While the initial government response has focused on public health strategies to contain the spread of the virus and the creation of sufficient capacity within hospitals to manage patients with acute medical complications, it was recognised that the social, economic and mental health consequences of COVID-19 would follow. Many children with AN have comorbid mental health issues, including depression, anxiety and obsessive compulsive disorder, which may be exacerbated by the increased focus on hand hygiene and fear of contracting COVID-19.3 Furthermore, COVID-19 has forced us to adapt our service delivery for children with AN,4 with the temporary cessation of face-to-face appointments and temporary closure of our day programme. The authors acknowledge the ongoing support of all the Adolescent Medicine and Eating Disorders team members at Perth Children’s Hospital.