Understanding and Treating Severe and Complex Eating Disorders in Children and Adolescents: Findings from a Specialist Program at Children’s Health Queensland

Presentation

Wilson, D, Sidari, MJ, Catania, S, Brown, V, Denham, R, Dalton, M, Loxton, NJ, Mendes, RA, Scott, J, Krishnamoorthy, G, Middeldorp, C, Nkwenty, E, Grave, RD, Geissler, I, Davis, A, Knight, P, White, J, Maguire, S, Withington, T, ..., Fazackerley, L. 2025. "Understanding and Treating Severe and Complex Eating Disorders in Children and Adolescents: Findings from a Specialist Program at Children’s Health Queensland." Royal Australian & New Zealand College of Psychiatrists (RANZCP) 2025 Congress. Gold Coast, Australia 04 - 08 May 2025 Australia. SAGE Publications Ltd.
Paper/Presentation Title

Understanding and Treating Severe and Complex Eating Disorders in Children and Adolescents: Findings from a Specialist Program at Children’s Health Queensland

Presentation TypePresentation
AuthorsWilson, D, Sidari, MJ, Catania, S, Brown, V, Denham, R, Dalton, M, Loxton, NJ, Mendes, RA, Scott, J, Krishnamoorthy, G, Middeldorp, C, Nkwenty, E, Grave, RD, Geissler, I, Davis, A, Knight, P, White, J, Maguire, S, Withington, T, Churchett, M, Burn, E, Boyd, M, Aird, B and Fazackerley, L
Journal or Proceedings TitleAustralian and New Zealand Journal of Psychiatry
Journal Citation59 (1), pp. 48-49
Number of Pages2
Year2025
PublisherSAGE Publications Ltd
Place of PublicationAustralia
ISSN0004-8674
1440-1614
Web Address (URL) of Conference Proceedingshttps://journals.sagepub.com/doi/10.1177/00048674251327789
Conference/EventRoyal Australian & New Zealand College of Psychiatrists (RANZCP) 2025 Congress
Event Details
Royal Australian & New Zealand College of Psychiatrists (RANZCP) 2025 Congress
Delivery
In person
Event Date
04 to end of 08 May 2025
Event Location
Gold Coast, Australia
Event Venue
Gold Coast Convention and Exhibition Centre
Abstract

Eating disorders (EDs) can be severe and life-threatening conditions, and commonly cause anxiety and stress for clinicians during treatment and management.
The Children’s Health Queensland (CHQ) Child and Youth Mental Health Service (CYMHS) Eating Disorders Program (EDP) is a public service that provides specialist
assessment and treatment for young people and families with EDs, in whom severe and complex presentations are typical.
Objectives: To provide an overview of ED research, management and treatment strategies from the CYMHS of the CHQ EDP. Implications will be discussed for clinicians working with young people and families, as well as for a broader, service-level perspectives.
Methods: Data from six studies are presented across the symposium, consisting of data collected from inpatient, outpatient and day program settings across the CYMHS of the CHQ EDP.
Results: Results highlight the complexity common among young people and families with EDs, and what must be considered during treatment. The effectiveness of consistent evidence-based or informed protocols/ treatments among this cohort is highlighted.
Conclusions: Treating and managing EDs among adolescents can be a challenging and stressful experience; however, full recovery is possible. Awareness and
application of evidence-based treatments probably increases the likelihood of full recovery, while also increasing clinician confidence and competence.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420313. Mental health services
Public Notes

