Podcasts about eating disorders program

On this week's episode I am super excited to be introducing you to our next special guests! Rebecca Cuskelly, a Clinical Psychologist, Co- Director & Founder of The Practice & Senior Dietitian from The Practice, Suchitra Kurana. Rebecca and Suchitra both have a passion for working with people with eating disorders and body image concerns.  A little bit more about Rebecca.. She is a board approved supervisor with a special interest in supporting people with anxiety, depression, Binge Eating Disorder, body image disturbance, obesity management and eating disorders. Rebecca began her career working in mental health services in rural NSW where she used John Kebat Zinn's research to establish and develop a Mindfulness for Depression group therapy program. Rebecca also helped found and run a community based Dialectical Behaviour Therapy program in Sydney as well as worked on assessment and delivery of Cognitive Behavioural Therapy for those with mood disorders and anxiety. Rebecca worked at Northside clinic for 5 years where she delivered inpatient and outpatient treatment In the Eating Disorders Program, working with adults, adolescents and families. Rebecca also completed research at the Northside Clinic looking at individual factors influencing treatment outcomes in eating disorders. Simultaneously Rebecca worked in the Mood and Anxiety Unit to deliver short- term and client led treatment. For Suchitra! She is also a supervisor for Dietitians with a special interest in eating disorders, emotional eating, chronic dieting, body image concerns, vegetarian & vegan diets, general nutrition, women's health, food intolerances- IBS management and Chronic disease management. A little bit more about Suchitra.. She completed a Bachelor in Biomedical Science with MUIC, Thailand and a Masters of Nutrition and Dietetics with the University of Sydney. She has been practicing in a variety of settings over the last 15 years of her career. She is passionate about helping clients break the cycle of dieting, through intuitive eating principles to find freedom and fulfillment with food. Suchitra is interested in supporting parents with adolescents with eating disorders within the home environment using Maudsley Family Therapy, where she was trained by leading clinicians at The Children's Hospital Westmead. Suchitra has been trained in RAVES Eating Model- Developing Positive Relationships with Food, Foundations for Trauma informed care for Dietitians, and Body image training- The Missing Piece of the Whole Body Healing. She practices using various mind and body connection techniques such as mindfulness- based practices and body image work.  On this week's episode Suchitra and Bec will be speaking about the role of holistic care when supporting someone with an eating disorder presentation. Discussing the importance of repport building not just with the client but within the multidisciplinary team. Stigma and barriers to care will be talked about in regards to a person's ability to seek help for an eating disorder and receive the adequate care they need. Looking at individual factors impacting people's lives and their ability to work towards eating disorder recovery. So let's get into it!    Podcast Summary  1.     Wellness is holistic  2.     Eating disorders impact multiple facets of people's lives 3.     Holistic needs and what is realistically achievable  4.     Not all professionals are trained in eating disorders 5.     An eating disorder is only one part of a person's life   Links to the Practice: Located in Crows Nest, Sydney Website: https://www.theprac.com.au/ Links from the episode and to BodyMatters:  BodyMatters Australasia Website: ⁠⁠⁠⁠⁠⁠⁠⁠https://bodymatters.com.au/⁠⁠⁠⁠⁠⁠⁠⁠ BodyMatters Instagram: @bodymattersau Butterfly Foundation Helpline: Call their National Helpline on ⁠⁠⁠⁠⁠⁠⁠⁠1800 33 4673⁠⁠⁠⁠⁠⁠⁠⁠. You can also ⁠⁠⁠⁠⁠⁠⁠⁠chat online⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠email

In this episode of Augusta University's official podcast, In the Wild, we delve into the complex intersection of diet culture and the rising use of medications like Ozempic for weight management. Featuring insights from Thad Carson, MD, assistant professor at the Medical College of Georgia, and Christian Lemmon, PhD, professor and director of the Eating Disorders Program, we explore the societal implications of relying on pharmaceutical solutions to meet body image ideals. Learn more about the Medical College of Georgia: https://www.augusta.edu/mcg/

Eating disorders are among the most challenging and consequential mental health diagnoses in pediatric medicine. Join us and Dr. Abigail Donaldson, Medical Director of the Eating Disorders Program at Hasbro Children's Hospital, as we tackle the complexities of anorexia nervosa and other restrictive eating disorders from a clinical perspective. Tune in as we explore assessment tools, therapeutic approaches, and collaborative strategies for managing these challenging disorders in practice.

On today's healing one day one, I am talking to Dr. Michael Strober, a distinguished professor of psychiatry and the director of the Eating Disorders Program at the Neuropsychiatric Institute since 1982. His research centres on risk factors and eating disorders and the long term course outcome and treatment of them. As someone who has suffered from an eating disorder myself, this is an episode I was very keen to do.We discuss what to do if you think someone is on the verge of an eating disorder and why someone perhaps suffers from the disorder in the first place. This is a fascinating HEALING 101 with one of the most interesting men I've ever had the pleasure of talking to.Find Dr Strober:Website: https://www.uclahealth.org/providers/michael-strober Support for eating disorders: https://www.beateatingdisorders.org.uk/ Follow Hurt to Healing on Instagram:@hurttohealingpod--A big thank you our wonderful charity partner Shout. Shout is the UK's first 24/7 mental health text support service so if you're struggling or in need of someone to talk to, please remember to text Shout to 85258. This episode is sponsored by Boden, a British brand that has championed uplifting, eclectic British style since it was founded 31 years ago. Head to Boden.com to check out their new autumn collection or to their Instagram @boden_clothing.Thank you to our corporate supporter, Brown Advisory, a global investment management firm which is passionate about raising awareness of mental health challenges in order to help people thrive in an ever-changing world. Hosted on Acast. See acast.com/privacy for more information.

Carissa returns to the podcast! During her last episode (OCCUPIED 123) she discussed her personal experience with eating disorders and was about to embark on her doctoral project. She has now completed that project and has come back to talk about how it went.

Rebecka Peebles, MD Which comes first- Improved body image or weight gain?  Kids WILL grow out before they grow up.   AAN (‘Atypical Anorexia') takes longer to get periods back, not clear with males.  Goal weight is the place where body and brain are healthy – HEALTHY STATE  HOW RIGID ARE COGNITIONS?? –It's the last thing to get better.  Physical and mental – if we have estimated weight goal and look ok physically but rigidity is still there, we still need to push.  What do Leptin levels tell us? – or not.   Weight suppression has a profound effect of the brain and behavior  What if parents don't suck?  Meet parents where they are, and be respectful of parents.  As a field, remember our own humility.  The doctor needs to be the consultant.  Dr. Peebles Seasonings:  Healthy State instead of Goal Weight  As a field, remember our own humility  Dr Erin Accurso  https://twitter.com/erinaccurso What Parents Know Bio:  Dr. Peebles is an assistant professor in the Division of Adolescent Medicine at The Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine.  Prior to joining CHOP, she was an instructor at Stanford University School of Medicine's Division of Adolescent Medicine, Department of Pediatrics, and was primarily involved with the Eating Disorders Program and the Center for Healthy Weight at the Lucile Packard Children's Hospital.  Dr. Peebles' research interests focus on the health outcomes of disordered eating in adolescents of diverse weight ranges, and how the Internet can be used as a vector to both help and harm young people as they try to approach a healthy weight. Her most recent work has been funded by the American Heart Association.  The code for 10 dollars off the clinician portal access is bethharrell  The registration price will drop from $49 to $39 with your code.   The clinician portal access link is below: https://store.myclearstep.com/orders/clinicians    Professional Supervision Groups with Beth forming now - bethharrell.com/professional July-Dec 2022 With your host Beth Harrell

