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The
Eating Disorder Journal
(August
2022, Vol. 23, No.8)
EDReferral.com
This
journal is emailed to over 138,291 readers.
PROUDLY
SERVING THE EATING DISORDER COMMUNITY SINCE 1999
Contents:
Current Research and News
For
Professionals - Calendar of Events
Treatment
Centers Spotlight
Continuing
Education and Other Resources
Job
Opportunities
Books
and Book Reviews
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.
Core eating disorder
fears: Prevalence and differences in eating disorder fears across eating
disorder diagnoses.
Objective: Fear and anxiety are key maintaining factors for eating disorder
(ED) pathology. Maladaptive fears lead to ED behaviors and avoidance, which
provide temporary relief, but ultimately reinforce the fear and contribute
to a cycle that maintains the ED. To date, fears of food and weight gain
are the most explored fears underlying ED pathology. However, recently
other important ED fears have been identified, including fears of social
consequences and personal consequences. Method: The current study (N = 229
individuals with an ED) aimed to better characterize ED fears. Specifically,
this study examined which ED fears were most endorsed across and within ED
diagnoses, and if there were differences in ED fears by diagnosis and by
weight status. Results: Overall, fear of gaining weight was the most
frequently endorsed fear, followed by fear of food, and fear of judgment.
Individuals with anorexia nervosa (AN) most frequently endorsed fear of
food, individuals with atypical AN and bulimia nervosa: fear of gaining
weight, and those with other specified feeding and eating disorder: fear of
judgment. Limited differences were found between diagnoses. When examining
by weight category, participants with underweight most frequently endorsed
fear of food, participants with normal weight: fear of gaining weight, and
participants with overweight and obesity: fear of judgment. Discussion:
These findings suggest ED fears are heterogenous. Given such high
heterogeneity, this work highlights the importance of assessing for
specific ED fears at the beginning of treatment, which could be used to
deliver personalized exposure treatment. Public significance statement:
Eating disorders (EDs) are serious mental illnesses with high rates of
medical and psychiatric comorbidities. Fear plays an important role in the
development and maintenance of EDs. The present study found fear of food,
weight gain, and judgment are the most frequently endorsed fears for
individuals with EDs and found few differences in fears based on ED
diagnosis. These findings highlight the importance of assessing
individuals' specific ED fears for treatment. Keywords: anxiety; eating
disorder; fear. Int J Eat Disord. 2022 Jul;55(7):956-965. doi:
10.1002/eat.23728. Epub 2022 May 14. PMID: 35567750 DOI: 10.1002/eat.23728
Liver Damage Is Related
to the Degree of Being Underweight in Anorexia Nervosa and Improves Rapidly
with Weight Gain.
Background: The present study investigates the relationship between
hypertransaminasemia and malnutrition on the basis of a very large number
of patients. We assume that the level of transaminases not only reflects
the extent of underlying liver cell damage but also provides information
about the metabolic situation under conditions of energy deficiency.
Methods: We present an observational study in two different samples. The
first sample consists of 3755 patients (mean age 22.7 years, Range 12-73
years; mean BMI 15.4 kg/m2, range 8.1-25.7) out of a total of 4212 patients
with anorexia nervosa treated in the Roseneck Clinic within five years for
whom a complete admission laboratory was available. The second sample was
obtained from a special ward for medically at-risk patients with eating
disorders. During the period in question, four hundred and ten patients
with anorexia nervosa were treated. One hundred and forty-two female
patients (mean age 26.4 years, Range 18-63 years; mean BMI 11.5 kg/m2,
range 8.4-13) had a BMI of thirteen or less and a complete data set was
obtained at admission and weekly in the following four weeks after
admission. Results: The increase in liver transaminases shows a very high
correlation with weight in sample one (N = 3755). The analysis of variance
shows highly significant (<0.001) correlations with an F-value of 55
for GOT/AST and 63 for GPT/ALT. Nevertheless, the variance within the
groups with the same BMI is quite high. With re-nutrition in sample two,
GOT/AST decreased on average from 71 U/L to 26 U/L (MANOVA F 10.7, p
< 0.001) and GPT/ALT from 88 to 41 U/L (F = 9.9, p < 0.001)
within four weeks. Discussion: Below a BMI of about 13, the nutritional
status of the patients becomes so critical that the energy supply of the
patient is increasingly dependent on the autophagy of the liver, which can
be seen in the very strong increase in transaminases here. Refeeding leads
very quickly to the normalisation of the transaminases and, thus, a
stabilisation of the metabolism leading also to a decrease in autophagy.
