A Physician’s Guide to Diagnosis and Treatment of Anorexia and Bulimia

Author:  Center for Change The following indicators are significant and common signs and symptoms of anorexia and bulimia. Critical or multiple indicators suggest the need for medical, dietary and psychological intervention. The items marked by an asterisk (*) may indicate an urgent need for intervention and treatment. PHYSIOLOGICAL AND MEDICAL INDICATORS Below 85% of normal…

Team Up for Teens: Guidelines for Treating Adolescents with Eating Disorders

Author:  Michael E. Berrett, PhD When approaching the important and humbling task of treating teenagers with eating disorders, it is important to understand: The urgency about this adolescent epidemic, The basic developmental needs which are the foundation of treatment, The differences in treating adolescent vs. adult populations, and General and basic principles for treating eating-disordered…

Exploring the Daughter and Father Connection in the Treatment of Eating Disorders

Introduction Attachment theory is very useful for understanding the complex relationships between individuals with eating concerns and their parents. Attachment theory attends to the earliest interactions between children and parents, with specific focus on how emotional connections are either strengthened or weakened. Over time, and based on these early interactions, children develop expectations about the…

Therapeutic Insights in the Treatment of Binge Eating Disorder

Author:   Kimberly Crossley, LCSW and Wendy Jensen, LCSW Center for Change is committed to ongoing research with eating disorders to enhance the awareness and treatment of this population and our clientele. Last year we became part of a research team on Binge Eating Disorder (BED). After reviewing the current literature and in conjunction with our…

Plan To Conquer The Eating Disorder

By: Jenelle West, RD, CD Article based on Jessica Setnick RD/LD’s seminar: “What’s Eating Your Clients? Solving Eating Disorders from the Inside Out”; Center for Change; August 22, 2004 Many patients lose the battle with their eating disorder because they fail to recognize their enemy. Factors contributing to an eating disorder may include genetics, the…

The Neglected Addiction: Binge Eating

Author: Paul Harper, PhD Mary is 47, lonely, socially phobic about relationships, and weighs 525 lbs. She is constantly dieting, having tried numerous diet plans. She is obsessed with thoughts of food. She reports hearing a voice in the back of her mind that continually tells her to eat. When she is not dieting she…

Limiting Dependency

Author: Kara Lowe, CTRS, TRS One of the most common dangers therapists are faced with is dependency. If a therapist helps a person to overcome a problem or conquer an addiction, it is very easy for the patient to feel that they need their therapist to overcome other problems. Aaron Beck shared the following insight…

Family Therapy For Clients With Eating Disorders

By: Kipling Rasmussen, PhD Although the origins of eating disorders are complex and multifaceted, the family can be one of the most important means to intervene in the lives of clients suffering from these difficult problems. What nearly all family members of eating-disordered clients want to know is how they can help in the healing…

Eating Disorder Recovery – A Spiritual Perspective

Women who suffer from eating disorders battle intense emotions and inner conflicts that negatively impact their recovery. For many of these women, deep spiritual struggles are a major impediment to their ability to recover from an eating disorder. The purpose of this article is to acknowledge the importance of including a spiritual perspective in treatment…

Avoiding Avoidance And Other Antidotes To Low Self-Esteem

Introduction I write this article as one having great interest in self-esteem and the impact of avoidance on one’s sense of self. This interest has come from personal life experience growing up and professional experience as a clinician working with many different kinds of clients who have struggled with poor self-esteem. I write this article…

The Neglected Addiction: Binge Eating

Author:  Paul Harper, PhD Mary is 47, lonely, socially phobic about relationships, and weighs 525 lbs. She is constantly dieting, having tried numerous diet plans. She is obsessed with thoughts of food. She reports hearing a voice in the back of her mind that continually tells her to eat. When she is not dieting she…

Recovery: A Matter of the Heart

Author:  Randy K. Hardman, PhD I would like to share a few observations from my ten years of experience at Center for Change. These observations will be about treatment and recovery from eating disorders and are related to the many wonderful women who have been in the clinical programs here at the Center. I have…

Decreasing the Mystery of Emotions

Author:  Espra L. Andrus, LCSW EATING DISORDERS AND THE AVOIDANCE OF EMOTIONS “I’m so scared.” “What do I do?” “What do I do with these feelings building up inside of me?” “How do I make it go away?” “I hate feeling like this – I just can’t stand it!” Many individuals with eating disorders believe…

Hunger in a Person Experiencing an Eating Disorder

The scale described below is as follows: 0 =no hunger 2.5 =minimal hunger 5 = moderate hunger 7.5 =moderately intense hunger 10 =intense hunger Normal Hunger A person, who has a normal relationship with food, may fluctuate on the hunger scale between a 0 for no hunger and approximately a 5 for moderate hunger. This…

Hope for the Hopeless – Depression and Eating Disorders

Approximately 80% of all severe cases involving anorexia or bulimia have a coexisting major depression diagnosis. Depression is a very painful and all consuming disorder in and of itself. However, in combination with an eating disorder, depression is beyond devastating and is often masked within the eating disorder itself. Depression in eating disorder clients looks…

Towards an Understanding of Self-Esteem and Eating Disorders

Author:  Melissa H. Smith, PhD During a session with a client who has long suffered with an eating disorder I was discussing what it would be like if she could feel positive about herself. I was shocked with the response she gave me. Instead of reporting a desire to feel better about herself, this client…