October 7, 1 pm CST
The Weight Of Stigma In The Treatment Of Eating Disorders
As clinicians, we use our skills to help clients heal from eating disorders. At the same time, we exist in a culture where diet talk is normative and weight stigma prevails. Each of us has an obligation to become aware of our own internalized weight bias because even with the best of intentions, these types of thoughts, behaviors and assumptions impact the way we treat clients. In this plenary panel, you’ll hear from a doctor, therapist and dietitian about the many ways that weight stigma creates obstacles, and even harms people with eating disorders. Through presentations and conversation, you’ll have the opportunity to consider steps to reduce weight stigma in your practice and/or organization as well as beyond the clinical setting.
Participants will be able to:
- Explain at least two examples of weight stigma in the ED field
- Consider how the Health At Every Size framework can reduce weight stigma for people with ED’s
- Identify at least one action they can take to reduce weight stigma in their own clinical practice
- Identify at least one strategy to help clients challenge their own internalized weight stigma
- Examine weight bias through an ethical and social justice lens
Aaron Flores is a registered dietitian nutritionist based out of Los Angeles, California. With over 10 years of experience, a large part of his career was spent working at the VA Greater Los Angeles Healthcare System where he helped develop and launch one of the first Binge Eating Disorder programs to help Veterans. Since leaving the VA, Aaron has continued to work in the eating disorder community, providing individual counseling to adolescents and adults. He currently works part-time at Center for Discovery and in his private practice in Calabasas, CA. He is a Certified Body Trust® provider, and his main areas of focus are Intuitive Eating and Health at Every Size®. His work has been featured during Weight Stigma Awareness Week, in blogs for the National Eating Disorder Information Centre and National Eating Disorder Association. Along with his work with eating disorders, he also is a co-host of the podcast, Dietitians Unplugged.
Judith Matz, LCSW has worked in the field of eating problems and weight concerns for over 30 years. She received her Master’s degree from University of Michigan and completed a post-graduate fellowship at Michael Reese Hospital where she trained in the treatment of eating disorders. Judith is co-author of Beyond a Shadow of a Diet: The Comprehensive Guide to Treating Binge Eating Disorder, Compulsive Eating, and Emotional Overeating (2nd edition, 2014) and The Diet Survivors Handbook: 60 Lessons in Eating, Acceptance and Self-Care (2006), and author of the children’s book Amanda’s Big Dream. Judith has a private practice in Skokie, IL, and is dedicated to helping people end the preoccupation with food and weight and to fighting weight stigma.
Dr. Lisa Erlanger is a Clinical Professor of Family Medicine at the University of Washington School of Medicine and a physician at UW Hall Health Primary Care Clinic and at Opal Food and Body. She believes all patients deserve compassionate, weight neutral, trauma-informed, and affirming medical care. She is a Body Trust Provider in Training through Be Nourished in Portland, OR. When she is not practicing medicine, Dr. Erlanger is sharing meals with friends and family, reading great fiction, or exploring Seattle dog parks.
October 14, 1 pm CST
A Guide to the Guys: Treating Men with Eating Disorders
Although thought of as a predominantly “female” problem, eating disorders affect a surprisingly high number of men. The aim of our presentation is to provide clinicians with guidance in the treatment of men with eating disorders throughout the lifespan. We will review the unique features of eating disorder presentations in men compared to women, such as the heightened incidence of binge eating and extreme forms of exercise, that have been recently uncovered in a comprehensive study of over 1000 clients with eating disorders. These unique features of eating disorders in men will be used to describe several evidence-based treatment strategies that have shown to produce significant symptom relief in male clients, such as gradual inclusion of avoided foods into one’s diet as well as progressive reintegration into important life activities (e.g., moderate exercise, increased social connectivity). We will utilize a variety of case examples from our own practice to bring these unique treatment strategies to life.
- Attendees will be able to identify and describe some of the key unique features of eating disorder presentations in male clients.
- Attendees will gain proficiency in understanding and communicating the rationale for several evidence-based strategies in treating men with eating disorders.
- Attendees will be able to demonstrate how to successfully implement the techniques described in the context of a variety of case examples.
Brad E. R. Smith, MD, (he/him) is a full-time psychiatrist and serves as the medical director for Rogers Oconomowoc campus as well as the medical director of Eating Disorder Recovery. He is board- certified in adult psychiatry and forensic psychiatry, specializing in the assessment and treatment of eating disorders and other complex or multiple mental health diagnoses. Dr. Smith joined Rogers in 2011, seeing patients in the inpatient, residential, partial hospitalization, and intensive outpatient programs, helping patients learn evidence-based techniques for building resilience for recovery. In addition to his leadership roles at Rogers, Dr. Smith serves as a voluntary assistant clinical professor in the Medical College of Wisconsin’s psychiatry and behavioral medicine department, where he teaches residents and fellows. Dr. Smith received his medical degree at the University of Wisconsin and graduated from Washington University in St. Louis.
