AED Tweetchat on Diabulimia

I have to admit that, when a colleague on the Academy for Eating Disorder Social Media Committee that I was co-chairing proposed “diabulimia” as an idea for a tweetchat, I was not particularly excited.  As an eating disorder specialist in outpatient private practice, I have not professionally encountered clients with diabetes and eating disorders. Since …

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Empirically Validated Treatments

Empirically Validated Treatments For Eating Disorders Today’s Los Angeles Times contained an article which highlights Family Based Treatment and Cognitive Behavioral Treatment, two treatments I provide: Today, doctors and therapists focus on a handful of treatments that have been validated by clinical studies. For teens with anorexia, the first-line treatment is something called family-based therapy, …

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Exposure in the treatment of Eating Disorders

Exposure therapy is widely recognized as a necessary (and sometimes sufficient) ingredient of treatment for most of the anxiety disorders including phobias, panic disorder, and obsessive compulsive disorder.  Anxiety is a core psychological feature of anorexia nervosa and bulimia nervosa.  However, instead of being afraid of heights, speaking in public, having a heart attack, or contamination, individuals with eating disorders are primarily afraid of food, eating, and shape and weight.

Both cognitive-behavioral therapy and family based treatment, two empirically validated treatments for eating disorders, employ exposure techniques.  Exposure works through the process of habituation, the natural neurologically-based tendency to get used to things to which you are exposed for a long time.   During exposure, habituation occurs as people acclimate to their fear and come to realize that nothing actually dangerous is occurring. Habituation promotes new learning of safety, tolerance of fear feelings, and extinction of the fear avoidance urge. 

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Mindful Eating

The definition of binge eating is “the consumption of large amounts of food associated with a feeling of loss of control over eating.”  Individuals who binge eat describe the experience as almost dissociative.  They are frantically eating large amounts of food which they are barely tasting.  They feel unable to stop until they are uncomfortably full.

One skill that I teach clients who binge eat and overeat is mindful eating.  Mindfulness is a Buddhist principle that involves being fully aware of what is going on both inside yourself and in your environment at the moment.  Mindfulness is a skill that anyone can develop.

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Family-based treatment for adolescent eating disorders

Eating disorders, including Anorexia Nervosa and Bulimia Nervosa, are affecting greater numbers of adolescents and even children and early intervention is critical. If not identified or treated early, eating disorders can become chronic and cause serious or even life-threatening medical problems. Anorexia Nervosa is the most dangerous, with the highest death rate, of any mental …

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