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OT Thread Part IX. The "At Least Our Number 9 Won a Cup" Edition

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01-23-2013, 11:05 PM
  #501
Bob Richards
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Okay, it's time to get a bit real here in the OT because I'm actually in need of some advice. One of my friends has an eating disorder and she refuses to buy into the notion that it's unhealthy and self harming. She claims that it makes her feel comfortable and therefore in control. I've been trying to get through her thick skull of how ridiculous that notion is but her stubbornness has built a wall. She has a poor relationship with her dad and her mother doesn't seem too invested in this as she has told me before. Not sure what do.

Edit: 1/27/13: Hello person of interest.

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01-23-2013, 11:11 PM
  #502
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Okay, it's time to get a bit real here in the OT because I'm actually in need of some advice. One of my friends has an eating disorder and she refuses to buy into the notion that it's unhealthy and self harming. She claims that it makes her feel comfortable and therefore in control. I've been trying to get through her thick skull of how ridiculous that notion is but her stubbornness has built a wall. She has a poor relationship with her dad and her mother doesn't seem too invested in this as she has told me before. Not sure what do.
Eating disorder as in bulimic or anorexic? My aunt is bulimic and I'm not sure if it's something you can just tell someone that it's unhealthy and they'll change. It's a whole psychological thing, like a mental disease or something. One common thing they both have is a bad relationship with their father, which is odd. I honestly don't think there's much you can do. Did she just randomly get this disorder or did she have it before you met her?

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01-23-2013, 11:13 PM
  #503
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Eating disorder as in bulimic or anorexic? My aunt is bulimic and I'm not sure if it's something you can just tell someone that it's unhealthy and they'll change. It's a whole psychological thing, like a mental disease or something. One common thing they both have is a bad relationship with their father, which is odd. I honestly don't think there's much you can do. Did she just randomly get this disorder or did she have it before you met her?
I believe she flirted with bulimia for a short time and now she's attempting the anorexic route again. It's a reoccurring problem that existed before I met her.

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01-23-2013, 11:13 PM
  #504
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I believe she flirted with bulimia for a short time and now she's attempting the anorexic route again. It's a reoccurring problem that existed before I met her.
I'd say try an intervention, but that's just me.

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01-23-2013, 11:14 PM
  #505
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Recommend her to a therapist? Talking about her problems to a professional could help.

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01-23-2013, 11:14 PM
  #506
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I'm assuming we're talking about one of the two kaneone said, not the other side of the spectrum?

Edit: Man, I'm a sow typer

Double Edit: And a bad one too

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01-23-2013, 11:15 PM
  #507
Bob Richards
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Recommend her to a therapist? Talking about her problems to a professional could help.
She has one. I don't even know, it's really confusing. Her other "friends" are either kept in the dark or don't care enough, but I can't just leave her out to dry.

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01-23-2013, 11:46 PM
  #508
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She has one. I don't even know, it's really confusing. Her other "friends" are either kept in the dark or don't care enough, but I can't just leave her out to dry.
Some "friends" she got there. How long has she been with a therapist?

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01-23-2013, 11:51 PM
  #509
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Some "friends" she got there. How long has she been with a therapist?
No exact numbers but I'd guess over the past year. I may try to convince her to just tell her therapist (I believe she has held this from the therapist) about this with no mentions of sadness or happiness or whatever and then I'd assume that the therapist would take over from there. Almost like a snare.

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01-24-2013, 12:07 AM
  #510
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I'd try contacting the therapist somehow and working with the therapist to help her fight the disorder.

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01-24-2013, 12:15 AM
  #511
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I'd try contacting the therapist somehow and working with the therapist to help her fight the disorder.
Actually going to try this idea. I have a way to get this information without raising any suspicions on her part.

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01-24-2013, 12:16 AM
  #512
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Actually going to try this idea. I have a way to get this information without raising any suspicions on her part.
Well you probably won't get anything out of the therapist. You should tell her how you already know about the disorder and that you want to help. If you ask her about her disorder, she really shouldn't tell you.

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01-24-2013, 12:19 AM
  #513
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Well you probably won't get anything out of the therapist. You should tell her how you already know about the disorder and that you want to help. If you ask her about her disorder, she really shouldn't tell you.
Oh, I'm well aware. I meant the contact information of the therapist. I know that they can't disclose patient information but I'm hoping I can alert the therapist of the situation. If this girl won't listen to me, maybe this will raise a red flag.

