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…

Food Diaries Stink

You have lots of good reasons not to keep a food diary:

  1. Someone else might see it
  2. It makes you obsess about your eating
  3. You feel judged
  4. If you see what you eat, you’ll feel bad
  5. If I see what you eat, you’ll be embarrassed
  6. It’s a waste of time; you’ve done it before and nothing changed

I get it. I’ve kept a food diary before. The mean kind that makes you feel (insert your personal negative emotion here) because you weren’t perfect. If your experience with food diaries is anything like mine, you kept track of:

Getting Your Teen with an Eating Disorder Ready for the First Day Back at School

It’s almost the first day of school and parents of students with eating disorders have additional concerns to address on top of the usual back to school frenzy. Transitions can be tough for all teens—they are especially difficult for those with eating disorders. However, there are some preparations you can make to help things go more smoothly.

New podcast released with a dedication to finding a solution to eating disorders

New podcast from Australia's InsideOut Institute has recently launched with the dedication to finding a solution to eating disorders. 

More information here:  https://insideoutinstitute.org.au/podcasts

Wake Up Weight Watchers

**Visit: www.wakeupweightwatchers.com for more information and actions steps.

On August13th, Weight Watchers rolled out Kurbo, a nutrition and weight-loss app for kids as young as 8, and up to 17. Eating disorders have the highest mortality rate of any mental illness, every 62 minutes at least one person dies as a direct result from an eating disorder. This app will literally kill people.

How stress can curb the desire to eat in an animal model

Eating disorder researchers at The University of Texas Health Science Center at Houston (UTHealth) have discovered a neurocircuit in mice that, when activated, increased their stress levels while decreasing their desire to eat. Findings appear in Nature Communications.

Weight-loss app for kids is irresponsible, experts say

A coalition of Canadian eating-disorder clinicians, dietitians and health-care professionals are calling a new weight-loss app for children dangerous.

"Our clients are going through so much at these vulnerable ages — puberty and body changes. And gamifying habits that reward food restriction is harmful," said Ary Maharaj, who is an educational coordinator with the National Eating Disorder Information Centre, or NEDIC.

Managing Low Bone Mineral Density in Adolescents with Eating Disorders: A Review of Pathophysiology, Diagnostic Modalities, and Treatment

Medical complications are frequently seen in patients with anorexia nervosa (AN) and bulimia nervosa (BN).1 Loss of bone mineral density (BMD), though not often the initial focus of eating disorder treatment, can persist long after apparent recovery from AN. It is a well-established consequence of poor nutritional intake, and is particularly concerning for the developing bodies of adolescent patients.

6 Signs of an Unhealthy Relationship With Exercise

Time for a pop quiz. Two people are running: Runner A is logging a long 20-miler because she truly enjoys it; running clears her head and makes her feel strong. Runner B is tackling five miles — but because she just ate a cookie and feels guilty about it. She's punishing herself and wants to burn off the calories.

'Orthorexia' vying for classification as mental disorder as more people become obsessed with 'clean eating'

Is an obsession with “clean eating” a bona fide mental disorder deserving of its own diagnosis in psychiatry’s official manual of mental illness?

A flurry of new studies and reviews is breathing new life into so-called orthorexia nervosa, loosely defined as a pathological fixation on eating “pure” foods. At its extreme, adherents shun all sugar, all carbs, all dairy, all meat and animal products, gluten, starch, pesticides, herbicides — anything that isn’t natural, organic or “clean.”

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