2016 Gürze/Salucore Eating Disorders
Transcription
2016 Gürze/Salucore Eating Disorders
2016 Gürze/Salucore Eating Disorders R E S O U R C E C A T A L O G U E The most widely-used resource in the eating disorders field since 1980. Healthy Behaviors in Recovery The Complexity of Body Image How to Support a Family Member AND MORE… Self-Help Books Professional Resources Conferences Treatment Facilities National Organizations EDcatalogue.com Welcome to the 2016 Gürze/Salucore Eating Disorders Resource Catalogue! W hether you are starting to learn about Eating Disorders, a professional in the field, or somewhere in between, we are delighted to have you with us. Our goal with the 2016 Catalogue is to continue providing quality articles, book excerpts, book selections, and treatment facility options to aid each of you. We are pleased this issue offers more articles written directly for the Catalogue than ever before. Your feedback has helped us know we are “giving you what you need.” We are humbled and grateful. Despite the isolation an Eating Disorder often brings to an individual and to the loved ones involved, support is available. Please look for experienced treatment providers, appropriate support groups, and educational materials. All will help you maintain hope and facilitate recovery. Thank you to all of you who do your part to eradicate Eating Disorders. Whether your efforts are toward understanding these complex illnesses, supporting recovery, continuing research, advocating for treatment and policy change, or preventing the development of Eating Disorders, we hold you in highest regard. Please review the quality treatment options and their websites listed in our Treatment Facilities Index starting on page 48. No question is too trivial for them to answer regarding your recovery. With warm regards, Kathy Cortese, LCSW, ACSW, CEDS Editor-in-Chief TA B L E O F C O N T E N T S 9 Truths about Eating Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Do You Have an Eating Disorder? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Get Into Your Child’s Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 by James Lock, MD, PhD & Daniel Le Grange, PhD Demystifying the Neurobiology of Anorexia Nervosa . . . . . . . . . . . . . . . . . 6 by Jeffrey DeSarbo, DO Diagnosing Anorexia Nervosa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 by the American Psychiatric Association Diagnosing Bulimia Nervosa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 by the American Psychiatric Association Psychopharmacology in the Treatment of Bulimia Nervosa . . . . . . . . . . . . 8 by Anne Marie O’Melia, MS, MD, FAAP How to Support a Family Member Who Has Binge Eating Disorder . . . . . . . 10 by Chevese Turner Diagnosing Binge Eating Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 by the American Psychiatric Association Why Me? What Causes BED? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 by Cynthia M. Bulik, PhD, FAED ICD-10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Diagnosing Other Specified Feeding or Eating Disorder . . . . . . . . . . . . . . . 14 by the American Psychiatric Association Complex Considerations for Parents of a College Student with an ED . . . . 16 by Susan Beightol, APRN-CNS, Claire Gish, MS, RD/LD & Rosanne McDaniel, EdS, LPC, LADC Love, No Matter What . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 by Eva Musby A Taste of Eating Competence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 by Keira Oseroff, MSW, LCSW & Jennifer Harris, RDN, LD, CEDRD Healthy Behaviors in Recovery: A Question of Balance . . . . . . . . . . . . . . . 21 by Timothy D. Brewerton, MD, DFAPA, FAED, DFAACAP, HCEDS 50 More Ways to Soothe Yourself Without Food . . . . . . . . . . . . . . . . . . . . . 22 by Susan Albers, PsyD Intuitive Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 by Connie Sobczak Disordered Digestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 by Linda Schack, MD Eating Disorders and Mindfulness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 by Leah M. DeSole, PhD, editor Welcome Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 by Carmen Cool, MA, LPC Apps for Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 The Complexity of Body Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 by Adrienne Ressler, LMSW, CEDS Replace Fat Talk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 by Julia V. Taylor, MA Listening to and Following the Heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 by Michael E. Berrett, PhD A Life Lost: Lynn Grefe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 by Margo Maine, PhD, FAED, CEDS My Illness Deepens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 by June Alexander Hope and Other Luxuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 by Clare B. Dunkle A Note to Adults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 by Judith Matz, LCSW Healthy Eating in Schools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 by Catherine P. Cook-Cottone, PhD, Evelyn Tribole, MS, RD & Tracy L. Tylka, PhD Media Literacy as an Effective and Promising Form of ED Prevention . . . . 41 by Michael P. Levine, PhD, FAED Addressing the Importance of Gender in Psychotherapy of EDs . . . . . . . . 43 by Douglas W. Bunnell, PhD, FAED, CEDS Family Therapy for Adolescent Eating and Weight Disorders: New Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 by Nancy Zucker, PhD Cognitive Remediation Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 by Heather Thompson-Brenner, PhD, editor Treatment Facilities Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 2016 Conferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Book Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62– 63 Copyright ©2016 Salucore, LLC unless otherwise stated. All rights reserved. Contents may not be reproduced without permission. about Eating Disorders NEW TRUTH #1: Many people with eating disorders look healthy, yet may be extremely ill. TRUTH #2: Families are not to blame, and can be the patients’ and providers’ best allies in treatment. The Wiley Handbook of Eating Disorders Linda Smolak & Michael P. Levine, editors 1,016 pages, hardcover, 2015 TRUTH #3: An eating disorder diagnosis is a health crisis that disrupts personal and family functioning. TRUTH #4: Eating disorders are not choices, but serious biologically influenced illnesses. TRUTH #5: Eating disorders affect people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses. TRUTH #6: Eating disorders carry an increased risk for both Eating Disorders An Encyclopedia of Causes, Treatment, and Prevention Justine J. Reel, editor 498 pages, hardcover, 2013 suicide and medical complications. TRUTH #7: Genes and environment play important roles in the development of eating disorders. TRUTH #8: Genes alone do not predict who will develop eating disorders. TRUTH #9: Full recovery from an eating disorder is possible. The Oxford Handbook of Child and Adolescent Eating Disorders Early detection and intervention are important. Developmental Perspectives James Lock, editor Produced in collaboration with Dr. Cynthia Bulik, PhD, FAED, who serves as distinguished Professor of Eating Disorders in the School of Medicine at the University of North Carolina at Chapel Hill, “Nine Truths” is based on Dr. Bulik’s 2014 “9 Eating Disorders Myths Busted” talk at the National Institute of Mental Health. 336 pages, hardcover, 2011 Leading associations in the field of eating disorders also contributed their valuable input. The Academy for Eating Disorders along with other major eating disorder organizations (Families Empowered and Supporting Treatment of Eating Disorders, National Association of Anorexia Nervosa and Associated Disorders, National Eating Disorders Association, The International Association of Eating Disorders Professionals Foundation, Residential Eating Disorders Consortium, Eating Disorders Coalition for Research, Policy & Action, Multi-Service Eating Disorders Association, Binge Eating Disorder Association, Eating Disorder Parent Support Group, International Eating Disorder Action, Project HEAL, and Trans Folx Fighting Eating Disorders) will be disseminating this document. The Body Betrayed A Deeper Understanding of Women, Eating Disorders, and Treatment Kathryn J. Zerbe 447 pages, paper, 1993 800-756-7533 • EDcatalogue.com • 3 ANOREXIA NERVOSA Do You Have an Eating Disorder? Respond honestly to these questions. Do you: New Developments in Anorexia Nervosa Research Eating Disorders in the 21st Century Carla Gramaglia & Patrizia Zeppegno 208 pages, hardcover, 2014 □ Constantly think about your food, weight, or body image? □ Have difficulty concentrating because of those thoughts? □ Worry about what your last meal is doing to your body? □ Experience guilt or shame around eating? □ Count calories or fat grams whenever you eat or drink? □ Feel “out of control” when it comes to food? □ Binge eat twice a week or more? □ Still feel fat when others tell you that you are thin? When Anorexia Came to Visit Families Talk About How an Eating Disorder Invaded Their Lives Bev Mattocks 254 pages, paper, 2013 □ Obsess about the size of specific body parts? □ Weigh yourself several times daily? □ Exercise to lose weight even if you are ill or injured? □ Label foods as “good” and “bad”? Almost Anorexic □ Vomit after eating? Is My (or My Loved One’s) Relationship with Food a Problem? Jennifer J. Thomas & Jenni Schaefer □ Use laxatives or diuretics to keep your weight down? □ Severely limit your food intake? If you answered “yes” to any of these questions, your attitudes and behaviors around food and weight may need to be seriously addressed. An eating disorders professional can give you a thorough assessment, honest feedback, and advice about what you may want to do next. WARNING SIGNS • An obvious increase or decrease in weight not related to a medical condition • Abnormal eating habits, such as severe dieting, ritualized mealtime behaviors, fear of dietary fat, secretive bingeing, or lying about food 287 pages, paper, 2013 Decoding Anorexia How Breakthroughs in Science Offer Hope for Eating Disorders Carrie Arnold 216 pages, paper, 2012 • An intense preoccupation with weight and body image • Mood swings, depression, and/or irritability • Compulsive or excessive exercising, especially without adequate nutritional intake or when injured or ill 12-Step Approach Anorexics and Bulimics Anonymous Letting Go of Compulsive Overeating The Fellowship Details Its Program of Recovery for Anorexia and Bulimia Twelve Step Recovery from Compulsive Overeating: Daily Meditations Anonymous Members of Twelve Step Recovery Programs 288 pages, paper, 2002 288 pages, paper, 2011 4 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDCatalogue.com GET INTO THE DISTORTED THINKING BEHIND YOUR TEENAGER’S BEHAVIOR I f your daughter or son has an eating disorder or seems to be developing one, you’ve probably already been told many times, “You don’t understand me,” or, in fact, “Nobody understands me.” This feeling is very real for someone who is struggling with an eating disorder, and it’s possible that you’ve become very frustrated trying to understand your daughter or son. Trying to communicate your position to your troubled child can be even more problematic. The fact is that you may not understand what your child is experiencing. Children and adolescents with eating disorders see their behavior related to food, eating, weight, exercise, and health—quite differently from the way it looks from the outside. Eating disorders alter logical ways of thinking about food and body image. They distort what your son or daughter sees in the mirror. They implant in your child’s mind irrational expectations about the consequences of eating and not eating, exercising and not exercising. Unless you begin to understand how your teenager’s thinking has been affected by the eating disorder, your efforts to be supportive of your child’s struggle against the illness will be handicapped. You may be reading your child’s behavior as nonsensical or defiant, when she sees perfect sense in it and is not trying to make you feel bad but hoping to make herself feel good. It may seem irrefutably clear to you that your child is emaciated and dangerously ill, but how can you hope to get her to change her behavior if you don’t realize that she still sees a fat person in the mirror and feels proud of herself for sticking to her “diet”? Your child sees herself and all things food-related through a lens imposed by the eating disorder. We call the thoughts that emerge through this lens cognitive distortions. In this chapter, we explore the cognitive distortions that are driving your child’s behavior so you can see things the way she does and thus know better how to respond constructively. A Shift in Attitude, a New Approach Before delving into specific cognitive distortions that you may be trying to deal with every day, think for a minute about the strategy you’ve been using in trying to resolve your teenager’s disordered eating. Have you been trying to “talk some sense” into your daughter? Or are you assuming that your adolescent thinks the same way you and everyone else does when informed by common sense and reason? Now is the time to recognize that helping a child recover from an eating disorder requires, first and foremost, a new set of assumptions and a new strategy. by James Lock, MD, PhD & Daniel Le Grange, PhD Excerpted from Help Your Teenager Beat an Eating Disorder, Second Edition ©2015 by James Lock, MD, PhD & Daniel Le Grange, PhD. Reprinted with permission of Guilford Press. NEW Help Your Teenager Beat an Eating Disorder, Second Edition James Lock & Daniel Le Grange 310 pages, harcover/paper, 2015 Please Eat… A Mother’s Struggle to Free Her Teenage Son from Anorexia Bev Mattocks 270 pages, paper, 2013 100 Questions & Answers About Anorexia Nervosa Sari Fine Shepphird 243 pages, paper, 2009 Brave Girl Eating The Inspirational True Story of One Family’s Battle with Anorexia Harriet Brown 268 pages, paper, 2010 800-756-7533 • EDcatalogue.com • 5 ANOREXIA NERVOSA Your Child’s Head ANOREXIA NERVOSA Demystifying the Neurobiology of I studied the sciences as an undergrad, learned about the body and disease states in medical school, and studied the mind and therapy as a psychiatry resident. Thus, it should be no surprise that specializing in eating disorders continues to allow me to help others, through treatment of and education about anorexia nervosa, bulimia nervosa, binge-eating disorder, and related conditions. During my journey, I also discovered that so many people, including patients, families, the general public, and even physicians, therapists, and other clinicians, remain unaware of the significant role that neurobiology plays in eating disorders. For the purposes of this article, I will discuss some of the neurobiological aspects of anorexia nervosa. Several thousands of scientific research articles have been published across medical and professional journals over the past two decades giving insight into the workings of the brain and its functioning when it comes to eating disorders—beginning with genetic studies. Many studies have been conducted to isolate specific genes that may lead to the onset of an eating disorder, and while a specific gene has not been identified, there is a degree of evidence that certain genes appear to increase the likelihood of the onset in individuals. Still, many studies have reported that 33% to 84% of the onset of anorexia nervosa may be related to genetic heritability.1 Understanding the influential role that genetics can play will help patients and families realize that the cause of an eating disorder can be extremely complex and there may not be a simple explanation. Neurobiological findings can also help patients and families better understand the physiological functioning of the brain that manifests the symptom expression of an eating disorder. A study from Boston Children’s Hospital showed that there could be a change in brain blood flow patterns in women with anorexia nervosa.2 Positron emission tomographic measurements were taken of regional cerebral blood flow (rCBF). The subjects in this study were exposed to stimuli in the form of high-calorie foods, low-calorie foods, and nonfoods. Those with anorexia nervosa measured elevated rCBF compared with controls. These blood flow changes are similar to those in patients who have psychotic disorders where their perceptions are also distorted and may help explain the cause of such significant alterations in selfperception. Anorexic individuals who see themselves as “huge” are experiencing their reality of the self, although it is different than the reality that everyone else sees. and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Jeffrey DeSarbo, DO Diagnosing Anorexia Nervosa A. Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected. B. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight. C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on selfevaluation, or persistent lack of recognition of the seriousness of the current low body weight. by the American Psychiatric Association, excerpted from Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) ©2013 by American Psychiatric Publishing 1. Bulik CM. “Exploring the gene-environment nexus in eating disorders.” J Psychiatry Neurosci. 2005 Sep;30(5):335-9. 2. Gordon CM, Dougherty DD, Fischman AJ, Emans SJ, Grace E, Lamm R, Alpert NM, Majzoub JA, Rauch SL. “Neural substrates of anorexia nervosa: A behavioral challenge study with positron emission tomography.” J Pediatr. 2001 Jul;139(1):51-7. Anorexia Nervosa: A Guide to Recovery Lindsey Hall & Monika Ostroff 190 pages, paper, 1998 Also Available in Spanish How to Disappear Completely On Modern Anorexia Kelsey Osgood 272 pages, paper, 2013 6 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com A Candid, Hard-Hitting Account of a Seven-Year Descent into Bulimia, Leading Up to a Final Victorious Triumph of the Addiction Caroline Adams Miller 285 pages, paper, 2014 Positively Caroline How I Beat Bulimia for Good… and Found Real Happiness Caroline Adams Miller 278 pages, paper, 2013 A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: 1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances. 