Behavioral Health Bulletin

Issue 15, February 2023

This month we shift our focus to eating and feeding disorders. We include tips on caring for patients with eating disorders, new research on electrolyte imbalances preceding eating disorder diagnoses, and strategies to overcome emotional eating.

Behavioral Health Events

Some events are CME-accredited; please refer to the individual event landing pages for details.


March 8, 2023

Behavioral Health Parity Training for Service Providers


March 8, 2023

Mind Matters ECHO


March 22, 2023

Behavioral Health Parity 101


April 12, 2023

Mind Matters ECHO

Join us for the next Mind Matters ECHO



Our next Mind Matters ECHO meeting will be held on March 8, 2023 from 5:30-7:00pm.

We are honored to have Tom Hildebrandt, PsyD, FAED, Chief of the Division of Eating & Weight Disorders at the Mount Sinai Health System and Associate Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai, presenting at this meeting.

Dr. Hildebrandt and his lab have been internationally recognized by their peers in the field of eating disorders for their novel research.


Register


Dr. Hildebrandt presented at our last meeting on identifying and treating feeding and eating disorders. This month's meeting will be a continuation of that talk.


Watch the presentation

Behavioral Health Tip of the Month

Caring for patients with eating disorders


Many patients with eating disorders are reluctant to get help. They may be in denial about the harm they are causing to their bodies, or prioritize thinness over health.

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In his February Mind Matters talk, Dr. Tom Hildebrandt shared some advice for providing care to patients with suspected or confirmed eating disorders.

  • Scale weighing can be a source of high anxiety; defer to patient preference for seeing/knowing weight


  • Scale manipulation (by wearing weights or water-loading) is common; weigh patients in a gown after voiding and check the urine gravity for signs of water-loading.


  • In overweight patients, discussing weight loss goals may worsen symptoms. Discuss specialty interventions for metabolic improvements that treat the entire individual with care. Dietary advice in the medical office is ineffective.


Learn more

Behavioral Health in the Literature

Analysis of Electrolyte Abnormalities in Adolescents and Adults and Subsequent Diagnosis of an Eating Disorder


In this population-based case-control study, the investigators found that outpatient electrolyte abnormalities may serve as a precursor to future eating disorder diagnoses.


Electrolyte abnormalities commonly occurred well ahead of the time at which an eating disorder diagnosis was made.


Hypokalemia was the most common electrolyte abnormality identified while hyponatremia, hypernatremia, hypophosphatemia, and metabolic alkalosis were the most specific for a subsequent eating disorder diagnosis.


These results suggest that incidentally discovered electrolyte abnormalities may serve to identify individuals who may benefit from targeted screening for an underlying eating disorder. Ultimately, this may allow for more timely diagnosis and intervention to mitigate the negative impact that eating disorders have on patient morbidity, mortality, and quality of life.


Learn more

Mount Sinai in the News

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Sadness, violence, and suicidality among teenage girls



Shilpa R. Taufique, PhD, director of the division of psychology and director of the Comprehensive Adolescent Rehabilitation and Education Service at Mount Sinai Morningside is quoted in a new article from the Wall Street Journal discussing the alarming rise in feelings of persistent sadness or hopelessness among high school girls in the US.

Mount Sinai Health Library

Information to share with your patients: emotional eating



Peruse the Mount Sinai Health Library for information to share with your patients. With over 100 psychiatry topics presented in patient-friendly language, the Health Library can be a valuable source for your patients to help understand their diagnoses.


This month, read patient- and family-friendly tips for overcoming emotional eating.

Contact Us

P: 877-234-6667

F: 646-537-1481

E: MSHP@mountsinai.org

Provider Engagement Team