Our guest today is Dr. Gary Foster, Chief Scientific Officer of WW, the company that many of us remember as Weight Watchers. Gary is one of the most respected scientists in the obesity field and is the author of a book released recently called "The Shift: 7 Powerful Mindset Changes for Lasting Weight Loss." Interview Summary So Gary, you and I have known each other now for about 40 years, having worked together at the University of Pennsylvania at the early stage of careers for both of us and I've always admired your work and was eager to read your new book and I expected that it would break new ground, and in fact it did. And it's not a topic that hasn't been written about a lot, so it was interesting to see how you would handle these issues. So, I'm so glad you can join us. We look forward to digging into the book. Thanks so much for being with us. My pleasure, Kelly, great to be with you. I was just thinking in preparation for this conversation that you were the person responsible for starting my career. You actually gave me my first job at Penn. So, for that I'll always be grateful. Well, I mean, that can't feel anything but good because your career has been amazing and you've accomplished and contributed so much. And it's been really fun to be friends and colleagues over all these years so I guess it's been a real source of pride for me. So, let me ask a career question of you. So, you spent many years as a highly regarded figure in academics, first at the University of Pennsylvania and then running a well-known obesity center at Temple University that you created but then you moved to the corporate world. Why make such a big career change? Yeah, it was an interesting process. I loved everything about what I was doing as a researcher and a clinician, and administrator, and academia both at Penn and at Temple and the opportunity at WW came up and I was actually approached and someone asked that I know somebody who would be suitable. And the more I heard about the position, the more it excited me. And the main reason is the ability to scale science and to have impact. One of the nice things about being a scientist and write papers and give talks is that you're actually creating science, and that has its own impact. And again, I'm not knocking it. That was one of the most gratifying things I ever did in my professional life. But the ability to take that science that I had done and broadly the whole field had done, and to scale that to impact the lives of literally millions was really compelling for me and it was just an offer I just couldn't pass up. Well, it's so interesting that you made that change and you're right boy, it's an opportunity to affect an awful lot of people and now you are expanding the opportunity even more with your new book. So, usually, in the world of advice written by professionals, and sometimes non-professionals, for people wanting to lose weight, it's filled with basically information on what the diet should be. Is it low carb or high carb or low fat or whatever. And there're just versions and versions and versions of these things over the years but you focus on mindset. So, what goes into the way a person's thinking is a really important determinant of weight loss according to you. So, tell me why you believe that and why is mindset so important? Yeah, I think first is the world doesn't need another diet book. To your point, most people, when they think of improving their weight or health or their overall wellness are told things like high this, low that as you just referenced. Then, what's been clear to me and this wasn't clear early in my career, but probably 10 or 15 years in patient after patient, study after study, what became clear is the people who were most successful in a weight and wellness journey are necessarily those who track their food intake every day or every week, or lost weight in some linear fashion, who worked out just as they had prescribed. Well, eating and activity were important. The thing that most distinguished people who were successful versus those were less successful are the people who had changed the way they thought and importantly, the way they thought about themselves and the way they thought about the journey. And that's really what the book's about, it's trying to help people think differently about themselves especially among people who are heavily stigmatized based on their weight and shape, but also to think about the journey because one of the most common off-ramps is when people had setbacks then they think in some erroneous ways that aren't helpful for overall health and wellness. So, we'll get back at setbacks in just a minute. But first I'd like to ask you the following question. It sounds like you have abundant personal and clinical experience working with individuals suggesting that the way people think is an important determinant of whether they can lose weight and keep it off. Is there a research that supports that as well? Yeah, but there's no long-term clinical trials on that. We're now just starting to measure things like self-compassion and our own clinical trials. What we find is a lot of experimental research. Kristin Neff has probably done the best work at this at the University of Texas where she can experiment totally manipulate self-compassion in the context of eating. So, there's a famous experiment that she talks about where people come in and they're given a classic preload where they're given some cookies under the guise of the taste test and then one group gets a self-compassion intervention and the other group gets a more general intervention having nothing to do with self-compassion. And when they look at the subsequent intake of things like M&M'S or various candies, people who get the self-compassion intervention actually less, and the hypothesized mechanism there is that if you violate some rule that you have or some guideline that I shouldn't eat this or I shouldn't eat that or I have to have a certain number of calories or a certain number of points, once you violate that, what you say to yourself really does matter. It goes back to the original premise and 60 years of research that what you think determines how you feel and how you feel determines what you do. So in short, how you think about yourself in the journey is going to affect your behavior. That leads us to maybe a little bit more thorough discussion of setbacks. You mentioned that dealing with setbacks, which really are inevitable for sort of anybody doing anything but especially when they're on a weight loss journey that how people are responding to these in their mind becomes really important. The first is to expect setbacks. They happen to 100% of the people, 100% of the time and this isn't just a weight and wellness play. This is in relationship and our role as parents and our role as workers in a workforce. It never goes perfectly. So, first thing is to expect them and then the second thing is to learn from them. Use it as Carol Dweck would say, use it from a growth mindset perspective. Instead of saying, "This is just the way it is, I'm in this rut and here I go again." Just say, "Okay, things didn't go as exactly as I planned, I wanted to eat this and I ate that. I wanted to move my body in a certain way and it didn't happen." Okay, can you view that? Be aware of it but in a nonjudgmental way in which you can learn. I think the other thing about setbacks that's important is to just increase your awareness of what you say to yourself. Sometimes we say the most nasty things to ourselves. Some are neutral like I've blown it. It's exaggerated, it's not true but others are like, "Can't believe you did this. You're such an idiot. Here you go again, you have no willpower." We wouldn't utter those things to any other human being, but somehow we feel justified to say very nasty things to ourselves. If it helped it be one thing, it would still be in my mind unconscionable to talk to yourself that way. But the data are very clear, it doesn't help. It actually depletes motivation. And it goes against this commonly held myth that the harder I am on myself, the more nasty things to myself, the better I'll do when in fact the data are pretty clear that self-compassion beats self-criticism every single time.   It's interesting because this sounds like a very modern and updated version of what the well-known psychologist talked about many years ago where he talked about people having the inevitable lapses but then it really was the way they were processing them psychologically that turned them into a full-blown relapse. And so, you've kind of taken that basic premise but enriched it a lot, given people more concrete ways of addressing and then also layering in this whole emotional part of it about compassion. It's very impressive how that's transformed over the years. Thanks you, I agree. I mean, probably from my exposure to you and training by you was very aware of my lapse model and the abstinence violation effect. And really it's trying to get at the crux of when people have setbacks, how do they view them? And one is how you view the setback itself. Is it a bump in the journey? Does it really say something about how you're doing on the journey overall? I would say, no, it's a bump that tells you nothing about the overall journey. It's a momentary snapshot but also importantly, I think this is where a slightly different angle than previous theories perhaps is how you think about yourself. The more you engage in self-criticism, the worst is going to be. So, this issue of compassion has come up a number of times in our discussion already. Let's talk about it a little bit more because I think it's really one of the most important and unique parts of your book. You talk a lot about compassion and kindness toward yourself, these are central themes. And you also want readers to feel this more often when they're addressing the inevitable setbacks. So, explain a little more concrete detail how they can go about doing that. Yes. One of the things that I'm really proud about the book is that we don't just talk about self-compassion is important and here's some science on it and here's a reason to believe and good luck to you. As a behavioral psychologist, it's really important to me to not just lay out the what, but the how. So at the back of each chapter, whether it's a self-compassion chapter, leaning into your strengths or experiencing happiness and gratitude, all of those things have science proven techniques at the back of each chapter to help you do that. So, the basic premise around self-compassion is you need to start the journey from a fundamental sense of worth as people are right now. So, no qualifications. If I was a little bit lighter, if I was a little bit fitter, if I was a better parent, if I... Not, just as you are right now, you have fundamental worth and that's why you're worth taking care of. And that's to me the cornerstone of any self-improvement project whether it's weight-based, wellness-based, relationship-based or anything else. And what that does is it turns the journey upside down. Instead of seeing yourself as deficient from the start and needing some remediation of all these deficiencies, you're really saying, "I'm worth taking care of." And because I am, that's why I'm going to engage in this. And what that does is this now makes something, feels like something you're doing for yourself, not against yourself. It's almost the analogy I say in the book it's like giving a gift to yourself. If this starts to feel like making up for past transgressions, it starts to feel moralistic. It starts to feel onerous. That's not a gift to yourself. And it probably is started with the premise that the harder I'm on myself, the better I'll do. And again, the science is just the opposite. Well, it's almost like going from swimming against the tide than going with the tide, isn't it? Because you're trying to take advantage of people's inherent strengths and have them feel that they deserve these sort of things. And then, the actions that they're taking are trying to fight off some evil force that makes people want to eat more but to do things that are nurturing and informing. Exactly, exactly. One of the techniques we talk about in the book is how you would talk to a friend given the same situation and think about your body postures, think about the words you would use, how you would talk to your child who is having a setback and contrast that against the ways you talk to yourself. And there's a pretty big fundamental difference for most people on a weight and wellness journey. And you're so right in terms of leaning into your strengths and otherwise it becomes a game of whack-a-mole where here's the deficiency, here's the weakness. It's exhausting and it doesn't feel like it's a gift you're giving to yourself. It feels like you're in never ending search of fixing one weakness after another. So, what role does a person's social network play in losing weight and maintaining it? It's critically important and your work many years ago sort of highlighted this in an empirical way where people had so-called at the time cooperative spouses and uncooperative spouses. And I think the field has evolved over time but there's certainly a few tenants that I think are important to consider when it comes to getting help. One is to believe that you deserve help. A lot of people say again, given the pervasive weight and shape based stigma that you know well about, been a pioneer in talking out against and studying its causes and consequences. A lot of people feel like, "I got myself into this situation, so I shouldn't ask for help." So again, that's the antithesis of self-compassion. So, start at a place that you're worthy of taking care of and you're worthy of asking help for it. The next step is really, and this is where most people I think get off track a little bit, is to ask for what you need in very specific terms. So, it's up to you to decide what's supportive and what's not, one of the landmines that can happen in relationships sometimes as people say, "Honey, please be supportive." And then honey gets to decide what's supportive or not, which may not be supportive to you. So, it may be things like, "When I order a dessert out of the restaurant, it's really not helpful for me when you roll your eyes or you make a comment, that's not helpful. So, I'd appreciate it in the future but if I order anything whether you think I should have it or not then you just don't make any comments about it." So, the first is that specific request and then of course the next step would be a specific follow-up. Not, "Honey, thanks for being supportive." Or, "You're a terrible partner because you're not supportive. But anyway thanks so much, I noticed when I ordered something the other night, you didn't make a comment." Or "Truly helpful for me, if you're going to have ice cream at night to have it in the other room and not to have it close to me while we're watching TV." So, first thing is you deserve it and the second thing is specificity both on the request and then on the follow up. It's really nice that you begin with a principle and describe why the principle is so important and justify it scientifically but then you give some very concrete examples, like you just have. So, that makes a book way more accessible than it might otherwise be. And I could see how we're be very helpful for people. Let me ask about another issue that you alluded to. And so, the subtitle of your books last chapter is "Experiencing Happiness and Gratitude." Again, this is something that makes your book unique. Tell us more about what you mean by that. A common myth and practice is that people often put their own lives on hold or put their happiness on hold as if their happiness is determined by some number on the scale or some size of their clothing. So, what the book really attempts to do is to say the more the journey can be, and this goes again for any self-improvement journey, can be a happy one and one filled with gratitude. A, you're just happier when you're more grateful, that's a good thing to be in and out of self. But B, it gives fuel to the journey. So, if I have this preset notion that I can only be happy once I've lost 50 pounds, boy, it's a long time between now and 50 pounds. And really, is that what determines your happiness? So, one of the things we talk a lot about in the book again are these techniques at the end of each chapter and there's a really great technique called three good things. It takes no more than five minutes a day and it doesn't have to be done every day. But if on most days at the end of the day, it could be at the beginning of the day, it could be at meal time, whatever it can be a ritualized routine for folks, it's truly important just to think about big, small, medium, don't worry about it. What brought you some pleasure today? It could be the smell of a great cup of coffee. It could be hearing from an old friend and just to wallow in those feelings and just think about what you'd liked about it. It could be some moment of pride around a young child having an accomplishment, just that process of remembering them and wallowing in it for a very short period of time has been empirically shown to improve people's happiness. So, the idea is to do those things now. The things that we've both heard from patients over the years like, "I'll wear nice bright colors when I lose weight, I'll get out of a bad marriage when I lose weight, I'll ask for a promotion when I lose weight." No. Live life now. Lean into your own happiness. You deserve to be happy and don't make a contingent on your weight or shape or any other thing. Bio: Gary Foster, Ph.D., is the Chief Scientific Officer at WW International, Inc. Foster, a psychologist, obesity researcher and behavior change expert, was previously the Founder and Director of the Center of Obesity Research and Education and Laura Carnell Professor of Medicine, Public Health and Psychology at Temple University in Philadelphia. Prior to Temple, he served as the Clinical Director of the Weight and Eating Disorders Program at the University of Pennsylvania School of Medicine. He has authored more than 225 scientific publications and three books on the causes, prevention and treatment   of obesity. Foster has received numerous honors including President of The Obesity Society, Honorary Member of the Academy of Nutrition and Dietetics, Outstanding Contributions to Health Psychology from the American Psychological Association, and the Atkinson-Stern Award for Distinguished Public Service from The Obesity Society. Dr. Foster's current focus is on scalable, evidence-based approaches to wellness for adults and children in community settings. Foster earned his Bachelor of Arts degree in Psychology from Duquesne University, an M.S. in Psychology from University of Pennsylvania, and a Ph.D. in Clinical Psychology from Temple University.

