The Eating Disorder Journal
(December 2021, Vol. 22, No.12)
This journal is emailed to over 143,369 readers
SINCE 1999 THE MOST TRUSTED SITE USED BY EATING DISORDER PROFESSIONALS
Contents:
For Professionals - Calendar of Events
Continuing Education and Other Resources
Weighing In on Eating Disorder Issues
How to add a submission to The Eating Disorder Journal
Instructions on how to unsubscribe to The Eating Disorder Journal
Current Research and News:
We examine the clinical research and current happenings in the eating disorder field to find the most interesting and useful current information available.
Parent strategies for expanding food variety: Reflections of 19,239 adults with symptoms of Avoidant/Restrictive Food Intake Disorder. Objective: To characterize helpful parent feeding strategies using reflections on childhood eating experiences of adults with symptoms of Avoidant/Restrictive Food Intake Disorder (ARFID). Method: We explored a unique text-based dataset gathered from a population of N = 19,239 self-identified adult "picky eaters." The sample included adults with symptoms of ARFID as evidenced by marked interference in psychosocial functioning, weight loss/sustained low weight, and/or nutritional deficiency (likely ARFID), and non-ARFID participants. We leveraged state-of-the-art natural language processing (NLP) methods to classify feeding strategies that were perceived as helpful or not helpful. The best classifiers that distinguished helpful approaches were further analyzed using qualitative coding according to a grounded theory approach. Results: NLP reliably and accurately classified the perceived helpfulness of caregivers' feeding strategies (82%) and provided information about features of helpful parent strategies using recollections of adults with varying degrees of food avoidance. Strategies perceived as forceful were regarded as not helpful. Positive and encouraging strategies were perceived as helpful in improving attitudes toward food and minimizing social discomfort around eating. Although food variety improved, adults still struggled with a degree of avoidance/restriction. Discussion: Adults perceived that positive parent feeding strategies were helpful even though they continued to experience some degree of food avoidance. Creating a positive emotional context surrounding food and eating with others may help to eliminate psychosocial impairment and increase food approach in those with severe food avoidance. Nevertheless, additional tools to optimize parent strategies and improve individuals' capacity to incorporate avoided foods and cope with challenging eating situations are needed. PMID: 34761436 DOI: 10.1002/eat.23639. Int J Eat Disord. 2021 Nov 10.
Stressful life events among individuals with a history of eating disorders: a case-control comparison. Background: Experiencing stressful life events (SLEs) can negatively impact mental health and increase risk for psychiatric disorders including eating disorders (EDs). Previous research has shown that childhood sexual abuse is associated with some EDs, but less is known about the association between other non-sexual SLEs and EDs. Method: A case-control study of individuals with (n = 495, age mean ± SD = 29.1 ± 9.8 years) and without (n = 395, age = 30.2 ± 11.7) self-reported lifetime history of EDs was conducted to compare history of self-reported SLEs. Participants reported history of sexual (e.g., rape, other sexual assault) and non-sexual (e.g., emotional abuse, assault, bereavement) life events using an adaptation of the Stressful Life Events Screening Questionnaire. Individuals with EDs were divided into ED subtypes along the restricting - binge eating/purging spectrum to examine subtype differences. Logistic regressions were conducted for each SLE and ED subtype to obtain odds ratios (ORs). We report p-values corrected for multiple comparisons. Results: Exposure to any SLE was significantly more common in individuals with EDs than in controls (OR = 2.47, p < .001). Specifically, rape, other sexual assault, and emotional abuse were significantly more common among individuals with a history of binge-eating/purging ED subtypes (ORs = 2.15-3.58, p's < .01) compared with controls. Furthermore, history of life-threatening disease and loss of a close relative/partner/friend were associated with some ED subtypes. The association between SLEs and EDs was stronger for individuals who had experienced multiple SLEs. Conclusion: By investigating a range of different SLEs, we showed that both sexual and non-sexual SLEs were more common in individuals with a history of EDs (binge-eating/purging subtypes) than controls. Results highlight the importance of assessing a variety of past SLEs in risk assessment for different EDs. Keywords: Adverse events; Anorexia nervosa; Binge-eating disorder; Bulimia nervosa; Eating disorders; Emotional abuse; Risk factor; Sexual abuse; Stressful life events; Trauma. PMID: 34645394 PMCID: PMC8513319 DOI: 10.1186/s12888-021-03499-2. BMC Psychiatry. 2021 Oct 13;21(1):501. doi: 10.1186/s12888-021-03499-2.
