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Psychotherapy and Mental Health questions

Odd Eating Behavior

Tue, Oct 27th 2009

I'm recently married and have a new 14 year old stepdaughter who has a diagnosis of ADHD for which she takes medication. She is extremely thin which we attribute to the ADHD medication. She doesn't have much of a normal appetite but does eat at meal times, sometimes more than others. While her weight is concerning us, some rather odd behavior is even more puzzling. During visitations we find that she has eaten, not chewed, whole packs of gum, several at a time, and large amounts of candy and cookies will be gone from one night until the next morning. We really suspect she is getting up in the middle of the night because we find all sorts of items chewed up. Most recently she tore up a microwave popcorn bag and chewed big pieces into little wads! She tends to "hide" when doing these things and will deny or lie when confronted even with evidence right in front of her. She tends to lie frequently, such as, denying she has done something all the way to stating untruths. For example, she said that she is in an honors class when she isn't.  She makes up outrageous, such as, "I had a friend who had a baby and she died." She said that, "My best friend went to visit her grandparents and was abducted and raped and murdered." I've tried to track when she exhibits the behaviors and I notice a trend that it may be happening after she has been scolded or not gotten her way. Could these be some impulse control issues stemming from the ADHD? Is it a way for her to have some control in a new unfamiliar environment? Is it possibly a more serious condition?

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