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This can be a very difficult decision, both for the child and for the child's family\u002Fsupport system. Many parents and caregivers wonder if taking the child out of school is the right thing to do. By working closely with the treatment team, the family can determine what will work best to help the child get the care they need.",{"type":242,"attrs":243,"content":245},"heading",{"level":244,"textAlign":67},2,[246],{"text":247,"type":71},"Can't my child stay in school?",{"type":65,"attrs":249,"content":250},{"textAlign":67},[251,253,258,264],{"text":252,"type":71},"Removing a child or teen from the school setting can be a painful decision, particularly when the child is excelling in academics, involved in clubs or activities, or if school-based social relationships are helping the child. The reality is that, sometimes, it is important to step away - temporarily - from the stressors and social pressures associated with school. The reason? ",{"text":254,"type":71,"marks":255},"We can best heal when we focus ",[256],{"type":257},"bold",{"text":259,"type":71,"marks":260},"all",[261,262],{"type":257},{"type":263},"italic",{"text":265,"type":71,"marks":266}," of our attention and energy on eating disorder recovery.",[267],{"type":257},{"type":65,"attrs":269,"content":270},{"textAlign":67},[271,273,280,284],{"text":272,"type":71},"All child and adolescent patients at Eating Recovery Center work with educational specialists regularly while in treatment. ",{"text":274,"type":71,"marks":275},"Learn more about our approach to educational support here.",[276,279],{"type":104,"attrs":277},{"href":278,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5466",{"type":257},{"text":281,"type":71,"marks":282}," ",[283],{"type":257},{"text":285,"type":71},"Supporting families and young patients, our educational specialists provide help with:",{"type":287,"content":288},"bullet_list",[289,297,304],{"type":290,"content":291},"list_item",[292],{"type":65,"attrs":293,"content":294},{"textAlign":67},[295],{"text":296,"type":71},"Homework",{"type":290,"content":298},[299],{"type":65,"attrs":300,"content":301},{"textAlign":67},[302],{"text":303,"type":71},"Support for 504 accommodations and related issues",{"type":290,"content":305},[306],{"type":65,"attrs":307,"content":308},{"textAlign":67},[309],{"text":310,"type":71},"Communication with teachers and administrators at school, and more",{"type":242,"attrs":312,"content":313},{"level":244,"textAlign":67},[314],{"text":315,"type":71},"Is the child doing well at school?",{"type":65,"attrs":317,"content":318},{"textAlign":67},[319],{"text":320,"type":71},"When it comes to eating disorders, we find that some young people aren't functioning very well in the school environment, after all. Eating disorders are associated with a number of symptoms that can make it hard to thrive in school. Eating disorder symptoms related to school include:",{"type":287,"content":322},[323,330,337,344,351],{"type":290,"content":324},[325],{"type":65,"attrs":326,"content":327},{"textAlign":67},[328],{"text":329,"type":71},"Having trouble concentrating",{"type":290,"content":331},[332],{"type":65,"attrs":333,"content":334},{"textAlign":67},[335],{"text":336,"type":71},"Feeling tired",{"type":290,"content":338},[339],{"type":65,"attrs":340,"content":341},{"textAlign":67},[342],{"text":343,"type":71},"Perfectionist tendencies",{"type":290,"content":345},[346],{"type":65,"attrs":347,"content":348},{"textAlign":67},[349],{"text":350,"type":71},"Social withdrawal",{"type":290,"content":352},[353],{"type":65,"attrs":354,"content":355},{"textAlign":67},[356],{"text":357,"type":71,"marks":358},"School refusal",[359],{"type":104,"attrs":360},{"href":361,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18273",{"type":65,"attrs":363,"content":364},{"textAlign":67},[365],{"text":366,"type":71},"But what about the child who has made a great deal of progress in treatment and appears to be ready to return to the school setting? This can be a challenging and confusing time for families and students as they evaluate when and how to return to school after eating disorder treatment.",{"type":65,"attrs":368,"content":369},{"textAlign":67},[370],{"text":371,"type":71},"Families can consider a number of the following questions and strategies when making the decision to return to school.",{"type":242,"attrs":373,"content":374},{"level":244,"textAlign":67},[375],{"text":376,"type":71},"Is the