The 17-year outcome of 62 adult patients with longstanding eating disorders-A prospective study. Objective: Although studies with short and intermediate observation time suggest favorable outcomes in regard to eating disorders (ED), there is limited knowledge on long-term outcomes. The present study aimed to investigate the 5- and 17-year outcome of adult patients with longstanding ED who were previously admitted to an inpatient ED unit. ED diagnoses and recovery, comorbid and general psychopathology, along with psychosocial functioning and quality of life were evaluated. Method: Sixty-two of the 80 living patients (78% response rate) with anorexia nervosa (n = 23), bulimia nervosa (n = 25), or other specified feeding or eating disorders (n = 14) at admission were evaluated. The mean age at the 17-year follow-up point was 46.2 (SD 7.5). The Eating Disorder Examination (EDE) was used to assess recovery. The Mini International Neuropsychiatric Interview (M.I.N.I.) and self-report instruments provided additional information. Results: There was a significant reduction in patients fulfilling criteria for an ED from the 5-year to the 17-year follow-up, meanwhile recovery rates were stable. A total of 29% of the patients were fully recovered and 21% were partially recovered while the remaining 50% had not recovered. No significant changes were found in any self-report measures and more than 70% had a comorbid disorder at both assessments. Discussion: The findings illustrate the protracted nature of ED for adults with longstanding ED. A long illness duration prior to treatment is unfortunate and early detection and treatment is advisable. Keywords: anorexia nervosa; bulimia nervosa; eating disorders; follow-up; other specified feeding or eating disorders; outcome. Int J Eat Disord. 2021 May;54(5):841-850. doi: 10.1002/eat.23495. Epub 2021 Mar 4. PMID: 33660895 DOI: 10.1002/eat.23495
DSM-5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans. Objective: Little is known about prevalence estimates of new and revised DSM-5 eating disorders diagnoses in general, and especially among high-risk, underserved and diverse eating disorder populations. The aim of the current study was to determine prevalence, gender differences and correlates of DSM-5 eating disorders in veterans. Method: Iraq and Afghanistan war era veterans (N = 1,121, 51.2% women) completed the Eating Disorder Diagnostic Scale-5 and validated measures of eating pathology and mental health between July 2014 and September 2019. Results: Overall more women than men (32.8% vs. 18.8%, p < .001) reported symptoms consistent with a DSM-5 eating disorder. Prevalence estimates (women vs. men) for the specific diagnoses were: Anorexia Nervosa (AN; 0.0% vs. 0.0%), Bulimia Nervosa (BN; 6.1% vs. 3.5%), Binge-Eating Disorder (BED; 4.4% vs. 2.9%), Atypical AN (AAN; 13.6% vs. 4.9%), Subclinical BN (0.0% vs. 0.2%), Subclinical BED (1.4% vs. 0.6%), Purging Disorder (2.1% vs. 0.7%), and Night Eating Syndrome (NES; 5.2% vs. 6.0%). Women were more likely to have BN or AAN, and there was no difference for BED or NES among genders. The eating disorder group had a higher mean BMI, and significantly greater eating pathology and mental health symptoms than the non-eating disorder group. Discussion: Approximately one-third of women, and one-fifth of men, reported symptoms consistent with a DSM-5 eating disorder diagnosis. These high prevalence estimates across genders, and associated mental health concerns, suggest an urgent need to better understand and address eating disorders in military and veteran populations. Keywords: anorexia; atypical anorexia; binge-eating disorder; bulimia; eating disorders; night eating syndrome; other specified feeding and eating disorders; prevalence; veterans. PMID: 33665848 DOI: 10.1002/eat.23501. Int J Eat Disord. 2021 Jul;54(7):1171-1180. doi: 10.1002/eat.23501. Epub 2021 Mar 5.
