MY HOPES for 2015, Eating Disorders, and Mental Health

Transcription

2015 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.
The Weight-Bearing Years
and The Body Myth…
DBT in the Treatment
of Eating Disorders
Patrick J. Kennedy:
“My Hopes for 2015,
Eating Disorders,
and Mental Health”
AND MORE…
Self-Help Books
Professional Resources
Conferences
Conference
Treatment Facilities
National Organizations
EDcatalogue.com
Hello and Welcome
to the 2015 edition of the
Gürze/Salucore Eating Disorders Resource Catalogue!
W
e are thrilled and grateful to share this publication
with you. When we took over this Catalogue in
October 2013 from Leigh Cohn and Lindsey Hall, our
goal was to continue to develop a stellar resource for our
range of readers within the Eating Disorders treatment and
recovery community. Based on your feedback, we have maintained the excellence set by Leigh and Lindsey and plan to
make this our tradition.
We are delighted to note we have expanded the number
of articles specifically written for the Catalogue to provide you
with learning opportunities from world-class experts in the
field. Knowing more people receive our Catalogue than ever
before encourages us to sustain our mission, which is to
provide reliable information and resources on Eating
Disorders and Recovery in order to promote understanding,
compassion, support, and healing.
Please take some time and examine the websites of
the treatment centers listed in our Directory. Each facility
upholds a high standard with the goals of
health and recovery.
With gratitude and best regards,
Kathy Cortese, MSW, LCSW, ACSW
Editor-in-Chief
TA B L E O F C O N T E N T S
My Hopes for 2015, Eating Disorders, and Mental Health . . . . . . . . . . . . . 3
by Patrick J. Kennedy
10 Things I Wish Everyone Would Know About Eating Disorders . . . . . . . . 5
by Edward P. Tyson, MD
The Brain and the Pursuit of the Glucose That Sustains It . . . . . . . . . . . . . 6
by Scott Moseman, MD
Diagnosing Anorexia Nervosa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
by the American Psychiatric Association
About Eating Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Diagnosing Bulimia Nervosa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
What Is a Binge? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
by Randi E. McCabe, PhD, Tracy L. McFarlane, PhD, and Marion P. Olmstead, PhD
Building & Maintaining Relationships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
by Karen R. Koenig, LCSW, MEd
What’s Behind the Urge to Binge Eat? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
by Leora Fulvio, MFT
Diagnosing Binge Eating Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Diagnosing Unspecified Feeding or Eating Disorder . . . . . . . . . . . . . . . . . . 12
NEDA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
For Partners and Loved Ones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
by Ilene Fishman, MSW, LCSW
Perfectionistic Thinking and Doing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
by Sondra Kronberg, MS, RD, CDN, CEDRD
The Dual Diagnosis of an Eating Disorder and Type 1 Diabetes Mellitus . . 17
by Ovidio Bermudez, MD, FAAP, FSAHM, FAED, CEDS, Fiaedp
Using Writing to Get in Touch With Self . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
by June Alexander
Food Neutrality and Recovery: Clara’s Journey . . . . . . . . . . . . . . . . . . . . . . 20
by Melainie Rogers, MS, RD
DBT in the Treatment of Eating Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . 21
by Zanita Zody, PhD, LMFT
Counteracting an Eating Disorder Thought . . . . . . . . . . . . . . . . . . . . . . . . . 22
by Carolyn Costin, MA, MEd, MFT, and Gwen Schubert Grabb, MFT
Apps for Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Tips to Feel Good About Your Body Regardless
of Your Weight and Shape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
by Ann Kearney-Cooke, PhD
Predictable Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
by Dr. Deah Schwartz, EdD, CTRS, CCC
Spirituality & Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
by P. Scott Richards, Randy K. Hardman, and Michael E. Berrett
The Weight-Bearing Years and The Body Myth . . . . . . . . . . . . . . . . . . . . . . 28
by Margo Maine, PhD, FAED, CEDS
Who Am I Without Ed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
by Jenni Schaefer
The Binge Eating Monster Roared . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
by Andrew Walen, LCSW-C
Fear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
by Jenn Friedman
Word Up on Dieting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
by Jessica R. Greene
From Weight to Respect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
by Linda Bacon, PhD, and Lucy Aphramor, PhD, RD
Body-States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
by Jean Petrucelli, editor
Ambivalence to Recovery: What Does the Brain Have to Do With It? . . . . . 37
by Dr. Alice Ely and Dr. Walter Kaye
Treatment Facilities Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
How to Choose a Treatment Provider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
by Lindsey Hall and Leigh Cohn
2015 Conferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
How Long Does It Take to Recover? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Book Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62– 63
Copyright ©2015 Salucore, LLC unless otherwise stated. All rights reserved. Contents may not be reproduced without permission.
MY HOPES
“I will give you six months to get over this.”
“Why are you doing this to our family?”
“I’d love to have your problem.”
No one would say these things to someone with cancer,
diabetes, or heart disease.
But those of us who have depression,
addictions, or eating disorders often hear
remarks like these—sometimes from wellintended friends and family.
My hope is that 2015 is a year in which
we make momentous progress in treating
disorders of the brain the same way we treat
diseases in any other part of the body.
There’s a law that requires insurers to
treat mental health concerns the same as
they treat other health problems. When I
was in Congress, I authored the Mental Health Parity and
Addiction Equity Act to prohibit discrimination in insurance
coverage. The challenge we face together now is making sure
the law is enforced so that all of our brothers and sisters get
the care they need.
I sponsored the Parity Act and founded the Kennedy
Forum because I heard too many stories of people with mental illness, including eating disorders, who were denied care.
60 Minutes recently highlighted the case of Katherine West,
a teenager with bulimia who died of
heart failure after her family’s insurance
company insisted she be discharged
early from treatment.
We can’t lose any more young
women—or men—like Katherine. No
family should be shattered by the loss of
a child. And as a nation, we need the
Patrick J. Kennedy
talents and contributions
is the Founder of
the Kennedy Forum
of everyone to keep movand a former U.S.
ing forward. The good
Representative (D-RI)
news is that there’s hope.
Studies show that up to 80% of people with
mental illness improve with appropriate diagnosis, treatment, and ongoing monitoring.
Fifty years ago, when my uncle,
President John F. Kennedy, signed the
Community Mental Health Act, he said
that people with mental illness “need no
longer be alien to our affections or beyond the help of our
communities.”
We have learned a great deal about mental health since
then, but President Kennedy’s declaration is a clear statement
of our unfinished mission. Everyone matters. Everyone
deserves to get the care they need.
As we begin 2015, we stand on the doorstep of making
historic progress in this new civil rights struggle that
President Kennedy set in motion a half century ago.
continued on page 39
PHOTO COURTESY OF PATRICK J. KENNEDY
for 2015, Eating Disorders, and Mental Health
Up to 80% of
people with
mental illness
can improve.
Eating Disorders
Eating and
its Disorders
An Encyclopedia of
Causes, Treatment,
and Prevention
Justine J. Reel
John R. E. Fox & Ken Goss, editors
524 pages, paper, 2012
498 pages,
hardcover, 2013
The Body Betrayed
A Deeper Understanding
of Women, Eating Disorders,
and Treatment
Kathryn J. Zerbe
The Oxford Handbook of Child
and Adolescent Eating Disorders
336 pages, hardcover, 2011
Developmental Perspectives
James Lock, editor
800-756-7533 • EDcatalogue.com • 3
ANOREXIA NERVOSA
Do You Have an
Eating Disorder?
NEW
New Developments in
Anorexia Nervosa Research
Eating Disorders in the
21st Century
Carla Gramaglia & Patrizia Zeppegno
Respond honestly to these questions.
Do you:
□ 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?
When Anorexia
Came to Visit
□ 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?
□ Obsess about the size of specific body parts?
□ Weigh yourself several times daily?
Families Talk About
How an Eating Disorder
Invaded Their Lives
Bev Mattocks
□ Exercise to lose weight even if you are ill or injured?
□ Label foods as “good” and “bad”?
□ Vomit after eating?
□ Use laxatives or diuretics to keep your weight down?
Almost Anorexic
□ Severely limit your food intake?
Is My (or My Loved One’s)
Relationship with
Food a Problem?
Jennifer J. Thomas &
Jenni Schaefer
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
• 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
Decoding Anorexia
How Breakthroughs in
Science Offer Hope for
Eating Disorders
Carrie Arnold
12-Step Approach
Anorexics and Bulimics
Anonymous
The Fellowship Details Its
Program of Recovery for
Anorexia and Bulimia
4 • Request free copies of the 2015 Gürze/Salucore Eating Disorders Resource Catalogue
100 Questions
& Answers About
Anorexia Nervosa
Sari Fine Shepphird
1
Things I Wish Everyone Would
Know About Eating Disorders
Eating disorders are potentially lethal illnesses, and no
one should take them lightly as “It’s just a phase she’s
going through,” or “He’ll grow out of it,” or “But she has
the state meet to run in next week,” or “I feel fine and I don’t
really need all these appointments.” Those are all examples
of the denial of the stark reality of an eating disorder—these
are deceptive, debilitating, dangerous illnesses. Make no
mistake about it.
2
Do not treat those with eating disorders—that is for
professionals trained to do so. But do not underestimate what you can do—you can do more than even a
treatment team if you love the person who suffers and
provide support with your confidence in that person. Keep
reminding your loved one that, yes, it is the hardest work she
or he has ever done, and if this person keeps working with the
treatment team, she or he will succeed and have a life beyond
anything imagined. People with eating disorders need the
support of loved ones to help them through the dark times
and to celebrate the successes and joy of good times.
Please Eat…
A Mother’s Struggle
to Free Her Teenage
Son from Anorexia
Bev Mattocks
Brave Girl Eating
The Inspirational
True Story of One Family’s
Battle with Anorexia
Harriet Brown
3
Whenever possible, a treatment team is optimal. The
team should consist of a physician, therapist, and
dietitian, all of whom are skilled with eating disorders.
A psychiatrist may also be needed to be part of the team.
Finding team members skilled in eating disorders, especially
physicians and psychiatrists, can be difficult, and there are
many geographic locations where one would be lucky to
find even one team member with skills in treating eating
disorders. But find a team wherever you can.
4
Eating disorders do not go away on their own. They do
not go away because one finds something else, like
running or bodybuilding, or performing or some other
diversion. They will last a lifetime if one does not receive
adequate treatment—treatment that is intense enough and
for a long-enough duration. One should not stop because one
“feels better.” Ultimately, of course, one should feel better, but
that is usually after dealing with some very difficult issues,
and it is really best that the experience of the treatment team
dictate when treatment intensity or frequency should be
increased or decreased, or when a person no longer needs
treatment.
5
Eating disorders do occur in celebrities—no one is
immune. Because celebrities gain notoriety or are
public about their eating disorders, it is easy for the
public to believe that only celebrities or the rich and beautiful
get eating disorders. But eating disorders can and do occur
in anyone. In my experience, those who get eating disorders
are special gifted people. Almost universally, they are
empathic, intuitive, hardworking, and gifted in at least one
of the following (and often more than one): academics,
athletics, and creative expression. Some of these qualities
can be hard to see if one is in the throes of an eating disorder,
but when well or in recovery, those traits reemerge. That is
why I call eating disorders “The Curse of the Blessed.”
This article continues and can be found in its entirety at
EDcatalogue.com.
by Edward P. Tyson, MD
ANOREXIA NERVOSA
THE BRAIN
and the
Pursuit of the Glucose
That Sustains It
W
ith more than 100 million neurons supporting
trillions of connections, processes of the human brain
are a manifestation of genetic variation, natural
selection, and the environments in which our ancestors lived.
Owing to the significance of food to our survival and the
ensuing evolutionary pressures, a significant portion of the
human brain is dedicated to the motivational, emotional,
hedonic, and cognitive information processing that supports
decisions about when, what, and how much we eat.1 Given
the complexity of these neural systems, it should come as no
surprise that aberrations in their activity and neuroarchitecture can lead to a variety of pathologic eating behaviors that
can take many forms, including overfeeding (e.g., obesity),
dysregulated feeding (e.g., binge eating and bulimia nervosa),
and feeding that fails to meet the body’s energy needs (e.g.,
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
anorexia nervosa). Although it is not the intention of the
author to claim that these disorders form a continuous
spectrum of illness with common pathophysiologies, it may
be useful to think about how the complex manifestations of
certain eating pathologies may illuminate the breadth and
depth of the neural circuitry that underlies feeding behavior.
To this end, the present article will examine the neural bases
of food reward processing in obesity and anorexia nervosa,
in an attempt to open up the understanding of the complex
processes that go into how and why we eat, and in ways this
might affect our health or lead to disordered eating. This
illustration shines a light on the future of research as it seeks
to work outside of the confining box of taking collections of
symptoms built into syndromes. Instead it hopes to take
neural systems, defined by genetics, experience, and our
environment, and give us a physiological look into behavior,
which can help to focus our biologic and psychotherapeutic
interventions in a more specific and targeted way.
Mechanisms of Food Regulation
Most models of food regulation offer two parallel
systems that interact to influence eating behaviors.2 One is
a homeostatic system comprising hormonal regulators of
hunger, satiety, and adiposity levels. This system’s primary
role is to maintain appropriate levels of energy balance
through a complex process of metabolic signaling via neuropeptides such as leptin, ghrelin, and insulin, which act on
hypothalamic and brain-stem circuits to stimulate or inhibit
feeding.3 This system controls feeding to meet the body’s
energy needs. In addition to these homeostatic mechanisms,
brain reward systems play an important role in feeding
behavior.4 It is these systems that drive us to eat because
foods taste good and offer hedonic pleasure. Though it is not
proposed that obesity and anorexia lie solely at opposite ends
of a reward spectrum, it is nevertheless interesting to note
how differences in food reward mechanisms appear to at
least partially underlie the different unhealthy behaviors
observed in obesity and anorexia.