Welcome to the #SPAITGIRL Talk Show with Yvette Le Blowitz Episode 113 - Intentional Eating & Living with Dr Gia Marson, Licensed Psychologist  Become your authentic self.  Create a life that reflects your intentions.   You already have this power and Dr Gia Marson, psychologist and integrative medicine health coach will help you to harness it. Meet Dr Gia Marson is a licensed psychologist, author, consultant, integrative medicine health coach, lecturer and long term meditation practitioner. Dr Gia Marson has worked helping thousands of people find ease with food and recover from eating disorders, through proven techniques she helps people to combat the diet mentality, to stop obsessing about food, and move aware from mindless eating.  From age two until twelve, she lived with a medical condition that kept her from feeling fully carefree. The treatments also made her see herself a little different to her friends. But the experience taught her to deeply honour mental and physical health, and ingrained in her a sincere sense of empathy for others, which she now brings to her personal and professional relationships. She loved her job as a field producer for CNN, however made a decision to go from Journalist to Psychologist and returned to school to study psychology. At the Renfrew Centre, Monte Nido, and the UCLA Counseling Center she provided clinical services  Additionally at UCLA, Dr Gia Marson served as a director of the Eating Disorders Program, coauthored its first clinical care manual, worked as a clinical supervisor, and taught an intuitive eating body-image class.   She also joined the Breaking the Chains Foundation as a clinical board member and started a private practice. Dr Gia Marson career has included working with the UCLA Department of Athletics to support the well-being of the athletes, training as an integrative medicine health coach with Duke Integrative Medicine, and launching the Nourish for Life outpatient program at the UCLA David Geffen School of Medicine. Dr Gia Marson believes we all have a great ability to grow and change, once we choose to do so. Dr Gia Marson offers Clinical Services that you can reach out for compassionate, evidence based help, that will allow you to build an intentional life that brings you closer to your vision of health, success and happiness. You can become a Member of her Intentional Eating Community and get access to the principles of integrative health, monthly courses, meditations, quizzes, webinars and live Q&As that can help you reach your goals. Dr Gia Marson also has a eight-week program provided in The Binge Eating Prevention Workbook, that will empower you to change your relationship with food and boost your quality of life.  In Episode 113 - Podcast Guest - Dr Gia Marson shares: - a little bit about herself - what inspired her to write - The Binge Eating Prevention Workbook  - what are eating disorders? - symptoms of eating disorders - tips on emotional eatings - tips on binge eating - what is mindful eating? - how to create a healthy food, body, mind connection  - what is intentional living? - what her self care rituals are - what her hope is for all of her book readers Plus we talk about so much more of course... Get Ready to Tune Into Episode 113  Episode 113 - #spaitgirl talk show with Yvette Le Blowitz  available on Apple, Spotify, Google, Audible, Libysn + so many more podcast apps or search for #spaitgirl on any podcast app  -------- Available to watch on Youtube Channel - Spa it Girl or Yvette Le Blowitz - subscribe to my youtube channels in support  ------ JOIN OUR #SPAITGIRL BOOK CLUB Grab a copy of The Binge Eating Prevention Workbook by Dr Gia Marson  search for any book title - via Booktopia our affiliated online book store  *click here Hashtag #spaitgirlbookclub //#spaitgirl + tag @spaitgirl - to share when you are reading our podcast guest's book or any other book you are currently reading too --- Stay in contact with our Podcast Guest: Dr Gia Marson, Licensed Psychologist  Website: www.drgiamarson.com Instagram: @drgiamarson ---- IN SUPPORT - Little Random Act of Kindness  After you tune into this episode I would LOVE for you to - subscribe to the #spaitgirl podcast show with Yvette Le Blowitz - on any podcast app you listen to the show on - leave a 5* rating and review  - tell a friend, family member, or anyone you meet along the way about the #spaitgirl podcast show - re-share this episode on social media - hashtag #spaitgirl and tag @spaitgirl in your social media posts and stories {let me know your favourite part} ---------- Stay in Touch  Subscribe to #spaitgirl Website: www.spaitgirl.com Instagram: @spaitgirl ------ Stay In Touch with Podcast Host  Yvette Le Blowitz  Instagram @yvetteleblowitz Website www.yvetteleblowitz.com ------- Become a #SPAITGIRL Sponsor www.spaitgirl.com Email: info@spaitgirl.com ---- JOIN OUR #SPAITGIRL BOOK CLUB HOW - show off your BOOKS, and inspire our globally community - to read, learn, develop and grow. 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Updated at 8:50 a.m. Rob Bonta is making history as California's first Filipino American Attorney General; we talk with Bonta about his new role and transition to being one of the most influential officials in the state. Civic leadership organization Valley Vision has also released a new survey covering a number of topics, such as education equity and health care. Plus, a look at the spike in eating disorders among youths and teenagers during the pandemic and how an upcoming mini-medical school event can help improve the health of the Vietnamese community. Today's Guests Attorney General of California Rob Bonta on his appointment to head the state's Department of Justice, his plans for addressing criminal justice reform and hate crimes, and how he's preparing for the 2022 attorney general's race Valley Vision CEO Evan Schmidt discusses what her organization does and its latest surveys findings covering education equity, health care, and more  Psychologist, Professor of Pediatrics, and Medical Director of the Adolescent and Young Adult Clinic and Eating Disorders Program at the University of California, San Francisco, Dr. Sara Buckelew, explains the rise and prevalence of eating disorders among youths and teenagers, how the pandemic has exacerbated the issue, and ways to help  UC Davis Neurology Assistant Professor Oanh Meyer talks about the first-of-its-kind Vietnamese Mini-Medical School event on May 15th, addressing the unique health challenges and disparities of Sacramento’s older Vietnamese population

Experts are finding that the pandemic has led to an alarming rise in eating disorders. Dr. Lisa explains how eating disorders can sneak up on families and why they can be incredibly harmful. Lisa and Reena discuss how social media can contribute to eating disorders and the fact that these illnesses affects people from all genders, economic backgrounds, and races. Early intervention matters, so what are the signs of an eating disorder? How do you talk to kids about eating disorders? And when should you seek help? FOR CHILDREN EVERYWHERE: Eating disorders can be linked to food insecurity. Feeding America can help you find your local food bank to make a donation. https://www.feedingamerica.org/find-your-local-foodbank ADDITIONAL RESOURCES: Lisa's NYT column: Eating Disorders in Teens Have 'Exploded' in the Pandemic anorexiafamily.com Help for parents of children and teens suffering from anorexia and other eating disorders. feast-ed.org F.E.A.S.T. is an international non-profit organization of and for caregivers of loved ones suffering from eating disorders. nationaleatingdisorders.org NEDA supports individuals and families affected by eating disorders, and serves as a catalyst for prevention, cures and access to quality care. maudsleyparents.org Maudsley Parents was created in 2006 by parents who helped their children recover with family-based treatment, to offer hope and help to other families confronting eating disorders.  eatingdisorders.ucsd.edu/resources/ Resources recommended by the Eating Disorders Center for Treatment and Research at University of California, San Diego www.childrenshospital.org/centers-and-services/programs/a-_-e/eating-disorders-program/helpful-links Resources recommended by the Eating Disorders Program at Boston Children's Hospital https://www.aedweb.org/resources/about-eating-disorders Informational resources developed by the Academy for Eating Disorders https://www.drlisadamour.com/ Ask Lisa is produced by www.GoodTroubleProductions.com Be sure to follow us on Instagram, Facebook and Twitter @AskLisaPodcast, @LDamour, @ReenaNinan See acast.com/privacy for privacy and opt-out information. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Experts are finding that the pandemic has led to an alarming rise in eating disorders. Dr. Lisa explains how eating disorders can sneak up on families and why they can be incredibly harmful. Lisa and Reena discuss how social media can contribute to eating disorders and the fact that these illnesses affects people from all genders, economic backgrounds, and races. Early intervention matters, so what are the signs of an eating disorder? How do you talk to kids about eating disorders? And when should you seek help? FOR CHILDREN EVERYWHERE: Eating disorders can be linked to food insecurity. Feeding America can help you find your local food bank to make a donation. https://www.feedingamerica.org/find-your-local-foodbank ADDITIONAL RESOURCES: Lisa’s NYT column on eating disorders will appear online on Wednesday. anorexiafamily.com Help for parents of children and teens suffering from anorexia and other eating disorders. feast-ed.org F.E.A.S.T. is an international non-profit organization of and for caregivers of loved ones suffering from eating disorders. nationaleatingdisorders.org NEDA supports individuals and families affected by eating disorders, and serves as a catalyst for prevention, cures and access to quality care. maudsleyparents.org Maudsley Parents was created in 2006 by parents who helped their children recover with family-based treatment, to offer hope and help to other families confronting eating disorders. eatingdisorders.ucsd.edu/resources/ Resources recommended by the Eating Disorders Center for Treatment and Research at University of California, San Diego www.childrenshospital.org/centers-and-services/programs/a-_-e/eating-disorders-program/helpful-links Resources recommended by the Eating Disorders Program at Boston Children’s Hospital https://www.aedweb.org/resources/about-eating-disorders Informational resources developed by the Academy for Eating Disorders https://www.drlisadamour.com/ Ask Lisa is produced by www.GoodTroubleProductions.com Be sure to follow us on Instagram, Facebook and Twitter @AskLisaPodcast, @LDamour, @ReenaNinan

Dr. Amrita Ghai, Idil Farah, and Leslie Campbell move us beyond macronutrients and take us through a nourishing discussion about food and its connections to wellness.  Click here for full bios. DR. AMRITA GHAIwww.drghai.comDr. Amrita Ghai, Ph.D., C.Psych. is a clinician, researcher and teacher. She completed her undergraduate degree at The University of Toronto in the Psychology Research Specialist Program (Hons. B.Sc., 2005, Victoria College) and earned her Masters and PhD in Clinical Psychology at York University. Dr. Ghai is a Clinical Psychologist working in private practice where she provides assessment, treatment and consultation to individuals experiencing difficulties with a range of mental health challenges. She is recognized for her strong expertise in disordered eating, body image, perfectionism and anxiety. In addition to her work in private practice, Dr. Ghai has held positions in university counselling centres, outpatient medical units, and teaching hospitals. She was a Psychology Resident, Post-Doctoral Fellow and Staff Psychologist at St. Joseph's Healthcare Hamilton working in the Behavioural Medicine Program, Anxiety Treatment and Research Centre, and Eating Disorders Program.  IDIL FARAH@idilsworld | https://www.idilsworld.com/   Idil is a Registered Nutritionist and Health Educator based in Toronto, with a BASc in Food and Nutrition. She has over 10 years of experience working with clients in both a clinical and community setting. She is continually inspired by the power of food and its ability to heal the body, and promote overall wellness. Idil truly believes, what you eat will dictate the future quality of your health. She strives to empower her clients to take an active role in their health and to develop sustainable healthy eating habits. Her philosophy revolves around the theory that food is your medicine, and your kitchen is your ultimate farmacy.Fundamental to Idil's practice is an integrative approach to health, that puts emphasis on honouring the physical, mental and emotional health. Her customized approach to nutrition counselling and holistic health is a unique blend of science and traditional holistic practices. She strives to educate her clients on the principle of using food as a primary source of healthcare. LESLIE CAMPBELLFoodshare's IG: @foodsharetoLeslie is a food justice advocate with a background in tropical agroecology and community food security. As a student, Leslie spent a year in Northern Thailand managing an organic farm and developing an agricultural training curriculum, which inspired him to pursue a Master's degree in Geography focusing on the social and ecological aspects of food systems. He then returned overseas, spending two years teaching agriculture in Indonesia and two years working in agricultural research and training in Ethiopia, after which Leslie returned to Canada, excited to engage with food issues more locally. Leslie now works for FoodShare Toronto, where he supports community-led food access initiatives, research, and advocacy. This work seeks to broaden conversations about food insecurity to include discussions of the many systems of oppression that hold it in place - systems like colonialism, capitalism, systemic racism, and patriarchy.  Click here for full bios. 

