Eating Disorders

DSM-5 criteria for Anorexia Nervosa:

  1. Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
  2. Intense fear of gaining weight or becoming fat, or persistent behaviour that interferes with weight gain, even though at a significantly low weight.
  3. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
There are two main sub-types of anorexia: Restricting type — this is the most commonly known type of anorexia nervosa, whereby a person severely restricts their food intake. Binge-eating or purging type — restrictive intake as above, and also whereby a person has regularly engaged in binge-eating or purging behaviour (e.g. self-induced vomiting, over-exercise, misuse of laxatives, diuretics or enemas).

DSM-5 criteria for ARFID (Avoidant Restrictive Food Intake Disorder)

Please find below articles that may be of interest – Autism Spectrum Disorder and Eating Disorders (ARFID-Avoidant Restrictive Food Intake Disorder).

DSM-5 criteria for Binge Eating Disorder

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

DSM-5 criteria for Bulimia Nervosa:

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

Neourobiology of Bulimia – to reduce Stigma and Enhance Clinical Outcomes

Please find below articles that may be of interest – resources specific to the female presentation of ADHD

Please note, if you are experiencing significant emotional difficulties, you should contact your GP to obtain a referral to see a qualified professional. The material on this web site does not provide medical advice, diagnosis or treatment.

Treatment Modalities:

Dr Kerry Chillemi holds post-graduate training in Clinical Psychology (Professional Doctorate in Clinical Psychology). She is registered with the Psychology Board of Australia (Australian Health Practitioner Regulation Agency) and is a Medicare Provider under the Better Access to Mental Health Initiative. In addition, she has a full membership with the Australian Psychological Society (APS). Dr Chillemi’s approach is grounded in evidence-based therapies, particularly Cognitive Behaviour Therapy, Acceptance and Commitment Therapy, Schema Therapy, Dialectical Behavior Therapy and Emotion Focused Therapy. She practices from an approachable client-centred style and uses evidence-based therapies tailored to the client’s individual’s needs. Dr Chillemi is passionate about supporting people to thrive and achieve overall good mental health and wellbeing. She feels privileged to share in her client’s experiences and it is imperative to her that you feel heard and understood. Respect, hope and perseverance are key to a valuable learning experience that promotes positive and sustained outcomes.

What is a Clinical Psychologist

Clinical psychologists are highly qualified clinicians with specialist training in the psychological assessment and treatment of mental health concerns.

Clinical psychologists use evidenced based therapeutic techniques to treat a wide range of mental health concerns that range from mild symptoms to severe and complex presentations.

Learning healthy ways of sitting with distress

Gaining an awareness of the common triggers of distress and understanding the warning signs (that is the feelings, thoughts, physical sensations and behavioural urges or actions) that signal that we are experiencing distress. Once you become aware of your triggers and warning signs, you are in a better position to apply helpful coping strategies. This process also involves a commitment to dropping escape methods (situational avoidance, reassurance seeking or checking, distraction and suppression, self-medicating with alcohol or drugs, binge eating, disengaging and isolating self, etc.) that are usually automatic habits applied when we become distressed.

Schema therapy is a powerful treatment approach that allows people to identify psychological defences and self-defeating patterns that begin early in life.

Cognitive-behavioral therapy and Dialectical Behavior Therapy provides coping skills to challenge problematic cognitions (thoughts) and behaviours that can amplify distress.

Learning to be mindful of your emotions in a curious and non-judgmental manner (Acceptance Commitment Therapy) allows clients to change how they pay attention to an emotion and sets the framework for managing distress in a healthy way.

In summary, clinical psychology is a structured research informed learning experience in which clients learn coping skills that promote both positive and sustained growth.

Collaborative Care -Dieticians


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