I would strongly encourage you to get your daughter to see her GP first , for a full medical check up. If she is a walking skeleton there may be some important medical and nutritional areas that need to be addressed first and then psychotherapy can be much more successful. (Practice Guidelines 2013 American Psychiatric Assn). Her GP can also provide Medicare plans which means that some professional services can be covered (or partly covered) by Medicare.
Restricted eating disorder ( Anorexia Nervosa) is a malnutrition disease first and only when these nutritional areas are addressed and weight is being restored to a certain level is where treatment becomes more successful including psychotherapy. There are good studies which show when weight is too low, this malnutrition in itself is perpetuating the disordered eating which can only be reversed when weight and nutrition is being restored ( Starvation Study) . There are certainly drivers to disordered eating with Psychotherapy being essential in addressing these areas and crucial in managing this disease long term, but needs to be on a platform of better nutrition and weight. Disordered eating is a chronic disease and if not addressed early and speedily by a multi disciplinary team then it can go on for years. Start with you GP.
I would encourage you to ring the Butterfly Foundation as they are also helpful to family members who have a memeber with disordered eating.
The condition may be perpetuated by the biochemical changes induced by weight loss , ketosis and the impact of the ensuing malnutrition on the brain (starvation illness). ...... Silber, T. J. (2013).
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