Parent / Carer Report
FEEDYOURINSTINCT
Eating
These questions relate to a young person's food choices, eating patterns and attitudes towards nutrition. | |||
Have you noticed any of the following? | |||
A change in eating pattern, such as skipping meals |
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Eating alone, eating secretly, or having 'rituals' around food or meal times |
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Avoiding family meals or eating with others |
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Hiding, or secretly throwing away uneaten food |
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Leaving the table during a meal and avoiding finishing their food |
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Frequently reporting to have eaten elsewhere, or being dishonest about their eating |
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Limiting the variety of foods eaten |
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Eating according to strict food rules, such as no carbohydrates, or no sugar |
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Suddenly becoming vegetarian or vegan |
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Development of food 'intolerances' |
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A strong preference for 'diet' or 'low fat' products |
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Frequently talking about losing weight, or making comments about being 'fat' |
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Displaying a high level of concern about the calorie content of food |
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A strong focus on what others are eating, interest in cooking or interest in cookbooks without actually eating |
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Evidence of over eating (large amounts of food disappearing from household, hidden wrappers and packaging) |
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Finding it hard to stop eating once they have started |
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A history of 'picky' eating |
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Rigidity around food preparation and eating such as cutting food into tiny pieces, or 'hovering' in the kitchen whilst others are cooking |
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Anxiety, irritability, anger and hostility at mealtimes |
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Wellbeing
These questions relate to a young person's physical health and any unhelpful behaviors they may be participating in. | |||
Have you noticed any of the following? | |||
A fluctuation in weight over a few weeks (weight gain or loss) |
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Significant weight change as a result of illness, travel or increased participation in sport and exercise |
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A growth spurt without any weight gain |
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Any evidence of vomiting after meals |
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Excessive, obsessive or ritualistic exercise |
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Having problems sitting still, and standing, twitching or pacing whenever possible |
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Evidence of exercising in secret (e.g. in the middle of the night or in their bedroom) |
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Engaging in intense exercise with no pleasure |
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Exercising to compensate for eating |
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Packets of diet pills or laxatives |
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Constipation, or unexplained stomach pains |
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Cold hands, or feet, or regular complaints of feeling cold |
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Fainting or complaining of dizziness |
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A delayed onset of periods (if female), or a loss of menstrual cycle |
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Thinking
These questions relate to thinking patterns and personality traits of a young person. | |||
Have you noticed any of the following? | |||
Very low self-esteem |
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Rigid, black and white thinking (e.g. good/bad or right/wrong) |
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Increased perfectionism |
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Body dissatisfaction e.g. a strong conviction they need to be thinner |
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A strong focus on perceived flaws of their body or a particular part of their body |
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Constantly seeking reassurance about body size |
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Obsessive body checking e.g. weighing, pinching, excessive time in front of the mirror |
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An interest in weight loss blogs, websites, magazines, books or images of thin people |
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Feeling
These questions relate to changes in the way a young person is interacting with others. | |||
Have you noticed any of the following? | |||
Increased social isolation or withdrawal |
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Perceiving others to be judgemental |
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Experiencing difficulty talking about emotions |
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Eating
- If eating patterns have been disturbed over a number of weeks, parents need to take a firm stance, increase their vigilance and closely monitor their child’s meals and snacks. Parents may find it helpful to keep a log of what and how much food their child is eating.
- If you have noticed your child displaying some warning signs of disordered eating:
- Coach them back into healthy behaviours, such as re-establishing regular meals and snacks.
- Support and encourage them to eat a wide range of foods and challenge any ‘rules’ they may have developed about their eating.
- Make family meals enjoyable and establish a clear expectation that the family needs to prioritise spending time together.
- Support your child to identify and challenge any weight related comments from others (regardless of your child’s shape and size).
Wellbeing
- Monitor your child’s growth and development, particularly their weight and height.
- If your child is engaging in any weight control behaviour/s, it is appropriate to intervene and set limits to stop the behaviour. It may be useful to keep a log of when the behaviours occur, and what behaviours are observed.
- If your child reacts badly to you intervening and setting limits on compensatory behaviour/s, this will affirm your concern, and seeking professional help is recommended.
Thinking
- Eliminate teasing based on appearance in your family and role model body acceptance to your child by not talking about the worries you may have about your own appearance or dieting.
- Tell your child often about things you like and appreciate about them which are not to do with their appearance – helping them build a sense of self in which appearance is only one, relatively small component.
- Highlight to your child all the good things bodies can do and how useful it is to listen to our body signals for caring for our health and understanding our emotions. Help your child see that media images promote a limited and unrealistic thin ideal, often through techniques like airbrushing and digital manipulation.
Feeling
- How you communicate with your child is important. Being calm, compassionate, caring and consistent will increase the chances of a good outcome.
- Support and encourage your child to develop their own identity, and continue to participate in interests and meaningful activities.
- Try not to modify the family routine to accommodate changes in your child’s eating patterns or weight control behaviour.