In this episode, Dr Krystyna de Lange is once again joined by Dr Karen Spielman and Dr Rachel Kalman, GPs with a special interest in eating disorders, for part two of this series on eating disorders. Their conversation centres on the ongoing management of patients with eating disorders in general practice.

Dr Kalman provides guidance on the frequency and nature of medical monitoring, including when to order blood tests and ECGs. Dr Spielman discusses how to assess and respond to medical instability, particularly cardiovascular risks and rapid weight loss, while emphasising clinical judgment and individualised care.

They discuss common medical complications associated with eating disorders, such as cardiovascular, gastrointestinal, and endocrine issues, along with practical tips for symptom management and patient education. The importance of the GP’s role in long-term management, continuity of care, and maintaining hope for recovery.

A detailed walkthrough of the Eating Disorder Treatment Plan (EDP), addressing eligibility, use of templates, and the expanded access to psychological and dietetic support. They encourage GPs to utilise the EDP and Medicare Safety Net to make comprehensive care more accessible for patients.

Dr Rachel Kalman also discusses the review of an eating disorder management plan. Please note that this review can occur via a psychiatrist or paediatrician, not a psychologist as mentioned in the episode.

Links & Resources:

1. Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.au
2. CEED Table for medical monitoring: https://ceed.org.au/wp-content/uploads/2025/03/Medical-Monitoring-in-Eating-Disorders.pdf
3. Eating Disorders Family Australia: https://edfa.org.au
4. Sick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com

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