Part Two: If It Were Cancer…

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Clementine Advisory Board Member Cherie Monarch shares part two of her series in this week’s blog post. In her series, Cherie shares the pain felt by a family when a loved one is struggling with an eating disorder. 

Read Part One of Cherie’s Series HERE

You, or your loved one, are a shell of their former self, and barely recognizable. As a parent, you’re doing everything you can to provide care, support, and try to understand what the hell is going on. You just know that a terrorist is holding your loved one captive. In fact, he’s holding your entire family captive.

When our loved one has an eating disorder,  it’s like the whole family has an eating disorder.

What is the answer? How can we help ourselves or our loved one navigate this journey with an eating disorder? How can we help others understand this journey?

When I was walking this journey with my loved one, it really helped me to reframe every step of the process in terms of cancer. If it were cancer…

The thing that is important to quickly understand is that food and stopping behaviors  is their chemo. Without chemo they will die. Without food, they will die.

Every decision, every action, every statement needs to be addressed in terms of cancer.

If it were cancer…

If it were cancer… Would it immediately evoke empathy, compassion, support, and action?

If it were cancer… Would you think you or your loved one chose it? Would you think they could just stop?

If it were cancer… Would you allow your loved one to refuse the medicine or the treatment?

If it were cancer… Would you think that it was a phase? Would you think that it would just go away?

If it were cancer… Would you think they had a choice? Would you tell them just to eat?

If it were cancer… Would you negotiate whether or not they need chemo? Life-sustaining medicine. Food.

If it were cancer… Would you run cancer around life? Or life around cancer?

If it were cancer… Would you hesitate to quickly assemble a multidisciplinary team? Would you hesitate to find the best practitioners in the country? In the world?

If it were cancer… Would you be concerned about geography? Would you care if the treatment were in your state… or would you travel across the country without question?

If it were cancer… Would you even think about school? Would you be concerned about graduations, or college applications, and whether they graduate with their twin?

If it were cancer… Would you search out the best possible program? Or just go with one that’s closest?

If it were cancer… Would you allow a provider to wait a month, two or three until the next appointment? What you wait until next week to call for an appointment?

If it were cancer… Would you schedule treatment around holidays, vacations, school, or summer camps?

If it were cancer… Would you postpone treatment a few weeks? Would you think it won’t make a difference. Or would you start today?

If it were cancer… Would you continue competitive sports, dance, and exercise? Or would you rationalize that their body needs rest, needs to heal, and restore strength and energy to fight this demon?

If it were cancer… Would you accept partially healed? Or would you push for full recovery/remission?

If it were cancer… Would you hesitate to share with family, friends, or your entire community?

If it were cancer… Would it matter if they were 12, 18, or 30? Would the fact they were over 18 keep you from insisting they complete treatment or take their medication? Would the fact they were 18 even enter your mind? Would you even consider their adult status when mandating them to complete chemo and radiation?

If it were cancer… Would you let them leave the treatment program before the chemo was complete? If 10 chemo treatments were prescribed, would you let them stop after five?

If it were cancer… Would you postpone or delay treatment because they’re looking a little better? Would you think maybe this is a phase? Maybe they don’t need treatment? Would you even care about the way the looked?

If it were cancer… Would you let them forgo the chemo because it caused them distress and made them sick?

If it were cancer… Would they leave treatment and go right back to school and life? Or would they automatically be allowed time for recovery?

If it were cancer… Would you negotiate treatment at all? Or would you lovingly and definitively state treatment will save your life… It’s not an option.

If it were cancer… Would you let them go to college? Would you let them finish the semester and rationalize it’s only three more weeks? Chemo can wait.

If it were cancer… Would you postpone an intervention?

If it were cancer… and your loved one called right after they started treatment and said I hate it and I want to come home, would you let them? Would you pick them up and allow them to leave AMA?

If it were cancer… Would you care what friends, family, or neighbors said or would you just be focused on getting your loved one well?

