By Dr. Mark Warren
Anyone with an eating disorder has been asked at some point or another "Why don't you just eat?" Most likely if you have an eating disorder you have asked yourself the same question. You might wonder "Why is eating so hard for me when it seems to be so easy for everyone else?"
Articles tagged with: Ohio
We opened a new Partial Plus Lodging location in Cleveland, OH today! The Vue, our lodging accommodation in Cleveland, has a new apartment for clients participating in our Intensive Day Programs.
Carissa began her journey at The Emily Program as an intern. She observed 2 dietitians during her 5-week rotation here, and after graduating from college in 2015, she joined the Cleveland team full time.
This is one person's story; everyone will have unique experiences on their own path to recovery and beyond. Some stories may mention eating disorder thoughts, behaviors or symptom use. Please use your own discretion. And speak with your therapist when needed.
by Sara Stein, a former Emily Program client. Sara is a therapist and musician from Cleveland, OH.
How It Began
The word “diet” had infiltrated my being at a pre-teen age. For whatever reason, THIS was my Achilles heel in life – this was the thing that was going to reel me in again and again and unfurl all sorts of chaos, havoc and heartache.
To keep it short and simple, I spent years and decades trying to manage and control my food intake and construct my body to look and be a certain way. There was always this gnawing, annoying thing in the back of my head telling me I wasn’t enough, that I ate the wrong thing, that something bad was going to happen, and that I needed to work harder and do better.
At The Emily Program, we personalize each client’s care so they receive evidence-based treatment that matches the severity of their illness.
Determining the correct level of care ensures that our clients receive the most effective therapies for sustained recovery. Appropriate levels of care also decrease long-term health care costs associated with expensive but ineffective hospital stays that don’t address the core symptoms of eating disorders.
The Emily Program offers a wide array of treatment options for clients at all levels of care. Today, let's take a closer look at our binge eating disorder (BED) intensive outpatient program (IOP). We sat down with Katelyn Burrows, BED IOP Program Coordinator in Cleveland, to learn more.
This article talks about the health repercussions of eating disorders. Please use your own discretion. And speak with your therapist when needed.
The harsh reality of eating disorder mortality rates
Eating disorders kill. This is a harsh reality. Our clients are reminded about this fact from their loved ones, doctors and therapists. Yet, many of our clients believe that it will be someone else who dies and not them.
Eating disorders impact about 30 million people in the United States. They are associated with high levels of premature mortality, including an increased risk for suicide. Without treatment, up to 20 percent of people with a serious eating disorder will die. These are sobering statistics.
Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.
The two letters below were written by (former) clients to their eating disorders. With their permission, we share these letters to inspire others to seek treatment and fight for recovery.
Words with Wisniewski: Research Review -- Focus on Perfectionism in Female Adolescent Anorexia NervosaDecember 10, 2015. Written by Lucene Wisniewski, PhD
Article: Focus on Perfectionism in Female Adolescent Anorexia Nervosa. International Journal of Eating Disorders, vol 48:7 936-941. Hurst & Zimmer-Gembeck, 2015
Anorexia nervosa (AN) is a difficult illness to recover from for a number of reasons. First and foremost, it's life threatening and secondly, the treatments available do not yield high success rates and are in need of improvement.
By Mark Warren, MD
I have often wondered why there are so many stigmas around eating disorders. People tend to engage in eating disordered behaviors, whether it's bingeing, purging, compulsive exercise or significant food restriction, when they are alone. There is something so profound about this disease that behaviors can only be done in secret.
In the last 10 years, the notion that eating disorders are biologically based illnesses has begun to gain significant traction both inside and outside the eating disorder community.
Following "The Decade of the Brain" in the '90s and the explosion of research in brain chemistry, anatomy and function, we now better understand how we are susceptible to eating disorders based on a pre-existing neurological status and how our personalities, behaviors and experiences in eating disorders are all linked.
It is estimated 95 percent of those who suffer from an eating disorder are between the ages of 12 and 25, according to the National Association of Anorexia Nervosa and Associated Disorders.
That's why The Emily Program – Cleveland has tailored its programs to meet the individual needs of children and teens, in addition to adults.
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."
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: