In this episode, Dr Krystyna de Lange speaks with Dr Karen Spielman and Dr Rachel Kalman about the screening and assessment of eating disorders in general practice. This is the first episode of a two part series on eating disorders. Both Dr Spielman and Dr Kalman have a special interest in psychological medicine, specifically eating disorders and work with the Inside Out Institute for Eating Disorders.
In this episode, there is a discussion about the importance of early recognition and intervention, noting the high morbidity, mortality, and economic impact of eating disorders. High-risk groups for GPs to consider are identified and include young people, those involved in visual sports, hormonal change periods, neurodivergence, and comorbid mental health conditions.
Screening strategies are explored, including the Inside Out Screener, a validated, patient-friendly tool designed for primary care. Giving practical advice on engaging patients in open, non-judgmental conversations about their relationship with food.
Dr Rachel Kalman outlines how to conduct a thorough assessment, including relevant history, physical examination, and investigations such as blood tests, ECG, and bone density scans. The importance of sensitive communication about test results and understanding medical and psychiatric risk factors is emphasised.
This equips GPs with practical approaches and reliable resources for early screening and assessment of eating disorders.
Links & Resources:
- Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.au
- Inside Out screening tool: https://insideoutinstitute.org.au/screener
- Eating Disorder Examination Questionnaire (EDE-Q): https://insideoutinstitute.org.au/resource-library/eating-disorder-examination-questionnaire-ede-q
- Centre for Clinical Interventions including patient information and worksheets: https://www.cci.health.wa.gov.au/resources/looking-after-yourself/disordered-eating
- Eating Disorders Family Australia: https://edfa.org.au
- Sick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com
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