Eating Disorder Track Document
Respect for each individual is the foundation of our treatment approach. Live Well Services provides skilled care that understands the unique recovery challenges of each individual and the strengths to successfully meet them. Live Well provides a safe and supportive environment to persons affected by eating disorders and related conditions in order to encourage long-term abstinence and recovery. Live Well recognizes that recovery is a process and not a one-time event. We are committed to on-going support of that process.
Goals of Treatment:1. Restoration and maintenance of a healthy body weight. 2. Development of a healthy relationship with food, including nutritional balance. 3. Treatment of psychiatric disorders related to eating disorders, including mood disorders, body perceptions, and trauma and self-esteem issues. 4. Renewed sense of optimism, self-confidence, physical and emotional strength. 5. Improved family and interpersonal relationships. Development of a recovery network. 6. Maintaining recovery.
Treatment Model: Psycho-Social-Nutritional
Live Well Services utilizes Psycho-Social-Nutritional Treatment, recognizing there are interconnecting issues that must be addressed for successful recovery from eating disorders. Treatment is multifaceted, and individualized.
Assessment:A thorough assessment is necessary for understanding individual treatment needs and treatment planning. 1. Physical Assessment by Primary Care Physician: General physical (blood pressure, weight, etc.) and necessary labs (CBC, electrolytes, B12 and folic acid levels, etc.) and tests (EKG and echocardiogram). 2. Bio-Psycho-Social Assessment: Mental Status, psychiatric history, treatment history, substance abuse history, trauma history, family history and current family relationships, psychosexual development, education history, etc. Client strengths and coping skills. 3. Psychiatric Evaluation: If indicated by the Bio-Psycho-Social evaluation, particularly when medication follow-up is needed. Neurological consult: as indicated. 4. Nutrition Assessment: History of current disorder, current nutrition beliefs and practices, weight history, perception of body image. 5. Assessment Input: from family, significant others, previous treatment settings.
Program Outline:We propose an Intensive Outpatient approach: 3 days per week 2+ hours per day, totaling 9+ hours per week. 1. Psychotherapy groups: 2 times per week, 2 hours each. Focus: Understanding the psychodynamic relationship between feelings, thoughts, and symptoms. Learning healthier coping strategies when dealing with depression, anxiety, anger, hurt. Supportive therapy to recognize and build strengths, assertiveness, self-esteem. Cognitive-behavioral therapy to reduce ‘cognitive distortion’, including self-distortions/ body image distortions. Reducing social isolation and building social supports for recovery. 2. Individual therapy/ Family: 2 times per week, 1 hour each. Interpersonal therapy, cognitive-behavioral therapy. To address emotional and sexual trauma issues, self-esteem issues. Addressing body image distortions. Dealing with fears and guilt. 3. Group Meal Times: 3 times per week. Normalizing social eating and nutritional health. Support for healthy behaviors. 4. Nutritional Counseling: Bi-weekly. Individualized review of meal plans, food journals, body image concerns. Weight check and counseling. 5. Art Therapy: Weekly. Emotional expression through alternative, symbolic means.
Adjunctive Therapies Available:
- Family Therapy: Parents, siblings, significant others. Improve communications, understanding, and support during the recovery process. Participate in treatment planning.
- Multi-Family Psycho-Educational Groups: Understanding etiology of eating disorders; treatment interventions; coping strategies; understanding symptoms, warning signs of relapse. Dealing with denial and defenses.
- In-Home Nutritional Assessment and Meal Planning (optional).
Recovery Maintenance Treatment:One time weekly as per individualized plan: Individual, group, or family therapy; nutritional counseling. Community support groups are recommended.
Staffing:Live Well Services will utilize a multi-disciplinary treatment team composed of: Psychotherapists, Nutritionist (Registered Dietitian), with close consultation with client’s Primary Care Physician.