EDcatalogue.com.
by Scott Moseman, MD
Medical Director, Laureate Eating Disorders Program
E
EATING
DISORDERS
ating Disorders are extreme expressions of a range of food
and weight issues experienced by children, adolescents,
and adults, males and females. Based on the current diagnostic categories in the recently published Diagnostic and
Statistical Manual of Mental Disorders, Fifth Edition (DSM-5),
“Feeding and Eating Disorders” fall into eight categories.
Anorexia Nervosa is characterized by low weight resulting from restrictive eating and/or purging and an intense
fear of gaining weight or being “fat.” The individual typically
denies the seriousness of his/her low weight, even when emaciation is clear to others. Although Anorexia more commonly
appears in the adolescent and young adult years, it can
manifest in children and older adults. Lifetime prevalence of
Anorexia Nervosa in the United States for females is 0.9% and
0.3% for males. Of those with the disorder, 33.8% receive
treatment during their lifetime.*
Bulimia Nervosa presents as binge eating followed by
unhealthy compensatory weight-loss behaviors such as selfinduced vomiting, diuretic or laxative abuse, restricting, or
excessive exercising. Individuals with Bulimia Nervosa can
be of normal weight, underweight, or overweight. Lifetime
prevalence of Bulimia Nervosa in the United States is 0.6% of
the adult population. Average age-of-onset is 20 years old. Of
those with the disorder, 43.2% receive treatment during their
lifetime.*
Binge Eating Disorder is characterized by repeated
periods of eating large quantities of food, coupled with a
sense of loss of control without regular compensatory behaviors. Lifetime prevalence for Binge Eating Disorder in the
United States is 2.8% of the adult population. Average age-ofonset is 25 years old. Of those with the disorder, 43.6% receive
treatment during their lifetime.*
Other Specified Feeding or Eating Disorder occurs when
an individual exhibits different Eating Disorder behaviors but
does not meet the full criteria for other Eating Disorders.
The remaining classified Feeding and Eating Disorders include Unspecified Feeding or Eating Disorder, Pica, Rumination Disorder, and Avoidant/Restrictive Food Intake Disorder.
Causes of Eating Disorders are multidimensional and
include biology, genetics, family background, individual
traits, trauma, and cultural influences like the idealization of
thinness.
Symptoms can include depression, low self-esteem,
poor body image, anxiety, loneliness, problems with relationships, and an obsession/overvaluation of food, appearance,
and weight.
Disordered Eating Behaviors, such as restricting, bingeing, and purging, that are initially a method of coping with
painful feelings and situations become habitual, undermining physical health, self-esteem, and a sense of competence
and control.
Professional Treatment to understand and overcome
the underlying causes, symptoms, and behaviors is usually
recommended.
*All figures cited are from: Hudson, J., Hiripi, E., Pope, H., Kessler, R.
The prevalence and correlates of eating disorders in the National
Comorbidity Survey Replication. Biological Psychiatry. 2007;
61:348-358.
Anorexia Nervosa:
A Guide to Recovery
How to Disappear
Completely
Lindsey Hall & Monika Ostroff
On Modern Anorexia
Kelsey Osgood
Also Available in Spanish
ANOREXIA NERVOSA
ABOUT
BULIMIA
NEW
Diagnosing
Bulimia Nervosa
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).
My Name is Caroline,
Second Edition
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
Positively Caroline
How I Beat Bulimia
for Good… and Found
Real Happiness
Caroline Adams Miller
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.
D. Self-evaluation is unduly influenced by body shape and
weight.
Bulimia:
A Guide to Recovery
Lindsey Hall & Leigh Cohn
Also Available in Spanish
E. The disturbance does not occur exclusively during
episodes of anorexia nervosa.
Diagnostic and Statistical Manual of Mental Disorders,
Fifth Edition (DSM-5)
Brain Over Binge
Why I Was Bulimic,
Why Conventional Therapy
Didn’t Work, and
How I Recovered for Good
Kathryn Hansen
Descriptions of more
than 350 books at
EDcatalogue.com
50 Strategies to
Sustain Recovery
From Bulimia
Jocelyn Golden
Binge?
There are two types of binges that can occur with bulimia nervosa:
objective and subjective binges.
Objective Binge
The Overcoming
Bulimia Workbook
Randi E. McCabe,
Traci McFarlane &
Marion P. Olmsted
An objective binge involves eating, within a specific period of time (usually less than
two hours), an amount of food that is considered large compared to what most people
would eat in the same situation. For example, an objective binge for Jenice, a thirty-fiveyear-old accountant, consisted of three bowls of cereal with milk, a container of ice cream,
a large bag of chips, two dozen cookies, and a bottle of soda. Most people would agree that
this does not look like a normal meal or snack. As well as eating an objectively large amount
of food, for an episode to qualify as a binge, a person must feel a loss of control over her
eating. Eating a large amount of food without feeling any loss of control is not considered
a binge. It’s just overeating. But, when Jenice binged she had the feeling that she was unable
to stop herself even if she wanted to. She also felt she couldn’t control how much she ate.
She kept going until she was physically unable to eat any more.
Subjective Binge
A subjective binge occurs when a person eats and feels out of control, but the amount
of food consumed is not large. For example, Clara has strict rules about what she can and
cannot eat. Sometimes just eating one or two cookies makes Clara feel like she binged. Even
though one or two cookies is a normal amount of food, Clara feels out of control while she
is eating them.
by Randi E. McCabe, PhD, Tracy L. McFarlane, PhD & Marion P. Olmsted, PhD
Reprinted with permission from New Harbinger Publications, Inc.
Copyright © 2004 by Randi E. McCabe, Tracy L. McFarlane & Marion P. Olmsted
The Mindfulness
& Acceptance
Workbook for Bulimia
Emily K. Sandoz,
Kelly G. Wilson &
Troy DuFrene
The Dialectical Behavior
Therapy Skills Workbook
for Bulimia
Ellen Astrachan-Fletcher
& Michael Maslar
BULIMIA
W H AT I S A
B I N G E E AT I N G
BUILDING & MAINTAINING
Relationships
NEW
I Already Have a Great Relationship…
with My Refrigerator!
Undoubtedly, at one time or another,
you have thought of food as your best
friend. It’s there for the taking—or it’s not
more than a brief walk or car ride away—
in all its glory, just waiting for you to pick it
up for a hot date. Unlike certain people,
food gives its all to you, and you perceive it
as devoting itself completely to making you feel better. It has
no needs of its own and offers no rebuffs or judgments. It lets
you use it for pretty much whatever you please, and it never
complains.
But if food were a true friend, you wouldn’t be reading
this book. I don’t know where the idea of “food as friend”
began, but it really is silly, when you think of what the term
friend means. Friends have our back, protect us from selfdelusion, offer their wisdom, and want the best for us. Food
may be a comfort, but it’s never a friend.
Yet it’s understandable that we may be drawn to it when
true friends or intimates are not readily available—or when
we lack a nurturing self to take care of us. Problems arise
when you come to believe that food is better than people at
helping you cope with life, you dream and fantasize about
eating rather than enjoy real relationships, and you give
up being with people in order to be with food. Sadly, you
probably have had the experience of hanging out with friends
or family, or even a date, and not having a bad time, when
seemingly out of the blue, food cravings erupt even though
you’re not hungry. Maybe last night’s leftovers are in the
fridge, calling out to you, or maybe you have a vision of
swinging by the fast-food joint and grabbing some takeout.
Suddenly, the people around you seem to fall out of focus,
and every fiber of your being is screaming to get out of where
you are and to cozy up to a sweet or other treat. That’s how it
goes when cravings overpower our food-warped minds.
Outsmarting Overeating
Boost Your Life Skills,
End Your Food Problems
Karen R. Koenig
NEW
by Karen R. Koenig, LCSW, MEd
Excerpted from Outsmarting Overeating:
Boost Your Life Skills, End Your Food Problems
©2015 by Karen R. Koenig. Published with permission of
New World Library, www.newworldlibrary.com
The Healing Journey
for Binge Eating Journal
Eight Week Journal Companion
Michelle C. Market
The Healing Journey
for Binge Eating,
Volume One
Michelle C. Market
Overcoming Binge Eating,
Second Edition
The Proven Program to Learn Why
You Binge and How You Can Stop
Dr. Christopher G. Fairburn
S
ometimes, the short-term goal of a habit can override the
long-term gain of quitting the habit.
For example, your thinking could be, “If I eat this quart
of ice cream right now, it will help me to feel better.” That
might be true; however, this is the time to begin to slow down
and think about what will happen after you eat that quart of
ice cream. “If I eat that quart of ice cream tonight, I will feel
better and be able to get some sleep. However, I will wake up
in the morning in a fog, feeling sick and uncomfortable. I will
also be angry at myself. I might not want to get out of bed. I
might skip work or I might not meet up with my friends the
way I was supposed to because I’m feeling so bad about
myself. That might result in me spending the whole day at
home alone and bingeing…”
Although there is currently a great deal of emphasis on
creating healing by living in the moment, and being in
the now, this is very different than being compulsive. For
example, if you are living in the now, you are being incredibly
mindful of your thoughts, feelings, and needs. You are not
trying to avoid them or push them away. When you are bingeing, you are giving in to an urge or a craving. You might think
that this is what’s happening in the moment, but actually the
urge to binge is about avoiding what’s happening in the
moment. As you consciously let your mind slow down, you
are able to stop to allow yourself to make decisions about
what you really want to do. Have you ever felt like you woke
up in the middle of the binge? That you really didn’t plan
it, that it just happened without your consent? This is the
opposite of living in the moment. This is actually denying the
Stop Eating Your Heart Out
The 21-Day Program
to Free Yourself from
Emotional Eating
Meryl Hershey Beck
NEW
Reclaiming Yourself from
Binge Eating
A Step-By-Step Guide to Healing
Leora Fulvio
moment, doing something to shut out the
moment. The moment then rebounds
and accentuates itself. If you are feeling lonely and you binge
to shut out that feeling, you will feel lonelier after the binge.
You are probably bingeing because you are feeling a feeling
that is uncomfortable to you, whether is it boredom, anxiety,
sadness, loneliness, fear, stress, anger, or any other feeling
that is challenging to feel. The irony is, the last thing you need
when you are feeling badly is to make yourself feel worse with
the self-flagellation that often comes from bingeing. At this
point, you need understanding, self-love and attention. Binge
eating is actually a signal that you are trying to take care of
yourself emotionally. However, you might not know how to,
so you binge in order to make yourself feel better and then
you wind up feeling worse. What a vicious roundabout that
we can get trapped in!
by Leora Fulvio, MFT
Excerpted from Reclaiming Yourself from Binge Eating:
A Step-By-Step Guide to Healing
© 2014 Ayni Books
End Emotional Eating
Using Dialectical Behavior
Therapy Skills to Cope with
Difficult Emotions and
Develop a Healthy
Relationship to Food
Jennifer L. Taitz
B I N G E E AT I N G
WHAT’S BEHIND
the URGE to
BINGE EAT?
Diagnosing
Binge Eating Disorder
NEW
Does Every Woman Have
an Eating Disorder?
Challenging Our Nation’s
Fixation with Food and Weight
Stacey M. Rosenfeld
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 people 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. 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.
Secrets of Feeding a
Healthy Family,
Second Edition
How to Eat, How to Raise
Good Eaters, How to Cook
Ellyn Satter
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.
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
Diagnosing
Unspecified Feeding
or Eating Disorder
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 unspecified feeding and
eating disorder category is used in situations in which the clinician chooses
not to specify the reason that the criteria are not met for a specific feeding and
eating disorder, and includes presentations in which there is insufficient information to make a more specific diagnosis (e.g., in emergency room settings).
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
The Body Image
Survival Guide for Parents
Helping Toddlers, Tweens,
and Teens Thrive
Marci Warhaft-Nadler
PA R E N T S & L O V E D O N E S
NEW
Surviving an Eating Disorder
Strategies for Family and Friends
Michelle Siegel, Judith Brisman
& Margot Weinshel
By Her Side
Eating Disorders and the Joy
of Recovery for Young Women
Deborah P. Schone & Shelby L. Evans
Your Dieting Daughter,
Second Edition
Antidotes Parents Can Provide for Body
Dissatisfaction, Excessive Dieting, and
Disordered Eating
Carolyn Costin
The Parent’s Guide to
Eating Disorders,
Second Edition
When Food is Family
A Loving Approach to
Heal Eating Disorders
Judy Scheel
Supporting Self-Esteem,
Healthy Eating, and
Positive Body Image at Home
Marcia Herrin & Nancy Matsumoto
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
Parents’ Quick Start
Recovery Guide
Finding Help Fast When Your Child
or Teen Has an Eating Disorder
Lori Osachy
E
ating disorders can be all-consuming for the person who
is struggling, as well as for the people around that
person. When someone you love has an eating disorder,
it is often overwhelming. Here are four areas that can be
helpful in navigating the challenge.
Understanding and Knowledge
The more you understand the issues involved both
generally with eating disorders and specifically in the case of
your loved one, the more you will be able to successfully offer
your support during treatment and long-term recovery.
Eating disorders defy logic and nature, which is why when
you deal with them, you need specialized education. Your
loved one believes she or he needs the eating disorder to
function. This will, of course, be paradoxical to you, but if you
can try to understand it, you will be better able to deal with
the conflict between the disorder and the person who has it.
It is important for you to remember that eating disorders are
not a choice and they have come into being in your loved one
for some very important purpose and needs that you can’t
readily comprehend. As difficult as it may be to understand,
eating disorders are a desperate attempt to feel better about
oneself. They are an attempt for higher self-esteem. In addition, eating behaviors are a way to manage feelings,
emotions, and conflicts. Restricting food (anorexia), bingeing
and purging food (bulimia), and binge eating (binge eating
disorder) are all painful and unhealthy ways your partner
uses as a means to cope. Your partner may be stuck and
unable to find a better way. The more you understand, the
better attuned you can be in both listening to and hearing
what your partner is feeling and trying to tell you.
