Assessment and Treatment for Eating Disorders | UCLAMDChat

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  • Опубликовано: 24 июл 2024
  • UCLA pediatrician and eating disorders specialist Elaine Rosen, MD, psychologist Kelli Rugless, PsyD, and dietitian Janelle Smith, talk about assessment and treatment options for eating disorders. Learn more ➨ www.uclahealth.org/elaine-rosen
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Комментарии • 63

  • @phoebe5470
    @phoebe5470 5 лет назад +90

    the dietitian sounded like she was going to cry lolol

    • @dotexe6415
      @dotexe6415 4 года назад +5

      she did really well considering how she sounded. if I felt the way she sounded I'd forget everything.

    • @rrelampago1
      @rrelampago1 4 года назад +11

      I once knew someone who spoke like the dietitian and she had a condition called dysphonia. It is a vocal cord issue. But then it just may be her particular voice.

    • @j.h.miretskay3430
      @j.h.miretskay3430 4 года назад

      That “dietician” looks like she’s borderline obese. But hey, some guys like fat chicks. ;)

    • @simplygen01
      @simplygen01 3 года назад +8

      J.H. Miretskay she isn’t wtf

    • @frankgatto4471
      @frankgatto4471 3 года назад +3

      @@j.h.miretskay3430 who let you outside

  • @anameza7748
    @anameza7748 5 лет назад +14

    Thank you for being clear with your overview of initial approaches to engaging the patient and family.

  • @redacteddude2652
    @redacteddude2652 4 года назад +37

    Thank you so much I can’t live my life because of this stupid eating disorder

  • @JillianNoelle
    @JillianNoelle 4 года назад +8

    It’s not anorexia it’s AFRID - avoidant food, restive food intake disorder. I have no body image issues. It was just a feeding problem tell the DSM 5 came out. I eat slow and I never have hunger cues. I don’t like certain textures and smells. It’s also anxiety I get anxious around people eating. I eat better alone. I won’t eat processed foods but all the same, I have no body dysphoria. I dong think I’m fat. I don’t workout at all just walk every so often to get to the store cause I don’t drive. I’ve had it as long as I can remember. I was always like this. Yet I’ve been heavy at 5”2 I was 170 cause I blew up from psych meds. I’m like 110 now. My ideal body weight is 115

  • @morganbrown6032
    @morganbrown6032 6 месяцев назад +1

    Dr. Rugless was so helpful. She provided the really important information to this conversation

  • @TheFlyingFamily972
    @TheFlyingFamily972 4 года назад +4

    Where is the third part of the video series?

  • @Fly0nthefl00r
    @Fly0nthefl00r 4 года назад +13

    I don't want to eat anymore.. My best friend told me "please eat if its not for you do it for me, please I dont want you to end up in the hospital" I want to but I just dont.. It terrifies me and idk what to do at 13 I hit 83 pounds at one time..

    • @lexityler6599
      @lexityler6599 4 года назад +2

      kylie king you a are a perfect weight for your age my sister is 9 years old and weighs more than you I weighed more than you when I was your age....trust me I know it’s hard I have this problem too but it’s not worth it 😭

    • @Fly0nthefl00r
      @Fly0nthefl00r 4 года назад

      Alexis Tyler I’m just saying that my weight gets underweight every other week and I’m pretty sure I have bulimia but without the purging

    • @kaelyneugster1047
      @kaelyneugster1047 4 года назад

      Kylie King it terrifies me too. i know i need help, i know my habits aren’t safe or good. but the thought of gaining weight or not being able to fit into my favorite pairs of jeans terrifies me. i feel you. i hope you figure it out❤️

    • @ediesongbird3163
      @ediesongbird3163 4 года назад +2

      Kylie King what do you mean without the purging?

  • @practicallybalanced7749
    @practicallybalanced7749 6 лет назад +10

    As an aspiring dietician looking to specialise in eating disorders where can I find more information on how dieticians can help those suffering with an ED?

    • @sophiemallett715
      @sophiemallett715 4 года назад +3

      Ask people with eati g disorder how it would be helpful

    • @anamontez1683
      @anamontez1683 4 года назад +2

      maybe talk to one of your professors if you’re in uni or someone who can help with career paths?

  • @jalibrando
    @jalibrando 2 года назад +8

    it’s not only people that need to gain weight overweight can have it too :/

  • @miacerdo9425
    @miacerdo9425 2 года назад

    I didn't know I happening on my body. Everytime I eat I can't eat too much food cause I swallow it. I have insomnia that's why I was thin and I have an eating disorder said my dad and my mom but I don't think it is the real cause. Usually I have a migraine and every minute I feel that I'm hungry but I didn't feel full or satisfied on my food that's why I didn't finish it. Please can someone explain it to me🤧

  • @mocca1393
    @mocca1393 5 лет назад +13

    Oh no, I'm going to have to go through the assessment tomorrow as I'm getting seen for an eating disorder ( at 12 years old )

    • @Kino-np9tt
      @Kino-np9tt 4 года назад +8

      I'm also 12 and going to a pediatric doctor tomorrow for an ED. If you don't mind me asking, how was the assessment? I'm just trying to prepare myself.