2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating). B. Recurrent inappropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise. C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months. The Overcoming Bulimia Workbook Randi E. McCabe, Traci McFarlane & Marion P. Olmsted 220 pages, paper, 2003 D. Self-evaluation is unduly influenced by body shape and weight. E. The disturbance does not occur exclusively during episodes of anorexia nervosa. by the American Psychiatric Association, excerpted from Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) ©2013 by American Psychiatric Publishing The Mindfulness & Acceptance Workbook for Bulimia Emily K. Sandoz, Kelly G. Wilson & Troy DuFrene 137 pages, paper, 2011 The Dialectical Behavior Therapy Skills Workbook for Bulimia Descriptions of more than 350 books at EDcatalogue.com Ellen Astrachan-Fletcher & Michael Maslar 192 pages, paper, 2009 800-756-7533 • EDcatalogue.com • 7 BULIMIA My Name is Caroline, Second Edition Diagnosing Bulimia Nervosa BULIMIA PSYCHOPHARMACOLOGY in the Treatment of Bulimia Nervosa B ulimia nervosa (BN) is a complex problem that is frequently associated with medical and psychiatric comorbid problems. BN broadly interferes with a person’s life, affecting physical, social, and developmental functioning. BN manifests itself in three primary behaviors: binge eating, which we define as eating an amount of food that is definitely larger than what most people would eat in a similar circumstance; extraordinary efforts to prevent weight gain— for example, by self-induced vomiting; and self-evaluation or assessment of self-worth that is excessively influenced by body weight and shape (see “Diagnosing Bulimia Nervosa” on page 7). BN is best treated with a multidisciplinary, multidimensional approach. Ideally, treatment includes both nutritional rehabilitation and psychotherapy. Nutritional rehabilitation aims to reduce bingeing and purging episodes, as well as food restriction behavior, with planned, structured, and consistent meals and snacks. Interpersonal and cognitive behavioral psychotherapies have been shown to be effective in understanding and controlling BN symptoms. Medications are often helpful with the treatment of BN, both for managing the core eating disorder symptoms and for treating the frequent psychiatric comorbidities associated with BN. Although medication is most effective when combined with psychotherapy, pharmacotherapy alone (or combined with self-help books and educational materials) is a reasonable alternative if specialized psychotherapy and nutritional care services are not available. There are several classes of medications that have been studied for the treatment of BN. The most effective and most promising include antidepressants and, to a lesser extent, seizure control medications. Other medication classes, such as attention deficit/hyperactivity disorder (ADHD) and Bulimia: A Guide to Recovery Lindsey Hall & Leigh Cohn 280 pages, paper, 2010 Also Available in Spanish anti-addiction (anti-craving) agents, have also been shown to be helpful for the treatment of binge eating disorder (BED) and could prove helpful to some patients with BN.1 Antidepressants are the most extensively studied drugs for treating BN and should be considered as the first-line pharmacologic intervention. They have been shown to reduce the frequency of binge-eating episodes and of purging behaviors. Several classes of antidepressant medications have proved effective in randomized controlled studies, in systematic reviews, and in meta-analyses. These include tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs), bupropion (Wellbutrin), and trazodone (Desyrel). Several SSRIs in particular have been shown to be consistently effective in reducing the core behavioral symptoms of BN and have favorable safety profiles that support their use. The only medication approved by the U.S. Food and Drug Administration (FDA) for BN is the SSRI fluoxetine (Prozac). In the largest randomized, placebo-controlled pharmacotherapy trial for BN to date, fluoxetine at a dose of 60 mg/day was superior to placebo in reducing binge episodes (67% versus 33%) and vomiting episodes (56% versus 5%). Fluoxetine 60 mg/day was also superior to placebo in reducing depression, carbohydrate cravings, and pathological eating attitudes and behaviors. and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Anne Marie O’Melia, MS, MD, FAAP 1. McElroy SL, Guerdjikova AI, Mori N, O'Melia AM. Current pharmacotherapy options for bulimia nervosa and binge eating disorder. Expert Opinion on Pharmacotherapy. 2012 Oct;13(14):2015-26. PMID 22946772. 50 Strategies to Sustain Recovery From Bulimia Jocelyn Golden 221 pages, paper, 2011 8 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com 800-756-7533 • EDcatalogue.com • 9 B I N G E E AT I N G How to Support a FAMILY MEMBER Who Has Binge Eating Disorder B inge eating disorder (BED) is the most common eating disorder in the U.S. BED affects three times the number of those diagnosed with anorexia and bulimia combined. It is more prevalent than breast cancer, HIV, and schizophrenia. Also called compulsive or emotional overeating, BED affects 3.5% of women and 2% of men—more than 9 million people. But the actual number is likely much higher, as BED is the least recognized, diagnosed, and treated eating disorder. BED and Obesity While it is estimated that 70% of those who suffer from BED are obese, not everyone who has BED is obese. The “cure” is not to lose weight. Prescribing weight loss and blaming the individual further entrench the disorder, causing shame and resulting in weight gain. BED and Weight Bias Judgment and discrimination based on body size is everywhere—in our homes, schools, and offices. This is weight bias, and it includes shaming, blaming, and bullying. BED and Bullying Studies show that bullying of any kind, but particularly weight-based bullying,1 leads to increased occurrence of low self-esteem, poor body image, social isolation, eating disorders, The Healing Journey for Binge Eating Journal poor academic performance, and even suicidal thoughts and attempts. Children and teens who are overweight can be victims of many forms of bullying, including physical force, namecalling, derogatory comments, mean-spirited teasing, and being ignored or excluded. Research2 conducted by Dr. Rebecca Puhl, deputy director of the UConn Rudd Center on Food Policy and Obesity, has found: F Weight-based teasing predicted binge eating at five years of follow-up among both men and women, even after controlling for age, race/ethnicity, and socioeconomic status. F Peer victimization can be directly predicted by weight. F 64% of students enrolled in weight-loss programs reported experiencing weight-based victimization. F One-third of girls and one-fourth of boys reported weightbased teasing from peers, but prevalence rates increased to approximately 60% among the heaviest students. F 84% of students observed other students perceived as overweight being called names or getting teased during physical activities. Overcoming Binge Eating, Second Edition The Proven Program to Learn Why You Binge and How You Can Stop Dr. Christopher G. Fairburn 243 pages, paper, 2013 Eight Week Journal Companion Michelle C. Market 160 pages, paper, 2014 Outsmarting Overeating Boost Your Life Skills, End Your Food Problems Karen R. Koenig 232 pages, paper, 2015 The Healing Journey for Binge Eating, Volume One Michelle C. Market 164 pages, paper, 2013 Stop Eating Your Heart Out The 21-Day Program to Free Yourself from Emotional Eating Meryl Hershey Beck 235 pages, paper, 2012 10 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Puhl’s research on obesity and weight stigma has also found that adults who live in larger bodies are often excluded and discriminated against and are often victims of vicious public fat shaming: A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: F The prevalence of weight discrimination in the United 1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances. F 2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating). States has increased by 66% over the past decade and is comparable to rates of racial discrimination. Weight bias translates into inequities in employment settings (such as lower wages), health care facilities (such as lower quality of care), and educational institutions, often owing to widespread negative stereotypes that overweight and obese people are lazy, unmotivated, lacking in self-discipline, less competent, noncompliant, and sloppy. F These stereotypes are prevalent and are rarely challenged in Western society, leaving overweight and obese people vulnerable to social injustice, unfair treatment, and impaired quality of life as a result of substantial disadvantages and stigma. and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Chevese Turner, Founder, President, and CEO, Binge Eating Disorder Association 1. Eisenberg, M.E., Neumark-Sztainer, D., Story, M. (2003). Associations of weight-based teasing and emotional well-being among adolescents. Archives of Pediatrics & Adolescent Medicine. Aug;157(8):733-8. Eisenberg M., Neumark-Sztainer D. (2008). Peer harassment and disordered eating. International Journal of Adolescent Medicine and Health. Apr-Jun;20(2):155-64. Libbey, H.P., Story, M.T., Neumark-Sztainer, D.R., Boutelle, K.N. (2008). Teasing, disordered eating behaviors, and psychological morbidities among overweight adolescents. Obesity. Nov;16 Suppl 2:S24-9. B. The binge-eating episodes are associated with three (or more) of the following: 1. Eating much more rapidly than normal. 2. Eating until feeling uncomfortably full. 3. Eating large amounts of food when not feeling physically hungry. 4. Eating alone because of feeling embarrassed by how much one is eating. 5. Feeling disgusted with oneself, depressed, or very guilty afterward. C. Marked distress regarding binge eating is present. D. The binge eating occurs, on average, at least once a week for 3 months. E. The binge eating is not associated with the recurrent use of inappropriate compensatory behavior as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa. by the American Psychiatric Association, excerpted from Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) ©2013 by American Psychiatric Publishing 2. Puhl, R.M., Luedicke, J. (2012). Weight-based victimization among adolescents in the school setting: Emotional reactions and coping behaviors. Journal of Youth and Adolescence. Jan;41(1):27-40. Reclaiming Yourself from Binge Eating End Emotional Eating Using Dialectical Behavior Therapy Skills to Cope with Difficult Emotions and Develop a Healthy Relationship to Food Jennifer L. Taitz A Step-By-Step Guide to Healing Leora Fulvio 327 pages, paper, 2014 240 pages, paper, 2012 800-756-7533 • EDcatalogue.com • 11 B I N G E E AT I N G Diagnosing Binge Eating Disorder B I N G E E AT I N G Why Me? WHAT CAUSES BED? NEW Binge Control A Compact Recovery Guide Cynthia M. Bulik 38 pages, paper, 2015 I f you are hoping for a simple answer to this question, you will be disappointed. Like so many conditions, binge eating disorder (BED) is caused by a combination of genetic/biological and environmental factors. In fact, there are most likely differences in the causes across people—no two people’s BED is exactly alike—which underscores why it is so important that we have a range of treatments from which to choose. One size definitely does not fit all when it comes to treatment of BED. What doesn’t cause BED? BED is very misunderstood. No one chooses to have BED. No one chooses to be unable to control their eating. Every person with BED whom I have ever met or treated has unequivocally wished that they could control their appetite. Choice does, however, play a role in recovery. Genetics. Yes, genes play a role! We know that BED runs in families. Traits can run in families for two reasons: 1) because of modeling behaviors (i.e., watching others eat emotionally or binge); and 2) because of genetic factors. Most often, it is a combination of both. Studies of thousands of twins can actually help us disentangle the extent to which genetic factors contribute to traits running in families. Twin studies of BED tell us that somewhere between 40% and 60% of liability to developing BED is due to genetic factors. We have not yet identified the precise genes that influence the disorder, but our models predict that there will be hundreds of genes involved and that some of those genes might also influence body weight regulation. That does NOT mean that genes are destiny. In fact, quite the opposite is true. You can probably have a strong genetic predisposition for BED and never develop the disorder if your environment isn’t conducive to binge eating. As an extreme example, if you live on a remote island where all you have available to eat is fresh fruit and vegetables and the fish that you catch yourself, you might never develop the disorder. But, if you move to Main Street, USA, and live close to any number of fast food restaurants, where heavily processed food is cheaper than fruits and vegetables, soft drinks are cheaper than milk, and everything is supersized, then those genes just might be more likely to be expressed and manifest in BED. Neurobiology. Mice, rats, and even fruit flies are helping scientists to identify parts of the brain and pathways in the brain that control all aspects of appetite and eating, including: what starts an eating episode, what stops an eating episode, what makes eating go on and on even when full, and what makes you not eat when you are hungry and food is available. These are all factors that go into regulating eating, and BED is of course an example of completely dysregulated eating. by Cynthia M. Bulik, PhD, FAED Excerpted from Binge Control: A Compact Recovery Guide © 2015 by Cynthia M. Bulik. Reprinted with permission from CreateSpace Independent Publishing Platform 12 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com 800-756-7533 • EDcatalogue.com • 13 Does Every Woman Have an Eating Disorder? Curious about the new diagnostic code numbers you see on your treatment statements? ICD-10, or the International Statistical Classification of Diseases and Related Health Problems, 10th revision, is a list of diagnostic codes developed by the World Health Organization. Per the American Medical Association, “Conversion to ICD-10 is a HIPAA code set requirement.” Hence, any HIPAA-covered entity—all health care providers—is required to use this coding system. The compliance date for its use was October 1, 2015. Before this mandate was implemented, mental health/behavioral health treatment providers in the U.S. used the diagnostic codes defined in the DSM-5, the Diagnostic and Statistical Manual of Mental Disorders, or the ICD-9. Diagnostic codes differ from billing codes. Current Procedural Terminology (CPT) codes are billing codes. Both diagnostic and procedural codes will appear on your treatment provider’s statement and should be included on your claim. Challenging Our Nation’s Fixation with Food and Weight Stacey M. Rosenfeld 216 pages, paper, 2014 Secrets of Feeding a Healthy Family, Second Edition How to Eat, How to Raise Good Eaters, How to Cook Ellyn Satter 292 pages, paper, 2008 The Body Image Survival Guide for Parents Helping Toddlers, Tweens, and Teens Thrive Diagnosing Other Specified Feeding or Eating Disorder Marci Warhaft-Nadler 122 pages, paper, 2013 This category applies to presentations in which symptoms characteristic of a feeding and eating disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the feeding and eating disorders diagnostic class. The other feeding or eating disorder category is used in situations in which the clinician chooses to communicate the specific reason that the presentation does not meet the criteria for any specific feeding and eating disorder. by the American Psychiatric Association, excerpted from Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) ©2013 by American Psychiatric Publishing 14 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Want to learn more about eating disorders but don’t know where to turn? Don’t have time to weed through all the available information? We know. It’s a lot. INTRODUCING THE GÜRZE / SALUCORE ED Pulse DELIVERED TO YOUR INBOX EVERY OTHER WEEK. We curate the most up-to-date information from the web, newsletters, and magazines, to get you in the know. RELIEVE YOUR ANXIETY. LEARN MORE NOW. www.edcatalogue.com/edpulse/ Eating Disorder Professionals You Can Trust PA R E N T S & L O V E D O N E S Complex Considerations FOR PARENTS OF A COLLEGE STUDENT A ttending college can be an exciting and stressful time for young adults learning to balance fun, studies, meeting new people, and exploring new interests. College requires young adults to recalibrate and manage the demands of balancing newfound freedom and responsibility. In addition, they must learn to feed and care for themselves independently. This can also be an exciting and challenging time for the parents of college students—particularly if they have a loved one who struggles with an eating disorder. The following are important considerations from a specialized eating disorder treatment team for parents of college students who have an eating disorder. Medical Considerations— Contributed by Susan Beightol, APRN-CNS Transitioning from high school to college is often a very stressful time for young adults. Add eating disorder recovery management to the situation and the transition can become very overwhelming. Below are some helpful thoughts for a successful transition to college. If your child has struggled to maintain recovery in high school or during summer break, things are not likely to improve once he or she enters college. People often believe that college will give a fresh start and symptoms will automatically improve with a new environment. Experience has shown that this is not the case. Even if stressors college students believed triggered their eating disorder were removed, they would not be likely to utilize new recovery behaviors that had not previously been practiced consistently. In addition, the stress of a new environment, new friends, new teachers, new freedoms, and recovery becomes very difficult, and they will likely revert back to poor coping skills. For these reasons, if The Parent’s Guide to Eating Disorders, Second Edition Supporting Self-Esteem, Healthy Eating, and Positive Body Image at Home Marcia Herrin & Nancy Matsumoto 382 pages, paper, 2013 your child has struggled to maintain recovery, it would be best to delay college to spend more time focusing on recovery. During this time, your child can consider a parttime job or taking one or two online classes. If your child has been practicing recovery, but the skill set is still very new, it might be a good idea for him or her to start college by living at home and/or taking a reduced