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"Experts offering no psychological insight"

About: South London And Maudsley NHS Foundation Trust / Eating disorders

(as a service user),

I'd thought when dieticians referred me to the Maudsley Eating Disorders service it was going to be something to do with offering psychological or emotional insight into my condition.  (ie, something that dieticians weren't able to do).

The treatment (even though it can go on for months) is basically just to tell you to eat 3-5 meals a day to stop your starving/purging patterns.  They have you write up food diaries (which include who you're with and how you feel as well as time and what you eat) but don't really look at them; after a few weeks they'll just say you purge when you're hungry so eat 'normally', even if the evidence shows you have much better control over purge when you still have hunger pains to balance the need to punish with food, or when I had eaten non-foodstuffs in purge (ie, clearly nothing to do with 'just being hungry').  They completely ignore the reasons behind why it can feel so dangerous and distressing to 'just eat 3-5 meals a day'.

They don't appear to know anything about eg emotional eating (which I've just discovered accidentally on an Oprah link), and certainly ordinary dieticians I've seen in medical/hospital settings seem to know more than the people in Maudsley who are doctors of psychology and psychiatry.

People die from eating disorders and I feel it's disturbing that so-called experts have such basic insight into it.

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