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Eating Disorders: Assessment and Treatment




Description

Since March 2020, the COVID-19 pandemic has had a profound impact on most individuals.  Individuals with eating disorders (ED) are at particular risk, as stress and anxiety may lead to worsening eating disordered cognitions which may further lead to negative behaviors and detrimental physical effects. At baseline, patients with EDs are at high physical risk and psychological stress, however, due to the pandemic quarantine and an interruption in treatment, their risk factors may increase. Most clinicians and treatment programs have transitioned to a virtual platform which can make diagnosis and treatment more challenging.  This course will help clinicians understand key factors in diagnosis, assessment and best practices recommendations for on going treatment.

Topics to be addressed:

  • Medical consequences and sequela of eating disorders (Dr. Jessica Lin)
  • The role of the dietitian (Kelsey Rose, MPH, RDN, LDN)
  • Psychological implications of eating disorders (Dr. Freizinger)
  • Weight stigma and HAES (Dr. Richmond)
  • Culturally-Informed Assessment of Eating Pathology in Diverse Populations (Dr. Lowy)
  • The overlap between obesity and eating disorders (Dr. Jhe)
  • Treating and assessing eating disorders in LGBTQ (Stephanie Presson-Lapre, MSW, LICSW)

Objectives:

1.    Describe the medical sequela of eating disorders and two consequences of malnutrition.

2.    Identify common medical consequences of disordered behaviors and emerging best practices of medical management.

3.    Apply medical knowledge to adequately inform decision-making as it applies to the consideration of urgent referral.

4.    Describe the role of a dietitian in eating disorder treatment and the effective application of a weight-inclusive framework in treatment.

5.    Discuss the complex nature of the psychology of eating disorders and describe two associated factors.

6.    Assess and identify two risk factors and associated comorbidities of eating disorders.

Credits



Handouts

Faculty

Melissa Freizinger, Ph.D.'s Profile

Melissa Freizinger, Ph.D. Related seminars and products

Associate Director, Eating Disorder Program, Division of Adolescent Medicine, Department of Psychiatry

Boston Children's Hospital


Melissa Freizinger, PhD, is the Associate Director of the Eating Disorder Program in the Division of Adolescent Medicine and the Department of Psychiatry at Boston Children’s Hospital and an Instructor at Harvard Medical School.  Dr. Freizinger received her  doctoral degree in counseling psychology from Northeastern University, and was the 2006 Murphy Fellow at the Harvard Medical School/Massachusetts Mental Health Center DBT program.  Dr. Freizinger has been a clinician, researcher, and consultant in Boston for over twenty years, and has worked with patients with eating disorders, addictions, personality disorders, and anxiety disorders.  She has been involved in program development and ran several local eating disorder treatment programs.  Dr. Freizinger treats patients and families in the adolescent medicine clinic using Family Based Treatment, DBT, and behavioral approaches.

Dr. Freizinger has presented national and local workshops and lectures on the topic of eating disorders, eating disorders and college students, and borderline personality disorder and eating disorders.  She is published in the areas of eating disorders and infertility, binge eating disorder, and depression in infertile women.  Her clinical interests include the application of DBT to eating disorders, eating disorders and suicidality, and Family Based Treatment.


Jessica A. Lin, MD's Profile

Jessica A. Lin, MD Related seminars and products

Adolescent Medicine Fellow

Boston Children's Hospital


Dr. Lin is in her final year of Adolescent Medicine Fellowship at Boston Children’s Hospital/Harvard Medical School. She received her MD from The Ohio State University College of Medicine and completed her Pediatrics training at Akron Children’s Hospital. Her clinical interests are in eating disorder treatment, obesity management, reproductive endocrinology, and contraception. Dr. Lin is passionate about investigating the interplay between restrictive eating disorders and obesity in order to improve prevention and treatment of eating disorders for patients across the weight spectrum. Dr. Lin has been awarded numerous awards for her work thus far, including the National Institutes of Health Loan Repayment Award.


