Addressing Co-occurring Presentations

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Co-occurring presentations such as substance abuse and trauma reactions (i.e. PTSD) share common causal and maintaining factors with eating disorders that influence treatment and recovery. At Monte Nido, we believe thoroughly assessing and treating co-occurring issues will substantially improve the chances of becoming fully and sustainably recovered.

At many of our program locations, we offer specialized integrated treatment of substance use presentations and trauma reactions, such as PTSD. This programming focuses on stabilizing eating disorder, substance use and PTSD symptomatology; reducing urges, enhancing motivation, developing alternative coping capacities and changing the way clients think about themselves and their world. We use the concept of “healthy self ” and “disordered self ” dialogues as a model for building symptom control, self-awareness and perspective. Specific challenges and assignments address eating disorder, trauma and substance abuse factors. These assignments help build personal accountability, distress tolerance, grounding skills, emotional regulation and interpersonal effectiveness.

Core interventions for clients presenting with an eating disorder and co-occurring presentations can include the following:

  • Full assessment and screening guide development of treatment plan
  • Medical and psychiatric assessment and monitoring
  • Motivational enhancement therapy to address ambivalence and support behavior change
  • Cognitive Processing Therapy (CPT), an evidence-based model for addressing PTSD, helps clients identify and process traumatic experiences, post-trauma reactions and adaptations that may be contributing to their eating disorder. Key components include careful assessment, ongoing monitoring of trauma reaction symptoms and development of the capacity to manage feelings and beliefs related to the traumatic experience
  • Skills development through evidence-based treatments such as Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT)
  • Group therapies that focus on transdiagnostic etiological and maintaining factors, as well as treatment goals such as safety, assertiveness, relationships, motivation and self-directedness
  • Family involved as active partners; multi-family group, family education and family therapy as needed
  • Therapeutic opportunities, assignments, journaling, challenges, self-monitoring and treatment exposures
  • Treatment contracts with personalized goals and objectives
  • Specialized mindfulness training
  • Exploration of spirituality, personal values and personal meaning to support building and sustaining motivation
  • Comprehensive discharge planning including referrals to providers, support system assessment, 12-step meetings and sober living options for those with substance use disorders