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…

Should patients with anorexia be force-fed to save their lives?

Madam Justice Lise Bergeron of the Quebec Superior Court recently ruled that a 20-year-old woman who is suffering from severe anorexia should be force-fed to keep her alive.

The hospital where the young woman is being treated, Centre hospitalier universitaire du Québec, sought a court order when she began to suffer life-threatening pericardial effusion (build-up of fluid around the heart).

The patient, who is not identified for privacy concerns, has been under almost constant treatment since 2012. At one point she weighed a mere 32 kilograms, and was refusing to eat.

Grocery Buddies Support Service

The National Association of Anorexia Nervosa and Associated Disorders (ANAD) Grocery Buddies Support Service is a training guide that will teach a friend, family member, or other loved one (the Grocery Buddy) to support someone in recovery from an eating disorder as they work towards their recovery goals. Focused on grocery shopping, this training teaches the buddy to provide encouragement, accountability, and love to their shopper as that person works to ensure their food choices are on track.

 

Grocery Buddies Will:

A new resource to help family physicians support individuals with mental health and substance use problems

The Mental Health Commission of Canada (MHCC) and the College of Family Physicians of Canada (CFPC) launched the Best Advice guide: Recovery-Oriented Mental Health and Addiction Care in the Patient’s Medical Home at the Canadian Mental Health Association’s 3rd annual Mental Health for All (MH4A) Conference.

Childhood Emotional Abuse Associated with Internal Eating Disorder Voice

Many individuals diagnosed with eating disorders describe and internal ‘voice,’ which may be linked to experiences of childhood trauma and dissociation

Small Feedings and Current Nutrition Practices in Anorexia Nervosa

During this decade there has been a general change in the manner with which nutritional rehabilitation is prescribed for patients with anorexia nervosa (AN).

Rapid Refeeding and Anxiety among AN Patients

Traditionally, refeeding patients with anorexia nervosa (AN) has been cautiously done, mainly to avoid the refeeding syndrome. Metabolic disturbances from the refeeding syndrome can include abnormalities of glucose metabolism, low serum phosphate, potassium, and magnesium levels, deficiencies in thiamine, and sodium and fluid retention. If not treated, patients can face more serious complications, including delirium and seizures, cardiac arrhythmias and sudden death.

UC San Diego’s Center for Medicinal Cannabis Research Add Anxiety in Anorexia Nervosa to Series of Collaborative Cannabidiol (CBD) Studies

INSYS Therapeutics, Inc. a leader in the development, manufacture and commercialization of pharmaceutical cannabinoids and spray technology, today announced that its collaboration with the Center for Medicinal Cannabis Research (CMCR) at the University of California (UC) San Diego School of Medicine has added a third study.

CME Credits Approved for the CoP Workshop!

ACCREDITATION STATEMENT

DEADLINE EXTENDED! Sign up for the CoP Workshop today!

Hurry and sign-up today!  Deadline is Friday, November 9th, 2018!  
www.picatic.com/CoP2018

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