Eating Disorders

Research Update

Faster Refeeding of Patients With Anorexia Nervosa Appears Safe

Topics: Anorexia | Eating Disorders | Higher-calorie refeeding | Low calorie refeeding | Malnourishment | Refeeding syndrome

Review of: Garber AK et al, JAMA Pediatrics 2021;175(1):19–27 The standard of care for inpatients with anorexia nervosa (AN) and dangerously low weight is to start low-calorie refeeding (LCR). LCR starts the refeeding process at a very low calorie count (~1200 kcal/day) and progresses slowly. If malnourished patients move too quickly in this proces

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Expert Q&A

Addressing the Hazards of Performance-Enhancing Substances

Topics: amino acids | anabolic steroids | Andro | Androstenedione | Athletic performance | creatine | creatine monohydrate | Eating Disorders | excessive exercise | hydroxymethyl butyrate (HMB) | intermittent fasting | muscle dysmorphia | Performance Enhancing Substances | recovery time | restrictive dieting | whey protein powders

CCPR: Welcome, Dr. Ganson. Tell us about your current work. Dr. Ganson: I’m an assistant professor at Factor-Inwentash Faculty of Social Work at the University of Toronto. I’ve been focusing my research predominantly on eating disorders and muscle-enhancing behaviors and performance-enhancing substance use among adolescents and young adults. CCP

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Research Update

New Canadian Eating Disorders Guidelines

Topics: Anorexia Nervosa | Bulimia Nervosa | Eating Disorders | Least Restrictive Environment

Review of: Couturier J et al, J Eating Disorders 2020;8:4 Good guidelines can optimize clinical practice. The APA last published eating disorder guidelines in 2012. In 2020, a group of Canadian psychiatrists published new practice guidelines for eating disorder treatment. Let’s take a look. This systematic and comprehensive literature review scr

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Research Update

Olanzapine for Anorexia Nervosa

Topics: Anorexia Nervosa | Antipsychotics | Eating Disorders | olanzapine | Research | Research Update

Review of: Attia E et al, Am J Psychiatry 2019;176(6):449–456 Type of study: Randomized, double-blind, placebo-controlled trial Antipsychotics have been tried in anorexia since 1960, but their success has been mixed and often outweighed by their risks. Seven controlled trials have tested atypical antipsychotics in anorexia, and although most were p

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Research Update

Lisdexamfetamine for BED: How Effective Over the Long Term?

Topics: Eating Disorders | Research Updates

Review of: Hudson JI et al, JAMA Psychiatry 2017;74(9):903–910. Lisdexamfetamine (Vyvanse) is an extended release amphetamine-based stimulant that is approved for both ADHD and binge eating disorder (BED). To refresh your memory, BED is defined as recurrent episodes (at least once a week over 3 months) of binge eating without compensatory weight lo

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Research Update

Parent-Focused Therapy Outperforms Conjoint Therapy for Anorexia

Topics: Child Psychiatry | Eating Disorders | Research Updates

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Article

Taking Back Control in Binge Eating Disorder

Topics: Child Psychiatry | Eating Disorders | Free Articles

Confined to the appendix in previous editions of the Diagnostic and Statistical Manual (DSM), binge eating disorder (BED) took a leap into the spotlight with its inclusion as an official diagnosis in 2013’s DSM-5. It is one of the more controversial of DSM-5 disorders, with some claiming that BED inappropriately turns overeating and obesity into a psy

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Expert Q&A

Eating Disorders: Assessment and Treatment

Topics: Child Psychiatry | Eating Disorders | Free Articles | Inpatient Psychiatry

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Article

Binge Eating Disorder: Should You Use Vyvanse?

Topics: Eating Disorders | Practice Tools and Tips | Psychopharmacology Tips | Psychotherapy

In January of this year, the FDA approved the stimulant lisdexamfetamine (Vyvanse) as the first drug with an indication for binge eating disorder (BED). Patients are hearing the buzz and may be asking you to prescribe it, but you may have some questions first. Is BED different from extreme overeating which plagues so many Americans? Is this just a stimu

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News of Note

FDA Approves Vyvanse to Treat Binge-Eating Disorder

Topics: Eating Disorders | News of Note

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How Effective is CBT in Treating Anorexia?

Topics: Eating Disorders | Research Updates

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DSM-5 to Include Binge Eating Disorder

Topics: Eating Disorders

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) will be published in May 2013. It is the first major revision of the DSM since the mid-1990s. DSM-5 recognizes binge eating disorder as a separate eating disorder. Previously, in DSM-IV, binge eating disorder was listed in Appendix B, which covered “criteria sets

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A Look at Eating Disorders

Topics: Eating Disorders

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A Review of the Research on Eating Disorders

Topics: Eating Disorders

Eating disorders are a persistently challenging issue for clinicians. There are, however, a variety of psychotherapy techniques, as well as some medications, used successfully to treat eating disorders. Here is a summary of some of the latest research on psychotherapy and psychopharmacological treatments. Psychotherapies for ED Family-Based Therapy

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Anorexia Nervosa and Bulimia Nervosa

Topics: Eating Disorders

Eating disorders are chronic and severe illnesses with some of the highest rates of morbidity and mortality of all psychiatric disorders. Although eating disorders can develop in males and females at any age, they are most common among adolescent girls and young women, with average prevalence rates of 0.3% for anorexia nervosa and 1% for bulimia nervosa

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Anorexia Nervosa and Bulimia Nervosa [Free Article]

Topics: Eating Disorders | Free Articles

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Eating Disorders as Addictions

Topics: Eating Disorders | Free Articles

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Article

Eating Disorder Treatment Challenges

Topics: Eating Disorders

Even though she denies any problems, deep inside your patient feels out of control, her life a treadmill gone haywire. She feels numb to any emotional experience and feels absent from her own life. She fragments herself into two selves, her public persona, always competent and in control, and the hidden, secret self of the eating disorder, until her min

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Article

Eating Disorder Treatment Resources

Topics: Eating Disorders

Two self-report questionnaires, the Eating Attitudes Test (EAT-26) and the Eating Disorder Examination Questionnaire (EDQ Version 9.0), can help inform the clinician about the most symptomatic areas in a given eating disorder. The EAT-26 (www.eat-26.com), a 26-item questionnaire, provides a list of eating disorder symptoms that your patients ca

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Article

Eating Disorders as Addictions

Topics: Eating Disorders

We all know that substance abuse and dependence are serious, difficult-to-treat conditions. But ideas about what exactly constitutes substance abuse and addictions are changing. Authors of the upcoming DSM-5 have proposed that substance use disorders (SUD) be categorized as “Substance Abuse and Addictive Disorders,” which would also include gambl

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