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Showing posts with label recovery. Show all posts
Showing posts with label recovery. Show all posts

Tuesday, December 4, 2012

Please Don't Allow Christmas to Interupt Your Recovery

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While Christmas is a very important day to a great percentage of people around the world it is just one day of the year.  There are those who feel that the commercialization of this day has caused a loss of the true meaning for which this day is remembered and celebrated.  There are certainly many who feel the additional pressure that accompanies the celebration of Christmas often impacts many aspects of people's lives.  These pressures can include added financial burdens, increased fatigue, complicated or even unrealistic scheduling, and often emotionally stressful for a variety of reasons.

What I am getting at is please don't allow this one day to ruin your recovery from any of these life-threatening illnesses!  It is far from uncommon for someone in recovery to have a slip during stressful times and feel like a failure of sorts.  It also isn't so far-fetched that some have difficulty getting back on track with their recovery if they do indeed have a slip.  Bear in mind that eating disorders are often utilized as coping skills and people utilize coping skills when they are under stress.  As was discussed earlier Christmas unfortunately brings with it difficult situations with which to deal adding to one's normal amount of life stressors.

I'm just going to jump right to my point - I'm not one to beat around the bush anyway.  While Christmas is a very important day it isn't worth ruining your recovery for.  Recovery doesn't come easy to most nor does relapse for that matter.  Make sure that you take especially good care of yourself during this holiday season.  Be realistic with what you can and cannot do during these days.  Reach out for help if you need it.  Make sure that you have solid plans for your recovery and remain self-aware! And for 'goodness skake' reach out for help if you need it!!!
More Info?  www.addictions.net

Tuesday, October 30, 2012

How Shame and Guilt can Ruin Recovery

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More Info:  www.addictions.net