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Byline AffiliationsChildren’s Health Queensland, Australia
University of Queensland
Griffith University
Metro North Hospital and Health Service, Queensland
University of Sydney
Sydney Local Health District, Australia
School of Psychology and Wellbeing
Villa Garda Hospital, Italy
Queensland University of Technology
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Mullens, Amy B, Krishnamoorthy, Govind, She, Eidin Ni and Burton, Lorelle. 2022. "Applications and Careers in Psychology within Public Health and Community Settings to Build Wellbeing and Promote Social Justice." Machin, Tony, Machin, Tanya, Jeffries, Carla, Hoare, Nancey and Abel, Susan (ed.) The Australian Handbook for Careers in Psychological Science. Toowoomba, Australia. University of Southern Queensland. pp. 297-325
COVID-19 Unmasked Global Collaboration Protocol: longitudinal cohort study examining mental health of young children and caregivers during the pandemic
De Young, Alexandra, Vasileva, Mira, Boruszak-Kiziukiewicz, Joanna, Secinti, Dilara Demipence, Christie, Hope, Egberts, Marthe R., Anastassiou-Hadjicharalambous, Xenia, Marsac, Meghan L., Ruiz, Gemma, Alisic, Eva, Cobham, Vanessa, Donavon, Caroline, Hoehn, Elisabeth, March, Sonja, Middeldorp, Christel, Paterson, Rebecca S., Andreas, Petropoulos, Lioupi, Chrysanthi, Lioupis, Matteo, ..., Wamser R.. 2021. "COVID-19 Unmasked Global Collaboration Protocol: longitudinal cohort study examining mental health of young children and caregivers during the pandemic." European Journal of Psychotraumatology. 12 (1). https://doi.org/10.1080/20008198.2021.1940760
Sustaining interdisciplinary work in trauma‑informed education
Krishnamoorthy, Govind and Ayre, Kay. 2022. "Sustaining interdisciplinary work in trauma‑informed education." The Australian Educational Researcher. 49 (3), pp. 529-546. https://doi.org/10.1007/s13384-021-00483-3
Variation in the prevalence of different forms of bullying victimisation among adolescents and their associations with family, peer and school connectedness: a population-based study in 40 lower and middle income to high-income countries (LMIC-HICs)
Biswas, Tuhin, Thomas, Hannah J., Scott, James G., Munir, Kerim, Baxter, Janeen, Huda, M. Mamun, Renzaho, Andre M.N., Cross, Donna, Ahmed, Helal Uddin, Mahumud, Rashidul Alam and Mamun, Abdullah A. 2022. "Variation in the prevalence of different forms of bullying victimisation among adolescents and their associations with family, peer and school connectedness: a population-based study in 40 lower and middle income to high-income countries (LMIC-HICs)." Journal of Child and Adolescent Trauma. 15 (4), pp. 1029-1039. https://doi.org/10.1007/s40653-022-00451-8
Balancing the Needs of the School Community: Implementing Trauma-Informed Behaviour Supports in an Australian Regional Primary School
Ayre, Kay, Krishnamoorthy, Govind, Rees, Bronwyn and Berger, Emily. 2022. "Balancing the Needs of the School Community: Implementing Trauma-Informed Behaviour Supports in an Australian Regional Primary School." Australian Journal of Teacher Education. 47 (9), pp. 43-61. https://doi.org/10.14221/ajte.2022v47n9.3
Utilisation of Digital Applications for Personal Recovery Amongst Youth with Mental Health Concerns
Dallinger, Vicki C., Krishnamoorthy, Govind, du Plessis, Carol, Pillai-Sasidharan, Arun, Ayres, Alice, Waters, Lillian, Groom, Yasmin, Alston, Olivia, Anderson, Linda and Burton, Lorelle. 2022. "Utilisation of Digital Applications for Personal Recovery Amongst Youth with Mental Health Concerns." International Journal of Environmental Research and Public Health. 19 (24). https://doi.org/10.3390/ijerph192416818
Trauma informed behaviour support: a practical guide to developing resilient learners
Ayre, Kay and Krishnamoorthy, Govind. Anderson, Nikki (ed.) 2020. Trauma informed behaviour support: a practical guide to developing resilient learners. Australia. University of Southern Queensland.
Evaluating frameworks for practice in mainstream primary school classrooms catering for children with developmental trauma: an analysis of the literature
Collier, Simone, Bryce, India, Trimmer, Karen and Krishnamoorthy, Govind. 2020. "Evaluating frameworks for practice in mainstream primary school classrooms catering for children with developmental trauma: an analysis of the literature." Children Australia. 45 (SI4), pp. 258-265. https://doi.org/10.1017/cha.2020.53
Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame
Krishnamoorthy, Govind, Davis, Penelope, O'Donovan, Analise, McDermott, Brett and Mullens, Amy. 2021. "Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame." International Journal of Cognitive Therapy. 14 (2), pp. 263-288. https://doi.org/10.1007/s41811-020-00085-4
Coping with COVID-19: Understanding and managing the impact of pandemics
Krishnamoorthy, Govind and Rees, Bronwyn. 2020. "Coping with COVID-19: Understanding and managing the impact of pandemics." Coping with COVID-19: Returning to face-to-face learning: Training provided to Goodna State School staff (2020). Goodna, Australia 08 May 2020
Trauma informed care: Adverse childhood experiences and its implications for health care
Krishnamoorthy, Govind and Bradley, Julie. 2020. "Trauma informed care: Adverse childhood experiences and its implications for health care." Australian Physiotherapy Association Online Seminar series: Trauma informed care: Implications for physiotherapists (2020). Online 23 May 2020
The impact of abuse and neglect on children: Understanding challenging behaviour and trauma informed practice
Krishnamoorthy, Govind. 2019. "The impact of abuse and neglect on children: Understanding challenging behaviour and trauma informed practice." The Pyjama Foundation Seminar Series: The impact of abuse and neglect on children (2019). Toowoomba, Australia 15 Oct 2019
Trauma informed care in early childhood education
Krishnamoorthy, Govind and Ayre, Kay. 2020. "Trauma informed care in early childhood education." Developmental Trauma and the Brain: Three part online professional development seminar for Gowrie NSW (2020). Online 06 Apr - 18 May 2020
Helping children who have been affected by bushfires
Krishnamoorthy, Govind, Ayre, Kay and Rees, Bronwyn. 2020. "Helping children who have been affected by bushfires." Reflections. 2020 (1), pp. 3-6.
Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study
Krishnamoorthy, Govind, Hessing, Paula, Middeldorp, Christel and Branjerdporn, Melissa. 2020. "Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study." Children and Youth Services Review. 115, pp. 1-8. https://doi.org/10.1016/j.childyouth.2020.105082
An integrative approach to personality: Behavioural Approach System, mastery approach orientation and environmental cues in the prediction of performance
Izadikhah, Zahra, Jackson, Chris J. and Loxton, Natalie. 2010. "An integrative approach to personality: Behavioural Approach System, mastery approach orientation and environmental cues in the prediction of performance." Personality and Individual Differences. 48 (5), pp. 590-595. https://doi.org/10.1016/j.paid.2009.12.012
Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Loxton, Natalie J.. 2016. "Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal." Personality and Individual Differences. 94, pp. 206-210. https://doi.org/10.1016/j.paid.2016.01.030