Wednesday, June 15, 2016 | 8:30 am - 10:15 am
Binge eating, defined as eating large amounts of food while experiencing a sense of loss of control over the eating, is a feature of bulimia nervosa and binge eating disorder. Dietary restraint, dysregulate effect, fatigue, and interpersonal deficits have been posited to play a role in the development and maintenance of binge eating disorder. In this workshop, participants will learn innovative techniques based on the latest empirical research on self-regulation and willpower as well as the importance of managing energy throughout the day to overcome binge eating. Strategies from dialectical behavior therapy and interpersonal psychotherapy as well as guided imagery and journaling to help clients normalize eating and establish boundaries with food and people will be described. A body image program specifically designed for binge eaters will also be discussed.
Upon completion of this session, attendees will be able to:
- Discuss innovative techniques to treat binge eating disorder based on the latest empirical research on self-regulation and willpower
- Describe strategies from dialectical behavior therapy and interpersonal psychotherapy and guided imagery that can be used to help clients struggling with binge eating disorder to normalize their eating and establish boundaries with food and people
- Discuss a body image program developed for binge eaters that focuses on signature strengths, self-care, and the power of suggestion
Wednesday, June 15, 2016 | 10:45 am - 12:15 pm
Anorexia Nervosa [AN] is a serious disorder that can result in significant disability, impaired quality of life and for some, become a chronic or life threatening illness, Anorexia Nervosa involves a complex interaction of genetic, biology, behavioral, psychological and social factors. In this workshop, participants will learn an integrated approach to treatment where developmental and psychodynamic theory guides treatment conceptualization but interventions will come from a variety of theoretical interventions [Cognitive Behavior Therapy Interpersonal Therapy, etc.] The Maudsley Method for the treatment of adolescents struggling with eating disorders will be described. Strategies to help patients develop self-regulation skills, handle resistance to weight gain and learn more adaptive means of managing dysfunctional thought patterns, unpleasant mood states and interpersonal distress will be demonstrated through discussion and case studies.
Upon completion of this session, attendees will be able to:
- Describe the functions of an eating disorder and teach patients healthier ways of managing distorted thinking, interpersonal distress and difficult mood states.
- Reduce or eliminate thoughts or behaviors that lead to food restriction and weight loss.
- Promote a cognitive shift away from evaluation of self based on shape and weight to a more complicated, healthier view of body and self
Wednesday, June 15, 2016 | 10:45 am - 12:15 pm
Embodied healing for eating disorder recovery speaks to the connection one makes in the healing process, exploring the recovery journey as a process of introspection working toward acceptance and change. During this discussion, Stansbury will share how the practice of mindfulness supports the integration of introspection to emotions and life experiences—increasing the awareness of the present moment, the connection to one’s body and mind, and the re-conceptualization of the self.
Upon completion of this session, attendees will be able to:
• Discuss an embodied healing approach in the treatment of eating disorders
• Apply the practice of mindfulness to connect mind and body
• Explore expressive therapies to support the relationship of connection and introspection
W03 - Using the Nurtured Heart Approach for Treating Eating Disorders and Redefining Worth and Cultivating Well-Being in a Culture of Body-Shaming
Wednesday, June 15, 2016 | 10:45 am - 12:15 pm
This session will focus on the negative consequences of using punishment and control for the recovery from eating disorders. Instead, using the Nurtured Heart approach, developed by Howard Glasser, we will focus on the benefits of developing awareness of the individual strengths and talents of each person dealing with an eating disorder. The use of positive recognitions and the power they have to heal an individual will be explained. We will also go into how the history of punishment has created a society of fearful and emotionally paralyzed citizens that no longer feel encouraged to feel good about what they can do to help this world. Instead too many talented citizens are escaping into TV and addictive, unproductive behaviors. The nurtured heart approach gives an alternative to self talk and to dealing with others.