October 21, 1 pm CST
Gender-Inclusive Residential Treatment: Breaking the Treatment Binary
In the past few years, research has started to catch up to what so many folks already knew: transgender individuals are much more likely than cisgender individuals to experience an eating disorder. Despite this, competent care for transgender people remains a challenge to find in the eating disorder field. This presentation will discuss prevalence of eating disorders across diagnoses and the gender spectrum, the unique expressions of eating disorders within the transgender population, what goes into creating an inclusive environment for individuals of all genders and gender presentations, and ways eating disorder treatment needs to move forward. We will also explore some of the most challenging aspects of eating disorder care for transgender individuals, for example: untangling the web of gender dysphoria and body dysmorphia.
- Recognize various eating disorder presentations in transgender individuals
- Define ways to provide inclusive eating disorder treatment at all levels of care
- Explore the differences between body image dysmorphia/distress and gender dysphoria and the ways the two interact within an eating disorder experience
**This webinar fits criteria for cultural competency CEs in Illinois for Social Workers and Psychologists.**
Emmy Johnson, MSW, LCSWA, (they/them) is an eating disorder professional working as a therapist at Center for Discovery. They specialize in working with LGBTQ+ populations with eating disorders and trauma, and they love providing trainings in working with transgender clients. They strive to be anti-racist, anti-oppression and Health At Every Size/anti-sizeism oriented in all that they do. Outside of work, they love going hiking with their dog Lyra and rereading Harry Potter for the twenty-somethingth time.
October 28, 1 pm CST
Finding Hope in Telling Our Stories: Understanding the Intersection of Discrimination and Shame in the Treatment of Eating Disorders in People of Color and LGBTQ+ Communities
Women and men from ethnic minority groups and those in LGBTQ communities suffer from eating disorders at similar or higher rates than in the general population. People from these communities must often also grapple with additional stigma and marginalization, resulting in a multiple dose of shame and reasons for experiencing self-hatred. Among other risk factors, a history of macro- and micro-aggressions, discrimination and marginalization, and the well-documented confluence of stressors associated with minority status puts people from these communities at particularly high risk for the development of disordered eating behaviors and their attendant consequences.
Despite the seriousness and lethal nature of eating disorders for all those affected, there remains a tremendous disparity in mental health services utilization among those from marginalized and minority groups. People from these groups are under-identified by professionals and tend to receive and utilize treatment for eating disorders at significantly lower rates. These disparities reflect a profound need for culturally competent assessment and treatment services for members of marginalized communities who are struggling with eating disorders.
Cultural competency among care providers is crucial in providing effective treatment in both medical and mental health settings, and has particular salience in the context of illnesses as complex and multifaceted as eating disorders. It is essential for therapists, dietitians, physicians, nurses, and other allied professionals to possess cultural knowledge and be able to apply such cultural understanding to assessment and delivery of interventions and therapies as a fundamental aspect of overall clinical competence.
- Improve sensitivity of providers to their own cultural values and biases so that they might better understand how their own cultural beliefs might impact upon the provision of culturally competent assessment and treatment.
- Develop skills for better using cultural knowledge to understand the possible impact of eating disorder clients’ culture, including sexual/gender minority status, country of origin, immigrant or ethnic minority status, gender roles, and class issues.
- Practice forming and testing hypotheses about whether the behaviors, attitudes, and beliefs of clients are influenced by culture or by other factors, and how to incorporate that understanding into cultural conceptualization and culturally informed treatment planning.
**This webinar fits criteria for cultural competency CEs in Illinois for Social Workers and Psychologists.**
Norman Kim, Ph.D. completed his B.A. at Yale and his Ph.D. in Psychology at UCLA. His research and clinical interests include the application of a transdiagnostic framework for eating disorders, taking an evolutionary approach to shame and anxiety, and minority mental health. In conjunction Norman has developed an expertise in treating and teaching about psychiatrically complex populations, multi-modal treatment, and diagnostic assessment with a particular focus on Eating Disorders, Trauma, and Bipolar Disorder. He is a regular national speaker, educator, and passionate advocate for eating disorder awareness and legislation with a particular focus on minority status and barriers to mental health care. He is on the Board of Directors of the Eating Disorders Coalition, the co-chair of the People of Color subcommittee of IAEDP, on the inaugural behavioral health task force for the Gay and Lesbian Medical Association, the co-chair of the Transcultural SIG for the Academy of Eating Disorders, and on the Advisory Boards of Recovery Warriors, The Multiservice Eating Disorders Association (MEDA), Spectrum CBT and Tikvah V’Chizuk. Norman is the co-founder and National Director of the Reasons Eating Disorder Center.
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