Chidiac, C. (2019). An update on the medical consequences of anorexia nervosa. Current Opinion in Pediatrics, 31 (4), 448-453. doi: 10.1097/MOP.0000000000000755.

An update on the medical consequences of anorexia nervosa

National Eating Disorders Collaboration. (2022, July 22). Relapse and Recurrence. https://nedc.com.au/eating-disorders/treatment-and-recovery/relapse-and-recurrence/ 

NEDC: Relapse and Recurrence

Derrick, A. P. (2019, November 28). Eating Disorder Relapse Is Common. https://www.eatingrecoverycenter.com/blog/recovery/Eating-Disorder-Relapse-is-Common 

Eating Recovery Center: Eating Disorder Relapse Is Common

The Meadows Ranch. (n.d.). Signs of an Eating Disorder Relapse. https://www.meadowsranch.com/signs-of-an-eating-disorder-relapse/  

Signs of an Eating Disorder Relapse

Smith, L. (2017, October 4). 5 Relapse Prevention Tips for Eating Disorder Recovery. https://www.eatingdisorderhope.com/blog/5-relapse-prevention-ed-recovery 

Relapse Prevention Tips

Fernández-Aranda, F., Casas, M., Claes, L., Bryan, D.C., Favaro, A., Granero, R., Gudiol, C., Jiménez-Murcia, S., Karwautz, A., Le Grange, D., Menchón, J.M., Tchanturia, K. and Treasure, J. (2020), COVID-19 and implications for eating disorders. Eur Eat Disorders Rev, 28: 239-245. https://doi-org.libproxy.berkeley.edu/10.1002/erv.2738

COVID-19 and implications for eating disorders

Citations for references on eating disorder relapse

University of California, Berkeley

There are many risk factors that can cause eating disorder relapse. Relapse in patients with anorexia nervosa is most likely to occur within the first 18 months after treatment, and about 35% of patients relapse. Relapse in patients with bulimia nervosa is most likely to occur within the first 2 years after treatment, and about 41% of patients relapse.

Eating Disorder Relapse

1. Longer duration of disorder
2. Age - the older the person is when they start recovery, the more likely that relapse will occur
3. Excessive exercise after recovery
4. Struggles with body image and low self esteem
5. Negative and stressful life events

Eating Disorder Relapse Risk Factors

Types of Eating Disorder Relapse

1. Increased thoughts around weight and food
2. Perfectionistic tendencies and need for control
3. Hopelessness and sadness
4. Body checking, weighing self
5. Eating less and/or avoiding certain foods
6. Purging
7. Need to exercise more
8. Isolation from others
9. Feeling guilty after meals

1. Create a support system
2. Acknowledge things that trigger the eating disorder thoughts and behaviors
3. Work on developing healthy coping skills
4. Ask for help when needed
5. Recognize victories

Relapse Prevention

References for Eating Disorder Relapse

Covid has brought on many challenges for people globally. Individuals with eating disorders, in particular, are at risk for increasing severity of their symptoms. In addition, people may also be at higher risk for developing eating disorders.

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