Background: The Reframing Recovery Model trains clinicians in a new & effective mode of treatment for Binge Eating Disorder (BED). Our model utilizes a multi-disciplinary team approach, merging behavioral interventions with psychodynamic techniques. Clinicians will have a roadmap for treating BED from the earliest step, Recognition, through the final Recovery phase.
The Reframing Recovery model encompasses five-phases of treatment. Attendees will be educated on all five phases, which include: Recognition, Reframe, Repair, Reconnect, and Recover.
RECOGNITION: Client must recognize that they have an ED and that it is a problem.
- In this section of the presentation attendees will recognize the symptomatology of Binge Eating Disorder, will be educated on the scope of the illness, will gain awareness about the under-diagnosis of the disorder and will learn practical strategies for working with clients who may initially be unaware that they have an eating disorder.
REFRAME: Clients will reframe their understanding of the "problem" & their relationship to food.
- In this section of the presentation attendees will be presented with new ways of understanding this complex disorder and will be educated on cognitive strategies to apply in their work with clients as well as nutritional education in regard to the neuro-physiological mechanisms which contribute to binge eating.
REPAIR: Clients will actively repair their ruptured relationships with food, body, self, & others, through new skills including mindfulness, intuitive eating, and compassionate self-talk.
- In this section of the presentation attendees will learn psychodynamic techniques for addressing psychological and emotional sources, which contribute to the BED. Behavioral interventions will be applied as well, including meal-planning strategies from a holistic nutrition perspective.
RECONNECT: Clients will reconnect with self (emotional & physiological) & others at times of disconnection, using practiced skills when faced with roadblocks to recovery.
- In this section of the presentation, clinicians will learn how to strengthen and engage the clients "emotional muscle" to support their clients during setbacks and frustration, including despair at weight gain from a nutrition perspective.
RECOVER: An ongoing extended process including maintenance of cognitive & emotional gains made during Reframe, Repair, & Reconnect phases; a time to “tweak” program and make additional adjustments in clients' lifestyle, which they were previously unable to address.
- In this section of the presentation, clinicians will learn how to build on the progress already made, moving past just neutralizing food and engaging clients in a balanced life (including nutritionally) from a wellness model.
With the recent inclusion of Binge Eating Disorder in the DSM 5, there is greater need for clinicians to be trained in effective approaches to treatment. While Binge Eating Disorder shares some symptom traits with Anorexia Nervosa & Bulimia Nervosa, its etiology & presentation are unique & requires a different method of treatment to reflect the particular complexities. It is easy for both clinician and client to get lost in the recovery process, and with the most recent statistics indicating that recovery from BED can take between 8-14 years, the need to have a marker of the process is essential. The Reframing Recovery Model provides a phase-based approach for clinicians, which addresses many of the complexities of treating Binge Eating Disorder. Our five-phase treatment model utilizes an inclusive approach which merges evidenced-based behavioral interventions with psychodynamic techniques. The five phases of the Reframing Recovery model, embracing a multi-disciplinary team approach, encompasses treatment of binge eating disorder from the earliest step, Recognition, through the final Recovery phase.
Each phase of the Reframing Recovery model addresses the interplay between cognitive, emotional and physiological processes as they relate to the development & maintenance of Binge Eating Disorder. Our treatment model is culturally sensitive with an awareness of the impact of socio-culture factors on BED.
The format of this presentation will be interactive & didactic encouraging attendee participation through the presentation of case vignettes, with sufficient time for individual questions. Attendees will be educated on current research on appetite regulatory hormones & chemically modified foods, as well as the physiological repercussions of chronic binge eating with an active plan to address these potential roadblocks. Reframing Recovery gives clinicians the tools they need to actively repair clients’ ruptured relationships with food, body, self, & others.
Marissa L. Sappho, LCSW is the founder of Upper West Side Therapy Collaborative; Adjunct Professor, NYU Silver School of Social Work; Faculty, Supervisor & Board Member, Center for the Study of Anorexia and Bulimia (CSAB); Advanced Standing PhD Candidate, Institute for Clinical Social Work; co-founder & former President of the New York State Coalition of Social Workers (2008-2011). Professional memberships include NEDA; IAEDP; AED; BEDA; AAPCSW; APsaA. Ms. Sappho maintains a full-time private practice in NYC providing individual, group and couples services to children, adolescents and adults with a focus on eating disorders, mood & personality disorders, & interpersonal/relationship issues.
Melainie Rogers MS, RD is the founder and executive director of BALANCE eating disorder treatment center™ in New York City. Professional memberships include co-founder and Past President of the IAEDP NYC Chapter (2010-2012); IAEDP; NEDA; BEDA; ADN (ADA); IFEED; Board Member, The Center for the Study of Anorexia and Bulimia in New York City (CSAB). Melainie is a registered dietitian, her specialties include eating disorders, weight management and gastric bypass counseling. Her interest in eating disorders began while working at The Obesity Research Center in New York City. Melainie has appeared on The Today Show, Donny Deutsch and on MSNBC.
