Chapter 13.Eating Disorders
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Excerpt
Eating disorders are associated with high use of clinical resources and frequent medical complications (Westmoreland et al. 2016), yet often go unrecognized in medical settings. Patients may present either emergently in crisis or seeking relief from chronic medical or psychiatric complications of the disorder. Symptom concealment and minimization are common, because patients are often anxious about changing their underlying eating and weight-control behaviors and may even explicitly deny having an eating disorder. Ambivalence toward behavior change is therefore the norm, and feelings of shame, embarrassment, and stigma further complicate patient engagement. Most cases respond to behavioral specialist treatment; however, the majority of persons with eating disorders remain untreated, and some are at risk of iatrogenic complications if the underlying behavioral condition is not recognized and addressed.
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