u/Ezaane

I’ve been seeing a dietician for the past three weeks. She gave me a meal plan to follow, and I started eating according to the plan every day. My dietitian told me that following the meal plan was the only option I had to prevent being admitted to inpatient care.

But eating according to the meal plan has become increasingly difficult. The reason is the feeling of having a lump in my throat, and the sensation of food being stuck after swallowing. This issue seems to become worse every day, and it has made me dread every single meal.

I informed my dietitian about this issue, and asked her if it was possible for me make swaps (drinking something nutritious instead of eating solid foods). She told me that it’s best if I try to eat solid food, but it’s okay for me to swap foods with liquids such as smoothies or an extra glass of milk. I wanted to ask her about ONS (oral nutritional supplements) since this would give me the nutrition she wants me to eat. However, I felt that since I don’t “look ill” she won’t feel it’s necessary for me to get ONS.

This issue with my throat and swallowing doesn’t just apply for food. It’s also really hard to swallow pills, and after brushing my teeth I get a lump in my throat. I end up not feeling hungry most of the time, and I fear that my dietitian will feel I’m not trying my best. I don’t want to get admitted. I’m not asking for a medical diagnosis. I’m seeking advice and wanted to know if some of you have had the same issue? I’m planning on telling my GP about this next week.

I’ve been in a relapse for nine weeks, and yesterday I had an appointment with a dietitian. I saw her last year as well, and she was a great source of support.

When I met with her yesterday, she became serious very quickly. She told me that things are really bad and that I need to turn this around immediately. She also said that if I continue like this for a couple of weeks, I will get admitted. I told her I really don’t want to get admitted again and that I’m motivated to do what I can to stay outpatient. She seemed pleased to hear that and gave me a meal plan.

According to her, I need to follow it properly. If I don’t, an admission will happen. She says there are no other options than starting to eat properly again.

I honestly don’t know what to do. I didn’t think my situation was this serious, since my therapist told me just last week that he wasn’t worried. But I’ve been feeling physically ill for a long time, so I guess it makes sense.

I feel extremely conflicted. I don’t want to be admitted again, but following the meal plan is incredibly hard. Do you have any advice on how to start following a meal plan when it feels like the hardest thing in the world?

I’ve been in a relapse for a little over two months. Everything has gone downhill quickly. I didn’t weigh myself, but I felt I could see a difference in appearance and the way my clothes fit. For the past two weeks my eating has gotten even more restrictive, and I only stick to one type of food most days of the week. I experience a lot of physical symptoms, and I feel really ill. I get sent home from work a lot. Even though I eat more now than what I did when I experienced a relapse last time, I feel just as physically and mentally ill. Yesterday my weight was taken for the first time in a year, and I didn’t want to look at the scale. My therapist didn’t comment anything on my weight at all. My mother and father are both really concerned for me, and my mother contacted my therapist today to let him know how concerned she is. It ended up with me getting an appointment with my therapist today, and he said we needed to talk. We talked for a while, and he told med that “I’m not concerned for you, since looking at your current weight and what you’ve weighed previously, I feel that this isn’t concerning”. It really triggered me, and I instantly felt a need to restrict even more. Which is almost impossible to do, since I eat extremely little. He gave me a reduced meal plan, and told me to start giving it a go, starting tomorrow. I told him I’ll do it, but since he isn’t concerned about my weight, I don’t feel motivated at all. My mother got in touch with the dietitian I saw last year, and the dietitian told my mother that I’ll get an appointment with her next week. I don’t know what to do. I don’t want to feel miserable all the time, but since my therapist isn’t concerned about my weight, I don’t have a lot of motivation. He also said that keeping an eye on the weight wasn’t really necessary. Before my relapse I was overweight, and it feels as if there’s a difference in how I looked then versus how I look now. Nobody has commented that it looks like I’ve lost weight though, so I just assume that I haven’t lost any. I told my mother and father that I’ll start following the meal plan tomorrow, but I really don’t feel like doing it.