What causes lack of appetite? - Online Doctor Chats
On Phil's Recent Fat & Furious show, he only lightly touched on the wife's opposite issues with being able to eat at all. I was disappointed because I have always had those same issues. I find it very difficult to eat enough calories or the right kinds of food because I am so finicky. It was intimated that the problem was psychological involving control issues, which would also fit my situation. There were no solutions or direction provided on the show. I am currently in therapy for anxiety issues. How do I approach my eating problems? I have to force myself to eat, which increases my anxiety, and I just don't know what to do. Please help me.
Let me read your query for few minutes to be able to have a good discussion here.
I am sorry, I do not have the knowledge of the show you are talking about, but I hope I can help you
Okay, Can you please tell me what type of thoughts come to you when are eating ?
That I know I have to eat but I don't want anything. I'm not physically hungry and have brought to tears just trying to decide what to eat.
how about your weight and height?
5'8", range 115 to 120 lbs
You are normal in weight for your height
My dr says I'm at the low end...
Yes, you are at the low end
but not out of the normal range
so, not stressing about this may well add some pounds
I have gone for 2 or 3 days without eating anything at all. I drink Ensure Plus, but just can't bring myself to eat at all.
It is basically your indecision about what to eat right?
No, it's that nothing appeals to me at all, not even sweets.
why do you think that is?
I have no idea.
Do you feel hungry?
Not usually, sometimes just empty when it's been a day or more since I ate anything.
Now I am getting a better picture
When I do eat, it's small portions, half what restaurants generally serve.
the condition you are suffering from is called food apathy
What is food apathy?
No food appeals to you
that is food apathy
...and what can I do about it?
You might need to consult a psychiatrist
What is behavioral cognitive therapy?
You should probably explain to him exactly how you feel when a plate of food is in front of you
Behavioral cognitive therapy is nothing but counseling
or just therapy
A better option than a psychologist will be to talk to a psychiatrist
a psychiatrist would be better able to diagnose your condition and treat you effectively
is there anything else you would like to ask me?
I see the psychiatrist every month or so to adjective my medications and he thinks I'm underweight. I will ask for an additional appointment to discuss this with him. I really would like to enjoy eating like other people do. Is that possible?
Yes, that is quite possible
talk to your psychiatrist
he should be able to help you out
Thank you very much for listening & for your advice. You've been helpful.
You are most welcome
I hope you will be fine soon
and have a great evening ahead
Thank you. You take care too.
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