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The role of depression and anxiety in impulsive and obsessive-compulsive behaviors among anorexic and bulimic patients. Eating disorders are believed to range across a spectrum of varying degrees of obsessive-compulsive and impulsive behavior. Sixty anorexic (mean age = 19.8; sd = 5.9) and 109 bulimic (mean age = 26.9; sd = 11.3) female patients completed self-report questionnaires assessing obsessive-compulsiveness, impulsivity, depression and anxiety, as well as two eating disorder scales. Results yielded significantly higher levels of impulsivity and negative body image in the bulimic compared to the anorexic group. Regression analysis predicting impulsivity showed that bulimia and negative body image were the main contributors. Regression analysis for predicting obsessive-compulsive behavior suggested that depression and anxiety obscure the link between anorexia and obsessive-compulsive behavior, and a high BMI intensifies the association between anxiety and obsessive-compulsive behavior. The high rates of both impulsivity and obsessive-compulsiveness found in both groups, and their association with the severity of the eating disorder, may suggest that impulsivity and obsessive-compulsiveness are not mutually exclusive and can both be found among anorexic and bulimic patients. Researchers: Finzi-Dottan R, Zubery E. Geha Mental Health Center, Rabin Medical Center, Petah Tiqva, Israel. Source: Eat Disord. 2009 Mar-Apr;17(2):162-82.
Emotion recognition and regulation in anorexia nervosa. It is recognized that emotional problems lie at the core of eating disorders (EDs) but scant attention has been paid to specific aspects such as emotional recognition, regulation and expression. This study aimed to investigate emotion recognition using the Reading the Mind in the Eyes (RME) task and emotion regulation using the Difficulties in Emotion Regulation Scale (DERS) in 20 women with anorexia nervosa (AN) and 20 female healthy controls (HCs). Women with AN had significantly lower scores on RME and reported significantly more difficulties with emotion regulation than HCs. There was a significant negative correlation between total DERS score and correct answers from the RME. These results suggest that women with AN have difficulties with emotional recognition and regulation. It is uncertain whether these deficits result from starvation and to what extent they might be reversed by weight gain alone. These deficits may need to be targeted in treatment. Key Practitioner Message: Clinicians can work to foster new skills in emotion functioning. This research shows that the acceptability of emotions and recognition of emotions are important factors, so specifically practicing emotion recognition and examining the function of emotions might be useful treatment targets. Building skills in emotion functioning may enable to client to feel more confident about social interaction and reduce isolation. It might also be useful to involve the family to build a shared understanding of emotional functioning. Researchers: Harrison A, Sullivan S, Tchanturia K, Treasure J. Institute of Psychiatry, London, UK Source: Clin Psychol Psychother. 2009 Jun 11. [Epub ahead of print].
For Professionals - Conferences/Seminars/Online Courses/Study Groups: Denver, CO: Inaugural Rocky Mountain Eating Disorders Conference to Host Impressive Lineup of Experts. Multi-disciplinary treatment and innovative recovery strategies for eating disorders will be the focus of the first-ever Rocky Mountain Eating Disorder Conference, to be held August 14-15, 2009, at Exempla St. Joseph Hospital in Denver. Targeted to eating disorder specialists and medical professionals with an interest in eating disorders treatment, the conference is hosted by Denver’s Eating Recovery Center. The conference, featuring an impressive lineup of nationally recognized eating disorder treatment experts, will include a series of presentations addressing the complexities of eating disorders and restoring healthy lives. Some of the presentations will include: Comprehensive Treatment for Anorexia Nervosa: Food for Thought; Diabetes Mellitus and Eating Disorder Syndrome; Eating Disorders: The Mental Component; and Healing Our Patients, Healing Ourselves among others. Registration for the conference is available by phone at 877-218-1344. Medical professionals may register for the conference for $110 after June 1. Registration includes entry to each of the sessions, a tour of the Eating Recovery Center, networking opportunities and meals.
