|We often are contacted by clinicians in the community who are looking for guidance related to patients struggling with eating disorders. When working with a patient’s eating disorder becomes very concerning, guidance about when to seek levels of care beyond outpatient is needed. We developed the following list of situations when a higher level of care is indicated in the hopes that community clinicians can use this as a guide. Below are some key indicators that a referral to a level of care beyond outpatient treatment is warranted.
- When your patient continues to lose weight despite outpatient care with a therapist, dietitian and/or psychiatrist
- When your patient is unable to control their binge/purge behaviors with comprehensive outpatient treatment
- When your patient’s eating disorder is impairing function in at least one major area such as work, school, family and/or health
- When your patient is verbalizing suicidal ideation in the context of his or her ongoing eating disorder
- When your patient shows signs of medical instability such as blood in vomit, electrolyte abnormalities or anything else that requires trips to the emergency room
- When you are finding that your best efforts don’t seem to be enough to keep your patient stable
In the Eating Disorder Program at Silver Hill Hospital, patients are provided with opportunities to learn balanced and stable eating and exercising patterns, develop greater behavioral and psychological flexibility, challenge unhealthy schemas and core beliefs, and develop a sense of self and values that extends beyond the demands of an eating disorder. Learn more about our treatment approach.
We are also able to treat the psychiatric disorders that often co-occur with eating disorders such as mood and anxiety disorders, substance use disorders, and personality disorders. These co-occurring psychiatric disorders often drive and complicate eating disorder symptoms; treating these psychiatric disorders is essential for successful and lasting eating disorder recovery.
For more information, email Erin Kleifield, Ph.D. To make a referral, contact our Admissions Department at 203.801.2216 or submit information via our