The association between bullying and eating disorders: A case-control study. Objective: Childhood bullying is associated with a range of adverse mental health outcomes, and here we investigated the association between bullying exposure and eating disorders (EDs). Method: In this case-control study, we compared bullying history in individuals with EDs with community controls. Participants (n = 890, mean age = 29.50 ± 10.60) completed an online self-report battery assessing bullying history and lifetime history of bulimia nervosa (BN), binge-eating disorder (BED), and anorexia nervosa (binge-eating/purging (AN-BP) or restrictive (AN-R) subtype). Logistic regressions were performed to estimate odds ratios (ORs). Results: In the combined ED sample, individuals with a history of any ED were significantly more likely than controls to have experienced bullying victimization during childhood or adolescence (ORs = 1.99-3.30), particularly verbal, indirect, and digital bullying. Bullying prior to ED onset was also significantly more common than bullying within the same time frame for controls (ORs = 1.75-2.16). Further analysis showed that these effects were due to individuals with BN or BED reporting significantly more lifetime (p < .001) and premorbid bullying (p = .002) than controls, while individuals in the other diagnostic subgroups did not differ significantly from controls. Discussion: Our results confirm an association between bullying and binge-eating/purging ED subtypes. Prospective studies are needed to establish bullying as a risk factor for EDs. Keywords: anorexia nervosa; binge-eating disorder; bulimia nervosa; bullying; case-control studies; feeding and eating disorders; risk factors. Int J Eat Disord. 2021 Aug;54(8):1405-1414. doi: 10.1002/eat.23522. Epub 2021 May 4. PMID: 33942329 DOI: 10.1002/eat.23522
Eating disorders are on the rise among boys, say doctors, who think images and videos on social media are a factor. Pediatric wards are seeing more eating-disorder cases overall, with boys making up an increasing share of patients. Cases with boys are often more severe than with girls, the doctors say, because boys’ disorders often go unnoticed until they are far along, and because eating disorders are largely believed to mostly affect young women. In some cases, slimmer boys are bulking up to gain muscle mass. In others, bigger boys are slimming down to look more toned or to improve athletic performance. Boys who work out often receive praise in person and on their social-media posts for seemingly healthy habits and appearance. Griffin Henry’s whole life revolved around baseball. From the time he began playing shortstop at age 7 in his hometown of Lee’s Summit, Mo., to summers spent touring the country as a teen with a scout team sponsored by the Kansas City Royals, he was focused on getting a full-ride baseball scholarship and playing professionally after college. He was showing promise, having made the varsity baseball team as a high-school freshman. Between his sophomore and junior years, while touring, he said college baseball coaches told him he needed to improve the speed of his 60-yard dash. Baseball was Griffin Henry's whole life. He played shortstop on a Kansas City Royals scout team (shown with his sister, Lauren) and on his high school's varsity team. “I was a big dude. I thought that slimming down would make me faster, so I started running a lot and watching what I ate,” said Mr. Henry, now 20. He said he got a lot of his dieting and exercise tips from Instagram. “I put a lot of pressure on myself.” Every day he checked the Prep Baseball Report app, which shows rankings of amateur baseball players and their stats, including their running speed. “I was always checking to see where I fell,” Mr. Henry said. Half a year later, he was hospitalized and diagnosed with anorexia nervosa. To continue reading the article click here: https://www.wsj.com/articles/boys-have-eating-disorders-too-doctors-think-social-media-is-making-it-worse-11636812000.
Calendar of Events for Professionals:
December 2021
Register Now for The 31st Annual Renfrew Center Foundation Conference for Professionals: Perspectives on Feminism, Eating Disorders. The Renfrew Center Foundation invites you to experience an innovative, web-based Conference for these extraordinary times. Available through Friday, December 31, 2021, Renfrew will bring you a virtual Conference, 16 On Demand Workshops, networking activities and many special events which have been a part of the Renfrew Conference for the past three decades. For more information, visit www.renfrewconference.com or contact conference@renfrewcenter.com.
