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.
Read morePart II: What Does BED Really Look Like?
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.
Read morePart I: Binge Eating Disorder & Conflict of Interest
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.
Read moreGaining Weight Despite Calorie Restriction
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.
Read morePart II: Systematic Review of Weight Gain Correlates In Literature
A multi-part series to look at the scientific literature in depth on the topics of obesity onset and perseveration. Part II: Inactivity
Read moreObesity Science In Context
How the scientific literature on obesity is regularly misinterpreted.
Read morePart I: Systematic Review of Weight Gain Correlates In Literature
A multi-part series to look at the scientific literature in depth on the topics of obesity onset and perseveration. Part I: Food Intake
Read moreHomeodynamic Recovery Method, Doubly-Labeled Water Method Trials and Temperament-Based Treatment
A closer and updated look at the Homeodynamic Recovery Method in relation to temperament-based treatment and calorie intake guidelines.
Read moreOrthorexia II: Doubt and Certainty
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...
Read moreTummy Troubles
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...
Read moreZinc Supplementation for Eating Disorders
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...
Read moreInpatient Underfeeding
Patient underfeeding in hospital settings is rife and particularly dangerous when a patient is actually admitted due to underfeeding in the first place...
Read moreExtreme Hunger Part 2: The Experience and Science
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.
Read moreDepression in Recovery: Assessment, Treatment and Options
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...
Read moreExercise II: Insidious Activity
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.
Read morePhases of Recovery From An Eating Disorder Part 1
Part 1 of Phases of Recovery looks at what an eating disorder is, how it's identified and what the prognosis and outcomes are.
Read morePhases of Recovery From An Eating Disorder Part 2
Part 2 of Phases of Recovery providing you with some information on how to determine when an eating disorder is present.
Read morePhases of Recovery From An Eating Disorder Part 3
In part 3 of Phases of Recovery we review some risks, misdiagnoses and possible complications associated with the recovery process.
Read morePhases of Recovery From An Eating Disorder Part 4
Part 4 of the Phases of Recovery looks at the calorie intake guidelines in some depth and discusses the necessity of restorative eating.
Read morePhases of Recovery From An Eating Disorder Part 5
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.
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