Keywords: anorexia nervosa; autophagy; liver damage; transaminases; weight
gain. Nutrients. 2022 Jun 8;14(12):2378. doi: 10.3390/nu14122378. PMID:
35745110 DOI: 10.3390/nu14122378
International comparison
of physicians' attitudes toward refusal of treatment by patients with
anorexia nervosa: a case-based vignette study. Background: This study investigated
the attitudes of physicians in Japan, the United Kingdom (UK), and the
United States (US) toward refusal of treatment for anorexia nervosa.
Methods: A questionnaire survey was administered to physicians treating
patients with eating disorder (Japan, n = 55; UK, n = 84; US, n = 82) to
evaluate their treatment strategies for fictitious cases of refusal of
treatment for anorexia nervosa. Results: For acute patients, 53 (96.3%)
physicians in Japan, 65 (77.4%) in the UK, and 54 (65.9%) in the US chose
compulsory treatment if the patient's family requested treatment, while 46
(83.6%) physicians in Japan, 53 (63.1%) in the UK, and 47 (57.3%) in the US
chose compulsory treatment if the family left the decision to the patient.
For severe and enduring anorexia nervosa, 53 (96.3%) physicians in Japan,
62 (73.8%) in the UK, and 57 (69.5%) in the US chose compulsory treatment
if the patient's family requested treatment, while 38 (69.1%) physicians in
Japan, 56 (66.7%) in the UK, and 55 (67.1%) in the US chose compulsory
treatment if the family left the decision to the patient. Conclusions:
Physicians in all three countries tended to choose compulsory treatment
irrespective of disease duration or whether the patient's family requested
treatment or not. This may indicate that medical practitioners value the
ethical obligation of beneficence, giving priority to the protection of
life. Attitudes toward refusal of treatment during a life crisis tend to
vary among medical professionals, particularly if the patient's family does
not request treatment. Keywords: Anorexia nervosa; Clinical ethics;
Compulsory treatment; Decision-making; Mental capacity; Treatment refusal.
Plain Language Summary: This study aimed to investigate the attitudes of
physicians in Japan, the UK, and the US toward refusal of treatment for
anorexia nervosa. Physicians in all three countries received an anonymous
questionnaire comprising four fictitious cases for which they had to
respond whether they would choose compulsory inpatient treatment or not.
The study revealed that in all three countries, compulsory treatment tended
to be the prevalent choice in cases of life-threatening malnutrition,
regardless of the patient's age or duration of illness. Moreover, in all
the three countries, treatment tended to be forced if a family member
requested treatment, and this trend was particularly strong in Japan. The
influence of family request was stronger for acute AN in the U.K. and the
U.S., and for SE-AN in Japan. J Eat Disord. 2022 Jun 23;10(1):86. doi:
10.1186/s40337-022-00613-x. PMID: 35739606 DOI: 10.1186/s40337-022-00613-x
The impact of open
versus closed weighing on rate of weight gain and length of stay among
inpatients with anorexia nervosa.
Anorexia nervosa (AN) is a serious illness associated with significant
morbidity and mortality. Few data exist to guide practice regarding sharing
daily weight information (open weighing) or withholding it (closed
weighing) from patients. We investigated the effect of open versus closed
weighing on weight-related outcomes among inpatients with AN. Data were
collected during a 4-month period when 43 patients were not told their
daily weight, and a consecutive 4-month period when 41 patients were told
their weights during rounds. There was no significant difference in mean
overall weight change (3.6 ± 2.7 kg vs. 3.5 ± 2.5 kg), hospital duration
(14.3 ± 10.0 vs. 14.2 ± 7.6 days), or rate of weight gain (0.26 ± 0.11 vs.
