuitive eating and what is rule-based eating? What seems ‘normal’ to you? To our society?, , , , , independenceafter-weight-restoration exercise flexibility intuitive-eating normalisation coach-for-normality

Is your child ready for intuitive eating?

How to go from rule-based eating intuitive eating. How rule-based may remain necessary if hunger cues remain distorted., , , , , independenceafter-weight-restoration exercise flexibility intuitive-eating normalisation coach-for-normality

Welcome hiccups as an opportunity to practice 

Hiccups and setbacks, when things were going well, are opportunities to coach your child to practice tools to manage their emotions., , , , , , , , , independenceafter-weight-restoration autonomy exercise exposure fear-foods flexibility mind normalisation coach-for-normality recovery

Parents deal with uncertainty: 'I hate phase 2' 

Embrace the uncertainties of Phase 2: Are you doing enough? How much to push? How much to supervise?, , , , , independenceacceptance after-weight-restoration mind coach-for-normality resilience self-care

My child got worse with more autonomy, and we can’t go back

You gave your child autonomy and they have slipped back. Can you take charge again? What if you can’t?, , , , , , , , independenceafter-weight-restoration autonomy communication mind motivation coach-for-normality relapse resilience self-care

Do you disagree with the clinician how fast to go with Phase 2?

You gave your child autonomy and they have slipped back. Can you take charge again? What if you can’t?, , , , independenceafter-weight-restoration autonomy coach-for-normality relapse therapist

Is it OK to keep my child in Phase 1 a lot longer?

Reasons for parents to stay in charge longer, e.g. young child, fast growth, psychological readiness. Or push for autonomy ahead of college or university., , , , , independenceafter-weight-restoration autonomy phase-1 coach-for-normality therapist weight

Should my child still get weighed during Phase 2?

Reasons to start or continue to weigh your child during Phase 2, open or blind, , , independenceafter-weight-restoration autonomy coach-for-normality weight

Should we continue weighing after complete recovery?

How long should you continue to weigh your child, once they’re well?, , , , , independenceafter-weight-restoration autonomy intuitive-eating coach-for-normality recovery weight

Compassionate Communication


 

The main principles to listening and talking effectivelycommunication

Why kindness works better than explanations

How the nervous system puts your child in fight-flight-freeze, blocking access to the rational, wise part of the braincommunicationcommunication

'Connect before you Direct' (part 1) Why and how?

The mantra “Connect before you Direct” can help you be effective as well as compassionate. Here is the audio of the first part of a YouTube on the subject (previously I called it ‘Connect before you Correct’), communicationcommunication empathy

'Connect before you Direct' (part 2) Examples

The audio of the 2nd part of a YouTube on ‘Connect before you Direct’, giving examples of both Connecting and Directing communication, communicationcommunication empathy

'Connect before you Direct' (part 3) Special situations

From part 3 of a YouTube on ‘Connect before you Direct’: special situations where the mantra might not quite apply, , , , , communicationaggression communication empathy grief hostility limits

“I’m sorry, and I love you”: the simplest formula to connect and soothe

When you are uncertain how to respond, this is your shortcut to compassion and to self-compassion. How your child assumes you don’t love them., , communicationcommunication empathy self-compassion

Silent empathy: a surprisingly powerful tool

When everything you say makes things worse, this is how to make silence work., communicationcommunication empathy

Offer hugs and touch

Why physical touch is more effective than words. Asking permission if your child usually rejects touch., , communicationcommunication empathy partner

A recipe for compassionate communication

A framework for each element of connecting communication, using examples ‘My friends think I’m weird’ and ‘My tummy hurts’., , , communicationcommunication empathy medical social-life

Words to express kindness and non-judgement

Examples of things you can say. Make your voice kind too!, communicationcommunication empathy

'Yes' words to show you are listening

Sentence starters, with example “I’m not going to that useless therapist”. We’re in “Connect before you Correct”. A “Yes” will stop you from jumping in to fix or contradict., , communicationcommunication empathy therapist

