We've known for a long time that kt would be at risk for an eating disorder. Her hx of abuse & lack of body awareness is extreme. It's rearing it's ugly head here as it was at Residential Treatment Center (RTC). I'm taking all the needed interventions for bulimia; 2 glasses of water before eating a meal & no bathroom visits for 45 minutes after eating. I'm keeping her diet to things that take thought & time to chew (high in fiber) & ,in turn, are hard to bring back up. All foods are put away, so she has to ask for snacks & such; cannot just graze with-o thinking. I have chewing gum (sugarless) out & available at all times. She is extremely anxious over something at school this morning & right after her shower made herself throw up. (She isn't willing to share or possibly isn't consciously aware, & I'm not going to push it this morning - I'll contact school & let them know.) We are addressing this in therapy & she's being watched closely. In the next month or so, we'll be visiting with a nutritionist. Is there anything I may be missing?