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St. Paul, MN 55108
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The Impact Of Eating Disorders On The Brain And Academic Performance

You don’t know what to do. You’ve never had to worry about your twelve-year-old son before. His school report cards consistently reflect his conscientiousness, situating him comfortably at the top of his classes. He demonstrates the same drive outside the classroom, where he’s established himself as a dependable scorer for the school’s soccer team.

But something’s been off lately, giving you a gnawing feeling in your gut. Your son seems to be regressing to the picky eating of his childhood. His palette is increasingly limited these days, and he alleges digestive problems when asked to gather with the family for dinner. He used to have a tight-knit group of friends, but recently has been declining birthday party invitations and isolating himself. His soccer coach has called you and suggested your son take a leave from the team—he fainted during this evening’s practice.

You know you need to act, but you’re facing pushback from your son. He meets your concerns with heightened defensiveness, firmly denying that anything is wrong. He’s doubling down on his already rigid study schedule, convinced that any disruptions will derail his high-achieving track. You understand that school can wait, but you’re struggling to get your son on board with taking the time for treatment. Is it possible his reaction and this resistance are related to his unusual food behaviors? You reason it would be easier for him to continue his top performance if he wasn’t battling these food issues, but you can’t be sure. You need guidance from those who have walked this path before—that’s where we come in.

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Staff Spotlight, Emerald Smith

Tell us about yourself!

My name is Emerald Smith (she/her), and I am the Clinical Director at the Child, Adolescent, and Adult Center in Charlotte, North Carolina. I am a Licensed Clinical Mental Health Counselor – Qualified Supervisor (LCMHC-QS), a Board-Certified Registered Art Therapist (ATR-BC), and a 200-hour Registered Yoga Teacher (200 RYT). I have been with Veritas Collaborative for three years.

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Medical Complications of Eating Disorders

Unlike some other mental health diagnoses, eating disorders have a high prevalence of associated medical complications. In fact, eating disorders are responsible for more than 3 million lost healthy years annually worldwide and are the second deadliest of all psychiatric diagnoses, second only to opioid use disorder.

Virtually every organ and system in the human body can be impacted by disordered eating, with effects ranging from mild to severely debilitating—and even life-threatening—depending on the duration and intensity of the illness.

As with all eating disorder-related complications, intervening early and connecting with a specialty care team are key to mitigating the risks of lasting physical damage.

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Episode 86: Attachment Styles and Eating Disorders with Kathryn Garland and Vanessa Scaringi

Episode description:

Kathryn Garland and Vanessa Scaringi join Peace Meal to discuss the connection between attachment styles and the development and maintenance of eating disorders. They first provide an overview of attachment theory, exploring how this framework can help us better understand the impact of early attachment experiences on our relationships with food and ourselves. Insecure attachment styles, they explain, are associated with eating disorders and can manifest in disordered behaviors and thoughts. Kathryn and Vanessa share how therapists can help patients address attachment-related issues and nurture secure connections with family and friends that support recovery.  

Kathryn and Vanessa also dive into the impact of the pandemic on our ability to connect with others, which in turn has played a role in exacerbating disordered eating behaviors. In addition, they explain how a relational approach to eating disorder care can complement other treatment modalities, including cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT). They end the episode by stressing the importance of connection to good mental health and encouraging those in recovery to take the time they need to nurture their relationships, both with others and themselves.

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Yoga And Mindfulness: Their Role In Eating Disorder Recovery

Healing from an eating disorder doesn’t end with your discharge from treatment. That’s why it’s so important that eating disorder care helps patients develop effective coping strategies, self-care practices, and emotion regulation skills to use long after formal treatment ends. Transitioning from specialized eating disorder care into the “real world” can be jarring. Equipping patients with the tools and confidence to navigate life’s inevitable challenges ensures their recovery begins with a solid foundation.

Both yoga and mindfulness are tools that support the reconnection to mind and body essential in eating disorder treatment. They also protect a continuing recovery, offering patients accessible grounding techniques to confront urges and stressful moments. At Veritas Collaborative, we integrate yoga and mindfulness as holistic, skill-based therapies within our evidence-based treatment model.

Given the mainstream popularity of yoga and mindfulness, it’s critical to differentiate eating disorder-informed practices from the more insidious variations of yoga and mindfulness that have been commodified by wellness culture.

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Virtual Outpatient Services Now In South Carolina

We are excited to announce that Veritas Collaborative is now accepting patients for virtual outpatient therapy in South Carolina! With this expansion to South Carolina, we’ll increase access to specialty eating disorder treatment in the Southeast, ensuring that more people who need care can receive it. Virtual eating disorder treatment in South Carolina is available for children, adolescents, and adults of any gender.

Virtual therapy sessions take place via a secure video connection and provide the same structure and support as traditional in-person treatment. Virtual eating disorder treatment also offers flexibility to those who live far from one of our treatment centers or require a treatment option that fits into their busy schedules. Outpatient care is ideal for those who are medically stable but in need of ongoing support for their eating disorder for lasting recovery.

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Staff Spotlight, Shamane McAdams

Tell us about yourself! 

