Around The Dinner Table (ATDT) forums - Parents who think they're better at treating their child's eating disorder than actual doctors

  • 🔧 At about Midnight EST I am going to completely fuck up the site trying to fix something.

Dr. Voss

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Around The Dinner Table (ATDT for short) forums is an online community for parents whose children have an eating disorder. It is the official forum of the F.E.A.S.T. organization (Families Empowered and Supporting Treatment of Eating Disorders), which focuses on the parents' role in the treatment of an eating disorder. The likes are you've already guessed that the forum is a complete shitshow of parents who think they know how to treat their child better than medical practitioners simply because they happen to have conceived said child. The site promotes the 'Maudsley method' (Family-Based Treatment or FBT) of treating eating disorders.

http://www.feast-ed.org/?page=FBT_MaudsleyApproach

The treatment consists of three phases; first the parents are supposed to take all control of what the patient eats. In the second phase the patient is slowly given back control over their food intake, and in the third phase normal family relations are restored with the help of a therapist.

Sounds good in theory, right? Well, in practice, as demonstrated by the forums, this usually leads to parents using various methods to force food down their child's throat while denying that they themselves could be making thins worse, such as hiding enormous amounts of pure oil into your child's food, making the child eat until their stomach is so full it hurts, and treating the illness like some sort of a demon possessing your child.

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http://www.aroundthedinnertable.org/post/my-husband-is-so-proud-of-himself-8436146#gsc.tab=0

Lying about the content of food to your teenage child? No wonder therapy is needed to restore normal family relationships after "refeeding". Some parents have also resorted to removing the door of their child's room to give them zero privacy, and then demanding access to their adult child's medical information when the child, not surprisingly traumatized by this 'intervention', tries to get her independence back.

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http://www.aroundthedinnertable.org...lease-to-discuss-her-health-8343611#gsc.tab=0

Here they confess to things like going through the trash bin for dirty tampons because they didn't believe when their daughter told she hadn't lost her period. They seem to be utterly clueless about the treatment of mental illnesses, and are surprised when weight gain doesn't fix all the problems.

They have their own little abbreviations for family members; d is daughter, h is husband and s is son as if the word 'son' was too long to type out.

ATDT is also a common topic on the myproana.com forums, where some of the ATDT parents also lurk to check if their child is posting there. MPA members have made numerous troll accounts on ATDT, and some have even found their own parents on the forum.
 
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The people on myproana seem like lolcows too tbh. Bulemic habits like "binge and purge" (eating a shitload of food and throwing up) behaviour is encouraged there. These people need help, but they need to be far away from each other because they're just bad influences. Most of the posters are underweight and the bragging from consuming zero calories in a day is just dangerous in its own right. For something claiming to be a ED recovery forum, there's not much recovery going on.
 
The reason these families are so resistant to seeing professionals is because they quite rightly suspect they'll have to take some criticism for their role in their child's problems.

Their frantic insistence on EDs being purely biological and genetic and refusal to engage with any psychological explanations is so transparent.

Kid gets sick in a way that might suggest their parenting wasn't actually as stellar as they like to think? Clearly the next step is to insist their amazing parenting is the only thing that can save the kid. And bonus, they get to be martyrs.

Yeah, mainstream ED treatment is pretty shit a lot of the time but lying to and bullying your distressed child can't be the right answer. :(
 
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The people on myproana seem like lolcows too tbh. Bulemic habits like "binge and purge" (eating a shitload of food and throwing up) behaviour is encouraged there. These people need help, but they need to be far away from each other because they're just bad influences. Most of the posters are underweight and the bragging from consuming zero calories in a day is just dangerous in its own right. For something claiming to be a ED recovery forum, there's not much recovery going on.
Myproana users are fucked up in their own right, that's for sure (should be obvious considering that the name of the site is 'My pro ana') but they have collected a lot of useful information about ATDT.
 
