… Patients with severe and enduring anorexia nervosa (SE-AN) present numerous clinical
and ethical challenges for the hospital psychiatrist. Patients typically come to the hospital in
a state of severe … Below, we discuss issues pertaining to assessment of decision-making
capacity in patients with SE-AN, the effectiveness of and indications for involuntary treatment,
the role of harm reduction in treatment-refractory cases, and possible indications for
physician-assisted dying (PAD). These cases are clinically, ethically, and legally challenging …