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The Chatty Dietitian

@chattydietitian.bsky.social
450 followers 159 following 25 posts

Lead Dietitian for CAMHS, Northampton Healthcare NHS FT BDA roll of honour 2020. Honorary Research Dietitian, Imperial College London - NGT feeding in eating disorders. Dog mum.

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The Chatty Dietitian @chattydietitian.bsky.social · 19/06/2026
Here is our latest paper on person centred care in the age of protocols (MEED): adc.bmj.com/cgi/rapidpdf...
adc.bmj.com
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The Chatty Dietitian @chattydietitian.bsky.social · 10/04/2026
Please find our latest paper on how to improve dietetic practice when ngt feeding under physical restraint is needed. onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
Updated Dietetic Prescribing Guidelines When Naso‐Gastric Tube Feeding Under Physical Restraint Is Required: A Modified Nominal Group Technique Study
Introduction Naso-gastric tube (NGT) feeding under physical restraint is a lifesaving clinical intervention that is sometimes needed in mental health patients, particularly those with restrictive ea...
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The Chatty Dietitian @chattydietitian.bsky.social · 24/10/2025
Today I chaired a meeting of dietitians from England, Wales, Scotland and Northern Ireland met to share their clinical expertise and participate in nominal group technique. We hope to have V2 of the dietetic guidelines regarding NGT feeding under physical restraint published in 2026.
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Emma Curry @emmaecurry.bsky.social · 07/02/2025
New research project ☺️ Have you had anorexia nervosa yourself and have you also held a role where you provide treatment to others with anorexia? Have you also experienced your own treatment for anorexia ending early? Please expand the poster below for more information-
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Cara Lisette @caralisette.bsky.social · 05/02/2025
First blog post in a long long time! Here are some red flags to look out for in your eating disorder recovery: caras-corner.com/2025/02/05/r...
caras-corner.com
Red Flags in Eating Disorder Recovery
In eating disorder recovery, you might notice you’re taking two steps forward and one step back. This is often very normal and recovery is rarely a straight line. However, if you notice thing…
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King's College London @kingscollegelondon.bsky.social · 29/01/2025
Calorie labels on menus are negatively impacting people with eating disorders. A new study from @kingsnmpc.bsky.social published in the BMJ Public Health found that people with eating disorders changed their behaviours if presented with calorie labels on a menu. www.kcl.ac.uk/news/calorie...
kcl.ac.uk
Calorie labels on menus could make eating disorders worse
Calorie labels on restaurant menus are negatively impacting people with eating disorders, according to a new study.
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Dr James Dearden @drjamesdearden.bsky.social · 24/01/2025
2012-2022 saw a 65% increase in children admitted with mental health concerns. There has been over 500% increase in admissions for CYP with eating disorders in the same time period. This is THE health crisis of our time, and it is barely making the news. #KidsMH www.rcpch.ac.uk/news-events/...
rcpch.ac.uk
Soaring mental health admissions for children leaving acute services under immense pressure
There was a 65% increase in the number of children and young people being admitted to general acute medical wards in hospitals in England because of a mental health concern between 2012 and 2022.
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Fiona duffy @fionaduffy.bsky.social · 21/01/2025
New publication with @edaceatingautism.bsky.social, @eatsleeplaugh.bsky.social @emynimbley.bsky.social and others, qualitative study of clinicians experience of eating disorder focused family therapy (FBT or FT-AN) with Autistic young people and their families onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Clinicians' Experiences of Eating Disorder Focused Family Therapy With Autistic Young People
Objective Eating disorder focused family therapy (FT-ED) is the leading outpatient intervention for adolescents with Anorexia Nervosa. Autistic people report poorer eating disorder treatment experie...
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The Chatty Dietitian @chattydietitian.bsky.social · 20/01/2025
Please find our latest paper on NGT feeding under restraint in England - the impact on parents and how nursing staff can support them. journals.rcni.com/nursing-chil...
journals.rcni.com
Nasogastric tube feeding under physical restraint: understanding the effects on parents and how to support them
Nasogastric tube feeding under physical restraint: understanding the effects on parents and how to support them
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Martin Pratt @martinpratt.bsky.social · 16/01/2025
New from ACAMH Learn - Professor Janet Treasure takes a deep dive into how eating disorders have changed in their form, epidemiology, and clinical and social features over the last 50 years acamhlearn.org/Learning/An_...
