Discover and read the best of Twitter Threads about #eatingdisorders
Most recents (14)
Nutritional ketosis has traditionally been considered a contraindication for individuals with eating disorders. 🧵(1/10)
The concern was that the restrictions and rules around food could trigger the disorder. But that's not what I have seen in my role as a licensed mental health counselor (2/10)
However, a recent case study showed safety and efficacy in using a ketogenic diet and ketamine to treat anorexia (3/10)
doi.org/10.3389/fpsyt.…
doi.org/10.3389/fpsyt.…
It's #TimeToTalkDay tomorrow, so instead of telling mentally ill people to ask for help, here are 10 things to talk about instead:
1) the UK Government has scrapped their 10-year strategy for #mentalhealth
2) people with serious mental health problems die prematurely worldwide
1) the UK Government has scrapped their 10-year strategy for #mentalhealth
2) people with serious mental health problems die prematurely worldwide
3) mental illness is the leading cause of days off work in the UK
4) the number of mental health beds in the UK is decreasing, but demand for them is increasing
4) the number of mental health beds in the UK is decreasing, but demand for them is increasing
5) waiting lists for ADHD and autism assessments are around 2 years and above for most adults
6) clinicians in the UK support withdrawing care from patients with #eatingdisorders when they don't respond to treatment, without scientific evidence
6) clinicians in the UK support withdrawing care from patients with #eatingdisorders when they don't respond to treatment, without scientific evidence
A case series was published on the effects of a #ketogenicdiet on individuals with both obesity and binge eating disorder. #bingeeatingdisorder (1/8)
They reported a decrease in depression scores in participants and a decrease in binge eating severity (number of episodes & frequency). #depression #bingeeatingdisorder #eatingdisorders (2/8)
Not only that, but the Yale Food Addiction Scale also decreased, indicating progress in overcoming addictive behaviors related to food. #foodaddiction #bingeeating (3/8)
(Possible) explanations for when patients with #eatingdisorders “aren’t engaged”, which don’t rely on stigma and assumed character defects:
1) their prior experiences of care give no reasons to trust
2) they were ready to engage years ago but help wasn’t available
Continues👇🏽
1) their prior experiences of care give no reasons to trust
2) they were ready to engage years ago but help wasn’t available
Continues👇🏽
3) healthcare systems were “unprepared to change” with the patient
4) services were “not ready” when the patient was
5) treatment options and delivery format are “not engaging”
6) their clinicians are not trained
👇🏽
4) services were “not ready” when the patient was
5) treatment options and delivery format are “not engaging”
6) their clinicians are not trained
👇🏽
7) they are engaging just by being present in a space and system that could feel unsafe. The effort of this is overlooked.
8) treatment is inconvenient and inflexible
9) spaces can be excluding or infantilising (I spoke to a service last week with butterflies on the wall)
👇🏽
8) treatment is inconvenient and inflexible
9) spaces can be excluding or infantilising (I spoke to a service last week with butterflies on the wall)
👇🏽
I never counted calories until I was told that people with anorexia are fixated on calories
When I was last in #eatingdisorders treatment it was suggested to me to count calories even though I'd been a healthy weight & not calorie-counted for over 5 years
This is a problem 🧵->
When I was last in #eatingdisorders treatment it was suggested to me to count calories even though I'd been a healthy weight & not calorie-counted for over 5 years
This is a problem 🧵->
At what stage to we stop and think about how treatment might actually introduce people to harmful behaviour/thoughts/beliefs by imposing pretty fixed understandings of what it is to have a particular condition? I think this happens in #eatingdisorders
When those in authority, with the power to define constructs, say "#anorexia is this" (for example) - to what extent do *some* patients then feel that this construct is something they have to fulfil, embody, talk the language of?
To what extent do patients get *given* identities?
To what extent do patients get *given* identities?
One of the problems I’ve experienced with thought-based therapy is that rarely has a therapy/therapist offered me a thought I haven’t already had.