Gut-wrenching guilt and shame over your past, if carried with you and allowed to remain, can seriously jeopardize your recovery prospects. When coupled with the recurring cravings and urges to use again, you’re liable to be hit with a double whammy.
What can you do? Are you destined to lug around this useless baggage for the rest of your life? Is there any way out of this morass of guilt and shame you can’t seem to shake? The answer is that there is, but, of course, you’ll have to exert some effort in order to overcome the deficits that guilt and shame have saddled you with.
We’ll take a look at how guilt and shame work to derail your recovery and then cover some practical ways to get past those barriers.
Old Memories Die Hard
What is at the root of the guilt and shame that you feel over your past except old memories that simply refuse to leave? The truth is that we all carry with us memories of what we’ve said and done. It would be impossible not to have them and, quite frankly, our lives wouldn’t have as much meaning if we didn’t keep some memories fresh and ready to review again in our minds.
But when we constantly mull over in minute detail all the things that we’ve said and done that have harmed others to the point where we are paralyzed and incapable of doing the work of recovery, our horizons are limited and we’re not likely to make much, if any, progress in recovery.
Why? There’s no way that we can be proactive if we remain stuck in the past. And the past is what fuels the guilt and shame that we currently feel.
Think about it. You get up in the morning and the first think that enters your head is how worthless you feel and that there’s nothing good that could possibly come from anything you do. You feel this way because of the burden of guilt and shame that you wrestle with every day. Until you learn how to overcome these tremendously self-destructive emotions, you’ll have a continuing uphill battle in recovery.
Negative Breeds Negative
Another way that guilt and shame work to undo your recovery, or prevent it from even getting a firm footing, is that a constant emphasis on negativity – and guilt and shame are most definitely negative – does nothing except foster even more negativity.
It’s hard to think or do anything positive if you’re mired in thoughts about how bad you feel and worried about how others regard you due to your past actions in the grip of your addiction.
All you need to do is look in the mirror and you can likely see the ravages that guilt and shame have created. Your brow may be furrowed, your mouth turned downward in a scowl or you avert your eyes because you don’t like what you see. Your very image is a reminder of the terrible person you now believe yourself to be.
What do you suppose happens the rest of the day after it begins like this? Nothing very promising, more likely than not. Who in their right mind would want to continue this way?
Self-Punishment Doesn’t Cleanse Your Soul
If we believe that we are bad or that we are so guilty of transgressions because of our addiction, we often engage in a never-ending ritual of self-punishment. We berate and belittle ourselves because we believe that we deserve to be punished for what we said and did.
Some of us may even consider ourselves sinners in the truest sense of the word. But having sinned, or committed transgressions against others that have done them harm, doesn’t mean that we are sentenced to a lifetime of penance. It doesn’t mean that we should continue to castigate ourselves and condemn ourselves to a narrow world where we never seek happiness or work to better our way of life.
Beyond being a useless form of self-indulgence, self-punishment in the form of guilt and shame will never cleanse your soul. For that you need to seek the counsel of your spiritual advisor, or take up a heart-to-heart conversation with your Higher Power, or God as you know Him. Bottom line: guilt and shame in the guise of self-punishment do no good whatsoever for your recovery.
No One Else Can Come In
When you are closed up and closed off by guilt and shame, there’s no way that anyone else can get in. That means that your hard-encased and self-imposed mantle of guilt and shame simply won’t permit you to let anyone get close to you, not even a friend.
The most bitter individuals, those who believe themselves to be evil and cast-out by virtue of what they’ve done, engage in another habit that’s self-destructive to recovery from drug and alcohol abuse and that is to refuse to allow themselves to be in the company of friends.
After all, they may think to themselves, who wants to be with me after what I’ve done? Well, what do you think are the prospects for those individuals who remain secluded and bereft of human interaction? They generally continue to sink deeper into their gloomy and self-berating thoughts and fail to take action to help in their recovery.
They often return to their drug of choice as a means to obliterate the pain, if only for a short while.
Suicide is a Real Risk
The longer you carry the oppressive burden of guilt and shame, the worse you feel about yourself and your chances to make a change in your life. Carried to extremes, a continuing emphasis on how terrible you’ve been and all the damage you’ve done to others will eat away at you to the point where you may not see any way out.
This is exacerbated by your shutting yourself off from family and friends, from a refusal to take part in 12-step meetings or seeing your therapist or taking your medication, if prescribed to help you overcome depression, anxiety or other psychological conditions or disorders.
No, not every person who feels overwhelming guilt and shame will be pushed to the point of thoughts of suicide or suicidal actions, but the risk is very real. And the risk will not go away without intervention, without either the individual seeking help or others intervening to get help for the person consumed with guilt and shame.
Turning Your Life Around: First Steps
Okay, enough of the bad news. Now that you’ve got a better idea of the harm that keeping on the trajectory of guilt and shame will result in, it’s time to look at what you can do to start turning your life around. The key is that you need to take small steps, manageable ones, and you might as well begin today.
This all begins with a suspension of disbelief. What’s this? Very simply, what you need to do right now is put a stop to your thoughts that you aren’t worth saving, or that you cannot possibly heal. Just tell yourself that you will, for just today, think that you are worth it, that you do deserve a chance to make your life better. Just today, let’s just start with that.
Of course, there’s a lot more to getting past guilt and shame than telling yourself that you deserve the chance to do so, but this is a necessary first step. You have to allow yourself permission to heal before you can actually begin to heal.
n a way, this is a lot like the suspension of disbelief you went through prior to going into rehab. You had no way of knowing whether or not treatment would work. You probably already had a mountain of guilt and shame you brought with you into rehab, but you at least gave yourself the go-ahead to get help, and you took it.
This shows that you do have what it takes to get past guilt and shame. This is a very real demonstration that it is possible to make a difference in your life. But there’s more work ahead for you to make progress in overcoming these oppressive thoughts and emotions.
Get Some Additional Help
What we’re talking about here isn’t occasional twangs of conscience or guilty feelings about your past. This is the serious stuff, the guilt and shame that’s so overpowering that it lays you flat and you don’t do anything proactive for your recovery.
If this is what you’re carrying around with you, it may be appropriate for you to consider getting some additional help in the form of counseling. Your 12-step sponsor isn’t your counselor, nor is your best friends, loved ones or family members. While they are key members of your support network, they aren’t equipped to deal with such powerful emotions that are wreaking such havoc on you. This isn’t their function, either.
If you have continuing counseling available to you in aftercare or continuing care as a part of your rehab or treatment program, by all means avail yourself of it. There’s no reason why you shouldn’t be able to take advantage of what is readily available to you. The only obstacle here is your unwillingness to admit that you need help.
Again, this is much like the self-denial you once engaged in before you finally admitted you needed help to overcome your addiction in the first place. And you got beyond that barrier, so now it’s time to get past this one.
If you do not have counseling readily available, ask for a recommendation from your treatment facility, your family doctor, your minister or clergyman, or from another trusted advisor. Seeing a psychologist or psychiatrist or other therapist may also be covered under certain federal, state or local programs and your referring physician or facility may have information on where such counseling is available for a pay-as-you-go or reduced rate plan.
The other point to be made here is that getting past guilt and shame isn’t a lifelong pursuit. With effective therapy you can get past these emotions that are counter-productive to your recovery. Once you get involved in therapy and start divesting yourself of the burden of guilt and shame, you will probably wonder why it took you so long to do so in the first place.
What’s next? Take proactive steps to continue in your recovery. Read Get Busy with the Work of Recovery.

