ABSTRACT

Patients with eating disorders frequently feel that they aren’t "sick enough" to merit treatment, despite medical problems that are both measurable and unmeasurable. They may struggle to accept rest, nutrition, and a team to help them move towards recovery. Sick Enough offers patients, their families, and clinicians a comprehensive, accessible review of the medical issues that arise from eating disorders by bringing relatable case presentations and a scientifically sound, engaging style to the topic. Using metaphor and patient-centered language, Dr. Gaudiani aims to improve medical diagnosis and treatment, motivate recovery, and validate the lived experiences of individuals of all body shapes and sizes, while firmly rejecting dieting culture. 

chapter |8 pages

Introduction

part I|3 pages

Not Enough Calories

chapter Chapter 1|7 pages

30,000-Foot View

What Happens When You Starve Yourself?

chapter Chapter 2|16 pages

Going into Hibernation

chapter Chapter 3|20 pages

Hormones and Bones

chapter Chapter 4|11 pages

The Empty Tank

chapter Chapter 5|11 pages

Extreme Presentations

chapter Chapter 6|18 pages

Starting to Eat Again

What Happens When You Starve Yourself?

part II|2 pages

Purging

chapter Chapter 7|6 pages

30,000-Foot View

What is Purging? Why Does it Cause Medical Issues?

chapter Chapter 8|10 pages

How Does Purging Physically Affect the Body?

chapter Chapter 9|16 pages

Electrolytes and Stopping Purging

part III|3 pages

Patients in Larger Bodies

chapter Chapter 10|13 pages

Binge Eating Disorder (BED) and Weight Stigma

part IV|3 pages

The Unmeasurables

part V|1 pages

Specific Populations

chapter Chapter 14|3 pages

Avoidant Restrictive Food Intake Disorder (ARFID)

chapter Chapter 15|7 pages

Orthorexia and Food Intolerances

chapter Chapter 16|5 pages

Elite Athletes

chapter Chapter 17|6 pages

Male Patients

chapter Chapter 18|9 pages

Gender and Sexual Minorities

chapter Chapter 19|6 pages

Women’s Sexual and Reproductive Health

chapter Chapter 20|6 pages

Older Patients

chapter Chapter 21|6 pages

Substance Use Disorder

chapter Chapter 22|11 pages

Caring for the Patient Who Declines Treatment

The Spectrum from Mandated Treatment to Hospice Care

chapter |8 pages

Conclusion

How We Can Each Make a Positive Contribution