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Balancing risk requires a balanced approach: Commentary on… severe and enduring eating disorders: recognition and management

  • William Rhys Jones and John F. Morgan

Summary

Paul Robinson's article provides an excellent summary of some of the challenges faced by clinicians working with patients with severe and enduring eating disorders (SEED) and outlines a robust approach to the recognition and management of this complex group of patients. This commentary expands on some of the points raised, adds some further views and suggests a tailored approach to establishing a therapeutic alliance with patients and carers.

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Copyright

Corresponding author

Dr William Rhys Jones, Yorkshire Centre for Eating Disorders, Newsam Centre, Seacroft Hospital, York Road, Seacroft, Leeds LS14 6WB, UK. Email: r.jones9@nhs.net

Footnotes

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See pp. 392–401, this issue.

Declaration of Interest

None.

Footnotes

References

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Arcelus, J, Mitchell, AJ, Wales, J (2011) Mortality rates in patients with anorexia nervosa and other eating disorders. Archives of General Psychiatry, 68: 724–31.
Jones, WR, Saeidi, S, Morgan, JF (2013) Knowledge and attitudes of psychiatrists towards eating disorders. European Eating Disorders Review, 21: 84–8.
Robinson, P (2012) Avoiding deaths in hospital from anorexia nervosa: the MARSIPAN project. Psychiatrist, 36: 109–13.
Robinson (2014) Severe and enduring eating disorders: recognition and management. Advances in Psychiatric Treatment, 20: 392401.
Royal College of Psychiatrists (2010) MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa (College Report CR162). Royal College of Psychiatrists.
Royal College of Psychiatrists (2014) MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa (2nd edn) (College Report CR189). Royal College of Psychiatrists.
Saeidi, S, Fieldsend, G, Morgan, JF (2013) Managing anorexia nervosa in the community. Nursing Times, 109: 12–4.
Stiles-Shields, C, Touyz, S, Hay, P et al (2013) Therapeutic alliance in two treatments for adults with severe and enduring anorexia nervosa. International Journal of Eating Disorders, 46: 783–9.
Strober (2004) Managing the chronic, treatment-resistant patient with anorexia nervosa. International Journal of Eating Disorders, 36: 245–55.

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Balancing risk requires a balanced approach: Commentary on… severe and enduring eating disorders: recognition and management

  • William Rhys Jones and John F. Morgan
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