The reason these families are so resistant to seeing professionals is because they quite rightly suspect they'll have to take some criticism for their role in their child's problems.

Their frantic insistence on EDs being purely biological and genetic and refusal to engage with any psychological explanations is so transparent.

Kid gets sick in a way that might suggest their parenting wasn't actually as stellar as they like to think? Clearly the next step is to insist their amazing parenting is the only thing that can save the kid. And bonus, they get to be martyrs.

Yeah, mainstream ED treatment is pretty shit a lot of the time but lying to and bullying your distressed child can't be the right answer. :(
Especially since EDs often develop as a maladaptive coping mechanism for abuse and other unhealthy situations. Many people with EDs have other mental illnesses too, like personality disorders, PTSD, bipolar, etc.

Proana sites are horrible, but this place sounds equally awful. This kinda stuff just makes me really sad :heart-empty:
 
eh, its a bit obsessive but getting your kid to recover from anorexia is a nightmare, and until the physical shit has normalised psychological intervention is rarely of much use.

i think the 'one track mind' aspect of care is necessary for most parents to do whats required to make it happen.

eating disorder wards are worse
 
eh, its a bit obsessive but getting your kid to recover from anorexia is a nightmare, and until the physical shit has normalised psychological intervention is rarely of much use.

i think the 'one track mind' aspect of care is necessary for most parents to do whats required to make it happen.

eating disorder wards are worse

Being psychologically abusive on the specific issue of food is pretty much a guarantee to make shit even worse. This is a recipe for making sure your kid offs herself.
 
depends how its done.
As long as the adult acts like an adult and shows their child respect even forced refeeding is often better than starving.
Where forced means sitting with the kid till they eat, not being abusive.

This is stupid.

A kid with problems relating to food won't magically start wanting to eat because their parent is sitting there breathing down their fucking neck.
 
A major cause of ED, particularly anorexia and bulimia, in teenagers, is when the parents are so controlling that the teen feels that food is the only thing they have that they have a choice over. Refusing to eat is their way of asserting control over their body in a situation where they feel imprisoned by their parents. For some teenagers its just typical teenage rebellion and does not last long, or is not done seriously enough to cause real damage. In serious cases, the ED is indicative of serious issues at home that the teen feels helpless over and the only thing they have control over is what they put in their bodies. For many, it's the only way they think they can make a stand for themselves.

Reading the forums just really illustrates what I just said. Sneaking oil into your kid's food, taking their doors away, hovering over them... lying to them... it's no wonder they're a mess to begin with. It says to me that there were other problems before the ED, only the parents are too narcissistic to realize it.
 
eh, I would have died had my parents not made me eat.
I was irrationally and utterly terrified of food. Having it not be an option is what allowed me to tell the voice in my head to fuck off.

I stand by - it can work if its done right, and with the help of medical doctors, not in alienation from them
 
eh, I would have died had my parents not made me eat.
I was irrationally and utterly terrified of food. Having it not be an option is what allowed me to tell the voice in my head to fuck off.

I stand by - it can work if its done right, and with the help of medical doctors, not in alienation from them
Many of these people are alienating doctors, though. It's not uncommon for them to go and switch doctors until they find one that agrees with them, or tell the therapist beforehand what to say to the child.
 
Context was the last thread linked in the OP


The stupid in that thread is towering high that it hurts. She's still living with her parents so deleting the browser history or using an incognito mode should have been the first thing that's on her mind.
 
Well I've only browsed the forum - but to me it looks like most of them want medical help thats on the same page as them. I don't see a problem with that.

It really does give much better treatment prognosis than what else is, metaphorically speaking, on the table.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414759/

I hope your recovery is going well.

If you've been in the wards, you know that not everyone there is going to respond to their parents forcing them to eat. You know how many patients' illnesses have roots in how their parents behaved over food and indeed how their parents behaved more generally, particularly in regards to abuse.
 
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