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


Part Two: An Inside Look Into Treatment at Clementine

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Dr. Lauren Ozbolt, MD, CEDS, FAPA is a board certified Adult, Child and Adolescent Psychiatrist who specializes in the evidence-based treatment of mood, anxiety and eating disorders. She currently serves as the Medical Director for Monte Nido & Affiliates. In part two of her series, Dr. Ozbolt continues to share an inside look into a day in treatment at Clementine adolescent treatment programs.

While our adolescents are quite busy in programming throughout the day, we also recognize the need and benefit of appropriately scheduled breaks and downtime. Downtime is often difficult for our adolescents in that unstructured time allows the eating disorder thoughts more freedom. At Clementine, downtime is interspersed with opportunities for relationship building, recreational time and fun. Our recovery coaches are no strangers to fun and it is not unusual to see them engaged with the girls in an intense game of banana-grams or an elaborate art project.

 One aspect unique to Clementine is our use of a multi-dimensional Level System. Upon admission, adolescents are assigned to Level I, which corresponds with certain goals, assignments, challenges and privileges. When these goals and challenges are met (determined by the treatment team and milieu), then the adolescent advances to the next level of challenges and privileges. By using this system, the adolescent, parents and treatment team are all clear about the client’s progression in treatment. This eliminates uncertainty on the part of the adolescent, fosters mastery and facilitates trust.

After a full day of clinical programing, meal support and countless opportunities to practice recovery-oriented choices, adolescents are ready for bed. Recovery coaches are present to support bedtime routines and prepare for lights out. Recognizing that separation from parents and loved ones can be difficult for adolescents, Clementine staff are there to comfort and encourage. It is only at night, when your daughter feels safe, supported and loved that our job for the day is complete. It is perhaps in these quiet moments, that the beauty of the Clementine program is most visible.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


Part Two: Eating Disorder Treatment and Recovery

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Chief Clinical Officer Doug Bunnell, PhD, CEDS is an expert clinican and leader in the eating disorder field. He is passionate about research and the latest advancements in the field, and equally committed to individualized client care. In this week’s blog post, Dr. Bunnell shares part two of an overview of treatment and recovery and how Monte Nido & Affiliates supports clients along their path to full recovery. 

Transitions to Day Treatment (DTP) and Intensive Outpatient (IOP)

These programs are intensive group based therapy programs. Eating disorders are serious, potentially chronic and life threatening illnesses, requiring your full focus. It is essential that each patient make a full commitment to attend all scheduled sessions. Our experience shows that patients and families who make their treatment and recovery their primary focus have the best outcomes.

Many patients who begin treatment of their eating disorder in outpatient therapy may require higher levels of care as their treatment progresses. Patients often need more structure to support them in their nutritional and psychological recovery. As their need for structure and support decreases, patients can step down to lower levels of care. The research on the treatment course of patients with anorexia nervosa indicates that many patients will require some degree of psychotherapeutic treatment for two years or more.

It is important for you and your family to look at the full course of recovery. Many insurance policies cover only an acute phase of treatment, whereas the clinical, or treatment, recommendations are more likely to address the issues involved in maximizing the chances for full recovery. The gap between covered care and recommended care, between medically necessary care and clinically indicated care, is important to consider as you plan for your, or your child’s, treatment needs.

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

 


Part One: Eating Disorder Treatment & Recovery

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Monte Nido & Affiliates Chief Clinical Officer Doug Bunnell, PhD, CEDS is an expert clinican and leader in the eating disorder field. He is passionate about research and the latest advancements in the field, and equally committed to individualized client care. In this week’s blog post, Dr. Bunnell shares an part one of an overview of treatment and recovery and how Monte Nido & Affiliates supports clients along their path to full recovery. 

Eating disorders are complex illnesses with biological, genetic, psychological, social and developmental roots. There is never a single cause for someone’s eating disorder and effective treatment must address this entire range of factors.

The treatment of eating disorders is equally complex. It involves a number of different treatment disciplines, and usually a number of different levels of care. Effective treatment and recovery involves an ongoing collaboration between patients, their families and loved ones, and clinicians. Families, especially for younger women with eating disorders, are essential partners in the treatment team.

