Background: Screening for medical and psychiatric co-morbidities and evaluating cognitive/perceptual changes related to “hungry brain” will be discussed. Examples will address working with adolescents, males, new onset adults, and patients with serious/enduring illness. Vignettes will demonstrate strategies for setting weight targets, refeeding, evaluating motivation, and considering higher levels of care.
- Case 1 – Female Adult
- Assessment
- Unbalanced Exercise
- Malnutrition
- Hungry Brain
- Treatment Targets
- Anorexia and Depression
- Motivation
- Level of Care
- Case 2 – Female Child
- Setting Weight Goals
- Feeding/Therapy Options
- Resources
- School
- Motivation
- Level of Care
- Case 3 – Male Teen
- Assessing Males
- Testosterone
- SIB
- Motivation
- Level of Care
- Case 4 – Enduring Adult Female
- Trauma
- Purging
- Dependent/Borderline Personality Traits
- Cognitive Deficits
- Lack of Resources
- Medical Complications
- Osteoporosis
- Dysmotility
- Motivation
- Level of Care
Case examples will be used to demonstrate decision points and help medical professionals develop core clinical competencies in the evaluation and treatment of patients struggling with Anorexia. The presenter will discuss strategies to screen for medical and psychiatric co-morbidities along with evaluation of cognitive/perceptual changes related to “hungry brain”. Examples will address working with adolescents, male patients, new onset adult patients, and patients with serious and enduring illness. Vignettes will demonstrate strategies for setting weight targets, refeeding, evaluating motivation, prescribing and supporting psychotherapy, considering higher levels of care. Key points to address with parent and family to initiate ongoing education and coaching will be described.
Kimberli McCallum, MD, CEDS, FAPA is an Associate Professor of Clinical Psychiatry at Washington University and is board certified in adult, child, and adolescent psychiatry. She is a graduate of Yale, completed her psychiatric training at UCLA Neuropsychiatric Institute, and child and adolescent training at Washington University. She is the co-founder of Missouri Eating Disorder Association, a member of the board of directors of the National Eating Disorders Association and an advisory board member of the International Association of Eating Disorders Professionals. Her current programs include McCallum Place St. Louis and Austin, The Victory Program, and Webster Wellness Professionals.
