“My daughter has not fully recovered but we are planning a two-week vacation.  How do I best manage her anorexia while on holidays.”

Navigating Anorexia Nervosa on Holiday: A Guide for Parents

Going on holiday is an exciting and rejuvenating experience for families, but when you have an adolescent with anorexia nervosa, it can pose some unique challenges and not a time for travel given the adage “anorexia doesn’t travel well”. 

Many exhausted families feel that a break will provide some well-deserved respite to their family and may also believe that it will be a circuit breaker for their unwell adolescent who promises to eat while away. Whilst this is totally understandable, many parents return more exhausted, and their young person has generally lost weight.

This blog aims to help parents plan and prepare for a holiday while ensuring their child’s treatment and recovery from anorexia are not compromised. By being proactive and understanding the pitfalls of traveling with anorexia, you can help make your family vacation a safe and supportive environment for your adolescent.

1. Communicate with Treatment Team: Before embarking on your holiday, it is crucial to reach out to your child’s treatment team. Share your vacation plans, including dates, destination, and the duration of your trip. Seek their guidance and advice on managing your adolescent’s treatment during this time. They can offer valuable insights, tailor strategies to suit the vacation context, and provide emergency contacts in case of any issues that may arise.
2. Plan Ahead for Meals: Anorexia nervosa disrupts normal eating patterns and can make mealtime challenging for both the adolescent and the family. While on holiday, it becomes even more crucial to plan ahead for meals. Research restaurants and dining options at your destination that offer a variety of foods, including those suitable for your child’s dietary needs. Preparing and packing some familiar snacks or meals can provide a sense of comfort and security during travel.
3. Maintain a Routine: Adolescents with anorexia nervosa thrive on structure and routine. Disruptions to their routine can trigger anxiety and exacerbate their eating disorder symptoms. While on holiday, try to maintain some semblance of a routine by scheduling regular meal and snack times. This consistency can help your child feel more grounded and supported during the trip.
4. Choose Accommodations Wisely: When selecting accommodations, opt for a place that provides access to a kitchenette or a mini-fridge. This allows you to store and prepare familiar and safe foods for your child. Having control over meal preparation can alleviate anxiety and ensure that your child’s dietary requirements are met.
5. Anticipate Challenges and Triggers: Travelling can introduce numerous challenges and triggers for someone with anorexia nervosa. New environments, different cuisines, and disrupted schedules can all contribute to heightened anxiety and the potential for relapse. Be mindful of these factors and take steps to mitigate their impact. Encourage open communication with your child, maintaining an environment where they feel comfortable discussing their concerns and struggles.
6. Stay Connected to Support: During your holiday, it’s vital to remain connected to your child’s support network. If feasible, arrange check-ins with their treatment team via phone or video calls. This way, your child can receive guidance, encouragement, and reassurance even while away from their usual treatment setting.
7. Be Mindful of Exercise: Anorexia nervosa often involves excessive exercise as a means of controlling weight. Be mindful of this aspect while on vacation. Engage in physical activities as a family but be cautious not to overemphasize exercise or engage in activities that may trigger obsessive thoughts about weight and body image.

Conclusion

While managing an adolescent with Anorexia Nervosa during a holiday can be challenging, planning and preparation can make a significant difference. By communicating with the treatment team, anticipating challenges, maintaining routines, and staying connected to support, you can help ensure that your family vacation is a positive and nurturing experience for your child’s recovery. Remember, with proper planning and a supportive approach, it is possible to navigate Anorexia Nervosa while traveling and provide a safe space for your adolescent’s ongoing treatment.