Eating Disorders in Children and Adolescents (July/August/September)

Date of Issue: 07/01/2022 | Volume: 13 | Number: 5&6

Issue Links:Learning Objectives | Editorial Information

Child psychiatrists typically receive one or two lectures on eating disorders during fellowship, then it’s out into the world to practice. Yet eating disorders are frequent in our clinical populations. This issue helps you to address weight stigma, bulimic symptoms, weight gain with antipsychotic treatment, and the relatively new Avoidant Restrictive Food Intake Disorder aka ARFID.

In This Issue

In Brief

Note from the Editor-in-Chief

In 2015 at my first Graphic Medicine conference (www.graphicmedicine.org), clinicians and patients spoke about the daily hurt people experience with fat shaming, some to the point of suicidality. It’s one thing to see it but another to fight it. Our interview with Dr. Sarah Nutter helps us combat weight bias. 

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Clinical Update

Medication Management of Antipsychotic-Induced Weight Gain in Children and Teens

Topics: body mass index BMI | GLP-1 Agonists | Metformin | Second Generation Antipsychotics (SGAs) | Topiramate | Weight gain

Once weight gain occurs with antipsychotic treatment in children and adolescents it is difficult to reverse. How should you select and prescribe SGAs to prevent it? Which additional medications are effective in preventing weight gain from SGAs? This clinical update gives you information to help prevent this common and problematic side effect.

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Expert Q&A

Assessing and Treating Bulimia in Teens and Young Adults

Topics: Assessment | Bulimia Nervosa

Are you asking your patients about bulimic symptoms? How do you get this often-secretive history? And how do you decide whether to address bulimic symptoms when parents report them, or patients acknowledge them? This interview with Dr James Lock gives you practical tips for grappling with these frequently hidden symptoms.

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Expert Q&A

Addressing Weight Stigma in Clinical Practice

Topics: body mass index BMI | body positivity | fat shaming | mindful eating | Stigma

Every patient and family you see is inescapably impacted by weight stigma or fat shaming and the damage from this bias can lethal. Our interview with Dr. Sarah Nutter unpacks this cultural conundrum and helps you counterbalance the stigma and help your patients to sheild themselves from weight stigma with healthier attitudes.

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Expert Q&A

Diagnosing and Treating Avoidant/Restrictive Food Intake Disorder

Topics: ARFID | Assessment | Avoidant Restrictive Food Intake Disorder | differential diagnosis

Nine years after DSM-5, Avoidant Restrictive Food Intake Disorder (ARFID) is still settling into clinical practice. Dr. Jennifer Thomas helps sort out the differential diagnosis between ARFID, anorexia, and other conditions and plan treatment in the context of comorbid conditions, such as anxiety disorders and Autism Spectrum Disorder.

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CME Post-Test

CME Post-Test - Eating Disorders in Children and Adolescents, CCPR, July/August/September 2022

Topics: CME Post-Test

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