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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Eating Disorder With Severe Depression

My daughter has been suffering from binge eating disorder and possibly bulimia for six years. She is twenty two. She consumes large quantities of sugary and high carbohydrate food in secret on a regular basis. She had a little general help from a psychologist a year ago but after this was interrupted by an emergency eye operation she did not carry on. She had been suffering severe depression and would sleep, watch videos and secretly eat day after day in University holidays. She went on to self harm. The depression is somewhat better now, and the sleeping has abated during the day. But the eating continues. I am not sure about the self harm. Last January she had a detached retina in one eye and holes in the retina of the other eye and had an emergency scleral buckle operation in one eye and some other treatment in the other. She has poor vision in the scleral buckle eye especially as the pupil has fixed open. Then last summer, the other eye developed a wide open pupil, diagnosed as Adies syndrome. At no time were the doctors informed about her eating patterns (and bulimia). Could her conditions have been affected by the high sugar? Also, last summer she went to her doctor because she felt so tired all the time she felt she had symptoms of ME or CF. She did not tell him about the binge eating of sugar etc and bulimia. He referred her to a specialist hospital clinic for ME which she has just attended. She did not tell them about the binge eating. Do you think her symptoms might be affected by the binge eating? Do you think I should write a secret letter to her doctor (whom I do not know)? She does not want to talk about the issue.
Mon, 7 Jul 2014
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Psychiatrist 's  Response
Dear User,Thanks for using health care magic.
I can understand being a father how scary you are because of her situation. She is really needed indoor psychiatry department treatment to relieve her from binge eating. You can directly tell her to do so or if she does not convince you can write a doctor or depending upon laws there she can be forcibly treated. yes her sugar level can affect eyes retina.And she has history of depression and self harm, so you should not wait and tell detail history to her treating doctor to make her treatment in good direction, as in psychiatry history by patient and relative is the main part of diagnosis. She might have some personality problem.
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Suggest Treatment For Eating Disorder With Severe Depression

Dear User,Thanks for using health care magic. I can understand being a father how scary you are because of her situation. She is really needed indoor psychiatry department treatment to relieve her from binge eating. You can directly tell her to do so or if she does not convince you can write a doctor or depending upon laws there she can be forcibly treated. yes her sugar level can affect eyes retina.And she has history of depression and self harm, so you should not wait and tell detail history to her treating doctor to make her treatment in good direction, as in psychiatry history by patient and relative is the main part of diagnosis. She might have some personality problem. Hope I have answered your query. If you have any further questions I will be happy to help .