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…”


New research explores how reading affects eating disorders – for good and ill

**Click here for full images and tables that relate to article.

Why do you read? Maybe you read to relax after a long day, to learn about unfamiliar people or places, to make you laugh or to let you dream. Maybe you never really ask yourself why, but turn to books out of some vague instinct that they’re what you want or need.

Reward System Abnormalities in Anorexia Nervosa Navigating a Path Forward

Anorexia nervosa (AN) is associated with the highest mortality rate of any psychiatric illness1 as well as significant health care costs and lost wages. While there have been notable advances in understanding biobehavioral mechanisms of AN, the brain systems that underlie the illness remain poorly understood. Clinically, it is widely accepted that the critical first step in treatment is renourishment—that is, restoring individuals to a healthy body weight. Yet knowing that the primary medical intervention is simply to eat does not, in itself, change behavior.

The Culture of Medicine and the Challenges of Compassion

For the past 25 years, I have carried with me a vivid memory from my third year of medical school. As I was leaving the emergency room in the early morning hours after one very exhausting night of call, I was thinking of quitting medical school. I was tired of being sleep-deprived, and tired of spending my days and nights immersed in a work culture that I experienced as cold and unfeeling. As I walked through the waiting room toward the exit door, my eyes fell on a woman with a young child on her lap sitting by the door.

Researchers identify brain area linked to motivational disruptions in binge eating

Scientists at Rutgers Brain Health Institute have discovered that a small group of brain cells in the hypothalamus called 'orexin' neurons could be a promising target for medications for controlling binge eating episodes in individuals with obesity. These neurons, named for the chemical messenger they use to communicate with other brain cells, have previously been shown to be important for addiction to several drugs, including cocaine.

Studies to document impact of yoga as treatment for eating disorders

A UB faculty member whose yoga and mindfulness classes have stretched from the White House lawn to the Nairobi region of Kenya has launched what scholars say is the largest-ever research initiative on a yoga program’s impact on food and body image challenges.

The grant awarded to Catherine Cook-Cottone, director of the advanced certificate in mindful counseling program and professor in UB’s Graduate School of Education, continues her work integrating yoga as treatment for young people — particularly young women — with and at risk for eating disorders.

Nonsuicidal Self- Injury Among Adolescents

Nonsuicidal self-injury (NSSI) refers to deliberate, socially unacceptable destruction of one’s own body tissue performed without the intention to die. Research shows that about 1 in 25 adults has engaged in NSSI, but rates are significantly higher among adolescents: around 1 in 5 engage in NSSI, and among adolescents hospitalized for psychiatric issues, rates are considerably higher (40-80%) (Muehlenkamp, Claes, Havertape, & Plener, 2012; Klonsky & Muehlenkamp, 2007).

Novel therapy offers new hope for social anxiety: University of Waterloo

Group therapy targeting negative mental images of oneself and others helpful to social anxiety sufferers.  People with social anxiety disorder benefit greatly from group therapy that targets the negative mental images they have of themselves and others, according to a study at the University of Waterloo.

Called “imagery-enhanced” cognitive behavioural therapy (CBT), the new group treatment helps relieve symptoms including social performance and interaction anxiety, depression and stress.

Psychotic Experiences Associated With Increased Risk for Eating Disorders in Adolescents

Psychotic experiences may be predictors for disordered eating in late adolescence, according to longitudinal study data published in The Lancet Child and Adolescent Health.

What Is the Relation Between Eating Disorders and Trauma?

A recent study, in press in Appetite, examines the association between eating disorders and different types of trauma.

Eating disorders are characterized by abnormal eating and eating-related behaviors. Three common eating disorders are anorexia nervosa, bulimia nervosa, and binge-eating disorder. I briefly describe these disorders below.

When Anxiety or OCD Makes You Afraid to Eat. Coping with ARFID

Anxiety and OCD can make kids afraid to do many things. Afraid to sleep. Afraid of the dark. Afraid to make friends. But when anxiety or OCD makes you afraid to eat it can become a much more serious issue.  Anxiety and OCD can ooze into our children’s eating habits. They can be afraid they are going to choke, throw up or get sick.