Eating Disorders Not Otherwise Specified (EDNOS)
Different combinations of negative eating behaviours can be specified eating disorders such as anorexia, bulimia and bingeing or due to the complexities of eating disorders and their symptoms an Eating Disorders Not Otherwise Specified (EDNOS).
This is where an individual may have some but not all the symptoms of a specified eating disorder such as anorexic behaviours but remaining within a normal weight range, bulimic behaviours but the frequency of binges is reduced, using compensatory behaviours after small amounts of food, for example, vomiting or repeatedly chewing large amounts of food but not swallowing.
Whatever your eating behaviours and reasons for these behaviours, recovery is possible. Nightingale Hospital can help you take that vital step to regain a healthy and happy life.
Treatment of eating disorders at Nightingale Hospital
We have the expertise in eating disorders to approach the support and treatment we offer adults and adolescents in a personal and flexible way to benefit you the most in your recovery. Eating disorder treatments here in London can be as an outpatient, day patient or inpatient.
Based on current clinical evidence and put into practice by an experienced, multidisciplinary team of consultant psychiatrists, unit doctors, nurses, a dietician and specialist therapists, Nightingale Hospital’s approach to eating disorder treatment is tailored to the individual.
Through intensive psychological and emotional support in group therapy sessions and individual counselling and psychotherapy, you can understand underlying factors that have contributed to your eating disorder and find strategies to overcome it. Cognitive Behavioral Therapy can help you identify your negative thoughts and learn more positive emotional and behavioural responses to your beliefs about yourself and your eating. Family therapy can improve the way family members relate to each other and communicate and Occupational Therapy can support you practically in returning to a normal life away from your eating disorder.
Through therapy, education and alternative supportive approaches such as art and drama therapy, meditation and relaxation, life skills, sleep therapy and support groups for you and your family we aim to give you the knowledge and coping skills to recover from your eating disorder. Young people with an eating disorder also benefit from a teacher to enable your education to continue.
It can be difficult adjusting to life eating disorders after an inpatient admission, so we offer a step-down programme to our eating disorders daycare, individual counselling and free aftercare groups post inpatient treatment to sustain motivation for living free from an eating disorder.
Family support groups
Those nearest to the sufferer often blame themselves, going through a range of emotions from despair, depression and guilt to anger and frustration, leaving them exhausted and having difficulty coping, as well as feeling powerless in how to deal with the situation.
Research has shown that the involvement of families in the treatment process greatly increases the prospects of a person’s recovery.
Recent family support group feedback
- “It was good to meet up with other people who understand the complexities of caring for a loved one with an eating disorder. The group was well-led. Joanna is very knowledgeable and took the time to listen to everyone even though there were many needs and peoples at different stages of the journey.”
- “We cannot thank you enough for the education and advice this group has offered and the chance to discuss our questions with yourself and other careers of loved ones. We would be grateful if we could attend future Zoom meetings. We have started to read the advised book and already this is becoming of great help. Thank you again, Joanna.”
Eating disorder specialists at Nightingale Hospital
Nightingale Hospital London has a number of Consultant Psychiatrists and Therapists that can help you through your eating disorder. It is vital you find an eating disorder specialist that you can trust and work with on your recovery. If you cannot find the information you need on eating disorder specialists and eating disorder treatment programmes we would welcome your call so you feel secure in the decisions you make.
Our eating disorders clinical team is lead by:
Our team is led by:
- Nightingale Hospital Lead Consultant for Eating Disorders, Consultant Psychiatrist Dr Helen Murphy
- Nightingale Hospital Lead Therapist for Eating Disorders, Dr Joanna Silver
Please contact us confidentially on 020 7535 7700 24 hours a day.
How can you help yourself with your eating disorder?
- Do you make yourself sick because you’re uncomfortably full?
- Do you worry that you’ve lost control over how much you eat?
- Have you recently lost more than 6 kilograms in three months?
- Do you believe you’re fat when others say you’re thin?
- Would you say that food dominates your life?
If you answer ‘yes’ to two or more of these questions, you may have a problem with your eating.
- Stick to regular mealtimes – breakfast, lunch and dinner. If your weight is very low, have morning, afternoon and nighttime snacks.
- Try to think of one small step you could take towards a healthier way of eating. If you can’t face eating breakfast, try sitting at the table for a few minutes at breakfast time and just drinking a glass of water. When you have got used to doing this, have just a little to eat, even half a slice of toast – but do it every day.
- Keep a diary of what you eat, when you eat it and what your thoughts and feelings have been every day. You can use this to see if there are connections between how you feel, what you are thinking about, and how you eat.
- Try to be honest about what you are or are not eating, both with yourself and with other people.
- Remind yourself that you don’t always have to be achieving things – let yourself off the hook sometimes.
- Remind yourself that, if you lose more weight, you will feel more anxious and depressed.
- Make two lists – one of what your eating disorder has given you, one of what you have lost through it. A self-help book can help you with this.
- Try to be kind to your body, don’t punish it.
- Make sure you know what a reasonable weight is for you and that you understand why.
- Read stories of other people’s experiences of recovery. You can find these in self-help books or on the internet.
- Think about joining a self-help group. Your GP may be able to recommend one, or you can contact Beat.
- Don’t weigh yourself more than once a week.
- Don’t spend time checking your body and looking at yourself in the mirror. Nobody is perfect. The longer you look at yourself, the more likely you are to find something you don’t like. Constant checking can make the most attractive person unhappy with the way they look.
- Don’t cut yourself off from family and friends. You may want to because they think you are too thin, but they can be a lifeline.
- Avoid websites that encourage you to lose weight and stay at very low body weight. They encourage you to damage your health, but won’t do anything to help when you fall ill.
Eating Disorders Not Otherwise Specified (EDNOS)
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- Eating disorder treatment
- Art therapy
- Cognitive Behavioural Therapy (CBT)
- Family therapy
- Occupational therapy
- Well-being therapies