Sure, some thoughts might be emphasised over others, but I don’t think we can always debate ourselves into feeling better ...🧵->
Sure, some thoughts might be emphasised over others, but I don’t think we can always debate ourselves into feeling better ...🧵->
Of course anyone who knows me will know I hugely value talking therapies, the power of articulating an experience, being heard. But other approaches are also valid, or necessary.
And I think sometimes it’s even actively unhelpful to combat language with language.
And I think sometimes it’s even actively unhelpful to combat language with language.
A big part of my recovery has been recognising when intellectualising, reformulating or challenging “faulty” thoughts has been appropriate. Often, language has been entirely the WRONG medium for me to engage with my experience.
Ten Essential Truths for Parents about Anorexia Nervosa
1.Restoration of a healthy weight is the priority early on in treatment of AN. Nothing else can be healed before patients are nourished.
@LurieChildrens @LurieAdolescent #EatingDisorders
1.Restoration of a healthy weight is the priority early on in treatment of AN. Nothing else can be healed before patients are nourished.
@LurieChildrens @LurieAdolescent #EatingDisorders
2. Food is the most important medicine, as important as antibiotics for severe infections, or chemotherapy for cancer. Simply put, energy into the body needs to be greater than energy leaving the body for AN to be treated.
@LurieChildrens @LurieAdolescent #EatingDisorders
@LurieChildrens @LurieAdolescent #EatingDisorders
3. Early in treatment of AN, food is more important than school, sports, and extracurricular activities. The longer kids are malnourished, the tougher AN is to treat. Investment in weight restoration pays long-term dividends.
@LurieChildrens @LurieAdolescent #EatingDisorders
@LurieChildrens @LurieAdolescent #EatingDisorders
(thread) Starting to read through and edit my friends and family chapter for my book. Reading through how others perceived my ED is heartbreaking. Seeing it through someone else's eyes gives me a whole new perspective on how EDs work. Very interesting even if it did make me cry.
Reading how my husband's heart was breaking as he watched me slowly kill myself, not knowing what to do. Reading how he thought he was loosing me as I pushed him away. Reading how he never once gave up hope, and fought tiresomely to help me fight. We won my darling. We beat it.
DYK: Half of all #mentalhealth conditions start by 1️⃣4️⃣ years of age, but most cases are undetected and untreated.
WE ALL have a role to play in supporting adolescents 👧🏾🧒🏼👦🏿👩🏽 with their mental health bit.ly/34FjX4O #LeadingMinds
WE ALL have a role to play in supporting adolescents 👧🏾🧒🏼👦🏿👩🏽 with their mental health bit.ly/34FjX4O #LeadingMinds
Some adolescents are at greater risk of #mentalhealth conditions due to their living conditions, stigma, discrimination or exclusion, or lack of access to quality support and services bit.ly/34FjX4O #LeadingMinds 
@pahowho @WHO_Europe @WHOSEARO @WHOWPRO @WHOAFRO @WHOEMRO @UNICEF @DrTedros @unicefchief Emotional disorders commonly emerge during adolescence.
In addition to depression or anxiety, adolescents with emotional disorders can also experience excessive irritability, frustration, or anger bit.ly/34FjX4O #LeadingMinds
In addition to depression or anxiety, adolescents with emotional disorders can also experience excessive irritability, frustration, or anger bit.ly/34FjX4O #LeadingMinds
Starting June 1, I will tweet a chapter each day from my new book goodreasons.info about how the light of evolutionary biology can dissolve the mists that swirl around mental disorders. Well, some mists for some disorders. @DuttonBooks @hbes2019 @LondonEvolution @ISEMPH
From the Preface: I wanted to write this book as soon as I realized that evolution could explain why bodies are vulnerable to disease. But the rest of medicine had to come first. Why We Get Sick stirred lots of interest. The new book is about why mental illness exists at all.
