“…As well as the associated risks of second-generation antipsychotics (SGAs), which are routinely prescribed despite typically inducing weight gain (Malhi, Mitchell, & Caterson, 2001), those with BD are more likely to smoke, be physically inactive, have poor fruit and vegetable intakes, and be overweight. Health risk behaviours such as these have been linked to worsened psychiatric status (Cerimele & Katon, 2013;Melo, Daher, Albuquerque, & de Bruin, 2016;Sylvia et al, 2014), and obesity is associated with poorer response to psychotherapy (Peters et al, 2016). In addition, binge eating disorders and symptoms are overrepresented and underdiagnosed in this population (Krüger, Shugar, & Cooke, 1996;Wildes, Marcus, & Fagiolini, 2008).…”