Join Kristin and Carolyn as they discuss everything from social unrest, racism, eating disorders, and her incredible podcast that just joined Mental Health News Radio Network. Born in Houston, Texas, Dr. Carolyn Coker Ross spent her childhood in San Antonio where as the oldest of five children, she comes from a long line of physicians and healers. Her mother’s father was a well-known physician in Bryan, Texas, who opened his own hospital and nursing school. His mother, Betty Love, was a Cherokee medicine woman.Dr. Ross wanted to be a doctor from the age of nine and worked many summers and vacations in her grandfather’s office, going with him on house calls, helping him deliver babies and learning how to dispense medications in his office pharmacy.Dr. Ross’s Medical BackgroundDr. Ross completed her undergraduate degree in Modern Foreign Languages at Purdue University and then was a full-time mother of her two older sons before returning to school to complete her Pre-Med requirements. She then went to the University of Michigan Medical School. Dr. Ross’s practice experience after medical school helped fuel her interest in understanding what makes people heal as she saw that most of her patients’ medical problems were related to lifestyle habits and the stresses of modern living.In searching for a better way to address these issues, Dr. Ross began to explore complementary and alternative therapies and the use of herbs and supplements for her patients. She then completed a residency in Preventive Medicine at Loma Linda University and set up practice in San Diego, California, where she eventually opened three women’s centers where she practiced primary care and office gynecology. Her women’s centers integrated the best of western medicine with complementary and alternative therapies such as yoga, acupuncture, chiropractic, and nutrition counseling. She developed and ran The Anchor Program that offered a holistic approach for individuals with food and body image issues. The Anchor Program is a non-diet approach with a philosophy that health and well-being are everyone’s right no matter their size. During that time, she also served as the medical director of The Rader Institute’s inpatient eating disorder program.Dr. Ross’s Focus on Integrative MedicineDr. Ross’s own personal health crisis and the diagnosis of her mother with Alzheimer’s led her on a journey to healing in which her perspective about medicine changed and her desire to focus on integrative medicine led her to the University of Arizona’s Center for Integrative Medicine. Dr. Ross completed a two-year fellowship in Integrative Medicine, studying with Dr. Andrew Weil. Her path then led her to work as the head of the Eating Disorders Program and the Integrative Medicine Department at world-renowned inpatient hospital, Sierra Tucson where she pioneered the Integrative Medicine approach to eating disorder treatment. She currently works in private practice in Denver, Colorado, as an addiction medicine specialist and suboxone doctor who specializes in opioid addiction treatment. She also is a consultant for treatment centers across the country on eating disorders and integrative medicine.Dr. Carolyn Coker Ross is a mother of three sons and has one granddaughter. She is also a nationally known author, speaker and expert in the field of Eating Disorders and Integrative Medicine. Her most recent book is “The Overcoming Binge Eating Disorder and Compulsive Overeating Workbook.” Other books include, “Healing Body, Mind and Spirit: an Integrative Medicine approach to the treatment of eating disorders” describing her own journey to healing and the miracles she found along the way. Dr. Ross has also developed a line of supplements as a result of her research, which are designed to support the recovery of patients with eating disorders and addictions.https://carolynrossmd.com