child ready to return to school?",{"type":65,"attrs":378,"content":379},{"textAlign":67},[380],{"text":381,"type":71},"This is one of the most important questions — and the first question that families might ask themselves and their treatment team. Some of the important signs that a child or adolescent may be ready to return to school include the following:",{"type":287,"content":383},[384,391,398,405,412],{"type":290,"content":385},[386],{"type":65,"attrs":387,"content":388},{"textAlign":67},[389],{"text":390,"type":71},"They are completing meals regularly with minimal or no prompting or support",{"type":290,"content":392},[393],{"type":65,"attrs":394,"content":395},{"textAlign":67},[396],{"text":397,"type":71},"They have demonstrated the ability to use skills to avoid engaging in behaviors like purging or compulsive exercise",{"type":290,"content":399},[400],{"type":65,"attrs":401,"content":402},{"textAlign":67},[403],{"text":404,"type":71},"They are demonstrating increased honesty and openness about eating disorder behaviors and urges",{"type":290,"content":406},[407],{"type":65,"attrs":408,"content":409},{"textAlign":67},[410],{"text":411,"type":71},"Their ability to concentrate has returned, and they are not consumed with eating disorder-related thoughts most of the time",{"type":290,"content":413},[414],{"type":65,"attrs":415,"content":416},{"textAlign":67},[417],{"text":418,"type":71},"Their ability to tolerate changes in schedule, available food options, and other unexpected events allows them to make flexible adjustments when needed",{"type":242,"attrs":420,"content":421},{"level":244,"textAlign":67},[422],{"text":423,"type":71},"Who will support the child when they return to school?",{"type":65,"attrs":425,"content":426},{"textAlign":67},[427],{"text":428,"type":71},"It’s important to connect with the student’s school counselor and other support staff to ensure that they are aware of your child’s specific challenges. It can be helpful for your student to know that at least one adult at school will be a helpful resource should challenges arise.",{"type":65,"attrs":430,"content":431},{"textAlign":67},[432],{"text":433,"type":71},"Before your child returns to school, discuss the best way to approach the counselors and support staff. You’ll also want to decide if, and how, you want your child to contact you during the day, if needed.",{"type":65,"attrs":435,"content":436},{"textAlign":67},[437],{"text":438,"type":71},"If your child is a patient at Eating Recovery Center, we will also be part of the support system in helping the child return to school. Our educational specialists will be here to work with you and can act as a liaison.",{"type":242,"attrs":440,"content":441},{"level":244,"textAlign":67},[442],{"text":443,"type":71},"Who will oversee the child’s nutrition at school?",{"type":65,"attrs":445,"content":446},{"textAlign":67},[447,449,455],{"text":448,"type":71},"The transition back to the school environment can be challenging. New situations, relationships, and food choices abound. Let's say your child has been in treatment for ",{"text":450,"type":71,"marks":451},"anorexia",[452],{"type":104,"attrs":453},{"href":454,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5161",{"text":456,"type":71}," or another eating disorder. It can be helpful, well ahead of the transition, to decide how nutrition will be managed. This can help your child prevent challenges from escalating. Some possible strategies include:",{"type":287,"content":458},[459,466,473],{"type":290,"content":460},[461],{"type":65,"attrs":462,"content":463},{"textAlign":67},[464],{"text":465,"type":71},"Eating with a school staff member, perhaps having meals in a counselor or nurse’s office with supervision",{"type":290,"content":467},[468],{"type":65,"attrs":469,"content":470},{"textAlign":67},[471],{"text":472,"type":71},"Sharing meals with a parent during the early days of reintegration",{"type":290,"content":474},[475],{"type":65,"attrs":476,"content":477},{"textAlign":67},[478],{"text":479,"type":71},"Eating with peers and using other strategies to assist in accountability, like looking for signs of anorexia behaviors in the school setting (these can be identified with help from the treatment team and family members)",{"type":65,"attrs":481,"content":482},{"textAlign":67},[483],{"text":484,"type":71},"The type of support that is best for your child will depend on a combination of their individual challenges and the available