Here is Alsana’s 2021 iaedp Symposium Lineup
Alsana is proud to be sharing five insightful presentations from our industry-leading team at this year’s Virtual Symposium. Registration is now open, and presentations will be available from March 18 through September 1.
We are proud to introduce these Alsana thought leaders and their upcoming contributions to iaedp and the greater eating disorder recovery community.
COVID-19 has had a significant impact on eating disorder symptoms and treatment. We found the COVID Coefficient through data analysis, comparing the years 2020 and 2019, which shows that eating disorder symptom exacerbation is a function of trauma symptom escalation. Our presenters are eager to present findings on interventions for trauma specific to COVID-19 so that our guests leave with practical skills for treating this vulnerable population.
"I wanted to find a way to help clients and staff through the COVID pandemic by looking for notable relationships that were supported by data. I found this by going straight to the best source for information – our clients. By looking at their assessments, we quickly realized trauma played an important role in treatment during the pandemic. This is an excellent example of how data can inform treatment approaches and improve outcomes, even when faced with a novel global pandemic. Taking lessons learned from this experience can help better prepare us for whatever is next.” - Brian Cook, PhD
"The impact of COVID-19 on mental health has been described as the 'second pandemic.' We have witnessed this phenomenon at our treatment centers. Consistent with our Adaptive Care Model, our team looks to the data to determine how best to intervene with our clients. The data show that our clients with trauma are more activated and dysregulated during the pandemic and less responsive to treatment. As a result, we are targeting trauma symptoms more intentionally to meet our clients where they are in their recovery and see them through this crisis." - Nicole Siegfried, Ph.D, CEDS
Diabulimia is a colloquial term used for patients with co-existing eating disorders and type I diabetes. Females with type I diabetes have more than twice the chance of developing an eating disorder, and roughly 30% of teenagers with type I diabetes omit insulin to lose weight. On diagnosis of type I diabetes and subsequent re-introduction of insulin, patients face anabolic changes, weight gain, edema, and the refeeding syndrome which can be a catalyst for an eating disorder.
Diabetes and eating disorders (ED-DMT1) are potentially fatal co-occurring conditions with a higher mortality rate than either condition alone. Anorexia nervosa (AN) has a mortality rate of 6.5%, diabetes up to 10%; however, the combined diagnosis of AN and diabetes type I has a staggering mortality rate of 34.6%. Unfortunately, many providers are unfamiliar with the treatment of these co-occurring conditions, often leading to delays in diagnosis and treatment and therefore worsening morbidity and mortality.
This presentation focuses on the patient “as a whole,” dissecting the psychological underpinnings of comorbid ED-DMT1, explaining the plethora of short and long term medical complications that arise and suggest evidence-based treatment approaches to meet the unique needs of this population. In addition, we will discuss how to create a treatment model tailored to these patients’ unique needs and continued training strategies necessary to make sure every member of the multidisciplinary team can care for these patients.
“There are so many patients affected by diabetes and by eating disorders. Since the launch of our diabulimia program last year, we have learned many lessons. We look forward to sharing our findings and experiences with our eating disorder community so they can diagnose early, provide evidence-based treatment, and improve our patients’ quality of life.” - Margherita Mascolo, MD, CEDS
Individuals who live their lives in larger than “average” bodies are often met with fear, resistance, and fatphobia on a daily basis throughout their lives, including in their interactions with medical and mental health professionals. Despite our best efforts to meet these individuals where they are at, our internal weight bias often plays out in our interactions with clients. Individuals in larger bodies are not only misdiagnosed regularly; often, mental health care professionals struggle to address how ADLs and QOL play into the ED for many clients, as we struggle to navigate difficult conversations regarding something that we cannot fully understand or relate to. Understanding becomes even more critical when the client’s lived experience is not one of the clinician’s own or may be different from traditional research. Join us in exploring ways to approach collaborative treatment with our five dimension model as we examine a client’s case.
"Getting to spend time with, learn about, and treat clients in larger bodies has opened my eyes to an area of bias that I hadn’t previously considered. Learning about ways they have been objectified by healthcare professionals (even eating disorder providers) which had led to misattuned or delayed treatment of their eating disorder and other medical conditions has inspired my passion for advocacy for clients in the largest sized bodies. My hope is that educating our providers and developing our spaces to make clients with all sized bodies comfortable will allow this population to be seen and treated in a way they have never been before." - Ali Beckman, MS, RD, LD, CEDRD
The last several years have increased awareness of the lack of diversity in race, size/shape, and sexuality in eating disorder spaces. It has been proposed that we are currently living through a second Civil Rights movement, which brings with it increased awareness of marginalized groups that had limited representation and support in the treatment of eating disorders. This presentation highlights our lived experiences as professionals with these marginalized identities and how we utilize them to inform approaches to treatment and advocacy and provide resources for those committed to inclusivity and social justice in treating eating disorders.
"Given the lack of representation and urgency surrounding awareness of marginalized groups' needs, we have felt compelled to increase awareness through the expression of our respective lived experiences. We offer our authentic, individual, and collective perspectives as women with marginalized identities related to race, size, and sexuality. We support the effort to close treatment gaps in the eating disorder treatment community. We invite those invested in learning, colleagues committed to inclusivity, and advocates for social justice to join us."
You Only Know What You Know: Unraveling the Complicated Crossover between the Dietitian and Therapist Connection
Tammy Beasley, RDN, CEDRD-S, CSSD, LD, Megan Kniskern MS RD CEDRD-S, and April Hackert, MS RD CEDRD-S
Much of any eating disorder tends to revolve around food but paradoxically, eating disorders are truly “not about the food. Because of this, the dietitians and therapists on a client’s treatment team must work in concert to reflect, strategize, and collaboratively unravel the inevitable crossover of food and feelings, body and beliefs, and healing and hope. This presentation will explore this multi-disciplinary crossover using an interactive case study that highlights significant advances within our industry. We will illustrate the role of the dietitian and clarify what sets expert-level dietitians apart from their competent colleagues. We will also explore the important, ongoing collaboration between nutrition and therapy throughout the recovery process.
"The synergistic relationship between therapist and dietitian is crucial to positive eating disorder client outcomes and sustained recovery. - the data tell us so. I am proud to have co-authored recent updates to standards of practice for eating disorder dietitians from the Academy of Nutrition and Dietetics, and I am excited to be co-presenting on this topic with my colleagues. Without a doubt, our community's ability to collaborate well will continue to improve treatment outcomes. We say, 'recovery happens in community,' and I believe that starts with us, and with our community of treatment professionals." - Tammy Beasley, RDN, CEDRD-S, CSSD, LD
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