Professor Ulrike Schmidt

Dr Med, PhD, MRCPsych

Consultant Psychiatrist | Professor of Eating Disorders | Head of Section, Eating Disorders

Professor Schmidt is a consultant psychiatrist in the Eating Disorders Service. She is also a fellow of the Academy for Eating Disorders.

As a consultant, she has responsibility for the outpatients service which safely treats very low weight anorexia patients in the community, with regular, in-depth medical risk assessments accompanying individual psychological therapy and carer support.

Professor Schmidt also leads on research and sets up and co-ordinates many of the treatment studies in the service, trains the therapists, and has clinical responsibility for patients in trials.

Other roles

Dr Schmidt has a number of other roles, including chair of the newly-formed Section of Eating Disorders at the Royal College of Psychiatrists and also chair of the Academy for Eating Disorders.

Background

Professor Schmidt completed her medical studies and Doctor of Medicine (MD) thesis at the University of Düsseldorf.

She trained in psychiatry at the Maudsley Hospital, and, in 1993, became a consultant in community and liaison psychiatry at St. Mary’s Hospital. Since 1998, she has been a consultant in the Eating Disorders Service at the Maudsley. In 2006, she became professor of eating disorders at the Institute of Psychiatry, King’s College London.

Research

The main focus of Dr Schmidt’s research has been eating disorders – in particular, brief psychological treatments and the use of new technology in treatment. Additionally, she has carried out work in related areas, including deliberate self-harm and the treatment of poorly controlled diabetes.

In 2007, she set up a UK-wide eating disorders research network with backing from the Mental Health Research Network. This network aims to facilitate multi-centre research into eating disorders.

Dr Schmidt has also conducted two large clinical audits of pathways through care: (1) from primary to specialist care; and (2) within specialist care (approx 2000 patients). These audits have significantly informed service delivery in the Section of Eating Disorders.

She has developed a web-based intervention for carers of people with anorexia nervosa, receiving a London Innovation Award in Service Delivery for this in 2006.

Other research roles include:

  • Principal Investigator on a five-year National Institute for Health Research (NIHR) Programme grant ‘Translating experimental neuroscience into clinical practice in anorexia nervosa’
  • UK scientist in charge of an EU Marie Curie Research Network in eating disorders, ‘Individually tailored stepped care for women with eating disorders’
  • Principal and Co-Investigator on several grants focusing on the treatment of anorexia nervosa, bulimia nervosa and depression/low esteem

Personal

Dr Schmidt is the Sub-Dean of the Overseas Office at the Institute of Psychiatry. She set up a course for refuge doctors, which ran successfully for several years, and was then taken on by the Royal College of Psychiatrists to be part of an introductory course for overseas doctors.

She is part of the Institute of Psychiatry mentoring scheme for women.

Published

Dr Schmidt has written around 50 book chapters on eating disorders for many standard textbooks. These include books on psychiatry, mental health nursing, cognitive behavioural therapy (CBT) and motivational interviewing.

She is author/co-author for three patient manuals and two clinician guides to accompany these patient manuals, and has produced training CD-ROM on assessment and treatment of eating disorders for GPs and psychiatrists.

Publication listings:

Treasure, J. and Schmidt, U. (2001). Ready, Willing and Able to Change: Motivational Aspects of the Assessment and Treatment of Eating Disorders. European Eating Disorders Review 9, 1-15.

Treasure, J. and Schmidt, U. (2001). Treatment of anorexia nervosa. Clinical Evidence. Vol 6. BMJ Publishing Group. Pp. 705-714.

Schmidt, U. (2001). Eating disorders in Scotland: Starved of resources. Editorial. Psychiatric Bulletin 25, 241-242.

Godley, J., Tchanturia, K., MacLeod, A. and Schmidt, U. (2001). Future-Directed Thinking in Eating Disorders. British Journal of Clinical Psychology 40, 281-295.

