Like many other eating disorder facilities, The Emily Program offers multiple levels of care for adolescents and adults. What makes The Emily Program different is that our services are based in outpatient treatment. As The Emily Program founder Dirk Miller says, "We didn't start as an inpatient program and develop outpatient services to support that model. The reason is pretty simple: most change occurs as an outpatient. We live our lives as 'outpatients.' Ultimately we must apply what's learned to a life of recovery that we live outside the treatment program."
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The Emily Program-Cleveland staff at the 2014 NEDA Walk
In this country, it's estimated that 30 million men and women will suffer from a clinically significant eating disorder during their lifetime.
Join The Emily Program in the fight against eating disorders and saving lives. On Saturday, Oct. 10, members of TEP will walk in the Cleveland NEDA (National Eating Disorders Association) Walk to raise funds and awareness about the dangers of eating disorders, and the importance of early intervention and treatment.
Lately, I've wondered what we mean when we talk about recovery. Some people use the term "recovered," others say "recovery," and yet others don't use either. When someone enters into treatment, either that person or their loved ones want to know our success rate. Of course, this presents the question, "Success as measured by what?" As a field, we are at a loss on this question.
By Dr. Mark Warren and clients at TEP
Recovery from an eating disorder is the clear goal of treatment, however, the scientific literature on clients' experience of recovery is often defined in different ways. In general, the literature tends to focus on re-feeding, growth curves, medical stability, and resolution of behaviors. At TEP we fully endorse that these are the first steps towards recovery and without them no discussion of recovery can take place. That being said, recovery from an eating disorder can have various meanings for those who suffer from these illnesses. In general, there are psychological, social, and identity issues that also change when someone describes themself as being in recovery. We feel it is important to talk to our clients and their families to gain understanding of what recovery means to them. With this in mind we had a conversation with clients about this issue. We asked them to answer the question "How do i know if I am in recovery?" Please find their responses below:
Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.
By Drs Lucene Wisniewski and Mark Warren
Over the last 15 years Dialectical Behavioral Therapy (DBT) has gone from being virtually unknown to being a term utilized by many treatment programs. DBT is an evidence based therapy, initially designed for Borderline Personality Disorder, and more lately for other diagnoses including eating disorders (Wisniewski, L., Safer, D., & Chen, E.Y., 2007). With its increase in popularity among treatment providers it is important to be clear about what it means to "do DBT" so an individual knows if they're receiving evidence based care.
Comprehensive DBT treatment, initially described by Marsha Linehan, has four components: Individual therapy, skills group, 7 day week phone consultation availability, and consultation team for therapists known as "therapy for therapists". Unless all four of these components are present, a program is not providing comprehensive DBT treatment. Additionally, in order for a therapist to be capable of providing DBT, a significant training process is generally required. This training process necessitates a therapist taking a non-judgmental stance, the ability to encourage motivation and commitment with their client, extensive knowledge and understanding of the DBT skills and therapeutic techniques, and the balance of accepting where a client is while moving them towards change.
Acknowledging the facts about eating disorders
In the not so distant past, eating disorders weren't recognized by society - or even some medical professionals - as legitimate diseases. In fact, binge eating disorder wasn't added to the eating disorder portion of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) until 2013, despite being the most common eating disorder in the United States.
Our 24/7 residential facility in Cleveland is officially open! Our staff have put in many, many months of hard work creating a warm, inviting environment for clients. We are pleased with the outcome and believe The Emily Program – Residential will provide clients with the resources, treatment, and space to begin to heal.
The Emily Program offers a full continuum of eating disorder care tailored specifically for male and female clients ages 10 - early 20s. From outpatient to 24/7 residential treatment, our staff can help young people learn skills to help them lead full, healthy lives. We offer a wide-spectrum of interventions, from Family-Based Treatment (FBT) to Dialectical Behavioral Therapy (DBT skills).
Our staff ensure that each person is provided the treatment that is best suited for their age and needs. A variety of programs are available at many of our locations.
Throughout June we will be hosting Eating Disorders and the Brain. This is a free CE event for professionals who want to learn more about eating disorders and/or how to address eating disorders in your work with patients.
Eating Disorders and the Brain Overview
Eating disorders are serious, life-threatening conditions that require appropriate care and management by a team of mental health and medical professionals. This session will provide an understanding of the multidimensional nature of eating disorder development and maintenance, challenges related to recovery, and communication techniques to help approach someone who may be struggling. The session will also address the diverse range of people that eating disorders impact and how personalized treatment is effective in managing individual needs.
By Dr. Mark Warren, chief medical officer at The Emily Program
One area that is a constant concern with those with eating disorders has to do with heart rate, in particular, low heart rate. This issue is generally observed at low body weight but can happen anytime there has been a significant amount of weight loss. In general, as one loses weight one loses muscle mass. With the loss of muscle mass there may be loss of heart mass as the heart is a muscle.
Join us on Sunday, May 3, at this year's Tolerance Fair & Conference. Held at the Wolstein Center in Cleveland from 9 a.m. to 5 p.m., the event is hosted and organized by the Bachmans, a Solon family that has been crusading about the need to understand people's differences since 2011. It all began when their son, Justin, who suffers from Tourette's syndrome, was disqualified from a cross-country race because of his nervous tics.
By Lucene Wisniewski, chief clinical officer
"How do Parents of Adolescent Patients with Anorexia Nervosa Interact with their Child at Mealtimes? A study of Parental Strategies used in the Family Meal Session of FBT." International Journal of Eating Disorders, vol 48, issue 1, p. 72-80 White, Haycraft, Madden, Rhodes, Miskovic-Wheatley, Wallis, Kohn & Meyer (2015)
This recent study examined the types of parental mealtime strategies used during a family meal session of Family-Based Therapy (FBT). Researchers studied 21 families with children between the ages of 12 to 18 who were receiving FBT for anorexia nervosa. They also were interested in the emotional tone of the meal, as well as the parents' ability to get their child to eat.
One of The Emily Program – Cleveland's adolescent clients traveled internationally to Cleveland seeking eating disorder treatment, taking on challenges not just in her recovery, but in the simple logistics that most in treatment take for granted.
Without effective treatment, eating disorders can be chronic and life threatening. Therefore as patients, we should be well-informed consumers of the treatment we receive. In fact, being armed with accurate information about what constitutes best practices in treatment could be the difference between life and death.
Join The Emily Program's Sarah Emerman, PCC for a complimentary continuing education event on March 19, 2015 in Cleveland, Ohio.
Eating disorders are serious, life-threatening conditions that require appropriate care and management by a team of mental health and medical professionals. This session will provide a basic level of understanding of the multidimensional nature of eating disorder development and maintenance, challenges related to recovery, and communication techniques to help approach someone who may be struggling. The session will also address the diverse range of people that eating disorders impact and how personalized treatment is effective in managing individual needs.