A definition problem is doing most of the work in this history of disordered eating discussion. Once the term is pinned down I suspect the disagreement mostly goes away and what is left is small.
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Wellbeing · Mental health · continued
A history of disordered eating: proceeding carefully posts 31–60
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
ca.vermeulen, post #28: Post #25 is right about the mechanism and I think understates the practical bit. The failure mode on history of disordered eating is boring rather than dramatic. It is almost always the step everyone assumes was done correctly because it is too simple to get wrong. Go to post
What I would check first on history of disordered eating is whether the thing being measured moved or whether the way of measuring it moved. Those look identical in a graph.
Where I part company with post #30, and it is a narrow parting.
Nothing here is medical advice and several members in this subcategory say plainly that they are describing their own experience only.
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The number people quote for history of disordered eating is a central estimate presented without its interval, and the interval is wide enough that the estimate is nearly uninformative on its own.
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My experience of history of disordered eating contradicts the reply above. I am posting it as a data point rather than as a refutation, because one person's experience is exactly that.
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n.haddad, post #5: Noted, and I have changed what I was going to do on the strength of it. Go to post
Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.
I would call that likely rather than established.
Tamburello, post #13: Taking post #10 at face value and following it one step further. History of disordered eating came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction. Go to post
I had written a reply contradicting post #34 and deleted it. Here is what survived.
History of disordered eating was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread.
titration_diary, post #34: Where I part company with post #30, and it is a narrow parting. Nothing here is medical advice and several members in this subcategory say plainly that they are describing their own experience only. Go to post
Picking up post #36: that is the part I would want checked first.
Maintenance brings a different set of psychological questions from loss, and the discussion here is much thinner on that phase.
On post #38 — agreed on the reasoning, with one qualification.
The reason history of disordered eating keeps being re-asked is that the answer is conditional and people quote it without the condition. It is not that the answer is unknown.
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Narrowing post #39, because the general version has more than one answer.
One caution on history of disordered eating: everything above assumes the underlying documentation is what it claims to be. That assumption is doing real work and is rarely stated.
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The version of history of disordered eating that I was taught turned out to be a teaching simplification. Useful, and not true in the way I had assumed it was.
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lc_gradient, post #40: On post #38 — agreed on the reasoning, with one qualification. The reason history of disordered eating keeps being re-asked is that the answer is conditional and people quote it without the condition. It is not that the answer is unknown. Go to post
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
If the premise is wrong, everything after it is decoration.
I read post #43 twice before replying, because I had assumed the opposite.
Eating-disorder history is raised here regularly and is the case where guidance most consistently recommends specialist involvement.
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Fine by me. I had wanted a stronger conclusion and there is not one available.
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Collapsed as off-topic by two members at trust level 3 or above
Adding a small correction to the history of disordered eating summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.
r.bruun, post #1: A history of disordered eating: proceeding carefully Writing it up because I had to work it out twice and would rather nobody else did. I would like to disagree carefully with the settled view on history of disordered eating, and I would like to be argued out of it if the disagreement is bad. The disagreement is about one step, not… Go to post
Expectations set by other people's reported trajectories are a documented source of distress, and the trajectories posted are not representative.
Post #48 describes the usual case. This is about the unusual one.
Practical answer on history of disordered eating, since the theoretical one is upthread: do the simplest check first, write down the result, and only then decide whether the complicated explanation is needed. It usually is not.
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KAndersson, post #36: My experience of history of disordered eating contradicts the reply above. I am posting it as a data point rather than as a refutation, because one person's experience is exactly that. Go to post
Post #50 is right about the mechanism and I think understates the practical bit.
If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time.
gradient_review, post #48: Expectations set by other people's reported trajectories are a documented source of distress, and the trajectories posted are not representative. Go to post
Coming back to post #48, because the follow-up matters more than the original answer.
Disordered eating history: a history of anorexia, bulimia, or other eating disorders changes the risk-benefit calculation. Appetite suppression might trigger relapse. Specialist input is prudent.
If it helps: the failure mode here is usually boring rather than dramatic.
A request rather than an answer: could whoever has the primary source for history of disordered eating post it? I have seen the claim three times this month and each version had lost a qualifier.
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p.lindqvist, post #45: I read post #43 twice before replying, because I had assumed the opposite. Eating-disorder history is raised here regularly and is the case where guidance most consistently recommends specialist involvement. Go to post
Post #54 answers the question as asked. The question underneath it is different.
Mood and anxiety: mood changes and anxiety are reported by some people. Baseline mental health status matters for risk. Someone with a history of depression should plan closer monitoring.
On reflection I would soften that slightly.
ppm_error, post #3: On the opening post — agreed on the reasoning, with one qualification. The social side of this — how other people respond to visible change — comes up constantly and has nothing to do with pharmacology. Go to post
I disagree with the framing of history of disordered eating above, and I think it is a substantive disagreement rather than a terminological one. Setting out why, so it can be checked.
The reasoning depends on an assumption that is doing a lot of work and is never stated. If the assumption holds, the conclusion follows. I do not think it holds generally.
Worth separating two things that post #56 runs together.
History of disordered eating is one of those subjects where the general answer and the answer for a specific case diverge, and the thread will go in circles until someone says which one is being asked for.
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m.silva, post #9: Everything in post #6 holds. The case it does not cover is the one I have. Maintenance brings a different set of psychological questions from loss, and the discussion here is much thinner on that phase. Go to post
History of disordered eating: I would want to see the raw numbers rather than the summary before agreeing. Summaries lose exactly the information that would settle this.