Eating Disorder Treatment in the UK – Is the System Flawless

 What is an eating disorder?

Eating disorders are mental illnesses that affect your intake of food, thoughts and opinions on the subject and eating patterns. They often develop as a coping mechanism to manage difficult feelings. Some may be aware that this is what they’re doing, while others may not be. This blog post will be about eating disorder treatment in the UK, how it works, and the things that need to change.

How many people in the UK have an eating disorder?

Approximately 725,000 people of all ages, genders, cultural or racial backgrounds in the United Kingdom are living with eating disorders. While this number is given, there could be many more suffering from eating disorders in silence, as a huge part of an eating disorder is the feeling of shame that can come with it.

What are symptoms of eating disorders?

Symptoms of eating disorders include food restriction, overeating, being very strict with diet, loss of control when eating, anxiety about eating around other people, eating in secret, eating in response to emotions, being obsessed with food, having body dysmorphia, monitoring weight very often. Alongside these symptoms people with eating disorders often experience a lot of anxiety, fatigue, difficulty concentrating, and may develop long-term physical health problems.

How would I go about getting eating disorder treatment in the UK?

The first step to receiving eating disorder treatment in the UK, is to visit your GP. Explain to your GP the symptoms that concern you. As most GP surgeries are not equipped to deal with mental health problems, they should refer you to a mental health service. Depending on whereabouts you live, there may be a service nearby that specifically deals with eating disorders.  Medication is not typically offered unless it will be alongside treatment. The treatment you receive depends on your eating disorder, the symptoms and the severity of them. 

Currently, the NHS offers a guided self-help programme, in which you’re given a book to guide you through the process of changing your eating disorder behaviours. Alongside this, support sessions are given to discuss thoughts and monitor progress. The NHS also offers psycho-education, which will educate on your symptoms, triggers and how to manage difficult feelings in healthier ways.

Anorexia Treatment

Anorexia treatment can be different to the above. This is because when somebody has reached an extremely low weight, they not only need help around their behaviours but help and often supervision to restore their weight.

Controversy

The problem with eating disorder treatment in the UK is that often, whether you are taken seriously or not can depend on your BMI. Many who have anorexia, or display anorexic behaviours, may not be referred for treatment if their BMI isn’t low enough. This is partially due to lack of mental health resources. While BMI can be helpful to doctors to signify a problem, it is an out of date tool that cannot be applied to everybody. Everybody is different. 

Some people may appear the same size but be different weights. Being denied treatment for an eating disorder solely based on weight not being ‘low enough’ is a trigger in itself, causing people to become more ill. While treatment can be effective, the system doesn’t always allow it to be, and this is its biggest flaw.

Post Traumatic Stress Disorder Treatment – How does it work?

 First of all, what is Post Traumatic Stress Disorder?

After a traumatic event, our brains sometimes change. This can cause symptoms of Post Traumatic Stress Disorder. Most people will experience symptoms of Post Traumatic Stress Disorder for up to 4 weeks after a traumatic event. However, some may experience symptoms for longer. This is when medical/psychiatric intervention is required to help relieve symptoms. 

Post Traumatic Stress Disorder Treatments

What counts as a ‘traumatic’ event?

A traumatic event could be anything – the most obvious being on a battlefield. However, it could also be losing a parent from a young age, caring for someone when they’re extremely ill until death, being in a car crash, losing somebody to suicide, or abuse at any age. There are many potential causes of Post Traumatic Stress Disorder. This is why Post Traumatic Stress Disorder treatment should be tailored to individuals.

What are the symptoms of PTSD?

For Post Traumatic Stress Disorder treatment to continue to improve, there has to be an understanding of the symptoms. Symptoms of PTSD include emotional dysregulation, mood swings, trembling, palpitations, nightmares, flashbacks, avoidance behaviours, dissociation and more. These symptoms can be extremely difficult to live with for the sufferer, but also for those close to the person suffering.

What is Post Traumatic Stress Disorder Treatment?

Post traumatic stress disorder treatment comes in a few forms. When diagnosed with PTSD symptoms, it is likely talking therapies may be offered. One example would be cognitive behavioural therapy (CBT). This can be helpful to those who might avoid certain situations because of the trauma that they experienced. It can help them to change their way of thinking in those situations and rationalise them more easily. For some, CBT might not be enough. EMDR (Eye-Movement Desensitisation and Reprocessing) can be another option for sufferers of PTSD. Although this is a form of Post Traumatic Stress Disorder treatment that is still being explored, it has proven to be very effective so far. It has been extensively researched, and what makes it different to other more conventional therapies is that the main focus of it is to help heal the brain. This is because trauma actually alters the brain.

How does EMDR work?

After a traumatic experience, the brain starts a recovery process. The hippocampus, which deals with memory and learning, communicates with the prefrontal cortex and the amygdala (these deal with behaviour and stress signals). Sometimes the recovery process takes longer, especially if a person is still distressed by the event that occurred. EMDR helps this recovery process to continue so that it can eventually be resolved. Although I’m referring to EMDR as a Post Traumatic Stress Disorder treatment, it can also be used for phobias, eating disorders, sleep disturbance, depression, and many other mental health problems.

How long does EMDR take?

Most people need fewer EMDR sessions for Post Traumatic Stress Disorder treatment than other forms of psychotherapy.  This means it can be quite a popular choice.

What about medication for Post Traumatic Stress Disorder Treatment?

Sometimes, medication is prescribed as a form of treatment. Usually the medicine would be a selective serotonin reuptake inhibitor – this is a modern anti-depressant, also known as an SSRI. These are known to have fewer side effects than older anti-depressants.