course load. By doing so, your child will be better able to ease into the new schedule while still maintaining visits with the home treatment team for accountability and guidance. Once he or she has a successful semester completed, more classes can be added, and eventually your child can change living environments. Once your child has achieved a period of recovery and practiced recovery independently, and the treatment team is supporting a transition to college away from home, please consider incorporating the following for continued medical care. Student Health: Make certain Student Health is aware of your child’s diagnosis and plan of care. Have your home physician send a summary of your child’s eating disorder history, current medication record, and a plan of care for helping to maintain stabilization and recovery in college. Routine Weight and Vital Sign Monitoring: Identify Student Health or another local care provider to monitor weight, orthostatic vital signs, and possibly lab values. Your home treatment team can advise you on how often this should happen, but make it frequently (once or twice a week) during the first semester. Once stability has been established, the check-ins can become less frequent. Family Eating Disorders Manual Guiding Families Through the Maze of Eating Disorders Laura Hill, David Dagg, Michael Levine, Linda Smolak, et al. 227 pages, spiral-bound, 2012 Just Tell Her to Stop Family Stories of Eating Disorders Becky Henry 276 pages, paper, 2011 16 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Release of Information: Have a “release of information” signed prior to school starting that will allow the school, parents, and treatment team to communicate with one another. This will help keep everyone informed should the student start to struggle. Keep in mind that college is a time to practice independence, and students with eating disorders should have that opportunity, as well. The release of information is for the purposes of communicating concern and a decline in medical status. Contract for Weight Maintenance: It might be helpful for the student to have a contract in place prior to school starting that identifies his or her weight range and what will happen if the minimum weight goal is not met. The contract may discuss strategies and time periods for getting back into the weight range. It may also define the point at which reducing the course load or withdrawing from school may be necessary to receive additional support and possibly more intensive treatment. This contract needs to be agreed upon by the student, parents, and home treatment team prior to the student entering college. Resources: A helpful reference guide to consider is the Society for Adolescent Health and Medicine’s “The Healthy Student: A Parent’s Guide to Preparing Teens for the College Years” by Lawrence Neinstein, MD, and Helen Johnson (adolescenthealth.org/Clinical-Care-Resources/HealthyStudent-Brochure.aspx). NEW Helping Your Child with Extreme Picky Eating A Step-by-Step Guide for Overcoming Selective Eating, Food Aversion, and Feeding Disorders Katja Rowell & Jenny McGlothin 240 pages, paper, 2015 NEW Help Your Teenager Beat an Eating Disorder, Second Edition James Lock & Daniel Le Grange 310 pages, hardcover/paper, 2015 Surviving an Eating Disorder Strategies for Family and Friends Michelle Siegel, Judith Brisman & Margot Weinshel 222 pages, paper, 2009 and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Susan Beightol, APRN-CNS, Claire Gish, MS, RD/LD & Rosanne McDaniel, EdS, LPC, LADC Anorexia Nervosa, Second Edition A Recovery Guide for Sufferers, Families, and Friends Janet Treasure & June Alexander Parents’ Quick Start Recovery Guide Finding Help Fast When Your Child or Teen Has an Eating Disorder Lori Osachy 104 pages, paper, 2012 192 pages, paper, 2013 Your Dieting Daughter, Second Edition When Food is Family A Loving Approach to Heal Eating Disorders Judy Scheel Antidotes Parents Can Provide for Body Dissatisfaction, Excessive Dieting, and Disordered Eating Carolyn Costin 256 pages, paper, 2013 180 pages, paper, 2011 800-756-7533 • EDcatalogue.com • 17 PA R E N T S & L O V E D O N E S WITH AN EATING DISORDER PA R E N T S & L O V E D O N E S LOVE No Matter What HOW TO SUPPORT YOUR CHILD WITH COMPASSIONATE COMMUNICATION H as it become difficult to recognize your child? Do you struggle to help her as she flips between depression and aggression? Are you finding it hard to give unconditional love, and are you confused about rewards and punishment? In this chapter, I offer you resources and examples to help you communicate and build connection. In this chapter, I propose to address typical difficulties we parents experience in our connection with our children when they have an eating disorder. I’ll share what served me well with my daughter, and continues to do so. If you skipped Chapter 13, this one should still make sense in most places, but you’ll get a better grasp of matter relating to communication if you first read Chapter 13. As always, take what’s helpful, and discard the rest. “My feeling, with my daughter, is that each time she goes through a mood swing or a difficult time, if we handle it calmly and compassionately and she gets through it just fine, she is learning from that. It means the next time something goes wrong, she is more likely to get through it a little more easily.” Food Is Medicine, and Love Is Life Biologically speaking, I imagine that all your child needs in order to recover is food and time. But humans need their souls nourished, too, and a parent’s love is life-giving. Otherwise, inpatient units would have a higher success rate than they do; after all, nurses can be pretty good at getting the calories in. I believe that because we matter enormously to our children, everything we do for them is extremely significant. Because we support them, they’re able to take on major challenges in spite of their fears. We make things seem safer, calmer. We make things normal. We ask our children to trust us. In addition, our love heals their battered self-esteem, counteracts their self-hate, and guarantees that we will not abandon them. Nurturing our connection with our child is a powerful weapon against an eating disorder. It’s also what being a family is all about. I find this quote from a young person in recovery very moving, given the suffering brought on by the illness. “What an amazing gift the eating disorder brought me and my family—the gift of communication, of love, of acceptance.” Unconditional Love and Acceptance Unconditional love and acceptance of your child is one of the most important tools in your toolkit, both for your own benefit and your kid’s. It’s natural, for us, in our suffering, to have all kinds of judgmental thoughts, and it’s easy for these to leak out and spoil our work. I’m proposing to give you some of the principles that helped me, and also to be transparent about the mental twists and turns I underwent as I tried to be totally present to my daughter and offer her unconditional love. by Eva Musby Excerpted with permission from Anorexia and Other Eating Disorders: How to Help Your Child Eat Well and Be Well © 2014 NEW Anorexia and Other Eating Disorders NEW How to Help Your Child Eat Well and Be Well Eva Musby 450 pages, paper, 2014 Throwing Starfish Across the Sea A Pocket-Sized Care Package for the Parents of Someone with an Eating Disorder Charlotte Bevan & Laura Collins Lyster-Mensh Give Food a Chance A New View on Childhood Eating Disorders Julie O’Toole 320 pages, paper, 2015 96 pages, paper, 2013 18 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com I NTRODUCING THE GÜRZE / SALUCORE Treatment Provider Directory A revolutionary way to connect treatment providers and individuals looking for professional help. CONNECT AT www.edcatalogue.com/treatment-provider-directory/ 800-756-7533 • EDcatalogue.com • 19 H E A LT H Y B E H A V I O R S Eat What You Love, Love What You Eat Michelle May 406 pages, paper, 2011 Eat What You Love, Love What You Eat for Binge Eating Michelle May & Kari Anderson 194 pages, paper, 2014 Nice Girls Finish Fat Put Yourself First and Change Your Eating Forever Karen R. Koenig 254 pages, paper, 2009 Overcoming Body Dysmorphic Disorder A Cognitive Behavioral Approach to Reclaiming Your Life Fugen Neziroglu, Sony Khemlani-Patel & Melanie T. Santos 207 pages, paper, 2012 Intuitive Eating A Revolutionary Program That Works Evelyn Tribole & Elyse Resch 344 pages, paper, 2012 Food to Eat Guided, Hopeful & Trusted Recipes for Eating Disorder Recovery Lori Lieberman & Cate Sangster 127 pages, paper, 2012 A Taste of EATING COMPETENCE An all-too-typical first meeting with a new client struggling with disordered eating and with her relationship with food goes something like this: “I have issues and I’m so hoping you can help me. I’ve been trying to lose weight on and off for as long as I can remember, and I just can’t seem to get anywhere anymore. I used to be able to at least lose weight and maintain it for a while, but now, I can’t even put together one day of good eating. I try to stay positive, thinking, Tomorrow is a new day. I’ll do better tomorrow…tomorrow never comes.” In essence, this client wants desperately for something to change, but has no idea what that would look like. The only option this individual knows is to return to the cycle of deprivation followed by a loss of control, what is commonly referred to as yo-yo dieting. After exploring the client’s history of eating and weight, we can safely label her a Dieting Casualty—a term coined by Ellyn Satter, MS, RD, LCSW, BCD, a well-recognized authority on nutrition, eating, and feeding, used to describe someone who has been on the dieting roller coaster, characterized by highs and lows of restraint and disinhibition. No longer able to sustain caloric restriction, or to trust her internal compass for hunger and fullness, her eating is chaotic and her weight unstable. Yet still, food remains the focus of attention, as if the answer can be found there. Messages are everywhere that reinforce the diet/binge cycle. That roller coaster does the opposite of building trust in our abilities to eat competently, and it erodes selfefficacy—our belief in our own ability to navigate our way through the world. Just look at magazine covers in the checkout line—pictures of decadent food next to headlines of how to lose weight are commonplace. While using the feminine pronoun, her, for the purposes of this article, it is important to note that men fall victim to this process, as well, though the underlying issues fueling it may be different. We typically see these images on women’s magazines, but they are creeping into the male market, too. Exposure is becoming universal. Understanding how one arrives at Eating Competence, Satter’s term used to describe normal eating, is a personal journey. For some, it’s a logical progression that occurs without much difficulty. For others, it is more challenging, and the reasons for that are varied. When people find themselves struggling with food, it is best for them to work with a professional trained to help identify the factors that have eroded their ability to be Competent Eaters. ☛ This article continues and can be found in its entirety at EDcatalogue.com. by Keira Oseroff, MSW, LCSW & Jennifer Harris, RDN, LD, CEDRD 20 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com HEALTHY BEHAVIORS IN RECOVERY Moving Toward Improvement, Not Perfection I was pleased to be invited to write an article for the Gürze/Salucore Catalogue on the topic of healthy behaviors in recovery. It gave me an opportunity to gather my thoughts on this important issue and put them in writing. So often in my career, I have been engaged in helping individuals with eating disorders (EDs) to begin and continue in recovery, and when things go well, to stay well. It is often a long and winding road but well worth the trip despite the common occurrences of lapses and relapses. For many decades, ED professionals have defined three phases of treatment: 1) nutritional rehabilitation, 2) intensive psychotherapy, and 3) maintenance. These three phases are still just as relevant today as they were decades ago, although the ingredients of each phase have evolved with the explosion of knowledge in the psychological, medical, and neurosciences fields, all of which are interrelated and inform one another. Nutritional Rehabilitation refers to weight restoration in those with anorexia nervosa (AN) and to the normalization of eating behaviors in all eating-disordered individuals. Abstinence from dieting, bingeing, purging, excessive exercise, and the use of appetite suppressants, illicit substances, or calorie-reducing agents are all goals during these initial and subsequent phases. This is irrespective of the type or intensity of treatments—e.g., family-based therapy (FBT), cognitive behavioral therapy (CBT), interpersonal therapy (IPT), specialist supportive clinical management (SSCM), dialectical behavior therapy (DBT), integrated cognitive affective therapy (ICAT), uniting couples in the treatment of anorexia nervosa (UCAN), Maudsley model of anorexia nervosa treatment for adults (MANTRA), etc.—or the level of care—e.g., inpatient, residential treatment, partial hospital program (PHP), intensive outpatient program (IOP), or outpatient. From a broad perspective, fairly substantial changes, or “gross tuning,” mark this phase. Intensive Psychotherapy overlaps with nutritional rehabilitation as the cognitive and emotional state of the individual The Comprehensive Learning Teaching Handout Series for Eating Disorders Sondra Kronberg 50 handouts, CD (PDF format), 2009 This is a compilation of Kronberg’s “Top 50” that she has used during her 30-year career treating eating disorders. These are ready-made, practical, diversified resources for educating a treatment team and staff members, for giving to families and patients, or for offering at talks and workshops. begins to improve with enhanced nutrition, markedly decreased compensatory behaviors, and brain-mind-body healing. It continues on well past weight recovery and builds upon prior successes, improved mental and emotional processing, and continued appropriate psychotherapy in a treatment plan that is geared toward the individual’s diagnoses and needs. A key component as recovery from AN proceeds is a specific form of CBT called CBT-relapse prevention, which has been studied in controlled trials (Carter et al., 2009; Pike et al., 2003). CBT-relapse prevention significantly reduces relapse rates back into AN. Relapse prevention is also a key component of all forms of CBT, including those designed for bulimia nervosa (BN), binge eating disorder (BED), and all of the commonly related comorbidities such as major depression, anxiety disorders, obsessive-compulsive disorder (OCD), posttraumatic stress disorder (PTSD), and substance use disorders (SUDs). It is usually positioned as one of the last modules of a course of CBT once improvement has been realized. The duration and extent of other treatments during the intensive psychotherapy phase are highly dependent upon the degree and severity of co-occurring psychiatric and medical disorders. In many instances, the individual with an ED and other related disorders must negotiate through the different phases and layers of therapy or therapies. Maintenance implies complete or nearly complete resolution of symptoms, and it also refers to maintaining the recovery gains attained in earlier phases of treatment. So again, this phase blends into the previous one, and these transitions are ideally gradual ones. Maintenance requires continued efforts toward continual biopsychosocial and psychospiritual growth, which comes from practicing the skills learned, as well as learning new skills that are necessary to deal with related or underlying issues. During this phase of treatment, individuals recovering from an ED often realize the “adaptive function” that can accompany the precipitation and perpetuating of an ED. This is discussed extensively in a recent chapter (Brewerton and Dennis, in press). Adaptive function is often confused with the “cause” of an ED, but they are not the same. Adaptive functioning simply seeks to identify any rewarding or reinforcing aspects of having an ED. Does the ED solve a problem or meet a need? ☛ This article continues and can be found in its entirety at EDcatalogue.com. by Timothy D. Brewerton, MD, DFAPA, FAED, DFAACAP, HCEDS, Clinical Professor of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 800-756-7533 • EDcatalogue.com • 21 H E A LT H Y B E H A V I O R S A Question of Balance H E A LT H Y B E H A V I O R S 50 moreways to soothe yourself without food SOOTHING STRATEGY: Download an App SOOTHING STRATEGY: Master Your Mind In the past, biofeedback machines were complicated and very expensive—hundreds, even thousands, of dollars. You often had to visit the doctor’s office for weekly therapy. Now, if you have a smartphone, you can have your very own biofeedback machine. In the app store, look for two kinds of apps: one that will change the pace of your breathing (you match the rate of the app with your breath), and one that measures your heart rate. Here are some popular apps: To calm down your body and mind, find a quiet place where you can concentrate for 10 to 15 minutes. Close your eyes and visualize a pleasant scene. Imagine any location that makes you feel more serene. Here are just a few ideas: For Beach Lovers: Picture a white-sand beach, with waves gently rolling to the shore. The sun is shining, and the sky is clear blue without a single cloud in sight. Maybe you are floating in the ocean gazing upward. BellyBio Interactive Breathing: This app monitors breathing and plays sounds like ocean waves to help you relax. It’s great for anxiety and stress. (iPhone only). For Forest Lovers: You’re walking through the woods and observing the tall trees, green leaves, and cool, soft ground beneath your feet. You can hear the birds chirping as the sun peeks through the foliage to warm your skin. iBiofeedback: This heart rate monitor has you put your finger over the camera to assess your heart rate. It’s simple and the app is free. BioZen: If you enjoy biofeedback and are interested in using it often, some apps require you to buy an attachment (for example, one clamps on the ear or on your finger) that you sync to your body to gather your biological data (such as brain waves, galvanic skin response, heart rate, respiratory rate, temperature, and more). BioZen is one such app. For Hikers and Climbers: You’re sitting on a rock