Posts Tagged ‘Counseling’

“Good Fit” and Change of Providers

Providers photo

By Christy Zender, MSW, LICSW

One of the most important elements of your treatment will be having a “good fit” with your provider(s). While “good fit” can mean a lot of things, we feel the most important element of fit is having a good level of comfort with your provider. We frequently talk about uncomfortable and difficult things in treatment so it is important you feel heard and responded to by your provider. All people have different communication styles so it is important that you talk openly about what is and what is not working for you.

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Day Treatment vs. IOP – What’s the difference?

Like many other eating disorder facilities, The Emily Program offers multiple levels of care for adolescents and adults. What makes The Emily Program different is that our services are based in outpatient treatment. As The Emily Program founder Dirk Miller says, “We didn’t start as an inpatient program and develop outpatient services to support that model. The reason is pretty simple: most change occurs as an outpatient. We live our lives as ‘outpatients.’ Ultimately we must apply what’s learned to a life of recovery that we live outside the treatment program.”

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Talking About Recovery

Sand

Lately, I’ve wondered what we mean when we talk about recovery. Some people use the term “recovered,” others say “recovery,” and yet others don’t use either. When someone enters into treatment, either that person or their loved ones want to know our success rate. Of course, this presents the question, “Success as measured by what?” As a field, we are at a loss on this question.

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What does it mean if a program says they “do Dialectical Behavioral Therapy”?

Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.

By Drs Lucene Wisniewski and Mark Warren

Over the last 15 years Dialectical Behavioral Therapy (DBT) has gone from being virtually unknown to being a term utilized by many treatment programs. DBT is an evidence based therapy, initially designed for Borderline Personality Disorder, and more lately for other diagnoses including eating disorders (Wisniewski, L., Safer, D., & Chen, E.Y., 2007). With its increase in popularity among treatment providers it is important to be clear about what it means to “do DBT” so an individual knows if they’re receiving evidence based care.

Comprehensive DBT treatment, initially described by Marsha Linehan, has four components: Individual therapy, skills group, 7 day week phone consultation availability, and consultation team for therapists known as “therapy for therapists”. Unless all four of these components are present, a program is not providing comprehensive DBT treatment. Additionally, in order for a therapist to be capable of providing DBT, a significant training process is generally required. This training process necessitates a therapist taking a non-judgmental stance, the ability to encourage motivation and commitment with their client, extensive knowledge and understanding of the DBT skills and therapeutic techniques, and the balance of accepting where a client is while moving them towards change.

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Gardening & Nature as Therapy

Woods trail

By Dana Rademacher, intern at The Emily Program

“Gardening is the most therapeutic and defiant act you can do…plus you get strawberries.” -Ron Finley, Ted Talk: A guerilla gardener in South Central LA

Let’s be honest here for a second, I do not have the best track record when it comes to gardening and caring for plant life. I always get excited by the idea of gardening, but when push comes to shove, I’m just no good at keeping anything alive. I have the opposite of a green thumb if there is such a thing. Being busy between work and school, it is hard to find time to learn which plants are best for the climate, which fertilizer to use or to even pay attention to the rain-to-sun ratio every day.

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Eating with Our Clients: The Therapeutic Meal

Different foods on a table

By Lisa Diers, Director of Nutrition, The Emily Program

At The Emily Program, our registered dietitian nutritionists work with clients to help them heal their relationships with food and physical selves. Incorporating the proper mix of nourishment into their daily lives helps their bodies and minds begin to recover and function the way they are naturally meant to.

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