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Eating Disorders in Severe Obesity

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Psychiatric Care in Severe Obesity

Abstract

In this chapter, we review and recommend strategies for assessing eating disorders in patients with obesity who present for treatment in settings that are not specialized to treat eating disorders. Our purpose is to equip clinicians working with obese individuals or in general community practices with the tools to understand eating disorder symptoms and make appropriate recommendations to patients with obesity. A case example of a common clinical presentation will be used to illustrate the assessment and triage process. We will begin by reviewing prevalence data and providing an overview of the research literature on eating disorders typically found in individuals with obesity, namely binge eating disorder (BED) and night eating syndrome (NES). We will then summarize recent diagnostic changes in the DSM-5 criteria for eating disorders. We discuss interview and self-report instruments and recommend how best to incorporate these into clinical practice so as to reliably and accurately assess for eating disorders. Although other chapters in this volume describe specific psychological treatments for obesity, we outline a plan for triaging patients with obesity who also suffer from eating disorders to more intensive treatment. Finally, we review medications for eating disorders found in patients with obesity.

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Correspondence to Susan Wnuk B.A., M.A., Ph.D. .

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Wnuk, S., Van Exan, J., Hawa, R. (2017). Eating Disorders in Severe Obesity. In: Sockalingam, S., Hawa, R. (eds) Psychiatric Care in Severe Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-42536-8_10

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