More Info:  www.addictions.net

Sunday, October 21, 2012

More tweets

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Everything has a beginning and an end. You can't think people will always be there for your support. What then?
Life is just too short to waste time disliking yourself - if you need to change do it if not enjoy your life rather than punishing urself
Everyday brings an opportunity to realize how special you are and share that with the world. It's more than enough.
Live ur life to the fullest, love what you have and learn everything you can.
It's just not worth trying to be something that you aren't when who you are is already wonderful!
Living in the moment is so rewarding - I Luv my grandkids!



I try never to take anything for granted b/c I know life changes all the time, ppl come and go. Do U value ppl in your life & do they know?

Sunday, September 30, 2012

A Few More Tweets

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I'm thankful I followed thru on my career choice - I am grateful I was employed working w/ ED Clients when I applied 4 a job turned career!
Some of my most memorable moments in life have come from observing individuals recover from Eating Disorders...What about you?
Therapy is similar to Graduate School of the Self - What do you think?
'A recovered ED client looks like a wonderful role model for just about anyone' - says the therapist who knows many recovered ppl.
Such a great quote: 'Don't try to get on my good side - I no longer have one!' Wouldn't ya love to say this just one time?

Make today your day - throw caution to the wind - enjoy yourself!
You know what's important about today? It's not yesterday and will be gone tomorrow - enjoy it!
Let your inner beauty shine today - you won't need the sunshine to light your way...

Maintaining Change Following Intensive Eating Disorder Treatment

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It is a relatively well known fact that eating disorders have

 a high relapse rate and many people, myself included,

 find themselves in multiple intensive – residential,

 inpatient, even partial hospitalization – treatments. One

 may ask if such intensive treatments really work or if 

long term intensive care is just a band-aid of sorts. I know

 I’ve had to ask myself, “why is this going to work this

 time when it hasn’t worked in the long run before.”


There is even debate in the field on whether residential

 treatment actually has evidence supporting its 

effectiveness (see Tetyana’s post here). I can speak from

 experience that the various intensive treatments I’ve

 personally done have saved my life and given me more

 perspective, skills training, and support than I could have

 had otherwise. However, despite having made

 significant changes, I’ve had more than my share of slips

 and relapses.