Communication
It is challenging to feel as though you have to walk on
eggshells when trying to deal with the irrationality of an
eating disorder. I often see families frightened to say the
wrong thing, fearing that it could cause harm or a relapse.
There is a great fear of making everything worse while trying
to help. But by learning to take risks, you can improve your
essential communication and attunement skills. Eating
disorders are actually a form of communication, and in psychotherapy, your loved one is learning to communicate with
words instead of the illness. This is an important aspect of
good treatment. Once sufferers understand more about what
they are feeling underneath their eating disorders, they can
then figure out how to feel more empowered to communicate
with the people in their lives. Being able to communicate
honestly, authentically, and with attunement is critical for
you and for your partner. Listen carefully to what your loved
one says and how she or he responds to what you say. For
example, if you tell your loved one, “You look healthy,” that
person may hear, ”You look fat.” Understand that you are
interacting not only with your loved one, but also with that
person’s eating disorder, which is a very powerful force.
EDcatalogue.com.
by Ilene Fishman, MSW, LCSW
PA R E N T S & L O V E D O N E S
FOR PARTNERS
AND LOVED ONES
H E A LT H Y B E H A V I O R S
PERFECTIONISTIC
Thinking and Doing
IN NEED OF REPAIR:
Perfectionist Thinking and Doing
Perfection is a common thread in the development and
exacerbation of many eating disorders. The low sense of self,
ability, or purpose that leads to not feeling good about oneself often fuels perfectionism. The drive for perfection is a
mechanism for establishing value or disguising feelings of
worthlessness and is more often than not woven into the
cloth of most eating disorders. This quest has many pitfalls,
in particular the inevitable…all or nothing syndrome. We
often hear: “I am either 100% on my program or I’ve totally
lost it.” “If I can’t get A’s in school, I might as well not try.”
“I cannot finish something unless it’s perfect.” “I didn’t exercise long enough.” “I did not lose enough weight.” “I didn’t
practice enough.” “I will not allow myself to be pleased
with or take ownership of anything unless it is extreme”
(which perfection is). Because you are driven by the fear of
failing and of being unworthy, the pursuit of perfection stops
you from completing a paper, finishing a painting, dancing
in front of anyone, wearing a bathing suit, going out socially,
loving your thighs, or accepting yourself. If I am not the best,
the thinnest, or the most perfect, then I open the door for that
moment of doubt, followed by the discovery that I am truly
not good enough at all—a fraud.
Perfection keeps you from completion, judgment, and
failure, and protects your low self-esteem from exposure.
It keeps you stuck, unable to accomplish your goals or
experience your potential. How many masterpieces, poems,
communications, dinners, and gifts have been abandoned
because they were not perfect, not good enough? How much
genius and creativity has gone to the grave because perfection was unattainable?
Relinquishing the need for perfection allows for the
presence of feelings. It creates uncertainty, fear, risk, and
doubt. There is no longer black or white, but gray, all different
shades, intensities, and textures. Perfection feels safe, while
the gray can be unpredictable and scary. People with eating
disorders need to strive for the gray, the uncomfortable, the
middle, in spite of the fear and discomfort. Once again, this
signals a risk, one well worth taking.
TOOL: 85% Thinking and Doing
Start a list of things you have not done because of your
eating disorder or because of the inability to get them perfect.
You may make several lists of different categories: social,
financial, professional, creative endeavors, pleasures, or just one
master list. Set aside a week of time-outs devoted to making
this happen. Keep adding to the list(s). Notice how many
things you are not doing because they wouldn’t be done
perfectly or according to a standard currently unattainable.
Spend some time becoming aware of how this feels.
EDcatalogue.com.
by Sondra Kronberg, MS, RD, CDN, CEDRD
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.
Food to Eat
Guided, Hopeful &
Trusted Recipes for
Eating Disorder Recovery
Lori Lieberman
& Cate Sangster
OF AN EATING DISORDER AND
TYPE 1 DIABETES MELLITUS
E
ating disorders are complex illnesses with biological,
psychological, and sociocultural underpinnings. A
significant factor contributing to this complexity is the
incidence of comorbid conditions—in other words, medical
and psychiatric illnesses that occur alongside an eating
disorder. In many cases, the two diagnoses are intertwined in
some way, with one illness putting the individual at heightened risk for developing the other syndrome, or one illness
increasing the morbidity and mortality risk of the other. In
general, all conditions must be acknowledged and addressed
in the treatment setting to support sustainable eating disorder
recovery.
Among health care professionals, the diagnosis of an
eating disorder in an individual with type 1 diabetes is known
as ED-DMT1. More specifically, the dual diagnosis of EDDMT1 describes the intentional misuse of insulin for weight
control, including decreasing the prescribed dose of insulin,
omitting insulin entirely, delaying the appropriate dose, or
manipulating the insulin itself to render it inactive. Any of
these actions can result in hyperglycemia (high bloodglucose levels) and glucose excretion in the urine, which
causes weight loss. In a sense, calories are “purged” this way
(hence the nonmedical term “diabulimia,” used widely across
popular media). However, a person suffering from ED-DMT1
may not be diagnosed with bulimia or have other symptoms
of bulimia, such as binge eating and self-induced vomiting.
On the other hand, some individuals may withhold insulin
only after they have binged as a method of purging. People
suffering from ED-DMT1 may exhibit any number of eating
Eat Q
disorder behaviors—or they may only manipulate their
insulin and otherwise have relatively normal eating patterns.
Various studies have found that having type 1 diabetes
puts the individual at increased risk for developing disordered eating or an eating disorder. One study found that
between 7% and 35% of girls and women with type 1 diabetes
met the criteria for what is termed a “sub-threshold” eating
disorder—meaning they display symptoms of an eating
disorder but do not meet the full criteria—and as many as
11% met the criteria for a full-syndrome eating disorder.1
Insulin manipulation has been documented even in young
(preteen) females with DMT1.2 Among the general female
population, the incidence of eating disorders is about 1% for
bulimia nervosa and 0.5% for anorexia nervosa.3 Overall, the
incidence and prevalence of DMT1 has been on the rise, and
thus, it is foreseeable that the dual diagnosis of ED-DMT1
may also increase in the coming years.3
Several factors contribute to this heightened risk of
developing an eating disorder alongside type 1 diabetes. A
major contributing factor is the emphasis on food and dietary
restraint associated with the education about and management of type 1 diabetes.
EDcatalogue.com.
by Ovidio Bermudez, MD, FAAP, FSAHM, FAED, CEDS, Fiaedp
Chief Clinical Officer and Medical Director of
Child and Adolescent Services, Eating Recovery Center
NEW
Unlock the Weight-Loss
Power of Emotional
Intelligence
Susan Albers
320 pages, hardcover & paper, 2013
Intuitive Eating
Embody
Learning to Love
Your Unique Body
(and quiet that
critical voice!)
Connie Sobczak
A Revolutionary
Program That Works
Evelyn Tribole & Elyse Resch
THE DUAL DIAGNOSIS
The Rules of “Normal” Eating
A Commonsense Approach for
Dieters, Overeaters, Undereaters,
Emotional Eaters, and Everyone
in Between!
Karen R. Koenig
Reinventing the Meal
how mindfulness can help
you slow down, savor the
moment & reconnect
with the ritual of eating
Pavel G. Somov
Overcoming Body
Dysmorphic Disorder
A Cognitive Behavioral Approach
to Reclaiming Your Life
Fugen Neziroglu, Sony Khemlani-Patel
& Melanie T. Santos
50 Ways to Soothe
Yourself Without Food
Susan Albers
Nice Girls Finish Fat
Put Yourself First and
Change Your Eating Forever
Karen R. Koenig
Eat What You Love,
Love What You Eat
Michelle May
Mindsight
The New Science
of Personal
Transformation
Daniel J. Siegel
Eat What You Love,
Love What You Eat
for Binge Eating
Michelle May & Kari Anderson
Mindful Eating
A Guide to Rediscovering a
Healthy and Joyful
Relationship with Food
Jan Chozen Bays
Includes audio CD
Precede
An epiphany occurred to me when reading the several
decades of diaries that I had written while experiencing
anorexia nervosa. The disconnection between body and self
was striking, causing me to reflect on the role of the diary as a
survival, healing, and recovery tool. I became interested in how
other people experienced such disconnection and in increasing
awareness for others. I wanted to explore the potential of diary
writing in facilitating a more embodied experience between
self and body, first in identifying the condition and second by
doing something about it. This exploration is the subject of
my upcoming book, Using Writing as a Therapy for Eating
Disorders: The Diary Healer.
When a person develops an eating disorder, it’s common
for disconnection to occur between body and self. This is
evidenced in thoughts, feelings, and behaviors as the person
progressively loses touch with, and becomes separated from,
his or her authentic self.
Background
I grew up in the 1950s on an isolated family dairy farm
in the state of Victoria, Australia. The farmhouse had no
electricity, and certainly no television, until I was 11 years of
age. I was never lonely, having developed a strong bond with
nature and books. I developed a fascination for writing well
before the age of 5, when I began formal education in the
local one-room primary school. Books, combined with a
fertile imagination, took me beyond the rural valley in which
I lived. They inspired possibilities and dreams. I liked to write
stories and, at age 9, won my first prize, a pen; my stories were
accepted for publication in literary outlets such as The
Australian Children’s Newspaper. Letter writing was another
Anorexia Nervosa,
Second Edition
A Recovery Guide for Sufferers,
Families, and Friends
Janet Treasure & June Alexander
passion, and I had pen friends in
Australia and overseas. In this way, for
me, creative and expressive writing
became a tool for connecting with the
outside world and, inwardly, for
strengthening belief in self. At the age of
16, I won a national writing competition
prize, which enabled the purchase of a
manual typewriter. My farming parents watched in awe as I
sat the machine on our oaken kitchen table. Words were my
friends because they were safe and accommodating, and did
not judge.
Developing an Eating Disorder and
Starting a Diary
Feeling authentically connected with words at this early
age was important. At age 11, the same year I started a diary,
I developed the eating disorder anorexia nervosa. Associated
with many physical complications, anorexia nervosa has
the highest mortality rate of any mental illness. My writing
passion continued, but I increasingly turned to the diary
to try to make sense of my inner and outer worlds.
Unbeknownst to me at the time, I was embarking on a literary
journey in which the diary would chronicle the loss and
recovery of identity and self. The diary became a survival tool
in both destructive and constructive ways.
EDcatalogue.com.
by June Alexander
My Kid Is Back
Empowering Parents to
Beat Anorexia Nervosa
June Alexander
with Daniel Le Grange
Ed Says U Said
Eating Disorder Translator
June Alexander & Cate Sangster
Using Writing
to Get in Touch With Self
RECOVERY
FOOD NEUTRALITY AND RECOVERY:
Clara’s Journey
F
rom a nutritional perspective, recovery from an eating
disorder requires developing a neutral relationship
with food.
But how do you do that? Especially living in the Western
society we do, our relationship with food could be considered
anything but neutral.
It requires trust—a whole lot of trust. Learning to trust
your body, learning to trust yourself around food. But it
doesn’t happen overnight. And you need an experienced
guide who can show you the way.
For my clients who get there, they tell me it is a whole
other freedom that they never knew existed. It is a place where
the voice in your head is quiet for a change; a place where you
can indulge in a craving without being terrified that you have
veered off course and will never get back. A place where you
can listen to your body as your guide to what you want to
eat—the salad or the slice of pizza—and still be on track.
There are stages to the food neutrality recovery process.
And not everyone starts at the same stage. Some clients have
periods in the day when they feel “safe” with food, while for
others, there is no such thing. As nutritionists, our work is to
determine where the client is on the food neutrality spectrum
and to develop a plan accordingly. The recovery process
usually takes a client from a more structured (read “safer”)
eating plan to a more flexible eating plan, whereby the client
is able to rely mostly on hunger, fullness, and satiety cues as
a guide. The key here is less and less focus on portions and
more reliance on fullness and satiety. Further, there is an
Restoring Our Bodies,
Reclaiming Our Lives
Guidance and Reflections on
Recovery from Eating Disorders
Aimee Liu
increased inclusion of “high-risk” or “fear” foods particular
to that client. The overall philosophy in helping clients
develop a more neutral relationship with food is that all foods
fit. Nothing is considered “good” or “bad”; rather, the philosophy embraces the idea that with everything in moderation,
all foods can and do work. Finally, peace with food…
Clara C (not the client’s real name) struggled with binge
eating disorder. For her, eating was considered extremely
risky, shameful, and morally wrong. And further, as she
had gained weight since the onset of her eating disorder, she
regarded eating as “unnecessary” to her survival.
To help Clara step into the recovery process, we needed
to provide her with a lot of structure to make this transition
to a different way of eating as safe as possible. So we mapped
out her entire day—with all meals and all snacks preplanned,
preportioned, and evenly distributed throughout the day. By
doing so, we could help diminish physiological binges that
come about when clients starve themselves all day—often in
response to a binge event the night before—only to fall prey
to the same occurrence the next day.
This article continues and can be found in its entirety
at EDcatalogue.com.
By Melainie Rogers, MS, RD
Director of Balance Eating Disorder Treatment Center
Making Peace with Your Plate
Robyn Cruze & Espra Andrus
You Can’t Just Eat
a Cheeseburger
How to Thrive Through
Justine Duppong
Starting Monday
Seven Keys to a Permanent,
Positive Relationship with Food
Karen R. Koenig
Life Beyond Your Eating Disorder
Reclaim Yourself, Regain Your Health,
Recover for Good
Johanna S. Kandel
D
ialectic Behavior Therapy (DBT) is a popular modality
being used for treating eating disorders, but many
professionals still don’t fully understand its origin, use,
and effectiveness.