after a day of hiking and climbing. You look out at the valley below you, a colorful expanse of rooftops, green grass, and trees. A cool breeze moves through the air, and you can feel the sun on your skin. Be sure to choose a visual that matches your preferences and personality. If there’s another scene that inspires you, use that for your visualization! If you don’t have a smartphone, you can learn to get to know your body’s cues. With practice, you can learn some of the information the old-fashioned way: by simply placing your fingers on your wrist and taking your pulse. by Susan Albers, PsyD Excerpted from 50 More Ways to Soothe Yourself Without Food. New Harbinger Publications, Inc. © 2015 Susan Albers, PsyD, Reprinted with permission NEW 50 Ways to Soothe Yourself Without Food 50 More Ways to Soothe Yourself Without Food Susan Albers Susan Albers 218 pages, paper, 2009 336 pages, paper, 2015 Eat Q Unlock the Weight-Loss Power of Emotional Intelligence Susan Albers 320 pages, hardcover/paper, 2013 My Kid Is Back Empowering Parents to Beat Anorexia Nervosa June Alexander with Daniel Le Grange 272 pages, paper, 2010 Ed Says U Said Eating Disorder Translator June Alexander & Cate Sangster 288 pages, paper, 2013 22 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com P hysical activity is a wonderful thing. It keeps our bodies healthy and strong, and reduces mental stress. Exercise releases brain chemicals that make us feel happy. It can be a social time to connect with friends, or a solo pursuit that gives us time to meditate in motion. The human body is designed for movement; it does not function as well with a sedentary lifestyle. But the demands of the modern world make it difficult to live in rhythm with our physical needs. Many of us have to sit in front of computers all day, or in our cars for long hours as we drive to and from work. Instead of pushing our bodies to the limit every day just to survive, as our ancestors did, we have to think about fitting exercise into our lives in some way, shape, or form. The primary messages we receive about exercise are that we should do it to burn calories, lose weight, and sculpt our muscles in order to mirror the images presented by the media. These images have somehow become synonymous with health, though they have more to do with selling magazines, products, and services. Also, too many people believe the fallacy that only rigorous exercise leads to good health. In their book, Healthy Pleasures, Doctors Sobel and Ornstein summarize the results of numerous studies done on the health benefits of moderate exercise. One study found that getting an average of 30 minutes of physical movement per day through activities such as gardening, walking, fishing, dancing, and doing physical chores cut the occurrence of fatal heart attacks in middle-aged men by 40 percent. Increasing the intensity of the exercise and the amount to two hours a day did not make a difference.5 This research shows there is a marked difference between the amount of exercise needed to maintain good physical health and the amount necessary to change the shape of your body. I’m not saying there is anything wrong with wanting to sculpt your body or exercise vigorously. It feels good to have strong muscles and to push yourself to see what you can do. But things go awry when an exercise program is based on unrealistic goals focused on weight loss or a particular body shape. Joining a gym in January, only to quit several months later because you don’t see the results you want, does nothing to improve your health. Ample research proves that staying physically active—not achieving a certain weight—is the key to longevity. Steven Blair, a professor of exercise science, epidemiology, and biostatistics at the University of South Carolina, and former researcher at the Cooper Institute of Aerobics in Dallas, has done extensive research in this area. His findings consistently show that the people who live longer are physically active, independent of body size. His decades of research on tens of thousands of individuals consistently produces data confirming that people with large bodies who exercise on a regular basis live longer than thin people who don’t. — TONI MARTIN, MD — Embody Learning to Love Your Unique Body (and Quiet That Critical Voice!) Connie Sobczak 288 pages, paper, 2014 The Rules of “Normal” Eating A Commonsense Approach for Dieters, Overeaters, Undereaters, Emotional Eaters, and Everyone in Between! Karen R. Koenig 240 pages, paper, 2005 by Connie Sobczak Excerpted from Embody: Learning to Love your Unique Body (and Quiet That Critical Voice!) Gürze Books, Carlsbad, CA © 2014 by Connie Sobczak, Reprinted with permission 800-756-7533 • EDcatalogue.com • 23 H E A LT H Y B E H A V I O R S INTUITIVE Exercise “Activity in and of itself is health promoting, regardless of whether or not people lose weight. It helps lower glucose, it helps lower blood pressure, it increases muscle mass. It’s magic.” RECOVERY DISORDERED T wenty years ago, when I thought I knew everything, I would shrug off complaints of abdominal pain and constipation in my eating disordered patients. Of course you’re not having any bowel movements, I would think to myself. It’s because you’re not eating. There’s nothing in there! And then I would confidently counsel my patients that their constipation would resolve as soon as they were able to eat enough to gain weight. In the first 10 years of hospitalizing patients at Torrance Memorial Medical Center, I rarely consulted a gastroenterologist. Now, every patient who is admitted has a gastrointestinal (GI) consultation. How ironic that I (and likely many other physicians) didn’t consider the possibility of very disturbed intestinal function in patients whose eating behaviors were so extreme. Food is absorbed in the gut; it is logical that the stomach and intestines are affected by severe changes in eating patterns. The list of GI disorders that can be encountered in an eating-disordered patient is long; some of the most common are gastroparesis (slow stomach emptying), gastritis, reflux esophagitis, refeeding hepatitis, cholestasis (slowing or stopping of bile flow), and constipation. In this article, I am going to focus on gastroparesis and constipation. While gastroparesis affects the stomach and constipation affects the colon, both conditions are manifestations of poor motility. Nutrients are absorbed and the excess material is expelled in the form of feces. Hence, one of the most important functions of the intestinal tract is to move the food at the proper pace so that nutrients can be absorbed via the small intestine and the right amount of water reabsorbed from the colon. The undigested residue (fecal material) then needs to be moved out of the colon. This movement, called peristalsis, is accomplished by smooth muscles that surround the entire length of the GI tract. There are several mechanisms that control peristalsis. One is the stretching of the stomach or intestines that happens when a meal is eaten. Another is hormonal secretion in response to ingesting food. The gastrocolic reflex refers to the feeling of having to defecate after filling the stomach (by eating a meal). When a person is starving, motility can become sluggish (Robinson et al., 1990). This is because the body is trying to preserve vital functions; everything not crucial for staying alive is either slowed or stopped. Bulimics may have delayed motility because they have become desensitized to food being in the stomach (Devlin et al., 1997). Motility Devlin MJ, Walsh BT, Guss JL, Kissileff HR, Liddle RA, Petkova E. Postprandial cholecystokinin release and gastric emptying in patients with bulimia nervosa. Am J Clin Nutr. 1997; LXV:114-20. PubMed, CAS Food travels from the mouth through the esophagus, stomach, small intestine, colon, rectum, and finally the anus. and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Linda Schack, MD Robinson PH, Stephenson JS. Dietary restriction delays gastric emptying in rats. Appetite. 1990; XIV:193-201. CrossRef, PubMed, CAS Health at Every Size The Surprising Truth About Your Weight Linda Bacon French Toast for Breakfast Declaring Peace with Emotional Eating Mary Anne Cohen 272 pages, paper, 1995 400 pages, paper, 2010 Lasagna for Lunch Declaring Peace with Emotional Eating Mary Anne Cohen 348 pages, paper, 2013 24 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Gürze/Salucore Podcast Get in on the conversation! News, hot topics, and current concerns discussed with leaders in the Eating Disorders field. COME LISTEN AT www.edcatalogue.com/podcast/ Eating in the Light of the Moon RECOVERY How Women Can Transform Their Relationships with Food Through Myths, Metaphors & Storytelling Anita Johnston 224 pages, paper, 2000 Starting Monday Seven Keys to a Permanent, Positive Relationship with Food Karen R. Koenig 280 pages, paper, 2013 Midlife Eating Disorders Your Journey to Recovery Cynthia M. Bulik 352 pages, paper, 2013 The Emotional Eater’s Repair Manual A Practical Mind-Body-Spirit Guide for Putting an End to Overeating and Dieting Julie M. Simon 360 pages, paper, 2012 Restoring Our Bodies, Reclaiming Our Lives Guidance and Reflections on Recovery from Eating Disorders Aimee Liu 240 pages, paper, 2011 Making Peace with Your Plate Eating Disorder Recovery Robyn Cruze & Espra Andrus 224 pages, paper, 2013 8 Keys to Recovery from an Eating Disorder Life Beyond Your Eating Disorder Reclaim Yourself, Regain Your Health, Recover for Good Johanna S. Kandel Effective Strategies from Therapeutic Practice and Personal Experience (8 Keys to Mental Health) Carolyn Costin & Gwen Schubert Grabb 296 pages, paper, 2011 240 pages, paper, 2010 26 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Mindfulness Neuroscience: The Biology Behind Yoga in the Clinical Setting Neurobiologists view embodiment quite differently than sociologists; here, embodiment is specifically related to the biology of the human experience. Recent findings in neuroscience confirm that the body is essential to all forms of learning (Zull et al., 2006). Neurobiologists now view the mind as an inseparable aspect of the body—a view long held in the yogic traditions of psychology (Dalal, 2001a). For example, cortisol, an important hormone to help individuals with stress, is produced in excess for those under chronic stress. This is particularly troublesome for individuals with eating disorders, as prolonged high cortisol levels are known to have many adverse physiological and mental symptoms. These include: lowered immunity, decreased bone density, decreased muscle tissue, and poor cognitive functioning. The somatic practices of yoga are now recommended by many physicians because the regular practice of yoga has consistently been shown to reduce cortisol levels (Carlson, Speca, Patel, & Goodey, 2004; Granath, Ingvarsson, von Thiele, & Lundberg, 2006; West, Otte, Geher, Johnson, & Mohr, 2004). Neuroscience has become an increasingly popular discipline to help explain mindfulness-based practices, as it seems to offer body-based rationale for what clinicians know intuitively (Siegel, 2010). Interoception and the Practice of Yoga We learn about ourselves through movement not only “of” the body, but “in” the body. When we come in contact with our environment, the interior of the body is constantly changing: hormonal shifts, digestion, movement of fluids, ligament, and bone. These sensations are the result of “interoceptors,” or sensory nerve receptors “that receive and transmit sensations from stimuli originating in the interior of Maintaining Recovery from Eating Disorders Avoiding Relapse and Recovering Life Naomi Feigenbaum 240 pages, paper, 2011 the body” (Ogden et al., 2006, p. 15). For example, in a yoga class, information is received by the brain from the muscles and joints (called proprioception) as a result of sensory receptors that are sensitive to stretch or pressure in the tissue that surrounds them (Bundy, Lane, & Murray, 2002). Yoga instructors attempt to help students understand and interpret the different sensations they are experiencing by giving verbal cues as to what may be transpiring in the body; this type of learning is called interoceptive. One of the most effective means I have found for quieting a particularly restless client in the yoga classes I teach is to engage interoceptive learning. I do this by engaging the student’s mind in the physiological sensations of a yoga posture that relieves pressure in the abdomen (many of our clients suffer from gas, constipation, and cramping, and desire some relief from these negative sensations). For example, in setu bandhasana, or bridge pose, students lie on their back and bring their feet close to their hips. Pressing their feet into the floor, they lift their hips from the ground. I follow this movement with the suggestion that they let their hips drop down one inch from their highest position and reach their knees to the front wall. This lengthening of the abdominal cavity creates a perceived sense of “space” and “lightness” that 1) teaches individuals they have some control over interoceptive stimuli, and 2) in the short moment in which they are holding the pose and exploring interoception, they are experiencing the present moment fully, free of critical thinking or a mind-set that habitually moves to the past or future. by Leah M. DeSole, editor Excerpted from Eating Disorders and Mindfulness: Exploring Alternative Approaches to Treatment, pp. 132-133 © 2012 by Leah M. DeSole, editor Reprinted with permission from Routledge. Eating Disorders and Mindfulness Exploring Alternative Approaches to Treatment Leah M. DeSole, editor 176 pages, hardcover/paper, 2014 800-756-7533 • EDcatalogue.com • 27 RECOVERY EATING DISORDERS AND RECOVERY Welcome Home I have a client who has been working for a long time on learning to listen to herself, attend to her needs, have more ease with food, and feel at home in her body. After months of bravery, she sits in front of me, her eyes light up, her shoulders drop, and she exhales: “I think I finally get it. After all the times we’ve talked about self-acceptance and how to trust myself, I feel like there is no drama around food. Now, how do I stay here?” I smile and think, Darn good question. I remember the first time I went to Mexico. The air was thick with humidity, and the palm trees whipped back and forth with the wind. As if the salt water, white sand, and a week without e-mails weren’t enough, when I arrived at the resort, someone walked up to me, handed me a glass of champagne and a warm chocolate chip cookie, and said, “Welcome home.” I was having a similar experience to my client’s—“I love it here, and I never want to leave.” As time, money, and life events allow, I can go back to that place. And if not in person, I can go back in my own body, welcoming me home to myself. I once took lessons in the Alexander Technique, which is a way of relearning movement habits so there is less muscular tension. I remember a moment of finally feeling more freedom and ease in my neck, and saying, “I want to stay here forever. How do I stay here?” I felt like I wanted to walk around so carefully so that I’d never lose the position I was in. Which, of course, just produced tension. The point wasn’t to keep this perfect posture forever. As my teacher gently reminded me, the point was to move away from it and know how to come back. The definition of the word welcome that I love the most is: “I will gladly receive you.” When we literally or symbolically put out the welcome mat, we are extending kindness and feeling receptive to whoever wants to enter. Of course, it usually feels much easier to receive someone else warmly than ourselves. When I think of recovery, I don’t think of it in terms of “what” but “how.” It’s not where we get to—but how we get there. It’s not so much an outcome or event, but a path we walk. And more important, what is the relationship with ourselves as we walk that path? How much of our experience can we welcome? NEW Surviving Disordered Eating One Bite at a Time Barbi Webber & Carrie Thiel 132 pages, paper, 2015 NEW Getting Better Bite by Bite, Second Edition A Survival Kit for Sufferers of Bulimia Nervosa and Binge Eating Disorders Ulrike Schmidt, Janet Treasure & June Alexander 182 pages, hardcover/paper, 2015 NEW Stories I Tell My Patients 101 Myths, Metaphors, Fables & Tall Tales for Eating Disorders Recovery Arnold Andersen with Leigh Cohn 256 pages, paper, 2016 Making Weight Men’s Conflicts with Food, Weight, Shape & Appearance Arnold Andersen, Leigh Cohn & Thomas Holbrook 256 pages, paper, 2000 and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Carmen Cool, MA, LPC 28 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com The Food & Feelings Workbook A Full Course Meal on Emotional Health Karen R. Koenig Lindsey Hall Artwork by Mary Anne Ritter 216 pages, paper, 2007 176 pages, paper, 2013 The Body Image Workbook for Teens Activities to Help Girls Develop a Healthy Body Image in an Image-Obsessed World Julia V. Taylor 200 pages, paper, 2014 The Hungry i The Body Image Workbook, Second Edition An Eight-Step Program for Learning to Like Your Looks Thomas F. Cash A Workbook for Partners of Men with Eating Disorders Barbara Kent Lawrence 160 pages, paper, 2010 240 pages, paper, 2008 DVDs More handpicked, non-triggering movies at EDcatalogue.com Expressing Disorder Journey to Recovery, A Documentary David Alvarado/Structure Films expressingdisorder.com 2013 Speaking Out About ED 42 min., 2011 ED 101 The Facts About Eating Disorders… 30 min., 2012 Someday Melissa Includes Guided Discussions for Recovery 42 min., 2011 Recovering: APPS for Recover y As w ith any opport unity for heal the process is th and recove the responsibi ry, lity of the indi Following are vidual. some of the ap ps available fo iPhone and/or r Android use. This list is no an endorsem t ent, but rather a suggestion for your review . In alphabetic al order: Body Beautif ul Cognitive Dia ry CBT Self-H elp Eating D App Counselor Mindfulness Bell Optimism Positive Thin king RecoveryBox Recovery Rec ord Rise Up + Rec over Anorexia Nervosa and Bulimia Nervosa 42 min., 2011 800-756-7533 • EDcatalogue.com • 29 RECOVERY WORKBOOKS The Ritteroo Journal for Eating Disorders Recovery BODY IMAGE The COMPLEXITY of BODY IMAGE Relevance and Impact Across the Life Span Introduction Defining Body Image “Hello, Gorgeous!” This greeting is not the one most individuals use to address the reflection looking back at them from the mirror. Rather, most use the mirror as a tool for taking stock of their worth—despite