Words to guess deeper about feelings and needs

Sentence starters to bring out feelings and needs and what’s really going on. I use 2 examples: “I’m not going to the therapist, she’s useless”, and “Grandma doesn’t smile at me any more”., , communicationcommunication empathy therapist

Use question marks to avoid “You have no idea how I feel"

Examples of how to make empathy guesses, not statements., , , , communicationaggression communication empathy hostility meal-coaching

Words to validate feelings and needs

Sentence starters to empathise & validate feelings and what deeply matters. I continue with the examples “I’m not going to the therapist, she’s useless”, and “Grandma doesn’t smile at me any more”., , communicationcommunication empathy therapist

Signs of a shift to a more relaxed state

When to move on to the ‘Direct bit of ‘Connect before you Direct? I list physical signs of the parasympathetic nervous system coming online. Understand how emotions pass like waves. A fix may not be needed., communicationcommunication empathy

Give your kindness and reassurance

Words to soothe, reassure, humanise, empower and give hope. We’re on the ‘Direct’ bit of ‘Connect before you Direct’., communicationcommunication empathy

Logic, education and explanations

Logical explanations, or explaining, can come now. You’re in the ‘Direct’ bit of ‘Connect before you Direct’. Some examples, and why this may be new to you., communicationcommunication education

Action: making suggestions and requests, problem-solving

Examples of things you can say to get things done. Part of the ‘Direct bit of ‘Connect before you Direct’., communicationcommunication empathy

Continuum of requests: from Choice to No Choice

Sentence starters when you want some action: a ladder from the negotiable to the non-negotiable., , communicationcommunication empathy limits

Ask for what you want: a recipe for framing a request

Make the request precise and do-able. Share what matters to you and perhaps your feelings. Example: Say ‘Bye!’ as you leave for school., , , communicationaggression communication hostility shame

Getting past a ‘No’

Examples of things to say to persist, without turning it into a power play. Expressing your own needs and inviting the other person to stretch., , communicationcommunication empathy limits

Had a fallout? Become skilled at repairing the relationship

The benefits of a relationship-repairing or mending conversation after a fallout. Intro to several audios., , , , , , communication-moreaggression apology communication empathy hostility rejection repair

How to repair the relationship after you messed up – the main steps

A repairing conversation after you made a mistake: main steps, starting with compassion for yourself, , , , , , communication-moreapology communication empathy mending rejection repair self-compassion

After you screwed up: words of connection

Example of the “Connect” bit of a repairing conversation when you regret something you did, , , , , communication-moreapology communication empathy mending rejection repair

How to repair the relationship: problem-solving

Example of the problem-solving part of a repairing conversation when you regret something you did, , , , , communication-moreapology communication empathy mending rejection repair

A repairing conversation when your child behaved poorly

How to have a repairing conversation when your child screwed up — whether they offer an apology or not., , , , , communication-moreapology communication empathy mending rejection repair

Compassionate Communication – More help


 

More questions, more depthcommunication-more

Get your ‘But’ out of the way!

Boost the power of your compassion by replacing ‘BUT’ with ‘AND’., , , communication-moreaggression communication empathy hostility

Your child's 'Why' question is rarely a question

‘Why’ questions are a call for empathy, not information., , , communication-moreaggression communication empathy hostility

What deep needs does your child want you to really hear?

What needs commonly matter deeply to our children? Hear how to validate instead of jumping to reassurance.What needs commonly matter deeply to our children? Hear how to validate instead of jumping to reassurance., , communication-morecommunication empathy mind

Open questions that bring up deeper needs

To unearth and validate what matters to your child (needs, values), here is a list of open questions you can ask, based on example: “I need to get A+ in all my exams”., , , communication-morecommunication empathy perfectionism school

Keep tracking and validating what matters to your child

Examples of tracking your child’s needs. Why it’s worth doing., communication-morecommunication empathy

Difficult conversation: meet obstacles with empathy

Ask an open question or guess? Make space for emotions. Example of ‘Mum you’re too anxious’ ., , , communication-moreaggression communication hostility relapse

"We’ll try it and then review"

You’re more likely to get a ‘Yes’ and make it bearable when you make your proposition time-limited., , , communication-moreautonomy communication meal-coaching coach-for-normality

Can you share your feelings with your child?

