An EDTLA Origin Story

In August, 2014, a Los Angeles psychologist who was in the process of taking the licensing exam reached out to me and asked to schedule a meeting. She was interested in pursuing more training and work in the field of eating disorders. We met and there was an immediate recognition that we were aligned. She …

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Easing Grief Through Connection (Coping Strategy for the Holidays)

Easing Grief Through Connection (Coping Strategy for the Holidays) [Image description: jar of dimes]

By Carolyn Comas, LCSW Grief can be complicated and a painful process. This holiday season many of us are experiencing the loss of the past year we were supposed to have. For those who have lost someone special this can compound the difficulty of this years’ holiday season. 2020 has not been easy for many …

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How We Set Recovery Weights

Recovery Weight [Image description: doctor scale]

If you have an eating disorder, or your child has one, there is a good chance that weight gain will be an essential part of the recovery process. This is true not just for people in objectively small bodies, but also for people in larger bodies who are diagnosed with Atypical Anorexia, a weight-biased diagnostic …

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Structuring Your Eating Disorder Recovery Environment

Structuring Your Eating Disorder Recovery Environment [Image description: hand visible writing in planner]

  Recovery is challenging! I am repeatedly moved and impressed by the courage of my patients as they work through recovery from an eating disorder. One strategy that can help support recovery is a careful ​structuring of one’s recovery environment. This applies to adults working individually in treatment as well as to families helping adolescents to recover. Most evidence-based …

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College, COVID, and Eating Disorders: What You Need to Know

College, COVID, and Eating Disorders [Image description: woman with mask in front of computer]

  As I’ve talked about in depth here, the transition to college away from home is challenging for most young adults. It is especially fraught for young adults with eating disorders. In that article I provided a College Readiness Checklist for students who are either considering their first move away from home after a history …

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Adjunctive Therapies to FBT: What are the Additional Therapies That May be Added to FBT? And When Should They Be Added?

Image Description: Paper in window that reads "Mindfulness" Adjunctive therapies that go alongside FBT for Eating Disorders

In a previous post, I have discussed who is typically on an FBT team. In its traditional manualized form, the core team is a therapist, a medical doctor, and the parents. The team can also include a registered dietitian nutritionist (to guide the parents) and may include a psychiatrist. It is not uncommon for medical …

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Coping With Anxiety During Anxious Times

Anxiety During Anxious Times

by Carolyn Comas, LCSW With the global COVID-19 pandemic shutting down not only towns and states but entire countries, our world has entered into an abnormal time. The lives of everyone have been interrupted and disrupted by a virus that can have devastating effects. During this time many people are reporting feeling levels of heightened …

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Online FBT in the Face of the COVID-19 Pandemic

FBT Telehealth Covid

As of March 2020, the advent of the COVID-19 pandemic is bringing dramatic changes to all aspects of our lives. One of the most significant impacts of social distancing is a change in the mode of delivery of psychological treatment. It appears that most outpatient therapists, dietitians, and medical doctors are moving entirely to telehealth sessions …

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With a Little Help From My Family: Who is FBT For?

Who Is FBT For?

  Family-Based Treatment (FBT) is the leading evidence-based treatment for adolescents with anorexia nervosa and bulimia nervosa. One of the common misbeliefs I hear is that it’s “only for kids or younger teens.” However, I think it has a much wider applicability. In fact, I would say that my FBT training has significantly improved my …

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When Eating Disorder Providers Are Steeped in Diet Culture

When Eating Disorder Providers are Steeped in Diet Culture

“People are concerned about the fact that I’m a therapist and have an eating disorder, and I’m like, ‘You’re concerned about me? I’m concerned about our entire fucking field.’” — Shira Rose, FoodPsych with Christy Harrison This quote has generated a lot of reaction. In this podcast, Shira—who lives in a larger body when she …

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