When Advice Crosses the Line

During the process of my son’s recovery from his eating disorder I have received advice from many places. More often than not this advice was helpful and appreciated. Many people have shared with me their tips and creative strategies for managing eating disorders in their homes and many of them I utilized in our own home. There was, of course, that “advice” from friends or family members that was really not very helpful at all. That generally wasn’t advice though. That was usually a very ill-informed statement or comment that would sometimes make me wonder whether it was intended to be helpful at all or who it was intended to help. It often appeared to be something that the “advice giver” just wanted to get off of their chest or said to reassure them that my situation wouldn’t happen in their home. That said, I can honestly say that most of the time the advice I have received was sound and well intended. While I have not personally been the victim of advice that crosses the line, I have witnessed many examples of this and recently have seen a tremendous increase in its occurrence. Support groups are widely available now. I have been involved in support groups that meet locally on a monthly basis and have been involved in online support groups. I have noticed for quite some time that I see much more, what I would call, dictating treatment rather than support or opinion. I frequently see such statements as, “you should dump that E...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anorexia Binge Eating Bulimia Caregivers Eating Disorders Family Parenting Psychotherapy Treatment dietary needs Family therapy Grief Healthcare Providers Malnutrition Support Group Support Groups unsolicited advice Source Type: news

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Medications are a useful adjunct to nutritional and psychotherapeutic treatments for eating disorders. Antidepressants are commonly used to treat bulimia nervosa; high-dose fluoxetine is a standard approach, but many other antidepressants can be used. Binge eating disorder can be treated with antidepressants, with medications that diminish appetite, or with lisdexamfetamine. Anorexia nervosa does not generally respond to medications, although recent evidence supports modest weight restoration benefits from olanzapine.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
The authors provide an overview of the current state of research on self-help interventions for eating disorders. The efficacy of different forms of self-help interventions for bulimia nervosa, binge eating disorder, and other eating disorders at various stages of the care pathway (from prevention to relapse prevention) is described. Cost-effectiveness studies are also presented. Moderators of outcome, such as guidance and adherence, are discussed. Overall, the findings are promising and support the use of self-help interventions in the treatment of bulimic disorders, across the stages of the care pathway. Less is known ab...
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
Cognitive behavioral therapy (CBT) is an evidence-based treatment for bulimia nervosa and binge-eating disorder and is regarded as the first-line treatment for both eating disorders. An enhanced version of the treatment (CBT-E) appears more effective in treating patients with severe comorbidity. There is less evidence that CBT is effective for the treatment of anorexia nervosa. Evidence suggests that CBT-E is no more effective than specialist care involving regular medical follow-up and supportive psychotherapy in the persistent adult form of anorexia nervosa (AN). Early studies suggest that CBT-E may be useful in treating...
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
ConclusionsOverall, the findings highlight changes in negative affect as a potential mechanism underlying the effects of mindfulness-based interventions in treating eating disorders.
Source: Mindfulness - Category: Psychiatry & Psychology Source Type: research
There is no such thing as a life free of distress. And yet in the distress — by learning to move through it, find strengths that help us cope, and most importantly, not avoid it — we often find the path to growth. This path, from finding escape from the distress of life to finding growth in it, is also the journey that underlies the recovery from an eating disorder. “People with eating disorders, like all people, flourish when they feel a sense of agency,” write authors Laura J. Goodman and Mona Villapiano. In their new book, Eating Disorders: The Journey to Recovery Workbook, 2nd Ed., Laura J. Good...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Anorexia Binge Eating Book Reviews Bulimia Diet & Nutrition Disorders Eating Disorders General Habits Healthy Living Psychology Self-Esteem Self-Help Trauma Treatment Weight Loss books on how to recover from an Source Type: news
Abstract At least 5% of women have an eating disorder (ED) during pregnancy. These EDs affect prepregnancy body mass index (BMI) and weight gain during pregnancy, factors associated with birth complications and adverse neonatal outcomes. This review contributes to the literature by examining several adverse birth outcomes associated with EDs and differentiates between past and present EDs. Of the 18 articles reviewed, EDs were associated with preterm birth in 5/14 (36%) and small-for-gestational-age in 5/8 (63%) studies. Anorexia Nervosa increases the odds of a low birth weight baby, particularly when women enter ...
Source: Canadian Journal of Dietetic Practice and Research - Category: Nutrition Authors: Tags: Can J Diet Pract Res Source Type: research
Abstract Anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) are heritable conditions that are influenced by both genetic and environmental factors. Recent genome-wide association studies (GWAS) of AN have identified specific genetic loci implicated in AN, and genetic correlations have implicated both psychiatric and metabolic factors in its origin. No GWAS have been performed for BN or BED. Genetic counseling is an important tool and can aid families and patients in understanding risk for these illnesses. PMID: 30704640 [PubMed - in process]
Source: The Medical Clinics of North America - Category: General Medicine Authors: Tags: Psychiatr Clin North Am Source Type: research
Anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) are heritable conditions that are influenced by both genetic and environmental factors. Recent genome-wide association studies (GWAS) of AN have identified specific genetic loci implicated in AN, and genetic correlations have implicated both psychiatric and metabolic factors in its origin. No GWAS have been performed for BN or BED. Genetic counseling is an important tool and can aid families and patients in understanding risk for these illnesses.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
This article provides an update based on recently published literature and expert consensus on the current state of knowledge regarding feeding and eating disorders in children aged 2 to 12  years. It covers the 6 main diagnostic categories—pica, rumination disorder, avoidant/restrictive food intake disorder, anorexia nervosa, bulimia nervosa, and binge eating disorder—discussing issues and findings specific to this age group. It highlights the need for ongoing research in a numbe r of key areas, to include improved understanding of etiologic pathways, characterization of presenting disorders, and the deve...
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
CONCLUSIONS: There was insufficient evidence to conclude whether any treatment setting was superior for treating people with moderately severe (or less) anorexia nervosa, or other eating disorders.More research is needed for all comparisons of inpatient care versus alternate care. PMID: 30663033 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
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