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Dr. Laura Hill is an international eating disorder consultant focusing on brain-based eating disorder treatment approaches. She is an Adjunct Associate Professor of Psychiatry and Behavioral Health at The Ohio State University and Assistant Clinical Professor in the Department of Psychiatry at The University of California, San Diego. She is one of the original founders of the Academy for Eating Disorders and the Director of the organization now known as NEDA from 1990 to 1994. In addition, Dr. Hill is the founder and former President and Chief Executive Officer of The Center for Balanced Living.

In this episode of Peace Meal, Dr. Hill introduces an emerging brain-based treatment called Temperament-Based Therapy with Supports (TBT-S). TBT-S helps people with eating disorders understand their unique temperament so that they can use it as a tool for recovery. Distinguishing between traits and symptoms, Dr. Hill explains that temperament includes traits like impulsivity, introversion, and determination, while symptoms include eating disorder behaviors, thoughts, and emotions. She emphasizes that temperament traits are neither good nor bad; what’s important is how they are applied. TBT-S helps people with eating disorders and their support people use their traits more productively to aid in recovery. Dr. Hill also talks about the importance of support in treatment and recovery. In the end, she addresses how providers can use TBT-S to complement other treatment approaches. 

The 10th Annual Veritas Collaborative Symposium on Eating Disorders, co-hosted by The Emily Program, will unite healthcare professionals and eating disorders experts around this year’s theme, “Engaging Science, Unifying Voices, and Transforming Access.” In this article, Ben Eckstein, a speaker at this year’s Symposium, explores the connection between OCD and eating disorders.

Rigid routines. Experiential avoidance. Feeling out of control. Ruminative thoughts. Are we talking about OCD or eating disorders? Maybe both. If you’ve spent any time treating eating disorders, chances are good that you’ve come across an individual with comorbid Obsessive-Compulsive Disorder (OCD). While rates vary across different types of eating disorders, studies generally show comorbidity rates ranging from 10–44%. This frequent overlap can create diagnostic confusion even for seasoned clinicians. It’s easy to see why: though there are some clear distinctions, the phenomenological similarities can muddy the water and complicate diagnosis and treatment planning.

**Content warning: This post discusses the topic of suicide. Please use your discretion when reading and speak with your support system as needed. If you or a loved one are experiencing suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255.

September is National Suicide Prevention Month, a month dedicated to raising awareness and suicide prevention efforts. Suicide is the 10^th leading cause of death in the United States, and those who have an eating disorder are particularly vulnerable to the risk. This blog will break down the different types of eating disorders and the link between suicide and eating disorders, as well as warning signs for suicide.

**Content warning: This post includes discussion of purging behaviors. Please use your discretion when reading and speak with your support system as needed.

Purging is a compensatory behavior experienced by many people with eating disorders. It refers to the act of compensating for or expelling food intake to influence body weight or “make up for” consuming calories. Purging is most commonly associated with self-induced vomiting but also includes the misuse of laxatives, diet pills, and diuretics, as well as excessive exercise. This is seen across eating disorder diagnoses, including bulimia, anorexia, and OSFED (Other Specified Feeding or Eating Disorder).

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Shikha Advani is an incoming master’s student and dietetic intern at Boston University who is passionate about eating disorders awareness, as well as diversity, equity, and inclusion in the nutrition and eating disorder fields. As a teenager, Shikha battled anorexia and orthorexia. She hopes her story can help others with eating disorders, no matter where they are in their recovery process.

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Dr. Dana Harron is a practicing psychologist, the founder and director of Monarch Wellness & Psychotherapy, and the author of Loving Someone with an Eating Disorder: Understanding, Supporting and Connecting with Your Partner.

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Lisa Whalen, PhD, is the author of Stable Weight: A Memoir of Horses, Hunger, and Hope. Her writing has also appeared in An Introvert in an Extrovert World, The Simpsons’ Beloved Springfield, Introvert, Dear, and Adanna, among other publications. Lisa teaches writing and literature at North Hennepin Community College and is an equestrian and volunteer for the Animal Humane Society.

In this episode of Peace Meal, Lisa describes two key components of her eating disorder recovery: writing and horseback riding. Underscoring the multifaceted nature of the healing process, she reflects on how writing and riding each offered unique lessons for her mind and body. Writing, she explains, supported and extended her therapy lessons, while riding provided a space to put the lessons into practice. Lisa introduces us to a few of the horses that served as mentors throughout her recovery, highlighting the lessons they could teach us all about staying present, taking up space, and being imperfect. She then translates how these and other recovery “nuggets”—the wisdom learned from horses, writing, and therapy—continue to serve her life and career.

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Emily Layden is a writer and former high school English teacher from upstate New York. A graduate of Stanford University, her writing has appeared in The New York Times, Marie Claire, The Billfold, and Runner’s World. She joins us in this episode of Peace Meal to discuss her debut novel All Girls. We explore the depiction of disordered eating and anxiety in the book and society more generally, using Emily’s experience with the co-occurring concerns as context along the way. 

We center our conversation on one of the characters of All Girls, Macy, who struggles with clinical anxiety and an eating disorder resembling ARFID. Emily tells us about her decision to write Macy as she did, eschewing graphic descriptions of behaviors to highlight Macy’s anxious thoughts instead. She describes what she hopes All Girls adds to the larger conversation about eating disorders and the adolescent females among whom eating disorders are particularly prevalent. Emphasizing the importance of taking both eating disorders and young women more seriously, we explore how society tends to think similarly of both.

