Supporting a young woman struggling with bulimia and depression

Date produced 04 December 2012

Meredith is a young woman who visits her GP requesting a medical certificate due to a recent recurrence of depressive symptoms. For quite some time she has experienced sleep and appetite disturbance. The panel discuss how each could support Meredith, as well as work together to provide improved collaborative care.

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Learning outcomes

By watching this webinar you will be better able to:

  • recognise the key principles of intervention and the roles of different disciplines in treating, managing and supporting people with bulimia and depression
  • understand the merits, challenges and opportunities in providing collaborative care to people.

Facilitator

Dr Mary Emeleus
Qualifications: MBBS BSc(Med), FRACGP Grad Dip Rural, MMH (Psychotherapy)
Profession: General Practitioner
Mary is a GP and Psychotherapist working at headspace Cairns. She has a mixed role as Senior Clinician, including seeing clients for medical, psychological medicine and psychotherapy appointments, supervising counselling staff and contributing to management. She previously worked at headspace Townsville for four years in a similar role and was GP Advisor to Mental Health Programs for Townsville-Mackay Medicare Local. 

Her professional interests include lifestyle medicine, adolescent mental health, early psychosis intervention, psychological and social approaches to psychosis, Balint groups and Psychodynamic, Jungian and Existential theory & practice. 

Memberships include Australian Society for Psychological Medicine (www.aspm.org.au) (committee member), RACGP NFSI Psychological Medicine Network, Balint Society of Australia and the International Society for Psychological and Social Approaches to Psychosis (ISPS) (www.isps.org.au). 


Panellists



  • Dr Warren Ward
    Profession: Psychiatrist, Director Eating Disorder Service & Chief Training Supervisor
    Based in: Brisbane, Queensland
    Dr. Ward has been Secretary of the Australian and New Zealand Academy for Eating Disorders (ANZAED) since 2009. He is the Director of the Eating Disorder Service at the Royal Brisbane and Women’s Hospital.

    Dr Warren Ward graduated in medicine at the University of Queensland (UQ) in 1987 and became a Fellow of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) in 1995, later serving as a member of the Fellowships Board for the RANZCP and as Chair of the RANZCP Committee for Training. He obtained a Graduate Certificate in Management (Queensland Health) from QUT in 2001. In his current position as Director of the RBWH Eating Disorders Service, he provides leadership of the Qld Eating Disorder Outreach Service which provides state-wide education, training, consultation-liaison, tertiary assessment and treatment services, and advice on state-wide planning and service development for patients with eating disorders. He is also Chair of the Eating Disorders Advisory Group, Qld Health. 

    Dr Ward regularly provides education and training in the area of eating disorders to physicians, general practitioners, psychiatrists, mental health clinicians, carers and others. He has published several articles in the area of eating disorders with special interest in models of service. He is a member of the Academy for Eating Disorders


  • Dr Susan Hart
    Qualifications: BSc, MNutrDiet, PhD
    Profession: Accredited Practising Dietitian
    Based in: Sydney, New South Wales
    Susan is an Accredited Practising Dietitian that has completed her PhD examining the evidence base underlying the nutritional management of eating disorders. She has published widely on this topic and was awarded 2nd place for the Peter Beumont Young Investigator Award in 2008, the Dietitians Association of Australia Emerging Researcher Award for 2009 and the Joan Woodhill Prize for Excellence in Research Doctoral Award, 2011. 

    Dr Hart is on the executive committee of the Australian New Zealand Academy of Eating Disorders, and on the editorial board of The Journal of Eating Disorders. She has 15 years of clinical experience working with eating disorders in the inpatient and day patient setting and is currently program manager of Derwent House - The Royal Prince Alfred Hospital Eating Disorder Day Program in Sydney. She is continuing her research in the nutritional issues affecting eating disorder patients with a special interest in glucose metabolism, and the nature of disordered fluid intake in eating disorder patients; and developing and evaluating specialist interventions for young people with type 1 diabetes and an eating disorder.


  • Dr Jan Orman
    Qualifications: Masters in Psychological Medicine (CBT) and a Diploma in Shared Care Psychiatry (Eating Disorders)
    Profession: General Practitioner
    Based in: Sydney, NSW
    Dr Jan Orman is a Sydney GP with a longstanding interest in mental health, especially in mood and eating disorders. She has extensive experience in caring for eating disorders patients in general practice.

    Jan works as a GP in a university health service, as a psychological medicine practitioner in private practice and for the Black Dog Institute as a facilitator in their education program and as their GP Services Consultant. She has a Masters in Psychological Medicine (CBT) and a Diploma in Shared Care Psychiatry (Eating Disorders).

    Jan is a past president of the Australian College of Psychological Medicine.

Participants who attended the webinar provided the following feedback:

Learning needs

100% of respondents indicated their needs were ‘entirely met’ or ‘partially met’.

Relevance to practice

73% stated it was ‘entirely relevant’. 26% marked it as ‘partially relevant’ and cited seeing a small percentage of patients presenting with eating disorders as the reason for this.

Practice change

83% of respondents intend to make changes to their clinical work practice as a result of attending the webinar.

This webinar was produced in December 2012. The Mental Health Professionals’ Network’s webinars are produced for mental health professionals. The information is intended for suitably-experienced mental health professionals and does not replace clinical judgement and decision making. It is intended for use as a guide of a general nature only and may or may not be relevant to particular patients or circumstances. The subject matter is not exhaustive of any mental health conditions presented. Health professionals implementing any recommendations contained in the webinar must exercise their own independent skill or judgement or seek appropriate professional advice relevant to their own particular circumstances when so doing. Any information presented in the webinar recording was deemed relevant at the time of the live event and after this date has not been reviewed. No guarantee can be given that the information is free from error or omission.

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