Background: Dual-diagnosisâco-occurring conditions such addictions and mental health disordersâare common in people with eating and other behavioral disorders. Common co-occurring conditions include anxiety, depression and other mood disorders, as well as post-traumatic stress disorder, among others. Recent research has shown intriguing connections between elevations in brain chemicals such as serotonin and dopamine in individuals with EDs and anxiety. We will examine this overlap and its significance in identifying and treating co-occurring disorders in people with EDs.
Objectives: 1. After the course, attendees with be able to describe various mental conditions that commonly accompany EDs. 2. After the course, attendees will be able to describe various tests used to assess and identify various mental disorders that accompany ED. 3. After the course, attendees will be able to explain various therapies for people with EDs and mental disorders.
Outline of Presentation IAEDP 2018
Section I. Introduction to
- Definition of an eating disorder
- Review of types of eating disorders
- Anorexia nervosa
- Bulimia nervosa
- Binge-eating disorder
- Others (pica, rumination, avoidance, etc.)
- Symptoms of above eating disorders
- Risk factors for eating disorder
- Genetic
- Biological
- Behavioral
- Psychological
- Social
- Breaking: Genetic (discussion of new research), Brain (discussion of research/brain imaging studies)
- Dangers of eating disorders – even death
- Overlap between mental conditions and eating disorders – prevalence, by sex, by disorder
- Anxiety disorders
- Depression
- PTSD
- Alcohol/Substance Abuse
- Borderline Personality Disorder
- Self-injury/Self-harm
Section II. The Chicken or the Serotonin?
- Discussion of brain chemical abnormalities shared in mental and eating disorders
- Assessment for the presence of mental health disorders common in individuals w/eating disorders (below is just a sample; more will be provided; youth and adult tools will be discussed)
- GAD-7 (anxiety)
- PHQ-9 (depression), MacArthur Foundation depression screening toolkit
- SBIRT and Alcohol Screening and Brief Intervention for Youth (substance use)
- Beck Anxiety, SPAN, SPRINT (PTSD)
- MacLean Screening (PTSD)
- NSSI-AT (non-suicidal self-harm tool)
MAYBE MOST IMPORTANT: Screen for suicide as common in certain EDs C-SSRS, SAFE-T
- Importance of a thorough health screening for ED-associated health issues (osteoporosis, anemia,
Section III. Treating Individuals w/Dual Diagnosis (ED and mental health issue)
Treatments will be explained and the benefits reviewed; importance of measurement-based care (periodically and frequently getting patient feedback and adjusting treatment accordingly) will be included
- Individual, group and family therapy
- Cognitive-behavioral therapy
- Dialectical behavioral therapy
- Trauma recovery and eye movement desensitization and reprocessing
- Body image and process groups
- Neurofeedback
- Emotional regulation, mindfulness training, communication skills
- Expressive arts (drama therapy, etc.)
- Transmagnetic cranial stimulation (not a standard part of treatment)
Section IV. Summary and Resources; brief discussion of the importance of recovery management (monitoring and options posttreatment)
SUMMARY: Accomplished healthcare executive, scientist/researcher and author committed to high quality, evidence-based treatment approaches that benefit patients and the healthcare field. Excellent strategic planning, presentation, leadership, team-building and executive management skills. Recipient of numerous awards, honors and grants for his work in advancing mental health and its treatments in the U.S., Europe and Southeast Asia; peer-reviewer and editorial board member 14 international medical journals. Elected to Board of Directors, National Alliance on Mental Illness, Orange County (2017). Voted 2016 Orange County 500 Most Influential People, Orange County Business Journal. Host, In Your Right Mind, KABC 790, California.