DBT was originally developed by Marsha Linehan as a
result of the limitations she perceived when applying cognitive behavioral therapy to the treatment of women diagnosed
with borderline personality disorder and engaging in selfharm behaviors such as self-mutilation through cutting,
suicidal ideation, and chronic suicide attempts.i
Following the publication of the original DBT manual in
1993, there has been increasing interest in the application of
DBT to other populations, including individuals diagnosed
with binge eating disorder (BED), bulimia nervosa (BN),ii and,
to a lesser extent, anorexia nervosa (AN). Although there is
limited research investigating the efficacy of DBT for the
treatment of BED,iii BN,iv and AN,v,vi those studies that have
been published are encouraging.
The use of DBT for the treatment of eating disorders
makes intuitive sense. Many of the presenting problems that
DBT was first developed to treat—ineffective interpersonal
skills, intense mood fluctuations, poor impulse control, and
self-destructive behaviors—are frequently observed among
individuals with eating disorders.vii What’s more, the four
core skills that comprise the model—mindfulness, distress
tolerance, emotion regulation, and interpersonal effectiveness—are almost always deficient in individuals with
eating disorders. It is these four skills that will be used as a
framework for the following discussion. Although Safer, Telch,
Telling Ed No!
and other practical
tools to conquer
your eating disorder
and find freedom
Cheryl Kerrigan
Midlife Eating
Disorders
Your Journey
to Recovery
Cynthia M. Bulik
and Chenii exclude interpersonal effectiveness from their
manual describing how DBT has been adapted to treat BED
and BN, that exclusion was based on research design
concerns rather than an assumption that these skills were
irrelevant. In practice, it can be said that interpersonal skills
are vitally important to an individual’s recovery, and they will,
therefore, be included in this discussion.
at EDcatalogue.com.
by Zanita Zody, PhD, LMFT
Clinical Director, Monte Nido & Affiliates
i
Linehan, M.M. (1993). Skills Training Manual for treating borderline personality
disorder. New York: Guilford Press.
ii
Safer, D.L., Telch, C.F. & Chen, E.Y. (2009). Dialectical behavior therapy for binge
eating disorder. New York: Guilford Press.
iii
Safer, D.L., Robinson, A.H. & Jo, B. (2010). Outcome from a randomized
controlled trial of group therapy for binge eating disorder: comparing dialectical
behavior therapy adapted for binge eating to an active comparison group
therapy. Behavior Therapy, 41(1), 106-120.
iv
Safer, D.L., Telch, C.F. & Agras, W.S. (2001). Dialectical behavior therapy for
bulimia nervosa. American Journal of Psychiatry, 158, 632-634.
v
Lynch, T.R., Gray, L.H.K., Hempel, R.J., Titley, M., Chen, E.Y. & O’Mahen, A. (2013).
Radically open-dialectical behavior therapy for adult anorexia nervosa: feasibility
and outcomes from an inpatient program. BMC Psychiatry, 13, 293.
vi
Salbach-Andrae, H., Bohnekamp, I., Pfeiffer, E., Lehmkuhl, U. & Miller, A.L. (2008).
Dialectical Behavior Therapy of anorexia and bulimia nervosa among adolescents:
A case series. Cognitive and Behavioral Practice, 15(4), 415-425.
vii
Costin, C. (2007). The Eating Disorder Sourcebook. New York: McGraw-Hill.
Lasagna for Lunch
Declaring Peace with
Emotional Eating
Mary Anne Cohen
Health at Every Size
The Surprising Truth
About Your Weight
Linda Bacon
French Toast for
Breakfast
Declaring Peace with
Emotional Eating
Mary Anne Cohen
RECOVERY
in the Treatment
of Eating Disorders
RECOVERY
1
2
3
4
5
Counteracting
an Eating Disorder Thought
T
he following is a list of examples provided by our clients
demonstrating how to challenge an eating disorder
thought. These are short and to the point and will give
you ideas to help you quickly and assertively challenge your
eating disorder self.
8 Keys to Recovery from an
Eating Disorder
Effective Strategies from Therapeutic
Practice and Personal Experience
(8 Keys to Mental Health)
Carolyn Costin & Gwen Schubert Grabb
1. Eating Disorder (ED) Self: The only way I can feel OK with
myself and deal with my emotions is to restrict and exercise.
Healthy Self: Even when you exercise and restrict you still don’t
feel OK with yourself. Yes, it numbs you from your
emotions temporarily, but those feelings don’t go away, they
always come back. Exercising and restricting is only a quick fix.
2. ED Self: I had such a hard day. I deserve to eat whatever I want,
which is a whole chocolate cake. Nothing will make me feel
as good as bingeing does.
Healthy Self: You did have a very hard day. You need to do
something fun, or find something to help release all of your
stress, like yoga or a nice bath, and have a piece of cake too.
Eating the whole cake will feel good while you’re eating, but
afterwards you just feel ashamed and even more stressed out
about your eating and weight.
Maintaining Recovery from
Eating Disorders
3. ED Self: Even when I am at a healthy weight I will be miser-
Avoiding Relapse and Recovering Life
Naomi Feigenbaum
able, so I might as well be thin and miserable, rather than fat
and miserable.
The Emotional Eater’s Repair Manual
A Practical Mind-Body-Spirit Guide for
Putting an End to Overeating and Dieting
Julie M. Simon
Healthy Self: You can’t predict how you will feel at a healthy
weight because you have never been there long enough. All
you know for sure is that you are absolutely miserable and
alone when you are sickly thin. That is a known fact, whereas
you don’t know how you will feel if you gain weight and
become healthy.
4. ED Self: Even if I resist bingeing this one time, I am still fat and
what will one night of healthy eating matter anyway? Seems
like a waste of time to try.
Eating in the Light of the Moon
How women can transform their
relationships with food through
myths, metaphors & storytelling
Anita Johnston
Healthy Self: Every time you are able to eat in a balanced and
healthy way instead of bingeing, you are strengthening your
skills for the next time. It’s never a waste to try.
5. ED Self: If I don’t lose weight, I can’t ever be happy.
Healthy Self: Your mind is in control of your happiness, not
your body.
Making Weight
Men’s Conflicts with Food,
Weight, Shape & Appearance
Arnold Andersen, Leigh Cohn & Thomas Holbrook
There are plenty of people who weigh as much as or more
than you who are happy. If you work on making your life
happier in a variety of ways, you might focus less on food, and
both your mind and body will improve.
by Carolyn Costin, MA, MEd, MFT & Gwen Schubert Grabb, MFT
8 Keys to Recovery from an Eating Disorder,
W.W. Norton & Company © 2011
The Ritteroo
Journal for
Eating Disorders
Recovery
A Full Course Meal on
Emotional Health
Karen R. Koenig
Lindsey Hall
Artwork by Mary Anne Ritter
Finding Your Voice
through Creativity
The Art and Journaling
Workbook for
Disordered Eating
Mindy Jacobson-Levy
& Maureen Foy-Tornay
The Body Image
Workbook,
Second Edition
An Eight-Step Program for
Learning to Like Your Looks
Thomas F. Cash
The Hungry i
A Workbook for Partners of
Men with Eating Disorders
Barbara Kent Lawrence
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:
Anorexia Nervosa and
Bulimia Nervosa
APPS
for Recover
y
As with an
y opportunity
for health and
the process is
recovery,
the responsibi
lity of the indi
Following are
vidual.
some of the Ap
ps available fo
and/or Androi
r iPhone
d use. This lis
t is not an en
but rather a su
dorsement,
ggestion for yo
ur review. In al
pha order:
Body Beautif
ul
Cognitive Dia
ry CBT Self-H
elp
Eating D App
Counselor
Emotes for D
isordered Ea
ting
Mindfulness
Bell
OneHealth M
eeting Finder
Optimism
Positive Thin
king
RecoveryBox
Recovery Rec
ord
Rise Up + Rec
over
The Kissy Pr
oject
42 min., 2011
RECOVERY WORKBOOKS
The Food & Feelings
Workbook
BODY IMAGE
to Feel Good About
Your Body Regardless
of Your Weight and Shape
A
ssess your appearance less on external indicators of
beauty (current beauty ideal, number on a scale, etc.)
and more on the choices you make each day to feel
good about your body and self. In a research study I recently
conducted, it was found that as women kept track each day
of the choices they made to feel better about their bodies
(e.g., I took a walk today, I complimented my best friend, I ate
healthy, I spoke up at a business meeting), they reported
higher levels of body satisfaction.
Ask yourself if you have ever been attracted to or fallen
in love with someone who is not a “perfect 10.” Of course you
have, because “perfect 10s” don’t exist. We all fall in love with
people who are less than a “perfect 10.” You forget about your
partner’s receding hairline or bulging belly because of his
intelligence, great sense of humor, and loving touch. Attraction
for men toward women is the same. They aren’t looking for
“perfect 10s”—they fall in love with you as a whole package
and ignore your imperfections because they love you. So
make a commitment to stop wasting your time trying to look
or act in a way that is not you. God created all of us with a
certain body, mind, and spirit. Embrace that, focus on your
signature strengths, and put your energy into your passions
and the people you love. Chasing perfectionism leaves you
disconnected from others and can lead to disordered eating.
Challenge negative self-talk about your body. Researchers
in the field of neuroscience have found that whatever you
Full
How one woman found yoga,
eased her inner hunger, and
started loving herself
Kimber Simpkins
focus on shapes your brain. If you are consistently thinking
negative thoughts about your body, the neural pathway
becomes stronger and these thoughts become automatic and
habitual. Instead, challenge negative self-talk. When you have
a negative thought about your shape or weight, see a stop
sign and say, “STOP.” Tell yourself these thoughts are mental
noise. Ask yourself: If your friend said this about herself, what
would you say? You would probably challenge the negative
thoughts and replace them with positive affirmations. Then
switch your focus of attention to something else like calling
a friend, meditating, or looking up something on the computer. Begin the process of rewiring your brain today.
Consider trading your obsession with your weight and
dieting for more joy and vitality in your life. Some individuals
buy into the myth that if they can lose weight and look a
certain way, they will be happier and have the life they always
wanted. Sadly, many reach their weight goal and aren’t feeling
happy or content, but report feeling exhausted and burdened
with constant obsessing about food. Then they think, If only
I lose more weight, I will feel energized and have the life I
always imagined.
at EDcatalogue.com.
by Ann Kearney-Cooke, PhD
Living with Your Body &
Other Things You Hate
Emily Sandoz & Troy DuFrene
Body Image, Second Edition
A Handbook of Science,
Practice, and Prevention
Thomas F. Cash & Linda Smolak
The Slender Trap
A Food and Body Workbook
Lauren Lazar Stern
272 pages,
spiral-bound, 2010
PREDICTABLE
H
Challenges
alloween is a tricky holiday for people struggling with
body dissatisfaction and eating disorders. The ritual of
trick-or-treating, whether you are on the giving or
collecting side, can be fraught with frights that morph miniature chocolate bars into chainsaw-wielding serial killers. In
addition, the preoccupation with consuming is magnified by
the emphasis on costuming. Dressing up for Halloween adds
another layer of anxiety and despair for those who may want
to join in the fun but feel that the availability of costumes in
larger sizes is limited—not only in terms of where they can
be purchased, but the breadth of choices that are deemed “fat
friendly.” The secret and mysterious nature of Halloween is
replicated in how secretive many people are about their
disordered eating and body dissatisfaction. Choosing to mask
instead of share feelings is common and results in silent
suffering and clandestine binge-eating episodes to manage
stress.
Fortunately, Halloween is at the end of the month, which
provides 3 to 4 weeks to proactively prepare to navigate this
ghoulish time of year.
Dr. Deah’s Calmanac
Your Interactive Monthly
Guide for Cultivating a
Positive Body Image
Deah Schwartz
NEW
Adolescence and Body Image
From Development to Prevention
(Adolescence and Society)
Lina A. Ricciardelli & Zali Yager
Here are some things to consider:
Are you masking or hiding your feelings with:
✱ Restrictive dieting or binge eating?
✱ Obsessing about your weight?
✱ Engaging in negative body talk either by yourself or with
others?
NEW
Mirror, Mirror Off the Wall
When you think about Halloween:
✱ Do you feel anxious about the availability of Halloween
candy?
How I Learned to Love My Body
by Not Looking at It for a Year
Kjerstin Gruys
✱ Are you limiting your participation in fun events due to not
feeling thin enough to wear a costume or “strong” enough
to resist the treats?
Take some time to explore what may happen if you:
✱ Declared a truce with yourself this Halloween and gave
yourself permission to accept your body at the size it is now.
✱ Experiment with the idea that there are no “good” or “bad”
foods (as long as there are no allergies or medical problems
associated with specific foods) and that Halloween candy
is available all year long.
