We are only at the tip of the iceberg: A commentary on higher levels of care for anorexia nervosa

We are only at the tip of the iceberg: A commentary on higher levels of care for anorexia nervosa In reading the article by Thompson‐Brenner et al. (), we are once again humbled by the potential severity, chronicity, and lethality of eating disorders, such as anorexia nervosa (AN). While outpatient interventions are the recommended first line of care for binge‐eating disorder and bulimia nervosa, the acute medical and psychiatric instability associated with AN often warrant the need for more intensive services.We are going to focus our commentary on the discussion of the treatment of adults with AN in the United States because it has one of the highest psychiatric mortality rates among adolescent and young adult women as well as some of the highest rates of suicide among psychiatric disorders, and in adults, given the empirical data, there is no clearly indicated intervention with proven efficacy. Maintaining an extremely low weight, by restricting, vomiting, and abusing laxatives, diuretics or diet pills, and insulin are all problems that cause direct insult, not just to the psyche, but also to the body. In this respect, extreme weight loss behaviors are analogous only to a handful of other psychological problems including alcohol and substance use disorders, and acute life‐threatening crises such as suicidal behavior, any of which may co‐occur with AN.From clients' http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Psychology: Science and Practice Wiley

We are only at the tip of the iceberg: A commentary on higher levels of care for anorexia nervosa

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 Society of Clinical Psychology
ISSN
0969-5893
eISSN
1468-2850
D.O.I.
10.1111/cpsp.12225
Publisher site
See Article on Publisher Site

Abstract

In reading the article by Thompson‐Brenner et al. (), we are once again humbled by the potential severity, chronicity, and lethality of eating disorders, such as anorexia nervosa (AN). While outpatient interventions are the recommended first line of care for binge‐eating disorder and bulimia nervosa, the acute medical and psychiatric instability associated with AN often warrant the need for more intensive services.We are going to focus our commentary on the discussion of the treatment of adults with AN in the United States because it has one of the highest psychiatric mortality rates among adolescent and young adult women as well as some of the highest rates of suicide among psychiatric disorders, and in adults, given the empirical data, there is no clearly indicated intervention with proven efficacy. Maintaining an extremely low weight, by restricting, vomiting, and abusing laxatives, diuretics or diet pills, and insulin are all problems that cause direct insult, not just to the psyche, but also to the body. In this respect, extreme weight loss behaviors are analogous only to a handful of other psychological problems including alcohol and substance use disorders, and acute life‐threatening crises such as suicidal behavior, any of which may co‐occur with AN.From clients'

Journal

Clinical Psychology: Science and PracticeWiley

Published: Jan 1, 2018

Keywords: ; ; ;

References

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