Emotions and needs that are safe to express, and those that could induce guilt, shame or fear. How to express what matters to you to make effective requests. The victim, persecutor or rescuer trap. Offload on a therapist., , , , , , communication-morecommunication empathy mind partner shame siblings therapist

What to tell your child when they see you crying?

Some suggestions to model great emotional management., , , , communication-morecommunication empathy grief mind shame

Compassionate Communication – Troubleshooting


 

Typical questions parents ask on ‘What to say when…?’communication-troubleshoot

How to respond to “You’re so patronizing!”

Be kind, be transparent, try again, when your child protests they’re not three years old., , , communication-troubleshootaggression communication empathy hostility

Can I motivate my child by telling them how ill they are?

‘You have to eat because your heart is bad’: is that helpful? How else can you talk about health?, , , , communication-troubleshootcommunication empathy health meal-coaching medical

Why does my child reject my empathy? The invulnerable fortress

Letting in kindness, when you’ve been relying only on your own walls to feel safe, feels risky. Taming an injured animal takes time., , , , , communication-troubleshootaggression empathy hostility mind rejection repair

Why does my child reject my empathy? Unworthy of love

Your child may think your kindness is fake, or that they don’t deserve it, , , , , communication-troubleshootempathy mending mind rejection self-esteem shame

You don’t understand how hard it is

I model empathy rather than self-justification. Avoid ‘but’., , , communication-troubleshootcommunication empathy meal-coaching mind

‘You’re disrespecting me!’ Help your child let you in

They are resentful and closed in. Empathy guesses, modelling conversation., , , , , communication-troubleshootaggression communication empathy hostility meal-coaching rejection

"Get out of my room!"

They shout, “Get out!!!” Remove locks. Assert parental care. “I’m not abandoning you. I will check back.”, , , , , , communication-troubleshootaggression anxiety communication empathy hostility limits withdrawal

Hostility from your child? Empathy for YOU 

Pausing to give you validation and hope if you are suffering because your child is rejecting you or behaving aggressively, , , , , , , communication-troubleshootaggression hope hostility rejection resilience self-care self-compassion wellbeing

Hostility and aggression: set your limits 

If your child is behaving ways that you don’t appreciate, decide where your limit is: some things you will not accept, others you’ll ignore, , , , , , , , , communication-troubleshootacceptance aggression communication empathy hostility limits resilience self-care self-compassion self-esteem

Aggression: what you can do when a behaviour exceeds your limit 

Things you can say or do, to stop or remove yourself from your child’s aggressive behaviour, , , , , , communication-troubleshootaggression communication empathy hostility limits self-care self-esteem

How to de-escalate a meltdown

If your child’s behaviour is not acceptable, you can state your limit, de-escalate the tension, coach calm, and request polite behaviour, , , , communication-troubleshootacceptance aggression empathy hostility limits

Receiving unacceptable behaviour: how to not be a doormat 

How to get out of a persecutor/victim/rescuer dynamic if your child’s behaviour is rude, , , , , , , , communication-troubleshootaggression communication empathy hostility limits resilience self-care self-compassion self-esteem

Empathy after your child's meltdown

Welcome the tears of self-connection. Avoid lectures or justification., , , , , communication-troubleshootaggression anxiety communication empathy hostility repair

Calming skills


 

Tools to help calm and soothe your child26-calming-skills

Why you should become expert at calming

Benefits — short and long-term — of parents helping their child with calming, anxiety-reducing skills, , 26-calming-skillsanxiety calming psychotherapy

How the nervous system drives a state of fear, or a state of safety

How the nervous system gets cues for safety, or for threat and puts us in state of calm or in fight/flight/freeze, 26-calming-skillsanxiety calming

How to tell when your child is in fight, flight or freeze

Recognise signs of fight, flight, and especially, freeze, so you can respond with calming skills. How face and voice can be transformed., , , , 26-calming-skillsaggression anxiety calming hostility withdrawal

What makes the nervous system class something as a threat?