Treatment teams often include:

Physicians and psychiatrists

Psychotherapists

Individual, Family, Group

Experiential therapists

Art, movement

Nutritionists

Nurses, Educational consultants, …..(residential)

Levels of care include:

Residential

Day Treatment and Transitional Living

Extended Care

Outpatient Day Treatment

Intensive Outpatient

Outpatient Individual, Family, Group, Nutritional and Psychiatric therapies

Recovery takes place in phases or steps. Monte Nido & Affiliates’ continuum of care provides a way to gradually move from a highly structured and intensive residential treatment program to increasingly less structured levels of care. The transitions between levels of care are important moments in the process of recovery but this gradual “step-down” process helps minimize the risk for relapse.

A patient’s motivation to recover is a critical element in the recovery process. Healing and motivation are sustained and nurtured through involvement in a community. The treatment approach stresses these essential connections. As patients gradually regain their physical and nutritional health, treatment begins to focus on other aspects of successful recovery such as self esteem and broader aspects of the quality of life.

Most patients will fully recover from their eating disorders. Full recovery, however, often takes considerable time and effort. Patients with anorexia nervosa who are able to restore their weight to healthy levels have a much lower relapse risk than those who regain some, but not all, of their lost weight. Patients with bulimia nervosa who are able to completely eliminate their binge and purge behaviors have a lower risk of relapse than those who continue with even sporadic episodes.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


Part Three: Don’t Look in My Lunchbox! An Open Letter to all teachers, coaches, school personnel, educators, parents, and frankly, everyone, everywhere…

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Clementine Advisory Board Member Cherie Monarch conludes her important letter from a mother’s perspective in this week’s blog post. Cherie continues with an “open letter to all teachers, coaches, school personnel, educators, parents, and frankly, everyone, everywhere”.  

10 Things you need to know before you speak (read 1-4 HERE and 5-7 HERE).

8. Even if your words do not trigger my child to have an eating disorder or disordered eating, they may haunt them for the rest of their life. They may burden my child with thoughts every time they take a bite … they may question every food choice. They may analyze  every bite they take, every meal they choose, for the rest of their life. Your instruction may make my child afraid to eat wheat, chips, cookies, ice cream, or other foods they used to love and were celebratory. Please consider your words carefully. Please don’t make my child afraid of birthday cupcakes!  

9. As my child’s mother, I know best what to pack in my child’s lunchbox. There are reasons my child’s lunchbox contains the foods it does. My choices may be driven by medical, mental, or financial needs. If you have questions regarding the food in my child’s lunchbox please contact me directly. Please do not discuss this with my child or shame them.

10. It is important that my child eat the lunch I have packed. If you notice my child is consistently not eating their lunch, is giving their lunch to other students, or is throwing it away or you have concerns regarding the amount of food my child is eating, please contact me directly. There may be a serious health concern. Please do not address this with my child. Please do not comment on the amount of food they are/are not eating. I count on you to be my eyes and ears when my child is at school.

I encourage you in the future to NOT monitor any child’s lunch or food choice. To reconsider and re-examine any school-based, anti-obesity, healthy living campaigns. To consider the fact that there is little research on the effectiveness of these programs. Is the potential risk of harmful effects on children’s physical and mental health and adoption of unhealthy behaviors worth the potential gain?

So, before you speak, please think carefully about your words. You see, my child respects you. They look up to you as their teacher. Imposing your beliefs and your nutritional needs on my child may compromise their health and mental state. Please teach them that all foods fill a need – always nutritional, sometimes celebratory and always nurturing.

Please understand, I know your intentions are pure and good. For that I will be forever grateful. But in the future I would appreciate it if you do not monitor my child’s lunchbox. Please leave that to me, their mother. I know their nutritional and emotional needs better than anyone.

Warm regards,

Mothers Everywhere

P.S. This article is not about monitoring lunch boxes because a child in the class may have an inadequate food supply in their lunch box or may have life-threatening food allergies. It is about the negative food talk happening in classrooms and lunchrooms, and how it affects our children. It is about food judgments and how programs that are intended to promote health sometimes have big unintended consequences.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


Article Spotlight

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Join us in reading inspirational and informative articles we have cultivated from across the web. If you have found an article you feel is inspirational, explores current research, or is a knowledgeable piece of literature and would like to share with us please send an e-mail here.

