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…

Orthostatic Hypotension and Tachycardia in Adolescent Patients with Anorexia Nervosa: A Marker of Illness Severity

Adolescents with anorexia nervosa (AN) generally present with similar physiologic changes from starvation as are seen in adults.  One common sign is orthostatic hypotension and tachycardia, which are increasingly detected as the severity of AN increases.

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Dual Diagnosis of Diabetes and Eating Disorders

Among the many conditions that may co-occur with diabetes, eating disorders are common. Because of the emphasis on food monitoring and planning in relation to insulin doses, eating disorders may be more likely to develop in people with type 1 diabetes (T1D) than in the general population. The significant weight gain that often occurs as these patients transition from adolescence to early adulthood may further influence the development of problematic eating behaviors.

Disorder Documentary

"Disorder" documentary is an intimate insight into the perspectives of New Zealanders who have lived with disordered eating.  From Auckland-based production company Two One One Three Creatives, the team behind Disorder spoke with a diverse range of Kiwis with a broad spectrum of experiences.  From anorexia, bulimia, orthorexia to over-eating, Disorder shines a light on these much-needed conversations, without the shame which so often presents itself.  

Vancouver Island Voices: You're OK just the way you are

Will losing weight change your love life? No, but living in a culture that accepts body diversity sure will.

I lead body-image support groups, and I am a recovering exercise-abuser who just left a career in exercise and health promotion to pursue a clinical practice — mopping up the mess I made promoting weight management and body shaping through extreme workouts and “healthy eating” strategies.

Vagus Nerve Stimulation Offers New Hope for Major Depression

Vagus nerve stimulation (VNS) significantly improves quality of life for patients with treatment-resistant depression—even when their depressive symptoms do not wholly subside—according to a new study of 599 patients with major depression that wasn’t alleviated by so-called “treatment as usual.” Typical treatment for clinical depression generally includes a combination of antidepressant drugs, psychotherapy, transcranial magnetic stimulation, or electroconvulsive therapy.

Laxative abuse is the eating disorder that’s rarely talked about

Watch video here:  https://globalnews.ca/news/4387548/laxative-abuse-eating-disorder/

“One of the biggest misnomers with eating disorders is the myth that you can tell someone has a disorder because they’re so thin,” says Patti Perry, founder of Eating Disorders Clinic in Toronto and co-founder of the National Initiative for Eating Disorders. “That’s simply not true. There are people who are of so-called normal weight who stay that way through binging and purging with vomiting or laxative abuse.”

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.

Weight Management Trials Have Limited Effect in Early Childhood

Two randomized controlled trials (RCTs) testing obesity prevention in early childhood have differing/conflicting results. In one, a multifaceted intervention did not change body mass index (BMI) trajectory over the course of 3 years in low-income minority children at risk for obesity. In the other, a responsive parenting intervention begun 2 weeks after birth showed modest improvement among infants aged 0 to 3 years.

Both studies were published online on August 7 in JAMA.

Prediction Error and Altered Dopamine Function May Play Key Role in Anorexia Nervosa

Prediction error brain response may play a key role in adolescent anorexia nervosa, driving anxiety and ventral striatal-hypothalamus circuit-controlled food avoidance, according to the results of a study published in JAMA Psychiatry.

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