Yesterday at CAMHS Ben had lost 1.5kg over a fortnight. OK, he's had a tummy bug, so that could be the reason. However it is vital that he gets back to the agreed minimum permitted weight level - and then continue to work on increasing.
This week he also plans to go back to school full-time - his first full days and, hopefully, full week since spring 2009 (apart from some tricky full days back in September 2009).
This will also mean school dinners - and there's always the danger with school dinners that Ben will cut back. In the Bad Old High-Anorexia Days he'd go for salad and fruit, nothing else.
So we need to achieve 3 things: significant weight gain, maintaining full days at school and managing school dinners.
So, for the short term, we have agreed the following update to the anorexia recovery contract:
- Re. the Exercise part of the contract: No 'abnormal' exercise is permitted in school (e.g. running round the grounds, running from lesson to lesson, exercising in the toilets, etc).
- We've doubled the points Ben gets for exceeding his daily calories by 100 or 200.
- 1 extra point for a satisfactory school dinner.