eating disorder history

screening questions: SCOFF (who comes up with these)

  1. do you make yourself sick because you feel uncomfortably full
  2. lost control over how much you eat?
  3. have you lost one stone in 3 month period?
  4. do you believe yourself to be fat when others say you are thin?
  5. does food dominate your life?

HPC:

  • Perception of problem
  • Duration of illness, triggers
  • Description of eating behaviours
  • Daily food diary
  • Binging? (see bulimia dxc criteria for specific points)
  • Supplements? Medication e.g. laxatives/diuretics, thyroxine
  • Compensatory behaviours (exercise, meds etc)
  • Dysmorphic beliefs & preoccupations
  • Pre-morbid weight, highest v lowest weight, target weight, daily calorie counting/weighing
  • Motivation to change behaviour, ego-syntonic vs dystonic
  • Specific screening: see SCOFF questionnaire

Past Psych History

Ask about psychiatric ddx, co-morbidities

PMH:

  • Menstrual history
  • Bone health (fractures, DEXA scans)
  • Immunity
  • Personal History (triggers, abuse, vulnerabilities etc, ED risk factors or environments)

#mental-health