Background: The attendees will learn about the background of non-suicidal self-injury including epidemiologic data, clinical presentations, and risk factors. They will learn how to thoroughly assess self-injury and learn about treatment including pharmacology and therapy. Finally attendees will learn about and how to manage the contagion effect of self injury.
The epidemiological information about self-injury in patients with eating disorders will be conducted using a power point presentation. This presentation will include the most up to date literature about the causes and uses of self-injury in patients with eating disorder and the prevalence rates which are high, anywhere from 25-over 50% of patients with an eating disorder have self injured. To assess self-injury participants will be taken through a hand out with detailed questions to ask and a self-injury chart that patient are to fill out for a particular amount of time. We will also discuss common instruments that are being used for research. To gain practice doing an assessment there will be a small group break out where attendees will be given clinical case scenarios and get to practice and help each other conduct an assessment.
We will then reconvene as a larger group and talk about how to treat NSSI using evidence based therapy modalities including problem solving therapy, dialectic behavior therapy, and mentalization based therapy. We will discuss replacement behaviors in general including a hierarchy as they move to more positive replacement behaviors.
We will break out into small groups and discuss replacement behaviors. We will have members of each group practicing teaching a replacement behavior to the other small group members. Replacement behaviors to discuss include negative replacement behaviors such as drawing on wrist where typically self-injure, holding ice in hand, or applying ben gay. Replacement behaviors to practice include mindful breathing (handout provided), visualization, and grounding techniques. We will talk about others such as exercise, writing about self-injury, and artistic expression.
For the contagion effect we analyze trends looking at multiple studies thatlooked at contagion effects among community and clinical populations and found that younger adolescents and females were more likely to be effected by the contagion effect. We will discuss ways to decrease the likely of a contagion effect on an inpatient unit, residential unit, or at a school.
The epidemiological information about self-injury in patients with eating disorders will be conducted using a power point presentation. This presentation will include the most up to date literature about the causes and uses of self-injury in patients with eating disorder and the prevalence rates which are high, anywhere from 25-over 50% of patients with an eating disorder have self injured. To assess self-injury participants will be taken through a hand out with detailed questions to ask and a self-injury chart that patient are to fill out for a particular amount of time. We will also discuss common instruments that are being used for research. To gain practice doing an assessment there will be a small group break out where attendees will be given clinical case scenarios and get to practice and help each other conduct an assessment.
We will then reconvene as a larger group and talk about how to treat NSSI using evidence based therapy modalities including problem solving therapy, dialectic behavior therapy, and mentalization based therapy. We will discuss replacement behaviors in general including a hierarchy as they move to more positive replacement behaviors.
We will break out into small groups and discuss replacement behaviors. We will have members of each group practicing teaching a replacement behavior to the other small group members. Replacement behaviors to discuss include negative replacement behaviors such as drawing on wrist where typically self-injure, holding ice in hand, or applying ben gay. Replacement behaviors to practice include mindful breathing (handout provided), visualization, and grounding techniques. We will talk about others such as exercise, writing about self-injury, and artistic expression.
Goals for attendees will be able to understand how common NSSI is in the eating disorder population. They will be able to practice assessing for NSSI and begin to discuss evidence based treatment. Finally attendees will undertand the contagion effect and learn how to best manage it at schools and treatment facilities.
Nicole Garber graduated from Saint Louis University School of Medicine, she completed her general psychiatry residency training at Emory University School of Medicine, and completed a child and adolescent psychiatry fellowship at Baylor School of Medicine. She began to work with Baylor at the Menninger Clinic. In April 2015 began at Rosewood Centers for Eating Disorders as the Chief of Pediatric and Adolescent Eating Disorder Program. She is extensively trained in DBT, TF-CBT, mentalization based treatment, and is currently in child and adolescent psychoanalytic training.
Dena Cabrera, PsyD, CEDS, is the Clinical Director of Rosewood Centers for Eating Disorders. Dr. Cabrera oversees patient care, program development, staff training and supervision throughout the Rosewood system. She has a wealth of diverse clinical experience including 19 years treating individuals, families and groups with a range of medical and psychiatric disorders. Dr. Cabrera is the author of Mom in the Mirror: Body Image, Beauty and Life After Pregnancy (Rowman & Littlefield). This first of its kind book speaks to moms to assist in healing from body image disturbances and disordered eating.
