faulker053

I want your input. I need to hear your voices. For EDAW 2015, I have volunteered to present to two medical residency programs—one in Boston, MA and one in Providence, RI on what doctors need to know about eating disorders.  I've incorporated recommendations from twitter responders and from Aspire , but I welcome more input. Here's what I have to share with new doctors so far: Avoid the ‘Don’t ask, don’t tell’ approach .   Patients rarely volunteer behaviors they feel ashamed of—bingeing, purging, diet pill and laxative abuse.   So providers need to ask. Nicely. Casually. Non-judgmentally. Include basic ED screening questions at routine visits. Early action is not just for college admissions . Eating disorders are best identified early and treated promptly. We wouldn’t simply wait it out to see if blood sugars simply turn around in a patient with type 1 diabetes. Take eating disorders as seriously as you would cancer, or The time is now for improving medical management of...

Seeming quick fixes can be so tempting. This week’s inbox held the following message from an old patient: “I was watching Good Morning America and they had Monica Seles on, admitting she's suffered from binge eating disorder (BED). They announced a medication they are now using to treat BED, Vyvanse, also used for ADHD. I looked it up and side effects include weight loss. Have you ever recommended this drug for BED? Do you feel it is effective for BED? Can people with BED take this med to lose weight? Do they think if you have BED you must be overweight and this medication can cause weight loss? Which would perhaps (in their minds) solve the bingeing? That small ED voice that lurks deep from within is screaming 'get me that drug! Get me that drug!' so I can lose weight. WTH?!" I’m glad she was brave enough to share what she was wondering, as I’m sure she’s not alone in her curiosity. Aren’t you wondering what this means for you? Let's start by clarifying a few t...