age, gender, socioeconomic status, religion, or race—conducting a critical search for flaws, fat, and proof of failure to live up to the standards they have set for themselves. The hunger for perfection is insatiable—a word derived from the Latin root satis, meaning enough and implying “capable of being satisfied fully.” For those with body image issues, the high is never high enough, the scale is never low enough, and the image in the mirror is never good enough. Body image dissatisfaction and distortion are key issues for most women and girls (and an everincreasing number of boys and men), and not just those with an eating disorder (ED). Unfortunately, few of us have peace of mind when it comes to our bodies and appearance—giving rise to body shame, body loathing, anxiety, low self-esteem, and a disconnection from our bodies. Ironically, as obsessed as clients with EDs are about their bodies, they are not really “living in,” connected to, or grounded in their bodies; rather, the body is seen as an object needing to be controlled. Clients will often refer to their bodies as “it” or “this body”—indicative of something outside of themselves. It is not uncommon to hear someone with an ED describe her relationship with her body as that of one with a stranger or even an enemy (Kleinman & Hall, 2006). Body image is often oversimplified and assumed to be merely a factor of “I love my body” or “I loathe my body.” It is a complex and multifaceted dynamic, integral to the life cycle, shifting and adapting as we age and engage in life experiences. The defining characteristics of a healthy body image make it clear just how far removed our ED clients are from achieving satisfaction and a sense of wholeness in terms of their relationship with their body. A healthy body image is actually flexible; body representations reflect one’s inner sensations and intrapsychic events, and external events can change literally from moment to moment. As a counterbalance, the core body schema (the source of our drives and bodily needs) remains constant to provide a sense of stability. For individuals with body control issues, however, their images are rigid and unchanging. The mental image of their body is idealized, not realistic, and fails to match up with what the body actually looks like as perceived by others. and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Adrienne Ressler, LMSW, CEDS Living with Your Body & Other Things You Hate Emily Sandoz & Troy DuFrene 184 pages, paper, 2014 Adolescence and Body Image From Development to Prevention (Adolescence and Society) Lina A. Ricciardelli & Zali Yager 224 pages, paper, 2015 Body Image, Second Edition A Handbook of Science, Practice, and Prevention Thomas F. Cash & Linda Smolak 490 pages, paper, 2012 30 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com NEW Kimber Simpkins 176 pages, paper, 2016 E C A L P RE For You to Know NEW Full How I Learned to Satisfy My Insatiable Hunger and Feed My Soul Kimber Simpkins 312 pages, hardcover, 2015 The Woman in the Mirror How to Stop Confusing What You Look Like with Who You Are Cynthia M. Bulik 252 pages, paper, 2012 Fat talk, simply stated, is when people have negative conversations about the size and shape of their bodies. Females are notorious for engaging in fat talk. Engaging in fat talk reinforces the ridiculous societal standard that you have to be dissatisfied with your body. Fat talk is completely unhealthy and keeps women and girls at war with their bodies. Speaking negatively about our bodies has become so normalized in our society that you might not even realize when you or someone else is doing it. People engage in fat talk for a variety of reasons: for connection, for validation, to judge others, and to not seem overly confident about themselves. “Does my butt look big in these pants?” “I can’t believe she just ate all of that!” “I have, like, zero muscle tone.” “You look supercute in that outfit—have you lost weight?” “I wish I had her body.” …………… This list could go on for pages. Some of the statements listed above may seem positive, but if you look closely, you’ll see that they still reinforce the idea that thin equals better. For example, “You look supercute in that outfit—have you lost weight?” may seem positive, but what message does it really send? “You looked terrible before, but now you look fabulous!” That’s not a compliment; it’s a backhanded put-down. When you think about it, what does fat talk really accomplish? ………………. For You to Explore Dr. Deah’s Calmanac Your Interactive Monthly Guide for Cultivating a Positive Body Image Deah Schwartz 153 pages, paper, 2013 The Body Image Workbook for Teens Activities to Help Girls Develop a Healthy Body Image in an Image-Obsessed World Julia V. Taylor 200 pages, paper, 2014 When you make a negative remark about your body to another person, how are you really feeling: What do you really need to hear? What is your goal? Think about the last few times you have used fat talk to convey a feeling, and complete the questions below. For example: When I said, “I look like a cow in every pair of pants I own,” to my friend Renee, I was feeling self-conscious. What I really needed was to connect with someone. Next time, instead of fat talking, I can accomplish this by reaching out to a friend I trust and know I can be myself around. Your turn: When I said,________________________________________________________ to ________________, I was feeling __________________________________. What I really needed was ______________________________. Next time, instead of fat talking, I can accomplish this by ___________________________________________. by Julia V. Taylor From The Body Image Workbook for Teens © 2014 by Julia V. Taylor Reprinted with permission: New Harbinger Publications, Inc. 800-756-7533 • EDcatalogue.com • 31 BODY IMAGE 52 Ways to Love Your Body NEW SPIRITUALITY Table in the Darkness The Body of Chris A Memoir of Obsession, Addiction, and Madness Chris Cole A Healing Journey Through an Eating Disorder Lee Wolfe Blum 205 pages, paper, 2013 237 pages, paper, 2015 Love Your Body, Love Your Life Women, Food and God An Unexpected Path to Almost Everything Geneen Roth 5 Steps to End Negative Body Obsession and Start Living Happily and Confidently Sarah Maria 240 pages, paper, 2012 211 pages, paper, 2011 Hope, Help & Healing for Eating Disorders Revised and Expanded Gregory L. Jantz with Ann McMurray 200 pages, paper, 2010 CHRISTIAN The Predatory Lies of Anorexia A Survivor’s Story Abby D. Kelly 196 pages, paper, 2014 Chasing Silhouettes How to Help a Loved One Battling an Eating Disorder Emily T. Wierenga 201 pages, paper, 2012 Starving Souls A Spiritual Guide to Understanding Eating Disorders— Anorexia, Bulimia, Binging… Rabbi Dovid Goldwasser 264 pages, paper, 2010 Images of His Beauty A 10 Week Bible Study for Young Women Desiring to Find Hope and Healing in Jesus Christ Tracy Davis Steel 112 pages, paper, 2012 Spiritual Approaches in the Treatment of Women with Eating Disorders P. Scott Richards, Randy K. Hardman & Michael E. Berrett 304 pages, hardcover, 2007 32 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com the Heart A Spiritual Cornerstone of Recovery and Well-Being T here is an old story about a patient who went to her family doctor. Following assessment, the doctor told the patient the findings of her examination. Upon learning of the diagnosed illness and the recommended treatment, the patient expressed refusal to follow the outlined treatment regimen. Then she asked, “Doctor, am I going to get well?” The doctor replied, “That depends on which one of us is the doctor.” The physician knew that recovery from illness would require listening to and then following instruction. We all have resources that guide us. Many of these are external. We have those around us who have gained education, experience, and even expertise, who will have sound advice, guidelines, and even accompanying compassion to help us overcome trial, transcend adversity, recover from illness, and experience growth, happiness, and transcendence in our lives. These external sources of guidance may be professionals who are competent and who truly care. They may be family members or friends who have our best interest in their hearts. Guidance may come from a “higher power”— a spiritual source of strength, power, beauty, wisdom, goodness, and peace beyond our own. Sometimes, those in this external circle of support help us to connect with, understand, and follow our own internal source of guidance, understanding, and knowing. The following personal story tells of one instance of an “inner knowing” and of listening to and following the “heart.” One night, in the beginning years of my career of counseling troubled youth, it was late in the evening, 9:30 or 10 p.m. Early the next morning, I was to take 25 teenagers from our high school on an intensive therapeutic wilderness survival trip in the Escalante outback of southern Utah. All commitments, arrangements, and preparations were made for those who signed up to go. There was one 17-year-old girl, whom I had met, counseled briefly, and cared about. I was concerned for her. She was not on the list and was not going on the trip. There was no indication of interest, no parental permission, and no signed forms. I kept thinking of her, and beyond thoughts, I had a strong and unrelenting feeling to call her and check up on her. A hundred thoughts of doubt and obstacle followed, such as, It’s too late to call; It is far too late for her to get ready for the trip; She will be alright; I have no right to intrude on her decision to not go; and What would her parents think? Thankfully, knowing that I needed to call was louder and more clear than those other distracting thoughts. I called, and after a brief discussion with both the teen and her parents, items were gathered, and she came on the journey. I didn’t think much more about the decisions that both she and I had made until a couple of days later. During an overnight 24-hour solo experience in that wilderness, I went to “check in” on her. I sat down in the dirt with her, and we talked about her wilderness experience, her life, her family, and her dreams, aspirations, fears, struggles, and some of her emotional demons. In that conversation, she said, “I just want to thank you for calling me the other night and insisting that I come on this trip. Nobody knows this, but I was in the middle of carrying out my plans to kill myself when you called.” She explained more details. After a few shared tears, I expressed gratitude for her sharing, for her life, and for her decision to come on the trip. We finished our discussion. As I walked away, I started thinking pretty hard about the importance of listening to those messages of the heart. The “heart” is not the word I used to describe it then, but I learned that day, again, in a powerful way, that this idea of learning to listen and follow would be important in my life and in my work with patients, and that it would be important in their lives, too. That was more than 30 years ago. On that important night, gratefully, I was not the only one who listened to the heart. A 17-year-old girl listened to her heart, as well. Sometimes moments of listening and heart become a part of a small but important miracle, and sometimes one moment of listening and responding can lead to an opportunity for others to also receive and listen to messages from the heart. and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Michael E. Berrett, PhD 800-756-7533 • EDcatalogue.com • 33 SPIRITUALITY LISTENING TO AND FOLLOWING A Life Lost LYNN GREFE • APRIL 27, 1950 – APRIL 28, 2015 NEW O n April 28, 2015, the eating disorders field lost its most prominent champion, Lynn Grefe, who had served as the president and CEO of the National Eating Disorders Association for more than a decade. She left countless footprints in hearts across our country and across the globe in her leadership role at NEDA. Many of us feel both a personal and a professional loss, as Lynn had reached out to so many in her efforts to overcome eating disorders. A few special souls see the good in any situation and simply bring out the best in other people regardless of the circumstances. That was Lynn. In 2003, she brought her innate ability and desire to connect with others and a stubborn optimism to NEDA. With her grit, grace, and tireless dedication, Lynn turned an “Many people will walk organization that was full of potential in and out of your life, into one that has transformed how the U.S.—and the world—deals with eating but only true friends disorders. The politics and divisiveness in will leave footprints our field and in our country never stopped in your heart.” her. Where many of us saw insurmountable obstacles, Lynn envisioned the — ELEANOR ROOSEVELT— chance to educate and enlighten others, and she never walked away from an opportunity like that. Her fast smile and the light in her eyes brightened every room Lynn entered and opened every heart she encountered. Lynn took every opportunity possible to educate others about the complexities of eating disorders, the suffering they cause, the many contributing factors, and the need for more research, more services, more information and outreach, more prevention, and more attention to government policies and legislation. She learned as much as she could from clinicians, researchers, and activists in the field, but equally valued the experiences and perspectives of the sufferers and their families and loved ones. At the end of the day, she believed that NEDA had to answer the needs of those suffering more than any other constituency. She was always willing to do one more interview with the media and share her own experience as a parent with other families facing the challenge of eating disorders. During the decade that Lynn devoted to NEDA, she accomplished more than anyone could have predicted. The short list includes: D Completing the successful merger of four national eating disorders organizations into NEDA. D Moving NEDA headquarters across the country from Seattle to New York to take advantage of the proximity to the power base Manhattan represents and advocacy opportunities in Washington, D.C. D Helping NEDA become the resource and clearinghouse for information about eating disorders for the public, from roommates and loved ones to coaches, teachers, and health care professionals. and can be found in its entirety at ☛ This article continues EDcatalogue.com. Pursuing Perfection Eating Disorders, Body Myths, and Women at Midlife and Beyond Margo Maine & Joe Kelly Coming in June 2016 Effective Clinical Practice in the Treatment of Eating Disorders The Heart of the Matter Margo Maine, William N. Davis & Jane Shure 262 pages, hardcover/paper, 2009 Treatment of Eating Disorders Bridging the Research-Practice Gap Margo Maine, Beth Hartman McGilley & Douglas W. Bunnell 526 pages, hardcover, 2010 Father Hunger, Second Edition Fathers, Daughters, and the Pursuit of Thinness Margo Maine 317 pages, paper, 2004 The Body Myth Adult Women and the Pressure to Be Perfect Margo Maine & Joe Kelly 279 pages, hardcover, 2005 by Margo Maine, PhD, FAED, CEDS 34 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com G lobules of fat on the meat chunks peered out of the lamb stew, daring me to eat them. It didn’t help that the stew’s rich brown gravy had merged with its companion—a large blob of white-as-snow potato mashed with a generous lashing of creamy milk and butter. For the first time in months, I had looked forward to sitting down to tea. Tonight, Mum wouldn’t have cause to growl. But, confronted by the lamb stew and potato, guilt set in. I loaded my fork, and could go no further. The fatty globs glared at me. I skirted them, eating the boiled carrot and cabbage, carefully avoiding the bits that touched the stew and mashed potato. Mum grumbled. “Wasteful,” she muttered, taking my plate away. Then she served steamed apple pudding with a rich custard sauce poured over top. This dessert, once my favorite, now sparked terror. “For goodness’ sake, eat!” Mum begged. The pudding was one of Grandma Alexander’s recipes. I love Grandma, but I couldn’t eat her pudding; I wanted to run from the kitchen and hide. Everyone else finished the meal, and I sat alone with my pudding, now cold and soggy. An hour later, Mum snatched my bowl and furiously scraped the contents into the slop dish. Wanting to please her by eating something, I decided on two dry biscuits. I knew exactly how many calories they contained and could eat them without feeling guilty. Getting the biscuits out of the jar in the pantry cupboard, I nibbled them slowly, trying to make two seem like twelve NEW to show Mum, “Look, I am eating, I am eating.” But Mum erupted. “Why eat those, and not what I cook?” she snapped. “Isn’t my cooking good enough for you?” “Of course it’s good enough, Mum. Everyone loves your cooking,” I wanted to say. But I didn’t know how many calories were in the rich pudding. My life had become complicated since my periods arrived. I wished they would go away. I was achieving top marks at school, and was helping with jobs on the farm, but was always thinking about food—what I would eat, and how much exercise I would have to do to burn the calories I ate. Mostly such thoughts were a comfort. They helped me feel I could cope, no matter what was going wrong in the family or on the farm. Occasionally, Mum caught me out: Washing my clothes, she would find dried egg yolk, cake crumbs, and gravy in the pockets. She would growl, but I could not do anything about it. (Neither of us knew that anorexia nervosa was taking over my mind.) “I can’t eat,” I wanted to shout. She made me sit at the dinner table for hours, while she dashed about, doing jobs, but failed to weaken my resolve. She tried to coax, calling me Tim, and tried to threaten, calling me Toby, but the thoughts of my illness were stronger than both of us. Eating with Your Anorexic A Mother’s Memoir Laura Collins 192 pages, paper, 2014 by June Alexander Excerpted from A Girl Called Tim: Escape from an Eating Disorder Hell. ©2011 Sydney: New Holland Publishers. A Girl Called Tim paperback Escape from an Eating Disorder Hell June Alexander eBook, 2011 A Girl Called Tim Escape from an Eating Disorder Hell June Alexander eBook 267 pages, paper, 2011 800-756-7533 • EDcatalogue.com • 35 PERSONAL STORIES MY ILLNESS BOOK AUDIO ABLE IL A V A PERSONAL STORIES Goodbye Ed, Hello Me Life Without Ed, 10th Anniversary Edition Recover from Your Eating Disorder and Fall in Love with Life Jenni Schaefer How One Woman Declared