acamhlearn.org
An in-depth look at eating disorders - In Conversation with Janet Treasure
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Cara Lisette @caralisette.bsky.social · 04/01/2025
I’m in The Times today talking about why fitness trackers can be so dangerous for people vulnerable to exercise addiction and eating disorders: www.thetimes.com/uk/society/a...
thetimes.com
The dangers of fitness trackers — and when to stop using yours
While the gadgets can motivate users wanting to shed a few pounds, they can also carry risks for those vulnerable to eating disorders and exercise addiction, charities say
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The Chatty Dietitian @chattydietitian.bsky.social · 02/01/2025
The dietetic role within eating disorders teams can be undervalued. In this paper, we have tried to highlight the role senior dietitians can have. cepip.org/article/eati...
cepip.org
Eating and feeding management of eating disorders and the role of the dietitian. More than just a meal plan: the wider role of the dietitian in eating disorder treatment | CEPiP.org
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Helen West RD @helenlouwest.bsky.social · 21/12/2024
Important paper from Sarah Fuller, @dashanicholls.bsky.social and colleagues exploring the impact of the use of security staff in NGT feeding under restraint 👇 bmjopen.bmj.com/content/14/1...
bmjopen.bmj.com
‘We are not trained to do clinical work’: security staff providing physical restraint for NGT feeding in English paediatric wards—a qualitative multi-informant study
Objective To gain insights into the experience, and impact, of using security staff to facilitate physical restraints for nasogastric tube feeding. Design A cross-sectional design using 39 individual...
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The Chatty Dietitian @chattydietitian.bsky.social · 21/12/2024
Please find our latest paper on ngt feeding under restraint in England's paediatric wards bmjopen.bmj.com/content/14/1...
bmjopen.bmj.com
‘We are not trained to do clinical work’: security staff providing physical restraint for NGT feeding in English paediatric wards—a qualitative multi-informant study
Objective To gain insights into the experience, and impact, of using security staff to facilitate physical restraints for nasogastric tube feeding. Design A cross-sectional design using 39 individual...
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The BMJ @bmj.com · 16/12/2024
Irritable bowel syndrome is a chronic disorder of gut-brain interaction that affects a large portion of the population. This review focuses on the current evidence for common non-pharmaceutical treatments for #IBS, including the latest advances in care www.bmj.com/content/387/...
Pathophysiology of irritable bowel syndrome
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Helen West RD @helenlouwest.bsky.social · 15/12/2024
Dietetic colleagues across ED services often feel under-utilised and misunderstood. This scoping survey concludes that dietitian’s in ED teams are under-represented and understaffed. Improving therapeutic approaches to food work for people with ED’s starts here 👇 gpsych.bmj.com/content/37/6...
gpsych.bmj.com
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The Chatty Dietitian @chattydietitian.bsky.social · 13/12/2024
The findings of this scoping exercise support the view that dietitians are under-represented in CEDS-CYP and that staffing is not proportional to caseload in most CEDS... gpsych.bmj.com/content/37/6...
gpsych.bmj.com
Scoping survey of dietetic resourcing for eating disorders: why is the dietitian’s role marginalised in community eating disorders?
Eating disorders (EDs) like anorexia nervosa (AN) and bulimia nervosa (BN) are conditions characterised by severe and persistent disruptions in eating behaviours. Nutritional rehabilitation is the mai...
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Cara Lisette @caralisette.bsky.social · 11/12/2024
When you say “you look well”, people with eating disorders might hear: • you’ve gained weight • you’re not sick • you don’t need help • your struggles aren’t valid • you must be better • you don’t deserve support • you’re making it up • you can stop gaining weight
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The Mental Elf @thementalelf.bsky.social · 09/12/2024
Sticks and stones may break my bones, but words will never hurt me… or will they? buff.ly/41lPsRZ Laura Hemming looks at our language use around suicide, mental health concerns and alcohol and other drug use. #MentalHealth #Suicide #Alcohol #Drugs #Language #Consensus
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Research on Eating Disorders & Suicidality Lab @redslabauburn.bsky.social · 10/12/2024
📢 Check out @mbillmanmiller.bsky.social's new paper, which found that motivation for treatment and perceived burdensomeness reciprocally influenced one another over time in a residential eating disorder sample: onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Meaningful Associations Between Motivation for Treatment and Interpersonal Needs Within a Residential Sample of Women With Eating Disorders
Objective Perceived burdensomeness (PB) and thwarted belongingness (TB), two proximal risk factors for suicide, may rise during residential eating disorder (ED) treatment when patients are separated...
