Table 6.

Table 6 Comorbid psychiatric conditions for inpatient eating disorder admission

Suicidality
	A specific plan with high lethality or intent: suicide attempt, psychotic depression.
Motivation
	Very poor motivation: patients may be preoccupied with intrusive repetitive thoughts that cause severe impairment of function; patients may be very uncooperative in treatment and need a highly structured setting to initiate an effective treatment.
Purging behavior (including laxatives and diuretics)
	These patients are unable to control multiple daily episodes of purging that are severe, persistent and disabling despite appropriate trials of outpatient care. They need supervision during and after all meals and in bathrooms.
Substance abuse disorder
	These patients may require a combined withdrawal treatment plan in addition to nutritional rehabilitation in an inpatient unit.
Environmental stress
	Significant environmental psychosocial stressors with inadequate social support may facilitate an impairment of function, and removal from this environment may be beneficial to the patient. An example is severe family conflict or absence of a family so the patient’s is unable to receive a structured environment at home or the patient may live alone without a support system.