Independence from Her Eating Disorder and How You Can Too Jenni Schaefer with Thom Rutledge 249 pages, paper, 2009 188 pages, paper/audiobook, 2014 Dancing Through It phoenix, Tennessee (music CD) My Journey in the Ballet Jenifer Ringer Jenni Schaefer 288 pages, hardcover, 2014 7 songs, 2010 Eating Disorders on the Wire Music and Metaphor as Pathways to Recovery Jenn Friedman Shattered Image My Triumph Over Body Dysmorphic Disorder Brian Cuban 78 pages, paper, 2014 224 pages, paper, 2013 On the Wire Accompanying CD Jenn Friedman Man Up to Eating Disorders Music CD, 11 Songs Andrew Walen 202 pages, paper, 2014 My Thinning Years Starving the Gay Within Jon Derek Croteau Something Spectacular The True Story of One Rockette’s Battle with Bulimia Greta Gleissner 240 pages, paper, 2014 248 pages, paper, 2012 PR A Personal Record of Running from Anorexia Amber Sayer 246 pages, paper, 2013 36 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com AND OTHER LUXURIES A M o t h e r ’s L i f e w i t h a D a u g h t e r ’s A n o r e x i a W as it really obvious that Elena was on a diet? Did this man know how hard it was for that girl—and for her family members, too—to manage to hold on to weight? Did he take her family’s naturally high metabolism into account? Or did he just assume she had been dieting because we women, all we want to do is diet, right? How I hated that hysterical female crap! Logic … Logic … This isn’t helping … “What about the Zoloft you put her on?” I asked. “She’s been on it for two months, and you increased the dose last month. Could it have caused her weight to vary? Could it have caused this sudden weight loss?” “No, it couldn’t,” Dr. Petras said. Yes, it absolutely could. Loss of appetite and weight loss are common side effects of Zoloft, especially in children and adolescents. It isn’t unusual for Zoloft to cause a child to lose more than 7% of his or her body weight. But I didn’t know this then. I hadn’t had time to educate myself. “Look, I’m not going to argue with you,” Dr. Petras continued. “Your daughter has anorexia nervosa. I’m putting her in the hospital until she gains weight. And that’s how it’s going to be!” I felt completely bewildered. I hadn’t realized we were having an argument. Silly me, I thought we were consulting together to try to determine the best medical course of action to help one of the three most important people in my life. But it felt as if Dr. Petras had deliberately forced me into a position that would allow him to say this. Could he actually put Elena into the hospital, even without our permission? I wasn’t sure. Our status in Germany, connected to a military base overseas, did put us into a somewhat vulnerable position. Overseas military doctors have greater latitude than civilian doctors do back home. It could be that Dr. Petras was within his rights to do this, and he certainly acted as if he was. But in one way at least, this hospitalization wouldn’t be a bad thing. It would give us the chance to bring other doctors into the picture very quickly. Putting Elena into the pediatric ward automatically meant having her care overseen by the ward pediatrician, and that pediatrician was bound to order the important medical tests I was thinking of, tests that could take weeks to order in this busy wartime hospital if Elena weren’t an inpatient there. Eight pounds of weight loss in one month might mean a very serious medical condition: lupus, hepatitis, a metabolic disorder, or even leukemia. The sooner we knew if one of the conditions was present, the better. So Joe and I exchanged glances, and we wordlessly agreed: We wouldn’t fight Dr. Petras on this. A couple of days in the hospital might bring us important answers. But I looked at the expressionless expression that shouldn’t be on my daughter’s face, and I felt torn and deeply distressed. by Clare B. Dunkle Excerpted from Hope and Other Luxuries: A Mother’s Life with a Daughter’s Anorexia © 2015 by Clare B. Dunkle. Used with permission from Chronicle Books, San Francisco. Visit ChronicleBooks.com NEW NEW Elena Vanishing A Memoir Elena Dunkle & Clare B. Dunkle 288 pages, hardcover, 2015 Hope and Other Luxuries A Mother’s Life with a Daughter’s Anorexia Clare B. Dunkle 464 pages, hardcover, 2015 Eating to Lose Healing from a Life of Diabulimia Maryjeanne Hunt 160 pages, paper, 2012 Second Son Transitioning Toward My Destiny, Love, and Life Ryan K. Sallans 240 pages, paper, 2013 800-756-7533 • EDcatalogue.com • 37 PERSONAL STORIES Hope K I D S / T E E N S / Y O U N G A D U LT S TWEENS / TEENS / YOUNG ADULTS Can I Tell You About Eating Disorders? Eating Disorders A Guide for Friends, Family and Professionals Bryan Lask & Lucy Watson Illustrated by Fiona Field Kids ages 7–15 The Ultimate Teen Guide (It Happened to Me Series) Jessica R. Greene Teens 316 pages, hardcover, 2014 56 pages, paper, 2014 How I Look Journal, Fifth Edition Molly & Nan Dellheim Middle & high school 160 pages, paper, 2013 The Stone Girl Alyssa B. Sheinmel Teens 224 pages, hardcover, 2012 The Ultimate Tween Survival Guide Dina Zeckhausen Ages 9 –13 87 pages, paper, 2012 My Feet Aren’t Ugly A Girl’s Guide to Loving Herself from the Inside Out Debra Beck Teens 176 pages, paper, 2011 Girl Lost: The Bulimia Workbook for Teens Activities to Help You Stop Bingeing and Purging Lisa Schab Teens Finding Your Voice Through Eating Disorder Recovery Lynn Moore Ages 9–13 62 pages, paper, 2011 156 pages, paper, 2010 38 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com KIDS Celebrating the Wonders of Your Body Christiane Northrup with Kristina Tracy Illustrated by Aurelie Blanz Ages 4–10 28 pages, hardcover, 2013 Shapesville Andy Mills & Becky Osborn Illustrated by Erica Neitz Ages 3 –8 32 pages, hardcover/paper, 2003 Includes a note to educators/parents with discussion questions No “Body” Is Perfect But They Are All Beautiful Denise Folcik Illustrated by Lily Weber Ages 3– 6 A Note to ADULTS C hildren express concerns about body size at younger ages than ever before, and adults are getting all kinds of messages about kids and weight. Amanda’s Big Dream offers a fun way to start important and positive conversations. We ask adults to keep in mind that your own attitudes toward weight affect children. While a thinner body is typically valued in our culture, people naturally come in all shapes and sizes. Unfortunately, when the focus is placed on weight, rather than on healthful behaviors, kids who are bigger often experience shame and kids who are smaller often fear becoming fat. Eating disorders, low self-esteem, and weight bullying are some of the harmful consequences that come from an emphasis on having a thinner body. Let’s teach kids to respect their bodies and those of others. Let’s model positive behaviors that help them become healthy, strong, and confident. Let’s help create a world where everyone can follow their dreams! by Judith Matz, LCSW Excerpted from Amanda’s Big Dream © 2015 by Judith Matz, Elizabeth Patch (Illustrator). Reprinted with permission from Graceful Cat Press. 32 pages, paper, 2012 NEW Amanda’s Big Dream Full Mouse Empty Mouse A Tale of Food and Feelings Dina Zeckhausen Illustrated by Brian Boyd Ages 7–12 Judith Matz Illustrated by Elizabeth Patch Ages 4 and up 32 pages, paper, 2015 40 pages, paper, 2008 800-756-7533 • EDcatalogue.com • 39 K I D S / T E E N S / Y O U N G A D U LT S Beautiful Girl PREVENTION T in Schools HEALTHY EATING o provide an example of how mindfulness techniques might be integrated into classrooms, we briefly describe the ME program. The ME program is a theoretically derived, teacher-taught universal prevention intervention that integrates daily mindful attention training (three times a day) and focuses on the development of social-emotional development and positive emotions. The program includes a 10-lesson manualized curriculum that involves all children in the classroom and applies the lesson content to other aspects of curriculum and aspects of the children’s lives (Schonert-Reichl & Lawlor, 2010). The program has four key components (Schonert-Reichl & Lawlor, 2010). The first two components are quieting the mind and mindful attention. To address these components, students begin to quiet the mind by sitting in a comfortable position and attentively listening to a single sound (e.g., a bell or chime). Next, they engage in mindful attention by using their breath as the focal point of their concentration and presence in the moment. Students were also asked to bring their attention to bodily sensations, thoughts, and feelings, an exercise similar to the body scan conducted in other mindfulness interventions. For the study, these daily core mindfulness attention exercises were completed three times a day for three minutes. The three-minute duration was gradually extended throughout the course of the intervention as the students were ready. The interested reader is referred to Stahl and Goldstein’s (2010) A Mindfulness-Based Stress Reduction Workbook for detailed instructions on mindfulness-based techniques. The third key component addresses managing negative emotions and negative thinking. This was done in two ways. First, daily affirmations and visualizations were practiced in conjunction with the mindful practices to foster positive affect and optimism. Second, the 10-lesson manualized curriculum addressed topics such as learning how to eliminate negative thinking, goal setting, and turning problems into opportunities. The last component addressed acknowledgment of self and others. This content was also delivered through lessons that included topics such as making friends and teamwork. The ME program lessons were taught approximately once per week for a duration of 40 to 50 minutes (Schonert-Reichl & Lawlor, 2010). Program outcomes indicated that early adolescents who participated in the ME program showed significant increases, compared with controls, in optimism, positive affect, general self-concept (preadolescents only), and teacher-rated attention, emotional regulation, and social-emotional competence (Schonert-Reichl & Lawlor, 2010). Significant decreases in teacher-rated aggression and oppositional-dysregulated behavior also were noted among students who received the intervention. There was no change in negative affect. Finally, there was an interesting finding that general self-concept (early adolescents only) decreased for the treatment group and increased for controls. Schonert-Reichl and Lawlor (2010) theorized that there may be a developmentally sensitive period at early adolescence during which increased attention and reflection on the self may result in the adolescents developing a more critical or realist view of the self that translated to a less positive rating of self-concept. As the ME program is one of the first school-based research studies on a universal application of mindfulness techniques, much more is to be understood as the research in this area develops. by Catherine P. Cook-Cottone, PhD, Evelyn Tribole, MS, RD & Tracy L. Tylka, PhD Excerpted from Healthy Eating in Schools: Evidence-Based Interventions to Help Kids Thrive © 2013 by the American Psychological Association. Healthy Eating in Schools Evidence-Based Interventions to Help Kids Thrive Catherine P. Cook-Cottone, Evelyn Tribole & Tracy L. Tylka 285 pages, hardcover, 2013 Body Respect What Conventional Health Books Get Wrong, Leave Out, and Just Plain Fail to Understand About Weight Linda Bacon & Lucy Aphramor 232 pages, paper, 2014 Healthy Habits The Program plus Food Guide Index & Easy Recipes: 8 Essential Kid-Friendly Nutrition Lessons Every Parent and Educator Needs Laura Cipullo 108 pages, paper, 2013 40 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Prevention of Eating Disorders: The Sociocultural Foundation No illness has ever been eradicated or even significantly reduced in prevalence by applying an early-detection-thentreatment model. Eating disorders are no different. Even if these disorders were not shrouded in complexity, secrecy, and stigma, there will never be enough competent clinicians of any sort to enable societies around the world to cope in an effective and humane way with the millions of females, as well as the hundreds of thousands of males, suffering from anorexia nervosa (AN), bulimia nervosa (BN), and related conditions. Prevention is not a luxury awaiting clarification of risk factors and refinement of treatment. Prevention is a necessity. Although it is currently fashionable and politically astute (e.g., in terms of obtaining funds for research) to focus on biological factors “underlying” AN and BN, there is substantial evidence that sociocultural and psychosocial variables play a causal role as risk factors in the development of eating disorders. Interviews, cross-sectional survey studies, longitudinal investigations, and various types of laboratory and field experiments all point to specific media, peer, and family factors as contributors to the following specific aspects of the nervosa in eating disorders: 2 2 2 2 Definition, and therefore evaluation, of self primarily in terms of weight and shape Preoccupation with and overemphasis on control of weight and shape Irrational anxiety about body fat and gaining weight Prejudicial, stigmatizing beliefs about fat people 2 Glorification of slenderness and thin people, leading to and supported by internalization of a slender (and/or fit/muscular) beauty ideal Similarly, research also strongly supports the role of sociocultural and psychosocial factors in the emergence of the nonspecific psychopathology that constitutes part of the nervosa. These nonspecific variables include, but are not limited to: 2 2 2 Negative emotions, such as high levels of social anxiety, guilt, shame, and irritability Difficulties in identifying, expressing, and otherwise effectively managing strong positive and negative emotions, such that chaotic eating or not eating readily becomes an attractive and habitual form of coping Impossible standards, experienced as internalized “musts” and “shoulds”—these give rise to extreme and disorganizing emotions, as well as to (a) extreme attempts to compensate for failure (e.g., with restriction and overcontrol) and/or (b) mindless abandonment of painful self-consciousness (e.g., with overindulgence). and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Michael P. Levine, PhD, FAED, Emeritus Professor of Psychology, Kenyon College, Gambier, OH Healthy Bodies (curriculum) The Big Disconnect Protecting Childhood and Family Relationships in the Digital Age Catherine Steiner-Adair with Teresa H. Barker Teaching Kids What They Need to Know Kathy J. Kater 260 pages, paper, 2012 384 pages, hardcover/ paper, 2014 The Good Parenting Food Guide Managing What Children Eat Without Making Food a Problem Jane Ogden 242 pages, paper, 2014 800-756-7533 • EDcatalogue.com • 41 PREVENTION MEDIA LITERACY as an Effective and Promising Form of Eating Disorders Prevention 42 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Addressing the Importance of of Eating Disorders W ithin the past decade, there has been a vast increase in research on eating disorders. We now understand that these serious illnesses are caused and maintained by a large constellation of genetic, temperamental, interpersonal, physiological, and developmental factors. Yet, in contrast to earlier conceptual models of these disorders that emphasized the role of gender and femininity, the issue of gender is largely missing from our more current paradigms and our treatment models. Eating disorders are, in fact, gendered illnesses. The thoughts, beliefs, anxieties, and behaviors that define the disorders all reflect aspects of gender socialization. This is true for women with these disorders, still the substantial majority of sufferers, as well as for men and transgender clients. Therapists can use the exploration of gender as a gateway to a deeper understanding of their clients’ eating disorders. That exploration also presents critical opportunities for enhancing therapeutic motivation and building therapeutic alliance. Gender and gender identity are largely social constructs, built on a biological foundation but continually evolving on the basis of life experiences. Gender identity, increasingly, is seen as nonbinary. Clinicians working with transgender and gender-nonconforming clients should familiarize themselves with current practice guidelines for this population (apa.org/practice/guidelines/transgender.pdf ). Gender, however defined, does shape most of our social interactions, including early attachment experiences, and thereby builds, through internalization, the foundation of self-identity. Gender, for all of us, shapes our sense of power, autonomy, rules about emotional expression, and role expectations in relationships. For our clients with eating disorders, their experiences of masculinity, femininity, or other gendered identity will also clearly influence their experience of their bodies, attitudes about weight and shape, and rules and expectations about eating. At the higher levels of symptom acuity, eating disorders trump gender. The nutritional chaos of emaciation, binge eating, purging, overexercise, and other eating-disordered behaviors can, however, obscure essential gender differences in the key motivations and maintaining factors for the eating disorder. Women with eating disorders are, in general, motivated to lose weight or to avoid weight gain. Weight loss, attaining and maintaining a thin body ideal, and disciplined control over eating tend to be ego-syntonic—that is, female clients are often ambivalent about making changes in treatment that move them away from those goals. Men and boys with eating disorders are often less ambivalent about weight gain but tend to be more focused on a body ideal that is muscular and lean. Integrative CognitiveAffective Therapy for Bulimia Nervosa NEW A Treatment Manual Stephen A. Wonderlich, Carol B. Peterson & Tracey Leone Smith, with Marjorie H. Klein, James E. Mitchell & Scott J. Crow 242 pages, paper, 2015 NEW Brief Group Psychotherapy for Eating Disorders Inpatient Protocols Kate Tchanturia, editor 240 pages, hardcover/ paper, 2015 Healing Eating Disorders with Psychodrama and Other Action Methods Beyond the Silence and the Fury Karen Carnabucci & Linda Ciotola 272 pages, paper, 2013 and can be found in its entirety at ☛ This article continues EDcatalogue.com. by Douglas W. Bunnell, PhD, FAED, CEDS 800-756-7533 • EDcatalogue.com • 43 P R O F E S S I O N A L T R E AT M E N T GENDER IN PSYCHOTHERAPY P R O F E S S I O N A L T R E AT M E N T Body-States Interpersonal and Relational