2017 Spring LACPA Eating Disorder SIG Open (to non-LACPA members) events

Michael Levine, Ph.D., FAED Date: Tuesday, March 7 at 7:30 pm.

Title: Thinking Critically and Cautiously About the Phrase “Eating Disorders Are Biologically-Based Mental Illnesses

Presenter:  Michael Levine, Ph.D., FAED

Description: It has become a foundational “truth” among many clinicians, researchers, patients, family members, and advocates that, in accordance with the 2009 position statement of the Academy for Eating Disorders (AED), eating disorders are “biologically-based mental illnesses.” In fact, number 4 of the AED’s “Nine Truths about Eating Disorders” is “Eating disorders are not choices, but serious biologically influenced illnesses.”

Dr. Michael Levine has for many years studied sociocultural factors and their relationship to the prevention of eating disorders and disordered eating. In this talk, Levine offers a critical evaluation of this contention, in so far as one meaning of “critical” is “exercising or involving careful judgment or judicious evaluation” (Mirriam-Webster On-Line Dictionary; www.m-w.com).

Levine begins by addressing important general concepts, such as “illness” and “biologically-based,” as well as “scientific,” “evidence-based,” and “risk factor.” This sets the stage for a description of the Biopsychiatric/Neuroscientific paradigm in the eating disorders field. He will then consider the evidence for “biological causes” in the development of eating disorders, and its implications for two important challenges in the field: prevention and talking with patients, families, and the media. Throughout his presentation, Levine will compare and contrast the Biopsychiatric/Neuroscientific paradigm with the Sociocultural paradigm. Thus, his concluding remarks will consider what if anything is gained (and/or lost) by applying phrases such as “biopsychosocial” and “gene-environment interactions.”

Bio: Michael P. Levine, Ph.D., is Emeritus Professor of Psychology at Kenyon College in Gambier, Ohio, where he taught 33 years (1979-2012). In the field of eating disorders, his commitment to research, writing, and activism focuses on the intersection between sociocultural risk factors, prevention, community psychology, and developmental psychology. He has authored two books and three prevention curriculum guides, and he has co-edited three books on prevention. In August 2015, as co-editor with his long-time collaborator and colleague Dr. Linda Smolak, he published a two-volume Handbook of Eating Disorders (Wiley & Sons Publishing). He and Dr. Smolak are currently working on a second, updated edition of their 2006 book The Prevention of Eating Problems and Eating Disorders (Erlbaum/Routledge/Taylor & Francis). In addition, he has authored or co-authored approximately 110 articles and book chapters, and he has presented his work throughout the United States, as well as in Canada, England, Spain, Austria, and Australia. He is a member of the advisory councils of The National Eating Disorders Association (NEDA), the Center for Study of Anorexia and Bulimia (CSAB, NY), the Center for Balanced Living (CBL, Columbus, Ohio) and Monte Nido & Affiliates—Eating Disorder Treatment Centers.

Dr. Levine is a Fellow of the Academy for Eating Disorders (AED), which has awarded him their Meehan-Hartley Award for Leadership in Public Awareness and Advocacy (2006), and their Research-Practice Partnership Award (2008). Dr. Levine is also a member of the Founders Council of the National Eating Disorders Association, which awarded him the Lori Irving Award for Excellence in Eating Disorders Prevention and Awareness (2004) and the Nielsen Award for Lifetime Achievement (2013). After living for 37 years in Mount Vernon, OH, with his wife, Dr. Mary A. Suydam, a retired (as of May 2015) Kenyon religious studies and women and gender studies professor, they moved to California in late June 2016, to live near UC Santa Barbara, where they both obtained all their degrees.

Location: The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

RSVP to: drmuhlheim@gmail.com

March and April SIG meetings are open to all professionals.   During other months SIG meetings are open to all LACPA members.  Non-members wishing to attend may join LACPA by visiting our website www.lapsych.org


Date: Thursday, April 20 at 7:30 pm.

Title: Medical Complications of Eating Disorders

Presenter:  Margherita Mascolo, MD, ACUTE Medical Director

Description:  Dr. Mascolo is the medical director of ACUTE. She will discuss the medical complications of severe restricting as well as purging. The presentation will include a broad review of the pathophysiology of starvation as well as the organ systems affected. There will be case-based discussion and presentation based on real patients seen on the ACUTE unit. Target audience is mental health professionals, dietitians, and allied professionals who need a broad understanding of the medical complications of restricting and purging.

Bio: Dr. Mascolo is the Medical Director at the ACUTE Center for Eating Disorders at Denver Health, where she has been a member of the ACUTE team since its beginning in 2008. She has trained under Dr. Philip S. Mehler for the past 8 years to become one of the country’s leading experts in the medical care of patients with severe eating disorders and served as Associate Medical Director under Dr. Jennifer Gaudiani for the past 3 years.

Dr. Mascolo completed her undergraduate work at the University of St. Thomas in Houston, Texas and earned her medical degree at the University of Texas Health Sciences Center. She completed her residency in Internal Medicine at the University of Colorado in Denver. She is board certified in Internal Medicine, is an Associate Professor in the Department of Medicine at the University of Colorado. Dr. Mascolo has published multiple peer-reviewed articles on the medical complications of eating disorders and is currently working to complete her Certified Eating Disorder Specialist certification.

