The changing landscape of eating disorders in children: a guide to understanding, diagnosis and management

Abstract

Eating disorders are common and the incidence has risen significantly over recent years, particularly in children and young people. However, there is less familiarity with and understanding of their management than other common long-term illnesses. The consequences of having an eating disorder can be devastating and can affect all aspects of a young person's life as well as those around them. However, as mental health services are struggling to cope with the increased demand, there is a higher threshold to access specialist services and long waiting lists. It is therefore more likely that children and young people will present to primary care or paediatricians with disordered eating or the medical complications. This article provides guidance on how to assess a young person who presents acutely with an eating disorder or the features suggestive of one, focusing on how to assess risk and the potential for medical complication.