options.",{"type":242,"attrs":486,"content":487},{"level":244,"textAlign":67},[488],{"text":489,"type":71},"Is it possible for the child to return to school slowly?",{"type":65,"attrs":491,"content":492},{"textAlign":67},[493],{"text":494,"type":71},"Whenever possible, help your children acclimate slowly to the school environment. Consider the following as you prepare for the return to school:",{"type":496,"attrs":497,"content":499},"ordered_list",{"order":498},1,[500,507,514],{"type":290,"content":501},[502],{"type":65,"attrs":503,"content":504},{"textAlign":67},[505],{"text":506,"type":71},"Start by attending a few hours of school in the morning.",{"type":290,"content":508},[509],{"type":65,"attrs":510,"content":511},{"textAlign":67},[512],{"text":513,"type":71},"Go home for lunch.",{"type":290,"content":515},[516],{"type":65,"attrs":517,"content":518},{"textAlign":67},[519],{"text":520,"type":71},"Check in with your treatment team later that day.",{"type":65,"attrs":522,"content":523},{"textAlign":67},[524],{"text":525,"type":71},"By starting with half days, the student has the opportunity to get their feet wet in readjusting to the (many) stressors of school, without needing to stress about meals at school.",{"type":65,"attrs":527,"content":528},{"textAlign":67},[529],{"text":530,"type":71},"Next, the student can attend the school day through lunch and then check in with the treatment team. Over time, you can gradually increase exposure to the various challenges the school day provides with an ample amount of support, structure, and monitoring.",{"type":242,"attrs":532,"content":533},{"level":244,"textAlign":67},[534],{"text":535,"type":71},"Can the child participate in extra-curricular activities?",{"type":65,"attrs":537,"content":538},{"textAlign":67},[539],{"text":540,"type":71},"Reintegration into school doesn’t necessarily mean that your child is ready to be back, full throttle, in the pace of an average student’s life. Families and caregivers need to carefully consider if their child will be participating in activities outside of school. If you are facing this decision, consider the following:",{"type":287,"content":542},[543,550,557],{"type":290,"content":544},[545],{"type":65,"attrs":546,"content":547},{"textAlign":67},[548],{"text":549,"type":71},"How well is your child balancing his\u002Fher nutritional and psychological needs with the adjustment to school?",{"type":290,"content":551},[552],{"type":65,"attrs":553,"content":554},{"textAlign":67},[555],{"text":556,"type":71},"Is your child able to complete their school work without becoming overwhelmed?",{"type":290,"content":558},[559],{"type":65,"attrs":560,"content":561},{"textAlign":67},[562],{"text":563,"type":71},"Is your child physically ready to engage in activities?",{"type":65,"attrs":565,"content":566},{"textAlign":67},[567],{"text":568,"type":71},"When it comes to participation in sports or other more physically engaging activities, families need to even more carefully consider readiness and are encouraged to consult with their child’s treatment team. Prerequisites for engagement in physical activities include a period of stability in weight, vitals, and other physical markers of well-being (e.g. if menses has returned).",{"type":242,"attrs":570,"content":572},{"level":571,"textAlign":67},3,[573],{"text":574,"type":71},"Final thoughts",{"type":65,"attrs":576,"content":577},{"textAlign":67},[578,580,584],{"text":579,"type":71},"It is understandable that school reintegration can feel like an overwhelming process to all involved. But, with thoughtful consideration and regular consultation with your child’s treatment team, it can be a rewarding opportunity for your child to build back a life worth living. Please let us know if you have any questions or would like to learn more about educational support with eating disorder treatment. 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Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":2845,"body":2846,"authors":2864,"excerpt":14,"summary":2866,"component":2336,"categories":2867,"article_type":2338,"external_link":2868,"featured_image":2869,"external_link_text":2874,"listing_thumbnail_image":2875},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":2847,"content":2848},{"backgroundColor":67},[2849,2854,2859],{"type":65,"attrs":2850,"content":2851},{"textAlign":67},[2852],{"text":2853,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":2855,"content":2856},{"textAlign":67},[2857],{"text":2858,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":2860,"content":2861},{"textAlign":67},[2862],{"text":2863,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[2865],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. 