✱ Do you think you would still binge if you trusted the fact
The Woman
in the Mirror
How to Stop Confusing
What You Look Like
with Who You Are
Cynthia M. Bulik
that this is not your ONLY chance to have these treats?
by Dr. Deah Schwartz, EdD, CTRS, CCC
Excerpted from Dr. Deah’s Calmanac,
Dr. Deah’s Body Shop © 2013
SPIRITUALITY
NEW
The Predatory Lies
of Anorexia
A Survivor’s Story
Abby D. Kelly
Table in the Darkness
A Healing Journey Through
an Eating Disorder
Lee Wolfe Blum
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
Starving Souls
A Spiritual Guide to
Understanding Eating Disorders—
Anorexia, Bulimia, Binging…
Rabbi Dovid Goldwasser
CHRISTIAN
The Religion of Thinness
Chasing Silhouettes
How to Help a Loved One
Battling an Eating Disorder
Emily T. Wierenga
Images of His Beauty
A 10 Week Bible Study for
Young Women Desiring to
Find Hope and Healing
in Jesus Christ
Tracy Davis Steel
Satisfying the Spiritual Hungers
Behind Women’s Obsession
with Food and Weight
Michelle Lelwica
Hope, Help & Healing
for Eating Disorders
Revised and Expanded
Gregory L. Jantz
with Ann McMurray
&
Conduct a Spiritual Assessment
In our view, an assessment of the religious background and spirituality of patients with eating
disorders is an essential part of a comprehensive assessment strategy. When patients are admitted for
eating disorder treatment, a thorough assessment of their functioning should be conducted, including
their physical, nutritional, psychological, social, and spiritual functioning. The overall goal of the spiritual
assessment is to gain a clear understanding of each patient’s current spiritual framework so that the treatment staff can work within the patient’s belief system in a sensitive and respectful manner. Information
about patients’ spirituality can be gathered through written intake questionnaires, clinical interviews, and
standardized measures of religious orientation and spirituality. …
Establish Spiritual Goals for Treatment
We assume that every person has several important emotional and spiritual needs. We seek to address
these needs during treatment in the ways we relate with the patients and through the interventions we
use. The needs are as follows:
1. Having a sense of acceptance and belonging in a social sphere and in relation to God.
2. Having a sense of being important and valued in one’s family.
3. Having a sense of spirituality, purpose, hope, and meaning in life.
4. Having a sense of self through identification, individuation, self-awareness, and self-understanding.
5. Having a sense of principles and values in which one’s life is anchored.
Therapists can help patients decide whether and how they want to use their faith and spirituality in
treatment. Many patients feel that they have lost their spirituality during the development of their eating
disorder and wish to set goals to rediscover their faith and spirituality. Some patients say that spirituality
has never been important to them but that they would like to learn more about the possible role it could
play in their recovery. Some patients say that they do not wish to include discussions about spirituality in
their treatment, and such requests should of course be respected. Therapists and treatment staff should
affirm the right of each patient to decide for herself what role faith and spirituality will play in her treatment
and recovery and then seek to support and encourage patients in their spiritual goals.
by P. Scott Richards, Randy K. Hardman & Michael E. Berrett
Excerpted from Spiritual Approaches in the Treatment of
Women With Eating Disorders
First edition, APA, Washington DC,
Spiritual Approaches
Copyright © 2007 Reprinted with permission
in the Treatment of
Women With
Eating Disorders
P. Scott Richards,
Randy K. Hardman
& Michael E. Berrett
SPIRITUALITY
Spirituality
Treatment
The Weight-Bearing Years and
THE BODY MYTH:
The Perfect Storm of Eating Disorders and Body Image Despair in Adult Women
T
he face of eating and body image disorders is no longer
a young one—age does not immunize women from
body image preoccupation and weight concerns. While
in the past, body satisfaction increased with age, today 79%
of women older than age 50 in the U.S. express significant
body distress and weight preoccupation, threatening their
health and well-being, with 13% admitting to current eating
disorder symptoms (Gagne et al., 2012). More adult women
are seeking treatment for their eating disorders than ever
before (Zerbe, 2013), with one treatment center specializing
in eating disorders reporting a 400% increase in admissions
of patients older than 40 in the previous decade (Cumella &
Kally, 2008).
In The Body Myth (Maine & Kelly, 2005), I proposed that
the increase in eating disorders in adult women was the
result of interactions among many complex biopsychosocial
experiences, including a rapidly changing social role in a
globalized, consumer culture; strict cultural standards
regarding women, weight, and appearance; unattainable media
Treatment of Eating Disorders
Bridging the Research-Practice Gap
Margo Maine, Beth Hartman McGilley
& Douglas W. Bunnell
Father Hunger,
Second Edition
Fathers, Daughters, and
the Pursuit of Thinness
Margo Maine
The Body Myth
Adult Women and the
Pressure to Be Perfect
Margo Maine & Joe Kelly
Effective Clinical Practice in
the Treatment of Eating Disorders
The Heart of the Matter
Margo Maine, William N. Davis & Jane Shure
images; and the fear of obesity, fueled by misinformation and
a $60 billion diet industry. Today’s women are emotional
and cultural immigrants living in a world of unprecedented
opportunities and equally unprecedented stress, with many
finding their only comfort in the rituals of disordered eating,
rigid dieting, exercise, and other body obsessions. Contemporary women carry the weight of novel responsibilities in
their multiple roles today, still maintaining their families and
personal lives while being pressured to adapt and achieve
in this new world. Developmental transitions including
marriage, divorce, pregnancies, parenting, midlife, career
issues, empty nesting, and retirement all create risk in an era
that promotes weight loss, thinness, and a youthful appearance as the ultimate signs of success for women. Add to this
the rhythmic cycles of the female body, many of which are
associated with weight gain. Premenstrual bloating, pregnancy, and the slower menopausal metabolism are great
challenges today. If a woman’s power is still defined in terms
of beauty and a youthful body, post-pregnancy weight gain
and the pounds gained at menopause are nothing less
than distressing and disempowering. Young or old, women
are constantly bombarded by the relentless marketing of
body-change technology (e.g., pills, surgeries, exercise equipment, “cosmeceuticals”). For many, the focus on appearance
and youth intensifies as their bodies age and progress
through the natural stages that include weight gain, graying
hair, and wrinkled skin. Thus, aging creates new vulnerabilities for body image distress and eating disorders for all
contemporary women.
Although both clinical experience (Samuels & Maine,
2012) and research (Lewis & Cachelin, 2001) now tell us that
disordered eating and a fear of aging go hand in hand for
many women, many obstacles prevent adult women from
seeking treatment. First and foremost is the lack of both professional and public recognition that eating and body image
disorders occur, and occur frequently, in adult women. Add
to that decades of living with the symptoms and with an
unforgiving self-image, as well as the many secondary gains
that extreme dieting, excessive exercise, and related behaviors
can bring. Weight loss, a sculpted body, or a tightly controlled
diet and exercise routine all elicit compliments and praise,
no matter how self-destructive these symptoms really are.
at EDcatalogue.com.
by Margo Maine, PhD, FAED, CEDS
WITHOUT ED?
WHO AM I without Ed? We have been together for so long
that I am afraid of what my life might look like without him.
What if my life is actually worse without him? Sure, things
are not exactly great with him. Okay, I admit that things are
horribly miserable with Ed, but at least I’m thin. I would definitely rather be thin and miserable than fat and miserable.
What if being recovered just means that I’m going to gain
weight and be fat and miserable?
I used to have all these thoughts. I know that many of
you have too, because you have e-mailed them to me and
sent me handwritten letters (yes, some people still do that).
Still others have asked me these questions at presentations.
At one time or another, most of us wonder if all this recovery
mumbo jumbo is really just that—mumbo jumbo, meaningless talk. We wonder if all the pain and hard work are really
worth it in the end. We wonder and we wonder, and then we
wonder some more.
What I have discovered is that we can wonder all we want
as long as we are still taking steps along recovery road. We can
walk and wonder at the same time. In fact, I wondered
all these things all the way to that place I call recovered. For
me, recovery was a big leap of faith. I held on to lots of hope.
phoenix, Tennessee
(music CD)
I hoped that recovered actually existed. I hoped it was a great
place, but I wasn’t so sure. I wondered and wondered, but
I still kept walking, still had faith that life could be better.
I wasn’t sure until I got here. But now I’m here, fully recovered.
Now I know the answers to those questions.
Yes, recovery is worth all the hard work. No, I am not just
fat and miserable. In fact, I am happier than ever before, and
I love my body. No, I am not as thin as I used to be, but I don’t
want to be. My life without Ed is so much better than my life
with him that I don’t even know how to express it. In my
original draft, I wrote that my life is a million times better, but
it is actually much better than that.
I finally know who I am without Ed, and I learn more and
more about myself every day. I will never stop learning. Some
of the things I have learned: I am funnier than I thought; I am
more intuitive than I believed. I am more in love with life than
I ever imagined possible. The list goes on and on.
by Jenni Schaefer
Excerpted from Goodbye Ed, Hello Me: Recover from
Your Eating Disorder and Fall in Love with Life
© McGraw-Hill Education
Goodbye Ed, Hello Me
Recover from Your Eating Disorder
and Fall in Love with Life
Jenni Schaefer
Jenni Schaefer
7 songs, 2010
Eating to Lose
Healing from a
Life of Diabulimia
Maryjeanne Hunt
Life Without Ed,
10th Anniversary Edition
How One Woman Declared Independence from
Her Eating Disorder and How You Can Too
Jenni Schaefer with Thom Rutledge
188 pages, paper/audiobook, 2014
NEW
Peoplescapes
My Story from Purging to Painting
Nancy Calef with Jody Weiner
Almost Anorexic
Is My (or My Loved One’s)
Relationship with
Food a Problem?
Jennifer J. Thomas & Jenni Schaefer
PERSONAL STORIES
Who Am I
PERSONAL STORIES
THE BINGE EATING MONSTER
N
othing in my life prepared me to cope with the anxiety
and depression that blanketed me during George’s first
year of life. Every morning I woke up with a panicked
feeling that he had died in the night, and every day I struggled
with the claustrophobic feeling of being trapped as a stay-athome dad with a very sick child. We couldn’t go out for very
long or go very far during the day because he needed to be
on oxygen all the time. The little canisters we used when we
were out only lasted about 90 minutes and were a pain in
the butt to lug around, so I usually stayed close to home. Most
of our outings continued to be to restaurant buffets where
George stayed in his baby carrier while I binged myself into
numbness.
When we were home most of my time was spent in
front of the TV while George graduated from Baby Einstein to
Teletubbies. I didn’t have the energy or inclination to do much
more than sit there and think. I realized I was unhappy and
that I needed something to look forward to in my life. I began
to see how unhealthy I’d become both physically and
emotionally. If I was going to be any kind of father for George
I needed to do something about it. I needed a life direction
that was completely mine again.
I thought long and hard for weeks on end about my next
career choice. I remembered how comforting it had been to
have a mentor and guide early in my career as a musician
and figured with so many new musicians looking to become
famous in Nashville, there would be plenty of opportunity
to create a small artist development company. But the more
I thought about it the more I realized that wasn’t my goal. I
didn’t want to just develop artists, I wanted to help develop
people. When I was working for the newspaper and interviewing my subjects, learning what they thought, how they
felt about themselves and about the work they did, it moved
me deeply. The only problem was the frustration I felt at not
being a more integral part of their “story.” I processed this
and processed this until finally, while driving down the road
with the windows down and the sunroof open, an epiphany
hit me like a bolt of lightning. I wanted to be a therapist!
by Andrew Walen, LCSW-C
Excerpted from Man Up to Eating Disorders:
A memoir and self-help book for men and boys
struggling with body image, self-esteem,
fat shaming, and eating disorders, BookBaby
NEW
Shattered Image
My Triumph Over Body
Dysmorphic Disorder
Brian Cuban
Man Up to Eating
Disorders
Andrew Walen
NEW
My Thinning Years
Starving the Gay Within
Jon Derek Croteau
Ten-Mile Morning
Second Son
My Journey Through
Anorexia Nervosa
Adam Lamparello
Transitioning
Toward My Destiny,
Love, and Life
Ryan K. Sallans
Anorexia was a period of guarding, of keeping very tight
tabs on things. Of maintaining control at all costs.
And the prompter was fear. Fear made everything justifiable. It justified every eating disordered need. It made
counting calories logical. It justified all my methods of bodychecking. It made the incrementally sicker incrementally
safer. Signs of physical sickness became sources of validation.
The more scared I became, the more limits I needed to
impose in order to manage the fear.
My world began and ended at my frame. There really was
no distinction. I wholly became that.
And in the end I would sit down, level with myself and
feel okay. Okay in my tight spaces. Okay with the screen
around me.
If my body-checking produced desirable results, I
deemed myself good. I was okay. I was calm. If my bodychecking produced undesirable results, I deemed myself bad.
I was fearful. I was panicky. My world was shaken.
And the anger….the anger at others who dared to mess
up a food order, who acted so blasé about putting an extra
this or that or God forbid estimate! How could they do that to
me?! What were they thinking?!
The anger at the world for not creating a controlled
environment for my eating disorder to dwell. How dare they!!
The anger at myself for bingeing. The shame of bingeing.
The wire-high pedestal on which I put anorexia.
The nerve of me!
The judgments. The disgust. The shame.
Calculating my way from morning till night, my world
shrunk in accordance with my frame.
Like yellowing paper crushed, crumbled and inverted,
I imploded into myself.
Like origami, I folded over and cut out pieces of myself
in perfect symmetry.
Like a hand-held compact mirror, I reformatted myself
to fit and flatten on command.
Eating Disorders on the Wire
Music and Metaphor as Pathways
to Recovery
Jenn Friedman
NEW
78 pages, paper,
2014
On the Wire
Accompanying CD
Jenn Friedman
Music CD, 11 Songs
NEW
Dancing Through It
My Journey in the Ballet
Jenifer Ringer
Something Spectacular
The True Story of One Rockette’s
Battle with Bulimia
Greta Gleissner
PR
A Personal Record
of Running from Anorexia
Amber Sayer
Remembering Judith
Ruth Joseph
I see in hindsight that all the time I spent trying to
reshape and resize myself could have been spent repositioning. All that focus required to move forward on the wire could
have served in my attempt to turn around. I didn’t have to
follow in the eating disorder’s path. I had that option.
We have that option.
by Jenn Friedman
Excerpted from Eating Disorders on the Wire:
Music and Metaphor as Pathways to Recovery, H.T.F.K. Press
A Girl Called Tim
Escape from an
Eating Disorder Hell
June Alexander
PERSONAL STORIES
FEAR
NEW
K I D S / T E E N S / Y O U N G A D U LT S
WORD UP
F
ashioning yourself into an arbitrary idea of body perfection is a dangerous game, and the culture of size zero
tribes can contribute to major medical problems. The
long-term-health effects of trying to maintain an abnormally
low weight affect all systems of the body. Metabolically, our
bodies don’t know the difference between a purposeful diet
and an unfortunate famine. If we don’t feed them enough of
what is needed to take care of daily energy and maintenance
requirements, they make adjustments. Diets teach the body
KIDS
how to become more efficient at storing energy and less
willing to use it. When you start a low-calorie diet, your body
breaks down muscle, in addition to fat, to get what it needs.
