Volume 1 Supplement 1

Proceedings of the 2013 Australia and New Zealand Academy for Eating Disorders (ANZAED) Conference. Inspiring Change: Person and Context

Open Access

From one extreme to another- treatment challenges and dilemmas in a transdiagnostic day program

  • Judith Leahy1Email author,
  • Melanie Clark1,
  • Cate Borland1,
  • Ursula Scott1,
  • Rosemary Blundo2 and
  • Teresa Davids2
Journal of Eating Disorders20131(Suppl 1):O4

DOI: 10.1186/2050-2974-1-S1-O4

Published: 14 November 2013

Can you treat someone with a BMI 15 alongside someone with a BM 48? Will there be more differences than similarities? These were some questions faced when deciding inclusion criteria in our transdiagnositic Central Coast Day Program.

We use Acceptance and Commitment Therapy (ACT) in treatment. The use of a 'values based' approach is helpful in recovery providing 'common ground' for clients who are in the same 'eating disorder boat'.

One aim of treatment is to not restrict or reduce intake of any type of food but rather restore 'freedom around food'.

We use a 'self-observation log', a valuable tool to monitor and analyse emerging patterns between daily food intake, eating behaviours and psychological Room: State.

Our Challenges and dilemmas are:

How do we retain someone with Anorexia Nervosa when cognitively ready for recovery but not 'behaviourally' ready; a Day Program helps contain behaviours but 69% of binges occur in the evening; a client with BED gains an additional 14% body weight in 8 months of treatment; what do you do when someone no longer meets BED criteria but is still overeating and, is it 'better' to just be morbidly obese rather than be morbidly obese and have an eating disorder?

This abstract was presented in the Adult Treatment and Services stream of the 2013 ANZAED Conference.

Authors’ Affiliations

(1)
Central Coast Local Health District, NSW Ministry of Health
(2)
Arts for Health

Copyright

© Leahy et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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