2016 Gürze/Salucore Eating Disorders

Transcription

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

2016 Gürze/Salucore Eating Disorders

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