What puts the nervous system in a state of threat, and what gets it back out. The main principles of what you can act on., 26-calming-skillsanxiety calming

Calming skills: avoid reasoning

To calm your child, avoid reasoning, reassurance, logic: connect first. What might a firefighter say in a panic situation? Some things NOT to say, and examples of alternatives., , 26-calming-skillsanxiety calming communication

Prepare and coach calming tools assertively

Prepare calming tools, with or without your child. Creating a toolbox. Coach your child to use the tools., 26-calming-skillsanxiety calming

Calming skills: watch your body language

Body-language dos and don’ts as you calm your child, 26-calming-skillsanxiety calming

Calming skills: rate the distress level on a scale of 0 to 10

If your child can rate their level of distress, you will both be guided by how quickly a calming tool is working, 26-calming-skillsanxiety calming

Breathing techniques for calming and times of panic

Breathing techniques to explore with your child, to induce calm. Combine with movement and music., 26-calming-skillsanxiety calming

Movement that helps bring calm

Ideas for relaxing, distracting or fun movement, as part of your calming skills, 26-calming-skillsanxiety calming

Calming skills: hugs and touch

Various forms of touch that bring calm and soothing, including those used in trauma. Check your child welcomes your touch., , , 26-calming-skillsanxiety calming couple trauma

Be present for your anxious or 'clingy' child

For your anxious or ‘clingy’ child, your kind presence matters, even at bedtime. Autonomy will grow from interconnection., 26-calming-skillsanxiety calming

Calming skills: engage the physical senses

Reduce anxiety or panic and provide ‘grounding’ by engaging the physical senses. I forgot to mention weighted blankets., 26-calming-skillsanxiety calming

De-escalating violence, punching cushions and other stressbusters

Hitting? Self-harm? Limit-setting, de-escalation to calm, or use stress ball or cushion, , , , 26-calming-skillsaggression anxiety calming hostility self-harm

Calming skills: cold water, ice cubes and elastic bands

Using cold and other sensations, to interrupt panic, self-harm, dissociation, , 26-calming-skillsanxiety calming self-harm

Use music to shift your child’s anxious state

What music moves your teen to a better state?, 26-calming-skillsanxiety calming

Apps, audiobooks and meditation types to help with calm and sleep

Calming apps. Mindfulness. Types of meditation that help or hinder. Sleep-inducing apps and audiobooks with a sleep timer. No phone at bedtime., , , , , 26-calming-skillscoping resilience self-care self-compassion thoughts wellbeing

Connect with empathy to bring calm

Compassionate listening skills are part of your calming toolbox, , , , 26-calming-skillsanxiety calming communication empathy kind

A quiet corner for your child to find calm

Creating a calm space where your child to self-soothe, 26-calming-skillsanxiety calming

Tapping (EFT) or EMDR self-help to bring calm

Self-help tapping techniques that can quickly bring down distress levels, , 26-calming-skillsanxiety calming trauma

Medication to reduce anxiety

Psychiatrists can advise on medication to reduce extreme distress, , 26-calming-skillsanxiety calming self-harm

I'm so fat!


 

Our children’s fear of being fat, their distorted body image. The following are also useful with “I’m not muscular enough!”im-so-fat

"You're not fat" doesn't reassure

“Am I fat? What’s the target? How fast? Will you make me fat?” How reassurance or giving data tends not to reassure., , , , im-so-fatbody_image education empathy fat-fear weight

Weight gain will reduce the fear of fat

Paradoxically, your child will fear fat less as they regain weight, , , im-so-fatbody_image fat-fear hope weight

Your child’s fear of fat as a phobia

Our fatphobic society, and the phobia of fat your child may have, and one way to talk about it, , im-so-fatbody_image fat-fear weight

Why "You're not fat" is only a temporary band-aid

“You’re not fat; we won’t make you fat” can help as temporary band-aid. If repeated, it stops reassuring and negates the body acceptance message we’re aiming for., , , , , im-so-fatbody_image communication empathy fat-fear fatphobia weight