Thiels, C. Schmidt, U., Troop, N., Treasure, J. and Garthe, R. (2001). Compliance with a self- care manual in guided self-change for bulimia nervosa. European Eating Disorders Review 9, 115-122.

Humfress, H., Igel, V., Lamont, A., Tanner, M., Morgan, J. and Schmidt U. (2002). The effect of a brief motivational intervention on community psychiatric patients’ attitudes to their care, motivation to change, compliance and outcome: A case control study. Journal of Mental Health. Journal of Mental Health 11, 2002, 155-166.

Schmidt, U., Bone, G., Hems, S., Lessem, J. and Treasure, J. (2002). Structured Therapeutic Writing Tasks as an Adjunct to Treatment in Eating Disorders. European Eating Disorders Review 10,1-17.

Treasure, J., and Schmidt, U. (2002). Anorexia nervosa. Clinical Evidence 7,824-33.

Treasure, J. and Schmidt, U. (2002). Anorexia nervosa. Clinical Evidence 8, 903-13.

Frost, S., Murphy, R., Webster, P., Schmidt, U. (2003). Are top journals biased against eating disorders? American Journal of Psychiatry 160, 363-365.

Treasure, J., Gavan, K., Todd, G. and Schmidt, U. (2003). Changing the environment in eating disorders: Working with carers/families to improve motivation and facilitate change. European Eating Disorders Review 11, 25-37.

Tyrer, P., Jones, V., Thompson, S., Catalan, J., Schmidt, U., Davidson, K., and Knapp, M. (2003). Service variation in baseline variables and prediction of risk in a randomised controlled trial of psychological treatment in repeated parasuicide: the POPMACT study. International Journal of Social Psychiatry 49,58-69.

Murray, K, Pombo-Carril, M.G., Bara-Carril, N., Grover, M., Reid, Y., Langham, C., Birchall, H., Williams, C., Treasure, J. and Schmidt, U. (2003). Factors determining uptake of a CD-ROM based CBT self-help treatment for bulimia: patient characteristics and subjective appraisals of self-help treatment. European Eating Disorders Review 11, 243-260.

Tyrer P, Thompson, S., Schmidt, U., Jones, V., Knapp, M., Davidson, K., Catalan, J., Airlie, J., Baxter, S., Byford, S., Byrne, G., Cameron, S., Caplan, R., Cooper, S., Ferguson, B., Freeman, C., Frost, S., Godley, J., Greenshields, J., Henderson, J., Holden, N., Keech, P., Kim, L., Logan, K., Manley, C., Macleod, A., Murphy, R., Patience, L., Ramsay, L., De Munroz, S., Scott, J., Seivewright, H., Sivakumar, K., Tata, P., Thornton, S., Ukoumunne, O.C., and Wessely, S. (2003). Randomised controlled trial of brief cognitive behaviour therapy and treatment as usual in recurrent deliberate self-harm: the POPMACT study. Psychological Medicine 33, 969-976.

Byford, S., Knapp, M., Greenshields, J., Ukoumunne, O., Jones, V., Thompson, S., Tyrer, P., Schmidt, U. & Davidson, K. (on behalf of the POPMACT group) (2003). Cost-effectiveness of Manual-assisted Cognitive-Behavioural Therapy versus Treatment as Usual in patients with a history of deliberate self-harm. Psychological Medicine 33, 977-986.

Thiels, C., Schmidt, U., Treasure, J. and Garthe, R. (2003). 4-year follow-up of guided self-change for bulimia nervosa. Eating and Weight Disorders 8, 212-217.

Webster, P., Schmidt, U., and Treasure, J. (2003). ‘Reforming the mental health act’: implications of the government’s white paper for the management of patients with eating disorders. Psychiatric Bulletin 27, 364-366.

Treasure, J. & Schmidt, U. (2003). Anorexia nervosa. Clinical Evidence 9, 986-996.

