Pediatric Eating Disorders - (Part 2) Depression/Suicidality with Eating Disorder – 2023
- Fourth and Fifth Session Topics: Depression/Suicidality:
- This one will need to be two sessions:
- Updates on Suicide Risk, Assessment, Prevention and Treatment
- Managing Suicidal Patients in an Acute Inpatient Medical Setting
- This is where the boarders discussion would come in
- Discuss the increase in suicides in pediatrics patients. I would want to know the breakdown of increases including by sex and age groups.
- Discuss how people are doing it, guns, overdosing, hanging etc.
- We would like to hear about the problems from a quantitative perspective
- How many inpatient pediatric psychiatry beds are there in the country
- How many kids at any point are waiting for beds, not how many are in the beds, how many are still waiting for the beds, boarding at other hospitals.
- I wonder if a session on the financial aspect of these admissions would be helpful. How does a pediatric psychiatry hospital or floor get reimbursement or money, how many costs are involved? Would that help us to understand why there aren’t more?
- Boarders – when someone is boarding for suicidality – what can we do to help?
- This one will need to be two sessions:
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.
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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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