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Partial inpatient. What does that actually mean?

flyawaybyebye
flyawaybyebye Posts: 250
edited November 2024 in Social Groups
My therapist basically said that I'm getting worse, not better, and if things don't turn around soon, she's going to push me to do "partial inpatient treatment". I was too shocked and freaked out by what she said to really figure out what that actually means. She did say it would mean I probably couldn't keep my job and it could get very expensive. Beyond that, I don't really know what it means at all. Can anyone enlighten me?

Replies

  • littlemili
    littlemili Posts: 625 Member
    I think it's what I am down to start doing, partial hospitalisation. It's where you go for most of the day but you get released for overnight and weekends. Yes, it will be expensive. And not just financially. I have had to take a year out of college and maybe a second one in order to go to the program. The impact on your family and social life will also suck. Whether she is trying to scare you into doing better or genuinely plans to have you go into the program, I would seriously consider it a major kick to put more effort into turning things around. Trust me you want to avoid having your whole life dedicated to getting better when it also means taking away everything you have.
  • She did say maybe stepping up to meeting with her twice a week would help. Honestly, I really need to start with a nutritionist or dietician, and feel stuck until I can do that. She asked me to try to cut down weighing myself to every other day, but I'm not sure I can. I'm going to weigh today because I'm not even out of bed yet, and already anxious about the thought of not doing it. I will try not to weigh tomorrow, though. I don't really believe that not weighing will help, but I don't know what else to do to progress forward. I mentioned to my husband that maybe this just isn't a good time to deal with all if this, and we should wait... Maybe it would be easier on us if we stopped poking the sleeping tiger? But he disagreed.
  • littlemili
    littlemili Posts: 625 Member
    Honestly?

    In the end you have to decide to recover. All these people you see won't make you better. You have to make the decision to get rid of the scale and out food in your mouth. It's actually really simple. I tried to kid myself into 'I'll get better later' or 'I'm not sick enough yet' or 'I need therapy and dietitians before I know how to do this'. No. Get food. Put in mouth. Repeat. Throw out scale. End of. I think it's time you start taking responsibility for yourself if you don't want to lose basically every single meaningful thing in your life. You should be happy that you have the opportunity to turn this around for yourself. I am being thrown in hospital even though I am doing all these things. Why would you let that happen? It WILL ruin your life.
  • Obviously, I don't want that. But it just isn't as simple for me at the moment. I'm at a loss as to what to eat to get my calories up. I have so many food allergies that it's a huge struggle. And when I do eat enough, I feel so uncomfortable that I b/p. I'm trying to stop it, but at the time it happens, the anxiety is so bad, I literally can not stop myself. I honestly feel like the restricting is better than the b/p, so it's hard to eat enough, because I feel like it gets me dangerously close to the point where I can't prevent a b/p. I'm a mess. :( My husband suggested maybe to create a daily menu and eat the exact same thing every day for a while. I may try that. It couldn't be worse than what I'm doing now, I guess.
  • littlemili
    littlemili Posts: 625 Member
    I also have a lot of allergies. What are yours? I expect if we talk about it we can find a way for you to hit 2000 calories easily. But really, if you are not willing to force yourself t eat, and you can't control your b/p, probably you need to go to inpatient because you are a danger to yourself. I think your husband has the right idea.
  • I'm allergic to dairy in all forms, eggs, wheat, gluten, gliadin, oats, rice, soy, yeast of all kinds, mushrooms, asparagus, turkey, oysters, lobster, and several types of white fish. It's almost easier to type the things I can have. ;) I eat a lot of meat, veggies and fruit. I am trying to eat more, but so far, my efforts have only led to more frequent b/p, which is why I'm so freaked out. I feel like I need a plan. I may try my hubby's suggestion. Something - anything - has to work, right?
  • littlemili
    littlemili Posts: 625 Member
    How about nut butters? 1 tbsp nut butter has 100 calories. And 1 tbsp olive oil has 120 calories. Since they don't fill your stomach, it would probably not make you bp. You could eat 2 tbsp nut butter with breakfast, and fit in another 3 through the day in place of snacks if you are finding eating really hard. 500 calories done. 1 tbsp olive oil with lunch and dinner (just put it on a chicken or salmon salad, healthy and fresh, with some crackers) and you're up to 1500 easily. That would be a great start and there is nothing heavy or filling in there. How does that sound?
  • I could definitely do the nut butter. I do eat nuts, but probably not often enough. I actually bought banana today, and I love nut butter on banana, so I could do that as a PM snack. Just have to buy the nut butter. The olive oil is a little more tricky, but I could try it on salad. I am not really a fan of the taste of olive oil when it isn't on bread, though, and I can't have bread (or crackers). I could try sautéing my evening veggies, though, instead of steaming-in-the-bag, at least some of the time. I don't always have time to go through that much effort, but sometimes I do. I could also maybe try doing olive oil and garlic on some oven-baked potato chunks... sort of home-made garlic fries, I guess, but without the fryer...