Upon completion of this session, attendees will be able to:
- Teach the audience the 10 Principals of the Nurtured Heart Approach
- Understand the detrimental effects of punishment and the history of imprisonment in the US
- Apply the principals of the Nurtured Heart to the eating disordered population and to disordered eating in general
NEW: This session will also be experimental with guided mediation.
P02 - Putting ED in its place: Using ACT & Experiential Therapy to Help Clients Defuse from Disease and Reconnect with Authenticity
Wednesday, June 15, 2016 | 1:30 pm - 3:00 pm
In this keynote, presenters Bobby Chapman and Valerie Martin will discuss why Acceptance & Commitment Therapy and experiential therapy are a highly effective combination for the treatment of eating disorders and co-occurring addictions and attachments. The discussion will highlight the importance of addressing the psycho-spiritual dimension of recovery to promote shame reduction and reconnect with core values that will help clients navigate their path to wellness.
Upon completion of this session, attendees will be able to:
- Discuss the effectiveness of Acceptance & Commitment Therapy and experiential therapy for the treatment of eating disorders and co-occurring addictions/attachments
- Guide clients through a values clarification exercise that can increase hope and motivation even in early recovery
- Exhibit increased theoretical appreciation as well as ability to facilitate experientially the “separation of self from the disease,” thus leading to meaningful shame reduction and more dynamic and therapeutic introspective processes and owning of ED issues
Wednesday, June 15, 2016 | 3:30 pm - 5:00 pm
In this workshop, participants will learn about the experiences throughout development that lead to body image disturbance. Techniques to treat the cognitive-affective, perceptual and behavioral components of body image disturbance and eating disorders will be discussed. Through discussion of clinical case studies the role of self-regulation and the power of suggestion in the treatment of body image will be demonstrated.
Upon completion of this session, attendees will be able to:
- Describe the role of body image disturbance in the development and maintenance of eating disorders.
- Discuss new research on the role of the power of suggestion in the etiology and treatment of body image disturbance.
- Use psychological strategies from DBT, ACT and CBT to help clients with eating disorders to develop a realistic, healthy body image.
- Discuss the use of guided imagery in the treatment of body image disturbance and eating disorders.
Wednesday, June 15, 2016 | 3:30 pm - 5:00 pm
In this workshop, Bobby Chapman and Valerie Martin offer a continuation of their keynote session providing experiential tool examples for the creative clinician and will weave together principles from Acceptance & Commitment Therapy and experiential therapy to illustrate the nature of cross-addiction or “addiction interaction” between eating disorders and commonly co-occurring substance abuse, codependency, sex/love addiction, and other process addictions. Participants will learn experientially through an interactive role-play exercise using the Hydra from Greek mythology to symbolize the “multi-headed” nature of addiction. The presenters will also discuss how this highly effective experiential intervention (ideal for group therapy but also workable in individual) is rooted in evidence-based theory/practice including Internal Family Systems and Acceptance & Commitment Therapy.
Upon completion of this session, attendees will be able to:
- Use the Hydra from Greek mythology as a model for illustrating cross-addiction between eating disorder, substance abuse, sex & love addiction, and more
- Discuss how the disease model, specifically the psychological tool of externalization, is applicable with eating disorders and other process addictions
- Describe “the bus” metaphor from Acceptance & Commitment Therapy as a tool for accepting difficult thoughts and feelings without letting them dictate behaviors/choices
Thursday, June 16, 2016
Thursday, June 16, 2016 | 8:30 am - 10:00 am
DNA is destiny has been for years the credo and belief of the scientific community. That changed dramatically with the discovery of the mind-body’s epigenome. Whereas in the past, people were led to believe they didn’t have control or power over their genetics, epigenetics demonstrates the existence of a person’s ability to alter how a single gene or cluster of genes influences the entire mind-body, from mood to body composition. This presentation will show how thoughts do indeed affect the physical. This is welcome news to mental health and eating disorder professionals who are seeking new and credible ways, to empower themselves and their clients in prevention and treatment.
Upon completion of this session, attendees will be able to:
- Provide a basic, client-friendly definition of epigenetic and three examples of its application in mental health and eating disorders.
