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Articles tagged with: Eating Disorders

CEU Networking Breakfast & Workshop

August 20, 2013.
  • The Emily Program and The Retreat have partnered to present "Exploring Positive Body Image." CEUs are available for LADC and Social Workers.

    When: September 17 from 8:00-10:30 AM
    Where: The Retreat, Wayzata, MN

    While addressing addiction, providers often find themselves addressing co-occurring body image concerns and disordered eating behavior. This workshop will explore and offer suggestions for promoting positive body image and self-esteem, while encouraging optimal health and well-being through joyful activity, nutrition and self-care.

    Dr. Jillian Lampert, The Emily Program's senior director of business and community development, will discuss how providers can recognize and become more confident in addressing positive body image with clients dealing with co-occuring disorders.

    RSVP to Peggy at This email address is being protected from spambots. You need JavaScript enabled to view it.. Seating is limited.

    Download the flyer for more information about this event.

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The Need for Evidence Based Care

August 09, 2013. Written by Mark Warren, M.D.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partneredin 2014.

    By Dr. Mark Warren

    A recent article by Dr. Russell Marx, The National Eating Disorder Association's chief science officer, discussed evidence based treatment. The article noted Harriet Brown's New York Times piece, which we have discussed in previous blogs, concerning why surprisingly few patients get evidence based care. Dr. Marx discusses the NICE guidelines, which is the National Institute for Health and Care Excellence in the United Kingdom. What's particularly exciting about this article was that it noted the growing evidence for the efficacy of FBT and general family based interventions for clients with anorexia. The NICE guidelines are of significance specifically in the United Kingdom but are utilized worldwide in understanding evidence basis for eating disorder treatment. In the NICE guidelines Dialectical Behavioral Therapy is noted as a treatment well conducted with clinical studies for binge eating disorder, but is not included as a proven treatment for anorexia or bulimia. These guidelines were last completed in 2011 and will be reviewed again in 2014. It is our hope that recent studies on DBT will show the effectiveness of this treatment for other eating disorder diagnoses.

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August 02, 2013.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partneredin 2014.

    By Samantha Mishne, LISW, LICDC

    Recently a client kept telling me how invalidating I was. Instead of getting defensive and saying all the things I was thinking in my head which I knew were not validating, I took a validation course. Recently when I was taking an online training the facilitator and a colleague both commented on how validating I was. I share this because it just goes to show when you take in feedback you can teach an old dog new tricks. Given this feedback, I am going to stop invalidating myself and start validating myself by telling people, "I am validating." Remember you can validate others and yourself.

    Why did I need to take in this feedback and learn to become more validating? I wish I could tell you it was because I wanted to be more adherent to dialectical behavioral therapy which is about pushing for change and validation, however it was more self-serving. As I say to the young people I work with: "validation makes people want to do things for you." Yes, it also shows that you understand, are listening, and want to tend to the relationship. Once I realized that to validate someone does not mean you agree with them, it became easy to validate. Remember you can only validate the valid.

    How do you validate someone? You make eye contact, stay focused and show that you are actively listening which is hard, you may need to put down your electronic devices in order to do this. Next be mindful of your verbal and nonverbal reactions, which for me is my tone. Try and identify how the other person is feeling and name that feeling. Yes, you might be wrong, but at least they will know you are trying to help them express their feelings. Try and find the kernel of truth in what the other person is saying. Lastly respond in a way that shows you are taking them seriously. We validate ourselves the same way-observe how we are feeling, reflect those feelings back, and look for how those feelings make sense. Remember validation also increases people's willingness. Whenever a client validates me, I feel my motivation increasing; I am more attentive and in turn more validating.

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Parent Conversations and Adolescent Disordered Eating Behaviors

July 26, 2013. Read more

Helping Children Love Their Bodies & Themselves

July 17, 2013.
  • Talking to children about health instead of weight has been a popular topic since the University of Minnesota released their study. It's incredibly important to equip kids with the skills they need to understand the messages they receive from various media and other external sources.

    Marti and Erin from Mom Enough asked Dr. Jillian Lampert, TEP's Senior Director of Business and Community Development, to talk more about how parents can approach these conversations. Jillian offers three things you can do to help your children make healthy choices and appreciate their bodies.

    Click here to listen to the interview.

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Building Eating Disorder Awareness

July 02, 2013.
  • Last week was a great week for eating disorder awareness.

