February 2016 - Monthly News & Tips
IN THIS ISSUE
"The Emily Program is everything you say it is." - A community professional
In 2013, Binge Eating Disorder (BED) was included as an eating disorder diagnosis in the Diagnostic and Statistical Manual of Mental Disorders V (DSM-5), a crucial moment for those who suffer.
Prior to that, BED clients were included in a group known as Eating Disorders Not Otherwise Specified. This is true even though binge eating was first described in 1959 by Albert Stunkard, who coined the condition, "night eating syndrome."
BED is characterized by eating an enormous amount of food in a short time period, much more than a healthy person would eat in similar circumstances, and is accompanied by a lack of control during the episode. People with BED often eat more rapidly and alone due to embarrassment, eat until they're uncomfortably full, and generally feel disgusted, depressed or guilty after a binge.
A binge is very different from simply overeating. There are many studies that confirm the validity of the BED diagnosis and make it possible to separate out those who have BED from those who are overweight without binging. This is critically important because it's estimated about 15 percent of those who carry a diagnosis of obesity have BED.
The good news is that BED is probably the most treatable of all eating disorders. It can be treated with therapy (most often CBT) and often at an outpatient level of care, although there are some circumstances where a higher level of care is necessary.
Once a BED diagnosis is established, normally through an eating disorder assessment, treatment can begin. Medications may sometimes be involved, in particular SRIs (serotonin reuptake inhibitors), but in general the core of treatment is psychotherapy.
It's important to note the goal of BED treatment is to stop the binging and not to promote weight loss. A client who is binging and then stops during treatment may see a downward shift in their weight, but never should treatment encourage a form of diet or weight-loss program. Diets, which are often prescribed for obesity, are unsuccessful for BED patients because almost every diet has some form of restriction at its core.
If clients with BED restrict, it can increase their chances for binging in the evening. Therefore, treatment does not involve any type of restricting. Instead, the treatment involves eating well until the client is completely full, consisting of three meals and two snacks a day.
Treatment of BED means a focus on physical health, rather than weight. For someone in treatment, we hope they can stop binging, feel better about themselves and start positive behaviors that reduce their health risks in the future. People with BED are at a higher risk for illnesses associated with binging or obesity, such as diabetes, hypertension, high cholesterol and heart disease.
Now that BED is a separate diagnosis, we are beginning to see many more people presenting for treatment. These clients now have a high chance for success and are beginning a path to a much better life.
Mark Warren, MD
Chief Medical Officer, The Emily Program
Dr. Jillian Lampert recently spoke with KARE 11 about the new Barbie dolls and the impact on young girls. You can watch the full story here.
There is still time to send your #ExplainingED submission. If you'd like to participate, below is the information explaining this campaign. Please send your submission no later than February 15.
Eating disorder awareness week is the last week of February. In preparation, we are collecting eating disorder information from those who are struggling, have struggled, have a loved one who currently has or has had an eating disorder, and those who work within the field. Our #ExplainingED campaign will shed light on some of the dos, don'ts, insights, hurt, shame, resilience, recovery, and other factors that come with an eating disorder. By talking about it, we can hopefully help people understand how serious the illness is and give an honest perspective from anyone who has been affected by an eating disorder.
We hope that #ExplainingED will provide a platform to openly share some of the truths about eating disorders. And with your help we can offer honest perspectives from those who have been affected. Together we can broaden awareness and share our voices on this important topic.
The Emily Program addresses common misunderstandings about eating disorders and related issues in our Did You Know section.
Despite the fact that an estimated 30 million Americans will suffer from an eating disorder at some point in their lives, the research funding doesn't add up. Check out these stats below on the average dollar amount allotted per affected individual.
- Alzheimer's: $88
- Schizophrenia: $81
- Autism: $44
- Eating disorder: $0.93
There's a lot of work to be done. With Eating Disorder Awareness Week this month, Feb. 22 - 28, it's a great time for community and eating disorder organizations to come together and spotlight the seriousness of eating disorders and increase public understanding. The hope is with increased awareness the importance of funding will become apparent.
Alysondra Duke, PhD, LMHC, Therapist, Seattle
Alysondra joined The Emily Program team in the spring of 2014 as a therapist and intake specialist at our Seattle location. She spends her days meeting with clients and her nights hosting several workshops and support groups for the community and mental health professionals.
She loves the opportunity to teach other professionals how to understand, support and treat individuals struggling with an eating disorder.
"I have had the opportunity to try on several positions with TEP and it's been something I have really valued about working here," said Alysondra. "I feel as though my experience and knowledge in the field of eating disorders is highly valued, and I like feeling as though I'm able to work with a team and director who truly appreciate my strengths."
Alysondra holds a bachelor's degree from the University of Nevada, a Master's in Women's & Gender Studies from Minnesota State University and a PhD in Counseling Psychology from the University of Nebraska.
Learn more about Alysondra and why we think she stands out!
TEP: What can new clients expect during a therapy session with you?
Alysondra: Clients can expect to be greeted with a lot of warmth and care — and definitely a sense of humor! I am genuinely curious about clients and care for them deeply. I think clients sense that I am present, kind, supportive and can truly see them and their concerns without judgment.
TEP: How do you motivate uninterested clients?
Alysondra: I would be giving my secrets away if I told you! I think it has a lot to do with patience and holding a lot of hope for them until they can hold it for themselves.
TEP: Do you celebrate Valentine's Day? Why or why not?
Alysondra: Yes, [do I ever]. I just love all ... the heart-shaped everything around. This year, I have a 2-foot red tree I'm decorating with heart ornaments. It's good to remember to love others on this day, but I also think we should be offering love as much as we can all the rest of the days, too.
In Spokane, WA:
Wednesday, February 10: Begins at 6:30 p.m. at 2020 East 29th Avenue, Suite 200, Spokane, WA
Shannon: Shannon will talk about her journey. As she says, "No one is perfect. Neither is recovery."
In Cleveland, OH, Lacey and Seattle, WA, and St. Paul, MN:
Upcoming Recovery Nights will be held in 2016. Click here to view all upcoming Recovery Nights in Ohio, Washington, and Minnesota.