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Part 1 - An Integrative Approach to the Psychological, Medical, and Nutritional Treatment of Eating Disorders in Special Populations


Thursday, March 23, 2017: 2:00 PM-3:30 PM

Background: Physicians, psychotherapists, and dietitians benefit from understanding the theoretical and informational underpinnings of their multidisciplinary team members. Concurrently, the eating disorder sufferer is multifaceted with aspects that are essential to understand in order to offer competent treatment. Multidisciplinary leaders bring together the latest information on eating disorders in special populations.

Objectives: Following this presentation, participants will be able to identify, utlilize and explain a rationale for a better education in the multidisciplinary treatment of eating disorders; three risk factors for one or more special populations in eating disorders; cite three important considerations in the assessment and/or treatment of one or more special populations in eating disorders

Content Outline

1.     Attendees find a seat at one of eight round tables (or chairs in a circle)

a.     Each table will have signage depicting the tableÕs topic

2.     Introduction to the round table discussions - 15 minutes

a.     The importance of multidisciplinary ED teamwork

b.     The importance of acquiring knowledge in collaboratorsÕ fields

c.     The importance of considering special populations of people with EDs

                                               i.     Overview: assessment, evaluation, and treatment considerations in special populations

3.     Participants attend a series of 15-minute table sessions with research updates, integrative treatment, and case studies

a.     Table 1

                                               i.     Carolyn Costin: Special considerations in diabulimia

1.     Factors contributing to this populationÕs mortality rate of up to 34.8%.

2.     Methods of deception in diabulimia.

b.     Table 2

                                               i.     Therese Waterhous: Integrative treatment based on the latest research defining eating disorders

1.     From ancient holy-fasters to epigenetics and polymorphisms

c.     Table 3

                                               i.     Jonna Fries: Special considerations in those who identify as LGBT and who have eating disorders

1.     The impact of butch-femme dichotomous lesbian identities on body dissatisfaction

2.     Transgender youthÕs hormonal influences on the development of ED behaviors

d.     Table 4

                                               i.     Sondra Kronberg: Nutritional counseling and integrative treatment

1.     Skill set of a nutritional therapist (CEDRD), their valuable role in collaborating with medical and psychotherapeutic team members, and pitfalls to avoid

e.     Table 5

                                               i.     Kate Bennett: Special considerations in athletes with eating disorders

1.     Assessment of EDs in athletes

f.      Table 6

                                               i.     Maggie Baumann and Jessica Setnick: Special considerations in pregnant women with eating disorders

1.     Potential lifetime negative consequences of EDs for pregnant moms and their babies

2.     Assessment recommendations of EDs in pregnant moms

g.     Table 7

                                               i.     Karen Samuels: Special considerations in older adults with eating disorders

1.     Unique issue contributing to EDs at and beyond midlife

h.     Table 8

                                               i.     Vicki Berkus: the physiology of eating disorders and integrative treatment

1.     Physiological factors influencing psychological problems in patients with anorexia

2.     Dangers in re-feeding a person with severe anorexia

4.     The program will conclude with a 15-minute group discussion and question

More than any other disorder, the treatment of eating disorders requires a multidisciplinary approach. Most eating disorder clinicians and allied professionals are highly educated in their discipline, but are not trained to view the client through the lens of their multidisciplinary team members. Medical providers, psychotherapists, dietitians, nutritionists, body workers, practitioners of eastern medicines, coaches and trainers, sufferers, family members and more will benefit from understanding the varied approaches of their multidisciplinary team members. At the same time, the eating disorder sufferer is a multifaceted, biopsychosocially developed human being with key aspects that are essential for providers to understand.

Those with eating disorders who are athletes, older adults, pregnant, restricting insulin, or who identify as LGBT require an in-depth knowledge of these special populations in order for physicians, trainers, psychotherapists, and dietitians to offer state-of-the-art treatment. Did you know that a study following 14 women with what is known as diabulimia found that after 12 years over a third had died, two were blind, and three were either on dialysis or renal replacement therapy? That assessing eating disorders in athletes extends beyond the DSM; that what is pathogenic in a “normal” population may be considered healthy for athletes? That while navigating loss, life transitions, and the physical changes of aging, perfectionism continues to plague older adults, sending them in soaring numbers to treatment facilities?

Special populations such as these require providers to have a thorough understanding of etiological physical and environmental demands and vulnerabilities, as well as specialized knowledge regarding treatment. From their soon to be released textbook, internationally respected leaders in the field of eating disorders from various disciplines will offer the latest information on multidisciplinary team treatment of eating disorders in special populations. This group will provide practical suggestions so that eating disorder professionals from all fields can familiarize themselves with the knowledge of their multidisciplinary team members in order to provide the most comprehensive treatment for clients with special needs or considerations. Case studies, group discussions and a round table format will be used to illustrate multidisciplinary team functioning.

Primary Presenter:
Jonna M. Fries, PsyD

Jonna Fries, PsyD is counseling faculty at California State University, Los Angeles where she provides psychological services to students and psychoeducational presentations to students, faculty, and administrators. She teaches at The Chicago School of Professional Psychology and has a private practice in Los Angeles, Mid-Wilshire. Jonna is a Certified Integrative Body Psychotherapy Instructor and is an EMDR Consultant-in-Training. She is currently co-editing a collaborative book titled An Integrative Approach to the Psychological, Medical, and Nutritional Treatment of Eating Disorders in Special Populations. Jonna is a member of APA, EMDRIA, and iaedp where she co-hosts the peer consultation group.