0.25 ± 0.13 kg) between groups. It is possible that one weighing procedure
may not be preferable with respect to certain clinical outcomes for
inpatients with AN, suggesting there may be multiple ways to navigate the
discussion of weight progress in weight restoration programs. Eat Disord.
2022 Jun 7;1-10. doi: 10.1080/10640266.2022.2086721. Online ahead of print.
PMID: 35671248 DOI: 10.1080/10640266.2022.2086721
Prevalence of diagnosed
eating disorders in US transgender adults and youth in insurance claims. Objective: We estimated the
prevalence of diagnosed eating disorders, overall and by select
demographics, among commercially insured individuals identified as
transgender in a national claims database. Methods: From the 2018 IBM®
MarketScan® Commercial Database, there were 10,415 people identifiable as
transgender based on International Classification of Disease (ICD-10) codes
and procedure codes, specific to gender-affirming care, from inpatient and
outpatient claims. Eating disorders were identified from ICD-10 codes and
included anorexia nervosa, bulimia nervosa, binge eating disorder, eating
disorder not otherwise specified, avoidant restrictive feeding and intake
disorder, and other specified feeding and eating disorders. We estimated
the prevalence of specific eating disorders diagnoses by selecting patient
characteristics. Results: Of individuals receiving some form of
gender-affirming care, 2.43% (95% confidence interval: 2.14%-2.74%) were
diagnosed with an eating disorder: 0.84% anorexia nervosa, 0.36% bulimia
nervosa, 0.36% binge eating disorder, 0.15% avoidant restrictive feeding
and intake disorder, 0.41% other specified feeding and eating disorders,
and 1.37% with an unspecified eating disorder. Among
transgender-identifiable patients aged 12-15 years, 5.60% had an eating
disorder diagnosis, whereas 0.52% had an eating disorder diagnosis in
patients aged 45-64 years. Discussion: In patients identifiable as
transgender, with receipt of gender-affirming care, the prevalence of
diagnosed eating disorders was low compared to extant self-reported data
for eating disorder diagnosis in transgender individuals. Among this
population, eating disorders were highest in adolescents and young adults.
Clinically verified prevalence estimates for eating disorder diagnosis in
transgender people with a history of gender-affirming care warrant further
investigation. Public significance: The present study aims to provide
clinically validated, contemporary prevalence estimates for diagnosed
eating disorders among a medically affirmed population of transgender
adults and children in the United States. We report low prevalence of
having any eating disorder relative to prevalence estimates reported in
prior literature without clinical validation. These findings may be
explained by access to affirming care and medical care generally. Int J Eat
Disord. 2022 Jun;55(6):801-809. doi: 10.1002/eat.23729. Epub 2022 May 7.
