Eating disorders: families tube-feeding patients at home amid NHS bed shortage

Exclusive: urgent investment needed as demand grows for treatment for conditions such as anorexia in pandemic

Extremely unwell eating disorder patients are having to be tube fed at home by their families owing to a lack of hospital beds, as the Royal College of Psychiatrists reports a rise in people being treated in units without specialist support.

Leading psychiatrists are urging the government for an emergency cash investment as the pandemic has prompted a rise in demand for treatment for conditions such as anorexia, amid “desperate pressure in the system”.

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BMI is no way to diagnose eating disorders. So why is it still being used? | Agnes Ayton

A surge in cases during the pandemic has shone a light on how poor policymaking is in this area of mental health

  • Agnes Ayton is chair of the Royal College of Psychiatrists’ eating disorders faculty

Eating disorders are one of the deadliest mental illnesses, but they are also highly treatable. The key is ensuring people can access the help they need as early as possible. Many people who have eating disorders are missing out on treatment because underfunded NHS services are using body mass index (BMI) as the main indicator to determine whether a person can access specialist care.

Introduced in the early 19th century by the Belgian mathematician Lambert Adolphe Quetelet, BMI is a widely used measure in population health. It is a simple calculation: weight divided by height squared. But simplicity comes at a cost. BMI was never designed to be a measure of the overall physical and mental health of an individual, and it’s never used as a sole measure in clinical practice. It’s a rough guide, and it doesn’t consider factors such as body composition, age, gender or ethnicity.

Agnes Ayton is chair of the Royal College of Psychiatrists’ eating disorders faculty

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BMI is no way to diagnose eating disorders. So why is it still being used? | Agnes Ayton

A surge in cases during the pandemic has shone a light on how poor policymaking is in this area of mental health

  • Agnes Ayton is chair of the Royal College of Psychiatrists’ eating disorders faculty

Eating disorders are one of the deadliest mental illnesses, but they are also highly treatable. The key is ensuring people can access the help they need as early as possible. Many people who have eating disorders are missing out on treatment because underfunded NHS services are using body mass index (BMI) as the main indicator to determine whether a person can access specialist care.

Introduced in the early 19th century by the Belgian mathematician Lambert Adolphe Quetelet, BMI is a widely used measure in population health. It is a simple calculation: weight divided by height squared. But simplicity comes at a cost. BMI was never designed to be a measure of the overall physical and mental health of an individual, and it’s never used as a sole measure in clinical practice. It’s a rough guide, and it doesn’t consider factors such as body composition, age, gender or ethnicity.

Agnes Ayton is chair of the Royal College of Psychiatrists’ eating disorders faculty

Continue reading...
Instagram apologises for promoting weight-loss content to users with eating disorders

Social media platform says it was a ‘mistake’ and that harmful terms have been removed in an update

Instagram has apologised for a “mistake” that meant it promoted weight-loss content to users with eating disorders.

A new feature on the social network provides users with suggested search terms based on their interests, with default prompts including terms such as “yard work”, “home decor” or “sunsets”. But some people with eating disorders found the app was prompting them to search for terms like “appetite suppressant” instead, raising the risk of a relapse or worse.

In the UK, Beat can be contacted on 0808-801-0677 or emailed at help@beateatingdisorders.org.uk (over-18s), studentline@beateatingdisorders.org.uk (students) or fyp@beateatingdisorders.org.uk (under-18s). In the US, the National Eating Disorders Association helpline number is 1-800-931-2237. In Australia, the Butterfly Foundation for Eating Disorders helpline number is 1800-33-4673.

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Instagram apologises for promoting weight-loss content to users with eating disorders

Social media platform says it was a ‘mistake’ and that harmful terms have been removed in an update

Instagram has apologised for a “mistake” that meant it promoted weight-loss content to users with eating disorders.

A new feature on the social network provides users with suggested search terms based on their interests, with default prompts including terms such as “yard work”, “home decor” or “sunsets”. But some people with eating disorders found the app was prompting them to search for terms like “appetite suppressant” instead, raising the risk of a relapse or worse.

In the UK, Beat can be contacted on 0808-801-0677 or emailed at help@beateatingdisorders.org.uk (over-18s), studentline@beateatingdisorders.org.uk (students) or fyp@beateatingdisorders.org.uk (under-18s). In the US, the National Eating Disorders Association helpline number is 1-800-931-2237. In Australia, the Butterfly Foundation for Eating Disorders helpline number is 1800-33-4673.