With less muscle, it’s harder to expend energy. Your body
therefore needs less calories to maintain its activity—
although it still requires sufficient food nutrients—and beefs
up on fat stores when you indulge in excess calories. A recent
review of thirty-one long-term diet plans published in
American Psychologist found dieters gained back more weight
over time than people similar to them who didn’t diet.12
The evidence convinced the authors to advise Medicare and
Medicaid policy makers that diets are counterproductive for
weight control. The authors even noted that at the end of the
survey, the dieters were still gaining weight.
As we’ve become aware, physiological and psychological
changes that occur with dieting contribute to the complex
core of eating disorders. Besides hair loss and heart failure,
starvation, malnutrition, and purging techniques lead to
• brain shrinkage
Beautiful Girl
• esophagitis
Celebrating the
Wonders of Your Body
Christiane Northrup with
Kristina Tracey
Illustrated by Aurelie Blanz
Girls ages 4–10
• osteoporosis
• muscle wasting
• joint deterioration
• dental issues
• electrolyte disturbances (causing nerve damage,
arrhythmia, and cardiac arrest)
No “Body” is Perfect
But They are All Beautiful
Denise Folcik
Illustrated by Lily Weber
Ages 3– 6
Even minor and short-term eating disturbances contribute to greater struggles with appetite and weight control
in the years to come. Young people with ED symptoms are
also at higher risk later in life for more significant physical
and mental disorders. According to one long-term study that
followed over 700 New York youth through the 1980s and ‘90s,
those with eating disorders were more likely to have heart
trouble, sleep disturbances, and problems with anxiety and
mood disorders, chronic fatigue, and infectious diseases.13
by Jessica R. Greene
Excerpted from Eating Disorders:
The Ultimate Teen Guide (It Happened to Me, No. 39)
Rowman & Littlefield, All Rights Reserved
Full Mouse
Empty Mouse
A Tale of Food
and Feelings
Dina Zeckhausen
Illustrated by Brian Boyd
Ages 7–12
12
Shan Guisinger, “Dangers of Dieting a Body Adapted to Famine” (special article
for F.E.A.S.T.), March 2012, feast-ed.org/Resources/ArticlesforFEAST/
DangersofDietingaBodyAdaptedtoFamine.aspx (accessed April 2013).
13
Jeffrey G. Johnson, Patricia Cohen, Stephanie Kasen, and Judith S. Brook,
“Eating Disorders during Adolescence and the Risk for Physical and Mental
Disorders during Early Adulthood,” Archives of General Psychiatry (presently,
JAMA Psychiatry ) 59, no. 6 (June 2002): 545. doi:10.1001/archpsyc.59.6.545.
TWEENS / TEENS / YA
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
How I Look Journal,
Fifth Edition
Molly & Nan Dellheim
Middle & high school girls
The Stone Girl
Alyssa B. Sheinmel
Teens
The Ultimate
Tween Survival Guide
Dina Zeckhausen
Girls ages 9 –13
My Feet Aren’t Ugly
A Girl’s Guide to Loving
Herself from the Inside Out
Debra Beck
Teens
Girl Lost:
The Bulimia Workbook for Teens
Activities to Help You Stop
Bingeing and Purging
Lisa Schab
Teens
Finding Your Voice Through
Lynn Moore
Girls ages 9–13
Reflections of Me
Girls and Body Image
(What’s the Issue?)
Kris Hirschmann
Girls ages 11–13
48 pages, library binding, 2009
K I D S / T E E N S / Y O U N G A D U LT S
NEW
NEW
PREVENTION
FROM WEIGHT TO
Respect
NEW
Body Respect
What Conventional Health Books
Get Wrong, Leave Out, and
Just Plain Fail to Understand
about Weight
Linda Bacon & Lucy Aphramor
Our Mission
Our ultimate goal in Body Respect is to champion a paradigm shift—from weight to respect. We examine what weight
means to our bodies, how our metabolisms work, and the mechanisms involved, including concepts like “fat” and “calories” that
carry so much baggage in our society. We also look at exercise;
the science of dieting; biases around fat and bodies, and the
impact of prejudice and privilege; and a collection of other
cultural factors that affect individuals’ health. Throughout, we
consider how dogma, myths, and prejudices about fatness,
presented as the value-laden “obesity” have trumped actual
evidence in our society’s evolving views of weight and health.
Relying on fact and sound judgment—and with a passion
for fairness and equality—we work in every chapter to separate
scientific fact from panicked assumption, unraveling the tangle
our culture has made of weight and body shape. From the stillevolving science of modern diet and health, we draw practical
lessons and recommendations for effective interventions and
policies. We also provide personally applicable, self-help style
recommendations that could make a difference in your own life
as well as the lives of current or future clients and patients.
NEW
The Big Disconnect
Protecting Childhood
and Family Relationships
in the Digital Age
Catherine Steiner-Adair
with Teresa H. Barker
384 pages, hardcover/paper, 2014
NEW
Support for You
A warning is in order: If you do get past any initial skepticism about HAES [Health At Every Size], the next possible
hazard is the frustration of dealing with everyone around you
who hasn’t. It can be exhausting to believe in a new paradigm,
a completely changed view of familiar matters, and to have to
defend or explain it again and again to everyone mired in old
ways of thinking. HAES advocates are not above critique, nor is
its theory set in stone or its strategies unanimously agreed
upon. It’s critical that the movement be open to the inevitability
of flaws, gaps, and new perspectives, including proactively
seeking input from marginalized communities. But to be
positioned as an ambassador for any cause can be draining.
That’s where education and the HAES community come in.
There is a large and growing community around HAES and size
acceptance, both online and in associations, and at workshops
and conventions. And as books and courses on this topic
proliferate, workshops emerge, and more clinics adopt HAES
ideas, there is hope for more.
The Good Parenting
Food Guide
Managing What Children
Eat Without Making
Food a Problem
Jane Ogden
Healthy Habits
The Program plus Food
Guide Index & Easy Recipes:
8 Essential Kid-Friendly
Nutrition Lessons Every
Parent and Educator Needs
Laura Cipullo
Healthy Bodies
(curriculum)
Teaching Kids What
They Need to Know
Kathy J. Kater
by Linda Bacon, PhD & Lucy Aphramor, PhD, RD
Excerpted from Body Respect:
What Conventional Health Books Get Wrong,
Leave Out, and Just Plain Fail to Understand about Weight,
BenBella Books, September 2014
self- and body-states, will inevitably be pulled into the
relational dynamics implicated in the patient’s symptoms.
You cannot treat this group from the outside; you have got to
get your hands dirty and dig in the dirt. Interpersonal and
relational psychoanalysis has always taken this as foundational to treating anyone.
Digging in the Dirt
How can we understand a patient’s relationship to
food—what he or she does with it and how he or she thinks
of it—in relational terms? Entering treatment, a person’s
relationship with food is often the single-most significant
relationship in his or her life. The symptoms have lost connection to the problems and vulnerabilities that stimulated
their onset and have a life of their own: They are not ingrained
habits, with their own rhythms and expressions. For example,
food may begin as a “valued friend/secret companion that
helps” lessen anxiety or soothe unbearable feelings. Over
time, however, food may become a “strict taskmaster or
abusive tyrant that harshly punishes transgressions” (Davis,
2009, p. 37). The therapist is often pulled into this relational
configuration, first idealized and valued, and then feared as
the rule maker.
by Jean Petrucelli, editor
Excerpted from Body-States: Interpersonal and Relational
Perspectives on the Treatment of Eating Disorders
in the format Republish in a journal/magazine
via Copyright Clearance Center
NEW
Reflections of Body
Image in Art Therapy
Healing Eating Disorders
with Psychodrama and
Other Action Methods
Eating Disorders and
Mindfulness
Exploring Self Through
Metaphor and Multi-Media
Margaret R. Hunter
Beyond the Silence and the Fury
Karen Carnabucci & Linda Ciotola
Exploring Alternative
Approaches to Treatment
Leah M. DeSole, editor
P R O F E S S I O N A L T R E AT M E N T
I
n the eating-disordered patient, symptoms are “used” to
compensate for a lack of capacity to reflect and deal with
conflict, or to counteract difficulty in mentalizing. Unable to
reflectively experience a part of oneself or another, this patient
has difficulty experiencing having a mind of one’s own.
Meanwhile, self-development is sadly derailed. On a gut level,
eating-disordered patients do not feel that others can imagine
what they feel on the inside. They never feel like they are ‘good
enough.’ For these patients, self-states—ways of being and expressing that allow a certain representation or part of the self
to emerge—might be defined as the experience of what they
can and/or cannot be curious about, relative to the self-state
they are in. Sometimes, what is needed is for the patient to experience that we can know her experience, and feel it viscerally
in our bodies (Sands, 1997), creating an uncanny, ‘shared’
body-state. Patients can experience relating to the analyst—
another body in the room sometimes—by projecting his or her
disowned parts onto the analyst and by relating to the analyst
as an embodied other. In turn, processing this mutual experience allows the patient to experience body-states relationally
and to reflect upon this experience. A body-state has to do with
embodiment: how one lives in the body, at a given moment,
relative to the felt experience. This can be internally accepted
as a part of oneself—or not. By definition, body-states are
nonverbal experiences and may not be known through the
mind with words. The body ‘articulates’ the unspoken.
Interpersonal/relational perspectives recognize that the
therapist, engaging with the patient’s disowned/dissociated
NEW
Wellness, Not Weight
Eating Disorders, Addictions
and Substance Use Disorders
Research, Clinical and
Treatment Perspectives
Timothy Brewerton & Amy Baker Dennis, editors
Health at Every Size and
Motivational Interviewing
Ellen Glovsky
NEW
Cognitive Remediation
Therapy (CRT) for Eating
and Weight Disorders
NEW
Body-States
Interpersonal and Relational
Perspectives on the Treatment
of Eating Disorders
Jean Petrucelli, editor
Kate Tchanturia
Cognitive Behavior Therapy
and Eating Disorders
Christopher G. Fairburn
Current Findings on Males
with Eating Disorders
Leigh Cohn & Raymond Lemberg
Night Eating Syndrome
Research, Assessment, and Treatment
Jennifer D. Lundgren, Kelly C. Allison
& Albert J. Stunkard
Eating Disorders and the Brain
Bryan Lask & Ian Frampton
Acceptance and Commitment
Therapy for Eating Disorders
Emily K. Sandoz, Kelly G. Wilson & Troy DuFrene
Overcoming Eating Disorders,
Second Edition
Therapist Guide
W. Stewart Agras & Robin F. Apple
Overcoming Your Eating
Disorder, Second Edition
Workbook
Acceptance &
Commitment Therapy
for Body Image
Dissatisfaction
Adria N. Pearson, Michelle Heffner & Victoria M. Follette
AMBIVALENCE TO RECOVERY
O
ne of the greatest challenges about treating eating
disorders is what is frequently described as apathy or
ambivalence about recovery. In the case of anorexia
nervosa (AN), people seem to be indifferent to activities and
rewards that others might consider to be enjoyable and
motivating, while individuals with bulimia nervosa (BN) may
impulsively value instant gratification over more long-term
goals. While we are still learning about these relationships to
reward, recent research in neurobiology suggests that they
may be two sides of the same coin.
Most people tend to prefer positive, rewarding stimuli or
experiences rather than punishment (e.g., unpleasant events)
or loss, especially when they’re hungry.1 This is evolutionarily
useful—if we were too worried about possible consequences,
then we might never risk leaving the cave to find food.
However, recent studies suggest that the brains of people with
eating disorders seem to respond similarly to both positive
and negative feedback. This suggests that these people may
have difficulty, at least in a neural sense, telling them apart.
In AN, we see elevated brain activation in response to
reward and to punishment, but not in the area that is typically
involved in motivating or important stimuli, a brain region
called the ventral striatum.2 Instead, the activity is in areas of
the brain linked to planning and consequences.3 Those with
AN may rely on these cognitive processes to compensate for
an altered reward response when evaluating choices or
making decisions. Thus, they may be more likely to consider
consequences than to respond to immediate gratification.
The brain response in BN is a little different. Brain
imaging research has shown that, like in AN, the response to
reward and punishment is similar, but individuals with BN
don’t have the same exaggerated activity in the areas of the
brain related to inhibition.4 In fact, some studies suggest
that they may have less inhibitory control. They do, however,
have an elevated reward response to food in the ventral
striatum.5,6
We know that individuals with eating disorders have
some dysfunction in how they process rewards, particularly
when it comes to food. The findings suggest that people with
AN may be experiencing a perpetual state of satiety, while
individuals with BN may be feeling chronically deprived.7
Moreover, difficulties in evaluating important information—
whether good or bad—may contribute to patients’ ambivalence toward treatment and recovery.
So how can we make treatments better, given what we
know about the neurobiology of people with AN and BN?
There is some evidence that these differences in reward are
temperament traits,8 so we might have more luck working with
them as opposed to against them. Psychoeducation about
these neurobiological differences with individuals with eating
disorders and those who care about them is especially important, both to depersonalize symptoms of the disorders and to
reduce blame. Moreover, our group9 is developing a treatment
that teaches skills to allow people to constructively use their
temperament to recover. Beyond this, we will need to work to
develop treatments or treatment packages that can best allow
us to support recovery, even when there is ambivalence.
by Dr. Alice Ely,
Wismer Scholar and Postdoctoral Research Fellow,
UCSD Dept. of Psychiatry, ED Treatment & Research Program
and by Dr. Walter Kaye,
Director, UCSD Eating Disorders Program,
Professor, UCSD Dept. of Psychiatry
References
1
Wang K, Zhang H, Bloss C, Duvvuri V, Kaye W, Schork N, et al. A genome-wide
association study on common SNPs and rare CNVs in anorexia nervosa.
Molecular Psychiatry. 2010;Epub ahead of print.
2
Yin H, Knowlton B. The role of the basal ganglia in habit formation. Nature
Neuroscience Rev. 2006;7(6):464-476. 16715055.
3
Konishi S, Nakajima K, Uchida I, Sekihara K, Miyashita Y. No-go dominant brain
activity in human inferior prefrontal cortex revealed by functional magnetic
resonance imaging. Eur J Neurosci. 1998;10:1209-1213. 9753190.