Murphy, R., Frost, S., Webster, P., Schmidt, U. (2004). An evaluation of web-based information on the treatment of eating disorders. International Journal of Eating Disorders 35, 145-154.

Bara-Carril, N., Williams, C.J., Pombo-Carril, M.G., Reid, Y., Murray, K., Aubin, S., Harkin, P.J.R., Treasure, J. and Schmidt, U. (2004). A preliminary investigation into the feasibility and efficacy of a CD-ROM based cognitive-behavioural self-help intervention for bulimia nervosa. International Journal of Eating Disorders 35, 538-548.

Tyrer P, Tom, B , Byford, S., Schmidt U, Jones V, Davidson K, Knapp, M, McLeod, A. Catalan, J , on behalf of the POPMACT Group. (2004) The effects of manual assisted cognitive behaviour therapy (MACT) in the treatment of recurrent deliberate self-harm and personality disturbance: the POPMACT study. Journal of Personality Disorders 18, 82-96.

Davidson, K., Scott, J., Schmidt, U., Tata, P., Thornton, S., Tyrer, P. (2004). Therapist competence and clinical outcome in the prevention of parasuicide by manual assisted cognitive behaviour therapy trial: the POPMACT study. Psychological Medicine 34, 855-863.

Schmidt, U., Cooper, P.J., Essers, M.H., Freeman, C.P.L., Holland, R.L., Palmer, R.L., Shur, E., Russell, G.F.R., Bowler, C., Coker, S., Geddes, J., Mackenzie, F. Munro, J., Newton, R., Webster, J., Tiller, J., Tattersall, M. and Vize, C. (2004) Fluvoxamine in the treatment of bulimia nervosa. A randomised, double-blind, placebo-controlled, multi-centre study. Journal of Clinical Psychopharmacology 24, 1-4.

Perkins, S., Winn, S., Murray, J., Murphy, R. & Schmidt, U. (2004). A qualitative study of the experience of caring for a person with bulimia nervosa. Part 1: The emotional impact of caring. International Journal of Eating Disorders 36, 256-68.

Winn, S., Perkins, S., Murray, J., Murphy, R. & Schmidt, U. (2004) A qualitative study of the experience of caring for a person with bulimia nervosa. Part 2: Carers’ needs and experiences of services and other support. International Journal of Eating Disorders 36, 269-279.

MacLeod, A.K., Tata, P., Tyrer, P., Schmidt, U., Davidson, K. and Thompson, S., on behalf of the POPMACT Group. (2004). Parasuicide, personality and future-directed thinking. Journal of Personality Disorders 18, 459-66.

Tchanturia, K., Happé, F., Godley, J., Treasure, J., Bara-Carril, N., Schmidt, U. (2004). ‘Theory of Mind’ in anorexia nervosa. European Eating Disorders Review 12, 361-366.

Treasure, J. & Schmidt, U. (2004). Anorexia nervosa. Clinical Evidence 12, 1192-203.

Currin, L., Schmidt, U., Treasure, J., Jick, H. (2005). Time trends in eating disorder incidence. British Journal of Psychiatry 186, 1-4.

Schmidt, U., Landau, S., Pombo-Carril, M.G., Bara-Carril, N., Reid, Y., Murray, K., Treasure, J. and Katzman, M. (2006). Does feedback improve the outcome of Guided Self-Care in Bulimia Nervosa? A. preliminary randomised controlled trial. British Journal of Clinical Psychology. 45, 111-121.

Massoubre, C., Jaeger, B., Milos, G., Schmidt, U., Soares, I., Papezova, H., Denia, M., Faragalli, G., Westerlund, A.M., Pellet, J., Lang, F. (2005). FPI profiles in a European sample of 1068 female patients suffering from anorexia or bulimia nervosa. European Eating Disorders Review 13, 201-210.

Treasure, J., Schmidt, U., & Hugo, P. (2005). Mind the gap. Service transitions and interface problems for patients with eating disorders. British Journal of Psychiatry 187, 389-400.

