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'
Clinical Psychology: Science and Practice – Wiley
Published: Jan 1, 2018
Keywords: ; ; ;
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