Psychiatry & Psychotherapy Podcast Sick Enough: Dr. Jennifer Gaudiani On Eating Disorders
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Nov 3, 2023 
Dr. Jennifer Gaudiani discusses debunking myths about eating disorders, challenging misconceptions, determining the need for higher levels of care, and the impact of orthorexia. The podcast also explores practices in the entertainment industry, medication misuse, and exercise in weight-inclusive clinics.
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Trauma-Informed Exams
- Dr. Gaudiani emphasizes trauma-informed physical exams, asking for permission before each step.
- She looks for lanugo hair, parotid gland swelling, dental erosion, fragile skin, cold extremities, and edema.
Higher Levels of Care
- Consider higher levels of care if patients express needing more support or exhibit escalating behaviors, medical risks (e.g., low blood sugar, slow heart rate), or resistance to treatment.
- Acknowledge treatment trauma and prioritize outpatient care when possible to maintain patients' connections to their lives.
Fainting and Fraudulence
- Some patients feel fraudulent because they experience symptoms of malnutrition but don't faint.
- Dr. Gaudiani explains that fainting occurs due to low blood pressure or low energy, and some bodies protect against it.