Dr. Walter Kaye is a Professor in the Department of Psychiatry and the Founder & Executive Director of the Eating Disorders Program at the Eating Disorders Center for Treatment and Research at UC San Diego. Dr Kay is a leading expert in Eating Disorders and is a co-editor in the Clinical Handbook of Complex and Atypical Eating Disorders and the Behavioral Neurobiology of Eating Disorders. Dr. Kaye’s current research is focused on exploring the relationship between brain and behavior using brain imaging and genetics and developing and applying new treatments for anorexia and bulimia nervosa. Eating Disorders are severe disturbances in eating behaviors, thoughts and emotions. Many who suffer with eating disorders are preoccupied with both food and their weight. They can have severe body image dissatisfaction and a need for perfection. Even though eating disorders are grouped together in the DSM-5, they are distinct illnesses. Anorexia Nervosa symptoms include a distorted body image and a belief in being overweight despite being dangerously underweight. There are two types of anorexia nervosa, one restrictive and one binge-purge type. Bulimia Nervosa is characterized by eating excessive amounts of food in short period of time, and then purging the food using compensatory behaviors like vomiting and laxatives. Binge Eating Disorder is engaging in episodes of excessive eating, but unlike bulimia, there is not purging of the food or calories. Eating disorders affect people from all racial and ethnic backgrounds on many psychosocial levels. They can cause serious medical problems, and a multidisciplinary approach to care is needed.   Transcript Dr. Bridget Nash (2s): Hello, my name is Dr. Bridget Nash and I'd like to welcome you to the Therapy Show, a podcast series that seeks to demystify mental health treatment. Today I am honored to welcome Dr. Walter Kaye who is a Professor in the Department of Psychiatry and the founder and Executive Director of the Eating Disorders Program at the Eating Disorders Center for Treatment and Research at UC San Diego. Dr Kaye is a co-editor of the Clinical Handbook of Complex and Atypical Eating Disorders and Behavioral Neurobiology of Eating Disorders. He is a leading expert in eating disorders, and it's here to discuss some of the new research in the field of Treatment. Dr. Kaye welcome to the Therapy Show! Dr. Walter Kaye (42s): Oh, thank you very much. Dr. Bridget Nash (45s): Can you start by telling us a little bit about your personal background and professional development that led to your research in the field of eating disorders? Dr. Walter Kaye (53s): Yeah, certainly. I first trained as a neurologist and then trained in Psychiatry a number of years ago, and I've always been interested in doing research. I didn't particularly have an interest in eating disorders, but I got a fellowship at the National Institute of Mental Health, and when I went there I was asked to take over a study on Anorexia, and actually in my training I had never met anybody with Anorexia and at the time, I was particularly interested in trying to understand how behavior was encoded in the brain. Dr. Walter Kaye (1m 24s): And so, I was thinking about studying some disorders like Parkinson's that have certain changes in behavior, and we know that that's due to the neurologic disturbances in treating people with Anorexia. I was really struggling how, what we call it a stereotypic their behavior is, that it is people with Anorexia resemble each other much more so than probably any other psychiatric disorders in terms of people resembling each other. For example, if you have schizophrenia, people have all kinds of different symptoms. But people with Anorexia tend to have the same, relatively the same symptoms, and you know, that it can make you think that there is something in the brain that's causing this a, so that is actually been what got me interested in in studying brain and biology and Anorexia. I was at NIMH for about seven years, and then I went to the University of Pittsburg for 20 years, and now I'm here at a University of California, San Diego, where I do research and also, I oversee the treatment program for Anorexia and Bulimia.  Dr. Bridget Nash (2m 27s): So how would you briefly explain Eating disorders to a non-professional? Dr. Walter Kaye (2m 31s): This is a number of ways to explain it to it. I think that's what's really confuses people because people with the Anorexia often, but not all the time, they see themselves as being too fat and they go on a relentless pursuit of the thinness. And initially the other disorder that we treated very often is Bulimia Nervosa, which is where people are kind of alternate between restricted eating, overeating and then sometimes purging and people also have a body image distortion, but these are disorders that are often also associated with things like anxiety in obsessionality. Dr. Walter Kaye (3m 5s): And people have a certain time pattern of temperament traits. These tend to be perfectionistic, sometimes obsessive, anxious people. And so this has been very, very puzzling because the eating disorders, you know, tend to start mostly in females around early teenage or mid teenage years and so the prevailing notion is that this is a disorder of this caused by culture or society and people are dieting to achieve some kind of desired look. Dr. Walter Kaye (3m 39s): But the reality is that people with Anorexia diet to a weight that, they can be 50, 60 pounds, and and nobody would consider that to be fashionably slim. In fact, people with Anorexia, when they get to that weight, they still see themselves often as being too fat, and they want to pursue a lower weight. And the other thing that's really noticeable about Anorexia is that, it's very hard for people to diet or lose weight. The recidivism rate in obesity is very high and to be able to eat a few hundred calories a day, every day for years at a time is not something that most people can’t do. Dr. Walter Kaye (4m 21s): We've really been very interested in the question of whether it is really an underlying biology that explains a lot of these puzzling symptoms that you see in the Anorexia and Bulimia. Dr. Bridget Nash (4m 31s): Can you talk about what's happening in the brain and the body when a person has an eating disorder? Dr. Walter Kaye (4m 36s): Well, there's two levels of it. One is the question of whether there is some underlying biology that causes an eating disorder. And then the second part is, “gee what happens when you starve yourself and what effects does that have on their brain and the body.” Let's talk mostly about Anorexia cause that's really where I do most of my research. People with Anorexia go on this, this is kind of relentless diet and they may be 12, 14 and 15 years old when they start it. Dr. Walter Kaye (5m 7s): But if you ask somebody with Anorexia what they were like is a child before they ever developed the eating disorder, what most of the time they'll tell you is they have a certain pattern of temperament and personality traits. These tend to be as children they're very achievement oriented, or they want to get all A's. They tend to be often kind of perfectionistic. They may be anxious and worried about what might happen, concerned about risk, inhibited, sometimes very obsessional, and organized, sometimes kind of inflexible, but these are, for the most part, this isn't the problem for them. Dr. Walter Kaye (5m 44s): Their parents there pretty compliant kids. They do well in school. They are, but something happens when they start to get into these teenage years and often, they have exaggerated anxiety. And what they'll often tell you is, there something about food, or wanting to eat food that makes them very anxious, and something about not eating that either makes ... doesn't increase the anxiety or it actually feels kind of empowering. And so, they get into this, because food is so uncomfortable for them, that they get into this escalating downwards spiral where the more weight they lose, the more weight they want to lose, and they can literally starve themselves to death. Dr. Walter Kaye (6m 25s): In fact, this disorder has the highest death rate of any behavioral disorder. It's thought that somewhere between five or ten percent, maybe even more, people with Anorexia will die from the Anorexia. And so once you start to starve yourself and lose weight like this, there is a whole host of secondary changes that occur in the body as your body is trying to a conserve energy and live with very few calories and it effects nearly every organ system in the body as you lose weight. Dr. Walter Kaye (6m 56s): So, it's been very hard to tease apart what's the cause and what's the consequence of Anorexia. Now, over the course of this disorder, what we find is that a group of people recover and somewhere probably around about 50% of the people eventually recover and may do very well in life. But it's not unusual that people may be ill with Anorexia for two or five or even ten years before they get better. And about maybe about 30% or so have a partial recovery, and then you have a group of people that have very chronic disorder or die from it. Dr. Walter Kaye (7m 34s): And the thing that's really the most concerning thing to recognize is we don't really have very powerful treatments for Anorexia. There's no medication that's been proven to work. We have some treatments that seem to work more effectively in adolescents and children with the Anorexia, it's a, it's called Family Based Treatment or Maudsley, we can go back and talk a little bit more about that. But even with that treatment, it's very hard to change this anxious behavior that happens when people eat. Dr. Walter Kaye (8m 6s): And so it's very important to really understand the biology and the mechanisms underlying this behavior in order to come up with more effective kinds of therapy both to keep people from being ill for many, many years before they get better or to prevent them from becoming chronically ill or dying from this illness Dr. Bridget Nash (8m 28s): For Bulimia, can you talk a little bit about the body image symptoms? And also, is there a secondary gain that somebody might experience from binging and purging? Dr. Walter Kaye (8m 37s): Human behavior is complicated and, as similar as people with Anorexia are to each other, everybody's an individual, and there's probably always a mixture of different kinds of environmental and biologic factors that contribute to anybody developing a disorder like this. People was Bulimia -- why do people binge and purge --well people with Bulimia often tell you that when they're stressed or upset or anxious, have a fight with their mother or something like that, there is something about bingeing and purging behavior that actually is kind of comforting and may make the uncomfortable feelings go away, at least temporarily, even though in the long run they return and they may feel worse. So, they're, just like with Anorexia, there there's some beneficial response to extremes of food intake or extremes of not eating food, and now that we're beginning to understand more about the brain, some of the biology about this, begins to make sense. And with some people with Bulimia, because people with Bulimia often stay around the more normal weight, the body image issues that may be part of what's is also driving their desire to, to lose weight and to, to remain at a certain, what they consider ideal body weight. Dr. Walter Kaye (9m 58s): So, it's complicated, but again, most people with Bulimia don't get to the extremes of weight loss that you see with Anorexia. Then, of course, there's actually a third disorder here, which are people that have both a mixture of Anorexia and Bulimia and they lose a lot of weight, but they also binge and purge. Dr. Bridget Nash (10m 18s): Eating disorder behaviors are very secretive. Are there any signs or symptoms that a family can look for in the early stages of illness that can help them? Dr. Walter Kaye (10m 27s): You see two different kinds of patterns here. In people with Bulimia that don't lose an extreme amount of weight, they often tell you they're ashamed and a distressed about binging and purging. And they tend to be the most secretive. They're the people that nobody in the family will know that they're bingeing and purging, they're doing this at night, or they're hiding, or they're any number of things that people do to keep it a secret from their family. This may go on for years and sometimes it’s very hard to discover and the family begins to notice that there's large amounts of foods missing or that is a toilet has gotten clogged up by vomitus. Dr. Walter Kaye (10m 59s): You know one of the things that happens when people binge or purge to an extreme, it may affect their menstrual periods then they stop having a menstrual period or they may be very irregular. We see in a very different pattern in Anorexia and people with Anorexia don't usually try and hide it, they have more of a, a denial so that they don't see themselves as well being too thin. And in fact, even though they may lose 30, 40 pounds, they'll look at it their arm, you know, hold their arm out to say... Dr. Walter Kaye (11m 30s): "Can't you see how fat I am." And they're not really very motivated to get into treatment and there's a lot of denial and a lot of resistance to being in therapy and sometimes frank hostility to try to get them into treatment. And that's of course, one of the problems with Anorexia because it says it can be a life threatening illness. Yet this is a group of people that don't feel that they're at any risk. Dr. Bridget Nash (11m 56s): Why is the early intervention critical for people suffering with eating disorders? Dr. Walter Kaye (12m 0s): This goes back to a couple of different reasons. 1) There is there is some evidence that the earlier you get somebody into treatment, the better they might do. So, the most effective treatment we have, particularly for Anorexia, is called Family Based Treatment or Maudsley. And because this can be a very chronic disorder, and people get into treatment or are forced into treatment and forced to gain weight, but they leave treatment and they lose that weight all over again. Dr. Walter Kaye (12m 30s): And they may go through repeated cycles. So, because most families are unable to keep their child in a treatment program for a long period of time, and because this is a chronic disorder, this therapy has been effective because it makes parents an ally. Instead of saying to parents, you are bad people, you've caused this. There is really no evidence that families cause eating disorders or that bad parenting causes eating disorders. You want to bring them in as an ally and try to explain to them reasons why your child is acting this way, and more importantly make the parents part of the treatment team so once your child goes home, the parents have strategies and knows how to most effectively get them to eat and maintain their weight. And that treatment has really been a game changer in that there's a number of studies that have shown that is a more effective treatments for many people, especially if they’re younger than older treatments as usual. But say that there's a large proportion of people that don't really respond very well to Family Based Treatment and go on to have a chronic disorder. Dr. Walter Kaye (13m 33s): And so that's one of the reasons we need to learn more about the biology so that we come up with more effective approaches here. But what happens to people when they get malnourished? Well, there are certain systems in the body that growth during the teenage years is a very important, and so one of those is bone strength. And actually, your bones continue to develop and get stronger during your teenage years and your bone growth becomes peak in your late teens, early twenties, and then its, then you slowly lose strength as you get older. Dr. Walter Kaye (14m 11s): If you miss that are critical period of bone growth, you're gonna, your likely to have weak bones all your life. You cannot make up for it later with better nutrition when you're in their twenties and thirties. And it is not unusual that we see people who have had a period of Anorexia and now are fully recovered, but they suffer, they're very susceptible to fractures as they get into their thirties and forties that other people might not have just because their bones are so weak. And they're certain other patterns, similar kind of patterns of growth that occur in parts of the brain during your teenage years as you're are getting into your twenties. Dr. Walter Kaye (14m 48s): And now we're beginning to wonder whether there may be permanent changes to some parts of the brain if people remain malnourished for many years. There are long term consequences that can happen. And even people that have Bulimia Nervosa that don't lose a lot of weight can also show some of these more chronic permanent changes. Dr. Bridget Nash (15m 10s): I liked the way you talk about the family as part of the treatment team. And I think that a multidisciplinary approach is key to treating someone with an eating disorder, even including like when we think about it, the medical, the dental, the psychiatric in the psychotherapy piece, I think they're all critical don't you think? Dr. Walter Kaye (15m 30s): It takes the team to treat somebody with Anorexia. A dietician, a various kind of therapy, sometimes medication. Family is just maybe the most critical element of that whole team. Dr. Bridget Nash (15m 43s): What are some of the most common obstacles that prevent people from achieving a full recovery? Dr. Walter Kaye (15m 49s): I don't think we really know that. And that's where you start to get into biology. One of the questions that we've really struggle with, and typically are doing research on his, this question about eating behavior. Let me ask you, how, how do you feel when you go without eating for a day or two? Dr. Bridget Nash (16m 7s): Angry! Dr. Walter Kaye (16m 7s): Yeah. Most people will say there's something unpleasant about it. It's irritable. It's uncomfortable. It just doesn't feel good and what people will find, if you go without eating for a day or two, you you get hungry, that first bite of food really is more pleasurable. It will still be pleasurable. But when you are really hungry, food tastes better doesn't it? Dr. Bridget Nash (16m 28s): Yes. Dr. Walter Kaye (16m 30s): Okay. So, if you ask somebody with Anorexia, what do they feel like when they have to eat or they think about food, you know, what they almost always tell you is there's something about that that makes them anxious and uncomfortable. And when they don't eat, they feel the anxiety isn't increased, or sometimes they feel even better, empowered. So, just from that standpoint, it makes you think that there's something that is wired very differently in people's brain with Anorexia because the primary job of animals is to find food and feed themselves every day. Dr. Walter Kaye (17m 4s): And we know from animals’ studies there is very powerful systems that are built into the brain to do that. So, what happens is, when animals go without eating for a while, their body says to sense that they need energy stores, their energy stores are diminished, their gas tank is less full. And that, there's a number of different pathways from the brain that send the messages signals to the, to the brain that say "Gosh, you need more energy." And what that does is that really, you know, in humans that is interpreted as an uncomfortable feeling like: “Hey, there's something wrong, you got to go out and eat.” And in animals, what that particularly does is that works on a part of the brain that is very important for reward and motivation, and it actually sends a signal to that part of their brain that motivates you to go out and search for food. So, we know a lot about that part of their brain. It's very deep in the brain and is shared with animals. It's actually below our consciousness. It's a part of the brain that sits on top of the brainstem, but under the cortex and is called the striatum or the basal ganglia. Dr. Walter Kaye (18m 9s): And it’s very important for motivating all kinds of behavior, whether it's food or drugs or sex or anything that people or animals are motivated to do. And you can do brain imaging studies now that, at least, ask the question of – “What happens in that part of the brain, there's the activity in that part of the brain, that's important for motivation get turned on when you are hungry.” And so, we did a study in, and this is just published a couple of months ago in the American Journal of Psychiatry, where we had people with Anorexia come into a laboratory that we have on campus, building a setting. Dr. Walter Kaye (18m 45s): And they lived there for three days. One day we had them go without eating for 16 hours. On the other day we had to meet normally. And what we wanted to do is measure the activity in this motivational part of the brain. And so, we had them come in. Then after that the, they came into an imaging center and we imaged to their brain and we had them, we put a little plastic tube in their mouth we had them taste, repeat a taste of sugar water, which we know kind of turns on this system. And what we found is that, in the control women, the women that didn't have Anorexia, we found exactly what others have found. Dr. Walter Kaye (19m 20s): On the day that they were hungry, there was much more activity in this motivational center of the brain then there was on the day they were full. No surprise. And we did the same thing in people with anorexia, you know, what we found is that, on the day that if they were fed, they look just like the controls. On the day they were hungry, it was decreased activity in the motivation center. So. this makes perfect sense. It what is really saying is that people with Anorexia, the reason they can starve themselves is that they're just not getting a signal that's compelling them to go out and eat food. Dr. Walter Kaye (19m 59s): Does that kind of makes sense? Dr. Bridget Nash (20m 2s): It does. Now are they motivated to do anything else? Like to do other things like compulsive behaviors? Dr. Walter Kaye (20m 6s): We have looked at other kinds of motivation, which is things like response to money, and they had the same diminished signal in that part of the brain. So, you know, people with Anorexia like to save money, they don't spend money. And so, they are not really motivated to for any kind of reward, and that actually we think as part of the problem with treatment is that they really have a hard time sensing the reward of it. You know, parents try to motivate their kid's all the time to eat and maintain their weight by a promising "I'll buy you a new Porsche." Dr. Walter Kaye (20m 39s): Because treatment is so expensive, it's probably cheaper to buy them a Porsche and it doesn't work because the people with Anorexia tend to be very insensitive to reward. But the converse side of it is there over-sensitive to things going wrong, to what we call punishment or some kind of aversive risk state. In fact, it, the other thing that we found in this study is that the more anxious than people with... Anorexia were, the more activity they showed in this part of their brain that's very sensitive to things going wrong and inhibit behavior. Dr. Walter Kaye (21m 15s): And actually what we think is going on is that if you're an animal out there in the wild, you're a rabbit, your living out there in their field, you are living here in your little hole on the ground, is relatively safe, you start to get hungry, that hunger is going to motivate you to go out and look for food, right? But animals have to have a system built into their brain that inhibits that behavior if there's something dangerous going on like a predator that might eat it. And so even though that rabbit is very hungry, that rabbit has to inhibit that hunger and motivation to eat and run away if there's some kind of risk going on, some kind of danger. Dr. Walter Kaye (21m 54s): And what I think is going on with the people with Anorexia is they are getting kind of a biased signal here. They're over sensitive to things going wrong, danger, anxiety, adversity, change, uncertainty. All those things that give you a signal there's some kind of risk, and they're actually getting a signal in their brain. They're somehow miscoding food and their miscoding food is being dangerous and risky. And that doesn't exist for the rest of us because nobody is wired that way, but there's something very different about the brain that people with Anorexia. Dr. Walter Kaye (22m 28s): Does that kind of make sense. Dr. Bridget Nash (22m 31s): It makes a lot of sense. I just wonder what the cause is. Do you have any theories of the cause of where that began? Dr. Walter Kaye (22m 38s): Well, now that we're beginning to understand what system is involved in the brain, we think that there's something wrong in this mechanism that balances reward and punishment, and people with Anorexia tend to be very sensitive to punishment and risk and things like that. So, then what exactly is it a chemical mechanism of that is still a mystery, but I think we've started to understand were to look now. Dr. Bridget Nash (22m 60s): That's really hopeful and promising. So, is there anything that improves treatment outcomes? Dr. Walter Kaye (23m 6s): We're finding that some people, and there have been some articles now in the literature, part of this system, it relies on a chemical called dopamine, which actually, people think of it as a reward chemical, but it’s actually a very important for this balance between reward and punishment. And that there's some studies suggesting at at least some people with Anorexia, may respond to some drugs that work on the dopamine system. It was a paper on American Journal last year is showing that Zyprexa also called Olanzapine showed improved weight gain to some extent in people with Anorexia. Dr. Walter Kaye (23m 42s): And there's been several other studies showing that a drug called Abilify which kind of has a similar mechanism or Aripiprazole also might work on some people, it doesn't work in everybody, it's not a magic bullet, but it may be helpful to some people. We really need to do now more controlled studies of that. But at least it’s starting to open the door to ask questions about mechanisms, Oh, by the way, I wanted to mention one other thing. The thing that's really important about this study I just told you about is we studied people who had recovered from Anorexia and not people that were ill. Dr. Walter Kaye (24m 16s): And the reason that we did that is this problem with teasing apart cause and effect. If you study people are ill or malnourished with Anorexia, it wouldn't be surprising you'd get altered signals in his system, and we wanted to look at people that are normal weight, not on a medication, normal menstrual function, doing really well in life and we found that they still had a disturbance in this system and suggesting that this may be the trait that leads to Anorexia in the first place. Dr. Bridget Nash (24m 48s): Are there other mental disorders that often co-occur with eating disorders? Dr. Walter Kaye (24m 52s): Sure. One of the, it seems to be the most common is anxiety or Obsessive Compulsive Disorder, but people also have depression and they may have a number of other disorders too. Dr. Bridget Nash (25m 5s): So, do people with eating disorders have a higher rate of suicide? Dr. Walter Kaye (25m 8s): Unfortunately, they do. I mean that's part of the increase death rate and mortality rate in Anorexia is some people starve themselves to death, but some people commit suicide and another reason why we need more effective treatments. Dr. Bridget Nash (25m 24s): Why is it important that clinicians who are treating people with eating disorders are trained in the most up-to-date research and treatments? Dr. Walter Kaye (25m 32s): Just because of the difficulty of treating this disorder and the difficulty of even getting people to participate and engaged in treatment. The more we learned about the Anorexia and the symptoms that people have, I think the better we can speak peoples, the language in the way, you know, understand the way people are thinking and reach out to them and get them to be motivated and engage in treatment, and I think one of the problems that we've had with Anorexia and often psychiatric disorders, is that, do you try, and there's theories about behavior... Dr. Walter Kaye (26m 7s): and maybe they make a lot of sense, but maybe they don't, and if you try and use a theory, that really has no particular, it doesn't fit or explain why somebody has a disorder, it is less likely to result in any kind of effective therapy. So, for example, now that we understand this altered balance between reward and punishment, we can work with families on that strategy, and we explain this to families and say: "Look, rewarding your child isn't going to be that effective." But there are these are kids that worry about consequences and don't want to do things wrong or make mistakes or... Dr. Walter Kaye (26m 44s): and we can help families develop strategies to use consequences. Now we're not trying to punish their kids, it's just that, ya know, sometimes they pay much more attention to that and to realize that, if they don't eat and maintain their weight, there is going to be consequences they consider even worse, then it becomes very individualized cause you want to figure out what consequences bother that child the most. What we are finding that can be somewhat a more successful kind of strategy. Dr. Bridget Nash (27m 13s): That's incredible. So, to use consequences to get the attention and to sort of start the conversation with the young person or whoever you're treating, that's excellent. Dr. Walter Kaye (27m 23s): For example, kids with Anorexia, you know, they really don't want to go back into treatment, they don't want to go into the hospital, they don't want to go into, you know, a residential program and sometimes that's the only leverage that you have. Not great, but you have to work with what you got it. Dr. Bridget Nash (27m 38s): And I think if you're not trained in understanding eating disorders, I want to ask you to explain to our audience, eating disorders are different. They're almost like distinct disorders, like Bulimia is a distinct disorder and Anorexia nervosa are distinct disorders, I mean we call them all feeding disorders, but their complex and they're different. Dr. Walter Kaye (27m 57s): They're both very different and they actually, sometimes have some similarities and one of the puzzling things is that both the Anorexia and Bulimia run in families, so one person can have Anorexia and another can have Bulimia you know, I don't think we really, you understand this. Dr. Bridget Nash (28m 14s): And if you're a clinician who's working in the field, who's been certified and I think you also understand that some people need multiple treatment, multiple treatment center or multiple residential treatment... Dr. Walter Kaye (28m 25s): Yeah. Dr. Bridget Nash (28m 26s): ... to get better. Whereas the person who's not experienced might see that as they're failing or they're not getting it the first time. Can you speak to that a little bit? Dr. Walter Kaye (28m 35s): Yeah. Well, you know, one of the things that's very important is that when people get malnourished, they actually, their symptoms tend to get worse and they spiral out of control and they have difficulty. The brain gets starved. They have difficulty learning things or using therapy, and, and so for both mental as well as physical reasons, they need to get back to a healthy body weight and that can really be an enormous challenge for people with Anorexia, and so being an a, you know, they often end up a higher level of care because it’s just so, if you don't get them until a more healthy nutritional state, they may die from their Anorexia. Dr. Walter Kaye (29m 13s): And also, the other thing that's going on here is that some people with Anorexia get very energy inefficient. And by that, I mean there's been studies showing, for example, people with obesity, have a hard time losing weight and they seem to have an easy time gaining the weight back after they lose weight. The opposite tends to seem to occur with a lot of people with Anorexia. They lose weight very easily, and it's hard for them to gain weight. Dr. Walter Kaye (29m 43s): And sometimes they need thousands of calories a day to gain that weight back. And if you're somebody with Anorexia and you want to eat 500 calories a day and you need three or four thousand to gain weight, you know, two, three pounds a week, food is making you anxious, what's the chance they're going to be able to do that at home? Not great. And they may have to eat that amount of food for two, three, four months to get back to a healthy body weight. Dr. Walter Kaye (30m 13s): So sometimes higher levels of care are just so critical to save their life. Dr. Bridget Nash (30m 19s): Exactly. Now aren't people with Anorexia nervosa interested in food? I mean, I think there's a misconception that they're not interested in food, but do you think that they might have a preoccupation with food perhaps? Dr. Walter Kaye (30m 32s): Absolutely. I mean, they collect calories. They cook for others. They window shop for food. They work in food industries. And I think this has been one of the puzzling parts. So, this network, you can have a brain circuit that is very important for recognizing you're hungry and driving the motivation to eat. And there's a series of kind of steps along the way that do that. And it's possible that you could have a blockage in one part of that which is... Dr. Walter Kaye (31m 2s): So, people with Anorexia seem to recognize that they're hungry, they're getting the signal, they can't turn that signal into motivation to eat, to initiate eating. But they're still, their part of their brain is still recognizing they're hungry. And this is a strange signal that nobody else has, and I suspect that really explains why they're obsessed with food and they cook for others, yet they can't eat. Dr. Bridget Nash (31m 31s): And can you speak a little bit about Binge Eating Disorder. It's a new disorder in the DSM-5, but I think it's one that has a lot of medical consequences. Dr. Walter Kaye (31m 39s): Yeah. Binge Eating Disorder tends to occur more frequently in males. It's a somewhat later age of onset and people have, they tend to often have mood and anxiety disturbances and respond somewhat differently to treatment and other treatments compared to Anorexia, but ideologically they're really not the same disorder whereas you see, Bulimia nervosa and Anorexia nervosa kind of run together in families, you don't really see that; Binge Eating Disorder has a separate kind of family and inheritance structure. Dr. Walter Kaye (32m 13s): There's one other disorder that we've recognized now that it's ARFID, or Avoided Restricted Food Eating Disorder, which is very extreme, picky. It tends to occur in children, that's something that we treat a lot also. And these are kids, there is a whole host of different symptoms they have. Some have pain in their stomach and can't eat because it causes pain and some are very anxious, some have obsession, they only can eat four different white foods, some disturbed by certain textures and tastes of food. Dr. Walter Kaye (32m 43s): So, it's not just one symptom complex - it's something that we've more recently kind of recognized, and some of these children really have a hard time eating and lose a lot of weight and so it's one of the disorders that we treat. And there's some from these children who end up developing Anorexia and some just have an ARFID disorder, so it's things that we're learning about, but it's also a disorder where Family Based Treatment is often very useful. Dr. Bridget Nash (33m 10s): And early intervention as well. Dr. Walter Kaye (33m 12s): Yeah. Yeah, exactly. Yeah. Dr. Bridget Nash (33m 14s): What are you most excited about mental health treatment today? Dr. Walter Kaye (33m 18s): Well, you know, I think we're finally becoming a science. The progress that's been made in the last 10, 20 years has just been enormous. And of course, the reason was that the brain is encased in your skull there, as opposed to having diabetes or heart disease where you can measure things. We haven't been able to measure what's going on in the brain and it's only been the last decade or so we've had powerful brain imaging and genetics kinds of studies that are allowing us to really look inside the brain and begin to understand brain circuits and pathways and mechanisms of behavior and how behavior is encoded in the brain... Dr. Walter Kaye (33m 54s): that have just made a difference. I am just kind of astounded how far we've gotten in my professional career, where you can begin to look at these behaviors and go like "Oh, well I think this part of the brain is involved and now I understand the mechanism, and I can predict what we are going to find and we can replicate those kinds of findings." And that's starting to lead to more effective treatments as we begin to translate that science into therapy. Dr. Bridget Nash (34m 18s): Effective and targeted treatments as well. Dr. Walter Kaye (34m 24s): Yeah. And that's one of the things that we do here. I like to look at our program not only as a, a treatment program, but also a laboratory for developing treatments. So we've very interested in this whole question of temperament in people with Anorexia and you know, these temperaments don't go away, but people with Anorexia when they recover, tend to do really well in life and they learn to use some of these temperaments in really kind of advantageous ways. This is a group of people who were very achievement oriented. Dr. Walter Kaye (34m 53s): They self-discipline, they pay attention to detail. They work hard. They wanted to do the right thing and they often have not just great but have actually spectacular careers. And so, this actually turns out to be a benefit to having some of these traits once people learn to use them in advantageous constructive ways. So, we think that that may be actually an important insight into developing more effective treatment approaches. Dr. Bridget Nash (35m 25s): That is very exciting. If you had a magic wand and could improve one thing about mental health treatment today, what would it be? Dr. Walter Kaye (35m 31s): Being able to understand each person's unique vulnerabilities and mechanisms because when you really come down to it, people are pretty complicated and everybody has probably in some ways unique mechanisms that are causing, and environmental influences and so that starts to explain why, whatever treatment we have works for some people, but not others. And so, if we could better understand, you know, it's called precision medicine. If you can better understand each person's unique with a series of factors, you could really more precisely prescribe treatment. Dr. Walter Kaye (36m 6s): We're not there yet. It's going to be a while. Yeah. We'll probably get there. Dr. Bridget Nash (36m 12s): No, we're going to get there because people are going to be asking for it now. Like when we hear from you and hear all of these exciting targeted treatments, it's going to kind of create a demand. Do you think? Dr. Walter Kaye (36m 25s): Yeah, yeah, absolutely. Dr. Bridget Nash (36m 28s): Dr. Kaye on behalf of myself, my listeners, and all of the people that you've helped through your work. I want to thank you for your contributions to mental health treatment and for taking the time out of your busy schedule to help me and my audience better understand the field of eating disorders. And to my listeners, be sure to check out my website TherapyShow.com, which has many resources about mental health. There, you will also find how to submit questions, stories, or insights that you have about the mental health system or suggestions about who else I interview can and how I can improve the show. Dr. Bridget Nash (37m 1s): I'd like to close by reminding our listeners to please subscribe, share, and review this podcast. So you, someone you love, and people around the world can gain more benefit for therapy. There is no need to suffer in silence. Get the help that you need to create the life that you want.