Treatment Centers Spotlight - Multiple State Locations, Alabama, California, Florida, Indiana, Ohio, Oklahoma, Tennessee
Multiple State Locations:
At Alsana, we recognize that vegan clients deserve a safe and welcoming place to begin or continue their recovery journey. For a client with an eating disorder, a commitment to veganism may precede or intertwine with eating disorder behaviors. Alsana offers a vegan menu with balance and variety to fully nourish the body while honoring client beliefs that transcend eating disorder behaviors and work together to separate and heal those that do not. In a survey we conducted with hundreds of dietitians who specialize in eating disorders, we found that 98% of eating disorder dietitians saw clients who followed a vegan eating style. Of these, 75% of vegan clients realized that their eating disorder was enmeshed with veganism, while 25% of clients realized the eating disorder was separate and veganism was a true value in their belief system. Without a higher level of care option for vegan clients, that 75% didn’t have a place to learn that veganism is keeping them trapped in the eating disorder, while the 25% who found it is a true value didn’t have a place to recover. Spearheaded by Tammy Beasley, our Alsana leadership team worked tirelessly for over 1.5 years to create a robust program for vegan clients that integrates our high culinary standards within our in-depth treatment process. This carefully and lovingly thought-out process has allowed us to confidently open our doors to clients with eating disorders who are also following a vegan lifestyle. To learn more, call us today at (855) 915-0213.
Treatment Center News – The Renfrew Center, the Nation’s First Residential Eating Disorder Treatment Facility, is pleased to announce that we will be accepting patients into our in-person Day Treatment Program at The Renfrew Centers of Atlanta, GA; Charlotte, NC; Orlando, FL; Radnor, PA and Philadelphia - Center City starting Monday, January 3, 2022. Day Treatment, which meets five days per week, is an ideal “step down” for patients transitioning from Residential care or a “step up” from Individual Therapy, Group Therapy or Intensive Outpatient Programming. Virtual Day Treatment and Intensive Outpatient Programming are still available for those who are not within driving distance to the site or who prefer online care at this time. For individuals in need of a higher level of care, Residential treatment is accessible at The Renfrew Center of Florida and The Renfrew Center of Philadelphia – Spring Lane. Renfrew has necessary procedures in place to ensure the continued safety and well-being of patients during the COVID-19 pandemic. With the largest network of eating disorder treatment centers, Renfrew has treated more than 85,000 adolescent girls, women, transgender and non-binary individuals with eating disorders and provides a comprehensive range of services in California, Florida, Georgia, Illinois, Maryland, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania and Tennessee. Programs and services vary by site and include Residential, Day Treatment, Intensive Outpatient, Outpatient Programs, and Virtual Therapy. Call 1-800-RENFREW or visit www.renfrewcenter.com for more information about The Renfrew Centers.
Veritas Collaborative provides a full continuum of care for individuals of all ages, including Inpatient, Acute Residential, Partial Hospitalization, Intensive Outpatient, and Outpatient levels of care – supporting their belief that access to the right level of care at the right time is key to lasting recovery. Veritas Collaborative is committed to providing access to care for individuals, their families, and communities of support – as well as providing support and resources to providers. Their multidisciplinary treatment teams in North Carolina, Georgia, and Virginia share a passion and a mission inspired by a collaborative community of care and are committed to providing individualized, evidence-based treatment in a gender diverse and inclusive environment. Veritas Collaborative’s Intake & Admissions Team, consisting of Masters-level clinicians, is available seven days a week to provide an assessment, and ensure you, your loved one, or your patient are receiving the right level of care at the right time. For more information or to schedule an assessment, please visit https://veritascollaborative.com/ or call 855-875-5812.
Alabama:
Columbiana, AL: Magnolia Creek Treatment Center for Eating Disorders is a private treatment center for women 18 years and older located outside of Birmingham, Alabama that specializes in the treatment eating disorders such as anorexia nervosa, bulimia nervosa, binge eating disorder, other specified/unspecified eating disorders, rumination disorder, pica, and avoidant/restrictive food intake disorders. Magnolia Creek, dually licensed as an eating disorder and mental health treatment center, can tailor the program for co-occurring mental health conditions such as mood disorders, obsessive compulsive disorder, post-traumatic stress disorder, attachment disorder, dissociative disorders and personality disorders. Peacefully situated on thirty-six wooded acres, we offer a strength-based and collaborative program that looks beyond the symptoms and behaviors of an eating disorder to honor the strength within. We emphasize acceptance, validation, and empowerment at every stage of treatment, and acknowledge the client as the most important member of the treatment team. Treatment at Magnolia Creek is active rather than passive, collaborative rather than imposed, and personal rather than detached. Our setting provides residential and partial hospitalization programs. Our home and cottage are across from a serene seven-acre lake, peaceful, wooded walking trails, outdoor therapy areas, and a recovery garden. The surrounding beauty and the slow pace of nature help healing begin. We believe that clients can fully recover, not simply manage, their disorders. If you or a loved one is experiencing symptoms of an eating disorder, we can help. For more information, please contact us at 205-678-4373 or visit us at www.magnolia-creek.com.