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And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":2916,"content":2917},{"textAlign":67},[2918],{"text":2919,"type":71},"Slaven advises parents to pay attention to clues.",[2921],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":2958,"content":2959},{"textAlign":67},[2960],{"text":2961,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":2963,"content":2964},{"textAlign":67},[2965],{"text":2966,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. Both women dissect Boulder’s health + fitness culture and the way it contributes to unhealthy behavior.",[2968],"bf9591da-e2df-4843-8fae-035693f7e02e","ERC alum Olivia and ERC Regional Medical Director Dr. Elizabeth Wassenaar are featured in this episode of Boulder Valley Frequency as the host examines how Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders.",[],"https:\u002F\u002Fwww.boulderfrequency.com\u002F2600535\u002Fepisodes\u002F19461249-how-boulder-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",{"id":2973,"alt":2974,"name":14,"focus":2975,"title":14,"source":14,"filename":2976,"copyright":14,"fieldtype":175,"meta_data":2977,"is_external_url":177},200540914053616,"Teen girls mountain runners","1038x1867:1039x1868","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2000x3000\u002F52e1d7aff8\u002Fteen-girls-mountain-runners.png",{"alt":2974,"title":14,"source":14,"copyright":14},{"id":2973,"alt":2974,"name":14,"focus":2979,"title":14,"source":14,"filename":2976,"copyright":14,"fieldtype":175,"meta_data":2980,"is_external_url":177},"1017x1667:1018x1668",{"alt":2974,"title":14,"source":14,"copyright":14},"how-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders","news\u002Fhow-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",-4880,[],"c56648a3-02b4-4af3-893d-826c6082b441","2026-07-21T16:36:33.605Z",[],{"name":2989,"created_at":2990,"published_at":2991,"updated_at":2992,"id":2993,"uuid":2994,"content":2995,"slug":3041,"full_slug":3042,"sort_by_date":67,"position":3043,"tag_list":3044,"is_startpage":177,"parent_id":2354,"meta_data":67,"group_id":3045,"first_published_at":3046,"release_id":67,"lang":201,"path":67,"alternates":3047,"default_full_slug":67,"translated_slugs":67},"Letters of Light: MI teen creates eating disorder recovery nonprofit","2026-07-06T21:15:25.437Z","2026-07-06T21:26:34.824Z","2026-07-06T21:26:34.837Z",195309262625814,"32f5b9aa-8ba5-40d8-bd6d-ae52e3562113",{"_uid":2996,"body":2997,"authors":3029,"excerpt":14,"summary":3030,"component":2336,"categories":3031,"article_type":2338,"external_link":3032,"featured_image":3033,"external_link_text":2346,"listing_thumbnail_image":3039},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":2998},[2999,3004,3009,3014,3019,3024],{"type":65,"attrs":3000,"content":3001},{"textAlign":67},[3002],{"text":3003,"type":71},"Sophie Perrenoud first needed to get help for herself — and now she’s forging a path to lending others a vital hand in the realm of eating disorder recovery.",{"type":65,"attrs":3005,"content":3006},{"textAlign":67},[3007],{"text":3008,"type":71},"After having a shaky relationship with food beginning in fifth grade, things took a bad turn during the summer between her freshman and sophomore years at Mercer Island High School (MIHS), she said.",{"type":65,"attrs":3010,"content":3011},{"textAlign":67},[3012],{"text":3013,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":3015,"content":3016},{"textAlign":67},[3017],{"text":3018,"type":71},"“It really got to the point where I was afraid to take medicine at some point because I was scared of the calories it might contain. I was scared having an extra blueberry because, again, like, calories,” Perrenoud, now 17 and a MIHS rising senior, said on a recent afternoon.",{"type":65,"attrs":3020,"content":3021},{"textAlign":67},[3022],{"text":3023,"type":71},"She added that the food culture in high school becomes worse with other girls also struggling with their body images.",{"type":65,"attrs":3025,"content":3026},{"textAlign":67},[3027],{"text":3028,"type":71},"“I think a really big part of that was my whole life (I’ve) been labeled as skinny. When you go through puberty, your body’s going to go through changes naturally. 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