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Cara Lisette @caralisette.bsky.social · 09/12/2024
All I want for Christmas is… • eating disorder services to stop relying on BMI • diet companies to stop preying on vulnerable people • calories to be removed from menus • all eating disorders to be taken seriously • all body sizes to be accepted and appreciated • eating disorder stigma to disappear
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Cara Lisette @caralisette.bsky.social · 07/12/2024
Some things not to comment on this Christmas: - someone’s weight - someone’s size - how much they are eating - how little they are eating - the speed they are eating - the type of foods they are eating - the times they are eating - your post Christmas diet - how fat you feel
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The BMJ @bmj.com · 06/12/2024
New BMJ Investigation reveals widespread influence of food and drink brands in schools and nurseries—through breakfast clubs, nutrition guidance, and healthy eating campaigns. Experts say the tactics require much greater scrutiny and pushback www.bmj.com/content/387/...
Children eating at school
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Emma Wilkinson @emmajourno.bsky.social · 05/12/2024
Always nice to see an investigation picked up more widely - here’s my @bmj.com piece covered in @thetimes.com Breakfast clubs in schools ‘infiltrated by food industry’ www.thetimes.com/article/46ac...
thetimes.com
Breakfast clubs in schools ‘infiltrated by food industry’
Campaigners say the involvement of companies like Kellogg’s and Greggs normalises unhealthy foods for young children
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Eating Disorders Genetics Initiative @edgiuk.bsky.social · 04/12/2024
Hi BlueSky! We're EDGI UK, an online research study exploring the genetic and environmental influences of all eating disorders Our study is open to anyone ⭐16+ ⭐residing in England ⭐Has ever experienced an eating (diagnosis not required) Join today: edgiuk.org
youtube.com
The Eating Disorders Genetics Initiative (EDGI) Information Video
YouTube video by Eating Disorders Genetics Initiative
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Eating Anxiety Treatment Lab @uofleatlab.bsky.social · 02/12/2024
It’s the holiday season - a time of year when weight stigma runs particularly rampant - so we thought it’d be a great time to re-share this infographic debunking the myths of body mass index (BMI)! We’ll continue to shout it from the rooftops: ‼️‼️BMI does NOT indicate health!‼️‼️
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Dr Karina Allen @karina-maudsley.bsky.social · 30/11/2024
Great to see our publication out today - use of programme-led and focused treatments (aka 'brief' / 'low intensity') in FREED early intervention services. We need to routinely offer these to patients who may benefit! onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Programme‐Led and Focused Interventions for Recent Onset Binge/Purge Eating Disorders: Use and Outcomes in the First Episode Rapid Early Intervention for Eating Disorders (FREED) Network
Objective We aimed to compare use of, and outcomes from, programme-led and focused interventions (guided self-help and 10 session cognitive behavioral therapy for eating disorders [CBT-T]) relative ...
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ACAMH - Association for Child and Adolescent Mental Health @acamh.bsky.social · 29/11/2024
Honoured to have @fitzsimmonscraft.bsky.social on #ACAMHlearn offering a comprehensive understanding of #EatingDisorders #ED bit.ly/Fitzsimmons-... Watch to... 1. Understand ED diagnoses 2. Gain familiarity with ED warning signs 3. Help refute ED stereotypes 4. How to screen for ED
bit.ly
Eating Disorders Explained
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The Chatty Dietitian @chattydietitian.bsky.social · 26/11/2024
A recent systematic review investigated bone fracture history in women with first episode or persistent anorexia nervosa (AN) pubmed.ncbi.nlm.nih.gov/39572404/ #anorexianervosa #eatingdisorders #systematicreview
pubmed.ncbi.nlm.nih.gov
Bone Fracture History in Women With First Episode or With Persistent Anorexia Nervosa - PubMed
There is an increased risk of bone fracture even in the early stages of AN. This could be related to a time lapse between the initial symptoms of AN and formal diagnosis. This suggests guidelines reco...
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Eric Topol @erictopol.bsky.social · 25/11/2024
Does calorie labeling change food/energy consumption? Not in this new open-access report www.nature.com/articles/s41... @naturehumbehav.bsky.social
nature.com
Evaluating the association between the introduction of mandatory calorie labelling and energy consumed using observational data from the out-of-home food sector in England - Nature Human Behaviour
The introduction of mandatory calorie labelling in out-of-home food outlets in England was not associated with a reduction in calories purchased or consumed. There was a post-policy increase in self-r...
