Posts Tagged ‘Professional Development’

Eating Disorder Signs to Watch for in Your Patients Over the Holidays

Doctor and patient talking

For those living with an eating disorder, the holidays may be the toughest time of the year. Holidays are often synonymous with large amounts of food, increased stress, and extended periods of time with family—which are all factors that can exacerbate eating disorder symptoms. Because eating disorder thoughts and behaviors can increase during the holidays, it’s important to be especially vigilant of your patients this time of year.

There are many common signs and symptoms healthcare providers should look for that denote the presence of an eating disorder. During the holidays, certain symptoms may become more noticeable, specifically the following:

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When to Refer a Patient to Specialty Care

Mark with client

One of the questions that providers often have is, “When should I refer a patient to eating disorder specialty care?” A provider may ask this if they are seeing a patient that has eating disorder symptoms such as changes in weight, a preoccupation with food and numbers, and other common symptoms. A provider may also see things in physical exams or lab results that cause concern. The bottom line is that if you are concerned that there is an eating disorder present in a patient, there almost positively is. Eating disorders live in secret and in hiding. If the eating disorder symptoms are noticeable to a provider, then the patient’s eating disorder has most likely been there for a while and may pose an immediate risk. 

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What is the best treatment at any given time when recovering from an eating disorder?

By: Mark Warren, MD, chief medical officer at The Emily Program

What is the best treatment at any given time when recovering from an eating disorder? This is one of the great questions providers, clients, and families alike struggle to answer.

We know there are significant scientifically based therapies that deliver positive outcomes, including weight restoration and behavior cessation. In fact, The Emily Program incorporates these therapies in our programs — Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Family-Based Therapy — and has experienced much success through them.

Having said that, however, we also know that many clients who are able to cease behaviors and achieve weight restoration may continue to experience physiological distress, urges, body dissatisfaction, and anxiety, among other eating disorder symptoms.

Further complicating the issue, eating disorders often occur in secret and many clients may not reveal the intensity of their behaviors, thoughts and feelings during treatment.

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Stay Up To Date With The Emily Program

At The Emily Program we’re committed to:

  • providing the best eating disorder treatment to our clients and families,
  • improving and growing the programs and services we offer,
  • staying current within the eating disorders, mental health, and healthcare fields,
  • learning more about and adjusting our research-based practices to fit client needs as well as sharing our lessons and knowledge with other professionals.

We have an incredible amount of useful and exciting information to share about all of these things.

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Eating Disorder Education in the Community

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

By Dr. Mark Warren

I co-taught a day-long conference at the Gestalt Institute a few weeks ago on eating disorders, the science behind them, when to refer, and when to treat. It’s a topic that forms the core of the work we do and is very dear to my heart. The participants at the conference were a terrific group.

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The Need for Evidence-Based Care

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

By Dr. Mark Warren

A recent article by Dr. Russell Marx, The National Eating Disorder Association’s chief science officer, discussed evidence-based treatment. The article noted Harriet Brown’s New York Times piece, which we have discussed in previous blogs, concerning why surprisingly few patients get evidence-based care. Dr. Marx discusses the NICE guidelines, which is the National Institute for Health and Care Excellence in the United Kingdom. What’s particularly exciting about this article was that it noted the growing evidence for the efficacy of FBT and general family-based interventions for clients with anorexia. The NICE guidelines are of significance specifically in the United Kingdom but are utilized worldwide in understanding evidence basis for eating disorder treatment. In the NICE guidelines Dialectical Behavioral Therapy is noted as a treatment well conducted with clinical studies for binge eating disorder, but is not included as a proven treatment for anorexia or bulimia. These guidelines were last completed in 2011 and will be reviewed again in 2014. It is our hope that recent studies on DBT will show the effectiveness of this treatment for other eating disorder diagnoses.

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