California:
Long Beach, CA: Shoreline Center for Eating Disorder Treatment. We Integrate Recovery with Life. Since 1995, Shoreline Center for Eating Disorder Treatment has successfully been helping individuals achieve recovery from anorexia nervosa, bulimia nervosa, and binge eating disorder for all genders, ages 13 and over. We offer personalized, compassionate programs, delivered by highly-trained and experienced eating disorder experts, many of whom are recovered themselves. The journey of recovery from an eating disorder can be scary and challenging. Not only for the individual trying to break free from the dominating and familiar sounds of their thoughts and behaviors, but also for the family and friends who are trying to support their eating disorder recovery process. For more information, visit us at www.shorelineeatingdisorders.com or call us at 562-434-6007.
Florida:
Tallahassee, FL: Canopy Cove, Christian-Based Eating Disorder Treatment for Women and Girls. All major insurances accepted, 30 years’ experience in the field of eating disorders. A boutique program with an immense focus on individualized treatment. They provide each and every client with a great deal of attention and care. A beautiful, serene healing environment located on 55-acres of private land with 6 horses on site. Clinicians on campus during the day, in the evenings, and on weekends. Warm weather in a beautiful, home-like setting. They have a high number of clinical staff and small group sizes. Evidenced Based Treatment. Individualized Treatment Planning. Equine Therapy. Family-Based Program. 24/7 Supervision. Compassionate and Caring Staff. CARF Accredited. For further information call 888-245-6555, email admissions@canopycove.com or visit www.canopycove.com.
Indiana:
Anderson, IN: Selah House is committed to providing clinically excellent and Christ-centered care for girls and women, ages 12 and over who struggle with an eating disorder such as anorexia, bulimia, and binge eating disorder. Selah's program provides medical monitoring, psychiatric care, individual therapy, family therapy, groups, equine-assisted psychotherapy, art therapy, nutritional counseling, spiritual counseling, and more. Our levels of care include inpatient, residential, and a partial hospitalization program. At Selah House, we also have an Adolescent Program, dedicated to treating adolescent and teen girls who struggle with an eating disorder. We take pride in understanding every teen’s academic growth, overall wellbeing, and safety should be the top priority. Therefore, our teacher on-staff will work with you and your child’s school to implement a continuing education plan during treatment. The common thread that runs through all Selah programs is our love for our clients and their families, and our complete dedication to their healing. We provide a safe place for clients to explore the truth of who they are and who God is without feeling pressured to believe a certain way. We value and respect each person's unique faith. Clients from a variety of faiths and backgrounds have been through our programs and have felt seen, heard, understood, and comfortable while participating in our program. Selah House is a stable, loving, and comfortable environment for healing. Our path together begins with a phone call to schedule a free assessment through our Intake Coordinator. www.selahhouse.com
Ohio:
Toledo, OH: At Toledo Center for Eating Disorders, we take an innovative approach to guide you on your journey. Backed by evidence-based outcomes and compassion for each client, Toledo Center meets clients where they are, with an up-front, honest approach to treatment. We treat all genders, ages 10 and over, helping them to reclaim their lives, health, and futures. Our mission is to provide specialized and cost-effective treatment for those suffering from eating disorders, such as anorexia nervosa, bulimia nervosa, and ARFID. We follow a well-established therapy model that integrates individual, group, and family therapy. Since each eating disorder is unique, an individualized treatment plan is developed and customized for each client. Treatment plans are tailored to meet client's specific needs, based on the initial assessment, then applied within the framework of evidence-based treatment principles, and periodically revised as changes occur during treatment. Our levels of care include an adolescent residential program and an adolescent and adult partial hospitalization program. At Toledo Center, we are dedicated to helping adolescents in our program continue their education while in treatment. We provide tutoring and coordinate with schools, so clients can continue their academic growth while in eating disorder treatment. We work clients and families to set realistic treatment goals and guide them through the treatment process. Clients learn how to address symptoms and how to identify and resolve the emotional issues that have contributed to unhealthy coping behaviors. The Toledo Center is located in a modern, spacious and tranquil setting in Sylvania, Ohio. www.toledocenter.com