Renowned eating disorders clinician, speaker, and advocate Chase Bannister has been named as the first senior vice president for community engagement for The Emily Program and Veritas Collaborative, two of the nation’s leading eating disorders programs, which merged in March. He will begin his new role June 14th.

Pride Month reminds us to promote awareness and education around the spectrum of unique challenges that the LGBTQIA+ community faces, including a greater risk of developing an eating disorder.

The 10th Annual Veritas Collaborative Symposium on Eating Disorders, co-hosted by The Emily Program, will unite healthcare professionals and eating disorder experts around this year’s theme, “Engaging Science, Unifying Voices, and Transforming Access.” In this article, Mae Lynn Reyes-Rodríguez, PhD, FAED, a speaker at this year’s Symposium, discusses the prevalence of eating disorders in the Latino population and underscores the need for culturally competent care.

Eating disorders do not discriminate based on race or ethnicity. Actually, data from different national studies have shown that eating disorders in the Latino population are at similar or higher prevalence when compared with non-Latino Whites (Alegria et al., 2007; Marques et al., 2011; Udo & Grilo, 2018). However, due to the historical emphasis around European White females in the eating disorder field, most of the assessments and treatments have been developed and tested with and for this population. This is problematic because it has contributed to clinician bias and stigma, which are some of the barriers preventing Latinas to seek treatment for eating disorders (Reyes-Rodríguez et al., 2013). Moreover, the research about service utilization among individuals with a history of eating disorders reveals that Latinxs with bulimia nervosa (BN) and binge eating disorder (BED) are less likely to seek treatment when compared with non-Latino Whites (Coffino, Udo, & Grilo, 2019; Marques et al., 2011). This health disparity is concerning because BN and BED are the most prevalent eating disorders in this population (Perez, Ohrt, & Hoek, 2016). Other factors such as lack of health insurance, lack of bilingual services, and lack of information about services can be associated with this underutilization of services (Ali et al., 2017; Reyes-Rodríguez, 2013). The long history of misconception and negligence has negatively affected the early detection, prevention, and treatment for eating disorders in the Latino population.

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​​Kathryn is a 31-year-old woman who enjoys cooking, hosting friends, teaching music, and getting lost in nature. Best known for her big heart and passion for life, she lives in a larger body and advocates for people to take up more space. Kathryn joins us in this episode of Peace Meal to share her eating disorder story, including how living in a larger body has impacted her recovery. 

For over 20 years, food was the center of Kathryn’s life. She kept trying to figure out what was happening on her own, blaming herself for her struggles. After talking with the people closest to her, she decided to seek help even though she didn’t have a lot of hope that anything would work. 

As soon as Kathryn reached out for help, however, she says it felt like a “warm hug.” In speaking with an eating disorder specialist, she discovered that she did, in fact, have an illness. It was not her fault. While she experienced many barriers throughout her recovery living in a larger body, she grew to learn that all food is good food and that you should take up as much space as you need. With the support of her treatment team, friends, and family, she learned how to take care of herself, live as the most authentic version of herself, and make sure all her needs are met.

The 10th Annual Veritas Collaborative Symposium on Eating Disorders, co-hosted by The Emily Program, will unite healthcare professionals and eating disorders experts around this year’s theme, “Engaging Science, Unifying Voices, and Transforming Access.” In this article, Cynthia Bulik, PhD, FAED, a speaker at this year’s Symposium, explores the complexity of the genetics of eating disorders.

If you have a loved one with an eating disorder, navigating how to best support them can be challenging. You don’t want to say the wrong thing, but you also know that you have to address it and not ignore it. Eating disorders are complicated and at their core, they are brain-based illnesses that no one would choose. While you can’t force a person with an eating disorder to change, you can offer your support and encourage treatment. This can make a major difference to your loved one’s recovery.

The 10th Annual Veritas Collaborative Symposium on Eating Disorders, co-hosted by The Emily Program, will unite healthcare professionals and eating disorders experts around the theme of “Engaging Science, Unifying Voices, and Transforming Access.” In this article, Roberto Olivardia, PhD, a speaker at this year’s Symposium, examines the complex relationship between ADHD and eating disorders.

As we settle into the second half of 2021 and the world increasingly opens up, you might be experiencing a kaleidoscope of mixed emotions — happiness, relief, fear, anxiety. It can be overwhelming to re-engage with our former lives and transition into a lifestyle that we haven’t participated in for more than a year.

The concept of “swimsuit season” isn’t new, but swimsuit season 2021 is uncharted territory for all of us. Not only are we beginning to meet up with people that we haven’t seen in more than a year, but now we may be seen in swimsuits and other warm weather clothing.

The recently merged Veritas Collaborative and The Emily Program today announced the name of its parent company, unveiling “Accanto Health.” Accanto, which means “beside” in Italian, represents the company’s commitment to be with those they serve the whole way on their journey. Accanto Health will maintain both brand names of its leading eating disorders programs, The Emily Program and Veritas Collaborative.

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Holly Toronto is a Certified Master Level Coach who specializes in body image. She has five years of experience helping people stop prioritizing other people’s expectations of beauty, belief, or behavior so that they can live their life from a place of wholeness, fully aligned with the truth of who they are. Holly joins us in this episode of Peace Meal to explore factors that impact our relationship with our bodies, as well as some strategies to improve it.

For children and young adolescents with eating disorders, families play an important support role in eating disorder treatment. Families make up the primary therapeutic team for a long time, especially for patients who have a lot of growth, development, and maturing to do in recovery.