By: Mark Warren, MD, chief medical officer at The Emily Program
What is the best treatment at any given time when recovering from an eating disorder? This is one of the great questions providers, clients, and families alike struggle to answer.
We know there are significant scientifically based therapies that deliver positive outcomes, including weight restoration and behavior cessation. In fact, The Emily Program incorporates these therapies in our programs — Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Family-Based Therapy — and has experienced much success through them.
Having said that, however, we also know that many clients who are able to cease behaviors and achieve weight restoration may continue to experience physiological distress, urges, body dissatisfaction, and anxiety, among other eating disorder symptoms.
Further complicating the issue, eating disorders often occur in secret and many clients may not reveal the intensity of their behaviors, thoughts and feelings during treatment.
Articles tagged with: Cleveland
February marks our chance to amplify the work we do throughout the year. We have the unique opportunity to partner with colleges, universities, and other community members who also want to build awareness around eating disorders.
This month our staff will be working coast-to-coast to discuss eating disorders and their devastating effects on individuals, families, and communities. And to let people know that recovery is possible.
By Joanna Hardis, LISW-S at The Emily Program-Cleveland
As we enter a new year, everywhere I turn I’m seeing commercials for home video programs promising body transformations; I’m receiving countless offers for weight-loss and fitness programs; and I cannot open a magazine without being inundated with exercises guaranteeing a better, leaner body.
This year's second annual Cleveland NEDA Walk was a huge success. More than 100 of you joined us on Oct. 18 to raise our voices and funds in the fight against eating disorders. It was the biggest turnout to date!
We're grateful for NEDA (National Eating Disorders Association) and host Olivia Armand for coordinating this special event. By coming together as a community, we were able to shed light on this devastating illness and support NEDA's prevention, service and treatment programs.
Since our partnership with Cleveland Center for Eating Disorders began back in June, we’ve been talking about opening an adult residential treatment center in Northeast Ohio. We are extremely excited to have started on this, and pleased to announce that The Emily Program – Residential will open in early 2015.
Located in Cleveland Heights, OH, our 16-bed licensed residential care facility is the first of its kind in Northeast Ohio. We’ll offer those struggling with eating disorders comprehensive solutions – combining evidence-based treatment, personalized holistic care, and a highly individualized treatment plan.
A recent article on Cleveland.com reports on varsity volleyball player Veronica Gehring who was diagnosed with anorexia during her junior season. It began with an obsession to "become faster on the court and a stronger volleyball player," she said.
But soon she was exercising upwards of four times per day and barely eating anything at all. At times, she'd purge everything if she felt she ate too much.
After looking to the The Emily Program – Cleveland for help, she was soon hospitalized with a heart rate of 28 beats per minute during the day, falling to 17 beats per minute while sleeping. She was refed in the hospital and later released. The following months were a whirlwind of doctor visits and checkups, but she found herself on the road to recovery.
Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.
For several years, Maudsley Family Based Therapy (FBT) has been shown to have the most scientifically based support for its effectiveness. In fact, recovery rates are in the 50 to 70 percent range for adolescents with anorexia. This number is two to three times better than other therapies for this patient population.
The second annual Cleveland NEDA (National Eating Disorders Association) Walk is set to take place on Saturday, Oct. 18, to raise awareness and funds in the fight against eating disorders.
The Emily Program – Cleveland is sponsoring and actively participating in this important event, and we hope you can join us. The event is designed to educate and bring together our community, while also raising funds that go toward NEDA's programs and services.
By Sarah Hrudka, Outreach Specialist at The Emily Program
As The Emily Program continues to expand treatment options across the country, it’s more important than ever to truly be part of and contribute to the richness of each community we join. To do this, The Emily Program has designated outreach staff who are able to take on this important community role.