I am willing to bet I’m not alone.
Maintaining change after intensive treatment is a little-discussed topic. (Although it’s pretty important, I think. I mean, making the changes is difficult, but the changes need to be sustainable if the work is going to be worth it!) Cockell and colleagues explored the topic in their 2004 paper.
The article begins by acknowledging the common concern that both patients and treatment providers have when an intensive treatment comes to an end, which is: how does the patient maintain the changes that were made during her treatment [note: this article speaks only of females, I personally am not making that judgement] in an outpatient setting. Despite motivation, there is question about the patient’s “ability to choose non-eating disorder coping strategies when her[/his] distress level runs high.” Furthermore, the transition from treatment to “real life” is inherently destabilizing and stressful, which almost seems to set the patient up for high-risk situations. Thus, “learning more about this critical phase of change [i.e the maintenance of change] is important, as relapse rates in the eating disorders are reported to range from 33% to 63% (Field et al., 1997; Herzog et al., 1999; Keel & Mitchell, 1997; Olmstead, Kaplan, & Rockert, 1994), and repeated admissions to treatment programs are common (Woodside, Kohn, & Kerr, 1998).”
The authors go on to cite several challenges in treating eating disorders that lead to high relapse and readmission rates. These can be grouped into three categories:
  • Eating disorders are mental disorders with physical consequences, as such the coordination of mental and physical care is necessary or optimal treatment, however integrated care is not always available outside of an intensive treatment setting, and this may lead to poor prognosis.
  • Comorbid disorder(such as anxiety, depression, PTSD) complicate and impede treatment of the ED
  • Many patients with eating disorders feel ambivalent toward recovery. Despite negative consequences of the disorder, EDs can serve as a coping mechanism, and in pursuing recovery, the patient loses not only the negative aspects of the disorder but also the functional value of it (which can be quite high).
So, WHAT WORKS?
Although recovery from an eating disorder is an enormous challenge, many individuals do attain partial or full recovery. While it is well understood that the course of recovery from an eating disorder is slow, what remains unclear is an understanding of what factors support a favorable outcome.
A small number of studies in the past several decades shed some light on this, but the work, which is dated anyway (from the late 80′s to the early 90′s!) most definitely left room for further investigation. And so, the present study aims to “identify factors that help or hinder the maintenance of change and the ongoing promotion of recovery during the critical 6 months immediately following eating disorder treatment.”
Cockell et al studied 32 women who had been admitted to (and completed) a 15 week residential treatment center (mean age 27.9 years (with a standard deviation of 10), mean duration of eating disorder was 11.6 years (with a standard deviation of 9)). Diagnoses were made by a clinical psychologist according to the DSM-IV. Prior to treatment, 21 women met diagnostic criteria for anorexia nervosa, and 11 met criteria for an eating disorder not otherwise specified (EDNOS).
Immediately following completion of the treatment program “all 32 reported a decrease in eating disorder symptoms  but continued to meet criteria for an eating disorder not otherwise specified [italics mine]”
Specifically, most women had reported reduced behavioral symptoms (including maintaining an objectively healthy weight; no participants met the diagnostic weight criteria for AN) but not reduced cognitive symptoms, thought patterns, and so on..
This isn’t too surprising as the treatment center in this study (as with most others, in my experience) impose weight/behavioral guidelines that are generally adhered to at the facility and cognitive changes are slower to occur (and require, in my experience, more extensive/different/long-term work to change).
Six months after treatment was completed, the diagnoses were reassessed.” At that point, 5 women met diagnostic criteria for anorexia nervosa, 1 met criteria for bulimia nervosa, 21 met criteria for EDNOS, and 5 no longer had an eating disorder diagnosis.” These numbers are consistent with what is generally observed in studies looking at partial recovery, full recovery and relapse (Strober et al., 1997).
To find out what helped or hindered recovery for the women in this study, in-depth, open-ended interviews were conducted with participants in which they were asked to identify what assisted or sabotaged their recovery, in their own words.
Analysis allowed the responses was broken down into specific factors, summarized in the table below.

Table 1: Summary of Assisting and Inhibiting Factors from Cockell et al. (2004).
Cockell et al  break their findings down into three working categories: effective coping, social support and higher values. They further go one to provide treatment recommendations on how to incorporate their findings into outpatient treatment to facilitate the transition from intensive treatment to real life. Their recommendations are valid and seem to follow accordingly based on their results.
The basis of most of their ideas seems to be: have a treatment team that communicates with each other, encourages and facilitates building effective social support, helps prepare you for times of distress and works with you on building a life outside of the eating disorder that incorporates values you hold for yourself.
If you’re like me you may be thinking that this sounds like good practical advice based on first-hand accounts of research. You also may be thinking DUH. I’ve, personally, been in solid treatment programs that have incorporated everything mentioned in this study and beyond. I also have a treatment team (currently and in the past) that is well versed in eating disorders, communicate well with each other, with me, AND with my former treatment center(s).
I’ve also relapsed and gone back to treatment. In spite having all of this in place. (And I’m aware that no one on this project said that this is a fool-proof plan, but hang in there with me for a second.)
Although this study is valid, it fails to mention something pretty significant (in my opinion): in order for everything that they cite as “helpful” to in fact be helpful, the patient has to fight for it.  Fight really hard. For example, having  a treatment team that works with you on interpersonal skills and building meaningful relationships isn’t going to help if the patient doesn’t get out there, be vulnerable and do the work it takes to build relationships. Same with nutritional counseling and coping skills. I learned a lot of things in treatment and I continue to learn a lot of things that would be very helpful in maintaining recovery. For instance, I know that meal-planning is helpful.  I know the importance of nutrition. I also know that getting through the anxiety, time and energy it takes to do the plan and eat is sometimes huge. I know I’m not alone.
Bottom line: I certainly think that everything Cockell et al report is useful. But I also think that another HUGE problem in maintaining change coming out of intensive treatment is doing the recovery behaviors long enough so that they become habit, less of a job, more of a way of life. This research cites one way in which that can happen which involves the support of others, but misses the other side of the coin that involves the work the patient must do themselves.