"I'm fat": Refuse to engage

Standard response to ‘fat’ questions: compassionate,persistent “I’m sorry, we’re not discussing weight, it’s not helpful”., , , , im-so-fatbody_image communication empathy fat-fear weight

Attitude to body shape: what you are aiming at

What kind of attitude do you want to promote? What can you tell your child about the future? When may your child’s anxiety around fat and body shape pass, and how?, , , , , , im-so-fatbody_image communication education empathy fat-fear intuitive-eating weight

How to talk about wellbeing instead of engaging in fat talk

Another strategy: emphasize wellness, life, feeling good and ‘Trust us’. Education on the starved brain’s distortions. Normalising distress. Giving hope. Empathy and distraction., , , , , , , im-so-fatbody_image communication education empathy fat-fear hope intuitive-eating weight

Gentler words to talk about weight gain

Alternatives to ‘You’ve put on weight’: words that might raise less anxiety, , , , im-so-fatbody_image communication empathy fat-fear weight

"The weight that you never should have lost"

One sentence that really helped a teen: ‘Regaining the weight you should never have lost’, , , im-so-fatbody_image communication fat-fear weight

“I’m fat!” How empathy can get your child unstuck

A ‘recipe’ for compassionate responses. Empathy may help with next meal or longer term. Beyond “I must be thin/muscular”. Space for grief and empathy., , , , , im-so-fatbody_image communication empathy fat-fear grief weight

"I'm fat": examples of open questions for empathy

Suggestions for open questions that will help your child tune into what really matters., , , , , im-so-fatbody_image communication empathy fat-fear muscularity weight

"I'm fat": how to talk about needs to fit in and be safe from fat-bullying

Why make empathy guesses? Examples of guesses: safety from bullying, and acceptance in peer group., , , , , im-so-fatbody_image bullying communication empathy fat-fear weight

“I’m fat”: conflicting internal and external messages

Empathy guesses on the conflict between internal sensations and what adults are saying. What if your child has been looking up BMI charts, or if clinicians’ messages are contradictory? Trust and connection are your tools., , , , , , im-so-fatbody_image communication empathy fat-fear muscularity therapist weight

Responding to “I’m fat” distress as they gain weight

Empathise with the upset over weight gain, fears, sensations, grief over wasted effort to lose weight. Keep up the weight gain in spite of the distress, which will reduce., , , , im-so-fatbody_image communication empathy fat-fear weight

“I’m getting fat so fast! It will never stop!”

Your child – and some clinicians – may believe that weight gain is so fast they can’t cope. How to be compassionate and persistent., , , , im-so-fatbody_image communication empathy fat-fear weight

“I was happy when I was thin – I wasted all that effort!”

This can come up after a weighing. Example of how you can respond with compassion and make space for grief., , , , , im-so-fatbody_image communication empathy fat-fear grief weight

Conversations for a better attitude to body shape

Suggestions for conversations that will nudge your child towards a happier attitude to body shape, , , , , , im-so-fatbody_image communication education empathy fat-fear intuitive-eating weight

"I'm fat!" Opportunity for education on body acceptance

Challenging fat bias. Health At Every Size (HAES). Relapse prevention., , , , , , , im-so-fatbody_image communication education empathy fat-fear intuitive-eating relapse weight

School


 

What to do about school, exams, school mealsschool

Meals in school: what level of support to set up?

What to do about school and meals? I describe different levels of support, supervision and feedback, , , , schoolbeginning hunger meal-coaching coach-for-normality school

Supervising school meals: how to talk with your child

What to do about school and meals? I describe different levels of support, supervision and feedback, , , schoolcommunication empathy meal-coaching school

Perfectionism and academic ambitions: how to steer your child

Untangle self-worth and security from grades. Redirect anxious and perfectionistic tendencies. The bigger picture. Relapse prevention. An anecdote., , , schoolperfectionism relapse school self-esteem

My child wants to study the hardest topic in university

Sometimes our child’s choice for university/college studies are about perfectionism, not interest (medicine and law for example), , , , , , schoolcollege mind money perfectionism school self-esteem university

What to do about school and exam stress?