Today on the Toxin Terminator, we are joined by Dr. Carolyn Ross. She is a physician, the former head of the Eating Disorders Program and the Integrative Medicine Department at the world-renowned Sierra Tucson treatment center, a nationally known speaker, an author, and an expert in the field of integrated medicine. She is also the CEO and instructor of a 12-week online program called the Anchor Program.Join us as Dr. Ross shares her own stories about her life experience in dealing with mental issues, disorders, and addictions.Find out about:·      Addictions and various disorders·      Problems with the system in place surrounding addictions and disorders and alternatives to it·      The five levels of recovery:◦    Superficial behaviour◦    Emotional soup◦    Core beliefs◦    Body connection◦    Soul satisfaction·      Guidance and allowing yourself to heal·      Guided meditation Quotes:“It's like background noise: we don't notice it but it's constantly effecting us.”“When you have emotions, all of that comes of the body.”“And that is the deepest form of recovery you can have when you have that hook into life.”“When your life becomes more important and more interesting to you than your eating disorder or your addiction, then you will fully be in recovery.”“The very foods they crave are the ones they are most sensitive to.”Important Links and Mentions:·      https://yourfoodbattle.com/ ·      https://www.amazon.com/s?i=stripbooks&rh=p_27%3ACarolyn+Coker+Ross+MD++MPH&s=relevancerank&text=Carolyn+Coker+Ross+MD++MPH&ref=dp_byline_sr_book_1 ·      https://www.anchorprogram.com/ To listen to this podcast episode click here.Disclosure: Some of the links in this post are affiliate links and if you go through them to make a purchase I will earn a commission at no cost to you. Keep in mind that I link these companies and their products because of their quality and not because of the commission I receive from your purchases. The decision is yours, and whether or not you decide to buy something is completely up to you. See acast.com/privacy for privacy and opt-out information.--- Send in a voice message: https://anchor.fm/aimee-carlson0/message