5 Responses to “Maintaining Change Following Intensive Eating Disorder Treatment”

  1. Good topic. I agree that fighting for recovery is crucial. In order to fight, we need a whole lot, like the skills, the motivation, the hope that it will be worth it and a cheer squad/advisory board/treatment team helps a bit too.
    I often wonder if intensive treatment takes the patient too far too quickly. In my experience, the treatment team asserts that the best model of treatment is to get me to 20bmi, with inpatient then intensive outpatient care, in the space of 4 or so months, and then it’s discharge and cross fingers that I can maintain the weight and the eating pattern. Of course they taught me skills etc.
    This puts a lot of pressure on to maintain recovery. It’s a lot of change in a relatively short space of time, in an environment unlike home and normal life. And the change has been created by the treatment team and not by choices that I’ve had a great deal of say in.
    I’m sure that approach is quite ok for some patients.
    I wish the pace of treatment could be more variable, rather than ‘one size fits all’, where the patient is involved in goal setting. In this way, recovery could be intentionally staged, ie. progressive in stages. Assuring of course, medical stability. One way this would help, as I see it, is increasing confidence in one’s ability to consolidate progress and reducing feelings of failure and discouragement from not being able to meet overly high expectations.
    Anyone else ever thought this kind of approach would help?
    POSTED BY LOVINGMYFAITH | SEPTEMBER 26, 2012, 6:22 AM  | QUOTE COMMENT
    • I agree that having flexibility in the pace of treatment could be really beneficial. I think in residential, inpatient, php, iop etc, a lot of the pace is determined by insurance (i.e. why should we pay if progress is going so slowly). When there’s a time limit, I think Tx centers want to do as much as they possibly can, which is usually physical =/
      I experienced a *little* more flexibility in residential this time … not at all with weight restoration which went at a ridiculously fast pace, but in terms of integrating other recovery behaviors. Also, DEFINITELY having a team that is encouraging/believes in your ability to do it.
      The biggest lesson I learned in treatment this time was after I purged and told the RD at the treatment center. I was expecting to be put on some crazy observation or something and I was already pissed at myself for doing it. She said something along the lines of, “If it wasn’t relieving in the same way it used to be, then I’m sort of glad you did it, what a great lesson to learn in a safe environment. You need to be able to make mistakes and learn from them in a safe way.”
      I was mind blown. That I could process a slip and not get in trouble for failing was huge. It also was kind of a red flag that I needed to have more support from staff/my therapist etc. We definitely need more of that.
      POSTED BY GINA | SEPTEMBER 26, 2012, 11:24 AM  | QUOTE COMMENT
  2. I think there sound like there are huge differences in treatment here in Australia to other countries, so my experiences probably won’t be the same as others. But for me, it’s been a vicious cycle. The more inpatient treatment I’ve had, the sicker I’ve actually gotten all round. And this cycle just kept feeding itself for years, a pretty horrible situation.
    Treatment in Australia seems to be more in theory than in practice. Apart from the scary shortage of actual beds for people with ED, if you manage to get in, you will find yourself looked after by a large percentage of staff who don’t know the first thing about eating disorders, and find you frustrating, because the ED unit will be a few beds on a general ward and short staffing/funding means they do need to use general staff, take them aside and give them a few (quickly forgotten) general pointers and consider them trained ED staff.
    Lack of staff and funding also means that program content doesn’t happen. The programs I’ve been on mostly ended up having more than half their scheduled groups become video watching sessions (in order to ‘babysit’ the patients in after meal time by keeping them in one place but not having the staff to actually engage with them.) Any groups that do happen, there is no continuity and if you a repeat patient as many are, you do the same groups several times over.
    And then there is the factor of being ‘forced’ to be there. In public hospital units in Australia, it seems these days that pretty much everyone there has been forced there under the mental health act. That makes for a unit full of angry people there against their will with their minds set on fighting the treatment any way they can – the attitude of the patients can often get very ugly and anti-authoritarian, groups are openly scoffed at and participation rates very low (and rudeness factor high since they still have to be in the group even if they are refusing to engage.)
    My hospital has a good meal support program now – and by ‘good’ I mean very strict with all avenues of cheating limited. But I’ve never felt I’ve learnt how to eat ‘appropriately’ there because the meals are on a whole, much larger than would be normal since we are all on weight gain regimes, also there is the feeling of being held hostage because you have less than 20 minutes to eat every bite on your tray or you will drink your entire prescribed supplement. Even for one bite left. You aren’t listening to your body or tasting the food, you are shovelling it in like a robot and racing against the clock. My own treatment meant I mostly ate in bed – and I felt that I was completely clueless as to how to feed myself when I returned home, and clueless as to how to cope out there in the big overwhelming world after another few months on bedrest in a little white room.