Location: The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

RSVP to: drmuhlheim@gmail.com

March and April SIG meetings are open to all professionals.   During other months SIG meetings are open to all LACPA members.  Non-members wishing to attend may join LACPA by visiting our website www.lapsych.org

November 2016 LACPA Eating Disorder SIG events

The Los Angeles County Psychological Association Eating Disorders SIG will be hosting 2 events in November 2016

Tuesday, November 1 – 7 – 8:30 pm in LACPA Office (Encino) – DBT for Eating Disorders 

Speaker: Charlotte Thomas, LCSW, Program Manager of Portland DBT’s Pathways to Mindful Eating Program

Talk Description: charlotte

Dialectical Behavior Therapy (DBT) is an evidence based treatment developed by Marsha M. Linehan, PhD for complex multi-diagnostic individuals with pervasive emotion dysregulation and high risk suicidal behavior. Over the past two and a half decades, research has consistently demonstrated DBT as being effective for patients with a variety of complex problems such eating disorders and substance abuse disorders, where emotion dyscontrol is at the core of the patient’s issues and often interfere with treatment and long-term maintenance of therapeutic progress. This presentation will use a session- to-session birds eye view of the implementation of DBT with complex eating disorders in order to demonstrate use of DBT principles and skills in a concrete, “real world” manner. My hope is to communicate my excitement for DBT, share outcomes commonly generated by DBT, and to generate curiosity among individuals participating in the training.

Goals:

Upon completion of this presentation, participants will:

  • Learn about the first 7 sessions of treatment using a composite client with a complex Eating Disorder
  • Understand the biosocial model of DBT as applied to a composite client
  • Learn about the timing and use of strategies such as dialectics, behavioral chain analysis, and diary cards

Speaker bio:

Charlotte Thomas, LCSW

Charlotte received her master’s degree in Social Science Administration (MSSA) at Case Western Reserve University in Cleveland, OH and trained with Lucene Wisniewski PhD, FAED and Mark Warren MD, FAED for the following 4 years in the evidence based treatment of eating disorders. She is now a licensed clinical social worker in the state of Oregon. Charlotte’s professional interest is in treating eating disorders and associated needs including borderline personality disorder, depression and anxiety. She has experience in private practice mental health settings, providing individual, family, and group services for teens and adults. At Portland DBT Institute, Charlotte is the Program Manager for the Pathways to Mindful Eating program and provides direct service to clients, supervision to staff, and serves on the management board for the clinic helping to inform general clinic policy.

 Friday, November 4 – 12 to 1:30 pm in LACPA Office (Encino) in conjunction with the Couples SIG – Panel Discussion: The Impact of Particular Addictive/Compulsive Behaviors on a Couple’s Relationship, and How to Help – Hoarding, Gambling, and Eating Disorders

3 speakers include:

  1. Regina F. Lark, PhD: Family Stuff
  2. Cristin Runfola, PhD:  Uniting Couples in the Treatment of Eating Disorders.
  3. Margaret Altschul, MBA, MA, LMFT: Win, Lose or Draw:  What happens to couples when one partner is a problem gambler?

Speaker bios and talk descriptions below:

Regina F. Lark, PhD: Family Stuff: The impact of compulsive hoarding on relationships with family and friends, creates as much dysfunction as the “stuff” piled around the room. Dealing with it effectively “takes a village” and a strategic plan to calm the relationships between loved ones and the physical environment. Dr. Lark’s presentation will explore the effects of the hoarding disorder and chronic disorganization on the family dynamic, and present strategies for finding clarity amidst the chaos.

Dr. Lark is the owner of A Clear Path: Professional Organizing and Productivity. As a Certified Professional Organizer she specializes in working with people with chronic disorganization, ADHD, and hoarding. She is also a relocation specialist, helping families move or downsize from one home to the next. She is a featured speaker and educator, and is the author Psychic Debris, Crowded Closets: The Relationship between the Stuff in your Head and What’s Under your Bed, Second Edition, (Purple Books, 2014). She serves on the Board of the National Association of Professional Organizers, and is a member of the National Speakers’ Association. She earned a  Ph.D. in History at the University of Southern California.

Cristin Runfola, PhD: Uniting Couples in the Treatment of Eating Disorders. Dr. Runfola will describe recently developed couple-based interventions for eating disorders, including how core cognitive-behavioral couple therapy interventions can be applied and integrated with individual CBT principles for these disorders. Further, she will present data from recent pilot studies conducted with couples affected by anorexia nervosa (UCAN) or binge-eating disorder (UNITE), which yield promising results.

Cristin Runfola, PhD, is a clinical instructor at Stanford University who specializes in the treatment and research of eating disorders. Dr. Runfola’s primary research interest is in developing and testing the efficacy of clinical interventions designed to improve outcome for eating disorders. She underwent extensive training in cognitive-behavioral couples therapy and worked with colleagues at UNC-CH to develop and test manualized protocols for treating anorexia nervosa and binge-eating disorder in a couple context. She is the recipient of various awards, such as the AED Clinician Scholarship Award and NIMH/AED Early Career Investigator Travel Fellowship Award, for her work.

Margaret Altschul, MBA, MA, LMFT: Win, Lose or Draw: What happens to couples when one partner is a problem gambler?

Imagine discovering that your joint bank accounts are gone, your credit cards are charged to the max, and your car is about to be repossessed. This is often the scenario confronting couples when one person is a problem gambler. Problem gambling by one partner brings to a relationship all of the chaos, fear and betrayal of addictions and affairs combined. This presentation will help you gain awareness and understanding about Problem Gambling and learn how you can help couples dealing with the unique challenges this addiction creates.

