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Medical Complications of Restrictive Eating Disorders and Treatment Challenges in Underserved Communities: Comparison of Treatment Approaches Between the United States, Latin America and the Middle East

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About the Course

The diagnosis of Anorexia Nervosa (AN)/ restrictive eating disorder, is associated with the highest mortality rate of any psychiatric disorder, mainly caused by medical complications. The purpose of this presentation/ workshop is to review the common medical consequences of AN focusing on the special considerations related to children and adolescents and recent updates on the pathophysiology of these complications and their prognosis significance. The main findings were related to the diagnostic and prognostic value of hypokalemia, QTc prolongation, hypoglycemia and orthostatic changes. A new modality to evaluate the heart in AN was explored (2DSTE) as well. Bone Mineral Density (BMD) loss is one of the few non reversible consequences of AN. BMD loss doesn’t seem to be significantly related to sex or to cut-off low weight parameters in teenagers with AN, but rather to the amount of weight loss they have experienced. Brain volume deficits might be another irreversible complication in adolescents with AN. It is crucial for any health care provider to be informed about the medical consequences of AN, not only because they can be devastating, but also because they can play an essential role in motivating patients to get treated. Without the proper multidisciplinary team and the availability of all levels of care, treating medical conditions and motivating patients to change can be challenging. Having the medical doctor, the psychologist and the nutritionist undergo the same training, have the same speech and communicate regularly, can increase the chances of positive outcome

This course is based on the video, Medical Complications of Restrictive Eating Disorders and Treatment Challenges in Underserved Communities: Comparison of Treatment Approaches Between the United States, Latin America and the Middle East created by Carole Chidiac, M.D., Philip Mehler, CEDS, and Eva Trujilio, MD, FAED in 2020.

Publication Date:

Jul 2020

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Carole Chidiac, M.D.

Philip Mehler, CEDS

Eva Trujilio, MD, FAED

Course Creator

Sandi Cardaman
Sandi Cardaman has been a Licensed Mental Health Counselor for more than 15 years. She has worked with eating disorders, domestic violence and clients who are working with the dependency system.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Presenting the most significant medical findings in restrictive eating disorders and their management
  2. Discussing the challenges medical professionals face all over the world starting from lack of proper training, difficulty in finding a multidisciplinary team with the same speech/ training, absence of higher levels of care or proper transition between different levels of care
  3. Comparing approaches and challenges between different countries and communities

Disclosure to Learners

Disclosure of Relevant Financial Relationships

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

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Course Retired
Course Number 102895
1 CE credit hour
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Exam Fee $5.97
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