What can I expect?
During the first session, I will ask you questions about your behavior,
medical history, and general social history. We will identify what
results you're hoping to achieve, and I'll develop a treatment plan
to help you meet your goals. First we will aim to increase balanced
eating patterns. Underlying issues that contribute(d) to the problem
will be addressed throughout treatment.
Do I have to gain or lose weight?
It depends. For patients struggling with anorexia, restoration of
food intake has to be achieved in order to bring back quality of life
and reduce apathy to internal organs. This does not mean you have
to "get fat!" I am very sensitive to clients' fear of weight
gain, and I support and validate this fear with a slow change in behavioral
habits. For some clients, weight gain is necessary.
For some clients, the focus of treatment is to maintain or lose weight
and to develop a more positive body image while reducing obsessions
about food and weight. I will work with you to clarify and set realistic
expectations about your appearance and general mental health.
How long is the treatment program?
Eating disorders are typically difficult to treat because of the many
layers involved in the illness (medical, nutritional, spiritual, emotional
problems stemming from family issues, self esteem, body image, depression,
anxiety, abuse, etc.). However, I use solution-focused techniques
along with cognitive behavioral therapy to target the identified problem(s)
quickly and effectively. Most clients reach their goals within twelve
sessions, depending on how severe the issues are that we are treating.
Some clients are able to meet their goals within a few sessions, and
other clients will benefit from longer-term supportive services as
needed.
Do you refer clients to inpatient treatment?
Yes, when necessary. It is my responsibility as your treating clinician
to help you manage your life in this area. Eating disorders can be
deadly. In cases where clients cannot be safely monitored on an outpatient
basis, I will work with you (and/or your family or significant other(s))
to find a treatment center that meets your recovery needs. I can provide
you with Aftercare and Supportive services upon your return to help
maintain your positive results.
Does my doctor
have to be involved with my treatment?
It is recommended that your doctor be made aware of any eating disorder
diagnosis, and in some cases lab work is mandatory. This will be discussed
with you during your assessment. Psychiatric medications are sometimes
necessary to facilitate the recovery process as well. This will also
be discussed with you, and any referrals you need will be addressed
during your assessment.
What age ranges do you work with?
I work with adolescents and adults. For clients under age 18, at least
one parent MUST attend the initial assessment, and family sessions
are encouraged.
What issues do you treat?
I specialize in eating disorders, and almost all eating issues stem
from anxiety. I work with clients experiencing anxiety and/or depression
about food, weight, and body image, ranging from mild self esteem
problems to life-threatening eating disorders. The scope of my expertise
includes treatment for anorexia, bulimia, compulsive overeating or
binge eating, night eating, PICA, self-harm, eating disorders "not
otherwise specified" (NOS), eating disorders in athletes, pre/post
bariatric/ lapband/ and/or plastic surgery, obesity, body changes
during/post pregnancy, and body dysmorphic disorder. Oftentimes mood
disorders (including depression) accompany food problems, and these
will be addressed in treatment as well.
How do I know my care will be kept confidential?
When you call
to make an appointment, you will speak directly to me or to my confidential
voicemail. All HIPPA guidelines and confidentiality policies are followed
to the greatest extent of the law. All clients are asked to sign strict
confidentiality notices that protect your privacy and your right to
confidential treatment even while waiting in our waiting area. In
the event that you choose to use your health insurance to help cover
costs, only the bare minimum of identifying information will be used
to cover the identified service(s). You must sign a release in order
for me to release information to or receive information from any person
or agency.
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