Oklahoma:
Tulsa, OK: The internationally recognized Laureate Eating Disorders Program in Tulsa, Oklahoma, is personalized to meet the individual needs of women and girls from all over the world. With a therapist-to-patient ratio of 1:3, program participants experience intentionally small milieus, allowing for meaningful connection with peers and clinicians. Because Laureate philosophy centers on the healing power of relationships, patients work with the same physician, therapist and dietitian through acute, residential and partial levels of care. As a not-for-profit organization, Laureate provides values- and mission-driven care in a peaceful, nature-focused campus on 47 private acres. Experienced eating disorder specialists provide evidence-based care and an experience tailored to your unique needs that includes individual or group sessions utilizing principles of DBT, CBT, ACT, IPT, EMDR, IFS and relational-cultural theory. Other group or individual experiences include exploring spirituality, sexuality, relapse prevention, gratitude, yoga and movement, art process, body image, cooking, shopping and therapeutic swimming exposure. Appropriate patients may be eligible to participate in ongoing eating disorders research studies conducted by the Laureate Institute for Brain Research, whose teams focus on identifying new, effective treatments for eating disorders. Current studies include the impact of floatation therapy on body image. Adult women are eligible to apply for Magnolia House, Laureate’s group home focusing on independent living for women in recovery from eating disorders. The first thirty days of Magnolia House are provided at no cost to residents. To learn more about Laureate Eating Disorders Program, call 800-322-5173 or visit saintfrancis.com/laureate/eating-disorders-program/.
Tennessee:
Chattanooga, TN: Focus Treatment Centers specializes in eating disorder treatment, as well as dual diagnosis treatment for eating disorders and addictions. Located in the beautiful Blue Ridge mountains of Chattanooga, Tennessee, Focus offers a cozy and home-like setting within a medically and clinically safe environment with experienced therapists, dietitians, and 24-hour medical care. Focus offers Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP) levels of care for adults (18+) struggling with binge-eating disorder, anorexia, bulimia, and other eating disorders. Co-occurring issues, including underlying trauma, mental health concerns, and substance use disorders are individually assessed for patient-centered, individualized care. At Focus, we recognize that food and body struggles emerge for a reason, yet life events, genetics, and brain chemistry differ for each unique person. Through sound treatment approaches, including individual and group therapies as well as family programming, Focus offers a safe healing environment. Focus Treatment Centers is a Center of Excellence, is accredited by the Joint Commission, and accepts all major insurance plans. To learn more, call/text 423-308-2560 or visit www.focustreatmentcenters.com/eating-disorders.
Continuing Education and Other Resources:
Live/Online Course: (33 CEs) Neuroscience Advances Eating Disorder Recovery—The Behavior Decoding Method™ (BDM™) for Clinicians: An evidenced-based system of tools and strategies that quickly reveal the deeper meaning, messages, and intended positive outcome in a client’s current unwanted or detrimental, but survival-based behaviors. Clients begin to easily re-wire neuro-patterning for safety and survival, allowing for new beliefs, behaviors and identity to form and sustainably replace the disordered ones. This decoding tool also uncovers how a client may disengage and be resistant to treatment and how to turn it around. Imagine clients discovering their own unique solutions that engage and keep them empowered to stay in treatment for full recovery. Dr. Barbara Birsinger, creator of the BDM™, a 33-CE, Certification Program for Licensed Professionals, is offering an innovative course with client video demonstrations and consultations on how to create T-NLP-informed, brain-based transformation of disordered eating and weight-related behaviors, across the spectrum, in a Health At Every Size® context. Dr. Birsinger presents a system of simple yet comprehensive, take-away, hands-on tools that therapists, nutritionists and treatment teams can implement with their clients right away. Live and recorded Consultation/ Q+A sessions with Barbara Birsinger, ThD, MPH, CEDRD, special guests Ellyn Herb, PhD, CEDS and Anita Johnston, PhD, CEDS, and others on Decoding: Food Cravings in Emotional/Binge Eating; Food Restriction/Anxieties; Weight/Size Wishes; Body Judgments; Body Checking Obsessions; Other’s Comments on Food and Body; Movement Blocks; Compulsive Over-Exercise; and Bulimia. Click here for a Video Demonstration and more details. Contact Dr. Birsinger: 707-799-2982; Barbara@BarbaraBirsinger.com.