- Identify one epigenetic application in the three main lifestyle choices (mental, nutritional, and physical) that can be incorporated into a current clinical treatment paradigm.
- Describe how epigenetics can affect the mental and physical elements associated with body shape, image and self-care.
Thursday, June 16, 2016 | 10:30 am - 12:00 pm
There is an emerging body of evidence identifying the striking relationship between women who have experienced early life trauma and abuse, posttraumatic stress disorder (PTSD) and addictive eating disordered behaviors. Young women with a history of PTSD demonstrate increased intake of sugary/fatty/salty foods and consequently unhealthy weight reduction behaviors. In vulnerable individuals, the weight of traumatic stress often leads to self-soothing and medicating with food which can result in the overweight or obese state, as well as a 2-fold increased risk of type 2 diabetes. Trauma assessment and treatment is integral to achieving optimal and sustainable recovery from disordered eating.
Upon completion of this session, attendees will be able to:
- Describe at least two key studies from the emerging science documenting the relationship between disordered eating and trauma
- Identify two methodologies for baseline trauma assessment
- Define three trauma-centric lifestyle recovery solutions that increase sustainability
Thursday, June 16, 2016 | 10:30 am - 12:00 pm
The workshop will begin with an overview of the randomized clinical trials that support the efficacy of Family Based Treatment for adolescents with Anorexia Nervosa. Next the 5 principal assumptions (agnosticism, parental empowerment, problem focus, consultative stance, and the importance of the whole family in treatment) will be illustrated. In addition, we will discuss how Family Based Treatment employs circular questioning, externalization, selective clinical attention, a therapeutic family meal and positive reinforcement during treatment. The workshop is designed to be interactive throughout to best encourage active participant learning.
Upon completion of this session, attendees will be able to:
- Understand the evidence base for the use of Family Based Treatment for adolescents with Anorexia Nervosa.
- Understand the principal assumptions that underlie the specific treatment approach of Family-Based Treatment.
- Understand the main interventions used in Family Based Treatment for adolescent with Anorexia Nervosa.
Thursday, June 16, 2016 | 1:30 pm - 3:00 pm
Moderator:
Panel:
Eating disorders are serious illnesses that affect millions of people in the United States at some point in their lives. This esteemed panel of eating disorders experts will host a lively discussion on challenges on Eating Disorders. Approaches to the emotional, physical, and social parameters of this illness will be discussed. Join this engaging and interactive presentation to hear from those leading panelists.
Upon completion of this session, attendees will be able to:
- Recite and discus ways on new approaches for emotional parameters on eating disorders
- Discuss ways for physical parameters to help embrace people with eating disorders
- Learn new emotional approaches for the challenges of eating disorders
Thursday, June 16, 2016 | 3:30 pm - 5:00 pm
A diverse population of 100 trillion bacteria inhabits the lining of the gastrointestinal system, maintaining a health-promoting levels of hormones, mood-modulating brain chemicals and inflammation. Mental, nutritional or physical changes that upset this sensitive balance can have profound effects on the mind-body. Therefore, when men and women present with disordered eating, one can be assured that the delicate and critical bacterial flora of the gut’s microbiome has often been drastically and deleteriously altered. An essential element of successful recovery from eating disorders is the restoration of an optimal microbiome using an integrative recovery-centric lifestyle blueprint.
Upon completion of this session, attendees will be able to:
- Describe and define the microbiome noting at least 4 mental and physical effects that can occur with microbiomal imbalance.
- Identify at least two citations of the current evidence-based published literature linking eating disorders and the microbiome.
- Provide 1-2 examples of ways in which to incorporate mental, nutritional and physical treatment methods to optimize eating disorder recovery.
