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…”


Unseen: The Rise of Eating Disorders in China

From diet pills to vomit rooms, the Food Chain investigates the rise of eating disorders in China. Is this an inevitable consequence of economic development? And if so, why are eating disorders still all too often seen as a rich white woman’s problem?

Is it Vegetarianism or Disordered Eating?

The role that vegetarianism can play in one’s eating disorder can frequently be multifaceted and complex. As eating disorder providers, we know that dieting or the elimination of food groups can increase the risks of developing an eating disorder or hinder one’s recovery. Not all vegetarians have eating disorders, but for those who do, it can strongly enable their distorted thoughts and behaviors. Time and again, I have clients who come in expressing a desire to transition to a vegetarian lifestyle or some who already have adopted this lifestyle.

What You Need to Know About ARFID

Previously known as selective eating disorder, symptoms of ARFID, avoidant/restrictive food intake disorder, are often misdiagnosed, or minimized. According to the DSM, ARFID is defined as a persistent failure to meet nutritional and/or energy needs leading to one of more of the following:

Gastrointestinal Issues Which Impede Successful Weight Restoration in Anorexia Nervosa and ARFID

Nutritional rehabilitation and weight restoration are primary goals of the overall treatment for patients with anorexia nervosa (AN) and Avoidant/Restrictive Food Intake Disorder (ARFID). Therefore, medical conditions which interfere with this goal must be considered and successfully treated if a favorable outcome is to be achieved. Three such common gastrointestinal complications, which develop as a result of the marked weight loss of AN and ARFID, are gastroparesis, superior mesenteric artery (SMA) syndrome, and diarrhea.

BC Children's Kelty Mental health Newsletter introduces a NEW website!

We are excited to announce the launch of our new and improved website:!!

The new website includes updated information and resources in a newly designed format that makes it easier for families, health care professionals, school professionals and young people across BC visiting the website find what they are looking for.

Key updates include:

Link between hunger and mood explained

The study used rats to examine the impact on emotional behavior of a sudden drop in blood sugar. When the rats were given a glucose blocker, researchers found they had higher levels of cortisol. They also showed signs of stress and sluggish behavior similar to a poor mood. To prove the behavior wasn't just a lack of glucose to the muscles, researchers then gave them a common antidepressant and the behavior disappeared.

It seems "hangry" isn't just a made-up term.

HAPIFED Program: Healthy APproach to weIght management and Food in Eating Disorders

A scientifically developed program that saw 75 percent of patients lose weight and reduce eating disorder symptoms in test trials has launched to the public for the first time.
Combining cognitive behaviour therapy (CBT) along with healthy weight maintenance, the program was developed specifically for people with a high body mass index (BMI).

A type of psychotherapy, CBT is aimed at helping the person change unhelpful or unhealthy habits of thinking, feeling and behaving.

Decades-old starvation study bolsters eating disorder research

A University of Minnesota follow-up study to starvation research during World War II is informing eating disorder treatment in the Twin Cities.

In 1944, 36 conscientious war objectors volunteered to be starved as part of the Minnesota Starvation Experiment, helping researchers find ways to revive starvation victims overseas.

More than 70 years later, University researchers finally published a follow-up to the study in March. The findings are being used to inform eating disorder treatment in the Twin Cities, which some say shows patients that recovery is possible.

Can attachment theory help explain the relationship some people have with their “anorexia voice”?

A new paper in Psychology and Psychotherapy: Theory, Research and Practice argues that the relationship a person has with their eating disorder is shaped by that person’s understanding of what meaningful relationships should look like – and, in turn, this can have important consequences for the severity of their disorder.

Full, but still feasting: Mouse study reveals how urge to eat overpowers a signal to stop

Almost everyone knows the feeling. You're at a restaurant or a holiday meal, and your stomach is telling you it's full, so logically you know you should stop eating.

But what you're eating tastes so good, or your friends and family are still eating, or you don't get this treat very often. So you keep going.

A new study explores the mystery of why this happens, at the most basic level in the brain. It shows that two tiny clusters of cells battle for control of feeding behavior -- and the one that drives eating overpowers the one that says to stop.