Eating Disorders: Seeking Treatment - Seeking Treatment for Eating Disorders

Written by HealthyPlace.com Staff Writer

With a careful search, the provider you select will be helpful. But, if the first time you meet with him or her is awkward, don't be discouraged. The first few appointments with any treatment provider are often challenging. It takes time to build up trust in someone with whom you are sharing highly personal information. If you continue to feel that you need a different therapeutic environment, you may need to consider other providers.

Suggested Medical Tests

Compiled for the National Eating Disorders Association by Margo Maine, PhD

A complete medical assessment is important when diagnosing eating disorders. Talk with your doctor about performing specific laboratory tests.

With eating disorders, the most important first step toward diagnosis and recovery is to have a complete assessment. This includes a medical evaluation to rule out any other physical cause for the symptoms, to assess the impact the illness has had to date, and to determine whether immediate medical intervention is needed. (See Table 1 for specific tests.) Equally important is the mental health assessment, preferably by an eating disorder expert to provide a full diagnostic picture. Many people with eating disorders have other problems as well, including depression, trauma, obsessive-compulsive disorder, anxiety, or chemical dependence. This assessment will determine what level of care is needed (inpatient eating disorder treatment, outpatient, partial hospital, residential) and what professionals should be involved in the treatment.

TABLE 1--Recommended Laboratory Tests

Standard

• Complete Blood Count (CBC) with differential
• Urinalysis
• Complete Metabolic Profile: Sodium, Chloride, Potassium, Glucose, Blood Urea Nitrogen, Creatinine, Total Protein, Albumin, Globulin, Calcium, Carbon Dioxide, AST, Alkaline Phosphates, Total Bilirubin
• Serum magnesium Thyroid Screen (T3, T4, TSH)
• Electrocardiogram (ECG)

Special Circumstances

15% or more below ideal body weight (IBW)

• Chest X-Ray
• Complement 3 (C3)
• 24 Creatinine Clearance
• Uric Acid

20% or more below IBW or any neurological sign

• Brain Scan

20% or more below IBW or sign of mitral valve prolapse

• Echocardiogram

30% or more below IBW

• Skin Testing for Immune Functioning

Weight loss 15% or more below IBW lasting 6 months or longer at any time during course of eating disorder

• Dual Energy X-Ray Absorptiometry (DEXA) to assess bone mineral density
• Estadiol Level (or testosterone in males)