Seek immediate evaluation from a pediatrician or eating-disorder specialist
Treat it as a medical and mental health issue, not a phase or behavior problem
Stay calm and avoid blame, shame, or punishment
Use supportive, nonjudgmental language
Focus on health, feelings, and safety rather than weight or appearance
Keep regular family meals and predictable routines
Offer balanced meals and snacks without pressure or bargaining
Avoid commenting on body size, calories, or food morality
Do not force eating or engage in power struggles
Monitor for medical warning signs such as fainting, rapid weight loss, vomiting, or refusal to eat
Limit access to triggering content on social media and the internet
Encourage therapy with a clinician experienced in eating disorders
Involve a registered dietitian if recommended
Coordinate care among medical, mental health, and school professionals
Ask about anxiety, depression, perfectionism, or trauma that may be contributing
Support rest, reduced exercise if advised, and recovery-focused habits
Keep communication open and check in regularly
Protect siblings from being drawn into conflict or comparison
Follow the treatment plan consistently
Seek emergency care if the child is medically unstable, suicidal, or unable to eat or drink safely