Zoë Bisbing
speaker
491 appearances
2 recordings
1 series
first heard Mar 2020
last heard Mar 2025
Zoë Bisbing’s voice in public audio — every appearance, attributed to the second.
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However, weight loss, even without the drive for thinness, like even without the pursuit of thinness, weight loss in an individual given their sort of genetic load,
That in and of itself can be a risk factor for anorexia.
So that means that someone who's struggling with ARFID, let's say a sensory based one, right, where there are so many strong aversions to textures and tastes and colors and like their system just cannot handle all that is required to just eat enough food to sort of maintain their weight.
and maintain development, if their weight dips, right, because of that kind of ARFID challenge, and their genetic loading is such that their weight loss, then kicks in anorexia, you can start to see both at the same time.
And so that person might start to become preoccupied with
their shape or with fear of gaining weight, but it didn't start that way necessarily.
So none of this is like perfectly clean, but generally speaking, ARFID is not really about the control of body shape or weight, at least the shape of the body.
Whereas the other eating disorders do have that element.
There's like a dieting component to the other eating disorders.
Does that make sense?
I mean, I think the most obvious place it becomes problematic is when physical health is being compromised, right?
And I think this is where now if you're a parent listening, and this is your kid that is in a hospital because they are so medically unstable due to malnutrition, malnutrition because of the ARFID, this is the hardest situation to be in, right?
Because in some ways,
I mean, this is the most extreme case, but in order to keep that child alive, there might need to be interventions done that are very much violating that child's bodily autonomy, like a feeding tube, for example, right?
which can be just very harrowing.
I know from working on inpatient units, the hardest kids to treat when I was on the inpatient unit, this was over 15 years ago where that unit I was working on was not at all informed about, I think, neurodivergence at all.
But the kids that would come in that nobody knew what to do with were the kids that were autistic and had
as some kind of eating disorder.
Those kids, it's almost like they didn't know what they were doing with them.
And I think that in some ways that is still a little bit the case.
Showing 141–160 of 491 · page 8 of 25
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