There is currently no standardised criteria for Severe and Enduring Eating Disorders (SE-EDs).

Whilst there is currently no set definition for severe and enduring eating disorders (SE-ED), the most common defining criteria relates to the duration of the disorder (usually 10 years+) and that attempts at treatment have thus far been unsuccessful. 

It’s important to note that, whilst the limited amount of research into SE-ED focuses on Anorexia Nervosa, a SE-ED can occur in any eating disorder diagnosis. 

Everybody’s experience of SE-ED is different, however common themes in the literature on SE-ED demonstrates:  

• Severe loss of quality of life
• Increased fear
• Decreased social cognition
• Anxiety
• Problems with work (gaining and maintaining)
• Difficulty with social adjustment and interactions
• Dysfunctional emotion processing

For too long, people with SE-EDs have felt like they don’t ‘fit’ anywhere in the health system.

Evidence shows that, after the 10-year mark, a SE-ED can become more challenging to treat, particularly when treatment is weight and/or recovery-focused. Individuals with SE-ED can develop more rigidity in attitudes due to repeated treatment failures; stigma and labels from medical professionals that they are “treatment resistant”; or a loss of faith in the medical system. This can result in the cycle of reinforcement that “I’m too sick to get better”; or “No treatment will work for me”. At EDV, we believe that “people don’t fail treatments; treatments fail people”. 

Please note that the SE-ED Program at EDV is currently paused to allow for a formal evaluation of the program to be conducted. You can learn more about this update here. During this time, we encourage people to access the SE-ED online support group. We look forward to re-starting the SE-ED program in due course.

About the SE-ED Program

The SE-ED Program at EDV is a world- leading program for those with Severe and Enduring Eating Disorders.

The SE-ED Program recognises the significant impact long-term eating disorders can have on quality- of-life, including people’s ability to identify, engage, and maintain participation in meaningful activities, occupations, and life roles.

The SE-ED Program focuses on increasing quality-of-life for participants by providing education, fostering learning and independence, increasing hope and enhancing social skills. The program is guided by recovery principles of dignity, hope, responsibility, peer support, self- directness and empowerment.

Rather than focus on recovery- focused treatment, research into SE-ED has demonstrated that psychosocial programs with a focus on maximizing quality-of-life, can have greater health outcomes such as:

• fostering growth mindsets,
• reducing SE-ED symptoms,
• promoting more adaptive coping

The program utlises three models of practice – group peer mentoring; one-on-one wellbeing check-ins and social engagement.

Group Facilitators, Mentors and Wellbeing Counsellors guide participants as they learn to re-engage in meaningful roles and activities, learn and implement new skills, and navigate community health systems.

Lived experience is a hallmark of the program. Designed through extensive community consultation and co-design, and delivered by those with lived experience, the program actively fosters and adapts to the needs of SE-ED community.

The SE-ED Support Group gives people the opportunity to draw upon the support, experience and skills of others facing similar SE-ED issues. It is an open space to discuss what you are struggling with, reflect on current challenges and discuss coping tools.

How are groups run?

Groups are held online via Zoom and participants are required to register beforehand. Groups are free to attend, thanks to the support of the Victorian Government.

Who runs the groups?

All EDV facilitators have personal lived experience with an eating disorder or have been a carer. Some are working professionally or studying in fields such as counselling, peer support and psychology. You can find profiles of some of the facilitators below.

Do I need to book?

Yes, we require you to book in if you are planning on attending.

We honour your time and the time of our facilitators. If we need to cancel a group for any reason we want to give you as much notice as possible to minimise inconvenience. Support groups do not run if less than four people are booked in, and in that instance, we would contact you to advise that it is not going ahead and offer one-to-one support to you via the EDV Hub.

If you know that you are unable to make a group, please let us know. You can do this by cancelling your booking up to 24 hours before the event or by contacting the SE-ED team at [email protected].

Facilitators

Richard works at Eating Disorders Victoria as a social worker within the Severe and Enduring Eating Disorders (SE-ED) program. Within this program Richard co-facilitates Education workshops, is a peer mentor and provides one-on-one counselling.

Melanie (Mel) is the Coordinator of Eating Disorder Victoria’s Hub service. Within this role, Mel oversees the daily operations of the Hub, manages the Hub volunteer team and provides peer support to the community. Mel is also the REACH support group facilitator.