Background: This presentation will inform how to utilize Exposure Therapy in the treatment of Anorexia in an outpatient setting. The presentation will describe theory, research, and case presentations to illustrate the implementation of relevant concepts in practice and compare and contrast their use in Obsessive Compulsive Disorder.
Introduction
Exposure with Response Prevention as treatment for OCD.
Viewing a subset of sufferers of Anorexia using an OCD model.
Basic Concepts of OCD
DSM-V
OCD Subtypes
OCD Demographics
Basic Concepts of Anorexia
DSM-V
Anorexia Demographics
Conceptual Links between OCD and Anorexia
Empirically Valid Treatments for OCD
Medication
Cognitive Behavioral Therapy
Exposure with Response Prevention
Applying CBT and ERP to Anorexia using the OCD model for understanding AN
Preparing for Treatment
Motivation issues
Assessment
Treatment Phase
Psycho-Education
CBT
Cognitive Therapy
ACT
Exposure with Response Prevention
Imaginal Exposure
In Vivo Exposure
Ritual Prevention
Hierarchy of Fears
Life Management Skills
Homework
Relapse Prevention
This is designed to be a 3 hour presentation that will inform participants of how to utilize Exposure with Response Prevention Therapy for the treatment of Anorexia in an outpatient setting. The presentation will describe theory, research, and case presentations to illustrate the implementation of relevant concepts in practice, comparing and contrasting their use in OCD to their use with ED.
A subset of those suffering from symptoms of Anorexia can be conceptualized and treated by understanding obsessive compulsive aspects of disordered eating and associated thought processes. The clinician can look at the problem through the lens of OCD. The participants will better understand how OCD is treated using Exposure with Response Prevention (ERP) and learn to implement pertinent concepts and treatment modalities into ED treatment. ERP, ACT, DBT, and cognitive therapy techniques and concepts can be integrated into a modality of treatment that can be effectively implemented in an outpatient environment.
Goals include participants understanding the basic concepts and techniques of ERP for OCD and how those are relevant to a subset of sufferers of an ED. The presenters will demonstrate how to effectively integrate the exposure elements with concepts from ACT and cognitive therapy during experiential therapies. This will include a demonstration of these techniques.
This methodology addresses assessment, readiness for treatment, motivational issues, psycho-education, and implementation of experiential therapies. It can be used to address treatment compliance, food fears, and body image distortion.
The presenters have experience in outpatient, residential, and inpatient environments and will focus on how to utilize these techniques effectively in an outpatient setting.
Kenneth Littlefield, PsyD, is a Licensed Psychologist in Arizona. He has completed over 2000 psychological evaluations for persons' suffering from an eating disorder, OCD, and substance dependance. Currently, Dr. Littlefield conducts psychological evaluations and provides treatment in an outpatient setting. He provides training in seminars and workshops and supervises pre- and post-doctoral students.
Samuel S. Lample is an LPC, CEDS and IOCDF member. He has been treating eating disorders and OCD for 14 years, both inpatient and outpatient. Mr. Lample worked in an inpatient ED center for a decade, as a therapist, Clinical Director and Director of Admissions. During this time, he led the development of an adolescent, male-specific inpatient ED program. He then became the Clinical Director at Doorways, an IOP/OP practice in Phoenix developing IOPs for teens with OCD and EDs. In private practice he now works with adults. Mr. Lample is a member of the IAEDP Certification Committee.