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Dasha Nicholls @dashanicholls.bsky.social · 21/11/2024
A typo then a link problem - not a great BlueSky debut - but thanks for your interest. Trying again. New paper showing that whole school intervention has potential to improve young peoples mental health by increasing belonging and developing knowledge and skills pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov
Qualitative study of the feasibility and acceptability of implementation, and potential mechanisms of Learning Together for Mental Health, a whole-school intervention aiming to promote mental health a...
Despite high rates of adolescent mental-health problems, there are few effective whole-school interventions to address this. Whole-school interventions offer a feasible and sustainable means of promot...
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Zoe Connor dietitian/researcher (she/hers) @zoeconnorrd.bsky.social · 23/11/2024
Great to see this review of neurodivergence and eating disorders coming out from Eating Disorders Neurodiversity Australia: link.springer.com/article/10.1... 🧪 #eatingdisorders #autism #ADHD
link.springer.com
Neurodivergence, intersectionality, and eating disorders: a lived experience-led narrative review - Journal of Eating Disorders
Autistic people and those with attention deficit hyperactivity disorder are at a high risk of developing an eating disorder. While there is limited evidence on the relationship between other forms of ...
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The Chatty Dietitian @chattydietitian.bsky.social · 22/11/2024
#BAPEN launched their new position statement recently on electrolyte and vitamin replacement (to complement MEED). Important for anyone working with adult #eatingdisorders www.bapen.org.uk/bapen-news/b...
bapen.org.uk
BAPEN and BSG have published a Position Statement on Electrolyte and Vitamin Replacement in Adult Patients with Severe Malnutrition | BAPEN
Position Statement on Electrolyte and Vitamin Replacement in Adult Patients with Severe Malnutrition, including those with Eating Disorders and other Related Co
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The Chatty Dietitian @chattydietitian.bsky.social · 19/11/2024
Does tictok contribute to eating disorders? This paper has some really concerning data... www.sciencedirect.com/science/arti...
sciencedirect.com
Does TikTok contribute to eating disorders? A comparison of the TikTok algorithms belonging to individuals with eating disorders versus healthy controls
TikTok employs sophisticated algorithms to deliver users increasingly personalised content over time. We investigated the potential for these algorith…
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Lorna Collins @sensinglorna.bsky.social · 15/11/2024
A recent paper, not an easy read but the end is full recovery so that makes it worthwhile: jeatdisord.biomedcentral.com/articles/10.... #eatingdisorders #livedexperience
jeatdisord.biomedcentral.com
Applying Integrated Enhanced Cognitive Behaviour Therapy (I-CBTE) to Severe and Longstanding Eating Disorders (SEED) Paper 1: I am no longer a SEED patient - Journal of Eating Disorders
This autobiographical paper recounts the recovery journey of Lorna Collins, a survivor of severe and enduring anorexia nervosa (SE-AN). Her story begins with a traumatic brain injury at the age of 18,...
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Scientific Work in Anorexia Nervosa (SWAN) @swanresearch.bsky.social · 15/11/2024
📢📢 PARTICIPANTS REQUIRED📢📢 If you work in an eating disorders service and are interested in sharing your thoughts on treatment for ARFID, please reach out using the following link! tinyurl.com/helparfid
A poster advertising the research study described in this post
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Fiona duffy @fionaduffy.bsky.social · 14/11/2024
My first post on this platform is a good one! Celebrating our post doc Emy's recent publication reviewing eating disorder treatment outcomes for Autistic people. onlinelibrary.wiley.com/doi/full/10....
onlinelibrary.wiley.com
A Mixed Method Systematic Review Into the Impact of ED Treatment in Autistic People and Those With High Autistic Traits
Objective Our understanding of the impact of eating disorders (ED) treatment in Autistic people remains elusive. Research has begun to explore ED treatment outcomes and experiences in this populatio...
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The Chatty Dietitian @chattydietitian.bsky.social · 15/11/2024
This is great news, especially for those with sensory selective eating, neurodiverse eating or arfid www.nutrition.org.uk/news/flour-t...
nutrition.org.uk
Flour to be fortified with folic acid - BNF response
The British Nutrition Foundation responds to the news that flour in the UK is to be fortified with folic acid, from 2026.
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