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 year’s holiday season. 2020 has not been easy for many …

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

FBT for young adults

  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 reactions. In this podcast, Shira—who lives in a larger body when she …

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Cutting Down on Food and Fitness Tracking

Cutting Down on Food and Fitness Tracking

Have you been tracking your food via a calorie-counting app? Maybe you’ve been tracking your exercise through a wearable or other system. Did you know such tracking: May encourage a disordered relationship with food and your body? May actually be jeopardizing your health rather than helping you to monitor it? If you’ve noticed that you’re …

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Do I Need to Quit X to Stay in Recovery?

Do I need to quit X to stay in recovery?

By Carolyn Hersh, LCSW, CEDS-S Clinical Supervisor A difficult concept in recovery is knowing when to let go of an activity or even a job that could potentially re-ignite the eating disorder. As a therapist I find myself guiding my clients toward the realization that the sport or career path they had loved so much …

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When You Have Adapted a Health At Every Size Approach and Your Family is Still Stuck in Diet Culture

When You Have Adapted a Health At Every Size Approach and Your Family is Still Stuck in Diet Culture

For many of my patients who have firmly joined the anti-diet camp and embraced a Health at Every Size® (HAES) approach to health, dealing with family members entrenched in diet culture can be a minefield that is tough to navigate. Let me say that I get it! I also have friends and family members who …

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Seven Reasons You Should Eat When You’re Not Hungry

7 Reasons to Eat When Not Hungry

One of the cardinal rules of dieting is “Eat only when you’re hungry.” I often find that the fear of eating when not hungry is one of the most difficult bits of dogma to overcome. People with eating disorders and good dieters everywhere have been taught that this is all that stands in the way …

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