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Center for Change uses complementary therapy methods to help the "whole person" through the eating disorder treatment healing process. This multimodal approach ensures a comprehensive and individualized experience which builds self-esteem and confidence, and increases long-term recovery success.
ASSESSMENT AND EVALUATION:
Every client who enters the Center's Inpatient and Residential Treatment Programs undergoes two weeks of intensive assessment and observation along with ongoing treatment planning. Clinical assessments include a nursing assessment, medical history and physical exam, psychiatric consultation, mental status examination and admitting evaluation, nutrition assessment, education assessment, and an expressive arts and recreation therapy assessment.
MEDICAL AND PSYCHIATRIC CARE:
Each client at the Center receives an initial examination by a physician and continued routine medical care under a physician's guidance throughout their stay at the Center. They also receive an initial psychiatric consultation and evaluation along with regular visits with a psychiatrist during their treatment. Medical care and psychiatric medications are provided based upon the individual needs of every patient.
We treat women with Diabulimia, an eating disorder in which an individual with Type 1 diabetes deliberately gives themselves less insulin than they need as a method of purging. Failure to administer insulin places the body at risk of serious short-term and long-term health consequences. At the Center for Change, we have 24 hr/day, 7 day/wk medical and dietary care which moves patients from unstable blood sugars that are generated by their eating disorder through the refeeding process into stable blood sugars and a normal BMI. Ongoing communication and consultation occur on a weekly basis with outside medical providers, such as the patient’s endocrinologist, to ensure that individualized care and treatment are provided for each patient and their unique circumstances. The dietitian uses an Intuitive Eating approach to help the client to reclaim the pleasure in eating and find a nutritional balance that best manages their diabetes. For so long these diabetic clients have been told what they can’t eat, but at the Center for Change we focus on what they can eat. We show them a way they can have a variety of foods, while still effectively managing their diabetes.
Each client at Center for Change is assigned a therapist with specialized training and experience in the field of eating disorders. In individual sessions, the therapist works one-on-one to explore and understand specific issues, challenges, and progress. The therapist forges a strong relationship of trust with the client and monitors progress throughout the program. Clients receive four individual therapy sessions weekly in inpatient care and two sessions weekly during residential treatment.
Center for Change creates a loving, family-like atmosphere where women can openly share their fears, triumphs, and personal issues. Group therapy helps them feel more comfortable in relationships and helps them discover they are not alone in their struggle to conquer the eating disorder. Daily therapeutic group sessions are conducted by experienced therapists.
This therapy group is devoted to helping women learn to accept and appreciate their bodies. This group challenges the negative messages regarding women's bodies that come from the media, peers, or family. They learn skills which help them to stop blaming their bodies and to recognize the beliefs and feelings that lead to negative body-image and eating disorder patterns.
Center for Change has created a supportive dietary program which starts as highly structured, supporting patients in decreasing their eating disorder behaviors and re-nourishing their bodies. The clients are introduced to Intuitive Eating throughout the treatment process. As clients’ eating disorder behaviors subside and recovery focus increases, the dietary structure is decreased with the intent to work towards Intuitive Eating. Each client receives individual counseling sessions and group nutrition classes with a registered dietitian each week during inpatient, residential, and day patient care.
Dietary counseling includes education classes, experiential activities (grocery store visits, cooking classes, restaurant outings, etc.), and personalized discharge planning. Dietitians help their clients discover past negative food experiences, triggers and fears, and then help to create a new healthy food experience including variety, moderation, and a non-diet approach to eating. The Center's program which focuses on the intuitive approach to eating has been a pioneer and a leader in eating disorder dietary treatments.
12 STEP AND SPIRITUALITY GROUPS:
Center for Change offers semiweekly 12 Step Groups which utilize traditional 12 Step principles designed and adapted specifically for those suffering with the addiction of an eating disorder.
The Center also offers a research-based, non-denominational spirituality group which emphasizes clients' use of their own spiritual beliefs to aid them in their recovery. Additionally, Yoga is an experiential and spiritual approach offered in the program.
The Center's Recreation Therapy Program includes recreation, leisure counseling, and experiential therapy. The program features experiential interventions which include activities and challenges to help facilitate client changes in attitude, behavior, and self-esteem. Structured recreation therapy sessions are held three to four times per week and include volunteer service, leisure skill building, and educational outings. The program also includes Sand Tray Therapy and Ropes Challenge Courses. Through involvement in these activities, clients develop social skills and experience self-discovery, self-acceptance, self-nurturing, and spiritual well-being.
OTHER EXPERIENTIAL THERAPIES:
Experiential Therapy at the Center is a philosophy and a general approach, not just a specific activity. We understand that talk therapy is not enough. Additional primary experiential modalities include Music Therapy, Art Therapy, and Dance and Movement Therapies. RIMBA movement sessions are offered each week.
These treatments promote creativity, self-exploration, self-expression, expression of difficult feelings, enhanced feelings of self-awareness and self-respect, and a new sense of self-mastery. They also help women become more in tune with their bodies and the interplay and connection between mind, spirit, and body.
Music has a unique and powerful influence on the human psyche and is an effective way to express feelings. When used as a therapeutic tool music can empower, motivate, and inspire you to identify and change destructive behaviors. Music therapy will help you develop creativity, self-awareness, self-expression, an enhanced sense of individual worth, and realization and stress reduction techniques. You will be encouraged to participate in the Music Therapy groups and opportunities will be provided for you to use your own musical talents.
The acronym RIMBA stands for “Reconnecting Intuitive Movement with Balanced Awareness”. Developed as an extension of Yoga Therapy, RIMBA utilizes various forms of movement and expressive arts to expand “body awareness” into “body responsiveness”. Incorporating yoga, modern dance, martial arts, dramatic interpretation, and patterned dance, RIMBA combines music and movement to reconnect participants to their bodies and to explore their beliefs about health and wellness. Classes may have a specific theme, such as exploring arm movements, or may have an interpretive theme, such as using physical and verbal expression to explore a specific emotion. Discussion and acknowledgement is woven throughout the class to bring awareness to each student’s intention and experience.
Family Therapy is a critical part of treatment at Center for Change. The Center helps women and their families heal through family involvement in the recovery process. Therapists help clients and their families explore family rules, boundaries, structure, communication styles, responsibility, and effective coping strategies that can help restore harmony and foster improved communication within the family. Family Therapy is required weekly with adolescents and as needed with adults during the inpatient stage of treatment. "Family Therapy Week" at the Center provides intensive and extensive family education and therapy including multiple-family group therapy and family ropes course experiences.
For most people, the holiday season is a wonderful time of year. It is often a time of family reunion, socializing, and celebration – a time when families, friends, and coworkers come together to share good will and good food. Yet, for those who suffer with eating disorders, this is often the worst time of the year.