 

Tips & Suggestions: Share Your Eating Disorder Struggle With Loved Ones Eating Disorder Hope

How Are You Feeling? Talking to a Friend About Eating Disorder Concerns Proud2BMe

It’s Time for Rejection of Diet Culture Jewish Link

5 Ways to Stay Positive in the Face of January Diet Campaign NEDA

The Quote That Reminds Me of My Strength Over Mental Illness The Mighty

50 Psychological Hacks for Better Mental Health Psychology Today

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


3 Considerations for Maintaining Recovery in College

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Maintaing eating disorder recovery while in college can be particularly challenging. In this week’s blog post, Clementine Portland Student Intern Erin Holl discusses these challenges and some strategies in how to manage them. 

Eating disorders affect people of all ages and from all walks of life, but are particularly prominent among students in college. College can be an exciting time of newly-found independence and self-exploration, it may also be a time of significant stress and vulnerability. In the interest of recovery maintenance, hope for making the transition into college should be accompanied by identifying and safety planning around the challenges of this environment. The following are three challenges facing college students maintaining recovery from an eating disorder:

Relocation and Roommates

Beginning college often means a new place of living. Relocating housing is stressful at any point in life, but particularly so when that move includes changing regions, leaving family and familiarity, and taking on new roommates. Leaving the familiarity of home can also mean leaving an existing support structure. When relocating to a new region, it is important to proactively establish a new supportive community of friends and professionals. Though some are fortunate enough to find friendships amongst new roommates, these individuals are not always positive influences on recovery maintenance. Living in close proximity to individuals with disordered eating patterns can be a challenge, though one minimized by awareness and planning.

Competitive Environment

The acutely competitive nature of the college environment is no secret. In this culture students are encouraged to test their limits in order to academically achieve at the highest level. Further, the achievements of one student are frequently compared to the efforts of others rather than previous personal achievements. This cultural norm of comparing self to others and forgoing a balanced life in the pursuit of achievement in one area can be a particularly insidious challenge for students maintaining recovery from an eating disorder. Students in such an environment could benefit from intentionally planning for and cultivating balance between work and self-care as well as identifying personal goals and values around achievement. Additionally, students may find that practicing transparency with professors and advocating for alternative educational needs can create a more hospitable academic environment.

Inconsistent Structure and Schedules

Between course schedules shifting every few months, occasional extended breaks, and the increased workload around midterms and finals, college living provides little of the consistency in structure that is important for students maintaining recovery. This lack of structure often results in increased demands for accountability from the individual, particularly in regards to practicing self-care, engaging in appropriate levels of movement, and planning regular meals and snacks. Students may create increased structure by mindfully assessing their individual needs as well as generating and implementing realistic schedules that support sustained wellness. Furthermore, students who initiate participation in regular check-ins with primary support persons minimize the potential for isolation in their increased personal accountability.

The challenges facing students maintaining recovery from an eating disorder during the transition into college can be significant, but are largely able to be mitigated by proactive planning and accessing available supports. The three challenges noted here only begin to address what students can expect to encounter in this period of high stress. Engaging in party culture and risky behaviors, limited funds to provide for basic needs, and social media-driven socialization are just a few of the other obstacles that may present to students pursuing higher education. Fortunately, clinicians have the ability to aid clients in preparing for the college experience with the appropriate knowledge and skills that will support recovery maintenance.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


What Do I Say to My Child Away in Eating Disorder Treatment?

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Becky Henry is trained as a Certified, Professional Co-Active Coach (CPCC) and uses those skills to guide families to let go of fear and panic, learn self-care skills and become effective guides for their loved one in eating disorder recovery. In this week’s blog post, Becky shares valuable tips of what to say to your child who is away in eating disorder treatment. 

Your child has been away at a treatment center for about a week – maybe just 3-4 days and you get THE CALL! Your child, weeping or crying hysterically on the other end. “MOM! Help get me out of this place! They’re so mean to me!”

First, I am so sorry that this illness takes away our real kids from us. And I’m so sorry that no one gave you help in how to respond.

What do you say?  Hopefully the treatment center gave you a heads up that this is very COMMON.