Today on the Toxin Terminator, we are joined by Dr. Carolyn Ross. She is a physician, the former head of the Eating Disorders Program and the Integrative Medicine Department at the world-renowned Sierra Tucson treatment center, a nationally known speaker, an author, and an expert in the field of integrated medicine. She is also the CEO and instructor of a 12-week online program called the Anchor Program.Join us as Dr. Ross shares her own stories about her life experience in dealing with mental issues, disorders, and addictions.Find out about:· Addictions and various disorders· Problems with the system in place surrounding addictions and disorders and alternatives to it· The five levels of recovery:◦ Superficial behaviour◦ Emotional soup◦ Core beliefs◦ Body connection◦ Soul satisfaction· Guidance and allowing yourself to heal· Guided meditation Quotes:“It's like background noise: we don't notice it but it's constantly effecting us.”“When you have emotions, all of that comes of the body.”“And that is the deepest form of recovery you can have when you have that hook into life.”“When your life becomes more important and more interesting to you than your eating disorder or your addiction, then you will fully be in recovery.”“The very foods they crave are the ones they are most sensitive to.”Important Links and Mentions:· https://yourfoodbattle.com/ · https://www.amazon.com/s?i=stripbooks&rh=p_27%3ACarolyn+Coker+Ross+MD++MPH&s=relevancerank&text=Carolyn+Coker+Ross+MD++MPH&ref=dp_byline_sr_book_1 · https://www.anchorprogram.com/ To listen to this podcast episode click here.Disclosure: Some of the links in this post are affiliate links and if you go through them to make a purchase I will earn a commission at no cost to you. Keep in mind that I link these companies and their products because of their quality and not because of the commission I receive from your purchases. The decision is yours, and whether or not you decide to buy something is completely up to you. See acast.com/privacy for privacy and opt-out information.

Join us as we explore some of the most common eating disorders: anorexia, bulimia and binge eating disorder. Learn everything from the development, management and recovery - to the physical, social and emotional impacts that an eating disorder can have on a person and their loved ones. Featuring special guest Dr. Ostolosky, a psychiatrist and program director for the Eating Disorders Program at the University of Alberta Hospital.  Resources: National Eating Disorder Information Centre: http://nedic.ca/ Eating Disorder Support Network of Alberta: https://edsna.ca/ Canadian Mental Health Association (Eating Disorders): https://cmha.ca/mental-health/understanding-mental-illness/eating-disorders National Initiative for Eating Disorders: http://nied.ca/ Families Empowered and Supporting Treatment of Eating Disorders (F.E.A.S.T.): https://www.feast-ed.org/ Government of Canada (Mental Health Services): https://www.canada.ca/en/public-health/services/mental-health-services.htm Summary Sheet:EatingDisordersSummarySheet.html

Food is a part of our everyday lives and is essential for us to survive and thrive. For many of us, food is also a source of joy. We share stories, make memories, and plan our lives around meals. Photos and smells of food often bring nostalgic memories to mind and a smile to our faces. But what happens when your relationship with food impacts your life negatively? On this week’s episode, we aimed to gain a greater perspective on Eating Disorders with the help of several guests. Tracie Burke and Holly Dickenson are two Registered Dietitians working with the Eating Disorders Program at Toronto General Hospital, who guide us through the steps their patients take in the program. You’ll also hear from Candice Richardson who shares her lived experience with eating disorders. Candice and her colleague Ary Maharaj also work with the National Eating Disorder Information Centre (NEDIC), conducting outreach and providing support to and information for patients and their families. Finally, we dive into the latest research on eating disorders with Dr. Allan Kaplan, Senior Scientist and Psychiatrist at the Centre for Addiction and Mental Health who investigates the psychobiological factors of Eating Disorders and Shauna Solomon-Krakus, a PhD Candidate whose thesis focuses on the relationship between personality, emotions, and eating disorders. Tune in to hear our guests debunk myths and common misconceptions surrounding eating disorders and shed light on these poorly studied diseases.   For more information on research at the Centre for Addiction and Mental Health (CAMH)   p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica} For a recovery program: The Eating Disorders Program at UHN   p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica} For support and referral: The National Eating Disorder Information Centre (NEDIC) p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica} Helpline 1-866-633-4220)   Written By: Tsukiko Miyata    

Food is a part of our everyday lives and is essential for us to survive and thrive. For many of us, food is also a source of joy. We share stories, make memories, and plan our lives around meals. Photos and smells of food often bring nostalgic memories to mind and a smile to our faces. But what happens when your relationship with food impacts your life negatively? On this week’s episode, we aimed to gain a greater perspective on Eating Disorders with the help of several guests. Tracie Burke and Holly Dickenson are two Registered Dietitians working with the Eating Disorders Program at Toronto General Hospital, who guide us through the steps their patients take in the program. You’ll also hear from Candice Richardson who shares her lived experience with eating disorders. Candice and her colleague Ary Maharaj also work with the National Eating Disorder Information Centre (NEDIC), conducting outreach and providing support to and information for patients and their families. Finally, we dive into the latest research on eating disorders with Dr. Allan Kaplan, Senior Scientist and Psychiatrist at the Centre for Addiction and Mental Health who investigates the psychobiological factors of Eating Disorders and Shauna Solomon-Krakus, a PhD Candidate whose thesis focuses on the relationship between personality, emotions, and eating disorders. Tune in to hear our guests debunk myths and common misconceptions surrounding eating disorders and shed light on these poorly studied diseases.   For more information on research at the Centre for Addiction and Mental Health (CAMH)   p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica} For a recovery program: The Eating Disorders Program at UHN   p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica} For support and referral: The National Eating Disorder Information Centre (NEDIC) p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica} Helpline 1-866-633-4220)   Written By: Tsukiko Miyata    

Bulimia. Anorexia. Binge-eating. You have likely heard of these eating disorders before. But what are they, really? And who do they affect? This hour, we talk with advocates and experts in the field, and we also hear from you. Have you or has someone close to you suffered from an eating disorder? Where did you turn for help? Join the conversation on Facebook and Twitter. GUESTS: Claire Mysko - CEO of the National Eating Disorders Association (@clairemysko) Anahi Ortega - Latina who has recovered from an eating disorder; she resides in Portland, Oregon Dr. Sara Niego - Psychiatrist and Service Chief of the Eating Disorders Program at Silver Hill Hospital in New Canaan, Connecticut (866-542-4455) READING LIST: NPR: When It Comes To Race, Eating Disorders Don't Discriminate - "Mysko says 30 million Americans have struggled with an eating disorder at some point in their lives. And, that number's probably higher, because the stereotype of who has an eating disorder affects how we talk about them, who seeks treatment, who gets treatment and how they're treated." Silver Hill: Let's Get Real About Eating Disorders - "When you think about eating disorders, you probably have an image in your head of a severely underweight young woman. However, eating disorders don’t discriminate; they can affect anyone, regardless of gender, age or socioeconomic status." Catie Talarski contributed to this show, which originally aired on March 7, 2019.Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.

