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AIMS AND METHOD We present two patients who developed refeeding syndrome following admission to a general psychiatry ward. The practical implications of assessing and managing medical consequences in patients with mental illness who start refeeding after a period of starvation are discussed. RESULTS Patients presented with overlapping clinical manifestations of mental illness and refeeding syndrome that were difficult to recognise and manage. CLINICAL IMPLICATIONS Awareness of refeeding syndrome in patients with mental illness may prevent fatal physical complications.

Risks and pitfalls for the management of refeeding syndrome in psychiatric patients