Hawaii Workshop and Retreat: Tending the Feminine Psyche Retreat Workshop with Anita Johnston, Ph.D., Carolyn Costin, MFT and Francie White, MS, RD. Where: Mauna Lani Resort and Spa on the Big Island of Hawaii. When: September 10 - September 16, 2009. Accommodations: Absolutely beautiful Mauna Lani condos (several different levels of accommodations available); rates are for 6 nights (Sept 10- Sept 15). For those of you wishing to stay an additional night in Hawaii, and enjoy some leisurely time off in paradise, a 7th night (Sept 16) will be available at no extra cost! You can see a virtual tour of these fabulous rooms at http://www.southkohala.com/store/p20condo_details20.php and http://www.southkohala.com/store/p20condo_details16.php. Training: Anita, Carolyn, and Francie combine their magic to create an unforgettable, transforming adventure tending your heart, body, and soul. Besides a professional training giving the latest, most exciting strategies for treating body image, eating and exercise disorders, they will be adding: the new science of consciousness and quantum mechanics (and what this means within the feminine psyche) a myth on creativity and psyche - the 9th Muse personal visioning and ritual and experiences of active mindfulness in Hawaiian waters. The Spa: Full service spa with every possible treatment for body and spirit - see http://www.maunalani.com/s_st_hawaiian_treatments.htm. Dance/NIA Every Morning: Considered one of the absolute highlights each year! In 2007 the retreat was held at this location and everyone raved about the spectacular, spacious accommodations with access to ancient hieroglyphics and the queen's bathing pool, gorgeous beaches where sea turtles bask in the sun, and an amazing lagoon -perfect for snorkeling. Registration and payment can be made through PayPal at www.DrAnitaJohnston.com.
REGISTER NOW! The Renfrew Center Foundation presents the 19th Annual Renfrew Center Foundation Conference for Professionals, Feminist Perspectives and Beyond: The Art and Science of Eating Disorders Treatment. This is a four day seminar for behavioral health professionals and dietitians and offers 22.5 CEUs. The event is taking place at the Philadelphia Airport Marriott, Philadelphia, PA from November 12 - 15, 2009. In the past, the efforts of dedicated clinicians and researchers have contributed to significant progress in the treatment of eating disorders. The task ahead is perhaps less a search for major new breakthroughs and more a determined pursuit of refinement and integration. The 2009 Renfrew Center Foundation Conference is dedicated to exploring the therapeutic challenge of learning how to make more effective use of what we already know. Keynote Speakers: Joan Borysenko, PhD; Daniel Siegel, MD; Panel Presentation with William Davis, PhD, Carolyn Costin, MFT, James Lock, MD and Kathryn Zerbe, MD. Among the many topics: Understanding and Treating EDNOS; Integrating Evidence-Based Interventions and Relational Therapies; Adapting Therapeutic Techniques to the Changing Clinical Picture; Overcoming Shame; Providing Motivation and Skills to Help Therapists and Clients Move Beyond Their “Comfort Zones;” Combining Different Treatment Models to Enhance Outcome; Effective ways to address Exercise Issues; Coached Meals; Mindfulness; Neurobiology and Therapist Self-Care. To register and for more information, visit www.renfrew.org or contact Debbie Lucker at 1-877-367-3383 or dlucker@renfrew.org
Southern California: Professional Study Groups: Carolyn Costin, MFT invites all treating professionals to her study groups. These groups cover case reviews, treatment strategies, new literature, research, and other areas related to the treatment of eating disorders. CEU's are given to MFT's and LCSW's. For more information call 310-457-9958. Group #1 takes place the first Tuesday of every month from 12:00 - 1:00pm at the Eating Disorder Center of CA, www.edcca.com. Group #2 takes place the first Wednesday of every month from 12:00-1:30pm at the Monte Nido Treatment Center, www.montenido.com.
If you need treatment and you do not have medical insurance, this site may be helpful: http://www.covermefoundation.org. Advocacy - The Eating Disorders Coalition for Research, Policy and Action. The EDC, a Washington, D.C. advocacy organization, for more information about their organization visit http://eatingdisorderscoalition.org/involved/involved.html.
Arizona: AZ: Remuda Ranch - The economy has undergone quite a bit of change during the past several months. But what hasn’t changed is the need for many people to enter inpatient treatment for eating disorders. This is why it is more important than ever for your clients in need of a higher level of care to speak with the financial coordinators at Remuda Ranch. Every prospective Remuda patient is treated as an individual, both in terms of treatment needs and ability to pay. The Remuda staff works with each family to determine insurance coverage and financial resources, in order to make treatment affordable. It is their goal to give those struggling with eating disorders the best possible treatment that offers the best chance for lasting recovery. If you know someone who could benefit from inpatient care at Remuda’s Arizona or Virginia programs, please encourage them to call 1-800-445-1900 today.
