This settles it for me, at least until somebody posts a reason it should not.
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Wellbeing · Mental health · continued
Second pass at: 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.
Picking up post #29: that is the part I would want checked first.
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.
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hana.sato, post #13: Right — I had this wrong and I am glad to have read it before it mattered. Go to post
Where a member is finding this hard, the useful reply is usually a question rather than an answer, and this subcategory does that well.
Someone should write this up properly, and it should probably not be me.
m.guerrero, post #6: If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time. Not a conclusion. A place to stand while looking for one. Go to post
Reporting rather than recommending, on history of disordered eating. What happened is above. Whether it should have is a different question and not one I am qualified to answer.
If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time.
Written in the hope of being told what I have missed.
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Collapsed as off-topic by two members at trust level 3 or above
Adding the measurement that post #33 says would settle it.
Summarising the history of disordered eating thread so far, since it is long and the answer is buried: the first reply has the method, the fourth has the correction to it, and the rest is people agreeing at length.
b.okonkwo, post #11: Post #7 describes the usual case. This is about the unusual one. Eating-disorder history is raised here regularly and is the case where guidance most consistently recommends specialist involvement. Somebody will have a better source than mine, and I hope they post it. Go to post
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.
dexa_twice_yearly, post #3: Reading rather than contributing, but this is the most useful thread I have found on it. Go to post
Since history of disordered eating keeps coming up, it should probably be a maintained page rather than a recurring thread. I am happy to draft it if someone with more direct experience will review it.
My position on history of disordered eating is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.
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Nothing here is medical advice and several members in this subcategory say plainly that they are describing their own experience only.
The short answer was in the first line; everything after is the working.
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Adding thanks rather than a view. I do not have a view worth the space.
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desiccant_notes, post #39: My position on history of disordered eating is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly. Go to post
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.
f.fonseca, post #12: Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant. It is a small point and it changes the answer, which is an awkward combination. Go to post
For anyone finding this later: the short answer on history of disordered eating is that it depends on one thing, and the rest of the thread is people identifying which thing.
Two things can be true about history of disordered eating at once: the mechanism is plausible and the evidence for the size of the effect is thin. Most of the argument here is people defending the first against attacks on the second.
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Before the thread moves on from history of disordered eating — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.
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h.iyer, post #18: Building on post #15 rather than restating it. Nobody has said the unglamorous part of history of disordered eating yet, so: most of the variation is explained by things that are boring to write about and easy to check. Go to post
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
The confident version of this sentence would be wrong, so here is the hedged one.
Collapsed as off-topic by two members at trust level 3 or above
Everything in post #44 holds. The case it does not cover is the one I have.
The confident answers on history of disordered eating and the well-sourced answers are not the same answers, which is the most useful thing I have learned reading this category.
Where I have landed on history of disordered eating, having got it wrong once in public: the direction is clear, the magnitude is not, and anyone quoting a precise magnitude has borrowed it from somewhere that did not measure it.
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Building on post #51 rather than restating it.
History of disordered eating looks different depending on whether you are reading the primary literature or the summaries of it, and the difference is not in our favour.
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dexa_twice_yearly, post #3: Reading rather than contributing, but this is the most useful thread I have found on it. Go to post
Everything in post #51 holds. The case it does not cover is the one I have.
I would keep history of disordered eating and the decision it usually gets used for separate in this thread. They are related and they are not the same question, and merging them is why the last one went badly.
hana.sato, post #44: Expectations set by other people's reported trajectories are a documented source of distress, and the trajectories posted are not representative. The answer changed when I changed how I was measuring, which was informative. Go to post
Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.
This is the version I would want a new member to read first.
Support and community: some people process weight change through community (online or in-person). Others prefer privacy. Knowing what you need and seeking it proactively helps.
I would treat the number as indicative rather than as a measurement.
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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.
I have separated what I observed from what I concluded, which does not always happen.
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a.kravchenko, post #53: Everything in post #51 holds. The case it does not cover is the one I have. I would keep history of disordered eating and the decision it usually gets used for separate in this thread. They are related and they are not the same question, and merging them is why the last one went badly. Go to post
Answering the question post #55 raises rather than the one it answers.
Having read the whole history of disordered eating thread before replying: the question in the first post has not actually been answered yet, and three of us have answered a nearby one instead.
The social side of this — how other people respond to visible change — comes up constantly and has nothing to do with pharmacology.
Not the whole picture, but the part of it I can speak to.
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revision_history, post #35: If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time. Written in the hope of being told what I have missed. Go to post
An update on my earlier history of disordered eating post: the pattern held for another six weeks and then stopped, which I did not predict and cannot explain.