Aug 1, 2021
Welcome to PsychEd, the
psychiatry podcast for medical learners, by medical learners. This
is the second of two episodes covering the topic of eating
disorders. In this episode, we explore the treatment of these
illnesses with Dr. Randy Staab, a psychiatrist at Trillium Health
Partners and medical director of the eating disorders program at
Credit Valley Hospital.
The learning objectives for the
episode are as follows:
By the end of this episode, you
should be able to…
- Outline the management of eating disorders
using a biopsychosocial framework.
- Identify the indications for various levels of
care (inpatient, residential, day hospital, outpatient,
- Understand the ethical and medicolegal dilemmas
(i.e. involuntary treatment) that may arise in treatment of eating
- Consider the treatment of special populations
(i.e. children and adolescents, older adults, men, LGBTQ+
Randolf “Randy” Staab
Hosts: Dr. Lucy
Chen, Dr. Nikhita Singhal (PGY3), Dr. Vanessa Aversa
Audio editing by: Dr. Vanessa Aversa
Show notes by:
Dr. Vanessa Aversa, Dr. Nikhita Singhal
- Introduction - 0:00
- Learning objectives - 00:39
- Biological approaches to treatment:
- Nutritional rehabilitation - 03:47
- Medications - 06:00
- Psychological approaches to treatment
- Treatment of comorbidities - 23:45
- Levels of care - 26:00
- Ethical dilemmas - 32:40
- Special populations:
- Children and adolescents - 35:35
- Older adults - 36:45
- Men - 37:55
- LGBTQ+ - 40:23
- Novel interventions - 42:48
- Closing - 51:47
- The National Eating Disorder Information Centre
(NEDIC) provides information, resources, referrals and support to
Canadians affected by eating disorders: https://nedic.ca.
- The National initiative for Eating Disorders
(NIED) provides access to educational, informational, and other
recovery-oriented resources related to eating disorder prevention
and treatment: https://nied.ca.
- Body Brave provides accessible eating disorder
treatment and support, as well as community training and
- American Psychiatric Association. Feeding and
eating disorders. In Diagnostic and statistical manual of mental
- Gaudiani J. Sick Enough: A Guide to the Medical
Complications of Eating Disorders. New York, NY: Routledge; 2019.
- Mehler PS, Andersen AE. Eating Disorders: A Guide to Medical Care and
Complications. 3rd ed.
Baltimore, MD: Johns Hopkins University Press; 2017.
- American Psychiatric Association.
Practice Guideline for the
Treatment of Patients with Eating Disorders. 3rd ed. 2006.
- Geller J, Isserlin L, Seale E, et al. The short
treatment allocation tool for eating disorders: current practices
in assigning patients to level of care. J Eat Disord. 2018;6(45). https://doi.org/10.1186/s40337-018-0230-2
- McClain Z, Peebles R. Body image and eating
disorders among lesbian, gay, bisexual, and transgender
youth. Pediatr Clin
North Am. 2016
December; 63(6):1079–1090. https://doi.org/10.1016/j.pcl.2016.07.008
- Mangweth-Matzek B, Hoek HW, Rupp CI,
Lackner-Seifert K, Frey N, Whitworth AB, Pope HG, Kinzl J.
Prevalence of eating disorders in middle-aged women.
Int J Eat
Disord. 2014 April;
- Treasure J, Claudino AM, Zucker N. Eating
disorders. Lancet. 2010;375(9714):583–593. https://doi.org/10.1016/S0140-6736(09)61748-7
- Smink FR, van Hoeken D, Hoek HW. Epidemiology,
course, and outcome of eating disorders. Curr Opin Psychiatry. 2013;26(6):543‐548. https://doi.org/10.1097/yco.0b013e328365a24f
CPA Note: The views expressed in
this podcast do not necessarily reflect those of the Canadian
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