Bauer, S., Winn, S., Schmidt, U. And Kordy, H. (2005). Construction, scoring, and validation of the Short Evaluation of Eating Disorders (SEED). European Eating Disorders Review 13, 191-200.

Simon, J., Schmidt, U. and Pilling, S. (2005) The health service use and cost of eating disorders. Psychological Medicine 35, 1543-1551.

Anderson, E. Lewis, G., Araya, R., Elgie, R., Harrison, G., Proudfoot, J., Schmidt, U., Sharp, D., Weightman, A., and Williams, C. (2005). Self-help books for depression: How can practitioners and patients make the right choice? British Journal of General Practice 55, 387-92.

McLeod, A.K., Tata, P., Tyrer, P., Schmidt, U., Davidson, K, Thompson, S. (2005). Hopelessness and positive and negative future thinking in parasuicide. British Journal of Clinical Psychology 44, 495-504.

Perkins, S., Hems, S., Chalders, T. and Schmidt, U. (2005) Are eating disorders a risk factor for the development of irritable bowel syndrome? Journal of Psychosomatic Research 59, 57-64.

Perkins, S., Schmidt, U., Eisler, I., Treasure, J., Yi, I., Winn, S., Robinson, P., Murphy, R., Keville, S., Johnson-Sabine, E., Jenkins, M., Frost, S., Dodge, E., & Berelowitz, M. (2005). Why do adolescents with BN choose not to involve their parents in treatment? European Child and Adolescent Psychiatry 14, 376-85.

Treasure, J., Whitaker, W., Whitney, J., Schmidt, U. (2005).Working with Families of Adults with Anorexia Nervosa, Journal of Family Therapy 27, 150-170.

Uher, R., Yoganathan, D., Mogg, A., Eranti, S.V., Treasure, J., Campbell, I.C., McLoughlin, D.M., Schmidt, U. (2005). Effect of left prefrontal repetitive transcranial magnetic stimulation on food craving. Biological Psychiatry 58, 840-842.

Treasure, J. and Schmidt U. (2005). Anorexia nervosa. Clinical Evidence 13, 1148-1157.

Robinson, S., Perkins, S., Bauer, S., Hammond, N., Treasure, J., Schmidt, U. (2006). Aftercare Intervention through text messaging in the treatment of bulimia nervosa – a feasibility pilot. International Journal of Eating Disorders 39, 633-638.

Malson, H., Schmidt, U. and Humfress, H., (2006). Between paternalism and neo-liberal regulation: Producing motivated clients of psychotherapy. International Journal of Critical Psychology 18, in press.

Cohn, S., Alenya, J., Murray, K., Bhugra, D., De Guzman, J. and Schmidt, U. (2006). Experiences and Expectations of Refugee Doctors – A Qualitative Study. British Journal of Psychiatry 189, 74-78.

Claudino, A., Hay, P., Lima, M., Bacaltchuk, J., Schmidt, U. and Treasure, J. (2006). Antidepressants for anorexia nervosa. Cochrane Database Systematic Review 25 (1) CD004365.

Schmidt, U. and Treasure J. (2006). Anorexia nervosa: valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice. British Journal of Clinical Psychology, 45, 343-66.

Russell, T.A., Tchanturia, K., Rahman, Q, Schmidt, U. (2008). Sex differences in Theory of Mind: a male advantage on Happe’s “Cartoon”task. Cognition and Emotion. In press.

Hinrichsen, H., Morrison, T., Waller, G. & Schmidt, U. (2007). Triggers of vomiting in bulimic disorders: The roles of core beliefs and imagery. Journal of Cognitive Psychotherapy: An International Quarterly 21, 261-272.

Waller, G., Milligan, R-J., Meyer, C., Cullen, D. and Schmidt, U. (2007). Compensatory Behaviours and Attitudes in the Eating Disorders. Eating Behaviors. In press.