Margaret Altschul, MBA, MA, is a Licensed Marriage and Family Therapist with a background in education and business. In addition to working with couples, Ms. Altschul applies her training and experience in using EFT and Gottman methods to help adults improve difficult relationships with parents, siblings and people at work. Margaret is authorized by the CA Office of Problem Gambling to provide counseling (at no cost to the client) to people with gambling addiction as well as family members affected by gambling.  She is Director of the Wagner Program at American Jewish University where she trains human services volunteers in basic counseling skills

* LOCATION for both events: LACPA ADDRESS and PARKING INSTRUCTIONS: 6345 Balboa Blvd, Bldg 2, Suite 126, Encino 91316. The buildings are on the south-west corner of Victory and Balboa, and Bldg 2 is the second building from Balboa. If you come from the Westside, take the 405 to the 101 and exit going north on Balboa to just before Victory (park on the street or in the Sepulveda Basin Sports Complex (6201 Balboa Blvd.) on the west side of Balboa, just south of Victory).  Or take the 405 to Victory (past the 101 if you are coming from the Westside) and exit West onto Victory.  Take it to Balboa and turn left, now heading south. On your right, you will see the buildings. Go a bit past the parking lot for the building (we are not allowed to park there during the day), past the Army’s center to the next driveway, which is for the Sepulveda Basin Sports Complex (2nd driveway past the Busway), and park in there. Or park on the street just south of the entrance for the sports complex parking lot. Both sides of Balboa have all day free parking. Allow a 3 – 5 minute walk to the buildings. Walk into the building’s parking area and go to the second building. The LACPA office is right by the entrance off the parking lot, on the left if you walk in from the parking area. Wherever you park, please check the signs

Parking at The Encino Office Park lot between the hours of 9am – 6:30 pm is restricted to building tenants only. We can park there in the evening and on weekends, but not 9 – 6:30 weekdays.

RSVP to: drmuhlheim@gmail.com

SIG meetings are open to all LACPA members. Nonmembers wishing to attend may join LACPA by visiting our website www.lapsych.org 

LACPA Eating Disorder SIG

LACPA Eating Disorder SIGThe Eating Disorder SIG (EDSIG) is an active group of Los Angeles County Psychological Association (LACPA) professionals interested in eating disorders, body image, and related issues. The group, founded in 2012,  by Stacey Rosenfeld, Ph.D., is now led by Lauren Muhlheim, Psy.D. Through presentations and discussion, the EDSIG helps LACPA members explore the field of eating disorders and provides them support as they interact with eating-disordered clients, families, and the community.  

To date, the EDSIG has attracted national-level speakers as guests, including Dr. Abigail Saguy (author of What’s Wrong with Fat?), Stephanie Covington Armstrong (author of Not All Black Girls Know How to Eat), and Lisa Kantor, JD, an attorney who won the first published eating disorder decision in California, as well the first federal court ruling that mandated insurance companies to pay for medically necessary treatment for mental illnesses. Other speakers include: Dr. Kathleen Kara Fitzpatrick (Clinical Assistant Professor at Stanford University), Aimee Liu (author of several novels as well as Gaining: The Truth of Life After Eating Disorders and Restoring Our Bodies, Reclaiming Our Lives: Guidance and Reflections on Recovering from Eating Disorders), Ragen Chastain (a thought leader in the fat acceptance movement), Dr. Richard Achiro (author of a recent study on over-the-counter workout supplement use in gym-active men that received international recognition from several news sources), Pia Guerrero, founder of Adios Barbie and body image activist, Dagan VanDemark, founder and policy director of Trans Folx Fighting Eating Disorders, TFFED), Dr. Stephanie Knatz Peck (program director for the Intensive Family Treatment Programs at the UCSD Eating Disorders Treatment and Research Center), Jessica Raymond, founder and director of Recovery Warriors and Rise Up + Recover app.

Equally qualified and exciting speakers have already committed to speaking to our group in the coming year, so watch the listserv for details. EDSIG Meetings are geared toward eating-disorder specialists but many talks are likely to be of interest to the more general psychological community. Meetings are held every 1-2 months, typically on a weekday evening, in the Hollywood area. Events are posted on the LACPA calendar and sent out to the email listserv. For questions or to recommend a speaker or request a topic,  Dr. Muhlheim at drmuhlheim@gmail.com.

SIG meetings are open to all LACPA members. Non-members wishing to attend may join LACPA by visiting our website www.lapsych.org.

For a complete list of topics and speakers to date, see below:

2012

  • January 2012: Introduction to group and topic discussion
  • February 2012: Intuitive Eating — Brooke Glazer, RD
  • March 2012: Psychopharmacological Treatment of EDs — Hope Levin, MD
  • May 2012: Overview of FBT — Lauren Muhlheim, PsyD
  • July 2012: Current Topics in EDs
  • October 2012: The One-Hour Medical School — Linda Schack, MD

2013

  • January 2013: Viewing of the film, Someday Melissa
  • April 2013: What’s Wrong with Fat? — Abigail Saguy, PhD
  • June 2013: Difficulties in the Treatment of Overweight Eating Disorder Patients – Swimming Against the Current — Wendy Rosenstein, MD
  • October 2013: Yoga, Feminism, & Body Image — Melanie Klein, MA

2014

  • February 2014:  Eating Disorders Affect us All: Eating Disorders in Diverse Populations — Stephanie Covington Armstrong
  • March 2014: Yoga, Body Image, and Eating Disorders — Chelsea Roff
  • April 2014: Working with Insurance Companies to Obtain Coverage — Lisa Kantor, JD
  • June 2014: Intuitive Eating with BED — Aaron Flores, RDN
  • August 2014: Does Every Woman Have an Eating Disorder? – Stacey Rosenfeld, Ph.D.
  • September 2014: Pregnancy and Eating Disorders – Maggie Baumann, MFT, CEDS
  • October 2014: Transgender Issues and Eating Disorders – Dagan VanDeMark
  • December 2014: The Stages of Recovery – Aimee Liu

