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…

Oxytocin's role in binge eating

Summary: A study has demonstrated that variants of the Oxytocin Receptor (OXTR) gene contribute to why some of us overeat or engage in episodes of binge eating. Researchers investigated how the OXTR gene influences appetite, food preferences, food intake and personality risk traits associated with brain-reward mechanisms.

Who are the men, boys suffering from anorexia?

A new study by researchers from the University of Montreal reveals the current state of knowledge about anorexia in men and boys. "Most of the knowledge about anorexia pertains to females. However, about 10% of persons affected are males, and we believe this figure is underestimated," says Laurence Corbeil-Serre, lead author of the study.

Trauma is an Experience, Not an Event

It seems like “trauma” has become one of those household terms everyone talks about. I took a look at the number of average monthly Google searches for “trauma” in the U.S., and found that it has grown 22% in only one year. As with other terms that became mainstream (for instance “addiction” or “narcissism”), I suspect the price of increased awareness is a diluted understanding of what they really mean.

Where's the Change? Service User Views on Eating Disorder Services

There are few studies that explore what kinds of changes might be made to eating disorder services to make them more appropriate and effective. We tend to see more outcome studies that judge the effectiveness of the services based on their psychological, behavioural, and physiological effects – all very important aspects, but not the whole picture. One of the studies I look to when I’m seeking something a little more in-depth in terms of peoples’ experiences of eating disorder services is by Escobar-Koch et al.

Change your attitude. Change your behavior. Change your brain. Discussing the costs of pursuing the unrealistic thin beauty ideal reduces valuation of this idea.

At baseline, when young women at risk for eating disorders viewed images of supermodels while undergoing fMRI, a reward valuation region of their brains was activated.

The Neuroscience of Anorexia Reveals Why It’s So Hard to Treat

Most of the anorexia patients Dr. Joanna Steinglass sees in the inpatient eating-disorders unit at the New York State Psychiatric Institute have been to treatment before.

Is Drunkorexia an Eating Disorder, Substance Use Disorder, or Both?

The medical epithet drunkorexia remains a confusing disorder.

On the Literature of Eating Disorders

The DSM-IV was published in 1994, but I found a copy at a library book sale in 1999, the weekend John F. Kennedy Jr.’s plane crashed into the Atlantic Ocean. I was 14, and for a year I’d been in treatment for anorexia nervosa.

Four Ways Your Spiritual and Religious Biases May Impact Your Clinical Work

As a clinician, even if your work is decidedly secular, your personal spiritual and religious orientations can still have a significant impact on the work you do. The beliefs you hold can impact everything from the language you use to the way you formulate your cases and select intervention models.

Vancouver-based magazine celebrates women at every weight

Shannon Svingen-Jones finished a 10-km run last summer and — as always — jumped on the scales: still 245 pounds. 

“I wanted to cry. I said to my husband, ‘That’s it. I want weight-loss surgery.’ “

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