Risks of stress, coach stress management. Educate teachers. Priorities. Tips., , schoolperfectionism school self-esteem

Your wellbeing and inner strength


 

Tools to help you cope, be resilient and be wellyour-wellbeing

You’re good enough

My audios on wellbeing are here to help – don’t turn them into a ‘should’, , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

The best psychological tools for these extraordinary times

In these demanding times it’s normal you should need extra emotional tools to be more effective., , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

Self-care to avoid burnout and model wellbeing

Don’t skip this one! Some major human needs: which can you meet? Modelling these. Permission to be joyful., , , , , , your-wellbeingcoping modelling needs resilience self-care self-compassion wellbeing

Your body needs care too

Your mind needs you to attend to your body, so you can better attend to your child, , , , your-wellbeingcoping needs resilience self-care wellbeing

Women, you’re probably in perimenopause or menopause

Be aware that a woman’s burden may be much heavier because of peri/menopause. Even if you never have hot flashes. Get medical help., , , your-wellbeingcoping resilience self-care wellbeing

You are normal

Tools for wellbeing: notice your critical voice. How you are normal. Tapping into our common humanity., , , , , , your-wellbeingcoping normalisation resilience self-care self-compassion thoughts wellbeing

What to do with unhelpful thoughts – the Chatterbox

Your critical and catastrophizing thoughts add to suffering. Recognize and deal with them., , , , your-wellbeingresilience self-care self-compassion thoughts wellbeing

Is this thought true? Is it useful?

How to challenge and redirect your unhelpful chatterbox thoughts, with kindness, , , , , , your-wellbeingcbt coping resilience self-care self-compassion thoughts wellbeing

Chatterbox thoughts as signposts to compassion

How to use unhelpful thoughts to tune into what really matters, , , , , , , your-wellbeingcoping grief needs resilience self-care self-compassion thoughts wellbeing

How to do self-compassion (Part 1): Generate kindness through your body

Introduction to self-compassion. Notice the tension. Send kindness through your body., , , , , your-wellbeingcoping needs resilience self-care self-compassion wellbeing

How to do self-compassion (Part 2): how to deal with thoughts

How to meet thoughts with kindness and connect to humanity, , , , , your-wellbeingcoping resilience self-care self-compassion thoughts wellbeing

How to do self-compassion (Part 3): Wishes for yourself and for the wider world

Wishes, blessings, a prayer… for yourself, for those you love, and beyond: connecting to your bigger self, , , , , , your-wellbeingcoping grief needs resilience self-care self-compassion wellbeing

How to do emergency self-compassion

How to stabilise yourself on the go, in the middle of a crisis., , , , , , , your-wellbeingaggression coping hostility needs resilience self-care self-compassion wellbeing

Should you meditate?

If meditation has become a ‘should’, give yourself a break. Why sitting alone with thoughts might not suit you now., , , , , your-wellbeingcoping resilience self-care self-compassion thoughts wellbeing

Notice and soak in the small joys

How to top up your wellbeing by noticing and soaking in small joys throughout your hectic day, , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

Feeling 5 percent better

Notice how you are helping yourself to feel a tiny bit better, and how even a small improvement is good enough just now, , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

Give yourself permission to escape

How to wisely manage your state of fight/flight by giving yourself a dignified way out, , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

Can you manage one more minute?