Los Angeles, CA: EDIT™ (Eating Disorder Intuitive Therapy) Certified Recovery Coach Nikki DuBose founded Live ED Free to help adults ages 18 and over who need added support in their eating disorder recovery journey. Coach Nikki sees clients worldwide via ZOOM, at least once a week or more, depending upon their needs, and she works with their treatment team, collaborating with their therapist, dietitian, physician, and more, to ensure the highest level of care possible. Are you ready to live life free of your Eating Disorder? In 2013, Nikki DuBose finally broke free of her relationship with "ED," and married into a happy and healthy life with Intuitive Eating. As your EDIT™ Certified Recovery Coach, Nikki’s mission is to help you have that same happy marriage with Intuitive Eating and Exercise, too. Nikki will help you unlock your Intuitive Therapist (IT) within, guiding you to a place of complete freedom from eating disorder behaviors. Some areas where she offers support are: Body Image, Weight Challenges, Emotional Eating, Anorexia Nervosa, Bulimia Nervosa, Binge Eating, Food Addiction, Orthorexia, Exercise Addiction, Trauma/Grief, and Other Addiction Issues. In addition, Nikki also has extensive experience working with fashion models and eating disorders, and those who have performance-based careers. Live ED Free believes that all people can overcome their eating disorder, food, and weight challenges and go on to live a happy and fulfilled life! Contact EDIT™ Certified Recovery Coach Nikki DuBose today for a complimentary 30-minute consultation at nikki@liveedfree.com or 310-747-5855.
Coconut Creek, FL: Residential College Programming Now Available At The Renfrew Center Of Florida. College life often brings with it complex and difficult paths for students to navigate, particularly for those with an eating disorder. For college-age students who choose to participate, The Renfrew Center of Coconut Creek, Florida has integrated specialized RESIDENTIAL programming to address the many challenges students face while attempting to balance recovery with the demands of school. Programming includes: Designated Study Time - Students have blocks of time set aside each weekday to focus on academics, study and complete course assignments. Additionally, they have a designated space and computer access to complete their work. Individual Workstations and Group Collaboration Area - A collegiate-only space, separate from other residential common areas, includes computer workstations, quiet study space and collaborative working areas. Young Adult and College Life Groups - Therapy groups that focus on developmental and psychosocial issues salient to college-age students. Access to Educational Resources - The Collegiate Program Manager serves as a liaison between the treatment team and each student’s school to develop an individualized academic plan and ensure that necessary accommodations are agreed upon before entering treatment. For more information, please call 1-800-RENFREW or visit www.renfrewcenter.com to learn more.
Job Opportunities:
Add Your Job Openings Here. Get your message out there to over 143,000 readers in the eating disorder community. The Eating Disorder Journal is a great way to get your job listing out to this population. We allow advertising for our members and one-time insertions for non-members. Use the following link to learn more about our extremely effective and low-cost means of reaching those in the eating disorder community: https://www.edreferral.com/Journal-Requirements. View all the listed job opportunities on the EDReferral Jobs page at https://www.edreferral.com/classifieds.
Books and Book Reviews:
Loving Someone with an Eating Disorder by Dana Harron, PsyD. “Watching loved ones suffer, seemingly at their own hands, is one of the most painful experiences imaginable. All of the tenderness and joy of love get mixed together with rage, betrayal, and terror when an eating disorder enters the picture. It seems like you can’t have all of these different feelings at once, but the most painful part is that you do.” So begins this compassionate and comprehensive book on what to do if your partner has an eating disorder. Dr. Harron reassures readers that complicated and contradictory feelings are normal and understandable as you try to navigate the minefields of loving someone with an eating disorder. The very emotions that fuel a person with an eating struggle – secrecy, lies, denial, isolation, shame, guilt, withdrawal, self-preoccupation – are the opposite characteristics of what is needed for a healthy relationship with open communication. The author offers extensive tools and techniques to help readers detach from trying to control and manage their partner’s problem, and she encourages you to maintain consistent care for yourself. “You will not be able to support your partner if you are not supported yourself. You cannot heal your partner but only offer support: put on your own oxygen mask before you try to help anyone else.” Trying to reason, plead, threaten, manipulate, enable, or guilt trip your partner does not work. Instead, Dr. Harron recommends speaking with your partner about the effect their eating disorder has on you by using “I-statements,” create healthy boundaries between yourself and your loved one, ask questions to deepen your understanding of what they are going through, and really listen. And, most of all, get help for yourself to navigate this bumpy road. The author provides excellent case examples of frequently occurring situations that clearly illustrate the strategies needed to diffuse tense situations. She also addresses the role of sexuality, pregnancy, and child rearing when your mate is struggling with food and body image. And she asks readers to reflect on, “What role do I play in my partner’s eating disorder? This is a valuable and highly recommended book.
