Author: frivvy89
The Local newsletter is your free, daily guide to life in Colorado. For locals, by locals. Sign up today! Maria’s 14-year-old daughter, Anabel, started having nightmares in the fall of 2020. She had spent the previous summer living with her father who, Maria says, emotionally and physically abused the teenager. As Anabel’s sleep patterns deteriorated further that winter, Maria pleaded with her child to visit a mental health professional to discuss the abuse. Anabel refused. Maria, who asked that her family’s real names be withheld to protect her daughter’s privacy, called psychologists anyway, but none would see Anabel—not without obtaining…
Today we’re going to hear from a parent who thinks their child’s eating disorder treatment team is not working out. Since this parent is paying for treatment, they would like to insist upon a change. I’ll talk through why this makes sense, but also why they might want to try a different approach.The letterDear Ginny,My daughter has been battling anorexia for six years. She’s now a young adult so I have almost no power over her treatment. She’s seeing an eating disorder treatment team, but they haven’t done anything to change the course of the disease for over two years. I did…
I twirled a few strands of spaghetti into a marinara-doused bale on my fork then took a bite. Normally, I chew just long enough to avoid choking, but while hosting my family during a pre-pandemic dinner, I paced myself so I wouldn’t be the first to finish. As a spongy bolus formed in my palate, the thick, wet mass against my teeth no longer resembled the texture of food. It was a slick wad of noodle bits too slimy to swallow, and the longer it sat on my tongue, the more I wanted to puke. To avoid gagging, I spit…
Blog post written by KendraFor the longest time I felt as though I had my recovery under control; I felt a sense of calm and stability in regards to my relationship to food and self. I was however, always cautious when speaking to my recovery and very intentional about situating myself as “in recovery” as opposed to “recovered” because I knew all too well that the small voice in my head never really went away for good. It was quiet, almost non-existent for months on end, however there were also times when it came back full force and made every…
ParticipantsTwenty-three women with binge eating were recruited for the study. One participant withdrew from the study due to vomiting during the test day. Unblinding revealed the participant had received LDX on this test day. The sample size was based on the results of a previous study that assessed the effects of a 5-HT2C receptor agonist on food intake using similar paradigms (effect size of 0.67) [12]. A power analysis (G*power 3.1.9.7) [22] indicated a sample size of 20 participants was needed to obtain 80% power to detect such an effect at alpha = 0.05. To allow for smaller effect size and for…
Tiego J, Oostermeijer S, Prochazkova L, Parkes L, Dawson A, Youssef G, et al. Overlapping dimensional phenotypes of impulsivity and compulsivity explain co-occurrence of addictive and related behaviors. CNS Spectr. 2019;24:426–40.Article PubMed Google Scholar Parkes L, Tiego J, Aquino K, Braganza L, Chamberlain SR, Fontenelle LF, et al. Transdiagnostic variations in impulsivity and compulsivity in obsessive-compulsive disorder and gambling disorder correlate with effective connectivity in cortical-striatal-thalamic-cortical circuits. Neuroimage. 2019;202:116070.Article PubMed Google Scholar Chamberlain SR, Stochl J, Redden SA, Grant JE. Latent traits of impulsivity and compulsivity: toward dimensional psychiatry. Psychol Med. 2018;48:810–21.Article CAS PubMed Google Scholar Chamberlain SR, Tiego J,…
APA (American Psychiatric Association): Diagnostic and statistical manual of mental disorders, Fifth Edition. Arlington, VA. American Psychiatric Association 2013. dsm.psychiatryonline.org. Accessed 1 Jun 2013.Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord. 2003;34:383–96. https://doi.org/10.1002/eat.10222Article PubMed Google Scholar Qian J, Hu Q, Wan Y, Li T, Wu M, Ren Z, et al. Prevalence of eating disorders in the general population: a systematic review. Shanghai Arch Psychiatry. 2013;25:212–23. https://doi.org/10.3969/j.issn.1002-0829.2013.04.003Article PubMed PubMed Central Google Scholar Kessler RC, Berglund PA, Chiu WT, Deitz AC, Hudson JI, Shahly V, et al. The prevalence and correlates of…
Source: iStock/SIphotography This post was written by Gia Marson, Ed.D. While the holidays are marketed to us as the happiest time of the year, for many this is not the case. If you turned to food to manage intense emotions—a practice known as emotional eating, binge eating, or compulsive eating—and are uncertain about how to deal with the consequences, it may be because: Your emotions are intense You have high standards You compare yourself harshly to others You don’t know how to stop impulsive behavior Eating special foods when celebrating is a normal part of many traditions. If you find…
Source: iStock/SIphotography This post was written by Gia Marson, Ed.D. While the holidays are marketed to us as the happiest time of the year, for many this is not the case. If you turned to food to manage intense emotions—a practice known as emotional eating, binge eating, or compulsive eating—and are uncertain about how to deal with the consequences, it may be because: Your emotions are intense You have high standards You compare yourself harshly to others You don’t know how to stop impulsive behavior Eating special foods when celebrating is a normal part of many traditions. If you find…
There is a consensus that the mainstay of treating eating disorders is the outpatient setting. The NICE guidelines recommend cognitive behavior therapy for eating disorders (CBT-ED) as an evidence-based treatment for all eating disorders. CBT-E (E=’ enhanced’) is one major example of the specialized cognitive-behavioral therapies for eating disorders covered by the umbrella term ‘CBT-ED.’ CBT-E has been originally developed to address eating disorder psychopathology (rather than the DSM diagnosis) of adult outpatients, but later it was also adapted for adolescents. article continues after advertisement The current status of CBT-E and other evidence-based treatments If one focuses on controlled studies…