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…”


Why Young Girls Reject the New “Curvy” Barbie

New research shows girls as young as 3 already show body size bias.

Barbie, the much-maligned poster-doll for those who worry about young girls’ body image, recently celebrated her 60th birthday. The doll has been a resounding triumph for toy-maker Mattel, generating over $3 billion in sales since its introduction in 1959. Despite Barbie's economic success, Mattel has received well-earned criticism for decades about the doll’s contribution to unrealistic and unhealthy beauty ideals.

Avoidant restrictive food intake disorder isn't just "picky eating"

We’re conditioned to believe that being thin means, health-wise and otherwise, we’re doing something right. A skinny body and "normal" body mass index (or BMI) are often accepted as evidence of baseline wellness, even though, medically speaking, we know that isn’t true. We know that in the United States, around a third of the people designated as "obese" by BMI metrics, and more than half of “overweight” people, are actually metabolically healthy. We also know that the BMI is a questionable framework in general.

Celebrating 25 years of Excellence: Discovery Program and Vista House

It is our great pleasure and honor to announce the Provincial Adult Tertiary Specialized Eating Disorders (PATSED) Program’s Discovery Intensive Day Hospital Program (located at St. Paul’s Hospital) and Vancouver Coastal Health’s Vista Residence (located in Vancouver) will be celebrating their 25th year Anniversary. This wonderful partnership has made a significant impact in the recovery journey for many individuals and their families throughout British Columbia.

Can You Exercise If You're Being Treated For Exercise Bulimia?

Some people can't stop exercising. They just can't get enough. They are so obsessive about exercise that they have to be treated for a condition called exercise bulimia. Part of their treatment, oddly enough, is more exercise.

Bulimia is a condition that compels people who have it to purge their bodies of what they feel are excess calories. Some methods of purging are, well, icky. There are people who purge by inducing vomiting, taking laxatives, dehydrating themselves with diuretics, or revving up their metabolisms with caffeine.

Drunkorexia and Bulimia: A Dangerous Combination

Alcohol has been a fixture on college and university campuses for many generations. The same cannot be said for drunkorexia, which is a fairly new phenomenon. This condition is the result of a combination of three factors: food restriction, bulimia, and alcohol abuse. This allows drunkorexia and bulimia to meld together so easily.

It is unique to females. Essentially, drunkorexia is when an individual consumes little to no food throughout the day then drinks an enormous amount of alcohol during the nighttime hours.

The Relationship Between Autoimmune and Eating Disorders

In this post, I discuss new research on the complicated link between autoimmune diseases and eating disorders. Autoimmune diseases are chronic illnesses in which a host’s immune system fails to distinguish between self and foreign cells, and as a result attacks the body’s tissues and organs. Eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge eating) are conditions associated with abnormal consumption of and relationship to food. 

Fussy eater’ rendered blind by daily diet of french fries and potato chips

A British teen who took picky eating to the extreme, living on little more than a daily order of fries from his local fish and chip shop and Pringles, is now virtually blind, doctors report in a case highlighting a relatively new eating disorder — “avoidant-restrictive food intake disorder.”

“Popular media have highlighted the risks for poor cardiovascular health, obesity and cancer associated with junk food, but poor nutrition can also permanently damage the nervous system, particularly vision,” his doctors reported Tuesday in Annals of Internal Medicine.

I Thought Running Was a Release. It Was Really an Addiction

“Hey hun, have you seen my sneakers... the orange ones?”

Food Diaries Stink

You have lots of good reasons not to keep a food diary:

  1. Someone else might see it
  2. It makes you obsess about your eating
  3. You feel judged
  4. If you see what you eat, you’ll feel bad
  5. If I see what you eat, you’ll be embarrassed
  6. It’s a waste of time; you’ve done it before and nothing changed

I get it. I’ve kept a food diary before. The mean kind that makes you feel (insert your personal negative emotion here) because you weren’t perfect. If your experience with food diaries is anything like mine, you kept track of:

Getting Your Teen with an Eating Disorder Ready for the First Day Back at School

It’s almost the first day of school and parents of students with eating disorders have additional concerns to address on top of the usual back to school frenzy. Transitions can be tough for all teens—they are especially difficult for those with eating disorders. However, there are some preparations you can make to help things go more smoothly.