California: Calabasas, CA: Treatment Center News - Monte Nido Residential Treatment Center: Monte Nido combines a beautiful natural healing environment with the expertise of the renowned national expert and author, Carolyn Costin, and the treatment professionals from her company, Community Counseling for Individuals and Families, Inc. Monte Nido is a very small, intimate facility. Monte Nido only takes six clients at a time. Clients treated at Monte Nido are all women suffering from anorexia, bulimia or exercise addiction. The facility has a family-like environment; their unique level system allows each client to gain increasing freedom and responsibility for her own recovery. By the end of her stay, each client is shopping for and preparing her own food and monitoring her own exercise. This will help prepare her for handling these activities upon discharge from Monte Nido. They also have a unique transition program, Bella Mar, which offers various levels of transitional and independent living situations. For more information call 310-457-9958, visit www.montenido.com or email mntc@montenido.com.
Carlsbad, CA: Montecatini - Montecatini: Carlsbad, CA: Montecatini specializes in the comprehensive care of adolescent girls, ages 14-18, and adult women, ages 18 and older, struggling with anorexia, bulimia, binge eating, and associated disorders. Montecatini offers residential and partial hospitalization levels of care and is pleased to announce the mid-summer opening of their intensive outpatient program. To learn more about the treatment options and levels of care at Montecatini, or to schedule a tour, please call 760-436-2657 or visit their website at www.montecatinieatingdisorder.com. Montecatini is a member of CRC Health Group. To learn more about CRC Health Group, visit www.crchealth.com. Montecatini is a CARF Accredited Facility.
Malibu, CA: Treatment Center News - Monte Nido Vista: Carolyn Costin and the Monte Nido Treatment Center are pleased to announce a new 10 bed residential facility for anorexia, bulimia and exercise addiction. Monte Nido Vista is located in the foothills of Malibu, CA. The residential program is designed to meet the individual needs of clients and their families in a way that gives them an increasingly higher level of responsibility and "teaches" them how to recover and sustain it. The atmosphere is professional and structured, but is also warm, friendly and family-like. The staff members are highly dedicated professionals, many of who are recovered themselves, thus serving as excellent role models. For more information on The Monte Nido Treatment Center or its affiliates visit www.montenido.com, call 310-457-9958, or email mntc@montenido.com.
Northern and Southern California: Discovery Practice Management – Discovery Practice offers excellent eating disorder treatment at both Center for Discovery a premier adolescent residential eating disorders program and Oceanaire a program for women. Center for Discovery is a residential program dedicated exclusively to adolescent males and females between the ages of 10 and 19 who are struggling with anorexia, bulimia, and binge eating disorder. Discovery's home-like settings are located in Whittier, Downey, Lakewood, and Menlo Park, CA. Discovery offers a very individualized and intense treatment program, under 24-hour supervision, with weekly family involvement including the Discovery Therapeutic Family Meal. Oceanaire is a program dedicated to the treatment of women struggling with anorexia, bulimia and binge eating disorder. Nestled above one of the greens of the Los Verdes Country Club Golf Course on the Palos Verdes Peninsula in Los Angeles, CA, the space at Oceanaire provides residents with ocean vistas and Pacific Coast sunsets. Oceanaire offers a peaceful and healing environment where young adult women can safely and effectively address their issues and begin their path to recovery. Discovery Practice Management contracts with many major insurance providers and will provide a complimentary benefits check. For more information, call 800-760-3934 or visit www.centerfordiscovery.com or www.oceanaire-ed.com.
Ventura County, CA: Treatment Center News - Rader Programs. Pacific Shores Hospital is a 30-bed facility completely dedicated to Rader Programs Eating Disorders Treatment. The facility was specifically designed to provide a warm and nurturing environment. It is located five minutes from the ocean in picturesque Ventura County just North of Los Angeles and South of Santa Barbara in Southern California. Rader Programs at Pacific Shores Hospital maintains an outstanding treatment team with extensive experience and training in Rader Program's proven treatment philosophy. The Rader Program is a national treatment center with multiple locations; they accept patients from all across the United States. For more information visit www.raderprograms.com, call 800-841-1515 or email rader@raderprograms.com.