    • @emmaelizabeth2201
      @emmaelizabeth2201 4 года назад +2

      Keekerdee i'm 14 and since the girl never responded to you how was it for you? i'm going in about 2 weeks

    • @annas1383
      @annas1383 3 года назад +3

      @@emmaelizabeth2201 How was it? I’m 13 and haven’t been diagnosed with anything because I haven’t seen anyone but honestly I probably should

  • @henryasher1920
    @henryasher1920 2 года назад +3

    janelle sounds like shes trying not to burst into tears

  • @JustMe-zx6ub
    @JustMe-zx6ub 5 лет назад +52

    What do you mean , “ specially anorexia “ ... are other eating disorders less valid? Are those people don’t deserve help and support? Is it just because they are normal weight? I lost a friend , she was ok in doctors eyes, not accepted for ED services as her BMI was 23 ...sadly she died because of her ED and she was healthy weight. Every ED is a serious disease. Please be more mindful x

    • @notnow7829
      @notnow7829 5 лет назад +2

      I'm so sorry. What kind of eating disorder was it??

    • @JustMe-zx6ub
      @JustMe-zx6ub 5 лет назад +12

      Lisa Hoffman she was restricting/b/p type eating disorder, she hasn’t been diagnosed as her Weight was ok. I’m anorexic myself, being ditched by ED services as hopeless case ..” it’s a life style for you not an illness “ So many professionals should receive extra trainings on Eating disorders as so many adult people are don’t get support, myself and others are struggling four walls just because we are adults leaving normal life x

    • @aquaman6166
      @aquaman6166 5 лет назад +4

      I'm so incredibly sorry for your loss. My heart aches for you.

    • @Izzymama1
      @Izzymama1 5 лет назад +2

      @@JustMe-zx6ub I would encourage you to look into Embodied Recovery for services (link is below). Two ED specialists from Chapel Hill, NC have created an effective model of treatment that fills a gap where other conventional treatments are faultering. Their treatment protocol incorporates somatic therapy (body psychotherapy) and addresses how past trauma impacts the nervous system. They capture the latest research in neuroscience and attachment theory. It's groundbreaking! Perhaps you could contact them and they could help you find someone trained in this modality. Best of Luck to you, and I'm sorry for your loss. embodiedrecovery.org/

    • @Izzymama1
      @Izzymama1 5 лет назад +1

      Here's a recording of an interview with the creators of Embodied Recovery: ruclips.net/video/GrJExf2Y1_Y/видео.html

  • @jeckyoulare3987
    @jeckyoulare3987 2 года назад

    I need help with my eating disorder and disability

  • @sami_lamb1234
    @sami_lamb1234 2 года назад

    Getting help is embarrassing for me. I can live just fine being underweight and malnourished. But I also know that ill be uncomfortable and sluggish for the rest of my life, I want help but I also dont because when I get help I'll just relapse again and feel even worse. I'm questioning if I'll even live past 14 or 15 in this condition, and I probably won't even ask for professional help or medical treatment until it's too late. I watch these videos for comfort knowing that I'll never get proper help pretty much.

    • @kikita278
      @kikita278 10 месяцев назад

      I hope you are doing better. If you are reading this, a Project called Project Heal offers a couple of excellent programs to help people free of cost with a fantastic team of clinical nutritionists. Could you check it out if you can? The help is offered in a very friendly way. They help you with the "embarrassment piece" as well.

  • @whatiftherewerejust100peop8
    @whatiftherewerejust100peop8 Год назад

    Hiii, guys)) How do you think is it too fat (too bad) to weight like 70 kg for 166cm height for a girl 26 y?) Please if you don't mind to answer, I'd realy appreciate an honest response.

  • @whatiftherewerejust100peop8
    @whatiftherewerejust100peop8 Год назад

    Btw You all are so beautiful ladies! Thanks for the video!

  • @Moonroofmusik
    @Moonroofmusik 5 лет назад +2

    Damn

  • @trufghdsyjvgfdd5281
    @trufghdsyjvgfdd5281 3 года назад

    heatin up

  • @salvatorehayes2753
    @salvatorehayes2753 3 года назад

    5:15 "Don't Have For Men" ? Uh No. Men Who End Up Starving Themselves (Very Low Body Fat Levels) Don't Produce Alot Of Testosterone. Results In ED, Doesn't Masterbate Often etc. Everything You Hear From TV Commercials About "Low T" And The "Do You Feel... Have Trouble...." All Symptoms When A Man Looses Too Much Weight Sometimes Due To Eating Disorder.

  • @TheScurvypirate
    @TheScurvypirate 3 месяца назад +1

    Megan “was never heavy to begin with” why does that matter ?!

  • @realizedreams6183
    @realizedreams6183 2 года назад

    can a teenager solve their eating disorder on their own? has this ever happened?

