Episode 236

Eating Disorders: Screening and Assessment

In this episode, Dr Krystyna de Lange speaks with Dr Karen Spielman and Dr Rachel Kalman about the screening and assessment of eating disorders in general practice. This is the first episode of a two part series on eating disorders. Both Dr Spielman and Dr Kalman have a special interest in psychological medicine, specifically eating disorders and work with the Inside Out Institute for Eating Disorders.

In this episode, there is a discussion about the importance of early recognition and intervention, noting the high morbidity, mortality, and economic impact of eating disorders. High-risk groups for GPs to consider are identified and include young people, those involved in visual sports, hormonal change periods, neurodivergence, and comorbid mental health conditions.

Screening strategies are explored, including the Inside Out Screener, a validated, patient-friendly tool designed for primary care. Giving practical advice on engaging patients in open, non-judgmental conversations about their relationship with food.

Dr Rachel Kalman outlines how to conduct a thorough assessment, including relevant history, physical examination, and investigations such as blood tests, ECG, and bone density scans. The importance of sensitive communication about test results and understanding medical and psychiatric risk factors is emphasised.

This equips GPs with practical approaches and reliable resources for early screening and assessment of eating disorders.

Links & Resources:

  1. Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.au
  2. Inside Out screening tool: https://insideoutinstitute.org.au/screener
  3. Eating Disorder Examination Questionnaire (EDE-Q): https://insideoutinstitute.org.au/resource-library/eating-disorder-examination-questionnaire-ede-q
  4. Centre for Clinical Interventions including patient information and worksheets: https://www.cci.health.wa.gov.au/resources/looking-after-yourself/disordered-eating
  5. Eating Disorders Family Australia: https://edfa.org.au
  6. Sick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

All Episodes Previous Episode

About the Podcast

Show artwork for The Good GP
The Good GP
The Good GP, the education podcast for busy GPs

Listen for free

About your hosts

Profile picture for Tim Koh

Tim Koh

Dr Tim Koh is a Perth-based GP with over 20 years of experience and a strong focus on GP education and evidence-based practice. He provides practical insights and advice on key topics in primary care.
Profile picture for Krystyna de Lange

Krystyna de Lange

Dr Krystyna de Lange is a GP with nine years of experience, specialising in Aboriginal and Torres Strait Islander health, women’s health, and chronic disease management. She delivers practical insights and fosters engaging discussions on essential health topics.
Profile picture for Sean Stevens

Sean Stevens

Dr Sean Stevens is a GP with 27 years of experience, recognised for his expertise in medical education and innovation. He has contributed to over 60 episodes, sharing valuable insights to promote quality care in general practice.