Long format papers providing in-depth clinical and reference materials for patients and professionals:
Understanding how to pull together a treatment team as an adult looking to reach remission from an eating disorder or to manage an active state while maximizing quality of life and minimizing complications.
Misophonia, Tourette's, eating disorders, OCD...they have so much more in common than you might think possible. If these conditions coexist then it doesn't mean "comorbidity", rather it means commonality and leveraged options for regaining quality of life too.
Eating disorders are mostly invisible. They are also great deceivers: able to mimic all manner of common chronic conditions and ailments. Some patients may have been told they were cured in their teens, but many more will have never been treated for an eating disorder at any time in their lives. So it won't occur to your patient that the cause of their symptoms is an eating disorder. Given the prevalence of eating disorders, here's a primer on how to identify them as a physician.
Second of two parts looking at binge eating disorder BED and its inclusion as a standalone eating disorder in the DSM-5 and what this means for those sure that bingeing causes BED.
First of two parts looking at binge eating disorder BED and its inclusion as a standalone eating disorder in the DSM-5 and what this means for those sure that bingeing causes BED.
The reality of gaining weight despite calorie restriction is dogmatically put down to a lack of control and not adequately ensuring the calorie restriction is consistently in place. Trouble is, the science thoroughly disproves that dogma.
A multi-part series to look at the scientific literature in depth on the topics of obesity onset and perseveration. Part II: Inactivity
How the scientific literature on obesity is regularly misinterpreted.
A multi-part series to look at the scientific literature in depth on the topics of obesity onset and perseveration. Part I: Food Intake
A closer and updated look at the Homeodynamic Recovery Method in relation to temperament-based treatment and calorie intake guidelines.
The level of organization and investment necessary in our health care systems when we instigated massive immunization and inoculation programs in the first half of the 20th century were very successful in developed nations. But of course now we have massive health care systems left in the wake of that effort...
I will not be able to address all the facets of this topic completely, but I must touch on them in some way because nothing is more difficult to navigate than the presence of both identifiable symptoms due to food intake and an anxiety disorder...
Supplementation: not unless your medical team says so and even then you may want to discuss with them that such interventions are based on very narrow clinical trial data...
Patient underfeeding in hospital settings is rife and particularly dangerous when a patient is actually admitted due to underfeeding in the first place...
As with the ever-present fear that the metabolism “is broken” many in recovery experience the disconnections between hunger, physical fullness and emotional satiation and worry that the entire energy balance system is “broken” as well.
Our Western culture has a messianic focus on turning losers into winners. I reject outright this narrow dichotomy being used as a way to define the human condition...
Some facets of eating disorder-driven behaviors are more socially reinforced than others and exercise is certainly perceived as a life-affirming, stress-relieving behavior that can have no down side.
Part 1 of Phases of Recovery looks at what an eating disorder is, how it's identified and what the prognosis and outcomes are.
Part 2 of Phases of Recovery providing you with some information on how to determine when an eating disorder is present.
In part 3 of Phases of Recovery we review some risks, misdiagnoses and possible complications associated with the recovery process.
Part 4 of the Phases of Recovery looks at the calorie intake guidelines in some depth and discusses the necessity of restorative eating.
The Homeodynamic Recovery Method (HDRM) comprises four phases toward remission of an eating disorder: initial re-feeding, the neither/nor phase, the must-be-done-by-now phase, and the high-risk final phase.
Water retention. Massive water retention. Water retention that hurts. Water retention that aches. Water retention that makes you look pregnant...
Extreme hunger is a common experience for almost everyone undergoing recovery from any kind of eating disorder. Next to the presence of edema (water retention), extreme hunger is one of the most anxiety-provoking elements of recovery.
Like all good internet memes, you go to Know Your Meme to learn that an ironic appreciation for stock photography includes a lot of photos of women laughing alone with salad as well as women struggling to drink water and men laughing alone with fruit salad.
So in this post we’re going to look at recovery specifically through the lens of wanting to have children.