By Mark Warren, chief medical officer of The Emily Program
In our conversations about eating disorders we sometimes forget to state the obvious, which is that it’s horrible to have an eating disorder. It is always horrible for the person that has it and the pain of the disorder often extends far past the individual to their family, friends and community. Eating disorders affect everything about us. They affect the way we think, the way we feel, our self image, our experience in our bodies, our minds, and who we are in the world. They destroy our health, our hearts, our brains, and ultimately can take our lives. Eating disorders affect our relationships, school, work, and ability to have the lives we want to have. They are illnesses in the truest sense of the word. They disable us and take our health and well being. Part of the awfulness of having these disorders is that they are not well understood or appreciated for how terrible they are and the pain they cause. Layered into all of this is that the treatment for the disorder often causes more pain. Trying to refeed, stop behaviors, change self image, and work on body image can take us to places that are both painful and frightening. Yet there is no other choice. So what do we do? We find strength from each other, find ways to feed ourselves and make our bodies healthy, and find a community that is healing. We need to believe in and seek out the evidence based care that can help us and trustworthy providers, family, and friends who will be there with us. In Marsha Linehan’s writings she talks about the pain of living in hell and how the only way out of hell is to get on our hands and knees and crawl through the fire until we reach the sunshine. So we acknowledge the pain and acknowledge how awful these disorders can be, but also know that if we keep moving forward we can find the light that will give us our lives back and let us escape the disorder.
Contributions by Sarah Emerman, Therapist at The Emily Program - Cleveland (formerly Cleveland Center for Eating Disorders)
How do I tolerate how terrible it is to have an eating disorder? originated on Clevelend Center for Eating Disorders blog Clevelend Center for Eating Disorders blog in July 2012.
By Christy Zender, MSW, LICSW, The Emily Program Site Manager, Woodbury & Toogood (Adolescent Outpatient Services, St. Paul)
Let’s start with a quick analogy.
Eating disorders and icebergs are more alike than one might think. Picture an iceberg floating in a vast ocean: You can only see the tip of the iceberg and have no idea of what is under the surface of the water. Most people look at an eating disorder the same way, only seeing what is on the outside, above the water. This generally represents the behavioral parts of an eating disorder – weight, size, shape, purging, excessive exercise, and so on – the things that you can see, measure, and quantify.
For a continuum of care, The Emily Program-Cleveland (formerly Cleveland Center for Eating Disorders) has expanded upon its adolescent skills groups to include both DBT (Dialectical Behavioral Therapy) and CBT (Cognitive Behavioral Therapy) programs. The outpatient, skills-based groups meet on a weekly basis in a supportive environment and target teens, ages 13 to 18.
We would like to thank all of you who joined us last week at The Emily Program – Cleveland's Open House and complimentary CEU presentation. We are humbled by such a warm reception from our fellow peers, colleagues and community supporters.
(L to R) Lucene Wisniewski, PhD, Dirk Miller, PhD, Mark Warren, MD, and Jillian Lampert, PhD
Join us for The Emily Program – Cleveland's Open House on Tuesday, July 15, beginning at 5 p.m. The event will be held in Cleveland offices in Beachwood. Hors d'oeuvres will be served.
Come help us celebrate our partnership. Dirk Miller, CEO of The Emily Program, CCED's Mark Warren, newly appointed chief medical officer of The Emily Program, and CCED's Lucene Wisniewski, newly appointed chief clinical officer of The Emily Program, and other senior leadership of The Emily Program will be there. We would love to meet you and tell you about our future plans in Cleveland, including a new residential facility opening in 2015.
Please join us as we celebrate the partnership between The Emily Program and Cleveland Center for Eating Disorders on July 15 beginning at 5 p.m. Dirk Miller, CEO of The Emily Program, CCED's Mark Warren, newly appointed chief medical officer of The Emily Program, and CCED's Lucene Wisniewski, newly appointed chief clinical officer of The Emily Program, and other senior leadership of The Emily Program will be there. We would love to meet you and tell you about our future plans in Cleveland, including a new residential facility opening in early 2015.