Complete Solutions
What is the cutoff for defining severe and enduring EDs? 7 years.
What should the goals of treatment not do? Grossly overestimate what can be realistically
achieved or underestimate the client's potential.
When treating severe, enduring ed, the first objective is to: reassure symptom stability
What are the potential effects of inpatient treatment for eating disorders? Short-term
reduction in symptoms, but inconsistent long-term results. May also lead to weight gain and
decreased binge/compensation behaviors in short term.
What are the potential benefits of outpatient and day treatment for eating disorders?
Promising for symptom reduction and can increase motivation to recover.
What is the goal of harm reduction in eating disorder treatment? To reduce the frequency,
intensity, or lethality of life-threatening or harmful behaviors.
,What are the six principles of palliative care and eating disorders? Humanism,
pragmatism, individualism, autonomy, incrementalism, accountability without termination.
What is the focus of palliative care in eating disorders? Decreasing suffering and
improving quality of life, even if curative or disease-modifying goals are secondary.
What are some therapeutic considerations in palliative care for eating disorders? Decision-
making capacity, quality of life, support for family, legal and ethical considerations,
countertransference/self-awareness.
What factors should be considered in psychological treatment for eating disorders? The
patient's physical condition, psychology, behavior, and social circumstances.
What is the starting point for treatment planning in outpatient guidelines for anorexia nervosa?
Determining the level of care necessary to manage symptoms and provide effective and
safe treatment for recovery.
, When should a higher level of care be considered in outpatient guidelines for anorexia nervosa?
If there are Wt changes
Acute suicidality or self harm
Excessive exercise
Unmanageable anxiety
Increase in familial stress
Incapacity to manage compensatory bx
Anosognosia
Major issues impacting progress
What are OP guidelines for BN? Acute suicidality or self harm
Increased clinical concerns
Increased tx interfering bx
Excessive exercise
Comorbid dx
What are OP guidelines for BED? Need for more monitoring - ie d/t medical issues
Mobility problems