My name is Shamane McAdams (she/her), and I am a Behavioral Health Technician (BHT) Manager at Veritas Collaborative’s Child and Adolescent Treatment Center in Durham, North Carolina. I have been working with Veritas for over six years! Fun fact: my first day of work was also my birthday! It remains the only year I have ever worked on my birthday.

What does a typical day look like for you at Veritas Collaborative? 

There is no typical day for me! I usually jump from meeting to meeting, problem-solve clinical staff challenges related to patient needs, train new hires, and check in with my staff on urgent items that need addressing.

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What Is The Best Treatment For ARFID?

It’s not unusual to experience some selectiveness around food. Many people have allergies that limit their food choices, others are naturally drawn to certain flavors or textures, and most of us likely demonstrated a degree of pickiness in childhood.

But what happens when these food preferences begin to erode your quality of life? When eating becomes increasingly narrowed in food variety and/or restrictiveness of overall intake that it leads to weight loss or unmet growth expectations, nutritional deficiencies, dependence on caloric supplements or tube feeding, and/or marked interference with psychosocial functioning, it could indicate the presence of Avoidant/Restrictive Food Intake Disorder (ARFID).

Misconceptions and insufficient research on ARFID can make it difficult for those struggling to find appropriate, supportive care. ARFID is a serious mental illness—it’s not just “picky eating,” a passing “phase,” or a choice, and it needs timely, specialized, evidence-based treatment that effectively addresses its unique considerations.

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How to Support Your Child Returning to School with an Eating Disorder

You’ve braved the back-to-school aisles of your local retailer, reviewed your child’s class and activities schedule, established a transportation plan, and helped select a perfect first-day-of-class outfit. Whether school is already back in session for your family or your household is buzzing with first-day jitters, navigating back to school means working with your child to set them up for a successful school year.

If your child is navigating this school year with an eating disorder, how you define “success” won’t be limited to their academic performance. Rather, success means preserving their recovery during the transition into a new school year.

This season brings to the forefront the influence of body image and eating triggers distinct to the school environment. While it’s not uncommon for eating disorder behaviors to be triggered or worsened by periods of transition, your support and preparation as a parent can make all the difference in ensuring this school year is one that centers your child’s recovery.

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Disentangling from the Eating Disorder Identity

**Content warning: This is one person’s story; everyone will have unique experiences in recovery and beyond. Some stories may mention eating disorder thoughts, behaviors, and symptoms. Please use your discretion when reading and speak with your support system as needed.

Isadora G. (she/her) is a recent graduate of the University of Colorado in Boulder, where she studied psychology and sociology. During her senior year, she worked at an all-female residential mental health facility, which solidified her passion for working in mental health care. She is a recovery peer mentor for ANAD and has been in eating disorder recovery for over three years.

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I Think I Have an Eating Disorder. What Should I Do Next?

Perhaps your body has been on your mind more than ever recently. And it’s not just the typical pressure to be thin that diet culture fuels year-round. This feels persistent and compulsive, demanding a significant amount of your daily mental energy.

Or maybe your relationship with food is causing you uncertainty and stress. You find yourself skipping out on family dinners or declining birthday invitations from friends, instead preferring to eat alone or in secret—and often to the point of physical discomfort.

If your relationship with your body and food is becoming increasingly disordered, you’re likely feeling overwhelmed about the next steps. Eating disorders comprise a cluster of symptoms, measured according to physical and mental health complications, severity and frequency, and the number of behaviors. If your observed disordered habits have negatively impacted your health and monopolized your life and daily functioning, they’ve probably tipped into eating disorder territory. Our Eating Disorder Assessment Quiz will let you know whether additional evaluation is needed.

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Screening for Eating Disorders in Children and Adolescents: A Guide for Providers

Countless studies over recent years add up to a concerning reality: eating disorders are becoming increasingly prevalent among young people. According to a JAMA Pediatrics review released in early 2023, one out of every five children worldwide displays symptoms of disordered eating. Not only are patients being diagnosed with eating disorders at ages younger than ever before, but they’re also coming into eating disorder-related health visits with more severe mental and physical symptoms (CDC). We know that childhood and adolescence are critical periods of growth and development, adding gravity to the role of providers in screening and intervening effectively and early to limit the eating disorder’s potential for irreversible consequences.

Given this urgency, as a provider, what should you be looking out for when meeting with child or adolescent patients? How can you ensure that your eating disorder screening is informed, comprehensive, and age-appropriate? Here, we hope to equip you with a deeper understanding of the importance of early intervention, common signs of eating disorders in children and adolescents, and how to respond if you suspect your young patient is struggling with an eating disorder or disordered eating.

