Fallacies About Anorexia Undermine Treatment : Rethinking psychosocial model can help stop parents from blaming themselves for children's condition.

The antipsychotics olanzapine (Zyprexa, 2.5 mg) and risperidone (Risperdal, 0.5 mg) are useful but have side effects including sedation, hyperprolactinemia, type 2 diabetes, and extrapyramidal symptoms. Dr. O'Toole prefers starting with a low dose (25 mg) of Seroquel (quetiapine) at bedtime.

Indications for Hospitalization

▸ Weight less than 75% of the minimum weight for health.

▸ Heart rate less than 45 beats per minute (bpm).

▸ QTc interval greater than 0.444 ms.

▸ Temperature less than 97.3° F (36.3° C).

▸ Decrease in systolic blood pressure from lying to standing of 10 mm Hg or more.

▸ Increase in heart rate from lying to standing after 2.4 minutes of 35 bpm or more.

▸ Potassium level less than 3.0 mEq/L.

Source: Dr. O'Toole