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so, got another phone call from bp kid about how she is always puking. imho, she is working her way up to a full blown eating disorder. she has a lot of anxiety issues and has been a puker for a long time. she used to want to miss school because her stomach hurt and she was throwing up. we even had a rule that if she wanted that to excuse her from school i at least had to see the puke, so she shouldn't flush the toilet.
she always had strange issues about food, and what she would and wouldn't eat. she is now nearly vegan, and so skinny that her breasts are shrinking.
i told her that i thought it was neurochemical, which is not something that i toss off lightly. we are all hoping that the dx of bipolar (and even bpd) might have been more adolescent turmoil than adult illness. i doubt that, tho. i think she will have issues, and really would be better off seeing a shrink and trying to get some effective medication. but mostly we all just whistle past the graveyard on it, as long as she is functioning.
she does have klonipin for anxiety, which she takes as needed. i suggested that she try taking it daily. she says she has trouble staying asleep at night, which right there is a bad thing that could cause a lot of this. says the klonipin helps with that so i think she might take that advice. i recommended that she see a gi, and also maybe see a sleep doc. i also suggested that she might think about seeing her old therapist a time or 2. he is a pediatric guy, but he does see his former patients if they need him. she kinda thought on that, and said she'd think on it some more. i think that sort of took the discussion where she didn't want it to go.
i think she is gonna stay stuck where she is if she doesn't face up to the situation and deal with it. but i suspect it will take a crash for that to happen.
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