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Chapter 12 - Transitions

Published online by Cambridge University Press:  12 June 2020

Jane Morris  and
Caz Nahman
Jane Morris
Affiliation:
Royal Cornhill Hospital
Caz Nahman
Affiliation:
Nottinghamshire Healthcare NHS Trust
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Summary

We can think of transitions as ‘life events’ or ‘life-cycle changes’. In addition, there can be specific challenges for those with eating disorders due to the specific cognitive difficulties they present. These include a lack of flexibility and difficulty in terms of seeing the ‘bigger picture’ when faced with a particular issue. Those patients with anorexia and strongly obsessional disorders can find ‘set shifting’ particularly difficult – that is, when the ‘rules’ change, they struggle to shift to the new rules instead of the old ones. It is hard for them to learn new adaptive skills or mobilise and generalise learned adaptive skills to a new situation. Their capacity to adapt is further impaired by starvation and low weight, which exacerbates rigidity of thinking.

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Chapter
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New to Eating Disorders , pp. 84 - 92
Publisher: Cambridge University Press
Print publication year: 2020

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References

References and Further Reading

Arcelus, J., Bouman, W. P., & Morgan, J. F. (2008) Treating young people with eating disorders: Transition from child mental health to specialist adult eating disorder services. European Eating Disorders Review, 16(1): 30–6.Google Scholar
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Coleman, E. A., Parry, C., Chalmers, S., & Min, S. (2006) The care transitions intervention: Results of a randomized controlled trial. Archives of Internal Medicine. 166(17): 1822–8.Google Scholar
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Fitch, C., Churchill, C., Daw, R. et al. (2011) Fair Deal for Mental Health: Year Three Report. Royal College of Psychiatrists, London.Google Scholar
Hambly, E., & Byrom, N. (2014) University Challenge: Integrating Care for Eating Disorders at Home and at University. Technical Report. Student Minds. www.researchgate.net/publication/275341810_University_Challenge_Integrating_Care_for_Eating_Disorders_at_Home_and_at_UniversityGoogle Scholar
Jencks, S. (2010) Defragmenting care. Annals of Internal Medicine, 153(11): 757–8.CrossRefGoogle ScholarPubMed
Muñoz-Solomando, A., Townley, M., & Williams, R. (2010) Improving transitions for young people who move from child and adolescent mental health services to mental health services for adults: Lessons from research and young people’s and practitioners’ experiences. Current Opinion in Psychiatry, 23(4): 311–17.CrossRefGoogle Scholar
NHS Quality Improvement Scotland (NHS QIS). (2006). Eating Disorders in Scotland: Recommendations for Management and Treatment. Glasgow: NHS Quality Improvement Scotland.Google Scholar
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Royal College of Psychiatrists. (2017) Managing Transitions Where the Patient Has an Eating Disorder. College Report No. CR208, Royal College of Psychiatrists, London. www.rcpsych.ac.uk>publications>collegereports>cr>cr208publications>collegereports>cr>cr208>Google Scholar
Singh, S. (2009) Transition of care from child to adult mental health services: The great divide. Current Opinion in Psychiatry, 22: 386–90.Google Scholar
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Student Minds. (2018) Transitions: Helping You to Navigate University Life. https://www.studentminds.org.uk/uploads/3/7/8/4/3784584/180813_transitions_interactive.pdfGoogle Scholar
Treasure, J., Schmidt, U., & Hugo, P. (2005) Mind the gap: Service transition and interface problems for patients with eating disorders. British Journal of Psychiatry, 187, 398–400.Google Scholar
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Winston, A. P., Paul, M., & Juanola-Borrat, Y. (2012) The same but different? Treatment of anorexia nervosa in adolescents and adults. European Eating Disorders Review, 20: 89–93. https://doi.org/10.1002/erv.1137CrossRefGoogle ScholarPubMed

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