If this was an inpatient facility and I was a student writing an observation of L’s breakfast, I imagine it might go something like this.
7.40 Patient (L) enters kitchen. Mother (M) allows her to heat porridge. M notes porridge is spilt and replaces amount.
7.45 L becomes increasingly agitated at replaced porridge. M insists porridge is to be eaten. L becomes tearful and makes repeated pleas to avoid porridge. L appears emotional and distressed, uses terms such as “begging”. Claims to want to die. M remains calm and impassive. Uses repeated phrases in quiet tone. L becomes aggressive and kicks furniture then repeatedly bangs forehead forcefully on cupboard. M intervenes, inspects for harm and removes L to table area.
7.50 Breakfast commences. L served porridge plus two slices whole meal toast, with banana and spread. Earlier request to swap cream cheese for spread as calorie appropriate swap accepted. L repeatedly bargains for solely toast portion to be eatenM refuses. Toast eating commenced. L eats slowly and what seems to be ritualistic pattern. M prompts as appropriate.
8.04 Toast was completed. Escalating levels of distress exhibited by L at prospect of second part of breakfast. L tearful and repeats pleading and emphasises lack of need to gain weight. M responds firmly and impassively. Offers emotional support in order to eat.
8.15 After repeated and increasing emotional pleas, L becomes angry and raises bowl as if to throw to floor. M remains calm and watches. Porridge remains in bowl (note:viscosity of breakfast clearly a factor) and L leaves room and proceeds upstairs, making banging sounds and screaming. M follows. Knocks on bathroom door twice then warns of forced entry. Prepares to use force, leading to L opening door. L agrees to come to sofa area. Porridge is returned.
8.24 Porridge is consumed, slowly and with resentful compliance. L’s body language submissive and compliant. M discusses college attendance and L claims important to go. M inquires about forthcoming inpatient stay leading to L’s response that this will not be happening. L claims no treatment order under Section 3 MHA will be forthcoming or sought. Patient grasp on reality appears intermittent and poor. Completed breakfast leads to M offering praise and emotional support.