2015

  • February 2015: Adios Barbie: Body Image, Intersectionality, Healing and Advocacy – Pia Guerrero
  • March 2015: B.E.A.U.T.Y: Paint Me A Soul — Nikki DuBose
  • April 2015: Temperament, neurobiology, and implications for adult eating disorder treatment — Stephanie Knatz, Ph.D.
  • May 2015: Misophonia – Jaeline Jaffe
  • June 2015 – Modernizing Recovery Resources for the Millennial Generation– Jessica Raymond
  • July 2015: Advocacy and the Eating Disorder World:  Why Clinicians Matter– Kathleen MacDonald
  • August 2015: Shift Happens: Cognitive development, flexibility and remediation in eating disorders– Kara Fitzpatrick, Ph.D.
  • September 2015: Full Metal Apron: Fighting Eating Disorders from the Kitchen Table — JD Ouellette
  • November 2015: Medico-Legal Aspects of Eating Disorders Treatment Including Denial of Care — David Rudnick, MD
  • December 2015: When Fit Becomes Foe: Excessive Workout Supplement Use as an Emerging Eating Disorder in Men — Richard Achiro, Ph.D.

2016

  • January 2016: Elimination is Oppression: The Ill-Advised War Against Obesity– Ragen Chastain
  • January 2016: Unraveling the Enigma of Male Eating Disorders (CE event) — Stuart Murray, Ph.D.
  • March 2016: When OCD and Eating Disorders Collide: Assessment and Treatment Planning for OCD and co-existing Eating Disorders – Kimberly Quinlan, LMFT
  • April 2016: Medical Complications in Eating Disorder Treatment – Lyn Goldring, RN
  • May 2016: Dieting, stress, and weight stigma – Janet Tomiyama, Ph.D.
  • July 2016: It’s All Relative: Eating Disorders and Genetics – Stephanie Zerwas, Ph.D.
  • November 2016:  DBT for Eating Disorders – Charlotte Thomas, LCSW
  • November 2016: in conjunction with the Couples SIG – Panel Discussion: The Impact of Particular Addictive/Compulsive Behaviors on a Couple’s Relationship, and How to Help – Hoarding, Gambling, and Eating Disorders– Regina F. Lark, PhD, Cristin Runfola, PhD, and Margaret Altschul, MBA, MA, LMFT
  • December 2016: The Healing Power of the Paw: How Animals Can Play a Vital Role in Eating Disorder Recovery — Shannon Kopp

2017

  • January 2017: The Dangers of Dieting – Glenys Oston, RDN
  • February 2017: When an Athlete Gets an Eating Disorder – Abby McCrea, LMFT (in conjunction with the Sports and Performance Psychology SIG)
  • March 2017: Thinking Critically and Cautiously About the Phrase “Eating Disorders Are Biologically-Based Mental Illnesses – Michael Levine, Ph.D., FAED
  • April 2017: Medical Complications of Eating Disorders – Margherita Mascolo, MD
  • September 2017: Psychopharmacological Treatment of Eating Disorders – Hope Levin, MD
  • October 2017: Media and Body Image: How Media Literacy Can Help Counteract Unrealistic Body Ideals – Bobbi Eisenstock, Ph.D.
  • December 2017: Body Image in Anorexia Nervosa and Body Dysmorphic Disorder: Clinical and Neurobiological Features –  Jamie Feusner, MD

2018

  • January 2018: Avoidant/restrictive food intake disorder: Assessment, neurobiology, and treatment –  Jennifer Thomas, Ph.D.
  • April 2018: Understanding Brain Development in the Treatment of Eating Disorders – Ovidio Bermudez, MD
  • May 2018: Polycystic Ovary Syndrome and Eating Disorders: What’s the Connection? – Gretchen Kubacky, Psy.D.
  • July 2018: Men Struggle, Too: My Journey with Binge Eating Disorder – Ryan Sheldon
  • December 2018: Eating Disorders and the Impact on Siblings – Kym Piekunka

2019

  • February 2019: Weight Stigma and Disordered Eating: A Multi-Method Approach –  Jeffrey Hunger, PhD
  • April 2019:  Historical Trauma and Modern Day Oppression: How Does This Relate to Eating Disorders? –  Gloria Lucas
  • May 2019: Mindfulness-Based Eating Awareness Training (MB-EAT): Research and Clinical Application –  Sheila Forman, PhD (with the Mindfulness and Spirituality SIG)

LACPA Eating Disorder SIGLACPA Eating Disorder SIG

December 2016 LACPA Eating Disorder SIG

Shannon-Kopp-Headshot-e1444137530220Date: Wednesday, December 7 at 7:30 pm (Note: new date)

Presenter: Shannon Kopp – Author of Pound for Pound: A Story of One Woman’s Recovery and the Shelter Dogs Who Loved Her Back to Life (HarperCollins Publishers) and Founder of SoulPaws Recovery Project.

Title: The Healing Power of the Paw: How Animals Can Play a Vital Role in Eating Disorder Recovery

With the highest mortality rate of any mental illness and afflicting up to 30 million people in America, eating disorders can have heartbreaking consequences. For eight years, Shannon Kopp battled the silent, horrific, and all-too-common disease of bulimia. Despite a near decade of weekly therapy, medication, loving support from family, and a hospitalization and rehab stay at Rosewood Center for Eating Disorders, she continued to grow progressively sicker.

Then, at twenty-four, she began working with shelter dogs at the San Diego Humane Society, where she felt a deep sense of calm and comfort around the animals. Gradually over time, when Shannon wrestled with anxiety, she began turning to the loving presence of a dog (rather than to the eating disorder). A dog’s ability to live in the present moment helped to pull her out of her head and back down to earth. The dogs grounded her, and they created a vital sense of emotional security.

Shannon adopted a dog and began bringing her dog with her to therapy, and soon, Shannon was sharing on a deeper and more honest level than ever before. This marked the beginning of her eating disorder recovery—she will celebrate seven years free from bulimia on August 28th.