Co-presenters:
Jessica Setnick, MS, RD, CEDRD

Jessica Setnick has one of the most recognizable names in the eating disorders (EDs) field, thanks to her engaging, charismatic presentation style, her unique point of view, and her ability to connect on a deep level, even from the podium. She has spent her career developing ED treatment protocols in every level of care and shares her extensive knowledge with professionals and the public in multiple formats, including presentations, the EDs Boot Camp: Training Workshop for Professionals audio course, The ED Clinical Pocket Guide, The AND Pocket Guide to EDs, as ED Editor at Recovery Campus Magazine, in the forthcoming book Managing EDs on Campus, and as CEDRD Supervisor and mentor to clinicians around the world. Jessica’s mission is to work toward a world where everyone who needs care for eating issues has access to qualified professionals, and no one is turned away due to insurance issues or mistaken stereotypes



, Therese Waterhous, PhD, RDN, CEDRD

Therese S. Waterhous, PhD, RDN, CEDRD is owner of Willamette Nutrition Source, LLC. Therese co-authored the ADA Practice Paper on nutrition intervention in treatment of eating disorders, she is immediate past Director of the Sports, Cardiovascular and Wellness nutrition practice group’s eating disorder subunit and she is a professional advisor for FEAST-ED.org. She is the credentialing chair for the Oregon iaedp chapter. She has served as co-chair of the Family Based Treatment SIG, within the Academy of Eating Disorders (AED) and she currently serves on the Medical Care Standards committee for the AED.



, Carolyn Costin, MA, MEd, MFT, FAED, CEDS

Carolyn Costin, MA, MEd, MFT, FAED, CEDS recovered from anorexia in her twenties, became a therapist and saw her first eating disorder client in 1979. Carolyn has become renowned for her clinical acumen, her 4 books, her speaking engagements, and her residential and day treatment programs, Monte Nido & Affiliates, now in California, Oregon, Boston and New York. Carolyn's books, The Eating Disorder Sourcebook, 100 Questions and Answers About Eating Disorders, 8 Keys to Recovery from an Eating Disorder and Your Dieting Daughter, help sufferers, loved ones, professionals, and the public understand, treat, and overcome these confusing and complicated illnesses.



, Kate Bennett, PsyD

Kate Bennett, PsyD is a Clinical Sport Psychologist and the director of Athlete Insight, PC. She combines her experiences as an athlete, coach, and athletic trainer with her psychological expertise to meet the clinical and performance needs of athletes. As a coach, Dr. Bennett coached several national champions as well as earned two national championships herself. During her graduate and post-doctoral training, Dr.Bennett specialized in the treatment of eating disorders. She presented at both the American Psychological Association and Association for Applied Sport Psychology Annual Conferences on the treatment of athletes struggling with eating disorders.



, Maggie Baumann, LMFT, CEDS

Maggie Baumann, MFT, CEDS, member of iaedp, AED, NEDA, EMDRIA, CAMFT, and OC CAMFT, provides individual, family and adolescent psychotherapy. Her area of expertise are complex trauma and eating disorders with special focus on moms with EDs and pregnant women with EDs. In addition to traditional "talk" therapy, she offers EMDR, DBT, art therapy, sand tray therapy, mindfulness therapy, and guided imagery. Blogger, and iaedp National Certification Committee member, Maggie is a co-founder, in partnership with Timberline Knolls Treatment Center, in launching first web-based free eating disorder support group – “Lift-the-Shame” -- for pregnant women and moms with eating disorders.



, Vicki Berkus, MD, PhD, CEDS

Dr. Berkus is currently the medical director for Brighthearthealth.com, a telemedicine IOP and a consultant for Remuda Ranch. She is developing a community mental health ED program for COPE in Tucson. She was in private practice and Director of the Eating Disorder Program at Fairwinds Treatment Center in Clearwater, Florida and Sierra Tucson in Tucson. Dr. Berkus has been with iaedp for many years, serving as President, Secretary and chairman of the Education and Certification Committees. She has been a speaker for many conferences including NEDA, iaedp, AED, ASBP and is the author of "10 Commitments to Mental Fitness".



, Sondra Kronberg, MS, RD, CEDRD

Sondra Kronberg, MS, RD, CEDRD, Executive Director Eating Disorder Treatment Collaborative/F.E.E.D. IOP, Connect and Concierge Programs and recognized leader in the field of eating disorders with 30 years experience. Awarded NEDA 2004 Excellence in Treatment, ADA SCAN 2002 Excellence in Practice, and iaedp 2010 Honorary Certified Eating Disorder Registered Dietitian (CEDRD). Author of Eating Disorder Learning/Teaching Handout Series. Contributing author to Eating Disorders Clinical Guide to Counseling and Treatment. Specializing in training, supervision, and treatment of the collaborative treatment approach. Presents at national conferences, appears regularly on TV/media, is a NEDA spokesperson, and Advisory Board member of Monte Nido & Affiliates.



and Karen Samuels, PhD

Karen Samuels, PhD, psychologist, Ormond Beach, FL., Founder/Director of COPE: Community Outreach to Prevent Eating Disorders. She serves as behavioral consultant, Family Residency Program, Halifax Medical Center, & affiliate, Jean Baker Miller Training Institute, Wellesley Centers for Women. She developed middle school outreach programs, trains physicians in interprofessional teams and conducts group therapy with midlife women. She received the 2014 NEDA Westin Family Award for Activism and Advocacy.



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