Kelsey Rose, MPH, RDN, LDN's Profile

Kelsey Rose, MPH, RDN, LDN Related seminars and products

Leadership in Education in Adolescent Health Nutrition Fellow

Boston Children's Hospital


Ms. Rose is the Leadership Education in Adolescent Health (LEAH) Nutrition Fellow in the Division of Adolescent/ Young Adult Medicine at Boston Children’s Hospital. Kelsey completed her dietetic internship in the treatment of eating disorders at Simmons University and her graduate training at the University of Michigan School of Public Health. Kelsey’s clinical focuses includes the prevention and treatment of eating disorders. She is passionate about promoting body diversity and challenging the SWAG (Skinny White Affluent Girls) stereotype that limits recognition and treatment of eating disorders.


Tracy K. Richmond, MD, MPH's Profile

Tracy K. Richmond, MD, MPH Related seminars and products

Pediatrician

Boston Children's Hospital


Dr. Richmond is certified by the American Pediatriac Board in Adolescent Medicine.  She is the Director of the Boston Children’s Hospital’s Eating Disorder Program and the Co-Director of the Avoidant Restrictive Food Intake Disorder (ARFID) Program.  She takes care of patients across the weight spectrum.


Alice Lowy, Ph.D.'s Profile

Alice Lowy, Ph.D. Related seminars and products

Psychology Fellow

Boston Children's Hospital


Dr. Lowy is a Post-doctoral Psychology Fellow in the Division of Adolescent/Young Adult Medicine at Boston Children’s Hospital and a Clinical Fellow at Harvard Medical School.  Dr. Lowy received her Ph.D. in counseling psychology from Northeastern University and completed her predoctoral internship at Aspire Health Alliance.  Her clinical experiences include a wide range of diverse patient populations and treatment environments, with an emphasis on trauma-informed and culturally-sensitive treatment for children, adolescents, and young adults from underserved communities.

Dr. Lowy is particularly interested in investigating various sociocultural factors related to body dissatisfaction and eating pathology among understudied populations and has presented at international conferences and local workshops on the topic of eating disorders and cultural beauty ideals among Black women.  She is published in the areas of body image, disordered eating, and applications of cultural psychotherapy in diverse patient populations.


Grace Jhe, Ph.D.'s Profile

Grace Jhe, Ph.D. Related seminars and products

Staff Psychologist

Boston Children's Hospital


Dr. Jhe is a staff psychologist in the Division of Adolescent/Young Adult Medicine and Department of Psychiatry at Boston Children’s Hospital, and an Instructor at Harvard Medical School.  Dr. Jhe received her doctoral degree in clinical psychology with child-family subspecialty from Loyola University Chicago.  She completed her predoctoral internship in the Department of Psychiatry and her postdoctoral fellowship in the Division of Adolescent/Young Adult Medicine at Boston Children’s Hospital.  Her clinical focus includes delivering evidence-based treatment to youth and young adults with trauma history, eating disorders, and chronic medical conditions in an integrative care setting.  Dr. Jhe has presented and published on the topic of risk and resilience among youth with traumatic stressors.  She is extending her research framework to study body image concerns and disordered eating behaviors among adolescents and young adults.


Stephanie Presson-Lapre, LICSW's Profile

Stephanie Presson-Lapre, LICSW Related seminars and products

Assistant Program Director, Amherst Clinic

Walden Behavioral Care


Stephanie Presson-Lapre, LICSW, is the Assistant Program Director of Walden Behavioral Care’s Amherst Clinic. Stephanie received her Master’s Degree in Clinical Social Work at Fordham University’s Graduate School of Social Services in 2012. Since completion of her degree, Stephanie has worked as a clinician in multiple levels of care. She worked for several years as a crisis clinician in Western Massachusetts providing crisis and risk assessments to youth and adults. Stephanie has spent much of her career providing treatment to individuals in both inpatient care and outpatient clinics in Vermont and Massachusetts, in addition to providing clinical supervision to clinicians and interns alike. In her time with Walden, Stephanie has provided assessment and care to patients, in addition to being a member of the Diversity, Inclusion and Belonging task force and providing trainings to Walden Staff and the community on providing inclusive care to the LGBTQ+ Community.

 


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