    The media outlets reported on the new University of Minnesota study that found there is a lesser chance of children developing disordered eating or an eating disorder when their parents talk to them about being healthy rather than their shape or size.

    You can read more about this from the Star Tribune or check out the FOX9 News story that aired last week.

    This is an important topic and could help change the conversations we all have with our families and friends. Positive conversations begin with us as individuals – “health” can be found and maintained by people of all shapes and sizes. Changing the conversation begins with each of us promoting health and wellness instead of dieting, shame, and striving for an unrealistic "ideal" body.

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Radical Truth

June 14, 2013. Written by Mark Warren, M.D.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partneredin 2014.

    By Dr. Mark Warren

    One of the saddest and complicated components of an eating disorder is how it encourages secrets. Behaviors, negative thoughts, feelings of shame, and the pain one carries often happen in secret. By the time someone presents for treatment they are so familiar and so used to keeping secrets that it can be very difficult to tell the truth. Keeping secrets is not a failure, a betrayal, or an attempt by a patient to trick or fool a therapist or loved one. Keeping secrets is part of the illness. In treatment we need to work on revealing secrets, on becoming more honest and finding ways to speak truths, even though those truths may feel that they expose us. They may expose how ill we really are, the sadness we carry, the obsessions of our minds, our fears that we will never recover, or past events that we wish were not true. The pain of holding secrets is too great and holding them only make us sicker and less likely to receive the help we need. Like radical acceptance, treatment requires radical honesty for patients, therapists, and loved ones. Speaking our truths and being honest both in treatment and with oneself is truly a key to recovery.

    Contributions by Sarah Emerman

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Minneapolis-St. Paul Summer Groups Start Soon

May 28, 2013.
  • The Minneapolis-St. Paul summer group catalog is out and includes descriptions of all of our ongoing outpatient groups and a number of new groups being offered during summer quarter.

    For clients who participate in intensive programs at our St. Louis Park office, this season also brings a pilot program that let’s you choose various groups to attend during your program day.  To get involved with any group, please speak with your individual therapist.  They can help you determine the group(s) that will be fit your needs and help get you signed up.

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Dr. Wisniewski Receives AED Outstanding Clinician Award!

May 17, 2013.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.

    CCED is very proud to announce our very own Lucene Wisniewski, PhD, received the 2013 Outstanding Clinician Award from the Academy for Eating Disorders "for her contributions to the clinical care and well-being of individuals with eating disorders through clinical contributions to the field."

    "I feel really lucky to be part of this community of experts in eating disorder treatment," Dr. Wisniewski said during her acceptance speech. "On a day-to-day basis, if I feel stuck with a patient, I can call people literally all over the world because of this group. I have learned so much from being a part of the AED, and it is just an honor to receive this award."

    Dr. Wisniewski was honored during an award's ceremony at this year's International Conference on Eating Disorders, Crossing Disciplinary Boundaries in Eating Disorders, held in Montreal, May 2 – 4. During her acceptance speech, she joked that the irony of this award is the fact that she never wanted to be a clinician. So, she offered the audience one piece of advice: Take the opportunities that come to you, even if you don't think they will lead you down what you think is your desired path.

    Watch Dr. Wisniewski receiving her award live at the AED's award ceremony below. Her acceptance speech begins at timestamp 5:45.

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Willfulness vs. Willingness

May 10, 2013.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.

    By Samantha Mishne, LISW-S, LICDC

    How do you move from a willful place to a willing place? I remind myself willingness is not a thing or a place; it is instead a view on life. Life is happening all around and I can either be willing to accept the change or feedback I receive, or I can be willful and in turn stay miserable, or say "yes, but". I think about this often with the clients I sit with who are asked or sometimes forced to make changes that are often times reinforced by the world we live in. The strength that they exhibit to move to a willing place is inspiring. I say to the young people who participate in family based treatment, your parents are going to reefed you, so you can either stay willful or move to a willing place. The nourishment that food provides often increased people's ability to a move to a willing place along with parents resolve to care for their children.

