Although the complications of psychiatric conditions are vast, irreversible kidney damage as the leading cause of death is an infrequent occurrence. There have not been many documented cases that discuss how an eating disorder results in chronic metabolic disturbance due to permanent scarring of the renal interstitum.

While psychiatric advance directives (PADs) have been used within the field of mental health for a number of years and have been proven to reduce the need for coercive intervention, increase post discharge treatment adherence, and improve medication compliance, they remain an underused and under-investigated tool in patient care.