Dr Lise Hertel

1. Eating difficulties in primary care

2. Presentations to General Practice – 2 scenarios

3. “In a perfect world …..?”

4. Next Steps

Prevalence is estimated as 0.5-1% in an average population(AN), 1-1.5% Bulimia

Screening- SCOFF, especially at risk groups

Recognition of co-morbidity – very often condition is managed completely separately to everything else.

Management of chronic ED and its physical sequelae

Appropriate timely referrals- to who?

Supporting families and friends, liaising with education

Suicide risk

I think I might have an eating disorder/ I think my child has an eating disorder

How might a GP help?

What are the next steps?

Who else needs to be involved (not involved)?

Young person (15) presenting repeatedly with tiredness all the time, sore throats, doesn’t like school, getting into arguments with parents.

What might be going on?

How should a GP deal with this situation?

Who else should be involved and not involved?

What are the next steps?

Discuss this in your groups

What problems have you come across?

What are your experiences?

If we could create the perfect pathway/service what would it look like?

Why?

Do you know of any examples ?

Think of a word that comes to mind when you hear the phrase eating disorder.