Perspectives on the Treatment of Eating Disorders Jean Petrucelli, editor Eating Disorders and Obesity A Counselor’s Guide to Prevention and Treatment Laura H. Choate 459 pages, paper, 2013 354 pages, paper, 2014 Cognitive Remediation Therapy (CRT) for Eating and Weight Disorders Kate Tchanturia, editor 254 pages, hardcover/ paper, 2014 Current Findings on Males with Eating Disorders Leigh Cohn & Raymond Lemberg 232 pages, hardcover, 2013 Eating Disorders, Addictions and Substance Use Disorders Research, Clinical and Treatment Perspectives Timothy Brewerton & Amy Baker Dennis, editors 681 pages, hardcover, 2014 Eating Disorders and the Brain Bryan Lask & Ian Frampton 238 pages, hardcover, 2011 Night Eating Syndrome Research, Assessment, and Treatment Jennifer D. Lundgren, Kelly C. Allison & Albert J. Stunkard 299 pages, hardcover, 2012 Cognitive Behavior Therapy and Eating Disorders Christopher G. Fairburn 324 pages, hardcover, 2012 Acceptance and Commitment Therapy for Eating Disorders Emily K. Sandoz, Kelly G. Wilson & Troy DuFrene 265 pages, hardcover, 2011 44 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com Family Therapy for Adolescent Eating and Weight Disorders Types of Emotion Regulatory Strategies Several classification schemes have been developed to organize emotion regulation strategies. Research into specific regulatory strategies has indicated that some strategies may be more adaptive than others in facilitating downregulation of physiological arousal and permitting subsequent goal pursuit (Ochsner, Bunge, et al., 2002). Notwithstanding, delineation of an emotion regulatory strategy as adaptive or maladaptive is ultimately contextually specific. In the section that follows, we first consider the strategies that have received the most empirical support; namely, emotional suppression (e.g., distraction) and reappraisal. We then examine how cognitive capacities may influence choice of emotion regulatory strategy (for a more detailed discussion, see Zucker & Harshaw, 2012). Finally, we consider whether these strategies are adaptive or maladaptive with implications for treatment. The emotion regulation classification of Gross and Thompson (2007) employs the temporal dynamics of a situation to frame both timing and functioning of certain regulatory strategies. Antecedent strategies refer to those techniques undertaken prior to or in anticipation of the occurrence of an emotional response elicited by some evocative situation. Response-focused strategies, on the other hand, are analogous to “damage control,” representing attempts to modify emotional experience after a response has been generated. Gross and Thompson (2007) delineated five families of emotion regulatory processes: situation selection, situation modification, attention deployment, cognitive change, and response modulation. In the sections that follow, we consider the use of these strategies with due consideration to the phenomenology of eating disorders, since research evidence is lacking to support the preferential use of these strategies. Where possible, we bring in evidence that may indirectly support the use of these strategies. be emotionally evocative, so one hypothesis is that those with eating disorders gravitate toward those situations and activities with very clearly defined rules. For example, the high achievement striving reported in those with anorexia nervosa may be manifested by excessive participation in extracurricular activities with clearly defined rules rather than those that lack structure (e.g., participating in ballet versus modern dance, joining a club after school rather than inviting a friend over) (Zucker, Losh, et al., 2007). The ill state of anorexia nervosa may further influence situation selection. Seminal studies of human starvation by Dr. Ancel Keys and colleagues (Keys, 1950) revealed increased social isolation among adult males who were calorically deprived over a prolonged period. by Nancy Zucker, author Katharine L. Loeb, Daniel Le Grange & James Lock, editors Excerpted from Family Therapy for Adolescent Eating and Weight Disorders: New Applications. © 2015 Permission courtesy of Routledge, Taylor and Francis Group. NEW Family Therapy for Adolescent Eating and Weight Disorders New Applications Katharine L. Loeb, Daniel Le Grange & James Lock, editors 474 pages, hardcover/paper, 2015 Situation Selection Situation selection refers to the intentional avoidance of situations likely to be emotionally evocative. Many individuals with eating disorders endorse elevations in the trait feature of harm avoidance, with the implication that individuals high in this trait feature do indeed avoid situations with the potential for emotional volatility (Zucker & Harshaw, 2012). What would these situations be? Any situation involving uncertainty would have the potential to Descriptions of more than 350 books at EDcatalogue.com 800-756-7533 • EDcatalogue.com • 45 P R O F E S S I O N A L T R E AT M E N T NEW APPLICATIONS NUTRITIONISTS & DIETITIANS P R O F E SASN I OONRAELX ITAR N E AT E RM VO EN SA T FAMILY-BASED TREATMENT Eating Disorders in Children and Adolescents The Eating Disorders Clinical Pocket Guide, Second Edition Daniel Le Grange & James Lock Quick Reference for Healthcare Providers Jessica Setnick 512 pages, hardcover, 2011 139 pages, spiral-bound, 2013 Nutrition Counseling in the Treatment of Eating Disorders, Second Edition Treatment Manual for Anorexia Nervosa, Second Edition Marcia Herrin & Maria Larkin A Family-Based Approach James Lock & Daniel Le Grange 347 pages, paper, 2013 271 pages, hardcover, 2012 CLINICAL GUIDES Treatment Plans and Interventions for Bulimia and Binge-Eating Disorder Beyond a Shadow of a Diet, Second Edition Rene D. Zweig & Robert L. Leahy 180 pages, paper, 2012 The Comprehensive Guide to Treating Binge Eating Disorder, Compulsive Eating, and Emotional Overeating Judith Matz & Ellen Frankel 338 pages, paper, 2014 A Clinician’s Guide to Binge Eating Disorder June Alexander, Andrea Goldschmidt & Daniel Le Grange 304 pages, paper, 2013 Recovery from Eating Disorders A Guide for Clinicians and Their Clients Greta Noordenbos 176 pages, paper, 2013 A Collaborative Approach to Eating Disorders June Alexander & Janet Treasure 344 pages, paper, 2011 Integrated Treatment of Eating Disorders Beyond the Body Betrayed Kathryn J. Zerbe 280 pages, hardcover, 2008 Doing What Works An Integrative System for Treating Eating Disorders from Diagnosis to Recovery Abigail Horvitz Natenshon 380 pages, paper, 2009 46 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com T chanturia and Lock (2011) have argued that Cognitive Remediation Therapy (CRT) may be a good preparatory or adjunctive treatment, and that particular attention should be paid to the combination of CRT and cognitivebehavioral therapy (CBT). While CBT remains a reasonable candidate for the treatment of Anorexia Nervosa (AN), and those who remain in treatment appear to benefit from it, efforts to test it empirically have been hampered by large dropout rates (Lock et al., 2013). Conventional CBT faces many challenges with AN patients. A solid therapistpatient collaboration can be difficult to establish because behavioral treatment goals such as reducing restriction and exercise, weight gain, and introduction of feared foods may be divergent from patient goals. The cognitive restructuring elements of CBT require flexibility in thinking, the ability to take an alternative perspective, and perception of the “bigger picture” when evaluating different courses of action—skills that are challenging for some with AN, in part owing to characteristic neurocognitive functioning. CRT may offer a nonthreatening space to practice some of the skills for later engagement in CBT, allowing an opportunity to establish a therapeutic relationship and model a productive working therapeutic collaboration, thereby potentially increasing adherence to treatment. Notable and unique features of CRT are its acceptability to seriously and chronically ill adult patients who demonstrate a refractory course and are often considered to be too ill to engage in psychotherapy. Tchanturia and colleagues developed and refined the therapy and have conducted case series demonstrating the feasibility and acceptability of CRT in an acute inpatient setting including with individuals who are chronically ill and very low weight (Tchanturia, Davies & Campbell, 2007; Tchanturia et al., 2008; Tchanturia, Whitney & Treasure, 2006; Whitney, Easter & Tchanturia, 2008). CRT has also demonstrated feasibility and acceptability in a group format and with adolescents; in general, these studies have observed improvements in neuropsychological task performance between baseline and posttreatment on set-shifting and global processing style with small to large effect sizes (see Tchanturia, Lloyd & Lange, 2013). In the only published randomized treatment trial employing CRT, 46 adults with AN were randomized to receive either two months of CRT, followed by four months of CBT (CRT + CBT) or CBT alone (Lock et al., 2013). Since CRT is hypothesized to facilitate engagement in treatment, the primary outcome of the trial was attrition. The CRT/CBT group had lower attrition in the first two months (13%) compared with CBT only (33%), supporting the hypothesis. In addition, there were neurocognitive improvements in the CRT/CBT arm but not in CBT only, with medium to large effect sizes, though these improvements were not sustained past the initial treatment period. The study supported the feasibility of CRT as an adjunctive treatment to CBT. Excerpted from Casebook of Evidence-Based Therapy for Eating Disorders ©2015 by Heather Thompson-Brenner, editor Reprinted with permission of Guilford Press. NEW Casebook of Evidence-Based Therapy for Eating Disorders Heather Thompson-Brenner, editor 372 pages, hardcover, 2015 800-756-7533 • EDcatalogue.com • 47 P R O F E S S I O N A L T R E AT M E N T as an Adjunctive or Integrated Intervention TREATMENT FACILITIES TREATMENT FACILITY CH ILD TE REN EN AD S UL FE TS M A M LES AL ES TREATMENT FACILITIES INDEX STATE(S) PAGE ACUTE Center for Eating Disorders at Denver Health CO 56 x x x Ai Pono Maui HI 57 x x x MA, NH 57 x x x Center for Change UT 61 x x x The Center for Eating Disorders at Sheppard Pratt MD 57 x x x x x Children’s Medical Center Plano Center for Pediatric Eating Disorders TX 61 x x x x CA, NV, NC 51 CA, CO, IL, OH, SC, TX, WA 9, 49 ED-180 Eating Disorder Treatment Programs NY 59 The Healthy Teen Project CA 54 x Laureate Eating Disorders Program (males outpatient only) OK 60 x x x Loma Linda University Behavioral Medicine Center CA 54 x x x x McCallum Place Eating Disorder Centers MO, KS 50 x x x x McLean Klarman Eating Disorders Center MA 58 x x x The Ranch TN 60 x x x Reasons Eating Disorder Center CA 55 x x x x 21st Century Wellness, Inc. Rebecca’s House Eating Disorder Treatment Programs CA 55 x x x x Remuda Ranch at The Meadows AZ 54 x x x The Renfrew Center CA, CT, FL, GA, IL, MA, MD, NJ, NY, NC, PA, TN, TX 52 x x x River Oaks Hospital LA 57 x x x x Robert Wood Johnson University Hospital Somerset Eating Disorders Program NJ 58 x x x x FL, WI 52 x x x x x Rosewood Centers for Eating Disorders AZ 53 x x x x x Sanford Health Eating Disorders and Weight Management Center ND 59 x x x x x Shades of Hope TX 60 x x x Torrance Memorial Medical Center’s Medical Stabilization Program for Adolescents and Young Adults CA 55 x x x x x University Medical Center of Princeton at Plainsboro— Center for Eating Disorders Care NJ 58 x x x x x Veritas Collaborative NC, VA 59 x x x x x Walden Behavioral Care CT, MA 51 x x x x Cambridge Eating Disorder Center CRC Eating Disorders Programs Eating Recovery Center Rogers Behavioral Health x x x x x x x x x x x x x x x x x x x x x Links to these treatment facilities at EDcatalogue.com 48 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com TREATMENT FACILITIES MULTIPLE LOCATIONS life. ™ Recover ________________________ An eating disorder will consume you. We can put you on the path to recovery. People with eating disorders often restrict more parts of their lives besides food, including relationships, social activities and pleasure. At Eating Recovery Center, you’ll recover your passion for life, interest in family and friends, and faith in yourself—so you can start on the path to recovery. If you think you or a loved one could be suffering from an eating disorder, we can help. Contact us for a confidential, free consultation with a master’s level therapist and take back your life. (877) 736-2140 or EatingRecovery.com. #RecoverLife DENVER, CO | CHICAGO, IL | BELLEVUE, WA | SACRAMENTO, CA | CINCINNATI, OH | SAN ANTONIO, TX DALLAS, TX | AUSTIN, TX | HOUSTON, TX | THE WOODLANDS, TX | GREENVILLE, SC 800-756-7533 • EDcatalogue.com • 49 MULTIPLE LOCATIONS TREATMENT FACILITIES 50 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com TREATMENT FACILITIES MULITPLE LOCATIONS California North Carolina Nevada HELP FOR YOU OR A LOVED ONE IS A PHONE CALL AWAY (844) 201-9778 www.montecatinieatingdisorder.com www.carolinaeatingdisorders.com We emphasize recovery through awareness of one’s relationship with self, others, and the environment. Our three centers offer comprehensive, personalized treatment for men, women and adolescents with eating disorders and associated issues, helping them build the confidence they need to successfully transition back to a healthy lifestyle. www.centerforhopeofthesierras.com PROVIDING COMPREHENSIVE TREATMENT AT EVERY LEVEL OF CARE • Multiple levels of care: Residential, Partial and Intensive Outpatient • Home-like settings in beautiful, nurturing environment • Experienced and compassionate clinicians trained in modalities most effective for eating disorders treatment • Onsite medical and 24-hour nursing staff • In-network insurance benefits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• EDcatalogue.com • 51 MULTIPLE LOCATIONS TREATMENT FACILITIES The Nation’s First Residential Eating Disorder Treatment Center - Celebrating 30 Years! The Renfrew Centers provide clinical excellence within a nurturing environment empowering adolescent girls and women to change their lives. As the leader in the treatment and research of women’s eating disorders since 1985, Renfrew has created a truly customized approach to recovery. More than 65,000 women of all ages treated Full continuum of care at locations around the country Specialized in the treatment of anorexia, bulimia and binge eating Programming for trauma, substance abuse, spiritual growth, adolescents and older women Training provided to more than 30,000 professionals Preferred provider for most health insurance and managed care companies CA CT FL GA IL MA MD NC NJ NY PA TN TX 1-800-RENFREW (1-800-736-3739) www.renfrewcenter.com Rediscover... Life. Worth. Living. Accredited by the Joint Commission Psychiatric excellence and evidence-based treatment for children, teens and adults with anorexia, bulimia and other eating disorders. Learn more: Visit rogerseatingdisorders.org Call 800-767-4411 - Separate programs for adult females, adult males and adolescents - Specialized treatment for those with co-occurring OCD and anxiety - Programming led by full-time psychiatrists - Full continuum of care includes inpatient, residential and partial hospitalization 52 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com TREATMENT FACILITIES ARIZONA ARIZONA / CALIFORNIA TREATMENT FACILITIES 8:15:59 AM Treating adolescents and adults suffering from anorexia or bulimia. F , 909-558-9275 W: llubmc.org MANY STRENGTHS. ONE MISSION. A Seventh-day Adventist Organization 54 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com TREATMENT FACILITIES CALIFORNIA CHANGE THE STATISTICS WE CAN HELP Only 1 in 10 men and women with eating disorders receive treatment. Up to 30 million people suffer from an eating disorder in the U.S. Eating disorders have the highest mortality rate of any mental illness. CALL NOW 800.711.2062 2016 CONFERENCES February 22 – 28, 2016 National Eating Disorders Awareness Week February 18 – 21, 2016 • Amelia Island, FL International Association of Eating Disorders Professionals Foundation The Complexity of Best Practices: Evolving and Changing May 5 – 7, 2016 • San Francisco, CA Academy for Eating Disorders Building Bridges Across the World Safe medical recovery is the first step. September 9, 2016 • Naperville, IL National Association of Anorexia Nervosa and Associated Disorders Start your recovery with our team of experienced professionals. We’ll be with you every step of the way, ensuring your safety and security as you become healthy again. Wellness, Not Weight September 29 – October 1, 2016 • Chicago, IL National Eating Disorders Association The Sky’s the Limit: Advances and Insights in Eating Disorders Treatment and Prevention November 11 – 13, 2016 • Philadelphia, PA The Renfrew Center Foundation Feminist Perspectives and Beyond: Eating Disorders Across the Lifespan and In Diverse Populations Medical Stabilization Program for adolescents and young adults Located in Southern California. A 4-time U.S. Hospital Top 100 Winner. TorranceMemorial.org/EatingDisorders 310.325.4353 800-756-7533 • EDcatalogue.com • 55 COLORADO TREATMENT FACILITIES 56 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com TREATMENT FACILITIES HAWAII / LOUISIANA / MARYLAND / MASSACHUSETTS ‘Ai Pono Maui RESIDENTIAL EATING DISORDERS TREATMENT MAUI, HAWAII Ai: To eat, nourish “When a woman enters the labyrinth of recovery, she follows a twisting, winding path to her center. Finding a sense of who she is as a woman, she exits with a new way of being in the world.” Pono: With ease, naturally, and in perfect order and wholeness Eating in the Light of the Moon Anita Johnston, Ph.D., CEDS Founder & Clinical Director Joint Commission Accredited 855-249-9992 | www.AiPonoMaui.com Our roots are in healing... For more than two decades, The Center for Eating Disorders at Sheppard Pratt has been providing comprehensive care and evidence-based treatment for children, adolescents, and adults with eating disorders. Call us today for a free and confidential phone assessment. Most insurances accepted. 