Research on the human-animal bond (known as Anthrozoology) has increased steadily over the years. Studies have shown that the presence of an animal may decrease stress levels by lowering blood pressure and creating a sense of general well-being—for the both human and animal!

Today, Shannon offers free animal therapy—SoulPaws Workshops— to those suffering from eating disorders in her community. (Learn More About SoulPaws Workshops Here: http://shannonkopp.com/workshops/)

Location: The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

Bio – Shannon Kopp is an eating disorder survivor, animal welfare advocate, and the best-selling author of Pound for Pound: A Story of One Woman’s Recovery and the Shelter Dogs Who Loved Her Back to Life (HarperCollins Publishers). She is also the founder of SoulPaws Recovery Project, offering free animal therapy to those suffering from eating disorders. Shannon’s story has been featured on CNN, Fox News, Huffington Post, Salon, NPR and more. www.shannonkopp.com

http://www.harpercollinsspeakersbureau.com/speaker/shannon-kopp/

RSVP to: drmuhlheim@gmail.com

SIG meetings are open to all LACPA members. Nonmembers wishing to attend may join LACPA by visiting our website www.lapsych.org

July 2016 LACPA Eating Disorders SIG – Genetics

Please join us:  Monday, July 25 at 7:30 PM

Presenter:  Stephanie Zerwas, Ph.D., Clinical Director of the UNC Center of Excellence for Eating Disorders

Title: It’s All Relative: Eating Disorders and Genetics

Description: For the past 30 years, research has demonstrated that eating disorders run in families due to genetic factors.  Although genetics is not destiny and does not determine who will struggle with an eating disorder, genetic factors can increase the risk of developing these diseases.  In addition, recent developments in molecular genetics have made it increasingly clear that not just one gene increases the risk for eating disorders. Instead, eating disorders are polygenic (e.g., thousands of risk genes when combined together increase risk). Ultimately, molecular genetic approaches will allow us to calculate each individual’s genetic risk for an eating disorder and to personalize treatment based on genetic predisposition.

From a patient perspective, connecting the dots between genetics and environment can be challenging to weave into recovery. It is often difficult to understand that the eating disorder is ‘not your fault,’ but fully comprehending how genetics can play a role in one’s illness can also help alleviate that guilt and shame.

However, integrating research knowledge of genetics into treatment will require sensitivity to how: a) patients understand how genetic risks are expressed, and b) the discussion of genetic risk is woven into clinical practice. This presentation will address the cutting-edge science of eating disorder genetics, how therapists can talk about genetic risk and patient interpretations of genetic research in eating disorders.

Location:  The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

Bio:  Stephanie Zerwas, PhD is the Clinical Director of the UNC Center of Excellence for Eating Disorders.  A clinical and developmental psychologist, Dr. Zerwas works as a family-based therapist and as a researcher studying the genetics of eating disorders. She is a member of the Psychiatric Genomics Consortium – Anorexia Nervosa Working Group. In addition, Dr. Zerwas studies the factors that predict recovery from anorexia nervosa, eating disorders during pregnancy and postpartum, and how technology can assist eating disorder treatment and research.  She is a TEDx speaker and passionate about translating eating disorders science to patients and the public.

RSVP to:  drmuhlheim@gmail.com

SIG meetings are open to all LACPA members.  Non-members wishing to attend may join LACPA by visiting our website www.lapsych.org

City of Soylent versus City of Gold

Two experiences this week inspired this blog post. The first occurred when I passed a billboard for Soylent while driving through Hollywood. The billboard read, “Juice is sweet; Soylent is complete.” My initial thought was that consuming Soylent would just be depressing.

Soylent is a nutritionally complete, ready-to-drink, meal in a bottle” developed by engineers. Its main ingredients are oat flour and maltodextrin and a mix of vitamins, minerals, protein, and carbohydrates. Soylent creator Rob Rhinehart was working at a tech startup and began to resent the physical requirement of eating, “Food was such a large burden,” he told a reporter at The New Yorker. It was also expensive. He developed Soylent to save time and money. In interviews he said he was not interested in creating something tasty, only something efficient and nutritious.

A New York Times reporter who tried it said it was “a punishingly boring, joyless product.” I have read about Soylent but never tried it. When I passed the billboard my thought was that Soylent was bottled sadness; food lacking any variety in taste and texture. In other words: food without any of the good parts!

This image the billboard conjures contrasts sharply with the experience of food as depicted in the movie City of Gold, which I viewed only a few days later. This documentary, about Los Angeles-based Pulitzer Prize-winning food writer Jonathan Gold, is a celebration of food, Los Angeles, and ethnic diversity. (I highly recommend it, by the way!).

In the movie, Los Angeles is described as a crossroads where people of many different ethnicities have settled and brought their unique cuisines. Immigrants to LA developed food stands and inexpensive restaurants to serve the palates of their own ethnic communities. These were not restaurants designed to serve the assimilated American majority – they were part of the daily life of the immigrants. There are Korean restaurants, Mexican restaurants, and Chinese restaurants in abundance. Jonathan Gold, unlike many food critics, writes about these strip mall burrito and hotdog stands; as others have described, “democratizing” food. It further shows how the collision of ethnicities in Los Angeles brings these tastes and traditions to broader groups and creates crossovers such as Korean tacos, the iconic Korean-Mexican fusion which originated in Los Angeles as street food.

Juxtaposing City of Gold with the Soylent billboard, I wondered how anyone in Los Angeles would choose Soylent over the real food traditions described in the movie. Food expresses culture and offers the opportunity for connection. By eating Soylent, something artificial and without heritage, one is opting out of a greater connection to others and to life. The idea of consuming the same food day after day when there are so many different cuisines to sample – that is what depressed me. And, of course, I thought about my work.

