Severe and Enduring Eating Disorder (SEED)Management of Complex Presentations of Anorexia and Bulimia Nervosa
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 schizophrenia can be Introduces Severe and Enduring Eating Disorder (SEED) as a concept, and draws on detailed case histories to describe its assessment and treatment Examines the physical and psychological problems, family issues and difficulties in day-to-day living that patients with SEED can experience Discusses treatment approaches including Rehabilitation Eating Disorders Psychiatry—also covers treatment in a range of different settings
Clinical Descriptions. About the Author. Preface. Acknowledgements. 1. Introduction. 2. SEED, Psychiatric Considerations. 3. Medical Aspects of SEED. 4. Social and Occupational Aspects of SEED. 5. Family Life with SEED. 6. Care Programming in SEED. 7. A Pilot Case Series Using Qualitative and Quantitative Methods: Biological, Psychological and Social Outcome in Severe and Enduring Eating Disorder (Anorexia Nervosa). 8. A Comparison between SEED and Chronic Schizophrenia. 9. 99 Research Ideas. Glossary. References. Index.
'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
Dr Paul Robinson is a Consultant Psychiatrist in Eating Disorders Psychiatry at the Russell Unit Eating Disorders Service, part of the St Ann's Eating Disorders Service, Barnet Enfield and Haringey Mental Health Trust. He has been working in Eating Disorders Psychiatry for 23 years.
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.
‘Paul Robinson continues to address the largely unmet needs of individuals with severe and chronic eating disorders. His description of Severe and Enduring Eating Disorders is clinically compelling and should be familiar to most clinicians working in the area. His approach is broad based, comprehensive, and pluralistic in terms of theoretical perspective. Moreover, the book is full of practical information regarding patients’, families’, and clinicians’ needs. It is a significant contribution regarding this group of patients with tremendous treatment needs.’ --Dr Stephen Wonderlich, Associate Chairperson and Professor, Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences and Director of Clinical Research, Neuropsychiatric Research Institute
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