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Cathy's weight loss diary -

21-12-2016 à 18:15:23
Cathy's weight loss diary
Add the non-dairy milk, and blend until the mixture balls up like dough (this will happen quickly). This dough is pretty forgiving and you can easily add patches as needed. Roll out until the dough is about an eighth of an inch thick, pretty much as thin as you can get it without it breaking and making it difficult to handle. The pecan-date crust is like a sweet, crumbly cookie. Serve as is or with a light dusting of grated nuts (see below). Add the chopped dates and blend for about 1 minute, until the mixture starts to clump slightly. Eating disorders are far from straightforward, even when there is no other condition present. The dough should be rolled out thinly, as shown above. Putting it in the refrigerator also helps to speed up firming. If, however, as a consequence of their eating disorder their physical and cognitive condition becomes acute, then inpatient care within a specialist eating disorder unit may become necessary. Blend the dates, non-dairy milk and vanilla on high speed until smooth. You do not need to poke it with a knife or weight it down. Above: The uncooked crust is more like clay than stretchy dough, and is very easy to roll out and work with. You can also use a big piece of parchment paper under the dough. The filling is sweetened with dates and thickened with a bit of oat flour. The extra care provided for people with autism or a learning disability means that this type of treatment in the community is more likely to be effective, since the sufferer will be given less opportunity to exhibit abnormal eating behaviours. Gravestock (2003) Diagnosis and Classification of Eating Disorders in Adults with Intellectual Disability: The DC-LD Approach Journal of Intellectual Disability Research, 47, Supplement 1, pp. Return to the oven and cook for another 10 minutes, until the edges are lightly browned. Inpatient treatment (within a psychiatric hospital) is only considered when when community treatment is repeatedly refused and physical and mental health risks cannot be safely managed by family or carers in the community. Whilst acknowledging the difficulties in making a clear diagnosis in people with a learning disability, Dr Gravestock points out that binge and over-eating are far more commonly diagnosed than anorexia. People with learning disabilities, however, will often have difficulty in conceptualising these abstract ideas and therefore be more likely to be diagnosed with atypical eating disorders or ENDOS. Scrape into the pre-baked pie crust and smooth out evenly. Remove from the oven and remove the foil.


The majority of people with a learning disability and eating disorder are treated in the community through GP referral or local community care services, such as dieticians, community nurses, speech and language therapists, psychologists and psychiatrists. Place the oats, pecans and cinnamon in a food processor and blend until ground, about 30 to 40 seconds. A little texture is okay (see photos below). If you have a gap in the dough while rolling, cut a piece from another area to press into the edges of the gap. In a medium-large mixing bowl, add the oat flour, cinnamon, nutmeg, and clove and mix with a fork. But when a young person or adult also has autism or a learning disability, parents and carers will often struggle to get a diagnosis, faced as they often are with professionals insisting that their inappropriate or obsessive eating rituals are an inevitable consequence of their diagnosed disability. See below for a video on how to make this crust. Place back on the baking sheet that you used to cook the crust. I like to use a flexible cutting board for this because it makes it easier to transfer the rolled out crust to the pie pan. Let sit for 15 to 20 minutes, to allow the dates to soften. Anorexia is a form of self-imposed starvation driven by a profound fear of gaining or maintaining a normal weight. Bulimia, on the other hand, is a combination of frequent binge-eating coupled with compensatory behaviours to avoid gaining weight. Add this to the bowl of pumpkin and spices. Ease the crust into the contours of the pie pan gently. Place the pie pan on a metal cookie sheet or pizza pan (this helps the bottom of the crust cook better), and then place a piece of aluminum foil over the entire crust, just slightly tucking down the corners. Above: Gently press the crust dough into the pan, pressing it up as far as you like and keeping the edge plain (as in the photo) or adding a decorative touch with the back of a fork or with your fingers. Using the foil from baking the pie crust, create a few 2-inch strips and gently wrap them around the top edge of the pie (so that the crust does not get overcooked or burnt, see photo below). You could press the dough into the pie pan with your fingers, which may take a little longer, or you can roll it out with a rolling pin. Place the ball of dough into the center of the cutting board and roll out from the center, turning the board each time to roll away from you. If the circle is irregular, just borrow a piece from another area and press it in. Place the dates, the non-dairy milk, and the vanilla extract into a blender. Roll out into a circle that is slightly bigger that the pie pan (to account for the sloped edges of the pan). I like to roll it out: place the dough on a flat surface (you do not need to chill it). Serve this at any holiday table, and people will ask for more.

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