One of my favorite aspects of working as an eating disorder professional is helping clients recover from devastating illnesses that make them fear and avoid food – the very sustenance they need to survive – and progress to a place where they can rediscover the joys of food. Jonathan Gold is a great role model for the love of food and positive engagement with the world. My hope for my patients is that they will get to a similar place where they embrace the varieties of food available and open themselves to experience culture in this way.

OCD and Eating Disorders – LACPA ED SIG Event – March 2016

It’s the time of year when the Los Angeles County Psychological Association SIG events are open to nonmenbers.  So, come try it out.  Details on our next event are as follows:

Thursday, March 3 at 7:30 PM

Presenter: Kimberley Quinlan, LMFT

Title: When OCD and Eating Disorders Collide: Assessment and Treatment Planning for OCD and co-existing Eating Disorders 

Description: Managing Obsessive Compulsive Disorder and a co-existing eating disorder can be quite difficult and require significant attention and prioritizing. A very important goal is to ensure that improvements in the symptomology in one disorder are not due to an increase in compulsivity in another co-existing disorder.

During this presentation, Kimberley will discuss at length how to identify and assess for Obsessive Compulsive Disorder symptoms and how to then prioritize treatment goals and tools in these cases. Participants will learn how to manage clinical time with clients, specifically when their eating disorder has become a part of their OCD compulsions.

Attendees will learn important differentiations between general OCD, OCD food-related obsessions (including Symmetry obsessions and Orthorexia) and Eating Disorder obsessions.   Attendees will learn how to prioritize treatment goals and planning (specifically targeting the use Exposure and Response Prevention and other evidence based treatment tools) when managing OCD and co-existing Eating Disorders. Attendees will also be offered a Q&A for general questions.

Location:  The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

Bio:

KIMBERLEY QUINLAN is a licensed Marriage and Family Therapist in the State of California. During her training and education, Kimberley dedicated much of her research to the study of Cognitive Behavioral Therapy (CBT) for the treatment of Anxiety Disorders and Eating Disorders.

Kimberley did her internship at the OCD Center of Los Angeles and went on to become the Clinical Director of the OCD Center of Los Angeles. Kimberley currently has a private practice in Calabasas, California. Kimberley provides weekly outpatient, intensive outpatient services, in addition to 2-day Mindfulness Workshops, for those with OCD, Body Focused Repetitive Behaviors’s and other OCD spectrum disorders.

Kimberley has been featured in many world known media outlets, such as LA Times, Wall Street Journal, KCRW public radio, and the Seattle Times, discussing co-existing OCD and eating disorders. Kimberley has also consulted on various mental health issues with programs such as ABC’s 20/20 and Telemundo.

RSVP to:  drmuhlheim@gmail.com

March and April SIG meetings are open to all professionals.  During other months SIG meetings are open to all LACPA members. Nonmembers wishing to attend may join LACPA by visiting our website www.lapsych.org

Los Angeles Eating Disorder Events for Professionals January 2016

We are so lucky to have two amazing dynamic internationally recognized speakers regarding eating disorders in January via the Los Angeles County Psychological Association (LACPA).  One is a FREE SIG event (members only) and the other is a CE event with a charge (open to all professionals).

1)  Eating Disorder SIG meeting featuring international speaker and fat acceptance activist, Ragen Chastain

Wednesday, January 20 at 7:15 pm 

Title:   Elimination is Oppression – The Ill-Advised Fight Against Obesity

Presenter:  Ragen Chastain

Description:  You can’t have a “War on Obesity” without creating a war on fat people. There is no non-stigmatizing way to say “The world will be better when no one who looks like you exists.” The shame, stigma, bullying, and oppression that have arisen from massively failed attempts to “eradicate” obesity have far-reaching negative health effects on people of all sizes, including those struggling with Eating Disorders.  The solution is not to double down and do more of the same. The research is clear that body size and health are not the same, and that a focus on body size in healthcare does a disservice to people all sizes.  We can, and we should, create complete, thriving public health programs without the use of eliminationist language, without creating a culture of appearance-based stigma and oppression, and without waging war on anyone.

Location:  The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

Bio:  Ragen Chastain is an internationally recognized thought leader in the fields of self-esteem, body image, Health at Every Size, and corporate wellness.  She is a sought after speaker on the college, corporate, and conference circuits who has set the stage on fire everywhere from Google Headquarters to Cal Tech to the Models of Pride Conference.  She is the author of the blog DanceswithFat,  the book Fat: The Owner’s Manual, a columnist for Ms. Fit Magazine, and frequently appears as a topic expert on television and in print media. Ragen is a featured interviewee in the documentaries America the Beautiful 2 – The Thin Commandments, Ragen’s More Cabaret, and A Stage for Size.  She lives in Los Angeles with her partner and their adorable dogs and in her free time she is training for her second marathon and her first IRONMAN triathlon.

RSVP to Dr. Lauren Muhlheim at drmuhlheim@gmail.com

SIG meetings are open to all LACPA members.  Nonmembers wishing to attend may join LACPA by visiting our website www.lapsych.org

2)  A CE event (tell your colleagues who are nonmembers; we provide CEUs for psychologists, nurses, drug counsellors, MFTs, LCSWs, and LPCC)

“Unraveling the Enigma of Male Eating Disorders” with Stuart Murray, Ph.D. on Saturday, January 30, 2016 

10:00 a.m. – 1:00 p.m. CE Credits 3.0 

Held at the NEW LACPA Office

6345 Balboa Blvd. Building 2, Suite 126

Encino, CA 91316

Click here to register online:

http://www.lapsych.org/events/event_details.asp?id=726923

This three hour workshop will provide a historical, theoretical, and clinical overview of eating disorder in males. Dr Murray will provide a historical overview of the development of our diagnostic framework, highlighting how this may be inaccurate in indexing male eating disorder concerns. Dr Murray will also provide an overview of the most recent empirical evidence pertaining to the transdiagnostic array of EDs in males. Finally, this workshop will include an in-depth discussion of the clinical quandaries faced in working with EDs in males.