W11 – Cognitive Behavioral Treatment and Cognitive Remediation Therapy for Child and Adolescent Eating Disorders
Thursday, June 16, 2016 | 3:30 pm - 5:00 pm
This workshop will focus on two different cognitive approaches in the treatment of eating disorders in youth. The first treatment is cognitive behavioral therapy. The focus will be on the kinds of adaptations required to effective use this therapy with adolescents, including the use of electronic food records, parental involvement, flexibility of therapist focus, and management of other problematic behaviors in the context of treating an eating disorder. The second focus of this workshop will be on a strictly cognitive therapy aimed at addressing cognitive processing difficulties commonly associated with eating disorders (e.g., over attention to detail and inflexibility). Cognitive Remediation Therapy is designed as an adjunctive therapy that employs cognitive exercises designed to improve global thinking and increased cognitive flexibility. An overview of this approach will be described, examples of the types of interventions used, and data about utility of the approach provided.
Upon completion of this session, attendees will be able to:
- Understand the evidence base for the use of cognitive behavioral therapy for eating disorders in youth.
- Understand the main components and treatment strategies used in CBT for youth compared to adults with eating disorders.
- Understand the role of Cognitive Remediation Therapy in the treatment of eating disorders.
Friday June 17, 2016
P05 - Invisible Women: Perfectionism, Eating Disorders, and Body Image in Women at Midlife and Beyond
Friday, June 17, 2016 | 8:30 am - 10:00 am
Perfectionism and eating disorders are both deadly diseases now affecting more adult women in the US than breast cancer does. Body satisfaction used to improve with age, but today 75% of midlife women express significant body image distress and weight preoccupation and 13 percent struggle with eating disorders. Burdened by shame, ambivalence, and the relentless pressure to be perfect, these women are under-diagnosed and under-served. It’s time for the eating disorder community to connect the dots between the dangerous intersection of these two major public health problems to better serve the critical needs of adult women. Through the lens of Relational-Cultural Theory, this presentation examines the biopsychosocial processes that promote the disconnections associated with perfectionism and eating disorders in women during midlife and later years. To facilitate reconnection with the self, the body, and others, RCT emphasizes growth fostering relationships, mutuality, and “fluid expertise,” with both client and clinician bringing wisdom and knowledge to create new neural and behavioral pathways towards recovery. The presentation examines case material, incidence patterns, unique clinical issues and approaches for adult women, and implications for professional training, advocacy, and outreach, with ample time for discussion.
Upon completion of this session, attendees will be able to:
- Identify the range and pattern of eating disorders and body image despair currently seen in adult women.
- Understand the role perfectionism and cultural expectations play in the increased incidence of eating disorders in adult women.
- Build relational skills to challenge perfectionism, decrease the shame and isolation of eating disorders, and foster recovery
Friday, June 17, 2016 | 10:15 am - 11:45 am
Clients struggling with eating disorders and weight control often describe themselves as food addicts. Despite their best efforts they can’t resist the pull of their favorite target foods so they feel that it’s impossible to control their eating. Recent research has demonstrated that some foods affect brain function in a manner similar to addictive drugs. These foods appear to make use of the same reinforcing pathways in the brain as addicting drugs. The findings are consistent with 12-Step approaches to treatment yet some clinical evidence questions whether food can be physiologically addicting. After a review of the evidence pro and con, case studies illustrating addictive and non-addictive binge eating will be discussed along with methods for assessment and treatment.
Upon completion of this session, attendees will be able to:
- Describe evidence supporting and opposing the idea that food can be physiologically addicting.
- List two methods for assessing food addiction.
- Describe the methods of 12-Step programs for food addictions and controversies regarding these programs.
Friday, June 17, 2016 | 10:15 am - 11:45 am
Eating disorders are deadly serious. Eating disorders have the highest mortality rate of all mental health disorders. Treating them can be challenging, with patients frequently dealing with both addiction (addicted to the behavior associated with their disorder) and mental health issues (irrational conceptions associated with food or with relationships). With additional struggles with drug or alcohol addictions, treating eating disorders can sometimes be overwhelming. To truly heal the patient, a whole person approach – treating the mind, body and spirit simultaneously – has proven to be highly effective. But what exactly is "whole person care", and how can a counselor or therapist implement it effectively with their clientele? In this workshop, Dr. Gregory Jantz walks through the components of whole person care and why it produces more lasting results than other approaches.