Your job, once you’ve prepared yourself to be calm, rational and objective is to hang in there. Knowing this is VERY normal as the team is challenging the eating disorder (ED) a lot right now makes it very scary for your child. ED’s voice is VERY loud right now.

Keep loving him/her where he/she is at. Trust the model. Remind him/her that he/she is safe and that this is part of the process.  Remind him/her to lean on the staff when he/she needs support, that is what they are there for. Tell him/her she is brave. Acknowledge how scary and hard this is for him/her. Tell him/her you will always love him/her and be there for him/her. And that he/she can do this – one step at a time.

It might be useful to have something like this by your phone (or in your phone):

“Honey, I’m so sorry, it sounds so very hard and scary. I’m so proud of you for working so hard. I know. I love you. It will get easier. uh huh. yeah. WOW. Bummer. That sounds really scary. I know you can do this. Please remember to take one moment at a time. I love you.” 

And then repeat it each time he/she calls.

Know that ED is fighting for his very existence and is not going to give up easily.  When ED feels threatened he ups the ante.  This is what your child is up against. He/she needs you to be strong and not back down.

Then it won’t shred you to bits. As much. Loving a child is painful sometimes. Keep loving your child where they are at. Even when you want your child healthy and back home with you. For now you can do this.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


Part Two: Don’t Look in My Lunchbox! An Open Letter to all teachers, coaches, school personnel, educators, parents, and frankly, everyone, everywhere…

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Clementine Advisory Board Member Cherie Monarch shares an important letter from a mother’s perspective in this week’s blog post. Cherie continues with an “open letter to all teachers, coaches, school personnel, educators, parents, and frankly, everyone, everywhere”.  

10 Things you need to know before you speak (read 1-4 HERE)

5. It is estimated that at least 10 to 15 percent of children and up to 80 percent of all special needs children struggle with some form of feeding disorder or challenges. Some children have complex food challenges, allergies, or anxieties – they can be physical or mental. Many of these challenges are not obvious. My child may have severe anxiety in social situations or loud environments (like a lunchroom) and become overwhelmed and distracted. Therefore, they must consume calorically dense, safe foods – foods you may not consider nutritious – in an effort to meet their energy requirement for the remainder of the school day. My child may have ARFID – Avoidant/Restrictive Food Intake Disorder and may avoid foods based on certain qualities – such as texture, color, taste, or temperature. As such, my child may only have 3-4 foods total that he/she will eat. If you shame my child about what is in their lunchbox, they may eat nothing. Your words may have just eliminated one of my child’s “safe” foods – therefore harming them and erasing a source of energy.  

6. There is little research on the effectiveness of healthy eating and weight initiatives in schools. In fact, there have been studies that have indicated that a potential unintended consequence of these programs and schools monitoring lunches was the development of an eating disorder in children who were susceptible or genetically predisposed. The children who are negatively impacted by these programs are typically students who excel in academics and extra-curricular activities and view the healthy weight initiatives as another measure of their success. So, please be careful with your words. They may compel to my perfectionistic child, my rule follower, to embark on a competition to be the “healthiest” kid. I know you would not want to be the trigger that caused a child to develop a life-threatening eating disorder or unhealthy food and exercise behaviors.

7. Research suggests that up to 50% of the population demonstrate problematic or disordered relationships with food, body and exercise. In our culture, there is an obsession with size and weight (thinness), diet and exercise. In fact, research has indicated that 81% of 10 year olds are afraid of being fatYour words may result in my child having disordered eating which could include chronic yo-yo dieting, frequent weight fluctuations, rigid and unhealthy food and exercise regime, feelings of guilt and shame every time my child eats a food you have instructed is “unhealthy” or they gain weight or they are unable to maintain exercise habits. Your instruction could potentially cause my child to be preoccupied with food, body and exercise that causes them distress and has a negative impact on their quality-of-life. It could result in my child using compensatory measures such as exercise, food restriction, fasting, purging, laxative use, etc., in an effort to “offset” any food consumed. It is estimated 35-57% of adolescent girls and 20-30% of adolescent boys engage in crash dieting, fasting, self-induced vomiting, diet pills, or laxatives. You likely do you not realize the impact your words can have on my child’s mental and physical health – for the rest of their life. It is important you understand disordered eating is a serious health concern. Detrimental consequences could include a greater risk of obesity (the very thing you’re trying to prevent), eating disorders, bone loss, gastrointestinal disturbances, electrolyte imbalances, low heart rate and blood pressure, increased anxiety and depression, and social isolation.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

