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"Doing What Works" in the
professional management and treatment of Eating Disorders
The Nuts and Bolts of Eating Disorder Treatment - A Lecture Series
Abigail Natenshon would be
available to speak about some, or all, of the specific topics described
below, in any combination, on site or on-line. Accommodate the unique needs
of your staff or audience, as well as the time available for the
presentation you seek, by combining the speaking topics that most directly
address the concerns of your participants.
Abigail is available to present 90 minute workshops, half-day workshops, or
day-long (or longer) teaching/experiential events. She is also available for
small group education and case consultation.
Treatment techniques that work with generalist treatment cases simply don't
cut it when it comes to the treatment of eating disorders. Clinicians are
hungry to understand exactly what sets this treatment and its protocols
apart. For eating disorder cases that may take months, years or even decades
to heal, training workshops highlight the essentials of care provision,
offering a bare bones structure for shepherding the healing process,
step-by-step, from diagnosis to recovery. These opportunities also provide a
superb milieu for small group training and case consultation.
In addressing what we practitioners do with these clients and how we do it,
Natenshon translates research and theories into much needed and practicable
applications through her insights and expertise, ripe and well-seasoned over
four decades of immersion in clinical practice. A focus of her teaching is
on the practitioner's unique requirement for self-awareness leading to a
creative and flexible use of self in practice.
Of interest to psychotherapists, nutritionists, medical doctors, educators
and athletic coaches, as well as parents and families, training workshops
speak with relevance to all those who interface with eating disordered
individuals and their families, professionally and in the course of daily
living. Most professionals who treat eating disorders have not been formally
trained to address the unique and diverse body of knowledge and professional
challenges involved in treating and healing these disorders. That is,
however, not meant to imply that therapists are unprepared to meet these
tasks; in fact, most generalist practitioners have already mastered the
skills they require. What clinicians are lacking is the guidance to know
which of these to use, when, how, and with whom, to effectively heal these
disorders.
Speaker's Objectives
Participants will learn to
1. Recognize the unique qualities that set eating disorders practice and
treatment apart. The basic structure and fabric of eating disorder treatment
is action-based and change-centered. The work is intentional and
collaborative, limit-setting yet loving.
2. Discover the unique personal and professional challenges required of
professionals treating eating disorders. Within the therapeutic
relationship, the practitioner models mindful self awareness and life skill
mastery as a prerequisite for the patient to achieve the same. Eating
disorders heal largely through human connections.
3. Utilize treatment tools, strategies and nuts-and-bolts practice
techniques; the basic structure and fabric of treatment is action-based and
change-centered.
4. Discover the learning capacity and role of the "plastic" brain as it
effects eating disorder recovery.
To achieve breakthroughs for successful outcomes with your eating disordered
clients, whether you are a novice clinician or an experienced practitioner,
you will find the following curriculum to be specifically applicable to
skill-building and professional self-awareness in personal preparation and
readiness to treat this challenging patient population.
Talking
Points
Session 1: What makes eating disorder treatment a
unique specialty?
- What ED are and are not.
Implications for the patient and the family.
- Uniqueness of nature of
disorder, and of their victims.
- The unique challenges for
treating practitioners makes ED care a treatment apart
Session 2:
The therapist's unique use of self
- Use of the therapist's
self needs to parallel the depth and complexity of the disorder.
- Therapist deals with same
uncertainties/ambiguities within the treatment process as do their
patients.
- Handling extreme
resistance.
- Trust building in the
face of resistance
- The therapist as role
model, "ideal parent"
- Transference and
counter-transference issues
- When ED therapists are in
ED recovery themselves.
- Caring for oneself;
finding support
Session 3:
Differential Diagnosis
- Diagnosis, an on-going
process through recovery, defines not only of pathology, but client's
capacity to change, progress, within current milieu.
- Diagnosis as crisis
intervention; multiplicity of goals and agendas
- Decoys to disease
recognition
- Bringing knowledge and
anticipation to the process: discovering a "constellation within a
cluster of stars."
- Diagnosing co-occurring
dysfunction
- Managing patient
resistance
- Managing trust
development; coming back for a second session
Session 4: The critical first session
- Who to include? The role
of family members
- Staying in the moment
with an eye to the past
- The therapist as educator
- The empathic therapeutic
connection becomes the fabric through which learning happens
- Assessment strategies
- Patient leaves with
action plan, referrals, guidelines for what happens next
Session 5:
Partnering with the treatment team
- The therapist as case
manager
- Working with the
nutritionist and MD
- Communications, division
of labor; wearing many hats
- Using the school as
resource
- Involved and educated
parents and families become MVPs on the treatment team
- Offering support; dealing
with dissention, resistance in other professionals
Session 6:
Modes, Methods and Milieus
- Brain science supporting
the science of relationship ass the most important intervention leading
to psychiatric change.
- CBT, Maudsley Method and
the field's own "civil war." Resolution is in integration
- Families and family
systems
- Modes: Outpatient,
IOPs,hospitalization, residential and halfway housing.
- Innovation: Embodied
mindfulness and other "outside the box" modes that work
Session 7:
Treatment Strategies: Nuts and bolts
- Engagement ambiguity
- Understanding (Prochaska
and DeClemente's) Stages of Change as they relate to ED treatment.
- Strategies to motivate
and handle resistance
- Managing
counter-transference
- Case management
- Client comes away with
learning from each session
Session 8:
The brain as it relates to healing change; treatment innovation and the
mind/body connection
- Pioneering brain research
and the role of relationship, healing, and the mind-body connection in
the treatment of eating disorders. Schore, Siegel, Doidge
- Mindfulness and
mentalizing
- CBT and the human
connection.
- Embodied mindfulness and
the re-integration of the self through somatic education. Feldenkrais
and ED treatment
Session 9:
Recovery
- Combat training for life
itself. Recovery resides is in accessing capacities for change in
behaviors.
- Prognostic indicators
- Timing for recovery, and
it implications.
- What is ED recovery
progress? How much evidence does one need?
- Finding evidence for
success in failures; seeing possibility, not pathology.
- Standing firm for
complete recovery
- It's not necessarily
over, when it's over.
- Aftercare
Session 10: Consultation for cases presented by participating students
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