Quote from Flare
How much input does the student have over when and where she can eat these snacks? Anorexia is largely about control. Perhaps if she is not comfortable coming to your office and there is another staff member involved in her care like a counselor or social worker, she may be more comfortable eating there. She should understand that she has choices, but is still accountable for consuming the food.
Very valid point, Flare.
Our full-time counselor is booked pretty solid nearly every single day with students (we have a very high need and I often handle the overflow when counselor is in session with a student), so there isn't often a time she can eat there regularly. When she does check in, I gave her the option of what she wants for a snack (parent provided a variety) and she will eat it without any issues. I check in with her, don't mention food, usually chat about her interests, etc while she eats. She is generally very comfortable with me as I am also a close contact to her sibling. The counselor she meets with at school is part-time and not there every day.
I hate calling up to require her to visit me as I don't think it works, but I have reached out to some teachers to do a quick discrete reminder to visit me (and call it a visit, not mention snack/food at all) and that did help for a time, but then didn't.
Her parent is just worried and trying very hard, has her connected to resources, trying to keep her out of inpatient again. I worry perhaps I need to check in more with parent, but again, have little to report and have told parent this.
Side note: there also may have been an issue the previous year (prior to my taking care of student) with another adult that was a previous anorexic that shared her stories with student and was trying to be helpful and student read it more as "tips" she could try. Therefore, I have asked staff not to discuss student's eating habits or weight with her at all.