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Severe and Enduring Eating Disorder (SEED): Management of Complex Presentations of Anorexia and Bulimia Nervosa


Description: The book explores the clinical challenge of long-term eating disorders and examines the physical and psychological problems, family issues and difficulties in day-to-day living that patients with SEED can experience.

- Explores the clinical challenge of long-term eating disorders—often compounded by co-morbidity with depression, self-harm, OCD or psychosis
- Eating disorders can persist for many years, yet are rarely classified as ‘severe and enduring’ in the way that other disorders such as schizophrenia can be
- Introduces Severe and Enduring Eating Disorder (SEED) as a concept, and draws on detailed case histories to describe its assessment and treatment
- Examines the physical and psychological problems, family issues and difficulties in day-to-day living that patients with SEED can experience
- Discusses treatment approaches including Rehabilitation Eating Disorders Psychiatry—also covers treatment in a range of different settings

Praise for Severe and Enduring Eating Disorder (SEED): Management of Complex Presentations of Anorexia and Bulimia Nervosa

'In this short book, he sets out the case against the trivialisation and relative neglect of eating disorders in general and builds the case that in particular a substantial number of people, mainly with chronic Anorexia Nervosa, have disorders that are, by any rational standard, both severe and enduring. The book describes the problems of such people and how they may be approached and at least ameliorated. It is sensible, lively, useful and thought-provoking. All clinicians involved with eating disorders should read it.

-Professor Bob Palmer, Psychiatry, University of Leicester

"In an era of therapeutic optimism and belief in the healing powers of brief psychological therapies, the plight of people with severe and enduring eating disorders remains a neglected topic. Drawing on parallels and differences to other severe mental disorders, this unique book provides a sound and practical framework for working with these patients. Thoughtful, compassionate, easy-to-read, and imbued with the author's considerable clinical wisdom and research knowledge, this book fills an important gap."

-Professor Ulrike H. Schmidt, Professor of Eating Disorders, Institute of Psychiatry, Kings College London


Author Dr Paul Robinson is a Consultant Psychiatrist in Eating Disorders Psychiatry at the Russell Unit Eating Disorders Service, part of the St Ann's Eating Disorders Service, Barnet Enfield and Haringey Mental Health Trust. He has been working in Eating Disorders Psychiatry for 23 years.


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