    Thank you, these are good ideas. I'm also trying to think of more ways to eat avocado. My hubby's suggestion was the following:
    Eat my regular breakfast (which consists of a serving of deli sliced ham, a piece of fruit and a carrot) and leave a bit early for work so I can stop by Jamba Juice on the way and get a juice. This would add several hundred calories, and be easy on the tummy, since I'd be drinking them. I can get it made with 100% fresh-squeezed OJ, so I wouldn't have to freak about drinking a ton of processed icky juice. They can also add their flax-and-fiber boost, which has good healthy fat in it. Then, eat a Lara bar (or at least half of one - I don't think I could manage a whole one) while at work, and then eat a Jimmy Johns unwich (roast beef, lettuce, onion, cucumber and avocado spread, wrapped in a lettuce wrap) for lunch. Then, have another snack in the afternoon and something (the same something every day) for dinner. Have a serving of my favorite coconut milk ice cream for dessert. Make dinner and the PM snack be high enough in calls so that it all adds up to at least 1600 per day. My TDEE should allow me to at least break even at that point, and if I can manage more than that, I should start to slowly gain. It might be a plan I can manage.
  • Progress. I made it to my calorie goal today, and I made a plan for what I'm going to eat on a daily basis until I can get in to see an RD. I made an extra appointment with my therapist for next week, and I'm working on a suggestion my mom made to "create an image of myself gaining weight that is a positive, happy image that I can really and truly want to work towards". I can't get my mind around "wanting to gain weight", but I think I *can* get behind the idea of gaining strength so that I can complete a 10K, or something like that. I just need to pick a reasonable goal and focus on it. Working on creating one that I can truly love and crave enough to overcome my fears of gaining...
  • cowlover22
    cowlover22 Posts: 309 Member
    On bad weeks I see my therapist 2 times or more a week.If that is what it takes to keep me out of the hospital. I also see a dietitian which I think will be very helpful, but if you cant continue to do it own your own that maybe you need partial. People recover at different rates for different reason. Some could still be in denial, some dont want to get better, some are trying because they are forced into it. But whereevr you are as long as you are trying and not giving in that is a good thing. What some people dont realize is the lower your body weight the more intrusive the thoughts are(proven in studies) So if you dont have a strong support system it is harder to fight. Alsp your thinking is so so screwed up when your brain doesnt get the nutrients it needs. I can tell when I need to eat because I cant think. So sometimes you cant trust yourself you have to trust others. As for the money I have gotten over that. Over the last 2 years my ed has cost me more than $50,000.(my treatment) but if I hadnt gotten it I wouldnt be here right now..so what is more important the money or you. I learned how to live on a lower income if that was what I needed to do. Also I dont weigh myself because I know it is a trigger so maybe if you try by starting there that will be a start!
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