Whether you are someone with an eating disorder wanting to understand what’s happening in your body, a family member searching for answers, or a clinician striving to provide the best care, Sick Enough: A Guide to the Medical Complications of Eating Disorders and Undernutrition offers relatable case presentations, stories and metaphors, peer-reviewed literature, approachable scientific explanations, and practical strategies.
This updated guide to the bestselling first edition is essential for anyone affected by eating disorders, disordered eating, dieting, and undernutrition due to complex medical problems and other issues, and features:
- Weight-inclusive philosophy
- Comprehensive coverage of eating disorders
- Chapters about "unmeasurable" medical issues such as mast cell activation syndrome (MCAS) and postural orthostatic tachycardia syndrome (POTS)
- Recognition of specific populations including athletes, those in (peri)menopause, and individuals with challenges like PTSD and ADHD
By combining relatable case presentations with approachable scientific explanations, Sick Enough: A Guide to the Medical Complications of Eating Disorders and Undernutrition provides an essential guide for anyone affected by eating disorders, disordered eating, undernutrition, and dieting.
Introduction
1. Weight Stigma and Weight-Inclusive Care Part 1: Not
Enough Calories: The Science of Undernourishment
2. 30,000-Foot View:
Undernourishment is Bad for the Body, and Food is Good for It Words of
Wisdom: The Perfect Child
3. Going into Hibernation Words of Wisdom: The
House on Fire, a.k.a. Combatting Im Fine
4. Hormones, Bones, and Exercise
5. The Empty Tank Words of Wisdom: The Subterranean Aquifer, Checklists, and
Reframing Expectations
6. Presentations of Advanced Malnutrition and Severe
Underweight Words of Wisdom: The Tale of the Perfectionist and the
Appreciative Achiever Part 2: Purging
7. 30,000-Foot View: What is Purging?
Why Does it Cause Medical Issues? Words of Wisdom: The Two-Sided Coin
8. How
Does Purging Physically Affect the Body? Words of Wisdom: Comparing Yourself
to Your Sickest Day
9. Electrolytes and Stopping Purging Words of Wisdom: The
Dog in the Street and Normal Fullness Part 3: Binge Eating Disorder, Avoidant
Restrictive Food Intake Disorder, and Atypical Anorexia Nervosa
10. Binge
Eating Disorder (BED) Words of Wisdom: Finding Self-Compassion
11. Avoidant
Restrictive Food Intake Disorder (ARFID) Words of Wisdom: Getting Beyond the
Breakers
12. Atypical Anorexia Nervosa (AAN) Words of Wisdom: The Coral
TankDepletion Risks Body and Mind Part 4: Recovery
13. Recovery Themes Words
of Wisdom: Place the Safety Net Where It Belongs Higher Levels of Care
14.
Early and Later Nutritional Rehabilitation: The Journey Toward Sufficient and
Consistent Nourishment Words of Wisdom: Belly Appearance During Recovery Part
5: The Unmeasurables: (a.k.a. The Very Real Medical Problems That Modern
Medicine Often Cant Measure)
15. Mast Cell Activation Syndrome (MCAS) Words
of Wisdom: Bearing Witness
16. Postural Orthostatic Tachycardia Syndrome
(POTS) Words of Wisdom: The Spoon Metaphor for Daily Energy
17. Complex
Digestive Issues Part 6: Specific Populations
18. Neurodiversity
19. Other
Influential Psychiatric Diagnoses
20. Diabetes Mellitus
21. Athletes and
Relative Energy Deficiency of Sport (REDs)
22. Males
23. Gender and Sexual
Minorities
24. Sexual and Reproductive Health
25. Substance Use Disorder
26.
Longstanding Eating Disorders and Older Age
27. Caring for the Patient Who
Declines Treatment Conclusion How We Can Contribute Positively
Jennifer L. Gaudiani, MD, CEDS-C, FAED is a board-certified internal medicine physician, known nationally and internationally for her work on the medical complications of eating disorders.