    • @August-30047
      @August-30047 2 года назад

      I've never gotten a doctor's diagnosis because my parents never saw a problem(probably cause they were part of the problem) I use to eat little to no food for around a year(I cant remember much during that time so I'm not entirely sure how long it was happening) I'd cry when I was forced to eat and what helped me was finding foods I used to enjoy and eating gradually I ate more and more each day so it wouldn't be scary until I started eating the amount I used to eat before and food and weight gain got less and less scary I still have some off days but it's been getting better for me considering I cant access a professional it can be hard though so just keep in mind that you should try to eat something everyday and try to get back to the amount you used to eat or just the regular amount for you and your body hopefully this helped I know some areas are harder to access medical and mental assistance

  • @rileyj5491
    @rileyj5491 4 года назад +28

    Could this have been a MORE cliche example? Eye. Roll. Yet another teenage girl with a concerned mother. How do you go about assessing the young trans man with EDNOS? Or the post-menopausal empty nester with BED? This conversation is so incredibly dated and harmful because it exacerbates the century-old example of restrictive anorexia as the ONLY eating disorder. Thumbs DOWN. Sure, Megan exists, but come on medical “professionals” there IS a world beyond her.

    • @jrg305
      @jrg305 4 года назад +7

      I'm a male dietitian and worked with trans men, queer/non conforming, with DE/ED and lots of binge eating men, and one female with AN. I feel you in that the field is all about AN adolescent females. I had DE and still have some probably so get you and the myopia in the field. There is also this sense of narcissism from female RDs and psychologist that you have no right to work in the field unless you are female and had anorexia or work on their program like they do.
      It is really their insecurity and also their personal experience manifesting as anger and what is close to them and what they went through, so they have a penchant for the population that they identify with. To change this in the field, will need more male practitioners and lgbtqqiaa(etc) to come forward and speak up.

    • @KCKITTEN
      @KCKITTEN 4 года назад +2

      Exactly. When I was inpatient(for s.h.) the first time I wasn't diagnosed with an eating disorder because I didn't meet their requirements perfectly for anorexia or bulimia despite restrictions and purging and losing 20 pounds in two weeks. Because I still had pounds to lose, it was dismissed until I lost another 40 pounds over the next month. I still was not underweight, but had no period for a whole year, insane hair loss, and would only take in 500 or less cal a day. I have still yet to be diagnosed because i am at a healthy weight. They don't care unless you are a skinny anorexic girl

    • @j.h.miretskay3430
      @j.h.miretskay3430 4 года назад +1

      Ryan Monaco - thanks for writing this. In my opinion, most Americans have pretty disordered eating, even if they don’t have a formally diagnosed eating disorder. When a significant portion of a person’s daily calories comes from highly processed foods containing endocrine disruptors, when “eating out” in restaurants is a daily activity, when people need to go out of their way to get physical activity, and 2/3 of the population is overweight or obese, this sounds like the entire country has an eating disorder. What these restrictive anorexic young women don’t recognize is that a person can be quite thin and “toned”, while having a nutritionally adequate, nourishing diet - countless people all over the world, where the processed foods industry doesn’t have much of a foothold, manage to do this.
      And there’s also the Americanized standard of the BMI chart. It’s not uncommon for people from Asian backgrounds to have BMIs of 16-18, while eating normally and having no body image issues. These people, unfortunately, might be improperly suspected of having an eating disorder when assessed by an American born doctor, especially an American female doctor of certain backgrounds or psychology.
      Rather than expensive inpatient treatment facilities, these people with eating disorders ought to be taught how to cook, and educated that highly processed foods should rarely, if ever, be consumed. And that exercise, like all things, needs to be engaged in intelligently.
      Maybe it’s me, but I think that some of these people with eating disorders have serious psychological disorders that just find an outlet in bizarre and disordered eating behaviors, rather than them wanting to be trim and athletic. I would think that when one’s hair is falling out, one has sores that fail to heal, and one has no energy, increasing one’s nutritional intake would be the rational step?

    • @j.h.miretskay3430
      @j.h.miretskay3430 4 года назад +4

      Americans are only obsessed with people wanting to be thin and have this entire industry devoted to supposedly “disordered” individuals wanting to exercise and eat healthy, sensible foods, without perhaps knowing what a healthy nutritious meal looks like. If “Megan” was morbidly obese, with BMI 60, tucking into 10,000 kcal/day, I strongly doubt that anyone would be placing her into a restrictive inpatient eating disorders treatment facility, monitoring her nutritional intake, and forcing her to exercise. Instead we have “fat activism” and the insistence that there’s no such thing as being too fat, and this obsession with people who might be slightly underweight. Oh, and let’s not also talk about how people with limited economic resources frequently “restrict” and go without food because they can barely afford rent and their water bill.

    • @rileyj5491
      @rileyj5491 4 года назад +1

      @@j.h.miretskay3430 👌🏻 Wholeheartedly agree with your entire reply! It’s such a shame...so many people are suffering on many different levels and they (we) all need help. Too bad for us, I guess?

  • @cerberuspluto7889
    @cerberuspluto7889 2 года назад +3

    30:08 And this is why I don't tell anyone 🥲