Collaborative Care in Eating Disorders and Non-Negotiables: Why do we need them and how do they work?

Imagine these scenarios…

You’ve been seeing a patient with severe anorexia nervosa for a number of weeks in therapy. Together, you have begun addressing and thinking about the core features that have contributed to the eating disorders onset and maintenance. But recently the patient’s weight has begun to drop, and she has not been seen by her GP. She says that she has fainted several times in the last week. You raise the issue of her going into hospital, but she says “that’s the last thing I want to do…”

Or…

Compulsive Exercise & Eating Disorders

Exercise and body movement can be highly beneficial to one’s health. However, as with everything, moderation is key, and there are many times that exercise can become dangerous when coupled with disordered eating thoughts, beliefs, and behaviors.

While compulsive exercise is not an official diagnosis in the Diagnostic and Statistical Manual of Mental Illness, Fifth Edition (DSM-5), many individuals struggle with the symptoms and behaviors related to it.

Results from The 2018 BC Adolescent Health Survey

Teenagers in B.C. are struggling more with anxiety and depression, and taking part less in sports and volunteering, according to the 2018 BC Adolescent Health Survey.

The report, released Wednesday by the McCreary Centre Society, was administered in 58 of the province’s 60 school districts and was the sixth time students were asked to participate since 1992.

Despite the majority of adolescents rating their overall health and mental health as good or excellent, the report found that health ratings have declined from five years earlier.

Focus on weight loss, not admission weight, in eating disorder management

Clinicians need to look beyond a teenager’s weight at the time of a visit when screening for eating disorders, according to a new report, which reveals that recent weight loss trends and eating habits may be more predictive of a problem than actual weight.

The study, published in the Journal of Adolescent Health, found that teenagers with eating disorders who presented with higher recent weight loss—regardless of weight at the time of admission—had more complications from their disease.1

Ive battled depression, bulimia, and a broken back. Now, I’m stronger than ever.

I developed bulimia nervosa, depression, and anxiety when I was around 15.

My biggest fear was people knowing. Talking about my mental illness publicly was never something I saw myself doing when I was younger. But as I grew older my mindset changed, and when my mental health forced me to step away from sport for a season, I chose to open up about it.

Addressing Medicine’s Bias Against Patients Who Are Overweight

According to her obituary, Ellen Maud Bennett had felt unwell for a few years before her death in May 2018. But the physicians Bennett consulted couldn’t see past the extra pounds she carried. If she’d only lose weight, she’d feel better, they told her.

Finally, a physician must have suspected another reason for her malaise, because Bennett was diagnosed with advanced-stage cancer just days before her death at age 64 years.

10 Tips For Intuitive Eating

Based on the book by Tribole and Resch, Intuitive Eating, there are 10 principles to go by:

Do not go on a diet
If you engage in the diet mentality, you restrict the foods you eat. Perhaps you eat nothing white, or do the keto diet, Atkins diet, paleo diet, or whatever the current diet fad is. This may work in the short term, but diets do not work. Most people end up gaining back all the weight they lost while on the diet.

Anorexia knows no body type — and thinking otherwise can be a barrier to treatment


No matter how much you think you know about the eating disorder anorexia nervosa, odds are one image comes to mind: an emaciated white teenage girl. But that stereotype ignores the fact that anorexia knows no age, gender or race, and it sidesteps the reality that anorexia can happen at any body weight.

Community Support Offers Hope for Students Living with Eating Disorders

There are a few clinically-recognized types of eating disorders in the American Psychology Association’s Diagnostic and Statistical Manual of Mental Disorders, known commonly as the DSM V.

Anorexia nervosa manifests in behaviour which prevents maintenance of a healthy weight, including restricting calorie intake due to a fear of weight gain and distorted self-perception.

Binge-eating disorder refers to repeatedly eating large quantities of food regardless of hunger levels, and is often accompanied by feelings of guilt, depression, or psychological stress.

Genetics and Anorexia Nervosa – Anomalies on Chromosome 12

Eating disorders are biopsychosocial disorders, meaning, the behaviors are impacted by biology, psychology, and sociology.

Social aspects of eating disorders are often discussed. However, the biological aspect is one with which people are less familiar. Even so, the genetic aspects of anorexia nervosa (AN) are essential to better understanding the disease.

Binge Eating Disorder & Diabetes

Binge eating disorder (BED) and Type 2 Diabetes may seem unrelated. However, both are conditions that are far too prevalent in our society and the link between the two might be closer than you think.

Studies show that individuals diagnosed with BED have a higher prevalence of Type 2 Diabetes when compared to the general population [1].

Not only that, it appears that individuals diagnosed with BED have a higher risk of acquiring Type 2 Diabetes [1].

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