Co-occurring presentations, such as substance abuse, 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. This programming focuses on stabilizing eating disorder and substance use 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 substance abuse presentations can include the following:
- Full assessment and screening to guide development of treatment plan
- Medical and psychiatric assessment and monitoring
- Motivational enhancement therapy to address ambivalence and support behavior change
- 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