Stuart Murray, Ph.D., is an Assistant Professor at UCSF, where he leads an international research group dedicated to advancing our understanding of male eating disorders. He also serves as the Director of the National Association for Males with Eating Disorders, and as the Co-Chair for the Academy of Eating Disorders Special Interest Group on Males & EDs. To date, Dr. Murray has published more than 70 scientific journal articles and book chapters, and has conducted workshops and seminars internationally on the topic of male eating disorders.

I’m not the villain! My side of the story… by Starch

Starch in Eating Disorder Recovery
Winter Artwork Illustrations

By Katie Grubiak, RDN

Hey, I have something to say!

Don’t forget my importance!

Although maligned by Atkins and many others, I’m not really the bad guy.

This is why:

  • I contain the falsely feared primary energy source in the diet: carbohydrate.  My carbohydrates along with those found in the fruit & milk groups should make up 50-65% of total calories consumed. I supply 4 calories per gram.  If you are very physically active I encourage you to use my power and consume me to reach the higher percentage so you have plenty of energy to soar!
  • As a carbohydrate, I am the preferred source of energy or fuel for biologic work in humans:
  • I contribute to the mechanical work of muscle contraction
  • I provide chemical work that synthesizes cellular molecules
  • I help transport various substances in the intracellular & extracellular fluids
  • I provide fuel for the central nervous system.
  • I enable metabolism of dietary fat (the other macronutrient you likely fear).
  • I prevent protein (likely the only macronutrient you perceive as safe) from being used for energy thereby allowing protein to be used for what it’s intended –building & repairing body tissue & making antibodies, hormones, and enzymes.
  • I become glycogen (stored glucose) for readily-available energy to support physical activity.
  • I’m in your favorite meals and come around often frequently since so many foods include me.  It’s hard to get rid of me!
  • Meals are not the same without me & you know it!
  • The foods that contain me provide vitamins/minerals/phytochemicals that you have been taking via a daily multi-vitamin pill.  Actually, my nutrients are in food form and are therefore better absorbed & utilized such as:  B Complex Vitamins, Vitamin A/E/C, Choline, Inositol, Calcium, Cooper, Iron, Magnesium, Phosphorus, Potassium, Selenium, Zinc.
  • Without me, you may experience strong urges to binge. I help to create satiation.  Blood sugar regulation requires all three of us macronutrients: carbohydrates, protein, & fat in just the right combination.  We help each other out to help you have the most optimal blood sugar & metabolism.  We also together prevent the HANGRY feeling!
  • Believe it or not, some vegetables also include me even though many think they escape me.  Thank goodness I still have a presence in people’s lives even if they don’t acknowledge me.

The average recommended number of daily servings of starch for adults ranges from 9-12 exchanges for a 2000 to 2500 calorie meal plan.

Check out these excellent starch foods.

Each serving or one “exchange” of a bread/grain/cereal/starchy vegetable listed equals 15 grams of carbohydrates:

  • 1 regular slice of bread (white, pumpernickel, whole wheat, rye)
  • ½ English muffin
  • ½ hamburger bun
  • 1/4 bagel or 1 ounce (can vary)
  • ½ pita-6 inches across
  • 1/3 cup cooked rice, brown or white
  • ½ cup cooked pasta
  • ½ cup cooked legumes (beans, peas, lentils)
  • ½ cup cooked barley or couscous
  • ½ cup cooked bulgur
  • 3oz potato, sweet or white
  • ½ cup mashed potato
  • ½ cup sweet potatoes, plain
  • 1 cup winter squash (acorn or butternut )
  • ½ cup corn
  • 4-6 crackers
  • 1 tortilla -6 inches across
  • ½ cup cooked cereal
  • ¾ cup dry cereal
  • 3 cups popcorn
  • ¾ ounce pretzels
  • 1 plain roll-1oz

Recipes Featuring Starch

Some easy & quick ways to make sure you get enough starch (notice that the other macronutrients -protein & fat- just come around naturally):

Microwavable French Toast

Starch in Eating Disorder RecoveryIngredients:

¼ cup milk

1.5 TB syrup

1 tsp cinnamon

1 egg

pinch salt

1.5 slices any bread

1 TB butter

Directions:

Spread butter on bread and slice into cubes. Put cubes into mug and whisk together wet ingredients and then pour them over the bread and stir to cover bread cubes with liquid. Microwave on high for 2 minutes. Top with sliced bananas or berries and it’s a balanced breakfast.

Tuna Pesto English Muffin Open Faced Sandwich

Ingredients:

1 whole separated English Muffin

Tuna 3oz

Mayo to taste-I like Trader Joes Mayo with expeller pressed oils

Himalayan pink salt & lemon-pepper to taste

Pesto to taste

Heirloom tomato-sliced

Lettuce of choice-2 leaves

Directions:

Make tuna salad by adding mayo, salt, lemon pepper to taste in bowl.

Toast the separated English muffin to preferred goldenness.

Spread a layer of pesto on each half of toasted muffin.

Add the tuna salad to the English muffin with pesto.

Garnish with a lettuce leaf and sliced tomato.

Katie Grubiak, RD is a Registered Dietitian and Director of Nutrition Services at Eating Disorder Therapy LA.  You can read more about her here.

Thank you to Winter Artwork Illustrations for use of the photo.

Winter LACPA Eating Disorder SIG meetings (2015-2016)

Thursday, November 12 at 7:15 pm.

