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BMJ 2011; 343 doi: (Published 17 August 2011) Cite this as: BMJ 2011;343:d5168

Post traumatic stress disorder (PTSD) and anorexia nervosa have been linked in several studies. A study of women with anorexia in Psychosomatic Medicine (2011;73:491-7, doi:10.1097/PSY.0b013e31822232bb) found that most of the participants who had PTSD reported the first traumatic event before the onset of anorexia. The most common traumatic events reported by those with a PTSD diagnosis were sex related traumas in childhood and adulthood. These findings raise the importance of taking a trauma history in people with anorexia and the question of whether the standard treatment for anorexia should be modified to address PTSD related psychopathology.

A study looking at psychiatric medication in people entering prison reports that 47% of 240 prescriptions identified at prison reception were not continued during the first week of custody. In this retrospective review of 1006 records in five English prisons, 18% of prisoners had been prescribed psychiatric medication before being placed in custody. Where medication was discontinued, psychiatric assessment had been completed in just 11% of cases. Denial of medication in early custody could create additional stress in people at increased vulnerability and risk (The Psychiatrist 2011;35:244-8, doi: …

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