Upon completion of this session, attendees will be able to:
- Identify the key components of whole person care
- Understand why someone struggling with an eating disorder requires more than just eating/food therapy to truly heal completely
- Learn tools and techniques to implement whole person care with their clients
Friday, June 17, 2016 | 12:30 pm - 2:30 pm
Critical gaps exist between research and clinical practice in the treatment of eating disorders. The changing face of eating disorders now cuts across age, gender, ability, socioeconomic class, ethnicity, race, and place. Due to the associated morbidity and mortality, the field must bridge the perennial gaps between what researchers know and what practitioners see. For example, research tends to examine anorexia nervosa and bulimia nervosa but rarely includes the most common eating disorders (Otherwise Specified Eating Disorders – formerly EDNOS). Furthermore, although many patients suffer from co-morbid conditions, research tends to look at these problems singularly. Conceptualizing eating disorders as biopsychosocial phenomena, this workshop challenges the nature-nurture debate. It puts to rest the validity of any dichotomy between the biology and the psychology of lived experience, integrating findings from the fields of relational cultural theory, attachment research, and neuroscience. This new conceptualization of ED emphasizes the unconscious, holistic, right hemisphere (RH), rather than the logical left hemisphere (LH) specifically targeted in well-accepted techniques such as cognitive behavioral therapy (CBT). Body-oriented therapies figure prominently in this new model, but more important than the therapeutic technique is a relationship of trust. Weaving together the most current research, knowledge, and clinical insight, the presentation encourages a spirit of partnership between researchers and practitioners to move the field beyond the tensions and competitive relationships of the past into one that integrates the best from each perspective, building a stronger bridge to recovery for patients and their families.
Upon completion of this session, attendees will be able to:
- Learn about the gaps between research and practice in the eating disorders field
- Understand how to integrate perspectives and information from the scientific and clinical communities
- Recognize the need to synthesize left and right hemisphere approaches to eating disorders, integrating new findings from neuroscience and attachment theory.
Friday, June 17, 2016 | 12:30 pm - 2:30 pm
Eating triggered by emotions is one of the most common reasons clients eat when they’re not physically hungry. It is a significant concern for the 2/3 of the population that is overweight or obese, and is critically important in the treatment of Binge Eating Disorder and Bulimia Nervosa since eating binges are frequently triggered by anxiety, depression, boredom or other unpleasant emotional states. Often emotional arousal causes an overly restrictive diet to be abandoned resulting in a binge. Using research findings and clinical examples, this workshop will describe how you can help your eating disordered clients identify their individual patterns of emotional eating and develop effective strategies to separate eating from emotions.
Upon completion of this session, attendees will be able to:
- List 6 emotions most likely to trigger unnecessary eating.
- Describe methods for assessing patterns of emotional eating.
- Describe treatment of emotional eating in therapy for Binge Eating Disorder and Bulimia.
Friday, June 17, 2016 | 12:30 pm - 2:30 pm
Technology – it is everywhere, at all times. Handheld devices, video games, smart televisions, e-readers, streaming videos, Facebook, Twitter, Instagram, and more. While technology can provide us with valuable information and entertainment, it can also cause significant issues. Those issues include adolescents accessing inappropriate material, social bullying or humiliation, distractions while driving or operating machinery, and actual addiction to surfing, gaming, and pornography. This addiction can devastate relationships, families, jobs, and one's walk with God. In this workshop, Dr. Gregory Jantz will help you learn how to protect your kids from online dangers, notice warning signs in yourself and loved ones of internet addiction, and tools and techniques to maintain a balanced and healthy relationship with technology.
Upon completion of this session, attendees will be able to:
- Identify the warning signs of digital addiction in themselves and other
- Learn and apply the sites adolescents are accessing, and the techniques they use to hide their search history from parent
- Use tools and techniques to help themselves and family members have a more healthy relationship with technology
