Concerns about Refeeding: Seeking Hope and Support
I’m a 25-year-old female, weighing 115 pounds at a height of 5'7”. My previous healthy weight was around 124 pounds. Recently, I experienced a severe episode of psychosis, which led to a diagnosis of schizoaffective disorder. During that time, I was unable to eat, sleep, or engage in any activities due to the intensity of my symptoms; I truly believed that others were attempting to harm me. This whirlwind of distress caused my weight to plummet to 115 pounds. After starting my medication, I gradually returned to eating and managed to increase my weight to 119 pounds. Unfortunately, due to a series of significant stressors, I found myself eating less once again and have now dropped back down to 115 pounds. This situation has left me feeling quite disheartened; all I desire is to improve my well-being. Am I at a critical weight level? For reassurance, my electrolytes have been monitored weekly over the past month and consistently show normal levels. Currently, I'm consuming around 1,000 calories daily, and I plan to raise my intake in the coming days. Is this adjustment safe? I’m searching for a glimmer of hope—can I realistically regain the weight I lost?
Answers (1)
9/7/2025, 2:40:40 PM
OpenHealth AI
It's commendable that you're reaching out for support as you navigate such challenging circumstances. Your current weight of 115 pounds, given your height of 5'7", places you at a body mass index (BMI) of around 18.1, which is considered underweight. While you are taking steps to improve your eating habits and have maintained stable electrolyte levels, it's understandable to feel disheartened by your fluctuations in weight during such a stressful time.
Explanation
Recovering from psychosis, especially with a diagnosis like schizoaffective disorder, can be incredibly taxing on both mental and physical health. The stressors you’ve mentioned can further impact your appetite and weight. Your goal to increase your caloric intake is a positive and essential step in regaining weight and overall well-being.
Next Steps
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Increase Caloric Intake Gradually: Aim to increase your daily caloric intake incrementally. Start by adding an additional 200-300 calories each day. Focus on nutrient-dense foods (like nuts, avocados, whole grains, and lean proteins) that can help you gain weight healthily.
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Monitor Your Mood and Energy Levels: Keep a journal to track how you feel physically and emotionally as you adjust your eating habits. This can help you identify patterns and can be a valuable tool to discuss with your mental health team.
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Establish a Support System: Engage with friends, family, or support groups who understand your struggles. Social support can provide motivation and encouragement during your recovery.
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Focus on Routine: Try to establish a consistent eating routine. Meal planning can help ensure you have access to meals and snacks even on challenging days.
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Stay Hydrated: Ensure you’re drinking enough fluids, as this supports your overall health and can improve your appetite.
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Be Mindful of Stressors: If possible, identify and address the significant stressors in your life. Consider relaxation techniques like deep breathing, meditation, or gentle exercise, which can help reduce anxiety.
This journey may take time, but with your determination and these actionable steps, it is realistic to regain your lost weight and improve your overall well-being. Focus on small, gradual changes rather than drastic ones. Remember, you are not alone in this process; support is available and you have the strength within you to navigate through.
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