Posts Tagged ‘Research’

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Stacey Brown, RN, joins us in this episode of Peace Meal to reflect on the role of nursing in eating disorder care. She begins by acknowledging the lack of eating disorder education and training in nursing programs; it wasn’t until she began interacting with patients that she fully understood the impact of these illnesses on every body system. Stacey’s experiences have set her on a mission to speak to nurses at all levels about best practices when caring for patients with eating disorders, including developing strong emotional intelligence. She highlights the importance of every care team member and multidisciplinary collaboration to meet a patient’s full range of needs. The episode concludes with Stacey’s words of wisdom for the next generation of eating disorder nurses.

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We begin this episode of Peace Meal with guest Maddie Duzyk describing her lived experience with anorexia as it compares to her life in recovery. Reflecting on the everyday impact of her eating disorder, she explains how the illness made it difficult to distinguish between her own values and those of her disorder. Fortunately, treatment and recovery have allowed her to find herself again and reconnect with her interests and roles separate from the illness she once mistook for herself. 

As an occupational therapist, Maddie now helps patients on their own recovery journey, including during the often difficult transition from higher levels of care to outpatient life. She shares with us her recent doctoral capstone, which explored the perceptions of social eating behaviors among adolescents with eating disorders, and provides suggestions for those supporting a person with an eating disorder during mealtimes. She ends the podcast by expressing her hope that one day patients and providers alike will recognize and employ occupational therapy as an additional resource in eating disorder recovery. 

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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.

We had a fantastic time at The Emily Program’s first live podcast event, Make Peace With You! Our discussion covered topics of perfectionism, social media, and eating disorder recovery.

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Make Peace with You is a special live episode of Peace Meal focused on stories of embracing individuality and practicing self-acceptance. On November 2nd, host Dr. Jillian Lampert talked with Olympian Jessie Diggins and journalist Jana Shortal about how they learned to come to terms with body image issues and other challenges.

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Peace Meal’s Recovery Series aims to share stories of those in eating disorder recovery in hopes of starting conversations, breaking stigmas, and encouraging healing. On today’s episode, we talk to Abbie Scott. Abbie suffered from an eating disorder during her youth, continued on to pursue recovery, and now helps others who have struggled in her career as a registered dietitian.

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Katie Gantt, MHS, RD, LDN, RYT, is a registered dietitian who has been working in the field of eating disorders and disordered eating for over five years. Katie is passionate about helping moms have a healthy pregnancy and postpartum period by finding health without dieting and challenging disordered eating patterns. She is the owner of Kathryn Gantt Nutrition where she uses her clinical expertise and yoga training to help moms reconnect with their bodies and their relationship to food in a positive, trauma-informed style. Katie focuses on mindful and intuitive eating, Health At Every Size (HAES), and non-diet approaches when counseling clients and helping parents raise intuitive eaters.

One of the tricky things about mental health problems is that the outside world only sees the tip of the iceberg. The observable behaviors and symptoms are apparent for all to see, but underneath the visible exterior is a complex set of thoughts, emotions, beliefs, and experiences. These are the mechanisms which truly power things like eating disorders and OCD, but for better or worse, they tend to go unnoticed. It makes sense, then, that someone might believe that treating these problems is as simple as telling someone to “just eat” or to “just stop eating.” After all, we have the ability to make choices about our behavior, so shouldn’t we be able to wrangle these symptoms into our control? When a therapist says to resist a compulsion or to follow a meal plan, aren’t they saying that it’s just a matter of pushing through the discomfort?

As you probably know, it’s not quite that simple. Sure, determination and willingness will come in handy, but we have to be careful not to reduce this process to something so simple. The oversimplified American mentality of “picking yourself up by your bootstraps” doesn’t always fit with the complexities of mental health. Tempting as it might be to double down on willpower, it’s actually not a particularly effective way to get things done. Willpower is a finite resource. We inevitably lose steam and end up depleted. 

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.

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.

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Ancel Keys’ Minnesota Starvation Experiment was a 1944-1945 study where 36 men voluntarily starved themselves to aid researchers in discovering ways to help those affected by the war recover from starvation. While the study shed light on starvation recovery, it also became an important study in the eating disorder field. Susan Swigart, an Emily Program psychiatrist, explains why.

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The Emily Program’s Chief Strategy Officer Dr. Jillian Lampert joins Peace Meal this week to discuss eating disorders and the brain. Dr. Lampert educates listeners on the two experiences of eating and how they play into each type of eating disorder. We wrap up the episode by comparing the brains of those with eating disorders to the brains of individuals who are unaffected by the illnesses.