Whether you are someone with an eating disorder wanting to understand what’s happening in your body, a family member searching for answers, or a clinician striving to provide the best care, Sick Enough: A Guide to the Medical Complications of Eating Disorders and Undernutrition offers relatable case presentations, stories and metaphors, peer-reviewed literature, approachable scientific explanations, and practical strategies.
This updated guide to the bestselling first edition is essential for anyone affected by eating disorders, disordered eating, dieting, and undernutrition due to complex medical problems and other issues, features:
Weight-inclusive philosophy
Comprehensive coverage of eating disorders
“Unmeasurable” medical issues such as mast cell activation syndrome (MCAS) and postural orthostatic tachycardia syndrome (POTS)
Specific populations including athletes, those in (peri)menopause, and individuals with challenges like PTSD and ADHD
Introduction 1. Weight Stigma and Weight-Inclusive Care Part 1: Not Enough Calories: The Science of Undernourishment 2. 30,000-Foot View: Undernourishment is Bad for the Body, and Food is Good for It Words of Wisdom: “The Perfect Child” 3. Going into Hibernation Words of Wisdom: The House on Fire, a.k.a. Combatting “I’m Fine” 4. Hormones, Bones, and Exercise 5. The Empty Tank Words of Wisdom: The Subterranean Aquifer, Checklists, and Reframing Expectations 6. Presentations of Advanced Malnutrition and Severe Underweight Words of Wisdom: The Tale of the Perfectionist and the Appreciative Achiever Part 2: Purging 7. 30,000-Foot View: What is Purging? Why Does it Cause Medical Issues? Words of Wisdom: The Two-Sided Coin 8. How Does Purging Physically Affect the Body? Words of Wisdom: Comparing Yourself to Your Sickest Day 9. Electrolytes and Stopping Purging Words of Wisdom: The Dog in the Street and Normal Fullness Part 3: Binge Eating Disorder, Avoidant Restrictive Food Intake Disorder, and “Atypical” Anorexia Nervosa 10. Binge Eating Disorder (BED) Words of Wisdom: Finding Self-Compassion 11. Avoidant Restrictive Food Intake Disorder (ARFID) Words of Wisdom: Getting Beyond the Breakers 12. Atypical Anorexia Nervosa (AAN) Words of Wisdom: The Coral Tank—Depletion Risks Body and Mind Part 4: Recovery 13. Recovery Themes Words of Wisdom: Place the Safety Net Where It Belongs Higher Levels of Care 14. Early and Later Nutritional Rehabilitation: The Journey Toward Sufficient and Consistent Nourishment Words of Wisdom: Belly Appearance During Recovery Part 5: The Unmeasurables: (a.k.a. The Very Real Medical Problems That Modern Medicine Often Can’t Measure) 15. Mast Cell Activation Syndrome (MCAS) Words of Wisdom: Bearing Witness 16. Postural Orthostatic Tachycardia Syndrome (POTS) Words of Wisdom: The Spoon Metaphor for Daily Energy 17. Complex Digestive Issues Part 6: Specific Populations 18. Neurodiversity 19. Other Influential Psychiatric Diagnoses 20. Diabetes Mellitus 21. Athletes and Relative Energy Deficiency of Sport (REDs) 22. Males 23. Gender and Sexual Minorities 24. Sexual and Reproductive Health 25. Substance Use Disorder 26. Longstanding Eating Disorders and Older Age 27. Caring for the Patient Who Declines Treatment Conclusion How We Can Contribute Positively
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