    When trying to increase willingness the first thing I do is really try and listen to what it is that someone thinks or wants me to do, then I pro and con making the changes vs. staying the same. Ultimately what moves me to a willingness place is being witness to the change my clients make daily and my acceptance that change is constant. Though I say often that I do not like change the older I get the more I am realizing it is constant. You can only push a way for so long before you need to be willing. It is important to note that there are no shades of gray when it comes to willingness. Currently I am pushing away the water stain on my ceiling because I know I have a leak which I need to become willing to have someone come out and fix. Yes this is not as big an issue (no pun intended) as gaining weight, increasing meal plan compliance, not exercising . . .but it is an example of how every day we are faced with a choice to be willing or willful and we must accept the consequences. I will let you know if my ceiling falls in because I have yet to move to a willing place.

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The Broad Response to Evidence Based Treatment

April 09, 2013. Written by Mark Warren, M.D.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.

    By Dr. Mark Warren

    Harriet Brown, well known to readers of this blog and to the eating disorder community for her book Brave Girl Eating, recently published an article in the New York Times on why evidence based care is so rarely used in the field of mental health and psychology. Her article is the latest in what has become a very important conversation about the translation of evidence based research into the treatment of mental illness. This topic was also discussed at great length at the recent eating disorder conference in London, organized by Drs Bryan Lask and Rachel Bryant-Waugh. The keynote of this conference, which echos Harriet's article, shows that the number of practitioners in the community using evidence based care is shockingly low.

    Unsurprisingly the response to this article, the presentation in London, and other articles of this nature has been twofold. Many people and clinicians are excited and hopeful that there is effective treatment for historically difficult to treat illnesses. On the other hand, some practitioners are responding by challenging the notion that evidence based care should be the standard of care. The reasons for this vary from the notion that the evidence is weak (possibly, but it is the best we have), to the assumption that the evidence doesn't apply to every practice (unclear why not), to the criticism that the evidence doesn't acknowledge cultural and clinical realities (it does). Many criticisms are based on the anecdotal experience of the provider. One provider referred to the evidence as "weak tea."

    It is very difficult when scientific evidence challenges our own personal experiences and beliefs. However, if you happen to have an eating disorder, or a loved one has an eating disorder, and if you're aware of the last 20 years of eating disorder treatment, you would want to know that since the advent of evidence based care we have started to get better outcomes. If I, or a loved one, had an eating disorder, I would far prefer a glass of weak tea to no tea at all.

    For more information: Looking for Evidence That Therapy Works

    Contributions by Sarah Emerman

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Community Event: Exploring Eating Disorder & Recovery Addiction

April 02, 2013.
  • Eating Disorder and Addiction RecoveryMark your calendars for June 20th at 7 PM. Cindy Solberg, MA, LPC, LADC is a therapist at The Emily Program. She will discuss the topic: Eating Disorder and Recovery Addiction at The Recovery Church.

    Date: Thursday, June 20
    Time: 7:00 PM
    Location: The Recovery Church, 253 State Street, St. Paul, MN 55107

    Most people are usually very surprised to learn that eating disorders have little to do with food. Especially when one considers that many people who suffer from eating disorders actually have an unhealthy obsession with food. Eating disorders and addiction often come hand in hand as well. This session will provide a basic level of understanding of the multidimensional nature of eating disorder and addiction recovery. It will also discuss how someone might learn to have a non-addictive relationship with food.

    Thank you to The Recovery Church and Minnesota Recovery Connection for hosting this event.

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Dr. Mark Warren Voted “Best Doc” by Cleveland Magazine!

March 26, 2013.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.

    We are very proud to announce our very own Mark Warren MD was voted a "2013 Best Doctor" by Cleveland Magazine! He was named by a national board of his peers. Pick up a print version to see the full listing, or read about the featured physicians.

    "I'm so honored and thrilled to be acknowledged by my peers and community as a Best Doc," says Dr. Warren. "It's gratifying to know that all of our hard work at the Cleveland Center for Eating Disorders and our profound and unrelenting commitment to eating disorder treatment is getting noticed and making a difference in this field."

    With this monumental achievement, we sat down with Dr. Warren to reflect on his career and accomplishments, where his passion for eating disorder treatment comes from, and what's next for him. Read on to learn more about Dr. Warren and why he continues to inspire us every day.

    CCED: What is your area of expertise within the subject of eating disorders?

    Dr. Warren: There are several areas that I have gained expertise in. The three that are my greatest focus are men and eating disorders, professionals with a history of eating disorders, and evidence-based therapies.

    CCED: At what point in your training did you decide to specialize in the study of eating disorders, and why?

