Given the complex nature of eating disorders, the multidisciplinary team approach is widely recognized as best practice.
Our clinic is the only private multidisciplinary team working with individuals who have eating disorders in the Greater Vancouver region. It is comprised of an internist, registered clinical counsellors/social workers, a psychologist and dieticians. We meet weekly to discuss clients that we share in common so that we are all working towards the same goals.
Despite this, we realize that depending on availability, financial resources and other factors, accessing treatment from numerous disciplines on the team at any one time may not be possible. You get to choose what disciplines make up your treatment team.
Initially, clients may attend a free 15 minute “Meet and Greet.” This is an opportunity for clients to get to meet the team and ask any questions they may have. Following that, it is recommended that clients receive a medical assessment at which time treatment recommendations are made.
Medical care commonly begins with an initial comprehensive medical assessment, which includes an extensive medical report that will indicate recommendations for treatment across multiple disciplines where necessary.
Further medical care can include 10 one-hour sessions that include Loreta Neurofeedback and medical counselling follow up.
The treatment of eating disorders is based on a multimodal model. This model recognizes that eating disorders do not have a single cause or a predictable course. Cognitive Behavioural Therapy, skill building through Dialectical Behavioural Therapy, working on issues of self-esteem, worthiness, identity, shame resilience and family relations are all modalities shown to be effective in eating disorder treatment.
Typical therapy for some eating disorders will include:
- Address co-occurring difficulties and/or disorders
- Work on emotional avoidance, and enhance ways of feeling feelings
- Increase self esteem
- Address underlying personal issues
- Learn how to better cope with anxiety
- Include the practices of mindfulness in daily living
- Emotion regulating skills
- Recognize thoughts and urges
- Overcome fear and anxiety
- Increase self-efficacy
- Promote healing in the entire family system
Typical Nutrition Consultation and Recommendations:
- Initial nutrition assessment
- Medical history, diet history, and ED symptoms
- Exploration of nutrition knowledge, beliefs and values
- Assessment of relationship with food
- Teaching intuitive eating skills, debunking nutritional myths, and facilitating a realistic and manageable approach to achieving a nutritionally balanced style of eating
- Re-teaching and guiding the application of the basics of appetite regulation, hunger and fullness cues, metabolism, and general nutrition principles
- Development of an individualized treatment plans that leverages the latest in evidence-based nutritional intervention
- Personalization of meal planning
- Computerized nutrient analysis-individualized macronutrient and micronutrient needs (offered as indicated/requested)
- Assessment of macronutrient and micronutrient adequacy based on diet history
- Nutrition Care Plan to include patient-centered goals for therapeutic follow-up
- Ongoing nutritional counselling
- Meal Support: Individualized meal support therapy available and scheduled as needed
Family sessions are available and can be arranged as needed with any team member.
Emotion Focused Family Therapy for parents and loved ones are available with Trixie Hennessey by video conferencing. In general, the foundational sessions are offered in a group of 3 sessions running 2 hours each in length.
Via Skype- skype name Trixie.Hennessey