October 2016 - Monthly News & Tips
IN THIS ISSUE
Complex illnesses require a comprehensive approach to treatment. Eating disorders are complex neurobiological illnesses that have both psychological and physical manifestations. Because eating disorders are multidimensional, it is imperative that a multidisciplinary team of eating disorder specialists conducts treatment for optimal care.
Therapists provide the necessary psychological interventions and support to address the psychological manifestations of the illness, helping clients understand the eating disorder and related conditions, change behaviors and establish new ways of managing the relationship with self and others. Therapists are also the primary coordinator of the multidisciplinary team, connecting the team and maintaining the plan of treatment.
Due to the neurobiology of an eating disorder, it is impossible to get well without proper nutrition intake. Dietitians are crucial because clients suffering from eating disorders are unable to nourish themselves in a way that matches their nutritional needs. Dietitians work with clients to shift nutritional restriction, excess or chaos, to a more balanced pattern, helping clients develop the necessary skills of nutritional self-care. For adolescent clients, family involvement for weight restoration is vital and has been shown to be the most important factor for success. In fact, whenever possible, family or other supporters should be included in a client’s treatment — no matter their age or eating disorder diagnosis..
Given the medical risks of eating disorders, such as dehydration, osteoporosis, heart failure and even death, a strong medical provider (family medicine doctor, internist, or pediatrician) is necessary. Because anxiety or depression may be present and because a very high percentage of deaths occur due to suicide, a psychiatrist should also be part of the team.
Care, therefore, demands a multidisciplinary team that includes, at a minimum, medical, psychological, psychiatric and nutritional components, along with family and other supports. If any of these components are missing, treatment will likely be less successful.
And when it comes to the treatment plan, normalization of nutritional intake and weight restoration or management should certainly not be the only goal. As treatment continues and weight restoration is reached and maintained, additional psychological concerns and skills needed to maintain changes require particular attention, intervention, and practice to promote recovery and prevent relapse.
So, it’s important to remember that a multidisciplinary care team greatly increases the chance of success for clients undergoing eating disorder treatment. The composition of that team may change several times throughout their journey to recovery, but having experts to partner with the client and family to address each aspect of treatment is key.
Mark Warren, M.D.
Chief Medical Officer, The Emily Program
Penn State kicker Joey Julius opened up this week about his struggle with binge eating. In response, The Emily Program's Dr. Jillian Lampert discussed binge eating disorder and men with eating disorders in a recent interview.
'Tis the season for open enrollment—your once-a-year chance to make choices and changes to ensure your health insurance plan is tailored to your needs.
Navigating your options can be complex and confusing. Below are some tips that might help.
Know when your open enrollment period begins and ends.
- Enrollment varies at workplaces, but for most it's a 30-day period in the fall.
- For state health exchanges, open enrollment for 2017 begins November 1, 2016 and ends January 31, 2017. December 15, 2016 is the last day to enroll in or change plans for coverage to start January 1, 2017. Details about enrollment can be found at healthcare.gov.
Re-examine your benefit needs.
- Learn the nuts and bolts of each plan available to you so you can pick the one that best fits your needs.
- Your employer or state health exchange may have an online tool to help you compare plan choices. The Emily Program also has a tool if you're looking for a plan that offers the most comprehensive eating disorder treatment plan.
Satisfied with your current plan?
It's important to make sure the plan is still right for you. Ask yourself:
- What challenges did I have in 2016? Was I able to get the care I needed easily or was I limited by my network?
- What are my health care priorities for the coming year? Make sure your plan comprehensively covers the treatments you rely upon now or may need in the future.
Budget for future health care costs.
- Consider a flexible spending account (FSA) or health savings account (HSA). Both health funds save you money to pay for certain medical expenses tax-free.
Kate Engberg, Office Manager, St. Paul, MN
Kate Engberg became an office manager at The Emily Program last summer. She had heard about The Emily Program from a friend who experienced great success in our treatment program. She wanted to be a part of something bigger and make a difference.
“While I don’t have direct contact with clients in my role, I know the work I do helps the staff do their jobs to provide excellent care for clients,” she said.
As the office manager at The Emily Program’s administration building, Kate spends her days overseeing the office and providing support to ensure the day-to-day operations run smoothly and effectively. She is constantly on the lookout for ways to maximize our buying power by reviewing our accounts and contracts, which allows us to minimize our non-service-related expenses.
As The Emily Program continues to expand, Kate says one of her biggest challenges is finding ways to grow without changing the heart of the program.
Learn more about Kate and why we think she stands out!
TEP: What's the best part of your job?
Kate: I would have to say being around and interacting with my co-workers is the most fun! Everyone is so passionate about making The Emily Program the best it can be.
TEP: How have you made a difference at The Emily Program?
Kate: I hope I can continue to improve processes and make sure everything runs smoothly.
TEP: Favorite fall activity?
Kate: A couple of my favorite fall activities are cooking, sitting on my porch drinking tea, while listening to a podcast or reading the newspaper, and getting ready for Halloween.
In St. Paul, MN: Tues., October 11: Begins at 6:30 p.m. at 2265 Como Avenue • St. Paul, MN 55108
In Cleveland, OH: Thurs., October 13: Begins at 6:00 p.m. at 25550 Chagrin Blvd., Suite 200 • Beachwood, OH 44122
In Spokane, WA: Wed., Nov. 9: Begins at 6:30 p.m. at 2020 East 29th Avenue, Suite 200 • Spokane, WA 99203
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Life is a dance. Mindfulness is witnessing that dance. -Amit Ray