4
Wagner A, Aizeinstein H, Venkatraman V, Bischoff-Grethe A, Fudge J, May J,
et al. Altered striatal response to reward in bulimia nervosa after recovery.
Int J Eat Disord. 2010;43(4):289-294. 19434606.
5
Bohon C, Stice E. Reward abnormalities among women with full and subthresh
old bulimia nervosa: a functional magnetic resonance imaging study.
Int J Eat Disord. 2011;44(7):585-595. 21997421.
6
Oberndorfer T, Frank G, Fudge J, Simmons A, Paulus M, Wagner A, et al. Altered
insula response to sweet taste processing after recovery from anorexia and
bulimia nervosa. Am J Psychiatry. 2013;170(10):1143-1151. 23732817.
7
Wierenga C, Bischoff S, Melrose J, Irvine Z, Torres L, Bailer U, et al. Hunger does
not motivate reward in anorexia nervosa. In Press. Biological Psychiatry. 2014.
8
Kaye W, Wierenga C, Bailer U, Simmons A, Wagner A, Bischoff-Grethe A. Does a
shared neurobiology for foods and drugs of abuse contribute to extremes of
food ingestion in anorexia and bulimia nervosa? Biological Psychiatry.
2013;73(9):836-842. 23380716.
9
Kaye W, Wierenga C, Knatz S, Liang J, Boutelle K, Hill L, et al. Temperament
Based Treatment (TBT) for Anorexia Nervosa. In Press. European Eating
Disorders Review. 2014.
What Does the Brain Have to Do With It?
NUTRITIONISTS & DIETITIANS
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
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
CLINICAL GUIDES
Treatment Plans and
Interventions for Bulimia
and Binge-Eating Disorder
NEW
Beyond a Shadow of a Diet,
Second Edition
Rene D. Zweig & Robert L. Leahy
The Comprehensive Guide to Treating
Binge Eating Disorder, Compulsive Eating,
and Emotional Overeating
Judith Matz & Ellen Frankel
A Clinician’s Guide to
June Alexander, Andrea Goldschmidt
& Daniel Le Grange
Recovery from Eating Disorders
A Guide for Clinicians and Their Clients
Greta Noordenbos
A Collaborative Approach
to Eating Disorders
June Alexander & Janet Treasure
Integrated Treatment
of Eating Disorders
Beyond the Body Betrayed
Kathryn J. Zerbe
Doing What Works
An Integrative System for Treating Eating Disorders
from Diagnosis to Recovery
Abigail Horvitz Natenshon
MY HOPES for 2015, Eating Disorders, and Mental Health
continued from page 3
brain functioning. Chronic stress, anxiety, poor
With an average of 105 suicides each day in the United
nutrition, pollution, and unhealthy conditions underStates, our cause cannot wait. In 2015, the Kennedy Forum
mine our ability to achieve our potential. To improve
will bring the mental health community together around a
mental health outcomes, we will need to look at every
common set of principles. These principles include:
aspect of people’s lives.
• Payer accountability. We need to
It’s going to take all of us—policy
learn how insurance companies
makers, medical experts, business leaders,
make their coverage decisions. With
advocates across the political spectrum,
The 2008 Parity Act
greater transparency, we will find
and people like you and me and our loved
out whether insurers are complying
guarantees that
ones—to fully implement the Mental
with the Parity Act and treating
Health Parity and Addiction Equity Act
Mental Illness,
mental health the same as physical
and set a new standard for the future of
health.
Addiction, and
mental health care in the United States.
• Provider accountability. We must
Eating Disorders
We need your help to let policy
make care more patient-centered
makers, insurers, and providers know
and intervene earlier to improve
will be treated like
that mental health care is a basic human
mental health outcomes. Ultimately,
any other disease.
right. We need you to speak out and help
provider accountability will lower
eliminate the stigma that surrounds eating
costs because we will treat mental
We must work
disorders, mental illness, and addictions.
illnesses before they become severe
together to fully
Most of all, we need your help in
and more expensive to manage.
educating friends and family that fair
• System integration. Although it has
implement this law.
insurance coverage for mental health,
been shown repeatedly that inteincluding eating disorders, is the law. As
grating mental health treatment into
a doctor recently wrote, people with eating disorders are
general health care produces better outcomes and
“empathic, creative, intuitive, hardworking, and usually
reduces costs, we continue to maintain siloed payment
gifted…When [they] are free of their illness, they are incredand service delivery systems. When we talk about
ible people to know and be around.” Please use the resources
joining mind and body, system integration is where
at the Kennedy Forum website to enforce your rights under
the rubber meets the road. We’ve got to get this right.
the Parity Act and get back to the lives you and your loved
• New technologies. We have generated more scientific
ones were intended to live.
data in the last five years than in the entire history of
Together, we can make 2015 a year of incredible strides
humankind, according to Harvard Professor Winston
toward achieving President Kennedy’s vision of an America
Hide. With faster computers and more sophisticated
where everyone has access to care and treatment, housing
analytical software, we can diagnose and treat mental
and employment, and everything they need to thrive.
illness like never before.
Thank you for all you do.
• Brain fitness. Learning, staying engaged in life,
managing stress, and getting enough sleep improve
by Patrick J. Kennedy
LINKS
www.thekennedyforum.org/parity
www.cbsnews.com/news/mental-illness-health-care-insurance-60-minutes/
www.workplacementalhealth.org/Business-Case.aspx
www.jfklibrary.org/Asset-Viewer/Archives/JFKPOF-047-045.aspx
www.cdc.gov/violenceprevention/pdf/suicide_datasheet-a.pdf
www.thekennedyforum.org/mystory
www.edcatalogue.com/ten-things-wish-physicians-know-eating-disorders/
www.thekennedyforum.org/resources
STATE PG
TREATMENT FACILITY
STATE PG
CH
ILD
TE REN
EN
AD S
UL
FE TS
M
A
M LES
AL
ES
TREATMENT FACILITY
TREATMENT FACILITIES
CH
ILD
TE REN
EN
AD S
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FE TS
M
A
M LES
AL
ES
TREATMENT FACILITIES INDEX
ACUTE Center for Eating Disorders
at Denver Health
CO
50
x
x
x
x
Laureate Eating Disorders Program
(males outpatient only)
OK
57
x
x
x
The Eating Disorder Program at
Brandywine Hospital
PA
58
x
x
x
x
Loma Linda University
Behavioral Medicine Center
CA
50
x
x
x
x
Cambridge Eating Disorder Center
MA
54
x
x
x
x
McCallum Place Eating Disorder
Centers
x
x
x
x
46
x
x
x
x
x
x
x
Castlewood Treatment Center
AL, CA, MO
Center for Change
UT
60
The Center for Eating Disorders at
Sheppard Pratt
MD
53
CRC Eating Disorders Programs
CA, NV, NC
x
41
x
x
x
x
x
x
x
McLean Klarman Eating Disorders
Center
MA
54
The Ranch
TN
58
Reasons Eating Disorders Center
CA
47
x
x
AZ
47
x
River Oaks Hospital
x
x
x
KS, MO 42
x
x
x
x
x
x
LA
53
x
x
x
x
Robert Wood Johnson University
NJ
Hospital Somerset Eating Disorders Program
55
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Rogers Behavioral Health
Eating Recovery Center of California
CA
49
x
x
x
x
x
Eating Recovery Center of Dallas
TX
59
x
x
x
x
x
Eating Recovery Center of Denver
CO
51
x
x
x
x
x
Eating Recovery Center of Ohio
OH
57
x
x
x
x
Eating Recovery Center of San Antonio
TX
60
x
x
x
x
Eating Recovery Center of Washington
WA
61
x
x
x
x
ED-180 Eating Disorder
Treatment Program
NY
55
x
x
x
x
Fairwinds Treatment Center
FL
53
The Healthy Teen Project
CA
47
The Hearth
SC
58
Insight Behavioral Health Centers/
Eating Recovery Center
IL
52
Johns Hopkins Eating Disorders
Program
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
53
x
x
x
x
FL, WI 44
Sanford Health Eating Disorders
and Weight Management Center
ND
56
Sierra Tucson
AZ
46
x
x
Texas Health Resources Presbyterian
Dallas Eating Disorders Program
TX
59
x
x
Torrance Memorial Medical Center’s
Medical Stabilization Program for
Adolescents and Young Adults
CA
48
x
x
x
x
x
UCSD Eating Disorders Center
for Treatment and Research
CA
50
x
x
x
x
x
University Medical Center of
Princeton at Plainsboro—
Center for Eating Disorders Care
NJ
55
x
x
x
x
x
Upstate New York Eating Disorder
NY 55
Service, Sol Stone Center and The Nutrition Clinic
x
x
x
x
x
Veritas Collaborative
x
x
x
x
x
x
x
x
x
Walden Behavioral Care
MD
x
x
42
x
x
x
CO
x
x
x
Eating Disorder Center of Denver
x
x
The Renfrew Center
41
CA, CT, FL, GA, IL, MA, MD, NJ, NY, NC, PA, TN, TX
x
x
x
Remuda Ranch at The Meadows
x
x
x
x
x
x
x
x
42
43
x
x
CO
Eating Recovery Center
CA, CO, IL, OH, TX, WA
x
x
Eating Disorder Center of
Colorado Springs
Eating Disorder Center of
Kansas City
MO, TX 45
NC
56
CT, MA 44
x
Links to these treatment facilities at EDcatalogue.com
MULTIPLE LOCATIONS
The Nation’s First Residential Center
for Women With Eating Disorders
The Renfrew
Renfrew Centers
Centers provide clinical excellence within a
nurturing environment - empowering women to change their lives.
As the leader in the treatment and research of women’s
eating disorders
ers since 1985,, Renfr
R
ew has created a truly
customized a pproach to r ecovery.
CA
C
A ttCT
CT t FL ttGA
GA tt IL ttMA
MA t MD t NJ t NY ttNC
NC t PA t TN t TX
1-800-RENFREW (1-800-736-3739) ttwww.renfrewcenter.com
www
w.renfrewcenter.com
MULTIPLE LOCATIONS
HOW TO
CHOOSE A
M
Treatment Provider
ost individuals with bulimia should consider
professional therapy. First and foremost, find
someone who specializes in eating disorders.
These are complex and multidimensional problems, and
particular knowledge and experience is needed—not all
professionals are trained in this field. Put in time and
effort to find a therapist or treatment facility that is a
good fit for you. Call their office and perhaps schedule
an initial session or phone interview. Be prepared with a
list of questions, and sense whether you feel good about
their answers and you communicated well with each
other. When you investigate therapy options, consider
the following:
• How much experience do they have treating eating
disorders?
• What is their clinical approach?
• Do they focus on changing thought patterns and
expressing feelings?
• Do they give homework to keep clients engaged
between sessions?
• Do they work with other members of a treatment
team?
• How will team members be coordinated, and who
will be the leader or point person for questions?
• What if you need medication?
• How often will you have sessions?
• Will there be a support group?
• How soon does the therapist expect to see results?
• How long would they expect therapy to last?
• What will the charges be, and will they accept your
insurance?
• Do they have a comfortable office?
• Does the therapist seem kind and nonjudgmental?
• Does the therapist answer you directly and invite
you to express yourself?
by Lindsey Hall and Leigh Cohn from Bulimia: A Guide to Recovery
MULTIPLE LOCATIONS
MULTIPLE LOCATIONS
MULTIPLE LOCATIONS
MULTIPLE LOCATIONS / ARIZONA
ARIZONA / CALIFORNIA
CALIFORNIA
CALIFORNIA
CALIFORNIA / COLORADO
COLORADO
ILLINOIS
FLORIDA / LOUISIANA / MARYLAND
MASSACHUSETTS
2015 CONFERENCES
February 22 – 28, 2015
National Eating Disorders Awareness Week
March 19 – 22, 2015 • Phoenix, AZ
International Association of Eating Disorders Professionals
Foundation
Transformers: Clinicians as Agents of Change
Quality Care in a Community Environment
The Cambridge Eating Disorder Center provides individuals
suffering with eating disorders a comprehensive continuum of
support services focused on their recovery.
Led by an experienced, multi-disciplinary team, clients receive
individualized treatment across the complete spectrum including:
Residential • Partial Hospital • Intensive Outpatient
Outpatient • Transitional Living
Located in vibrant, historic Harvard Square, CEDC fosters
recovery in a comfortable, nurturing environment.
888.900.CEDC (2332) • [email protected]
www.eatingdisordercenter.org
3 Bow Street • Cambridge, MA
April 23 – 25, 2015 • Boston, MA
Academy for Eating Disorders
Communication: ICED Today and Tomorrow
September 25, 2015 • Naperville, IL
National Association of Anorexia Nervosa and Associated Disorders
Wellness not Weight
October 1 – 3, 2015 • San Diego, CA
National Eating Disorders Association
Sea Change: The Next Wave in Eating Disorder’s
Treatment, Support, & Prevention
November 13 – 15, 2015 • Philadelphia, PA
The Renfrew Center Foundation
Feminist Perspectives and Beyond: Honoring the Past,
Embracing the Future: 25 Years Later
NEW JERSEY / NEW YORK
NORTH CAROLINA / NORTH DAKOTA
OHIO / OKLAHOMA
PENNSYLVANIA / SOUTH CAROLINA / TENNESSEE
TEXAS
HOW LONG
Does It Take to Recover?
Recovery means different things to different people.
I like to look at it as a process that begins by stopping the
behaviors and balancing one’s chemistry, moves through
an examination of the underlying mental, emotional,
and spiritual issues, and evolves into feelings of integration, connection, and purpose. First, though, must come
the motivation and readiness to change.
