Misconceptions that eating disorders mostly afflict white, affluent, young females have led to disparities in the treatment of these deadly diseases
“I still don’t trust my parents’ ability to feed me,” confessed Sofia after I asked what she was most anxious about, nearing discharge after two months on an inpatient eating disorders unit where I worked as a psychiatry resident. The 14-year-old girl was brought to the pediatrician by her parents, worried about her eating. They learned that Sofia had lost 30 pounds over three months—she was eating only one piece of fruit a day in the weeks leading up to her admission.
Her deeply caring family struggled with family sessions during her inpatient treatment, complicated by the need for interpreters, a prescribed inpatient diet that differed from the meals typically eaten at home, and a hesitancy to ask questions of the health care teamWhile Sofia was successfully restored to a healthy weight at discharge from the hospital, finding appropriate outpatient treatment presented yet another challenge.
. These diseases have grave physical consequences, such as heart arrhythmias, and psychiatric ones, such as depression and suicidality. They are also on the rise, likely related to, anorexia nervosa is one of the deadliest psychiatric illnesses in the world. From Taylor Swift to Princess Diana to Jane Fonda, eating disorders are not a new phenomenon.. Emerging data even suggest individuals with multiple marginalized identities may be at higher risk.
Like accurate diagnosis, health care access determines treatment. In the U.S. treatment access is inextricably linked to how much money you have, where you live, who holds political office, stigma and blatant discrimination. One study published in 2018 found that Latinx youth with eating disorders werewith understanding a need for treatment and receiving treatment compared with low-income students in the study. Altogether, specialist services.
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