Background: Panel discussion will present cases that exemplify a variety of challenges among the ED spectrum. Causing frustration and uncertainty, they also illustrate multiple therapeutic approaches to the physical, emotional, and social parameters of this illness. Walk away with renewed confidence, resilience, and perspective to embrace the complexity of best practice.
1) Introduction of panel members and review of objectives, Dr. Roy Erlichman
2) Case Presentation #1, Michelle Moore
- 13 yo female dancer with Bulimia, Depression, Borderline personality
- Panel to discuss:
i. Limited access to care
ii. Power of family advocacy
iii. Bullying and sexual orientation as indicators of more challenging recovery
3) Case Presentation #2, Dr. Emmett Bishop
- 31 yo female with sever AN
- Panel to discuss:
i. Repeated attempts, fruitless or rewarding?
ii. How to get court involved in life threatening cases
iii. True individualization of treatment plan
iv. Straying from the normal sequence of treatment priorities
4) Case Presentation #3, Dr. Pam Trout
- 15 yo Asian female with AN
- Panel to discuss:
i. Family discord in light of cultural norms and expactations
ii. Cultural influence of seeking help
iii. Generational differences in immigrant families
iv. Buy-in from parents with ED as illness, not “assignment” to complete
5) Case Presentation #4, Christie Caggiani
- 53 yo female with OSFED and DID
- Panel to discuss:
i. Body acceptance in an aging patient
ii. Trauma-informed therapy
iii. Regardless of age, noting feeding patterns in the young child explaining current ED behaviors
iv. Parental influence/ perspective and how boys vs girls should eat
6) Summary and conclusions, Dr. Roy Erlichman
Many (or all) of us working in the Eating Disorder field come across cases that on first glance may seem hopeless. It may be due to severity, number, complexity, or etiology of his/her problems. Often it is hard to know where to start, or to figure out why recovery is not progressing. In a quickly developing field with new evidence-based standards of care, there still remains a plethora of unanswered questions. This panel will look at four of these types of cases, illustrating both typical and atypical courses of illness. The interaction of a multidisciplinary panel to talk through these cases will hopefully energize the audience to think out of the box, to look forward to collaborating with colleagues, and most importantly, never lose hope. Our goal is to give examples of providing best practice while also applying the "art" of treatment.
Dr Pamela Trout has been a Pediatrician in the Orlando area for 14 years. Advocating for provider and patient education on Eating Disorders, she has given talks to a variety of audiences. She has served on the Medical Advisory Board for Blue Horizons Eating Disorder Center for the past 3 years. In 2014 she earned her CEDS. DOC PAM (Pediatric and Adolescent Medicine), her solo practice opened November 2015. She will also be working with a local program for Eating Disorder patients to increase medical supervision of patients and take care of those who need a higher level of care.
Biographical Statement Dr. S. Roy Erlichman is a Certified Eating Disorders Specialist, an Approved IAEDP Supervisor, and has served as president of the board of directors of IAEDP. Currently he is a member of the board of directors and the conference planning and awards committees. Dr. Erlichman graduated from the Philadelphia School of Psychoanalysis and completed training in the Department of Family Psychiatry at Eastern Pennsylvania Psychiatric Institute. He is a member of Phi Beta Kappa and has been noted in Who’s Who In The East, Who’s Who In The South, Who’s Who In The World, and Men of Achievement.