Colorado: Denver, CO: Eating Recovery Center created by Doctors Ken Weiner and Rick Bishop is a new world-class resource built from the ground up with eating disordered clients in mind. The Eating Recovery Center's mission is to provide treatment that is medically and behaviorally sound in order to facilitate long-term recovery of eating disorders. The Center aims to ensure each patient’s healthy transition by honoring individual strengths and social support so that nourishing healthy behavior will be sustained. All services are provided in the center’s tranquil environment complete with massage, individual and family therapy, art therapy, educational groups, a spa bath and chef prepared meals. The medical care and expertise of their full-time staff combined with the tranquil environment, provides a balance between therapeutic relaxation and the hard work required for recovery. Their full continuum of care includes Inpatient, Residential, Partial Hospitalization and Outpatient services for adults 17 and older. Eating Recovery Center is licensed as a Behavioral Hospital with 24-hour nursing and medical professionals, individual and family counselors, full-time psychiatrists and internists on staff. Collaboration is a key component found in their weekly team meetings. What sets them apart from other treatment centers is that the patient and the referring professional attend the meetings along with the patient’s entire treatment team. This level of collaboration is vital to achieving long-term positive outcomes and preparing patients to transfer their new, healthier habits to their everyday realities. Toll free: 877-825-8584; Direct: 303-825-8584; email info@eatingdisorders.md; website: www.EatingRecoveryCenter.com.
Eating Disorder Center of Denver's Support Groups: Call 303-771-0861 to register for any of the groups, except for the Family & Friends Support Group.
Nevada: Center for Hope of the Sierras – Reno, NV: Center for Hope of the Sierras announces the opening of their Diabetes and Eating Disorders Program. Center for Hope is uniquely positioned to meet the complex needs of individuals with diabetes and an eating disorder. Their residential treatment approach allows them to focus on the medical care and education of patients while addressing the social and emotional factors that have led them to the use of food, weight and the pursuit of thinness to maintain self-esteem. For more information, contact the Center directly at 877-828-4949 or visit www.centerforhopeofthesierras.com.
North Carolina: Durham, NC: Carolina House – Contact Them to Arrange a Tour or Speaking Event! To set up a tour of Carolina House or arrange a speaking event for your organization, contact Shellie Dowdy at 919-610-4352 or via email sdowdy@crchealth.com. To learn more about Carolina House and the services offered, visit the website at www.carolinaeatingdisorders.com. Also, feel free to contact the National Resource Center for more information at 866-690-7240. A Member of CRC Health Group.
Oregon: RainRock Treatment Center: A Residential Treatment Facility for Women, Now offering PHP, IOP, Outpatient, and Transitional Living Programs. RainRock Treatment Center, A Monte Nido Affiliate with Executive Director Carolyn Costin, LMFT, is pleased to announce the opening of their Partial Hospitalization Program (PHP), as well as their Intensive Outpatient Program (IOP). These new programs are uniquely integrated into their existing 10 bed Residential Treatment Center, providing the highest degree of continuity of care while offering clients the experience of stepping down into the community. This innovative program design allows their clients to stay connected to their treatment team beyond their residential visit. This provides an exceptional opportunity to maintain and build upon the progress achieved during their residential stay. Living accommodations for both PHP and IOP are offered at their new transition house, Turnberry Place. Located next to RainRock, Turnberry Place is a warm and inviting 8 bed transitional living house, where clients can practice day to day skills, such as shopping, cooking, working, or attending classes, with the support of their treatment team. The hope in offering this continuum of care is to give their clients the most comprehensive treatment available in order to solidify their recovery before returning home. Rainrock’s Outpatient Wellness Program provides individual and group therapy services to children, adults and families struggling with eating disorders, as well as other diagnoses as a further step-down, or for those who are not in need of a more intensive level of care. For additional information about the Residential, Partial Hospitalization, Intensive Outpatient, Transitional Living or Outpatient programs, call 541-896-9300 or visit www.rainrock.org.
