NCL Child and Adolescent Mental Health Services Eating Disorder Service

Eating disorders are serious mental illnesses which can affect people of all genders, backgrounds and ethnicities. People with eating disorders may display behaviours such; as food restriction, binging (eating large quantities of food at once), or unhealthy methods to get rid of food such as making themselves sick, using laxatives or excessive exercise. Although they may not be aware of it, these behaviours are often used to cope with difficult emotions or help them feel as if they are in control.

At Royal Free CAMHS Eating Disorder Service we primarily treat young people aged 9-18 with the following eating disorders:

•  Anorexia Nervosa

•  Bulimia Nervosa

We do not treat the following eating disorders:

• Binge Eating Disorders

In our service we follow the FT-AN (Family Therapy for Anorexia Nervosa) and FT-BN (Family Therapy for Bulimia Nervosa) models. This is evidence-based practice for the treatment of Eating Disorders (NICE Guidelines, 2017).

At the Royal Free, we believe families and carers are the experts in their young person, and work collaboratively with them to treat the eating disorder. After an initial assessment with a clinician, the young person, and a member of their family, we will decide if our service is the right fit. If so, the young person and their family members will have regular, supportive sessions with a clinician in order to practically support them with their recovery. If appropriate, the young person and family may also sometimes be seen individually or offered individual therapies such as CBT-E or psychotherapy.

At the Royal Free Eating Disorders Service the majority of our patients are treated in our outpatient team. We also have an Eating Disorder Intensive Service (EDIS) for patients who may be medically unstable or at risk of hospital admission. We aim to treat all our patients in the community, but sometimes hospital admissions may be necessary.

In our service, we are proud to work in a multi-disciplinary team consisting of:

• Family therapists

• Psychiatrists
• Dietitians
• Psychotherapists
• Specialist Nurses
• Paediatricians
• Clinical Psychologists
• Counselling Psychologists
• Assistant Psychologists
• Therapeutic Care Workers

A diverse team of specialities allows us a wide range of expertise. In a patient’s treatment journey, they may have contact with one, or multiple clinicians, depending on their individual needs

Eating disorder referrals are accepted from GPs, local CAMHS teams, and other NHS medical professionals (we do not accept self-referrals). If the referral is accepted the waiting time for an assessment varies on the current demand.

Useful information to help us prioritise referrals includes: 

• Current height and weight
• Rate of any weight loss e.g. 3kg in three weeks
• Current estimated food/calorie intake and fluid intake
• Any other physical or mental health concerns
• Telephone numbers (to enable us to triage and arrange urgent appointments)

We do not need referrers to organise blood tests or any other investigations in advance, especially where young people may be rapidly losing weight.