Pediatric Eating Disorders - Avoidance Restrictive Food Intake Disorder (ARFID) – 2023
- Second Session Topic: Avoidance Restrictive Food Intake Disorder (ARFID) –
- Review Current Definition
- What does it encompass – what patients get it.
- Why do patients get it?
- When a patient gets admitted for ARFID – what are the steps we need to take, what are we concerned about?
- Can they “fixed” as an inpatient (I assume no), if not, what should our inpatient admission goals be? What type of services do they need as an outpatient?
Discuss inpatient management when patients come in for medical instability (high vs low gradual calorie increase and refeeding syndrome) and when discharge is hard.
Discuss how to deal with parents who want to negotiate because their child is upset by the refeeding program.
Discuss why doesn’t behavioral therapy work for the kids who are being admitted for medical instability with eating disorders.
Discuss when patients have both OCD and eating disorders.
First Session Topic: Pediatric Eating Disorders:
- Session on refeeding – for anorexia and bulimia primarily
- High calorie vs low gradual increase
- Parents who want to negotiate because their child is upset by the refeeding program – how do we deal with them?
- Percentage of patients who get refeeding syndrome – how to recognize and treat
- Why doesn’t behavioral therapy work at the low weights kids are getting admitted at?
- When discharge is hard –
- Any tips for when there aren’t a lot of resources available
- Should we have a separate session on OCD with Eating disorders – I have had a few of these patients and they are tough to treat.
The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.
Amanda Elizabeth Downey M.D.,Assistant Clinical Professor at the University of California, San Francisco Dept of Pediatrics & Psychiatry in the School of medicine, Assistant Medical Director of the UCSF Eating Disorders Program
The following relevant financial relationships were disclosed: Tony Tarchichi, MD is a consultant for Sanofi
No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
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Other Healthcare Professionals
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- 1.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 1.00 Attendance