PMID: 35524487 PMCID: PMC9167760 DOI: 10.1002/eat.23729
Integrated enhanced
cognitive behavioural (I-CBTE) therapy significantly improves effectiveness
of inpatient treatment of anorexia nervosa in real life settings. Background: Inpatient treatment of
anorexia nervosa can be lifesaving but is associated with high rates of
relapse and poor outcomes. To address this, the Oxford service has adapted
the enhanced cognitive behavioural treatment (CBTE) model, first developed
for inpatients in Italy to a UK national health service (NHS) setting. In
this study, we compared the outcomes from treatment as usual (TAU),
integrated CBTE (I-CBTE), and alternative treatment models in routine UK
clinical practice. Methods: This is a longitudinal cohort study, using
routinely collected data between 2017 and 2020 involving all adults with
anorexia nervosa admitted to specialist units from a large geographical
area in England covering a total population of 3.5 million. We compared TAU
with (1) I-CBTE (13 weeks inpatient CBTE, restoration to a healthy weight,
combined with 7 weeks day treatment followed by 20 weeks of outpatient
CBTE; (2) standalone inpatient CBTE (due to insufficient resources since
the pandemic; and (3) 6-8 weeks admission with partial weight restoration
as crisis management. Primary outcome measures (min. 1 year after discharge
from hospital) were defined as: (1) good outcome: Body Mass Index (BMI)
> 19.5 and no abnormal eating or compensatory behaviours; (2) poor
outcome: BMI < 19.5 and/or ongoing eating disorder behaviours; (3)
readmission; or (4) deceased. Secondary outcomes were BMI on discharge, and
length of stay. Results: 212 patients were admitted to 15 specialist units
in the UK depending on bed availability. The mean age was 28.9 (18-60)
years, mean admission BMI was 14.1 (10-18.3), 80% were voluntary. At
minimum 1-year follow up after discharge, 70% of patients receiving I-CBTE
and 29% standalone inpatient CBTE maintained good outcomes, in contrast
with < 5% TAU and crisis management admission. Readmission rates of
I-CBTE were 14.3% vs ~ 50% (χ2 < 0.0001) in the other groups. The main
predictors of good outcome were reaching healthy BMI by discharge, I-CBTE
and voluntary status. Age, psychiatric comorbidity and length of stay did
not predict outcomes. BMI on discharge and length of stay were
significantly better in the CBTE groups than in TAU. Conclusions: Our main
finding is that in a real-life setting, I-CBTE has superior short- and
minimum 1 year outcomes as compared with alternative inpatient treatment models.
Dissemination of I-CBTE across the care pathway has the potential to
transform outcomes of inpatient treatment for this high-risk patient
population and reduce personal and societal costs. Keywords: Anorexia
nervosa; Cognitive behavioural therapy; Inpatient; Longitudinal cohort
study; Treatment. J Eat Disord. 2022 Jul 8;10(1):98. doi:
10.1186/s40337-022-00620-y. PMID: 35804403 PMCID: PMC9264571 DOI:
10.1186/s40337-022-00620-y
What You Need to Know
About 988, the New Mental Health Hotline. It launched in July, for starters.
In mid-July, an emergency hotline that’s the mental health equivalent of
911 went live in the U.S. The number is 988 and it will connect callers to
the National Suicide Prevention Lifeline, which currently operates under
the number 800-273-8255. The new number, which went live on July 16, is
part of a $282 million government effort for suicide prevention and crisis
care services. The 988 number was designated by Congress in 2020 to be
operated through the National Suicide Prevention Lifeline, which has been
in existence since 2005. Continue reading here: https://www.prevention.com/health/a40299943/988-mental-health-hotline/
Calendar
of Events for Professionals:
November 2022
Register Now for The
32nd Annual Renfrew Center Foundation Conference for Professionals –
Feminist Perspectives And Beyond: Treating
Eating Disorders with Compassion & Inclusion. Held Virtually from
November 11, 2022 – December 30, 2022. Featured Keynote: Bruce D. Perry,
MD, PhD. Keynote speakers include Whitney Trotter, MS, RDN/LDN, RN, RYT;
Evelyn Tribole, MS, RDN, CEDRD-S and Virgie Tovar, MA. For 32 years, The
Renfrew Center Foundation’s Annual Conference has been a unique event
providing professionals at all levels of eating disorder expertise the
opportunity to connect, learn and grapple with issues relevant to our
clients, our communities and ourselves. This year’s virtual conference will
explore the clinical and relational challenges of navigating the impact of
change and trauma in recent years. Covering an array of topics – trauma,
neuroscience, intersectionality, social justice, diet culture, and weight
stigma – we will honor the best of the past and the advancements of the
future while remaining grounded in the present. Offers up to 36 CEs/CMEs.
For more information visit www.renfrewconference.com
or contact conference@renfrewcenter.com.