Currin, L., Schmid,t U., Waller, G. (2007). Variables that influence diagnosis and treatment of the eating disorders within primary care settings: A vignette study. International Journal of Eating Disorders, 40, 257-62.

Winn S, Perkins S, Walwyn R, Schmidt U, Eisler I, Treasure J, Berelowitz M, Dodge L, Frost S, Jenkins M, Johnson-Sabine E, Keville S, Murphy R, Robinson P, Yi I. (2007). Predictors of mental health problems and negative caregiving experiences in carers of adolescents with bulimia nervosa. International Journal of Eating Disorders, 40,171-8.

Perkins SJ, Murphy R, Schmidt U, Williams C. (2006). Self-help and guided self-help for eating disorders. Cochrane Database Systematic Reviews 6; 3: CD004191.

Murray, K., Schmidt, U., Pombo-Carril, MG., Grover, M., Alenya, J., Treasure, J., Williams, C. (2007). CD-ROM Does Therapist Guidance Improve Uptake, Adherence and Outcome from a CD-ROM Based Cognitive-Behavioral Intervention for the Treatment of Bulimia Nervosa? Computers in Human Behavior 23, 850-859.

Schmidt, U., Lee, S., Beecham, J., Perkins, S., Treasure, J., Yi, I., Winn, S., Robinson, P., Murphy, R., Keville, S., Johnson-Sabine, E., Jenkins, M., Frost, S., Dodge, E., Berelowitz, M., Eisler, I. (2007). A randomized controlled trial of family therapy and cognitive-behavioral guided self-care for adolescents with bulimia nervosa or related disorders. American Journal of Psychiatry 164, 591-598.

Perkins, S., Schmidt, U., Eisler, I., Treasure, J., Berelowitz, M., Dodge, E., Frost, S., Jenkins, M., Johnson-Sabine, E., Keville, S., Murphy, R., Robinson, P., Winn, S., Yi, I. (2007).Motivation to change in recent onset and long-standing bulimia nervosa: Are there differences? Eating and Weight Disorders, 12,61-9.

Currin, L., Waller, G., Schmidt, U., Noder, J., Stone, C. and Treasure, J. (2007). Do eating disorders protocols expect GPs to do the impossible? International Journal of Eating Disorders, 40, 476-9.

Friederich, H.C., Kumari, V., Uher, R., Riga, M., Schmidt, U., Campbell, I.C., Herzog, W., Treasure, J. (2006). Differential motivational responses to food and pleasurable cues in anorexia and bulimia nervosa: a startle reflex paradigm. Psychological Medicine 36, 1327-35.

Heller-Boersma, J.G., Schmidt, U.H., Edmonds, D.K. (2007). A Randomised Controlled Trial of a Cognitive-Behavioural Group Intervention versus Waiting-List Control for Women with Uterovaginal Agenesis (Mayer-Rokitansky-Küster-Hauser Syndrome: MRKH). Human Reproduction, 22, 2296-301.

Kyriacou, O., Treasure,J., Schmidt, U. (2008). Understanding how parents cope with living with someone with Anorexia Nervosa: modelling the factors that are associated with carer distress. International Journal of Eating Disorders, 41, 233-42.

Heller-Boersma, J.G., Schmidt, U.H., Edmonds, D.K. (2007). Psychological distress in women with Uterovaginal Agenesis (Mayer-Rokitansky-Küster-Hauser Syndrome, MRKH). Psychosomatics. In press.

Kyriacou, O, Schmidt, U. and Treasure, J. (2008). Expressed Emotion in Eating Disorders assessed via self-report: An examination of the mechanisms contributing to the development of Expressed Emotion in carers of people with Anorexia Nervosa in comparison to control families. International Journal of Eating Disorders, 41, 37-46.

