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Table 3 Clinical Implications

From: “I’m not a teenager, I’m 22. Why can’t I snap out of it?”: a qualitative exploration of seeking help for a first-episode eating disorder during emerging adulthood

Predominant attitude towards help-seeking Implications for help-seeking interventions
1. Symptom egosyntonicity Focus on enhancing motivation to seek help (e.g. using motivational interviewing techniques)
Support family / friends to raise concerns and encourage placatory help-seeking
2. Gradual reappraisal Focus on inter-relatedness of ED and other difficulties (e.g. low mood; physical health)
Increase awareness amongst professionals likely to have routine contact during transitions of increased openness to receiving help
Streamline registration/appointment-booking processes at likely help-seeking avenues (e.g. GP)
Encourage family/ friends to scaffold help-seeking (e.g. booking appointments)
3. Feelings of exclusion from eating disorder discourse Focus on mapping negative effects of eating difficulties / clarifying preferred life directions, rather than slotting into diagnostic categories
Integrate help-seeking interventions with self-help resources
Communicate the importance of confidentiality
Facilitate circumnavigation of face-to-face communication (e.g. emails; texts) at likely help-seeking avenues