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Back to School Strategies for Teens With Treatment-Resistant Eating Disorders 

By Lee Neagle MA, LPC| 8 Min Read | August 30, 2024
Table of Contents
  • Establishing a Consistent Routine
  • Building a Support Network at School
  • Mealtimes & Social Gatherings
  • Finding a Balance Between Schoolwork & Mental Health
  • Stay Active, the Healthy Way
  • Keeping an Eye Out for Warning Signs
  • The Power of In-Person Care

Not everyone feels excitement as the back to school buzz kicks in and summer winds down. This time of year brings up a ton of anxiety for teens who deal with treatment-resistant eating disorders. A storm of tough emotions comes from everything—school cafeterias, social pressures, and new schedules—and old habits creep back in. 

Remember, if this hits close to home, you’re not alone, and hope is out there. Here are some strategies to help. 

Establishing a Consistent Routine

When life feels chaotic, a steady routine can be a real lifesaver—especially for teens dealing with eating disorders. The sense of control that predictable schedules give can ease anxiety and create a bit more stability. A daily roadmap takes away some of the guesswork, and those tough decisions around food and self-care become a little easier to manage.

So, how do you get started? First, create a balanced daily schedule that covers schoolwork, meals, and—just as importantly—self-care activities your teen enjoys. This can be things like reading a good book, taking a walk in the park, or listening to their favorite tunes, it should be a healthy mix of responsibilities and fun.

Consistency matters here. Stick to the schedule as much as possible, even on weekends. Perhaps replacing schoolwork with a family or social activity.  Every minute doesn’t have to be planned out, but even a general structure can make a big difference. 

Building a Support Network at School

School is also a community, it isn’t just about hitting the books. People in that community can be there for your teen. Think of teachers, counselors, and even the school nurse as allies in your teen’s journey. Reach out to them, don’t hesitate to fill them in on what your teen’s dealing with, and talk about how they can help.

Communication is super important with the school community.  Create a plan that spells out how you, your teen, and the school staff will stay in the loop with each other. This might mean regular check-ins, sharing any worries or updates, and figuring out a game plan for handling any issues that come up at school.

Peer support matters a lot, so don’t forget that. Encourage your teen to spend time with friends who are positive and understanding. It might even be worth checking out school clubs or groups focused on mental health or wellness. 

When connected and supported at school, your teen can really make a big difference in how they feel.

Mealtimes & Social Gatherings

With some planning, school lunches don’t have to be stressful,  even though they can be tough. Help your teen by meal planning with them and packing meals ahead of time. If the cafeteria choices feel too overwhelming or triggering, this can be really helpful.

Lunchtime or after-school events might also be tricky social situations. Talk openly about your teen’s worries, and help them come up with ways to handle these moments. From polite ways of saying no to creativity around situations that may be triggering.  

To ease anxiety and build confidence, role-play possible scenarios. Go over how to answer questions about their food choices or handle peer pressure to eat in ways that don’t feel right. Your teen will feel more prepared to handle whatever social situations come their way by getting ready ahead of time.

Finding a Balance Between Schoolwork & Mental Health

A lot of pressure can pile up, and school can be a lot to handle—especially for a teen dealing with an eating disorder. Always remember, your teen’s well-being comes first. Put self-care at the top of their list, and remind them to know when it’s time to step back and take a breather.

During study sessions, mix in short breaks and mindfulness practices. A few minutes of deep breathing or stretching can do wonders for clearing the mind and easing anxiety. A quiet spot at home or a cozy corner in the school library can be a study space that feels calm and focused.

Don’t hesitate to step in and ask for accommodations if the academic load starts to feel overwhelming. Talk to their teachers or school counselor about options like extended deadlines or lighter assignments. Remember, strength isn’t about avoiding help but asking for it. By teaming up with the school, you can help build a supportive environment where your teen can focus on both their studies and their recovery.

Stay Active, the Healthy Way

It gets complicated when an eating disorder is in the mix, but exercise can do wonders for both physical and mental health. The point isn’t about burning calories or chasing a specific body shape. Instead, it’s really about enjoying movement and feeling good in your own skin.

So, what might that look like? Activities that focus on well-being can replace intense gym sessions, like yoga or just a relaxed walk in the park. These types of movements can reduce stress, lift mood, and boost self-esteem.

Supervision, structure, and the ability to recognize exercise “red flags” are key to safe and healthy movements.  If your teen participates in organized sports or exercise programs, make sure professionals who understand the challenges of eating disorders supervise them. Keep the lines of communication open with coaches and trainers to keep up on your teen’s safety and well-being.

Keeping an Eye Out for Warning Signs

Setbacks can happen even if you’ve got the best strategies in place. So, watch for any signs that your teen might be struggling or slipping back. Maybe their eating habits start to change, or they pull away from friends and family. You might even notice old, negative thoughts and behaviors around food creeping back in.

Keep up with regular check-ins with your teen’s treatment team. And encourage your teen to talk about what’s on their mind without worrying about being judged—open and honest communication is everything. The pros on the team have insights that might help catch issues before they get worse.

And if you notice anything that feels off, don’t wait around. Reach out to your teen’s therapist or treatment team right away. Getting help early can make a big difference in keeping things from spiraling and helping your teen get back on track with their recovery.

The Power of In-Person Care

Virtual care has a place in the treatment of eating disorders however it is not the right treatment for every individual with an eating disorder.  In-person care can really make a difference with treatment-resistant eating disorders. Aside from therapy sessions and meal support—joining a community, sharing experiences, and getting hands-on help from a dedicated team makes it much more effective.

A level of structure and accountability that’s tough to match online is what in-person care provides. It’s a safe space where teens can focus entirely on their recovery, without the usual distractions and triggers from everyday life. Plus, it can be incredibly empowering to be around others who truly get what they’re going through.

Balancing in-person treatment with school is tricky however many programs offer flexible schedules so teens can keep up with school while getting the intensive care they need. It’s about finding what works best for your teen’s unique needs and creating a schedule that fits. Recovery is a journey, not a sprint. That extra in-person support can make all the difference.

Ready, Set, School Year!

Your teen can confidently handle the school year’s challenges with the right strategies and a solid support system. Recovery is a journey with its ups and downs. But by approaching each day with care and intention, you can help your teen not just get by but thrive.

At Inner Haven, we understand how tough treatment-resistant eating disorders can be. That’s why our care programs provide the structure, support, and personalized treatment your teen needs for lasting recovery. We also offer a detailed assessment to make sure your teen gets the right level of care at the right time. 

Our in-person programs often work with your local insurance providers, making top-notch care more accessible.

Ready to learn more? Contact Inner Haven today to discover how we can support your teen’s journey to recovery.

Key Takeaways

  • Routine is Key: A consistent daily schedule provides stability and helps manage anxiety for teens with eating disorders.
  • Build a School Support System: Involve teachers, counselors, and peers in your teen’s recovery journey.
  • Mealtime & Social Strategies: Pre-planning meals and practicing responses to social situations can empower teens to navigate challenging situations.
  • Schoolwork & Self-Care: Balance academics with mental well-being by prioritizing self-care and advocating for accommodations if needed.
  • Healthy Activity: Focus on enjoyable movement and supervised exercise programs to avoid triggering obsessive behaviors.
  • Stay Alert for Warning Signs: Regular check-ins with your teen and their treatment team help catch setbacks early.
  • In-Person Care Can Be a Game-Changer: Intensive, structured support and community connection can be key for treatment-resistant cases.