People often ask whether I believe in full recovery. I
say I do, because that term works for me. I haven’t binged
in over thirty years, and don’t expect to ever again. Is
this a guarantee? No, it’s not. What’s more, people who
have practiced the abstinence approach might have the
same successful track record, yet still call themselves,
“recovering.” Perhaps this is just a case of semantics. If
someone believes in their heart that they have made
peace with food, that they love and appreciate their body,
and they are comfortable with the hard-won “freedom”
from obsession they have earned by whatever method,
then they can call themselves anything they want!
from Bulimia: A Guide to Recovery
TEXAS / UTAH
WASHINGTON
BOOK INDEX
Title
Primary Author
8 Keys to Recovery from an Eating Disorder
Costin/Grabb
100 Questions & Answers About Anorexia Nervosa
Shepphird
Page
Title
22
Primary Author
Page
Eat Q
Albers
17
4
Eat What You Love, Love What You Eat
May
18
18
50 Strategies to Sustain Recovery From Bulimia
Golden
8
Eat What You Love, Love What You Eat for Binge Eating
May/Anderson
50 Ways to Soothe Yourself Without Food
Albers
18
Eating and it’s Disorders
Fox/Goss
3
Acceptance & Commitment Therapy
for Body Image Dissatisfaction
Pearson
36
Eating Disorders: An Encyclopedia of Causes,
Treatment, and Prevention
Reel
3
Acceptance and Commitment Therapy
Sandoz
36
Eating Disorders: The Ultimate Teen Guide
(It Happened to Me Series)
Greene
33
Adolescence and Body Image
Ricciardelli/Yager
25
36
Thomas/Schaefer
4, 29
Eating Disorders, Addictions and
Substance Use Disorders
Brewerton/Dennis
Almost Anorexic
Anorexia Nervosa: A Guide to Recovery
Hall/Ostroff
DeSole
35
Anorexia Nervosa, Second Edition: A Recovery
Guide for Sufferers, Families, and Friends
Treasure/Alexander
Eating Disorders and Mindfulness:
Exploring Alternative Approaches to Treatment
Anorexics and Bulimics Anonymous
ABA
Beautiful Girl: Celebrating the Wonders of Your Body
Northrup/Tracey
Beyond a Shadow of a Diet, Second Edition
Big Disconnect
Body Betrayed
Body Image, Second Edition
Matz/Frankel
Steiner-Adair/Barker
Zerbe
Cash/Smolak
7
19
Eating Disorders and the Brain
Lask/Frampton
36
Eating Disorders Clinical Pocket Guide, Second Edition
Setnick
38
32
Eating Disorders in Children and Adolescents
Le Grange
38
38
Eating Disorders on the Wire
Friedman
31
34
Eating in the Light of the Moon
Johnston
22
Eating to Lose
Hunt
29
24
Ed Says U Said: Eating Disorder Translator
Alexander/Sangster
19
——
23
4
3
Body Image Workbook, Second Edition
Cash
23
ED 101 (DVD)
Body Image Survival Guide for Parents
Warhaft-Nadler
12
Maine
28
Body Myth
Maine/Kelly
28
Effective Clinical Practice in the Treatment
of Eating Disorders
Body Respect: What Conventional Health Books
Get Wrong, Leave Out, and Just Plain Fail…
Bacon/Aphramor
34
Embody: Learning to Love Your Unique Body
Sobczak
17
Emotional Eater’s Repair Manual
Simon
22
Body-States: Interpersonal and Relational Perspectives
on the Treatment of Eating Disorders
Petrucelli
End Emotional Eating
Taitz
11
Expressing Disorder (DVD)
Alvarado
23
Brain Over Binge
Hansen
8
Family Eating Disorders Manual
Hill
14
Brave Girl Eating
Brown
5
Father Hunger, Second Edition
Maine
28
Bulimia: A Guide to Recovery
Hall/Cohn
8
Food & Feelings Workbook
Koenig
23
Bulimia Workbook for Teens
Schab
33
Food to Eat
Lieberman/Sangster
16
By Her Side: Eating Disorders and the Joy of Recovery
for Young Women
Schone/Evans
14
Finding Your Voice through Creativity
Jacobson-Levy
23
French Toast for Breakfast
Cohen
21
Can I Tell You About Eating Disorders?
A Guide for Friends, Family and Professionals
Lask/Watson
33
Full: How One Woman Found Yoga, Eased Her Inner
Hunger, and Started Loving Herself
Simpkins
24
Chasing Silhouettes
Wierenga
26
Full Mouse Empty Mouse
Zeckhausen
32
Clinician’s Guide to Binge Eating Disorder
Alexander
38
Girl Called Tim
Alexander
31
36
Cognitive Behavior Therapy and Eating Disorders
Fairburn
36
Girl Lost: Finding Your Voice Through ED Recovery
Moore
33
Cognitive Remediation Therapy (CRT) for Eating
and Weight Disorders
Tchanturia
36
Good Parenting Food Guide
Ogden
34
Goodbye Ed, Hello Me
Schaefer
29
Collaborative Approach to Eating Disorders
Alexander
38
Healing Eating Disorders with Psychodrama and…
Carnabucci/Ciotola
35
Comprehensive Learning Teaching Handout Series
Kronberg
16
Healing Journey for Binge Eating Journal
Market
10
Current Findings on Males With Eating Disorders
Cohn/Lemberg
36
Healing Journey for Binge Eating, Volume One
Market
10
Dancing Through It: My Journey in the Ballet
Ringer
31
Health at Every Size
Bacon
21
Decoding Anorexia: How Breakthroughs in Science
Offer Hope for Eating Disorders
Arnold
4
Healthy Bodies (curriculum)
Kater
34
Healthy Habits: The Program plus Food Guide Index…
Cipullo
34
Dialectical Behavior Therapy Skills Workbook
for Bulimia
Astrachan-Fletcher
9
Hope, Help, & Healing for Eating Disorders
Jantz
26
How I Look Journal, Fifth Edition
Dellheim
33
12
How to Disappear Completely
Osgood
Hungry i: A Workbook for Partners of Men
with Eating Disorders
Lawrence
Does Every Woman Have an Eating Disorder?
Rosenfeld
Doing What Works
Natenshon
38
Dr. Deah’s Calmanac
Schwartz
25
7
23
BOOK INDEX
Title
Primary Author
Page
Title
Primary Author
Images of His Beauty
Steel
26
Integrated Treatment of Eating Disorders
Zerbe
38
Intuitive Eating
Tribole/Resch
17
Lasagna for Lunch
Cohen
21
Life Beyond Your Eating Disorder
Kandel
20
Life Without Ed, 10th Anniversary Edition
Schaefer/Rutledge
29
Living with Your Body & Other Things You Hate
Sandoz/DuFrene
24
Love Your Body, Love Your Life
Maria
Page
Reclaiming Yourself from Binge Eating:
A Step-by-Step Guide to Healing
Fulvio
11
Recovering: Anorexia Nervosa and
Bulimia Nervosa (DVD)
——
23
Recovery from Eating Disorders: A Guide for
Clinicians and Their Clients
Noordenbos
38
Reflections of Body Image in Art Therapy
Hunter
35
26
Reflections of Me: Girls and Body Image
(What’s the Issue?)
Hirschmann
33
18
Maintaining Recovery from Eating Disorders
Feigenbaum
22
Reinventing the Meal
Somov
Making Peace with Your Plate
Cruze/Andrus
20
Religion of Thinness
Lelwica
26
Making Weight
Andersen
22
Remembering Judith
Joseph
31
Man Up to Eating Disorders
Walen
30
Restoring Our Bodies, Reclaiming Our Lives
Liu
20
Midlife Eating Disorders
Bulik
21
Ritteroo Journal for Eating Disorders Recovery
Hall/Ritter
23
Mindful Eating
Bays
18
Rules of “Normal” Eating
Koenig
18
Mindfulness & Acceptance Workbook for Bulimia
Sandoz
9
Second Son
Sallans
30
Mindsight: The New Science of
Personal Transformation
Siegel
18
Secrets of Feeding a Healthy Family, Second Edition
Satter
12
Mirror, Mirror Off the Wall
Gruys
25
Shattered Image
Cuban
30
My Feet Aren’t Ugly
Beck
33
Slender Trap
Stern
24
My Kid Is Back
Alexander/Le Grange
19
Someday Melissa (DVD)
——
23
My Name is Caroline, Second Edition
Miller
My Thinning Years: Starving the Gay Within
Croteau
New Developments in Anorexia Nervosa Research
Gramaglia/Zeppegno
8
30
4
Something Spectacular
Gleissner
31
Speaking Out About ED (DVD)
——
23
Spiritual Approaches in the Treatment of Women
With Eating Disorders
Richards
27
Nice Girls Finish Fat
Koenig
18
Starting Monday
Koenig
20
Night Eating Syndrome
Lundgren
36
Goldwasser
26
No “Body” is Perfect
Folcik
32
Starving Souls: A Spiritual Guide to Understanding
Eating Disorders—Anorexia, Bulimia, Binging…
Nutrition Counseling in the Treatment of
Eating Disorders, Second Edition
Herrin/Larkin
38
Stone Girl
Sheinmel
33
11
Friedman
31
Stop Eating Your Heart Out:The 21-Day Program
to Free Yourself from Emotional Eating
Beck
On the Wire (Music CD)
Outsmarting Overeating: Boost Your Life Skills,
End Food Problems
Koenig
10
Surviving an Eating Disorder: Strategies for
Family and Friends
Siegel
14
26
Overcoming Binge Eating, Second Edition
Fairburn
10
Table in the Darkness
Blum
Overcoming Body Dysmorphic Disorder
Neziroglu
18
Telling Ed No!
Kerrigan
21
Overcoming Bulimia Workbook
McCabe
9
Ten-Mile Morning
Lamparello
30
Overcoming Eating Disorders, Second Edition:
Therapist Guide
Agras/Apple
36
Treatment Manual for Anorexia Nervosa,
Second Edition: A Family-Based Approach
Lock/LeGrange
38
Overcoming Your Eating Disorder, Second Edition:
Workbook
Apple/Agras
36
Treatment of Eating Disorders: Bridging the
Research-Practice Gap
Maine
28
Oxford Handbook of Child and Adolescent
Eating Disorders
Lock
Treatment Plans and Interventions for Bulimia and
Zweig/Leahy
38
3
Parent’s Guide to Eating Disorders: Second Edition
Herrin/Matsumoto
14
Ultimate Tween Survival Guide
Zeckhausen
33
Parents’ Quick Start Recovery Guide
Osachy
14
Glovsky
36
Peoplescapes: My Story from Purging to Painting
Calef/Weiner
29
Wellness Not Weight: Health at Every Size and
Motivational Interviewing
Phoenix, Tennessee (Music CD)
Schaefer
29
When Anorexia Came to Visit
Mattocks
Please Eat…A Mother’s Struggle to Free Her
Teenage Son from Anorexia
Mattocks
5
When Food is Family
Scheel
Positively Caroline: How I Beat Bulimia for Good…
and Found Real Happiness
Miller
8
PR: A Personal Record of Running from Anorexia
Sayer
31
Predatory Lies of Anorexia: A Survivor’s Story
Kelly
26
4
14
Woman in the Mirror
Bulik
25
Women, Food and God: An Unexpected Path to
Almost Everything
Roth
26
You Can’t Just Eat a Cheeseburger
Duppong
20
Your Dieting Daughter, Second Edition
Costin
14
National Eating Disorders Organizations
Links for these organizations at EDcatalogue.com
Maudsley Parents • maudsleyparents.org
Academy for Eating Disorders — AED
aedweb.org • 847-498-4274
For ED professionals; promotes effective treatment, develops prevention
initiatives, stimulates research, sponsors international conference and regional
workshops
Volunteer organization of parents who have used family-based treatment to
help their children recover
Mothers Against ED—MAED
facebook.com/groups/debrahope3/ • 650-773-2253
FaceBook Support Group
Binge Eating Disorder Association — BEDA
bedaonline.com • 855-855-2332
Multi-Service Eating Disorders Association, Inc.—MEDA
medainc.org • 617-558-1881/Toll-free: 866-343-MEDA (6332)
Education, annual conference, resources, research, and best-practice guidelines for preventing and treating BED
Newsletter, referral network, local support groups, educational seminars and
trainings, speaker series
Eating Disorders Anonymous — EDA
eatingdisordersanonymous.org
National Association for Males with Eating Disorders—N.A.M.E.D.
namedinc.org
A Fellowship of individuals interested in pursuing recovery and helping others
do the same; meetings, materials, and online chat room
Info, resources, and support for males with Eating Disorders and their families
Eating Disorders Coalition for Research, Policy & Action — EDC
eatingdisorderscoalition.org • 202-543-9570
National Association of Anorexia Nervosa and Associated Disorders—
ANAD • ANAD.org • 630-577-1333/Helpline: 630-577-1330
Advances the federal recognition of ED as a public health priority
Listing of therapists and hospitals; informative materials; sponsors support
groups, conference, research, and a crisis hotline
Eating Disorders Information Network— EDIN
myedin.org • 404-816-EDIN (3346)
Resources and referrals; speakers bureau, curricula, school outreach programs,
EDAW events
The Elisa Project
theelisaproject.org • 214-369-5222
The National Eating Disorders Screening Program—NEDSP
mentalhealthscreening.org • 781-239-0071
Eating Disorders screening, education, and outreach programs
National Eating Disorders Association—NEDA
nationaleatingdisorders.org • 212-575-6200/Helpline: 800-931-2237
Listing of therapists, treatment centers, and informative materials; annual
symposium, newsletter, support groups
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
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
Overeaters Anonymous—OA
oa.org • 505-891-2664
A 12-step, self-help Fellowship; free local meetings and support
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
EDcatalogue.com
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 PAINTINGS
The pages from this catalogue are filled with
details from Francesca Droll’s pastel paintings.
Please visit FrancescaDroll.com to see more.
Artwork ©2015 Francesca Droll
EDcatalogue.com
800-756-7533
Salucore
This catalogue is printed on recycled paper with
at least 10% postconsumer waste.

MY HOPES for 2015, Eating Disorders, and Mental Health

Transcription

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