Hambrook, D., Tchanturia, K., Schmidt, U., Russell, T., Treasure, J. (2008). Empathy, Systemising, and Autistic Traits in Anorexia Nervosa: A Pilot Study. British Journal of Clinical Psychology. 47, 335-9.

Waller, G., Schmidt, U., Treasure, J., Murray, K., Alenya, J., Emanuelli, F., Crockett, J., Yeomans, M. Problems across care pathways in specialist adult eating disorders services. Psychiatric Bulletin. In press.

Schmidt, U., Lee, S., Perkins, S., Eisler, I., Treasure, J., Berelowitz, M., Dodge, E., Frost, S., Jenkins, M., Johnson-Sabine, E., Keville, S., Murphy, R., Robinson, P., Winn, S., and Yi, I. Do adolescents with ‘eating disorder not otherwise specified’ (EDNOS) or full-syndrome bulimia nervosa differ in clinical severity, comorbidity, risk factors, or treatment outcome? International Journal of Eating Disorders, 41, 498-504.

Oldershaw, A., Richards, C., Simic, M., Schmidt U. Parents’ perspectives on self-harm: A Qualitative study. British Journal of Psychiatry. 193, 140-4.

Oldershaw, A., Jollant, F., Simic, M., Taylor L., Schmidt, U. (2007). Decision making in adolescents who deliberately self-harm. Psychological Medicine 39, 95-104.

Schmidt, U., Andiappan, M., Grover, M., Robinson, S., Perkins, S., Dugmore, O., Landau, S., Treasure, J., Eisler, I., Williams, C. A Randomised Controlled Trial of the Effectiveness of a CD-ROM Based Cognitive Behavioural Self-Care Intervention for Bulimia Nervosa. British Journal of Psychiatry 193, 493-500.

Liao, Pei-Chi, Uher, R., Lawrence, N. Treasure, J., Schmidt, U., Campbell, I., and Tchanturia, K. An examination of decision making in bulimia nervosa. Journal of Clinical and Experimental Neuropsychology 11, 1-7.

Russell, T., Schmidt, U. and Tchanturia, K. Aspects of Social Cognition in Anorexia nervosa. In press.

Ismail, K., Thomas, S., Maissi, E., Chalder, T., Schmidt, U., Bartlett, J., Patel, A., Dickens, C., Creed, F., Treasure, J. A multi-centre randomised controlled trial comparing the effectiveness of two psychological treatments with usual care in improving glycaemic control in adults with type 1 diabetes. Annals of Internal Medicine, 149, 708-19.

Nakazato, M., Tchanturia, K., Schmidt, U., Campbell, I.C., Treasure, J., Collier, D.A., Hashimoto, K., Iyo, M.. Brain derived neurotrophic factor (BDNF) and set-shifting in currently ill and recovered anorexia nervosa (AN) patients. Psychological Medicine 28, 1-7.

Tchanturia K, Davies H, Lopez C, Schmidt U, Treasure J, Wykes T. (2008) Correspondence. Psychological Medicine 38, 1371-73.

Schmidt U. (2009). Cognitive behavioral approaches in adolescent anorexia and bulimia nervosa. Child and Adolescent Psychiatric Clinics of North America 18, 147-58.

Waller G, Schmidt U, Treasure J, Emanuelli F, Alenya J, Crockett J, Murray K. (2008). Ethnic origins of patients attending specialist eating disorders services in a multiethnic urban catchment area in the United Kingdom. International Journal of Eating Disorders. Epub ahead of print]

Currin L, Waller G, Schmidt U. (2008). Primary care physicians’ knowledge of and attitudes toward the eating disorders: Do they affect clinical actions? International Journal of Eating Disorders. [Epub ahead of print].

Heller-Boersma, J.G., Edmonds, D.K. & Schmidt, U.H. A Cognitive Behavioural Model and Treatment of Utero-vaginal Agenesis (Mayer-Rokitansky-Küster-Hauser Syndrome: MRKH). Cognitive and Behavioural Psychotherapy. In press.

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