i've had feeding problems since i was born and it's developed over the years into a mixture of anorexia and bulimia. i've had 4 ED specific admissions into ED units to try and tackle it but it's always been compleatly unsucessfull.
i am about to be diagnosed with SPD by an OT, amazingly despite 6 hospitlisations, numerous diagnosis and having been in the mental health service since i was 15 it's never been picked up until now. what's become clear is that the overeating as a child and the consequential mixed eating disorder is to a large degree if not pretty much exclusively down the SPD and related issues ( i have a number of issues including having had OCD since i was 8). i have had lifelong problems with difficulties with introceptive discrimination especially around whether i was hungry or full. as a child i would eat to the point i was violently sick because hungry feels the same as full to me and i wouldn't know when to stop (or start). as i got older my eating became increasingly odd as i was given more independance. i cannot judge portion size by eye or by feeling. i have to eat in a very infantile way else i run into big trouble. ialso don't really feel any different stomach wise when i am too hungry, i just don't know i'm hungry, i've never been able to. i also don't know when i am thirsty. as a child i would regularly go all day without a drink unless someone prompted me. i've also had life long problems with hypoglycemia, i don't realise my blood sugar is too low until i stop being able to see properly, cold sweat and shake violently.
in ED units they try and tell you you'll get your appetite back eventually and you'll learn to regulate but this has never ever been the case with me before hand or afterwards.
has anyone had experience of similar eating difficulties? does anyone know of any books that i could use to help to plan a meal plan that would be more relevent to SPD diet issues than ED and that would help me learn what is an apropriate amount? because i can't tell i'm too full until it's too late, i am terrified of being sick when i eat so i self induce vomiting so i am empty.