Title: Medical-Legal Aspects of Eating Disorder Treatment with Emphasis on Denial of Care

Presenter: David Rudnick, M.D., Ph.D.

Learning Objectives:

1) Become familiar with the issues in the treatment of eating disorders that are most likely to trigger legal interventions on behalf of patients.

2)  Understand the meaning of parity and the California Mental Health Parity Act as it applies to the treatment of mental disorders generally and eating disorders specifically.

3)  Learn the current categories of level of care involved in the treatment of eating disorders, their relationship to predictors of treatment outcome and the potential impact of insurance denial of the appropriate level.

Location:  The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

Bio:  Dr. Rudnick was born and raised In Los Angeles, California. He received A B.S. in Physics from Stanford University in 1962 and a Ph.D. in Physics from Harvard University in 1968. After 6 years on the UCLA Department of Physics faculty, he switched gears and attended the University Of Miami Medical School in the Ph.D. – M.D. Program. He graduated that program in 1976, and then completed an internship in Internal Medicine at the Wadsworth V.A. Medical Center and a residency in Psychiatry at the UCLA Neuropsychiatric Institute.

Following completion of his residence in 1980, he became Medical Director of the UCLA Neurobehavior Clinic and opened his private practice in Santa Monica. His interest in eating disorders began during his residency, when together with Joel Yager, M.D., he started the first adult outpatient eating disorders program at UCLA. Since completing his residency in 1980, he has supervised this program in its many inceptions. His interest in medical-legal issues began in the context of criminal offenders who were evaluated in the Neurobehavior Clinic for underlying neurological and neuropsychiatric disorders. It extended to the neuropsychiatric aspects of brain injury, leading to multiple assignments as an expert consultant and witness in brain injury cases. It was then a natural evolution to marry the interest in eating disorders to participation as a medical-legal expert in cases involving treatment issues.

Dr. Rudnick has evaluated and testified about many aspects of eating disorder treatment that have come under legal scrutiny, and will talk to us about those experiences with emphasis on the, currently, hotly contested issue of denial of care.

RSVP to Dr. Lauren Muhlheim at drmuhlheim@gmail.com

SIG meetings are open to all LACPA members.  Nonmembers wishing to attend may join LACPA by visiting our website www.lapsych.org

Wednesday, December 2 at 7:15 pm – joint with Sport & Performance SIG

Title:   When Fit Becomes Foe: Excessive Workout Supplement Use as an Emerging Eating Disorder in Men

Achiro

Presenter:  Richard Achiro, Ph.D.

Description:  Dr. Achiro will discuss his recent study which provides preliminary evidence that excessive over-the-counter workout supplement use is a variant of disordered eating in gym-active men. This work—which has received international recognition from sources such as Reuters, WebMD, The Huffington Post, NPR, CBS News, and the BBC—is timely due to the drastic increase in workout supplement use in recent years. Although consuming protein powders, creatine, and caffeinated “boosts” have become standard lifestyle practice for a significant subset of the male population, misuse of these products has remained largely overlooked as a potential risky body change behavior. Dr. Achiro will highlight psychological factors found to be associated with misuse of workout supplements, with an emphasis on gender issues and implications for assessment and treatment.

Location:  The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

Bio: Richard Achiro, Ph.D. is a psychotherapist and published researcher who received his doctorate in clinical psychology with an emphasis in health psychology from the California School of Professional Psychology, Los Angeles. He has maintained several leadership positions, including past service on the Los Angeles County Psychological Association (LACPA) Board of Directors. Dr. Achiro provides treatment to individuals and couples as a Registered Psychological Assistant supervised by Stephen Phillips, J.D., Psy.D. in Beverly Hills.

RSVP to Dr. Lauren Muhlheim at drmuhlheim@gmail.com

SIG meetings are open to all LACPA members.  Nonmembers wishing to attend may join LACPA by visiting our website www.lapsych.org

Wednesday, January 20 at 7:15 pm

Title:   Elimination is Oppression – The Ill-Advised Fight Against Obesity

Presenter:  Ragen Chastain

Description: You can’t have a “War on Obesity” without creating a war on fat people. There is no non-stigmatizing way to say “The world will be better when no one who looks like you exists.” The shame, stigma, bullying, and oppression that have arisen from massively failed attempts to “eradicate” obesity have far-reaching negative health effects on people of all sizes, including those struggling with Eating Disorders.  The solution is not to double down and do more of the same. The research is clear that body size and health are not the same, and that a focus on body size in healthcare does a disservice to people all sizes.  We can, and we should, create complete, thriving public health programs without the use of eliminationist language, without creating a culture of appearance-based stigma and oppression, and without waging war on anyone.

Location:  The office of Dr. Lauren Muhlheim (4929 Wilshire Boulevard, Suite 245, Los Angeles) – free parking in the lot (enter on Highland)

Bio: Ragen Chastain is an internationally recognized thought leader in the fields of self-esteem, body image, Health at Every Size, and corporate wellness.  She is a sought after speaker on the college, corporate, and conference circuits who has set the stage on fire everywhere from Google Headquarters to Cal Tech to the Models of Pride Conference.  She is the author of the blog DanceswithFat,  the book Fat: The Owner’s Manual, a columnist for Ms. Fit Magazine, and frequently appears as a topic expert on television and in print media. Ragen is a featured interviewee in the documentaries America the Beautiful 2 – The Thin Commandments, Ragen’s More Cabaret, and A Stage for Size.  She lives in Los Angeles with her partner and their adorable dogs and in her free time she is training for her second marathon and her first IRONMAN triathlon.

RSVP to Dr. Lauren Muhlheim at drmuhlheim@gmail.com

SIG meetings are open to all LACPA members.  Nonmembers wishing to attend may join LACPA by visiting our website www.lapsych.org