 


When Emotion Mind Wreaks Havoc on our Behaviors

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Clementine Briarcliff Manor Primary Therapist Dana Sedlak, LCSW discusses the progression of “emotion mind” to “wise mind” in eating disorder treatment. In this week’s blog post, Dana explains how our emotions are directly tied to our behaviors and some strategies used to support clients in recognizing and moving past maladpative behaviors.

One of the most difficult parts of treatment involves identifying and understanding one’s thoughts and feelings. This can be more challenging for those with eating disorders whose function has served as a numbing agent for several unwanted emotions. It has become natural and sometimes habitual to dismiss feelings in order to feel in control. Through DBT (Dialectical Behavior Therapy), teenagers are introduced to the idea of Distress Tolerance: Unfortunately, pain is a part of life and therefore one must learn how to manage difficult emotions.

Many teenagers speak to having an increase of emotions once they begin completing their meal plan in treatment. We often wonder whether they are experiencing more emotions due to many of their eating disorder behaviors decreasing or because they are becoming more connected to themselves and others due to the therapeutic process. Despite the reasoning behind this, the increase in emotions is extremely uncomfortable for them. They often report feeling easily overwhelmed by these emotions with little confidence in coping with them. The danger in this scenario is that without intervention, emotion mind leads right back to use of destructive behaviors. They then become stuck in what often feels like an endless cycle.

The beginning of this cycle includes a precipitating event that is identified as the trigger. This could be anything from a death of a loved one to getting a poor grade on a test. One’s emotions then start to bubble up, including depression, desperation, anxiety, and worthlessness. Shortly after these emotions then turn into thoughts that become fueled by these emotions. “I can’t deal with this anymore” and “I’m so dumb, I might as well just stop trying” are prime examples of these emotion-driven thoughts based on the triggering event. As we know from CBT (Cognitive Behavioral Therapy), the thoughts also quickly turn into behaviors. This is where one’s eating disorder and co-morbid illnesses take hold. Restricting, binging, purging, over-exercising, self-harming, and other similar behaviors serve as protective measures that protect one’s ego/self-esteem in order to avoid these thoughts and emotions.

Once the behaviors have initially subsided, consequences are likely to appear. This could occur in either the short or long-term, but often results in loss of freedom, relationship problems, health problems, or a worsening of symptoms. Emotion mind revs up and creates more feelings of depression, anxiety, being overwhelmed, and an increase in shame because of these consequences. These emotions now feel intolerable again and one resorts back to what she thinks works: Covering up these emotions through more behaviors.  Before she is even aware, she becomes stuck in this cycle of suffering all over again.

The goal through DBT is to intervene at the beginning stages of this destructive pattern. It is vital in recovery for one to be able to appropriately identify and feel one’s emotions. It makes sense for someone to feel sadness after a death or anxiety after doing poorly on a test. We never want to invalidate this part of the experience. What we would like to change comes in-between the negative thoughts and the behavior use. At this point in the cycle, one must learn to challenge her thoughts and then seek self-soothing coping behaviors to gain the same sense of protection and security that the eating disorder often creates. This can come in the form of one’s five senses of sight, sound, smell, touch, and taste. Go outside in nature, listen to your favorite song, smell a candle of a scent that brings you peace, take a warm bath or shower, or sip on your favorite drink.

Through continued intervention and practice, emotion mind will mold into wise mind where one no longer needs to use the eating disorder to manage and push away the emotions. Instead, one has gained the courage to face the emotions as they are. By breaking this cycle, one becomes vulnerable enough to know and believe that she is completely capable of working through any emotion that arises. It is then that one can begin to slowly and surely let go of the old destructive behaviors that no longer serve the same purpose.

 

References: “Out-of Control: A Dialectical Behavior Therapy (DBT)-Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior”

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.