Background: This workshop will present current evidence on the prevalence of atypical anorexia nervosa in adolescents in the setting of America’s childhood “obesity epidemic.” When restrictive eating patterns are prescribed for higher weight adolescents as means to achieve a “healthy” weight, at what point do such eating patterns become an eating disorder? This workshop will consider the cultural norms and nuances at play in diagnosing and treating adolescents with atypical anorexia. We will discuss instilling passion for recovery when it is counter-cultural to give up behaviors which are maintaining a suppressed body weight deemed healthy by societal norms and medical guidelines.
Objectives: Following this presentation, participants will be able to a) identify the frequency of atypical anorexia nervosa in the adolescent population, b) utilize this information to educate patients, family members, and treatment professionals about the unique medical and clinical implications of treating atypical anorexia nervosa, and c) explain why individuals with atypical anorexia are at elevated risk for insufficient treatment and relapse
Dr. Joanna Wiese is a psychologist at Children's Mercy Kansas City outpatient eating disorder specialty clinic and an Assistant Professor at the University of Missouri Kansas City Medical School in the department of Pediatrics. She has treated eating disorders in a variety of inpatient, residential and outpatient treatment settings and has done research on eating disorders and help seeking behaviors amongst college students. She also has clinical training and research experience in behavioral treatments for eating disorders, including family-based treatment.
Michaela Voss, MD, graduated medical school from University of Kansas Medical Center–Kansas City, KS, in 2010. She completed pediatric residency in 2013 at Children’s Hospital of Wisconsin – Milwaukee, WI. Afterwards, she graduated from adolescent medicine fellowship in 2016 at Seattle Children’s Hospital – Seattle, WA. Dr. Voss joined the Adolescent Medicine Department at Children’s Mercy-Kansas City in 2016. Her current clinical focus includes eating disorders, transgender care, and mental health. Her research including eating disorders within the transgender community and creating a national eating disorder database with the Society of Adolescent Health and Medicine.
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Beth Harrell, MS, RD, LD, CEDRD
Beth Harrell began her work with eating disorders in 1995 in inpatient/residential setting. Since then she has worked in all levels of care and with AN, BN, BED and ARFID ages 8-78. Beth spent the last 8 years working in outpatient care with children and adolescents and has a special place in her heart for kids whose eating disorders are missed because of their weight. She is an active member of the MO Eating Disorders Council since 2014 and provides training for RDs across the state, she serves on the board for the Body Balance Coalition in Kansas City, and has been on iaedp's Certification Committee for the past 5 years and as Director of Certification since May 2017.