When you want to explode or give up, how to expand your staying power by checking if you can be OK with one more day, hour or minute., , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

Notice you’re OK in this present instant 

When things seem unbearable or you’re in a crisis, how to bring your attention to the present moment, where you’re actually OK., , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

Emotions pass like a wave

How to attend to the rise and fall of unpleasant emotions like fear, anger, distress. How they pass like a wave, what “feel the feeling” means; how not to add to the swell., , , , your-wellbeingcoping resilience self-care self-compassion wellbeing

Hold off from problem-solving while you’re upset

Ideas, while we’re in fight or flight, tend to be terrible. You’re in good company. Recognise this temporary state, and wait for it to pass., , , , , , your-wellbeingcoping grief resilience self-care self-compassion thoughts wellbeing

Accept reality

“It’s not fair…”, “Why me?” Redirecting thoughts that are not based in reality, helps you move on emotionally and practically., , , , , , , , your-wellbeingacceptance coping grief needs resilience self-care self-compassion thoughts wellbeing

Accept the things you cannot change and change the things you can

The ‘Serenity prayer’: the tension between acceptance and the drive to change things. Tolerating uncertainty. Acceptance of present reality., , , , , , your-wellbeingacceptance coping grief resilience self-care self-compassion wellbeing

"Accept and let go": let go of what?

Paradoxically, you may achieve more when you “accept and let go”. What are you letting go of, though?, , , , , your-wellbeingacceptance coping resilience self-care self-compassion wellbeing

Trust and go with the flow?

Can we trust and go with the flow instead of fighting obstacles head-on? Trusting that internal and external resources usually appear during times of hardship., , , , , your-wellbeingacceptance coping resilience self-care self-compassion wellbeing

Imagery to sustain you and expand your perspective

Three images or metaphors to expand your world and nourish hope, , , , , , your-wellbeingcoping grief hope resilience self-care self-compassion wellbeing

Why does your child reject you and hate you?

It’s normal. Possible reasons. It will pass., , , , , , , your-wellbeingaggression grief hostility rejection resilience self-care self-compassion wellbeing

Coping with your child’s rejection

Tips to help stay well. Being hated is exhausting. Analogy of hurt dog. Tools: externalizing, compassion, soaking in the good., , , , , , , , your-wellbeingaggression externalizing hostility mind rejection resilience self-care self-compassion wellbeing

Every hero gets a helper. Who is yours?

Who do you want to support you through your heroic work? Friends? A counsellor? (More on my YouTube: “The hero’s journey”), , , , , , , , your-wellbeingcoping family friends-yours partner resilience self-care self-compassion therapist wellbeing

How much should you tell your friends and family?

Sharing your troubles with friends and family: what to do about your child’s reticence, and about people’s unhelpful reactions., , , , , , , , your-wellbeingcoping family friends-yours grief resilience self-care self-compassion therapist wellbeing

Family teamwork


 

Partners and siblingsfamily-teamwork

When parents disagree with each other

Never in front of your child. Request time to consult each other., , , family-teamworkcommunication couple empathy partner

How to get my partner to do more

What might be stopping your paretner. How to use empathy, not fixing., , , family-teamworkcommunication couple empathy partner

What's going on for the siblings?

How siblings feel and tips to make things easier for them, , family-teamworkcommunication empathy siblings

How much can a distressed parent share with the siblings? 

When your other children see you are upset, what could you say?, , , family-teamworkcommunication empathy siblings wellbeing

Hospital


 

Tips, and what to expect while your child is in an inpatient (residential) programhospital

Is inpatient treatment a terrible thing?

While you might be horrified about your child going into hospital or a unit, here are more realistic expectations, , hospitalhope hospital medical

What kind of inpatient or hospital care is there?

Explaining the different types of higher level care: inpatient, residential and hospital care, hospitalhospital medical

Why will they eat in hospital and not at home?

To reassure you that your child will manage to eat with skilled staff and why.hospitalhospital

Is your child distressed or distant while inpatient?

Your child’s reactions, which are normal and will pass, , , , , hospitalaggression anxiety hospital hostility medical rejection

Make sure the hospital involves you

While your child is in hospital, be confident about your involvement: you are part of the team.hospitalhospital

Will my child be fed by tube in hospital?

Why would they accept tube feeding, and when it’s done under restraint., hospitalhospital medical

Why your child might  be scared of coming home from hospital

Your child needs to know they will be safe back homehospitalhospital

My child plans to lose the weight gained in hospital, on their return home

What can you say when your child, in hospital, says they will lose all the weight they gained?, , , hospitalafter-weight-restoration fat-fear hospital weight

How to make the transition from home to hospital work

How to prepare your child to succeed at home, while they’re still in hospital.hospitalhospital

Home from hospital? Who’s making the decisions?