For each chapter I address the question, "So what?" Saying what is true changes only views unless it also changes what people do. Mental health clinicians who understand evolution do their work differently and better. For all others, self-understanding is valuable in itself.
1. thread.
Nice @FrontPediatrics paper providing guidance for docs and #pwME in the diagnosis and management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome #MECFS
#MedEd #MedTwitter #chronicillness #chronicpain #SickNotTired
frontiersin.org/article/10.338…
Nice @FrontPediatrics paper providing guidance for docs and #pwME in the diagnosis and management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome #MECFS
#MedEd #MedTwitter #chronicillness #chronicpain #SickNotTired
frontiersin.org/article/10.338…
2. #MECFS is commonly misdiagnosed as a #somatic disorder
#pwME "..have been humiliated or dismissed by other providers, so [doctors] will need to be.. nonjudgmental.. & acknowledge that #MECFS is not a #psychological condition but a real illness"
frontiersin.org/article/10.338…
#pwME "..have been humiliated or dismissed by other providers, so [doctors] will need to be.. nonjudgmental.. & acknowledge that #MECFS is not a #psychological condition but a real illness"
frontiersin.org/article/10.338…
3. #MECFS symptoms can be diverse, complex, fluctuate and overlap with many other conditions making the diagnosis difficult
This @FrontPediatrics paper lists 33 (!) co-morbidities commonly associated with #MECFS
#MedEd #MedTwitter #pwME #SickNotTired
frontiersin.org/article/10.338…
This @FrontPediatrics paper lists 33 (!) co-morbidities commonly associated with #MECFS
#MedEd #MedTwitter #pwME #SickNotTired
frontiersin.org/article/10.338…
Hey @PokemonGoApp, this is a kids' game, are you sending these unsolicited calorie competitive push notifications to everyone? It's completely inappropriate. I don't want to see it. #PokemonGO #bodypositive #dietculture #strongnotskinny
Calorie counting begins at younger and younger ages, particularly in girls, and correlates far better with teenage obesity and disordered eating (one of the most fatal mental health issues) than adult good health. This is a very poor decision indeed. Please reconsider.
"you adventured really far this week!" would be a vastly better word choice. #PokemonGO #caloriecounter
It's #WorldMentalHealthDay.
DYK: Half of all #mentalhealth conditions start by 1️⃣4️⃣ years of age, but most cases are undetected and untreated.
WE ALL have a role to play in supporting adolescents 👧🏾🧒🏼👦🏿👩🏽 with their mental health bit.ly/2CzHeve #LetsTalk
DYK: Half of all #mentalhealth conditions start by 1️⃣4️⃣ years of age, but most cases are undetected and untreated.
WE ALL have a role to play in supporting adolescents 👧🏾🧒🏼👦🏿👩🏽 with their mental health bit.ly/2CzHeve #LetsTalk
Some adolescents are at greater risk of #mentalhealth conditions due to their living conditions, stigma, discrimination or exclusion, or lack of access to quality support and services bit.ly/2IgMdAY #WorldMentalHealthDay
Emotional disorders commonly emerge during adolescence.
In addition to depression or anxiety, adolescents with emotional disorders can also experience excessive irritability, frustration, or anger bit.ly/2IgMdAY #WorldMentalHealthDay
In addition to depression or anxiety, adolescents with emotional disorders can also experience excessive irritability, frustration, or anger bit.ly/2IgMdAY #WorldMentalHealthDay
Borderline Personality Disorder aka Emotionally Unstable Personality Disorder is one of the most misunderstood, stigmatised & complex mental health diagnoses (Thread) #BPD #EUPD
#MentalHealthAwareness
#MentalHealthAwareness
One could write pages relating to the condition BPD and a layman’s understanding would still be incomplete. For this reason I am going to try and keep it short, simple and concise as I can and explain to you what BPD is to me.
BPD is intense feelings of loneliness & an inability to sit with myself without resorting to poor coping behaviours #BPD #EUPD #MentalHealthAwareness