410.938.5252 O eatingdisorder.org Baltimore, Maryland 800-756-7533 • EDcatalogue.com • 57 MASSACHUSETTS / NEW JERSEY TREATMENT FACILITIES Hope for young women suffering from anorexia, bulimia and co-occurring psychiatric conditions • Compassionate clinical care for females ages 16 to 26* • Expert treatment for co-occurring psychiatric conditions • Highly individualized treatment • Acute residential treatment and 12 hour, seven day per week step down partial hospital treatment program *Admission is considered on a case by case basis for women over age 26. Boston, Mass. www.mcleanhospital.org 617.855.3410 life stepping ping back into Experienced and nationally recognized treatment team On-site, 24/7 acute medical care facilities available Intensive individual and family work Focus on meaningful and lasting change Inpatient & Partial Hospitalization 609.853.7575 princetonhcs.org/eatingdisorders ONE PLAINSBORO ROAD | PLAINSBORO, NJ 08536 A University Hospital Affiliate of the UMDNJ — Robert Wood Johnson Medical School Robert Wood Johnson University Hospital Somerset Eating Disorders Program Comprehensive care in a supportive environment. Robert Wood Johnson University Hospital Somerset's nationally recognized Eating Disorders Program offers comprehensive care for male and female adolescents and adults, featuring: • Evaluation of all patients regardless of their weight • Inpatient treatment (one of only two in New Jersey) • Partial hospitalization program • Intensive outpatient services • Weekly support group • Multidisciplinary team approach • Access to medical specialists For more information, call 1-800-914-9444 or visit RWJUH.edu/eatingdisorders. Somerville, NJ 08876-2598 58 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com TREATMENT FACILITIES NEW YORK / NORTH CAROLINA / NORTH DAKOTA Sanford Eating Disorders and Weight Management Center We help individuals regain control of their lives and overcome the potentially dangerous consequences of eating disorders. Our full range of services includes: • Expertise to treat anorexia nervosa, bulimia nervosa, binge eating disorder, post-bariatric surgery eating problems and other types of disordered eating • Treatment specially suited for adolescents as well as adults • Options including inpatient partial hospitalization, full hospitalization and outpatient treatment • Emphasis on family involvement Call (701) 461-5307 1720 University Dr. S, Fargo, ND 58122-0331 sanfordhealth.org, keyword: eating disorders 039006-00074 10/15 Durham, NC Inaugural Hospital, Ages 10-19 New Hospital Opening 2016, Ages 18+ Inpatient, Acute Residential, PHP & IOP Richmond, VA New Facility Opening 2016, Ages 10+ IOP & Additional Services toll free: 855-875-5812 · veritascollaborative.com 800-756-7533 • EDcatalogue.com • 59 OKLAHOMA / TENNESSEE / TEXAS TREATMENT FACILITIES Healing environment. Personal care. The nationally recognized Laureate Eating Disorders Program in Tulsa, Oklahoma is designed to meet the needs of individuals with anorexia nervosa, bulimia and other eating-related difficulties. • A small not-for-profit program that offers individualized treatment for women and girls • Separate treatment programs for adults and adolescents • Newly renovated treatment space with 15 all-private rooms • Monthly family week provides support and education to loved ones • Magnolia House, a transitional living home for adult women with eating disorders—first month offered at no cost • Closely affiliated with Laureate Institute for Brain Research to investigate the biology behind eating-related illnesses laureate.com/eatingdisorders Nationally Acclaimed Programs Offering Gender Responsive Care for: X Eating Disorders X Chemical Dependence X Trauma X Intimacy Disorders X Mood & Anxiety Disorders Working with national insurance providers — for a confidential individualized consultation, please call or see our website: 800.849.5969 • recoveryranch.com 60 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com TREATMENT FACILITIES TEXAS / UTAH By your side, with nationally recognized care for pediatric eating disorders. At Children’s HealthSM , we know that eating disorders are complex diseases that impact the entire family. Our Center for Pediatric Eating disorders provides the only comprehensive, family-centered care in the region, conveniently located in Plano, Texas. With more than 30 years of expertise, we treat both boys and girls ages 5-17, with a range of care that includes inpatient, partial hospitalization and intensive outpatient to provide families with the care needed most. Visit childrens.com/eatingdisorders or call 214-456-8899 to learn more. Specialized Treatment for Adolescent Girls & Adult Women with Eating Disorders “There is No Substitute for Experience” www.centerforchange.com Scan to take our eating disorder quiz - Inpatient Treatment - Residential Treatment - Day & Evening Programs - Independent Living Program - Diabetes (ED-DMT1) Program - Outpatient Therapy - Aftercare Follow-up - Accredited High School - TRICARE® Certified - Joint Commission Accredited www.CenterForChange.com 888-224-8250 [email protected] “TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.” 800-756-7533 • EDcatalogue.com • 61 BOOK INDEX Title Primary Author Page 8 Keys to Recovery from an Eating Disorder 50 More Ways to Soothe Yourself Without Food 50 Strategies to Sustain Recovery from Bulimia 50 Ways to Soothe Yourself Without Food 52 Ways to Love Your Body 100 Questions & Answers About Anorexia Nervosa Acceptance and Commitment Therapy for Eating Disorders Adolescence and Body Image Almost Anorexic: Is My (or My Loved One’s) Relationship with Food a Problem? Amanda’s Big Dream Anorexia and Other Eating Disorders: How to Help Your Child Eat Well and Be Well Anorexia Nervosa: A Guide to Recovery Anorexia Nervosa, Second Edition: A Recovery Guide for Sufferers, Families, and Friends Anorexics and Bulimics Anonymous Beautiful Girl: Celebrating the Wonders of Your Body Beyond a Shadow of a Diet, Second Edition Big Disconnect Binge Control: A Compact Recovery Guide Body Betrayed Body Image, Second Edition Body Image Survival Guide for Parents Body Image Workbook, Second Edition Body Image Workbook for Teens Body Myth Body of Chris Body Respect: What Conventional Health Books Get Wrong, Leave Out, and Just Plain Fail… Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders Brave Girl Eating Brief Group Psychotherapy for Eating Disorders Bulimia: A Guide to Recovery Bulimia Workbook for Teens Can I Tell You About Eating Disorders? A Guide for Friends, Family and Professionals Casebook of Evidence-Based Therapy for ED Chasing Silhouettes Clinician’s Guide to Binge Eating Disorder Cognitive Behavior Therapy and Eating Disorders Cognitive Remediation Therapy (CRT) for Eating and Weight Disorders Collaborative Approach to Eating Disorders Comprehensive Learning Teaching Handout Series for Eating Disorders Current Findings on Males with Eating Disorders Dancing Through It: My Journey in the Ballet Decoding Anorexia: How Breakthroughs in Science Offer Hope for Eating Disorders Costin/Grabb Albers Golden Albers Simpkins Shepphird Sandoz/Wilson/ DuFrene Ricciardelli/Yager Thomas/Schaefer 26 22 8 22 31 5 44 Matz Musby 39 18 Hall/Ostroff Treasure/Alexander 6 17 30 4 ABA 4 Northrup/Tracy 39 Matz/Frankel 46 Steiner-Adair/Barker 41 Bulik 12 Zerbe 3 Cash/Smolak 30 Warhaft-Nadler 14 Cash 29 Taylor 29 /31 Maine/Kelly 34 Cole 32 Bacon/Aphramor 40 Petrucelli 44 Brown Tchanturia Hall/Cohn Schab Lask/Watson 5 43 8 38 38 Thompson-Brenner Wierenga Alexander Fairburn Tchanturia 47 32 46 44 44 Alexander/Treasure Kronberg 46 21 Cohn/Lemberg Ringer Arnold 44 36 4 Title Primary Author Dialectical Behavior Therapy Skills Workbook for Bulimia Does Every Woman Have an Eating Disorder? Doing What Works Dr. Deah’s Calmanac Eat Q Eat What You Love, Love What You Eat Eat What You Love, Love What You Eat for Binge Eating Eating Disorders, Addictions and Substance Use Disorders Eating Disorders: An Encyclopedia of Causes, Treatment, and Prevention Eating Disorders and Mindfulness: Exploring Alternative Approaches to Treatment Eating Disorders and Obesity: A Counselor’s Guide to Prevention and Treatment Eating Disorders and the Brain Eating Disorders Clinical Pocket Guide, Second Edition Eating Disorders in Children and Adolescents Eating Disorders on the Wire Eating Disorders: The Ultimate Teen Guide (It Happened to Me Series) Eating in the Light of the Moon Eating to Lose: Healing from a Life of Diabulimia Eating with Your Anorexic: A Mother’s Memoir ED 101 (DVD) Ed Says U Said: Eating Disorder Translator Effective Clinical Practice in the Treatment of Eating Disorders Elena Vanishing: A Memoir Embody: Learning to Love Your Unique Body Emotional Eater’s Repair Manual End Emotional Eating Expressing Disorder (DVD) Family Eating Disorders Manual Family Therapy for Adolescent Eating and Weight Disorders Father Hunger, Second Edition Food & Feelings Workbook Food to Eat French Toast for Breakfast Full: How I Learned to Satisfy My Insatiable Hunger and Feed My Soul Full Mouse Empty Mouse Getting Better Bite by Bite, Second Edition Girl Called Tim Girl Called Tim—eBook Girl Lost: Finding Your Voice Through ED Recovery Give Food a Chance: A New View on Childhood ED Good Parenting Food Guide Goodbye Ed, Hello Me Healing Eating Disorders with Psychodrama and… Astrachan-Fletcher Rosenfeld Natenshon Schwartz Albers May May/Anderson Brewerton/Dennis Reel Page 7 14 46 31 22 20 20 44 3 DeSole 27/45 Choate 44 Lask/Frampton Setnick Le Grange/Lock Friedman Greene 44 46 46 36 38 Johnston Hunt Collins —— Alexander/Sangster Maine 26 37 35 29 22 34 Dunkle Sobczak Simon Taitz Alvarado Hill Loeb 37 23 26 11 29 16 45 Maine Koenig Lieberman/Sangster Cohen Simpkins 34 29 20 24 31 Zeckhausen Schmidt Alexander Alexander Moore O’Toole Ogden Schaefer Carnabucci/Ciotola 39 28 35 35 38 18 41 36 43 62 • Request free copies of the 2016 Gürze/Salucore Eating Disorders Resource Catalogue at EDcatalogue.com BOOK INDEX Title Primary Author Healing Journey for Binge Eating Journal Healing Journey for Binge Eating, Volume One Health at Every Size Healthy Bodies (curriculum) Healthy Eating in Schools Healthy Habits: The Program plus Food Guide Index… Help Your Teenager Beat an Eating Disorder, Second Edition Helping Your Child with Extreme Picky Eating Hope and Other Luxuries Hope, Help & Healing for Eating Disorders How I Look Journal, Fifth Edition How to Disappear Completely Hungry i: A Workbook for Partners of Men with ED Images of His Beauty Integrated Treatment of Eating Disorders Integrative Cognitive-Affective Therapy for Bulimia Nervosa Intuitive Eating Just Tell Her to Stop: Family Stories of Eating Disorders Lasagna for Lunch Letting Go of Compulsive Overeating: Twelve Step Recovery from Compulsive Overeating Life Beyond Your Eating Disorder Life Without Ed, 10th Anniversary Edition Living with Your Body & Other Things You Hate Love Your Body, Love Your Life Maintaining Recovery from Eating Disorders Making Peace with Your Plate Making Weight Man Up to Eating Disorders Midlife Eating Disorders Mindfulness & Acceptance Workbook for Bulimia My Feet Aren’t Ugly My Kid Is Back My Name is Caroline, Second Edition My Thinning Years: Starving the Gay Within New Developments in Anorexia Nervosa Research: Eating Disorders in the 21st Century Nice Girls Finish Fat Night Eating Syndrome No “Body” Is Perfect Nutrition Counseling in the Treatment of Eating Disorders, Second Edition On the Wire (Music CD) Outsmarting Overeating: Boost Your Life Skills, End Food Problems Overcoming Binge Eating, Second Edition Overcoming Body Dysmorphic Disorder Overcoming Bulimia Workbook Oxford Handbook of Child and Adolescent Eating Disorders Market Market Bacon Kater Cook-Cottone Cipullo Lock/Le Grange Page 10 10 24 41 40 40 5 /17 Rowell/McGlothin Dunkle Jantz/McMurray Dellheim Osgood Lawrence Steel Zerbe Wonderlich 17 37 32 38 6 29 32 46 43 Tribole/Resch Henry Cohen 20 16 24 4 Kandel Schaefer/Rutledge Sandoz/DuFrene Maria Feigenbaum Cruze/Andrus Andersen Walen Bulik Sandoz Beck Alexander/Le Grange Miller Croteau Gramaglia/Zeppegno 26 36 30 32 26 26 28 36 26 7 38 22 7 36 4 Koenig Lundgren Folcik Herrin/Larkin 20 44 39 46 Friedman Koenig 36 10 Fairburn Neziroglu McCabe Lock 10 20 7 3 Title Primary Author Page Parent’s Guide to Eating Disorders: Second Edition Parents’ Quick Start Recovery Guide Phoenix, Tennessee (Music CD) Please Eat…A Mother’s Struggle to Free… Positively Caroline: How I Beat Bulimia for Good… and Found Real Happiness PR: A Personal Record of Running from Anorexia Predatory Lies of Anorexia: A Survivor’s Story Pursuing Perfection Reclaiming Yourself from Binge Eating Recovering: Anorexia Nervosa and Bulimia Nervosa (DVD) Recovery from Eating Disorders: A Guide for Clinicians and Their Clients Restoring Our Bodies, Reclaiming Our Lives Ritteroo Journal for Eating Disorders Recovery Rules of “Normal” Eating Second Son Secrets of Feeding a Healthy Family, Second Edition Shapesville Shattered Image Someday Melissa (DVD) Something Spectacular Speaking Out About ED (DVD) Spiritual Approaches in the Treatment of Women with Eating Disorders Starting Monday Starving Souls: A Spiritual Guide to Understanding Eating Disorders—Anorexia, Bulimia, Binging… Stone Girl Stop Eating Your Heart Out Stories I Tell My Patients Surviving an Eating Disorder: Strategies for Family and Friends Surviving Disordered Eating: One Bite at a Time Table in the Darkness Throwing Starfish Across the Sea Treatment Manual for Anorexia Nervosa, Second Edition: A Family-Based Approach Treatment of Eating Disorders: Bridging the Research-Practice Gap Treatment Plans and Interventions for Bulimia and Binge Eating Disorder Ultimate Tween Survival Guide When Anorexia Came to Visit: Families Talk About How an Eating Disorder Invaded Their Lives When Food is Family Wiley Handbook of Eating Disorders Woman in the Mirror Women, Food and God: An Unexpected Path to Almost Everything Your Dieting Daughter, Second Edition Herrin/Matsumoto Osachy Schaefer Mattocks Miller 16 17 36 5 7 Sayer Kelly Maine/Kelly Fulvio —— 36 32 34 11 29 Noordenbos 46 Liu Hall Koenig Sallans Satter Mills/Osborn Cuban —— Gleissner —— Richards 26 29 23 37 14 39 36 29 36 29 32 Koenig Goldwasser 26 32 Sheinmel Beck Andersen/Cohn Siegel 38 10 28 17 Webber/Thiel Blum Bevan/Collins Lock/Le Grange 28 32 18 46 Maine 34 Zweig/Leahy 46 Zeckhausen Mattocks 38 4 Scheel Smolak/Levine Bulik Roth 17 3 31 32 Costin 17 800-756-7533 • EDcatalogue.com • 63 National Eating Disorders Organizations Internet links for these organizations and others are at EDcatalogue.com. Academy for Eating Disorders—AED aedweb.org • 847-498-4274 Mothers Against ED—MAED facebook.com/groups/debrahope3/ • 650-773-2253 For ED professionals; promotes effective treatment, develops prevention initiatives, stimulates research, sponsors international conference and regional workshops FaceBook Support Group The Alliance for Eating Disorders Awareness allianceforeatingdisorders.com • 866-662-1235 Newsletter, referral network, local support groups, educational seminars and trainings, speaker series A nonprofit organization dedicated to providing programs and activities aimed at outreach, education, and early intervention for all eating disorders Multi-Service Eating Disorders Association, Inc.—MEDA medainc.org • 617- 558 -1881/ Toll-free: 866 -343 - MEDA (6332) National Association for Males with Eating Disorders—N.A.M.E.D. namedinc.org Binge Eating Disorder Association—BEDA bedaonline.com • 855-855-2332 Info, resources, and support for males with Eating Disorders and their families Education, annual conference, resources, research, and best-practice guidelines for preventing and treating BED National Association of Anorexia Nervosa and Associated Disorders— ANAD • ANAD.org • 630 - 577-1333/Helpline: 630 - 577-1330 Eating Disorders Anonymous—EDA eatingdisordersanonymous.org A Fellowship of individuals interested in pursuing recovery and helping others do the same; meetings, materials, and online chat room Listing of therapists and hospitals; informative materials; sponsors support groups, conference, research, and a crisis hotline The National Eating Disorders Screening Program — NEDSP mentalhealthscreening.org • 781-239 - 0071 Eating Disorders screening, education, and outreach programs Eating Disorders Coalition for Research, Policy & Action—EDC eatingdisorderscoalition.org • 202-543-9570 Advances the federal recognition of ED as a public health priority National Eating Disorders Association — NEDA nationaleatingdisorders.org • 212-575-6200/Helpline: 800-931-2237 Eating Disorders Information Network—EDIN myedin.org • 404- 816-EDIN (3346) Sponsors National Eating Disorders Awareness Week in February with a network of volunteers; annual conference, Parents, Family & Friends Network, NEDA Navigators, Helpline, and Media Watchdog Program Resources and referrals; speakers bureau, curricula, school outreach programs, EDAW events Overeaters Anonymous — OA oa.org • 505 - 891-2664 The Elisa Project theelisaproject.org • 214-369-5222 A 12-step, self-help Fellowship; free local meetings and support Listing of therapists, treatment centers, and informative materials; annual symposium, newsletter, support groups Parents to Parents • parents-to-parents.org Families Empowered and Supporting Treatment of Eating Disorders— F.E.A.S.T. • Feast-ed.org • 855-50-FEAST (33278) International organization for parents and caregivers; information and support for evidence-based treatment and advocacy International Association of Eating Disorders Professionals—IAEDP iaedp.com • 800-800-8126 A nonprofit membership organization for professionals; provides certification, education, local chapters, newsletter, annual symposium Maudsley Parents • maudsleyparents.org To help other parents by providing clear, practical, and evidence-based information and suggestions through documentaries Project HEAL: Help to Eat, Accept & Live theprojectheal.org • 917-538-5748 Provides grant funding for people with Eating Disorders who cannot afford treatment; promotes healthy body image and self-esteem T-FEED—Trans Folx Fighting Eating Disorders transfolxfightingeds.org Advocacy and action to make visible, interrupt, and undermine the disproportionately high incidence of eating disorders in trans and gender-diverse individuals through radical community healing and recovery institution reform Volunteer organization of parents who have used family-based treatment to help their children recover A full-resource website to learn about Eating Disorders, featuring: • Complete articles about Anorexia, Bulimia, Binge Eating, and more • Over 350 books and DVDs with full descriptions • Links to Eating Disorders Organizations and Treatment Facilities • Special Offers and News ABOUT THE ART: The pages from this catalogue are filled with details from Francesca Droll’s pastel paintings. Please visit FrancescaDroll.com. Artwork ©2016 Francesca Droll This catalogue is printed on recycled paper with at least 10% postconsumer waste. EDcatalogue.com 800 -756 -7533