    Every unhelpful and even deadly behaviour I’ve learnt has been from fellow patients or dreamed up in reaction to something imposed by staff.
    I’m not blaming my treatment for how sick I became, I have only myself to blame for that, but I sincerely do not think inpatient treatment is good for people with eating disorders unless they are critically ill and need urgent stabilisation. I think transition house style treatment and day patient treatment would be the best way to go, try to keep people as engaged in the real world as possible, doing as much for themselves to practice valuable skills as possible, and to avoid their whole world and group of social contacts from diminishing into an ED world. the more disengaged we become from real life and real people, the harder it is for us to get out there and be part of it and that in turn negatively affects the patient’s chances of freeing themselves from the disorder.
    POSTED BY FIONA | SEPTEMBER 26, 2012, 10:18 AM  | QUOTE COMMENT
    • I definitely think this is geared toward treatment in the states (although I guess I’m not too well versed on international treatment besides, like, the UK). Anyway, just from personal experience my treatments here have been vastly different than what you described, but mostly because I think I’ve been lucky enough to have some treatment providers that were/are very-well versed in eating disorders…I know that revolving-door of Tx exists here too, especially when you enter the realm of psych ward/inpatient treatment. I do think, despite having subjectively “good” treatment, some things remain. I definitely also learned a lot of behaviors from fellow patients and became much MUCH more sneaky after playing games with staff during my first couple of intensive treatments.
      You say it pretty well…the most effective things I learned in treatment were how to put a meal together for myself. (In residential, we cooked/prepared a lot of meals for ourselves in an actual kitchen, very helpful). And also, having the opportunity to follow a meal plan with treatment support AFTER I had restored weight. Eating a normal amount of food is still hard, but it’s REALLY different from weight restoration amounts.
      Really interesting differences (and still similarities in outcomes despite some really big differences in Tx approach).
      Cheers.
      POSTED BY GINA | SEPTEMBER 26, 2012, 11:15 AM  | QUOTE COMMENT
    • Fiona:
      And then there is the factor of being ‘forced’ to be there. In public hospital units in Australia, it seems these days that pretty much everyone there has been forced there under the mental health act. That makes for a unit full of angry people there against their will with their minds set on fighting the treatment any way they can
      This is the one of the major faults in a system that limits or denies access to treatment resources until the patient is severely ill. By the time they reach that point, it is almost impossible to expect patients to participate in treatment in a meaningful way, from
      what we know about eating disorders and the effects of starvation on the brain. Hence setting the program up for failure and the individuals for recidivism and relapse.
      POSTED BY SAREN | SEPTEMBER 26, 2012, 12:12 PM  | QUOTE COMMENT
  3. This article supports my 31 years of experience in successfully treating those with eating disorders into recovery.
    Throughout my entire career working with ED Clients I have been aware of several important facets to the real recovery process. 1) as research states recovery from an eating disorder takes from 3-10 years! 2) It is my belief that while there is a need for inpatient treatment – PURPOSE: Primarily to stabilize life-threatening out of control behavior associated with the ED – Period. 3) A long-term group therapy course + individual care as needed allows for the establishment of invaluable healthy relationships/support that focuses/addresses the cognitive distortions/faulty thinking clients present with. 4) This type of group provides a safe environment for the client to try new social behavior such as setting boundaries, new ways of thinking, finally addressing the SHAME that underlies all disordered eating behavior and ALL the though process distortions. 5) Ultimately our clients display interesting and universal outcome – ED behavior simply melts away w/o the constant ‘battle’ described by clients. (Yes I did just say our clients symptoms simply fade away!) 6) During the course of treatment our clients learn effective coping skills for life’s challenges, attain a healthy support group of people, are able to learn to express themselves and their feelings within a very emotionally safe environment!
    After 31 years of research, education & experience this has been the MOST SUCCESSFUL method of treatment for these life-threatening disorders! So I whole-heartedly agree with the this article’s main positions!
    Your comment is awaiting moderation.
    POSTED BY DEB - EDRC (EATING DISORDER RECOVERY CENTER) | SEPTEMBER 30, 2012, 8:24 AM  | QUOTE COMMENT
    So Please Share YOUR Thoughts about all
     of this!!!