Severe and Enduring Eating Disorder (SEED): Management of Complex Presentations of Anorexia and Bulimia Nervosa

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Author: Paul Robinson

ISBN-10: 047006207X

ISBN-13: 9780470062074

Category: Psychological Disorders

The book explores the clinical challenge of long-term eating disorders and examines the physical and psychological problems, family issues and difficulties in day-to-day living that patients with SEED can experience.\ \ Explores the clinical challenge of long-term eating disorders—often compounded by co-morbidity with depression, self-harm, OCD or psychosis\ Eating disorders can persist for many years, yet are rarely classified as ‘severe and enduring’ in the way that other disorders such as...

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Eating disorders are usually regarded as acute illnesses that patients either recover or die from. They are rarely classified as 'severe and enduring' in the same way that other mental disorders, such as schizophrenia, can be. Yet, many patients suffering from eating disorders struggle with their condition for years. Severe and Enduring Eating Disorder (SEED): Management of Complex Presentations of Anorexia and Bulimia Nervosa introduces SEED as a concept, and draws on detailed case histories to describe its assessment and treatment. The book explores the clinical challenge of long-term eating disorders and examines the physical and psychological problems, family issues and difficulties in day-to-day living that patients with SEED can experience. In addition, the book discusses treatment approaches, including Rehabilitation Eating Disorders Psychiatry, and covers treatment in a range of different settings.

Clinical Descriptions ixAbout the Author xiPreface xiiiAcknowledgements xv1 Introduction 12 SEED, Psychiatric Considerations 193 Medical Aspects of SEED 414 Social and Occupational Aspects of SEED 595 Family Life with SEED 796 Care Programming in SEED 957 A Pilot Case Series Using Qualitative and Quantitative Methods: Biological, Psychological and Social Outcome in Severe and Enduring Eating Disorder (Anorexia Nervosa) 1078 A Comparison between SEED and Chronic Schizophrenia 1219 99 Research Ideas 143Glossary 151References 157Index 163

\ From the Publisher'To say that this book is timely is to make an understatement. It is overdue. Paul Robinson has done the field of eating disorders – patients, carers and professionals – a major service by tackling head-on important and damaging myths about eating disorders.\ 'In this short book, he sets out the case against the trivialisation and relative neglect of eating disorders in general and builds the case that in particular a substantial number of people, mainly with chronic Anorexia Nervosa, have disorders that are, by any rational standard, both severe and enduring. The book describes the problems of such people and how they may be approached and at least ameliorated. It is sensible, lively, useful and thought-provoking. All clinicians involved with eating disorders should read it.\ —Professor Bob Palmer, Psychiatry, University of Leicester\ "In an era of therapeutic optimism and belief in the healing powers of brief psychological therapies, the plight of people with severe and enduring eating disorders remains a neglected topic. Drawing on parallels and differences to other severe mental disorders, this unique book provides a sound and practical framework for working with these patients. Thoughtful, compassionate, easy-to-read, and imbued with the author's considerable clinical wisdom and research knowledge, this book fills an important gap."\ —Professor Ulrike H. Schmidt, Professor of Eating Disorders, Institute of Psychiatry, Kings College London\ \ \