Dallas, TX: Medical Director for a highly respected eating disorders program in an ideal location. As Medical Director of the Eating Disorders Program at Presbyterian Hospital of Dallas, you will lead a very successful multidisciplinary program. You will oversee the care of patients in the 16-bed, free-standing day hospital and patients who are admitted to the inpatient unit. If you wish, you many also follow outpatients who have completed the treatment program. Cutting edge research opportunities are available, but not a requirement of the position. Located just north of downtown Dallas, Presbyterian Hospital of Dallas is the flagship of the Presbyterian system and part of Texas Health Resources. THR is one of the largest faith-based, nonprofit, health care delivery systems in the United States and has been recognized for their outstanding work environment. In March 2007, the Dallas Business Journal named THR one of the Dallas-Fort Worth's "Best Places to Work." Hospital & Health Networks, the journal of the American Hospital Association, commended THR for being among nation's "100 Most Wired" companies for the seventh time in eight years in their July 2006 issue. And in 2005, THR was included in a listing of the largest and most innovative uses of information technology on the InformationWeek 500. Contact Kelly Struckhoff at 800-678-7858, x64507 or email kstruckhoff@cejkasearch.com. ID#30627D31. For additional opportunities, career advice, or up-to-date compensation information, visit www.cejkasearch.com.
Click on the following link for more job openings: http://edreferral.com/job_opportunities.htm
Research Studies on Eating Disorders: Canada: University of Alberta IRB-Approved Online Survey. Researchers at the University of Alberta and in private clinical practice are conducting a world-wide survey of eating behavior in men and women, 18 years or older. This research focuses on the impact of social networks of friends and relatives as well as culture on eating habits, dieting and exercise. The survey takes less than 15 minutes to complete. Respondent anonymity and confidentiality is preserved. Please encourage your colleagues, patients/clients and students to take part. The survey can be found at www.harrellandassociatesltd.com. For information contact W. Andrew Harrell, Ph.D., J.D. or Jennifer A. Boisvert, Ph.D. at the University of Alberta 780-492-3545, aharrell@ualberta.ca.
Chicago, IL: The University of Chicago is conducting a study to evaluate effective outpatient psychological treatments for adolescents with bulimia nervosa. You are needed if you are a family with an adolescent (12-18 years old) who has bulimia nervosa. The study requires that the adolescent and his/her parents be interviewed, fill out questionnaires, and then be assigned to one of three outpatient psychological treatments. 20 outpatient visits will be provided over a 6 month period. If you are interested and would like more information, call 773-834-5677 or email bulimia@yoda.bsd.uchicago.edu.
Maryland: Bulimia Research Study. The Johns Hopkins Eating Disorders Program is seeking women ages 18-40 years old with bulimia nervosa interested in a research study funded by the Klarman Family Foundation. The study includes a health assessment, blood testing and pictures of the brain taken using a medical scanner. Eligible women will be paid up to $400 for their participation and will be offered 6 weeks of outpatient treatment. Fore more information call 410-955-3863. New York, NY: The National Institute of Mental Health is sponsoring a multi-center international study to compare two types of family therapy as well as Fluoxetine or placebo (an inactive medication) in the treatment of adolescents with Anorexia Nervosa. They are looking for families with an adolescent with Anorexia Nervosa between the ages of 12-18 years. Participation involves completing assessment interviews, questionnaires, and engaging in 16 family therapy sessions over the course of nine months with medication continuing for another six months. The study is being held at the Eating Disorders Research Program, The Westchester Division of New York-Presbyterian Hospital, Weill Medical College of Cornell University. Contact the Research Coordinator, Samantha Berthod, MA at 914-997-4395.
Books, Journals, Videos, Media New Book! Critical Feminist Approaches to Eating Dis/Orders, edited by Helen Malson and Maree Burns. Over the past decade there have been significant shifts both in feminist approaches to the field of eating disorders and in the ways in which gender, bodies, body weight, body management and food are understood, represented and regulated within the dominant cultural milieus of the early twenty-first century. Critical Feminist Approaches to Eating Dis/Orders addresses these developments, exploring how eating disordered subjectivities, experiences and body management practices are theorized and researched within postmodern and post-structuralist feminist frameworks. For more information visit http://www.eatingdisordersarena.com/books/Critical-Feminist-Approaches-to-Eating-DisOrders-isbn9780415418102.