    Dr. Warren: I went into the treatment of eating disorders after about 12 years of practice. I have a history of anorexia, which started in my teenage years. I was lucky to fall in love with (and for her to have been equally smitten) with a woman who successfully re-fed me. As there was no eating disorder treatment at the time, my own recovery was haphazard and spread out over many years.

    Only after full recovery — not only being re-fed and stopping behaviors, but also feeling whole and having a good relationship with my body and with food — did I enter the field of eating disorder treatment. I then retrained in dialectical behavioral therapy, learned Maudsley Family Based Therapy, and began my full-time eating disorder work with Lucene Wisniewski, PhD — my partner here at CCED.

    CCED: What is the most interesting or surprising thing you have learned about eating disorders over your years of research and practice?

    Dr. Warren: I suppose it is how much sense they make when you are suffering from an eating disorder and how little sense they make to everyone else. Our new understanding of the biology of eating disorders and the brain has helped to make this separation so much clearer. I have great hopes that our further biological understanding will make eating disorders sensible to everyone and make clear how foolish and wrong it is to see eating disorders as a conscious choice.

    CCED: If money were no object, what aspect of eating disorders would you most like to explore in research, or what resource/treatment would you most like to develop?

    Dr. Warren: I would most like to explore in research how to develop treatments that help to stop the painful thoughts and feelings that accompany the disorder. We are getting better at re-feeding. We need to figure out how to help everyone with an eating disorder to experience a life worth living.

    CCED: When you reflect on how far CCED has come since opening in 2006, what are you most proud of?

    Dr. Warren: Before CCED, there was no way to get the most advanced, evidence-based care for eating disorders in Northeast Ohio. Patients either saw practitioners who were not using proven treatments or had to travel long distances to get the necessary care. We are still in a treatment environment where many providers either don't know what evidence-based care is or don't do the training needed to become an expert.

    Now, for many patients, they can get the care they need, while staying at home. Eating disorders are deadly illnesses. Patients deserve the best practice of care from providers who have done the work to learn what has the highest likelihood of success. I am proud that CCED continuously strives to provide the best practice for all our patients.

    CCED: What's next on your list?

    Dr. Warren: We have three main goals:

    Under the lead of Dr. Wisniewski, we have developed and implemented new therapies based on the best evidence and will continue to expand in this way.

    Second, we need to continue to research our outcomes so we know how well we are doing and what we can do to make ourselves better. This work is already ongoing and we are publishing and presenting our outcome data, which both improves the work we do and helps the eating disorder field as a whole.

    Third, we need to get the word out that there is real therapy, therapy based on a scientific model, for eating disorders. Pediatricians, therapists, family doctors, internists, Emergency Room doctors and, especially patients and their families, need to know that there is true help for those who suffer with eating disorders. When patients, providers and families work together, there is hope for recovery.

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Intensive Treatment Lodging at Hillside

March 19, 2013.
  • In January we introduced Hillside Lodging, a 4 bedroom lodging option located in St. Paul, MN for female clients in Intensive Day Program or Intensive Outpatient Programs. We are thrilled to be able to offer a convenient and peaceful lodging option for out-of-area clients.

    Take a photo tour of the warm and welcoming interior of the house.

    Hillside tvroom smlRelax and unwind in this sunny room.
    Hillside livingroom smlCome home to a bright welcoming living room and dining room.
    Hillside fireplaceroom sml Curl up to your favorite book in this cozy corner of the house.
    Hillside bedroom smlOur single bedrooms allow you to have privacy and a place to relax and reflect.

    If you are interested in Intensive Programs and Hillside Lodging, or have any questions please contact our Lodging Manager, Erin at (651) 315-3302.   

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Eating Disorder Awareness Week: What you may have missed at “Body Beautiful”

March 01, 2013.
  • Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.

    Our expert panel answers your questions about body image disorder and eating disorders.

    Thanks to those of you who joined us on Monday at "Body Beautiful," presented by Cleveland Center for Eating Disorders and John Carroll University. We had a great turnout! Students, professors, eating disorder professionals and families came out to increase awareness and promote hope around body image disorder and eating disorders.

    The event, which ran in conjunction with National Eating Disorders Awareness Week, featured a student interactive art show, "Mirror Images" and a screening of the popular documentary, "America the Beautiful." Immediately following, our expert panel was there to answer questions from the audience.

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