Treatment
Centers News - Multiple Locations, Alabama,
California, Florida, Indiana, Ohio, Oklahoma
Multiple Locations:
Treatment Center News –
The Renfrew Center, the Nation’s First Residential Eating Disorder
Treatment Facility, is pleased to announce that we are currently accepting
patients into our in-person Day Treatment Program at The Renfrew Centers of Atlanta, GA, Baltimore, MD,
Bethesda, MD, Boston, MA, Charlotte, NC, Mount Laurel, NJ, Nashville, TN,
New York City, NY, Orlando, FL, Paramus, NJ, Philadelphia-Center City, PA,
Pittsburgh, PA and Radnor, PA. 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 Centers of Coconut Creek, Florida and
Philadelphia – Spring Lane. Renfrew has necessary procedures in place to
ensure the continued safety and well-being of patients during the pandemic
and more than 97% of our staff are vaccinated against COVID-19. 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 across the country. 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 eating disorder care for children, adolescents and adults,
including Inpatient, 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 Admissions Team
is available seven days a week to provide an assessment and ensure that
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.
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.
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:
Coral Gables, FL: Galen
Hope provides individualized, flexible, and evidence-based eating disorder,
mental health, and dual diagnosis treatment for adults and adolescents. Led by renowned psychiatrist Dr.
Wendy Oliver-Pyatt and clinical psychologist Dr. Amy Boyers, Galen Hope
offers partial hospitalization and intensive outpatient programs with
community integration, gender-specific programs for male- and
female-identifying clients, and support for families at our treatment
center in Coral Gables, FL. Galen Hope’s mission is to profoundly impact
the lives of our clients, by providing attuned, meaningful, and compassionate
care, in an environment that affirms each individual’s experiences while
building a sense of connection and belonging. Our approach is grounded in
high-frequency individual therapy and a focus on supporting clients as they
reintegrate into the community-based aspects of their lives. For
information, call (888) 592-1817 or visit www.galenhope.com.
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/.
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.
Register Now for The
Renfrew Center Foundation’s Free Professional Webinar Rebroadcasts. The Renfrew Center Foundation is
dedicated to eliminating eating disorders by advancing education,
prevention, advocacy, research and treatment. Exploring the Increasing
Intersection of Eating Disorders and Substance Use on Wednesday, August
10th from 12:00pm - 1:00 pm (ET). Walking the Talk: Relational-Cultural
Theory in Action on Wednesday, August 24th from 12:00pm - 1:00 pm (ET).
Medical Evaluation of Suspected Eating Disorders on Wednesday, August 31st
from 12:00pm - 1:00 pm (ET). For more information or to register for these
webinar rebroadcasts, please call 1-800-RENFREW (736-3739) or visit www.renfrewcenter.com.
Job
Opportunities:
The Renfrew Center of
Coconut Creek, FL has an immediate opening for a full-time Primary
Therapist. Build
your career with the leading provider in the field of eating. Position
Responsibilities: Providing individual, family and group therapy and
coordinating all participants in milieu activities. Participating in
multidisciplinary treatment team meetings to exchange information on
patients and engage in treatment planning. Case management of patients,
including ongoing assessment of goals, overall direction of treatment, and
handling of any clinical crises; and completing all necessary
documentation. Excellent verbal and written communications skills required.
Spanish Speaking is a plus. Education, Competencies, and Credentials:
Master’s degree or higher in Mental Health field and a minimum of two years
experience in direct services post degree. Licensure is preferred.
Experience with eating disorders and trauma are highly recommended. Hours:
M-F – 40 hours a week. Health and Welfare Snapshot: Medical/RX; Vision;
Dental; Generous Paid Time Off (PTO) and Sick Time; 401K Plan with Employer
Match; Voluntary Short-Term Disability; Employer Paid Long-Term Disability;
Group Life and AD&D. The Renfrew Center – An Equal Employment Opportunity
Employer, devoted to diversity, equity and inclusion. Click the below link
below to apply: https://recruiting.ultipro.com/REN1008/JobBoard/24c95e70-f960-3ffc-3d9d-784fea8f5d25/Opportunity/OpportunityDetail?opportunityId=78e8b93d-ea2d-4498-93a5-da72c8959ea6
Do you have an open
eating disorder related job? Add
your job opening on the EDReferral Jobs page. We allow job postings for our
members and one-time posting for non-members. To view all the current
eating disorder related job postings or view how to add a job posting to
the EDReferral Jobs page visit the following link: https://www.edreferral.com/classifieds.