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Amy Winehouse: the spiteful way she was treated still fills me with rage

It’s hard to say whether Amy’s death shocked the music industry into better protecting artists experiencing mental ill health but I’m hopeful things are changing for the better

Released when I was 14, Amy Winehouse’s debut album offered a bridge from the tween-pop I grew up on to an intriguing adult world rich with sophistication. Back then, I didn’t understand all the lyrics – who was “Badu”? What was a “Moschino bra”? – but that only added to the alluring sense that I was instantly cooler for listening. I spent many evenings in my bedroom trying to mimic Amy’s unfathomably syllable-packed rendition of Moody’s Mood for Love, or singing her ballads or fantastically cutting insults in the imagined direction of whoever was my romance of that week, depending on the drama.

By the time Back to Black arrived, I was 16 and a fully fledged Amy fan, sporting backcombed hair and thick black eyeliner. The album soundtracked my first proper heartbreak, comforting me during the brushing-teeth-while-crying phase with Love Is a Losing Game. It later uplifted me as I sauntered down the street with my head held high to Tears Dry on Their Own, wondering why on earth I did, indeed, “stress the man”.

Related: Why the best album of the 21st century is Amy Winehouse's Back to Black

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Amy Winehouse: the spiteful way she was treated still fills me with rage

It’s hard to say whether Amy’s death shocked the music industry into better protecting artists experiencing mental ill health but I’m hopeful things are changing for the better

Released when I was 14, Amy Winehouse’s debut album offered a bridge from the tween-pop I grew up on to an intriguing adult world rich with sophistication. Back then, I didn’t understand all the lyrics – who was “Badu”? What was a “Moschino bra”? – but that only added to the alluring sense that I was instantly cooler for listening. I spent many evenings in my bedroom trying to mimic Amy’s unfathomably syllable-packed rendition of Moody’s Mood for Love, or singing her ballads or fantastically cutting insults in the imagined direction of whoever was my romance of that week, depending on the drama.

By the time Back to Black arrived, I was 16 and a fully fledged Amy fan, sporting backcombed hair and thick black eyeliner. The album soundtracked my first proper heartbreak, comforting me during the brushing-teeth-while-crying phase with Love Is a Losing Game. It later uplifted me as I sauntered down the street with my head held high to Tears Dry on Their Own, wondering why on earth I did, indeed, “stress the man”.

Continue reading...
Scrap use of BMI in decisions on eating disorder support – MPs

Women and equalities committee also calls for restriction or ban on edited images in advertising

The government’s approach to tackling lockdown-exacerbated eating disorders and negative body image is dangerous, MPs have said, as they called for action on edited images in advertising.

A report highlights the impact the pandemic has had on how people view their bodies and is critical of the growing numbers of women and men in England with eating disorders being denied support because they are not considered underweight enough to warrant it.

Continue reading...
Scrap use of BMI in decisions on eating disorder support – MPs

Women and equalities committee also calls for restriction or ban on edited images in advertising

The government’s approach to tackling lockdown-exacerbated eating disorders and negative body image is dangerous, MPs have said, as they called for action on edited images in advertising.

A report highlights the impact the pandemic has had on how people view their bodies and is critical of the growing numbers of women and men in England with eating disorders being denied support because they are not considered underweight enough to warrant it.

Continue reading...
BMI test unsuited to males with anorexia | Letter

Denying people with eating disorders help until their body mass index is low enough is particularly dangerous for male patients, writes one parent

The chair of the Royal College of Psychiatrists is concerned that people with eating disorders in England are denied help until their body mass index is “low enough” (Report, 5 April). The situation is even worse than you report, because at least a tenth of anorexia nervosa sufferers are male. They have lower fat reserves, and their irreducible skeleton is a larger proportion of their body weight. Starvation is therefore quicker to affect their muscles and vital organs.

In our city, the criterion for hospital admission is a BMI of 14. This seems to be based on experience with young women. Our GP was trying to get our son into hospital for five weeks. Our son was unable to sit up or cough, and had significant renal and liver impairment; he was at death’s door. Only when his BMI reached 14 was he taken to hospital for two months’ physical stabilisation. He then spent six months in a specialised eating disorders unit (60 miles away, as our city had no male beds for anorexia).

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