Preparing the return from hospital: whose rules and routines?hospitalhospital

Tasks at home after weight-restoration in hospital

An overview of your role at home after weight-restoration : the small steps, the experimenting, the coaching, , , , , , hospitalafter-weight-restoration exposure flexibility normalisation coach-for-normality relapse social-life

Full recovery and relapse prevention


 

Setting your child up for life-long wellbeing70-full-recovery-and-relapse-prevention

Before early discharge: a progress-continuation plan 

If your child is discharged from treatment before full recovery, have a plan to continue progress, , , , , 70-full-recovery-and-relapse-preventionautonomy intuitive-eating coach-for-normality phase-3 recovery therapist

 Expect wobbles and lapses, prevent relapse

Examples of lapses and how dealing with them prevents relapse, , 70-full-recovery-and-relapse-preventionautonomy recovery relapse

Is my child inevitably going to relapse?

Why you should expect complete recovery. Special attention to recovered pre-teens or early teens., , 70-full-recovery-and-relapse-preventionautonomy recovery relapse

Empathy for you if you’re facing relapse

Very understandable ways that parents react to relapse, and how it’s different this time, , 70-full-recovery-and-relapse-preventionrecovery relapse self-care

My child might be relapsing: Wait? Discuss?

What might you say and do if you suspect your child is relapsing (but you’re not sure)70-full-recovery-and-relapse-preventionrelapse

It’s a relapse – what should I do??

If you’re sure, or almost sure, that your child is in relapse, actions you can take70-full-recovery-and-relapse-preventionrelapse

Relapse prevention plan: lifestyle habits to remain in green zone

Why talking about relapse prevention matters. What lifestyle habits are needed to stay in a (green) safe zone., , , , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy education recovery relapse weight

Relapse prevention plan: orange and red higher risk zones

For a relapse prevention plan, discuss triggers and warning signs for yellow and red danger zones, and the action to take, , , , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy education recovery relapse weight

Is my child ready to leave home (for college, university)?

Your child wants to leave home soon for a life of independence. How to assess what might be too soon?, , , , , , , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy college education exercise recovery relapse university weight

How can I prepare my child to leave home?

Is your child due to leave home, go to college or university? Here’s how you can get them ready and competent, , , , , , , , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy college education exercise money recovery relapse university weight

Guardrails and college contracts when your child leaves home

Your child is leaving home for a life of independence. What should be in your plans or in a ready-for-college contract to assure safety and continued progress., , , , , , , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy college education exercise recovery relapse university weight

How can I talk about relapse prevention and safety plans for leaving home? 

Tips for conversations to prepare your child before they leave for college or become fully independent, , , , , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy college recovery relapse university weight

Prepare your child to be cool with money

An eating disorder can come with tension around spending money. How to help at least with food shopping., , , 70-full-recovery-and-relapse-preventionautonomy college money university

Prepare your child for loving relationships, intimacy and sex 

The journey of some recovered adults with issues of intimacy, relationships, sex, consent, , , , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy body_image mind psychology self-esteem

Will I forever have to be vigilant about relapse?

An appropriate vigilance level in proportion to the risk. Enjoying life worry-free., , , 70-full-recovery-and-relapse-preventionafter-weight-restoration autonomy recovery relapse

Guided meditations


 

Guided meditations, , , , , , , 95-meditationsanxiety calming coping resilience self-care self-compassion thoughts wellbeing

8-minute guided compassion meditation

A short compassion meditation designed to improve your wellbeing, for instance ahead of a meal, , , , , , , 95-meditationsanxiety calming coping resilience self-care self-compassion thoughts wellbeing

27-minute guided compassion meditation – sleep version

A long compassion meditation that you can use to improve your emotional state, to learn the compassion process or to drift off to sleep, , , , , , , 95-meditationsanxiety calming coping resilience self-care self-compassion thoughts wellbeing