ED Inpatient Rules (I broke them!) | What to expect in treatment?
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- Опубліковано 3 тра 2024
- Here are the rules I had to follow at my eating disorder inpatient treatment center (I definitely broke a few)! While every residential eating disorder treatment center is different, hopefully this gives you some idea of what you can expect if you go inpatient. As always, make sure you are getting the help YOU need. Everyone’s recovery journey is different, and there’s not a one size fits all system for recovery. But I’m wishing you the best in your journey and sending lots of love.
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The National Eating Disorders Association (NEDA) helpline
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www.nationaleatingdisorders.org
#eatingdisorderrecovery
I think the phone rule makes sense because sometimes family, friends or significant others are causing the stress and termoil in peoples lives that lead to them looking for control in their food
We had a fair number of food rules, but I surprisingly had very few ED food behaviours (ie I didn’t break things up etc) so that wasn’t a big issue. We could do supervised bathroom trips (it was only a communal bathroom and technically we weren’t supposed to use bathrooms off the ward either, but I did sometimes…whoops). My centre was multi programmed too, ours was the longest at 120+ days. I only stayed 94 days, but it was the right length and I left at full level with graduation. I was out of province, so getting back home was important too. Thankfully, we were allowed our phones after groups were over/in our rooms. Just not after meals when you were on postmeal supervision. Because it was a multi programmed centre (it was very big) there was a communal cafeteria/dining hall that when you got to level 3, you got to start having meals at-1 at level 3, 2 at level 4, and then all 3 at level 5. The bathroom thing…we had 1hr postmeal following meals at levels 1 and 2. We were expected 100% completion, no boosts/ensures as substation. I remember an accidental ordering of something with bacon bits in the salad…well, I’m vegetarian and was allowed (thankfully!) to be there (my home province horrible hospital program wouldn’t let me…it was awful) and I tried to sort of push the small amount to the side. I was nearing the end of level 2, was SO done with postmeal supervision…one of the qualifiers to getting to level 3 was having no incompletes on meals/snacks. A nurse who was inspecting after the meal pulled me aside and said ‘Normally we’d expect you to eat more than this’ (I had left the bacon bits). I explained what had gone wrong-I hadn’t fully read the full menu description because I wanted to challenge myself with the grilled cheese, and had skipped over the salad component. Well. I got panicked and so frustrated I might not make level 3. My friends saw me come back in to the main area where we were watching Modern Family (shh, we were only supposed to watch G rated after meals and it’s PG) and I was knitting furiously and they were like ‘is everything okay?’ Everything did work out…and when I met with the dietitian tech later that week…I found out that they were imitation soy bacon bits! Haha! Oh the stories one has from treatment.
I think that if staff noticed certain ED behaviors (like cutting up food into tiny pieces), they'd talk to you and see if it is actually a behavior or not. I know the dietician asked me why I ate salads at every opportunity.
Yeah for sure. I know dieticians and counselors talked individually about behaviors with each resident. Everyone has different behaviors to work through and no two people have the exact same recovery path :)
nope they don't talk to you, they just assume the worst and then punish you
@@urplantpalit's not just to avoid you doing it it's also to avoid u triggering other patients
I'm terrified, I will be going into residential pretty soon and I really don't want to and I don't know what to expect either
Good for you for taking this step towards recovery! That's a hard decision to make. I know every treatment center is different and I'm truly wishing you all the best! I know it's terrifying, but your recovery is the most important thing!
I was just thinking on the outing on the walking trail would it not be normal to take a walk on a walking trail?
I went to ERC Dallas and it was super strict but similar
I hope you're doing well now!
How many weeks did you stay?
The communal bathroom would not work for me ive bladder shyness. Im going to refuse nutrition now. I was refeeding at home and now people have pushed for inpatient. I wont go. I feel railroaded into a choice. Not doing it.
Great video, Im going inpatient soon and am so scared! I know you touched on it, but what was movement like? Were you allowed a 30 minute walk or were you mostly just sitting all day inside?
Hey girl, first off, good for you for getting the help you need! That is HUGE! I wish you the best of luck and if you want to chat more feel free to message me on Instagram
Question do they still tube feed patients that refuse food in time allotted for meal and if food is not eaten on tray when I was in treatment years ago they would automatically tube feed while being restrained. And observed after each meal and if they say u got out of observation area even if that was not really the case they would force u too drink high calorie drink for whole meals worth of calories even if you were not admitted for bingeing or purging. I was admitted for extreme low weight and excessive exercise. Just wondering if these things have changed? Also I was strip searched at admission to unit and room searches happened alot
a lot of places still do that
@@urplantpal that is a shame in a way because it’s so traumatic. They used nasal gastric tube when I was hospitalized. Hope they use the one placed in jugular vien it’s what they use for cancer patients and other seriously Ill patients. When placed it would be less painful and more humane
exact same thing happened while I was there.
It likely mostly happens in places where treatment is involuntary, so a hospitalization program and not residential. Even when I was in my horrible home hospital program, the tube was an absolute last resort. I did end up with the tube, but I came in saying that my brain was at the place I needed it, and it turned out to be the best thing for my mental-and physical (minus the constipation…) health for those two weeks I needed to be on it. My residential centre I went to several months later was purely food, except for if you needed extra calories at snacks, then you would have ensure. I’m a very small person (I’m 4’8…) and I ended up never even needing a morning snack and them having to be creative about ways to cut back on what was served once I hit maintenance…I started developing an autoimmune condition with my muscles while I was there, but that wasn’t known until months after I had graduated and left. Anyways, that muscle condition was part of why I didn’t need as much to gain.
I don't get the limitation of seasoning? Like, even if you over season your meal you have to eat it. Is it really gonna harm me if I have 2 salt packets?
I think using certain seasonings and/or certain quantities are behaviors for some people. I suppose the center chose to make broad rules that applied to everyone in some cases. Another example that I didn't mention in the video is ice. There was no ice at the center because ice or chewing ice can be a behavior for some, so I imagine the easiest option was to not allow it for anyone.
A lot of people use seasoning as a way to disguise the taste of food, not to enhance the flavour....
Salt could make you gain water weight.....
I started out in 8th grade not eating at school cause I deal with bullying and cause my dad was very abusive in all way but then he killed hisself this summer and I’m already getting bullied in stuff and getting called fat and a lot worse and I just hate it cause I don’t feel like I belong anywhere and I’m planning on quit eating even though I’m super hungry but I’m trying not to eat but it sucks but it fine maybe it will be better I’m super depressed at time suicidal and has very bad anxiety but yeah I don’t know I give up I’m just not going eat it might be better for me
What state did you go to Residential treatment? What was the name of the center?
Hey! I was in TN. I don't feel comfortable saying the name of the center here, but if you want to message me on Instagram we can chat there :)
Dude like what if you are full though
What program did you go to?
I was in a residential treatment program.
LOL, until recently I hadn't realized that Mario updated his favorite way to tackle ED and it's a relief! Although what he previously suggested was pretty good, it was a real pain to follow... I just go'ogled the latest in Volpstein's Erections at Will, it's so much simpler and potent now!