Session: Bingeing, Purging and Restricting are Just Part of the Story: Eating Disorders and Co-Occurring Psychiatric Issues (iaedp™ Symposium 2011: Evidence-Based Treatment and Treatment-Based Evidence)

Friday, March 4, 2011: 10:40 AM-12:10 PM

Point Hilton at Squaw Peak

Having worked exclusively with eating disorder patients for over 15 years, I have found this population to be extremely challenging and rewarding. My experience is that all of the patients I have worked with have many co-occurring conditions, in fact over 6 other diagnoses in addition to the identified eating disorder. Depression and Anxiety disorders-OCD-PTSD-Social Phobia are the primary, but a substantial number of individuals have substance abuse issues as well as Personality Disorders. After attending this presentation, you should have the ability to better manage these complex individuals.

Overview of Eating Disorders
Case Presentation
Depression and Eating Disorders
1. Diagnosis
2. Treatments
Anxiety and Eating Disorders
1. Subtypes of Anxiety
2. Treatment Strategies
Substance Abuse and Eating Disorders
1. Types of Substance abuse in Anorexia
2. Types of Substance abuse in Bulimia Nervosa
Eating Disorders in Children
1. Subtype of eating and feeding disorders
Eating Disorders and Personality Disorders
Questions and Answers

Having worked exclusively with eating disorder patients for over 15 years, I have found this population to be extremely challenging and rewarding. My experience is that all of the patients I have worked with adults generally have six to seven DSM-IV Axis I diagnoses. Depression is the most common co-occurring diagnosis. This ranges from Major Depression and Bipolar Disorders to Depression due to a Medical Condition (malnutrition). Patients with Eating Disorders have one or more anxiety disorders nearly two thirds of the time. These disorders range from Generalized Anxiety to Post Traumatic Stress Disorder. Obsessive Compulsive Disorder I find twenty percent of the time as a co-occurring disorder, but this would be significantly higher if the DSM-IV criteria allowed eating disorder obsessions and compulsions to be part of the OCD criteria. One would think patients with anorexia would use and abuse stimulants and appetite suppressing drugs to control weight, but this is not the case. Anorexic patients tend to use the least amount of substances for weight control. As there are very few medications that have been approved by the FDA for Eating Disorders, patients suffering from an eating disorder are prescribed psychotropic medications only when indicated, often for these co-occurring disorders. There are psychopharmacological nuances that are specific to Eating Disorder patients. After attending this presentation, you will have tools to be able to manage these complex individuals.

Primary Presenter:

Kevin Wandler, MD

Kevin Wandler, MD, CEDS is board certified in General Psychiatry, with Added Qualification in Addiction Psychiatry, by the American Board of Psychiatry and Neurology. Dr. Wandler has been the Chief Medical Officer at Remuda Ranch Programs for Eating and Anxiety Disorders for over 15 years. He has presented frequently to US and international audiences on state-of-the-art treatments for eating disorders and co-occurring disorders. Dr. Wandler has written numerous articles and co-authored chapters in Eating Disorders: A Handbook of Christian Treatment.

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