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01-24-2013, 12:22 AM
  #514
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Well you probably won't get anything out of the therapist. You should tell her how you already know about the disorder and that you want to help. If you ask her about her disorder, she really shouldn't tell you.
Yeah, there ought to be a patient confidentiality code for sure. Be careful with how you approach the therapist. You don't want to put her in an awkward position where she's unsure of whether or not she's crossing any boundaries.

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01-24-2013, 12:24 AM
  #515
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I also want to attempt to remain as anonymous for as long as possible in this (she'll eventually find out) cause she's going to ****ing hate me for a bit.

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01-24-2013, 01:00 AM
  #516
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I would personally do an intervention in a somewhat psychoanalytic/cognitive behavior therapy manner. If said magic isn't available, I do not recommend that you try and make her make sense of it. It's futile and highly counter productive. When something's wrong and irrationally so, trying to logically and rationally convince them that they're being irrational about it is like trying to unbake a cake by shoving it in the freezer.

Without extensive therapy training and clinical psychological insight, the best plan of approach is to slowly HELP HER eat more and make her feel comfortable about you, the process and the eventual goal. The key word is slowly. Do so in a day to day manner. In other words, don't mention the whole unhealthy, psychologically damaging, irrational, eating disorder, therapist part. That'll create a wall beyond anything you've seen.

If not accessible, then I would recommend AGAINST calling her therapist. As a trained professional (Dr.Crestno of the Crestno Clinic with a Ph.D from the Crestnopia University for the stars and the sacred), the process of treating an eating disorder is all about trust between the therapist and the client. Having helped someone with the same issue among other serious issues, it is key that the process is seen as a positive to the client. Not only does the therapist spend hours establishing trust between patient and client, the client also has to ultimately want to be there. If her parents are not involved enough to help, her continued therapy will be unlikely.

Best thing to do is monitor, establish trust (which you've done) and then help her establish a better dietary lifestyle. Through experience and proper adjustment is the most effective way of untangling the irrationality behind the eating disorder and helping her move on to resolving deeper seeded issues that lead to the eating disorders in the first place.

Lastly, do not break the trust between you and her. Irrationality, fear, self doubt, self-concept, self-image, self-esteem issues are at the balance for her and in a vulnerable state, her reactions will most likely result in the devastation of the trust between the two of you. Even if she understands the care you put into this, the sense of betrayal is simply something that's beyond her control. Also, the therapist can do nothing more than call and ask her how she's doing even if you notify the therapist.

I say to all my clients (people that need help/intervention), they don't have to say anything, do anything or even be here if they don't want to. If they change their mind, they can finish their tea or coffee and head on home. She has to want to be there and the way you do that is either through gathering enough resources and authority over her to force her through the process (which is in itself unhealthy) or you can build progress, help her find a bit more balance and slowly lead her to the light. That is also the more permanent solution.

Finally, if it becomes serious and physically threatening either to her immediate health or to her overall organ health (over months let's say), then you would bring the issue to the parents if they are at least somewhat reliable. If that does not resolve the issue or if they're not reliable, then contact a therapist and ask for advice (rather than straight up asking for her to get therapy somehow).

Note also: Doc Patient confidentiality will probably leave you out of the picture in the therapy process.

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01-24-2013, 07:18 PM
  #517
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I just somehow came across Dubinsky's wife's Facebook. This picture is gold...



https://www.facebook.com/brenna.dubinsky

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01-24-2013, 07:24 PM
  #518
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What in the **** is Boyle wearing?

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01-24-2013, 07:47 PM
  #519
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Pretty pimp.

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01-24-2013, 09:09 PM
  #520
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Not sure if this is the right thread but if anybodies watching Originals right now drink every time Girardi says "ya know" in between his sentences.

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01-24-2013, 09:16 PM
  #521
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Before anyone asks, I lost a bet.

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01-24-2013, 09:22 PM
  #522
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JCresty is going away for a month. Enjoy life people.

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01-24-2013, 09:47 PM
  #523
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Send a message via Skype™ to Ave Maria
who is on the right?

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01-24-2013, 10:00 PM
  #524
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I just somehow came across Dubinsky's wife's Facebook. This picture is gold...



https://www.facebook.com/brenna.dubinsky
I partially hope Boyler is goofing around with the no shirt crushed velvet purple jacket.

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01-24-2013, 10:05 PM
  #525
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What in the **** is Boyle wearing?
Not a shirt

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