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…

The Tyranny of Workplace Food-Shamers: No one wants opinions on their lunch.

The first time someone commented on what I was eating at work, I was a teenager at my first job, manning the front desk at the local courthouse’s law library. On the way out one day, a regular visitor interrupted my fistful of cashews to tell me he loved watching me eat—I did it with such relish. Before I could think of a response, he left.

The Healing Power of Nutrition, Beyond “Let Food Be Thy Medicine”

The famous quote by Greek physician Hippocrates, “Let food be thy medicine, and let medicine be thy food” has stood the test of time. Yet at the same time, the prevalence of eating disorders continues to rise within a society that simultaneously continues to place hope in false claims of happiness and freedom through the latest greatest fad diet. The power of food to heal and restore remains, but the message has become distorted and messy. The current focus remains on the “should nots,” limiting nutrition to a list of rules that must be followed and consequences that must be paid.

Your Adolescent Daughter Doesn’t Have a Weight Problem. She’s Going Through Puberty


I went to one of those puberty talks with my daughter when she was in 5th grade. I listened closely as the nurse discussed growth. There was a quick mention of different-sized bodies and something about curves, and then she was off to detail sex organs and the monthly cycle. As a registered dietitian thoroughly steeped in the subject, I felt this was yet another missed opportunity to educate parents and girls about how female bodies change and grow during puberty.

Kaci Lickteig and others open up about running and disordered eating

A few months ago, Altra released a short film entitled The Weight of Mountains featuring three very accomplished ultrarunners talking openly about their experiences with trauma and disordered eating, and the role running has played in their recovery. One is Kaci Lickteig, who won the Western States Endurance Run in 2016 and finished third at this year’s race, held last week. It was Lickteig’s seventh finish at WSER.

Watch video here:  https://youtu.be/f2c3F8S7aXw

Is There a Role for Mindfulness in Treating Eating Disorders?

Three studies seek to clarify support for the benefits of mindfulness.

Two recent studies and a meta-analysis dig deeper into the question of what role mindfulness should play in eating disorder treatment. This is not a new question, but one that has been examined for some time.  Initially, the focus was on binge eating, but recent work has broadened this to include a variety of eating disorders.  Recent evidence provides still more support for the benefits of mindfulness.

Early warning signs of eating disorder revealed

Early warning signs that someone may have an eating disorder have been revealed in a large-scale data study conducted by Swansea University researchers.

The results, published in the British Journal of Psychiatry by the Royal College of Psychiatrists, showed that people diagnosed with a disorder had higher rates of other conditions and of prescriptions in the years before their diagnosis. The findings may give GPs a better chance of detecting eating disorders earlier.

Study Ties Some Dietary Supplements to Medical Harms in Children, Young Adults

Dietary supplements marketed as aids for weight loss, sports performance, and other uses have been linked to serious health problems in young people, according to a study published today in the Journal of Adolescent Health. The Pew Charitable Trusts spoke with the study’s senior author, S. Bryn Austin, director of fellowship research training in the Division of Adolescent and Young Adult Medicine at Boston Children’s Hospital and director of the Strategic Training Initiative for the Prevention of Eating Disorders based at Harvard University’s T.H.

Restricted Diets to Mediate Food Allergies Can Produce Unhealthy Eating Habits

Celiac disease, irritable bowel syndrome, crohn’s disease and anaphylactic are all instigated by food allergies. Doctors order restrictive diets to help patients control inflammation and food reactions. While less well known, eosinophilic esophagitis (EOE) is another inflammatory disease triggered by food allergies. One of the most effective treatments, especially for young children, is a restricted diet that reduces the allergy-induced inflammation.

22 percent of young men engage in ‘disordered eating’ to bulk up

Adolescents who see themselves as puny and who exercise to gain weight may be at risk of so-called muscularity-oriented disordered eating behaviors, say researchers led by UCSF Benioff Children’s Hospitals.

The researchers found that 22 percent of males and 5 percent of females ages 18-to-24 exhibit these disordered eating behaviors, which are defined as including at least one of the following: Eating more or differently to gain weight or bulk up, and use of dietary supplements or anabolic steroids to achieve the same goal.

What do you do when you hear or just sense a girl criticizing her appearance?

I get questions from parents about this all the time. They want to help their tween and teen daughters reject the harmful stereotype of physical appearance. They recognize that systems of sexist oppression determine what our popular culture considers beautiful.

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