Business Building and Marketing Ideas: Ask for Feedback. It is important to follow-up with all your clients to ask why they are or are not choosing you for their treatment goals. Even clients who do not return can provide valuable insights into how you can improve your service. Along those lines, we are asking for help from people working in the eating disorder field. Please answer 6 questions on our feedback page and always feel free to email us suggestions for improvement. (This should take less than one minute.) If you have any questions about how or why we have certain policies, we are always happy to answer questions or concerns. You can also use this link for the feedback form: http://pub24.bravenet.com/vote/vote.php?usernum=1993061753.
Don’t leave out any major marketing tools. Create a personalized website. We have noticed that many of our EDReferral.com members do not have websites. Websites can be an easy, cheap and an effective marketing tool. If you get stuck with the wrong people, they can also be overwhelming and very expensive. That's why we are partnering with TherapySites. TherapySites specializes in creating websites designed for therapists that are professional, affordable, and effective. All you pay is a monthly hosting fee--and there are no long-term contracts. They provide credit card processing, appointment requests, search engine optimization, and more - it's all included! You can have all the detail you want to present about yourself, you can have forms for clients to bring to their first session and you can even provide an interactive map to your office. Then you can link your site to EDReferral and we can link back to you which will help both of us in the search engines. Sign up using promo code: PromoEDR and receive your first month FREE at http://www.therapysites.com.
What is the value of ONE Referral? By Dr. Kevin Grold. Referrals make up the bedrock of your private practice (or treatment center development) and therefore should be treated like gold. Unfortunately, many therapists take their referrals for granted and do not handle them with the care they deserve. Often, a referral will be given to a therapist and the referral source is left wondering whether the client information was received by the therapist and whether or not to select another professional in the future. EVERY TIME someone gives you a referral, they are evaluating whether they have made a good decision, and whether to refer to you again. Thus it is well worth your time to let the referral source know that you appreciate the fact that they chose you. No matter where the referral comes from, be sure to follow up and let the referring party know that you are handling the matter professionally. Also inquire about any information that might be helpful with your treatment plan (after you have obtained your client's approval). Always follow up your referrals with a thank you postcard and a call. Then, after your first session, if appropriate, let the referral source know that the referral was appropriate and that they made a correct selection in choosing your services. These efforts will help the person referring to you to feel involved in the process and he or she will be more likely to continue referring to you in the future. When a client comes in for the first time, passing through your door is a potential lifetime of business. Consider that one client only paying $80 a week for a year can increase your income by $4160. If this client refers 2 new clients to you and they in turn each refer 1 client, then after a year, your income can increase by a total of $20,800 just as a result of that first referral. This won't happen with all clients, but some will show up at your office who CAN afford your fees, who WILL come to see you for many years, and who WILL refer their spouse, children, and friends. In a business sense, each new referral should be viewed as the top of a large pyramid or as a potential gold mine of new business and income. Each inquiring phone call is an important commodity because it can generate income EVEN IF it does not directly result in a client entering your office. For instance, if you refer the caller to an agency or another professional, you can expect referrals back in the future. Specifically, if you are a psychologist and send 5 referrals to a psychiatrist over a period of time and received no referrals in return, then you should discuss this with the psychiatrist. If this doctor does not want to or cannot refer clients back to you, then give your future referrals to professionals who will refer to you. If you pass the referral to a local agency, then turn the "loss of a referral" into a networking opportunity. Follow-up with the agency to make sure that the call was received. This will provide you with an opportunity to introduce yourself to the intake person--this can be done without revealing any confidential client information. You can say, "I am Dr. XX and I just want to let you know that I passed along a referral to your agency today." The intake person will likely inquire about you and your specialties. Ask if you can send some business cards and brochures. This can very well turn into significant future referrals. If you receive a referral that is not covered by insurance, or the client's managed care plan, then this is a perfect opportunity to try and become included on the insurance plan or H.M.O. The company may let you offer service on a temporary basis and subsequently it may turn into a more permanent arrangement. As you can see, every referral to your office is a potential for networking. Although many therapists are uncomfortable with the marketing aspect of building a successful practice, a person who is referred to your office is much easier to handle than approaching members of the community without any introduction. So realize that calls to your office are openings and invitations for you to build connections. If you cultivate your referrals, then your practice will continue to grow and prosper. Copyright Dr. Kevin Grold.
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