Books
and Book Reviews:
The Things I’ve Seen
People Do With and Without Food. Debra Spector, MS, RDN, CDN. In a warm, friendly style, Debra
Spector shares her past history of chronic dieting, compulsive overeating,
her codependence on the approval of others, and how her mood could be
controlled by just a handful of jelly beans. In her present life as a
registered dietician, she educates parents, children, and clients on how
diets don’t work, how to develop mindful eating and appetite regulation,
and learning to accept the reality of one’s body’s imperfections. Spector
teaches how eating should include balance, moderation, variety, and
flexibility. She names self-critical thoughts in her head as “the uninvited
guests,” and helps her clients work to dispel those uninvited guests that
cause so much damage to their self-esteem and body image. Spector
underscores the crucial need for a team approach: psychotherapy to address
the emotional struggles that fuel an eating disorder, medical assessment,
the possible role of medication, and the guiding support of a nutritionist.
The author clearly believes in everyone’s capacity to heal, and she works
hard to encourage her readers. At the end of each chapter, she declares her
signature inspiration, “Your struggle is real!” On a humorous note, she
adds that most people could say, “I’ve been on a diet for two weeks, and
all I’ve lost is 14 days!” Included are testimonials from clients and
colleagues who discuss their recovery journeys with histories of anorexia,
bulimia, hospitalizations, family alcoholism, orthorexia, gymnasts, and
mothers with eating disorders trying to help their daughters find a
healthier path. With a heavy emphasis on the role played by Ms. Spector,
these endorsements sometimes have the feel of an infomercial.
Debra Spector is a
registered and certified dietitian-nutritionist who specializes in eating
disorders. Visit her at www.debraspector.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.
Find the previously
reviewed eating disorder related books at the EDReferral.com Books page
here: www.EDReferral.com/books
Weighing
In on Eating Disorder Issues:
Navigating Diet Culture
in the Workplace By Julianne Reese, LMSW. Workplaces can be a frequently difficult area to
navigate, especially for an individual who has a history of or is currently
struggling with disordered eating and body related issues. All too often,
coworkers, interns, supervisors seem to be talking about the new fad diet
they are on, why it is better to count macros versus calories, and how much
(or how little) they have eaten today. By the way, coffee is not a meal
replacement. This talk especially seems to increase around holiday time or
when a person has a beach vacation planned. It is as if our society is not
consumed with these discussions enough, and this topic has to be dragged
throughout the workplace too. So an important idea to consider is, how can
those struggling navigate these conversations? One idea is to not engage.
And by choosing to not engage, other people may get the hint that you are
not interested in participating in these conversations. Another idea is to
remove yourself from the situation entirely. While yes, meal time can get a
little lonely if we are not surrounded by other people that provide
distraction, it is the negative distraction and diet-talk that can be more
triggering and detrimental to one's recovery and healing process. Lastly,
another idea is to provide ourselves with positive distraction at work,
particularly when these conversations do arise. This may include keeping a
stress ball in a desk drawer, having a small notebook nearby, stepping
outside for a breath of fresh air, or practicing some quick meditation during
break. One thing that I always try to remind myself is that "recovery
is not a linear process, and healing takes time." So it is truly up to
you to decide what will help you get through these tough conversations.
Julianne Reese LMSW works
in Ohio as a Licensed Social Worker for Fresenius Medical Care with a focus
on patients that have kidney disease. She has aspirations of incorporating
pet therapy into her practice some day. Julianne is actively working on her
recovery from an eating disorder.
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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