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Episode 85: Supporting a Child Through an Eating Disorder with Holly Thorssen

Episode description:

In this episode of Peace Meal, Holly Thorssen recounts her experience of mothering her daughter Madison through an eating disorder. Holly walks us through the course of Madison’s illness, noting the warning signs of Madison’s struggles with food and body, and sharing the family’s efforts to find a suitable treatment provider. Holly acknowledges the importance of building a supportive, judgment-free space when discussing eating concerns with a child – a space where your child can feel safe enough to disclose their emotions and struggles without fear or shame. In a poignant moment of reflection, Holly speaks on how she learned to differentiate Madison’s voice from the voice of the eating disorder, leading to a better understanding of Madison’s conflicting desire to get better while also resisting change. Connecting with The Emily Program’s family-oriented specialty care made all the difference for Holly and Madison, offering much-needed comfort and healing for both mother and daughter.

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Always Striving for Better: Advocating for Expanded Access to Eating Disorder Treatment

Elouise Cram is a therapist at Veritas Collaborative’s Eating Disorder Treatment Center in Charlotte, North Carolina. She obtained her MSW from the University of South Carolina in 2020. She was thrilled to join the Veritas Collaborative team in 2022 after working at an eating disorder treatment center in the Midwest. She appreciates bringing the values of curiosity, willingness, and collaboration into her therapeutic approach with adults and adolescents in the Charlotte program. When not at work, she can most likely be found listening to Maggie Rogers or cuddling with her poodle, Poppy. 

Every clinician is familiar with the exciting, empowering, occasionally frustrating “rubber hits the road” moments we see in early and sustained eating disorder recovery. We hold space for, push for, and model not just wanting recovery but actively moving toward recovery every day. We are holding space for the people we work with to not just “talk the talk” of recovery, but also “walk the walk” of a recovery-oriented life. When I am struggling to hold both (for myself and for others) of talking and walking at the same time, I’m reminded of a principle of dialectical behavior therapy: individuals are doing the best they can and individuals can always do better.

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BIPOC Mental Health Month: A Q&A with Veritas Therapist Chelsea Brown

Chelsea Brown, MSW, LCSW, is a PHP therapist at Veritas Collaborative’s Charlotte, North Carolina site. She received her undergraduate degree in sociology at East Carolina University and pursued her Master of Social Work from there as well in 2017. Since starting in the field, Chelsea has gained training in Cognitive Behavioral Therapy, Motivational Therapy, and Dialectical Behavior Therapy. Chelsea worked on her clinical social work licensure from 2017 to 2019 and has utilized her supervision to gain knowledge around clinical and behavioral diagnosis while in the field.

Chelsea has worked within diverse socioeconomic groups that have helped foster her person-centered approach to treatment and building therapeutic rapport. She has mainly worked with the adolescent population in addressing behaviors and coping skills, as well as with parental approaches to increasing support and guidance in parenting skills. Chelsea has also worked with young adults through their transitional phases from adolescents to adulthood.

In this blog, Chelsea shares her perspective on BIPOC Mental Health Month, offering valuable insights into the importance of recognizing and addressing mental health issues within the BIPOC community.

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Staff Spotlight, Elaina Williams

Tell us about yourself! 

My name is Elaina Williams (she/her), and I have been a Pediatric Nurse Practitioner at Veritas Collaborative’s Child and Adolescent Treatment Center in Durham, NC, for over six years.

What does a typical day look like for you at Veritas Collaborative? 

I get to come to work to see my patients for medical visits each day. The more acute patients (meaning more medically unstable) within inpatient care are seen by me or my team daily. I see the patients within lower levels of care weekly and as needed for medical complaints (like ear pain, rashes, throat discomfort, etc.). I usually chat with the patients for a little while about medical concerns, as well as what they are struggling with during treatment (I love chatting!). After we chat, I do an exam and enter any appropriate medical orders. I also get to collaborate with other team members in setting goals and individualizing care so that we can together help patients heal and move toward discharge from treatment!

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The Impact of Social Media on Eating Disorders: A Closer Look

Social media has woven itself into the fabric of our lives, connecting us with people and information across the globe. While social platforms offer numerous benefits, it is essential to acknowledge their potentially negative impact on mental health, including how they can contribute to the development or worsening of eating disorders

In this blog, we delve into the relationship between eating disorders and social media, shedding light on the challenges people with eating disorders may face online and how all of us can work toward a healthier digital environment.

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How to Know if PHP/IOP Treatment is Right for Your Child

As a parent, you want nothing but the best for your child. So when it comes to finding the right program to treat their eating disorder, it’s important to pick one fully equipped with the specialized knowledge and tools necessary to meet their unique needs.

Many eating disorder programs offered today began with treating adults and later added services for children and adolescents. However, at Veritas Collaborative, our program was specifically built with children and adolescents in mind. Treatment at Veritas stands out in our ability to provide age-appropriate, best-practice care tailored to the unique medical, nutritional, and psychosocial needs of children and their families.

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The Metaphor of Butterflies

During the summer, the patients at Veritas Collaborative enjoy watching the metamorphosis of caterpillars to butterflies. These furry little creatures go through a great deal of change in two short weeks, similar to the remarkable changes our patients make during their recovery process at the Veritas hospitals.

During the school year, child and adolescent patients are able to maintain progress in their coursework from their schools at home with the expert help from our Education Team. However, during the summer months, when most patients have completed their academics for the school year, we get to have a bit of fun in science and art.

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