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Inpatient Care of the Substance-Abusing Patient With a Concomitant Eating Disorder
Ronald N. Marcus; Jack L. Katz
Psychiatric Services 1990; doi:
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Institute of Living, 400 Washington Street, Hartford, Connecticut 06106

Cornell University Medical College in New York City, The Department of Psychiatry at North Shore University Hospital in Manhassat, New York

1990 by the American Psychiatric Association

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Abstract

Substance abuse rehabilitation programs have been increasingly faced with the difficult task of treating patients with both an eating disorder and a chemical dependency disorder. The authors discuss screening patients with substance abuse for eating disorder and describe a strategy for care that integrates an eating disorder treatment protocol with a standard chemical abuse rehabilitation program. Elements of the treatment protocol include a thorough medical evaluation, nutritional stabilization, strategies to stop the patient's aberrant eating behavior, psychotherapy, medication, and discharge planning that actively addresses both the substance abuse and the eating disorder.

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