Dana Harron, PsyD, is a psychologist in Washington, DC. She is founder and director of Monarch Wellness and Psychotherapy, a practice that specializes in mind-body problems such as eating disorders, anxiety, trauma, fertility issues, and depression. Visit her at https://monarchwellness.com.
Book review submitted by Mary Anne Cohen. Mary Anne's books French Toast for Breakfast: Declaring Peace with Emotional Eating and Lasagna for Lunch: Declaring Peace with Emotional Eating are available in paperback and Kindle. Continuing education credits for mental health professionals are available at https://www.ce-credit.com/courses/102201/french-toast-for-breakfast-declaring-peace-with-emotional-eating. Her latest book, Treating the Eating Disorder Self, is published by NASW Press. To read the Introductions to her three books: www.EmotionalEating.Org
Have Your Book Reviewed - We are actively looking for good eating disorder books to review. Mary Anne Cohen is the EDReferral.com professional book reviewer. One book will be reviewed each month. There is a small fee and the journal insertion is included at no additional cost. If you want your eating disorder related book reviewed in this journal and for more details, contact Mary Anne Cohen at: macohen490@aol.com.
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Weighing In on Eating Disorder Issues:
Into the Great Wide Open: Family Risk and the Prevention of Eating Disorders By Michael P. Levine, Ph.D., FAED. Consider six propositions strongly supported by research (citations/references available upon request): 1. Eating disorders (EDs) are serious, sometimes chronic mental illnesses. 2. There will never be enough qualified therapists and other professionals to treat the number of patients with EDs, especially since mood disorders and substance use disorders are more prevalent. 3. EDs are frequently difficult to treat effectively, and a substantial percentage of patients recover only after a long time or do not recover completely. 4. If you have had an ED, your biological siblings are roughly nine times more likely than the general population to develop an ED. If you are a parent, so are your biological offspring. 5. Since the early 2000s we have learned about the important contributions the family can and should make to the treatment, support, and recovery of people with EDs. 6. To date, the most effective forms of ED prevention focus on those at moderate-to-high risk. Given these six “truths,” two additional facts are astounding. First, since at least 2004, there have been periodic calls by distinguished genetics researchers such as Dr. Cynthia Bulik (USA/Sweden) for targeted prevention with the at-risk daughters of mothers with EDs. Second, my recent search of several databases for the period January 2000 through August 2021 yielded no studies meeting the following criteria: (a) identified high-risk families with a child age 10 or older; (b) devised a prevention program for the family; and (c) evaluated program effects on risk/protective factors and on ED onset. In a 21-year period, there are zero studies of prevention for high-risk families with a child at high-risk developmental stages, as compared to approximately one such study per year for athletes 18 years and older. In part 2 I will consider what to do to rectify this mysterious hole in the prevention field.
Michael P. Levine, Ph.D., is a retired Professor of Psychology at Kenyon College and a Fellow of the Academy for Eating Disorders. He has co-edited three books on prevention, and he has authored three curriculum guides and three books on prevention, the most recent (2021) of which is described at https://tinyurl.com/ue68mbhd. Anyone interested in receiving his free Eating Disorders Prevention/Sociocultural Factors email newsletter is encouraged to contact him at levine@kenyon.edu.
EDReferral.com's monthly column is entitled “Weighing In On Eating Disorder Issues.” If you would like to share an innovative concept/treatment strategy/case example that you are working on, please forward it to us for possible inclusion. Our Eating Disorder Treatment Community is a vibrant source of knowledge and expertise that we can all learn from. This is a forum of ideas not a professional profile about your practice, and we offer it free of charge. Your submission should be a maximum of 300 words including a one sentence bio sketch. Please send to Mary Anne Cohen, Editor, at macohen490@aol.com.
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