Eating DisordersDementiaPyschotherapyPersonality & Psychological Testing

Eating Disorders

Dr. Turnbull is a Certified Eating Disorders Specialist treating the full spectrum of eating disorders, including anorexia, bulimia, obesity, binge-eating disorder. Eating disorders are the most lethal mental health diagnosis, with 4x the death risk of Major Depression, 3x the death risk of Bipolar Disorder, & 2x the death risk of Schizophrenia. Rapid & aggressive treatment of eating disorders in children & adolescents is associated with the best prognosis. As a result, Dr. Turnbull often requires verification of patient medical stability by an endocrinologist & cardiologist prior to initiating outpatient psychotherapy. Moreover, Dr. Turnbull often requires patients with eating disorders to receive concurrent management of the disorder with a dietician & psychiatrist.

The following are the first goals of treatment:

  • Nutritional rehabilitation
  • Weight restoration
  • Medical stabilization and prevention of serious medical complications and death
  • Resumption of menses (where appropriate)
  • Cessation of binge eating and/or purging behaviors
  • Cessation of eating disordered ideation including body image disturbance and dissatisfaction
  • Restore meal patterns that promote health and social connections
  • Re-establish social engagement

Full resolution of symptoms may take an extended period of time, & tend to average around 2 years from medical stability. Full symptom resolution may include family therapy as eating disorders are often representative of larger family issues/concerns.

Should you meet any of the following criteria (established by the American Academy of Pediatrics, 01/01/2003), Dr. Turnbull will likely refer you for stabilization in a hospital prior to treating you in an outpatient setting:

Anorexia Nervosa

  • <75% ideal body weight, or ongoing weight loss despite intensive management
  • Refusal to eat
  • Body fat <10%
  • Heart rate <50 beats per minute daytime; <45 beats per min nighttime
  • Systolic pressure <90
  • Orthostatic changes in pulse (>20 beats per min) or blood pressure (>10 mm Hg)
  • Temperature <96ºF
  • Arrhthymia

Bulimia Nervosa

  • Syncope
  • Serum potassium concentration <3.2 mmol/L
  • Serum chloride concentration <88 mmol/L
  • Esophageal tears
  • Cardiac arrhythmias including prolonged QTc
  • Hypothermia
  • Suicide risk
  • Intractable vomiting
  • Hematemesis
  • Failure to respond to outpatient treatment

Our Location

1912 Central Dr., Suite A
Bedford, TX 76021
(817) 571-2899
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