1. Engaging Partners in Recovery - full day
by Cynthia M. Bulik
2. Dialectical Behavior Therapy for eating disorders: Treatment development for an adolescent population - full day
by Shelly Hindle
3. Medical Management of complex eating disorders patients - half day
by Dr Juliet Berkeley
Pre-conference workshops - Thursday 31 August
Half day workshops do not include lunch.
1. Engaging Partners in Recovery: From the Rolls Royce to the Holden Model
Over the past several years we have developed a suite of treatments that emerged from the observation that engaging families in treatment aids in recovery in youth with eating disorders. We wagered that the same might hold for adults if we could harness the support of partners to work toward recovery with patients. We developed Uniting Couples in the treatment of Anorexia Nervosa (UCAN) and UNiting couples In the treatment of Eating Disorders (UNITE BED and BN versions) to apply couple based cognitive behavioral therapy to the treatment of eating disorders. In this workshop I will first present the full scale approach of UCAN and UNITE (the Rolls Royce model), but also provide concrete guidance for clinicians who hope to incorporate work with partners into treatment for eating disorders but who have not yet received training in UCAN, UNITE, or couple therapy in general (the Holden model). This limited couple-based approach may have important applicability in inpatient, day patient, intensive outpatient, and outpatient settings and provide you with the necessary confidence to include couple-based interventions in your eating disorders treatment toolbox.
2. Dialectical Behavior Therapy for eating disorders: Treatment development for an adolescent population
The purpose of this workshop is to give participants an overview of DBT used to treat eating disorders in the adolescent population. This will include:
- Review of the current research literature, theoretical underpinnings, and rationale for using DBT to treat eating disorders
- Overview of DBT (including adolescent adaptations). Modes, modules, dialectics, validation, and the function of consultation team.
- Adaptations to DBT for the ED population – integrating FBT and CBT strategies into the treatment.
- Using DBT skills to specifically target ED symptoms and behaviours.
- Management of common therapy interfering behaviours
- Guidance around starting up DBT programs within specialist services and adapting existing DBT programs to treat eating disorders.
In the last two decades, there has been growing support for family-based treatment (FBT) approaches to adolescent eating disorders (ED). For the majority of adolescent patients, this treatment has worked well. However, there is a minority who do not respond well to standard treatment, and seem to need a more intensive outpatient approach. Commonly, these clients also exhibit multi-problematic, difficult to treat presentations and emotional dysregulation alongside complex family dynamics. Emerging literature indicates that this population may benefit from adaptations of Dialectical Behaviour Therapy (DBT).
The “Riding the Wave” program at the Kari Centre is a DBT intervention for 13-18 year olds based on Miller et al.’s adaptation of DBT for suicidal and emotionally dysregulated adolescents. In recent times, this program has been adapted for youth with eating disordered presentations in conjunction with emotional dysregulation. The outcome of this treatment adaption included a 28 week therapeutic program consisting of weekly individual therapy, weekly skills training group sessions, family sessions as required, and optional after-hours telephone consultation. Family members were involved in the treatment through parenting support and education sessions with a DBT family worker, DBT and FBT informed family therapy sessions, and attended all group skills training sessions. Several important challenges arose during the development and delivery of the program. The details of these, and the solutions that we generated, along with outcome measures will be discussed during the training.
3. Medical Management of complex eating disorders patients
Details to be advised