Bulimia. Anorexia. Binge-eating. You have likely heard of these eating disorders before. But what are they, really? And who do they affect? This hour, we talk with advocates and experts in the field, and we also hear from you. Have you or has someone close to you suffered from an eating disorder? Where did you turn for help? Join the conversation on Facebook and Twitter. GUESTS: Claire Mysko - CEO of the National Eating Disorders Association (@clairemysko) Anahi Ortega - Latina who has recovered from an eating disorder; she resides in Portland, Oregon Dr. Sara Niego - Psychiatrist and Service Chief of the Eating Disorders Program at Silver Hill Hospital in New Canaan, Connecticut READING LIST: NPR: When It Comes To Race, Eating Disorders Don't Discriminate - "Mysko says 30 million Americans have struggled with an eating disorder at some point in their lives. And, that number's probably higher, because the stereotype of who has an eating disorder affects how we talk about them, who seeks treatment, who gets treatment and how they're treated." Silver Hill: Let's Get Real About Eating Disorders - "When you think about eating disorders, you probably have an image in your head of a severely underweight young woman. However, eating disorders don’t discriminate; they can affect anyone, regardless of gender, age or socioeconomic status." Catie Talarski contributed to this show.Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.

As you begin to learn how your past affects your present life, you start putting the puzzle pieces together of why you feel the way you do, what your specific triggers are and where they stem from, why you struggle in certain areas of life, and a myriad of other things start to come into focus and you have these "ah ha" or "lightbulb" moments when suddenly everything makes sense.I've had many such enlightening moments during some very intense and difficult times in a therapists office, or working with a trauma informed coach. I can remember saying things like, "I never know that my self-esteem problems were because of being bullied. I didn't realize that my learning disability may very well have developed due to childhood trauma. The problems with my weight and issues with food are not simply some genetic family problem, but have been intensified and increased due to childhood sexual abuse and other trauma. The list goes on and on, and needless to say this revelation was both empowering and disheartening at the same time.Realizing that all of these struggles were not my fault, and were either caused by or greatly influenced by past trauma, could have taken me down a very dark road. To be honest, it did for a time. Sitting with that realization was difficult, but one of the ways that I began to work through it was to use these situations and this information as a learning experience. Something I could take, so that I could change the tide of what was ahead for me, rather than just accept that I destined to suffer and struggle in these areas for the rest of my life.One of the biggest hurdles that I continue to work through, is in the area of food, and because of this struggle I am always on the lookout for ways to discover and understand how the mind and body work in the wake of past trauma, and specifically in this case, with eating disorders, food struggles, and gaining weight.My guest today, Dr. Carolyn Coker Ross, joins me on the podcast to discuss the connection between trauma and eating disorders.Born in Houston, Texas, Dr. Carolyn Coker Ross spent her childhood in San Antonio where as the oldest of five children, she comes from a long line of physicians and healers. Her mother’s father was a well-known physician in Bryan, Texas, who opened his own hospital and nursing school. His mother, Betty Love, was a Cherokee medicine woman.Dr. Ross’s own personal health crisis and the diagnosis of her mother with Alzheimer’s led her on a journey to healing in which her perspective about medicine changed and her desire to focus on integrative medicine led her to the University of Arizona’s Center for Integrative Medicine. Dr. Ross completed a two-year fellowship in Integrative Medicine, studying with Dr. Andrew Weil. Her path then led her to work as the head of the Eating Disorders Program and the Integrative Medicine Department at world-renowned inpatient hospital, Sierra Tucson where she pioneered the Integrative Medicine approach to eating disorder treatment. She currently works in private practice in Denver, Colorado, as an addiction medicine specialist and suboxone doctor who specializes in opioid addiction treatment. She also is a consultant for treatment centers across the country on eating disorders and integrative medicine. You can learn more about her practice, and how she got started in medicine, by checking out her bio on her website, CarolynRossMD.com I'm so honored to talk with Carolyn on the podcast, and dive a bit deeper into some of the struggles with food and weight that are not only close to my heart but affect so many who listen to the podcasts and read the blog posts both here and on SurvivinSupport the show (https://www.buymeacoffee.com/sPH8pMZ)

There is a direct correlation between adverse childhood experiences and the risk for developing addiction, eating disorders, weight issues and medical problems in adulthood. While the vast majority of us experience childhood trauma of some kind, those of us lucky enough to enjoy the social support of a strong family and/or an innate sense of resiliency may not develop addiction issues. But those of us who don’t are tasked with the deep, long-term work of healing. Dr. Carolyn Coker Ross is an expert in the field of eating disorders and integrative medicine and the creator of The Anchor Program, an online practice that provides long-term support for people suffering from food addiction and body image issues. Dr. Ross is the former head of the Eating Disorders Program and the Integrative Medicine Department at the world-renowned Sierra Tucson treatment center, and she currently works in private practice with a focus on treating obesity, eating disorders and addictions. Dr. Ross is also the author of The Emotional Eating Workbook and The Binge Eating and Compulsive Overeating Workbook. Today, Dr. Ross explains her interest in addiction therapy and integrated health, sharing the formal definition of addiction and the central defining commonality among them all. She walks us through The Anchor Program’s five-level approach to the treatment of food and body image issues, describing the significance of exploring the emotions that drive addictive behavior. Dr. Ross speaks to her decision to shift from an office-based to an online practice, discussing the prevalence of relapse in patients who lack long-term support. Listen in for Dr. Ross’ insight around how to broach the subject of addiction with a loved one you are concerned about and learn how to find the right treatment program if you need help overcoming an addiction yourself. Topics Covered [0:59] How Dr. Ross became and addiction therapist and integrated health doctor Family history of addiction Western medicine doesn’t always work [3:05] Dr. Ross’ definition of addiction Give over power to substance, behavior or belief Process addiction vs. substance abuse [4:50] How to identify when to seek treatment Lose agency (addiction in driver’s seat) Impacts relationships, work and health [6:49] The common theme among all addictions Rooted in childhood trauma that changes brain Loss of sense of safety, security or peace [10:51] Why some children survive trauma without developing addictions Innate resiliency Social support [13:07] The Anchor Program’s five-level approach to treatment Address behaviors (superficial level) Emotions that drive behaviors Core beliefs rooted in trauma Ground self in body Heal at soul satisfaction level [20:27] Dr. Ross’ insight on eating addictions Problem in how use food (not food itself) Coping strategy (i.e.: numb feelings) [22:04] Why Dr. Ross shifted from clinical work to an online practice Impossible to treat trauma in 30 days, relapse very common Provide long-term support for patients in treatment [26:01] Dr. Ross’ typical client Mostly women Realize something missing [29:35] What to do if you or a loved one may need treatment Express concern in healthy, kind way and offer to help Look for long-term approach and find credible program Learn More About Dr. Ross The Anchor Program Email carolyn@carolynrossmd.com Resources Dr. Ross’ Free eBook SAMHSA Books by Dr. Ross

In this podcast I talk about my personal highlights from the ICED conference presentation that I was part this year with Rebecka Peeples, Rachel Millner and Therese Waterhaus.    Rebecka Peebles Rebecka Peebles, MD, is an Adolescent Medicine Specialist and Co-director of the Eating Disorder Assessment and Treatment Program at Children's Hospital of Philadelphia. Dr. Peebles is an assistant professor in the Division of Adolescent Medicine at The Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine. Prior to joining CHOP, she was an instructor at Stanford University School of Medicine's Division of Adolescent Medicine, Department of Pediatrics, and was primarily involved with the Eating Disorders Program and the Center for Healthy Weight at the Lucile Packard Children's Hospital. Dr. Peebles' research interests focus on the health outcomes of disordered eating in adolescents of diverse weight ranges, and how the Internet can be used as a vector to both help and harm young people as they try to approach a healthy weight. Her most recent work has been funded by the American Heart Association.   Rachel Milner Dr. Millner is a licensed psychologist in the state of Pennsylvania.  She graduated from the California School of Professional Psychology (now Alliant International University) in San Diego and completed an APA (American Psychological Association) approved internship at the University of Buffalo. Dr. Millner completed her post-doctoral training at the University of Pennsylvania in Philadelphia, PA.   Dr. Millner is a member of the American Psychological Association, the Pennsylvania Psychological Association, the Philadelphia Society of Clinical Psychologists and the Lower Bucks Chamber of Commerce.   In addition to her private practice, Dr. Millner has taught at the University of Pennsylvania and is currently teaching at Gwynedd Mercy College.  Dr. Millner's website: http://www.rachelmillner.com/aboutus.php   Therese Waterhaus Therese has been a Registered Dietitian for nearly 30 years, she completed her doctoral degree in nutrition biochemistry, studying vitamin D and bone metabolism. She has been in private practice for over 9 years and has been involved in the eating disorder community for over 15 years. Her goal is to bring to the local community the most recent information about eating disorders.  Therese's website: http://www.willamettenutritionsource.com/

Teen drama and extreme emotional highs and lows are all part of normal adolescent development. So how do we distinguish typical teen behavior from more serious mental disorders in the making? Our guest offer some guidance. >Dr. Michael Strober is the Resnick Endowed Chair of Eating Disorders, Professor of Psychiatry at the David Geffen UCLA School of Medicine, and Director of the Eating Disorders Program and Senior Consultant to the Pediatric Mood Disorders Program at the Stewart and Lynda Resnick Neurospychiatric Hospital. Nancy Blair, School improvement consultant (middle grades) and former middle school teacher/middle school administrator. Kathryn Stamoulis, PhD., is a counselor and educational psychologist. She specializes in adolescent development, specifically adolescent sexuality and internet behaviors. She teaches "Tweens & Teens" at Temple University and her blog The New Teen Age on PsychologyToday.com

Howard Steiger, PhD, Director, Eating Disorders Program at the Douglas Institute gives a lecture during the 2009 Mini-Psych School. He talks about : • New perspectives on what causes eating disorders • Latest concepts of treatment Video courtesy of the Douglas Institute.

Howard Steiger, PhD, Director, Eating Disorders Program at the Douglas Institute gives a lecture during the 2009 Mini-Psych School. He talks about : • New perspectives on what causes EDs • Latest concepts of treatment Video courtesy of the Douglas Institute.

Today's show is a conversation between Dr. Richard Lustberg and Dr. Marlene Kasman on how to cope with infertility. Dr. Marlene N. Kasman is a clinical psychologist who has been in practice for 39 years. She is in full time private practice in East Northport where she works with individuals, groups, and couples. Dr Kasman is a Past President of the Suffolk County Psychological Association and is currently a member of the SCPA Ethics Committee. She is also the treasurer of the Northeast Psychological Associates. Dr Kasman was a supervisor at the Pederson Krag Center in Huntington for many years where she served as Coordinator of the Eating Disorders Program and Director of Externships. Dr. Kasman has been appointed to faculty positions at the Doctoral Psychology Programs of L.I.U./C.W.Post, St. Johns University and Pace University. Dr. Kasman received her doctorate degree in Clinical Psychology from the Derner Institute of Advanced Psychological Studies. She has also earned Post Doctoral Certificates in Psychotherapy and Psychoanalysis and Group Psychotherapy from the Derner Institute at Adelphi University.