Psychiatry Boot Camp

3.11 Eating Disorders


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Today we have TWO world renowned experts to teach us about eating disorders!

Dr. Anne O'Melia is the Chief Clinical and Quality Officer at ERC Pathlight, where she leads a multidisciplinary team of over 1,000 therapists, dietitians, and nurses caring for patients across the country. She is board certified in pediatrics, general psychiatry, child and adolescent psychiatry, and consultation-liaison psychiatry. She has co-authored numerous articles and book chapters on eating disorders.

Dr. Patricia Westmoreland has spent decades traveling the globe speaking and publishing about eating disorders, and is currently working in private practice. Dr. Westmoreland has particular expertise in the forensic aspects of eating disorders, and in managing the medical complications of eating disorders. Dr. Westmoreland is board certified in internal medicine, general psychiatry, forensic psychiatry, and consultation-liaison psychiatry.

We review how to identify when disordered eating patterns require clinical attention and outline the most common eating disorders encountered in the general medical hospital, including anorexia nervosa, bulimia nervosa, and avoidant/restrictive food intake disorder (ARFID). The episode covers prevalence rates, high-risk populations, and the significant morbidity and mortality associated with eating disorders.

Our guests discuss key clinical information needed for diagnosis, criteria for medical hospitalization, and the spectrum of available levels of care. We take a deep dive into anorexia nervosa, reviewing its clinical trajectory, diagnostic criteria, subtypes, and complications. Finally, we examine evidence-based approaches to medical stabilization, psychotherapy, and pharmacotherapy in the treatment of eating disorders.

Key References:

1. The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders (Crone 2023)

2. Ethical Challenges in the Treatment of Patients With Severe Anorexia Nervosa (Westmoreland 2024)

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Psychiatry Boot CampBy Mark Mullen, MD

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