Tracking Self-Image and Treatment Outcome
A patient’s initial self-image had an impact on outcome a year later. Self-image, or the way we view ourselves, has real predictive value in treatment outcome, according to findings at the Karolinska…
QUESTIONS AND ANSWERS: Looking for the Cause of Clubbed Nails
Q. I have a new patient, a 23-year-old woman, who has significant clubbing of her fingernails (chronic swelling, or deformity of the nail bed) on both hands. She was referred from a renal…
In the Next Issue
When Your Patient Refuses Treatment As many as one in five persons with anorexia nervosa may die from their illness, either from the direct effects of starvation and malnutrition or from suicide. …
Managing Low Bone Mineral Density in Adolescents with Eating Disorders: A Review of Pathophysiology, Diagnostic Modalities, and Treatment
Erin Knopf, MD and Philip S. Mehler, MD Eating Recovery Center, Denver, Colorado Medical complications are frequently seen in patients with anorexia nervosa (AN) and bulimia nervosa (BN).1 Loss of bone mineral density…
Update: New York Expands Coverage for Eating Disorders
A bill awaiting New York Governor Andrew Cuomo’s signature will greatly expand insurance coverage and access to care for persons with eating disorders in New York State. New York’s Mental Health Parity…
From Across the Desk: Advances in Diagnosis and Treatment
Although the field of eating disorders is still relatively young, compared to many other specialties, many advances have been and are being made in diagnosis and treatment. Several articles in this issue…
Anorexia Nervosa 30 Years after the Diagnosis
Some unexpected results occurred. In 1985, a long-term study of Swedish adolescents was begun in Gothenburg, Sweden. First, every eighth grader (4291 students born in 1970) was screened for anorexia nervosa (AN).…
Early Results of an Online Screening for Eating Disorders
The National Eating Disorders Association online program reveals a treatment gap. Two years ago, a group of clinicians working with the National Eating Disorders Association (NEDA), headquartered in New York City, developed…
Ten-Session CBT Proposed
A shorter period of CBT might reduce costs and make treatment available to more patients. During a plenary session at the 2019 ICED meeting in New York in March, Glenn Waller, DPhil,…
Eating Disorders Treatment and Concomitant Substance Use among Teens
The combination can affect completion of outpatient treatment. Chemical dependency and eating disorders commonly co-occur. This produces many challenges; for example, ED programs tend to be uncomfortable with clients with addiction, and…
Peer Mentoring Program Yields Positive Results
A pilot program in Australia helped both mentors and mentees. A “mentor” is someone who teaches or gives help and advice to a less experienced and often younger person. This very modern word…
Different Approaches to Weighing Patients
Patient wishes overruled established treatment guidelines. A recent study sought to uncover reasons that clinicians regularly fail to weigh patients appropriately during cognitive-behavioral therapy (CBT) for eating disorders. Drs. A. Daglish and…