Eating disorders can often take on a chronic course, and the
chance of recovery or significant improvement diminishes when the
illness becomes more protracted.
The term 'severe and enduring eating disorders' (SEED) refers to
long-term illness from anorexia nervosa or bulimia nervosa, with
severe symptoms, a low chance of recovery and a history of
The needs of individuals with SEED are particularly complex, and
they may require a treatment approach that is different from
standard eating disorder management strategies.
In this Quickbite module we expand on previous CPD Online
modules on eating disorders, with a specific focus on SEED. We
discuss treatment approaches, risk assessment and monitoring, and
consider factors such as physical complications (e.g. osteoporosis
and renal failure), sense of identity, social isolation and stigma.
We also look at the impact on family and carers, and at some of the
challenges clinicians face when treating patients with SEED.