DD2 works in CAMHS inpatient unit and with under 12 team. The IPU is full just now and the outpatient services are mostly over NHS version of zoom. She is trialling an art therapy group currently with some success. Involves collecting twigs, making cardboard hearts etc , henna art, working with stone art amongst other things. The girls and parents have given good feedback. Maybe your DGD would like that? It is important to chat about normal things too so don't worry about that - they are still the same person just unwell. As with any teenager they may look bored or not respond when you are talking but they will remember that you tripped up and dropped a glass on the floor or got overcharged at Tesco or were always hopeless at maths so keep talking but don't expect a response. Lockdown has affected many people mentally, probably all of us but for children, teenagers, students and the elderly it has overturned their entire lives, education, social groups, expectations of their futures, and loneliness and if this started in April then probably it has some bearing. If your DGD is a high achiever she will have listened to all the reports about exam grades, places at uni lost and students not having a normal uni experience and possibly fear for her future. This is one way she can have some control in her life but she is still the same girl inside. Her parents will be upset, worried, angry, blaming themselves but also have her brother to look after. Maybe as the grandparent you can focus on her, be normal, act normal, send her things - nice notebook, pretty pens, art stuff if you are far away or whatever interests her. It is a long hard road to embark on though so be prepared. Your DS and DiL will also need support. They haven't failed to notice. Anorexics are very good at covering up their weight loss and not eating even in hospital. One thing they might do is check privacy settings on her phone and computer as there are lots of web sites for anorexia where people discuss the best ways of losing weight and covering up amongst other things. It's great she has a counsellor but if things worsen they need to press the GP for CAMHS urgent referral as it is so difficult to get a GP face to face appointment just now and it seems you need to be passively demanding before you can actually see one. Anorexia is life threatening if not treated. I'm losing track of how many times DD2 has been kept on to do constant care when a patient has been admitted dangerously underweight. I hope your DGD comes through this with everyone's help. It is sometimes so worrying as a grandparent because you are anxious about the grandchild but also your own child and their partner and the other grandchildren. So sorry x