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Co-Occurring Presentations

co-occurring presentations

Co-occurring presentations such as substance use disorder and trauma reactions such as PTSD share common causal and maintaining factors with eating disorders that influence treatment and recovery. At Monte Nido, we integrate specialized programming to address co-occurring presentations:

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  • Motivational Enhancement Therapy (MET), CBT, and interpersonal therapy to address substance use and support behavior change
  • Employing evidence-based treatments like Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT)
  • Emphasis on trans-diagnostic etiological and maintaining factors and setting treatment goals such as safety, decisiveness, building and rebuilding relationships, and self-directedness
  • Family education and family therapy programs
  • Opportunities for continual progress with therapy including journaling, challenges, self-guidance, and other experiential therapies
  • Specialized mindfulness training
  • To support and maintain motivation, explorations of spirituality, personal values, and self-comprehension are included
  • Comprehensive discharge planning including referrals to providers and support system assessment

Cognitive Processing Therapy (CPT)

Core interventions such as Cognitive Processing Therapy (CPT) is offered to clients that present with trauma reactions.  CPT is an evidence-based model for addressing PTSD.  It helps clients identify and process traumatic experience and the post-trauma reactions and adaptations that may be contributing to their eating disorders. Central aspects of CPT include careful assessment, continual observation of trauma reaction symptoms and building a foundation for managing feelings, ideas and beliefs surrounding traumatic experiences and their aftermath.

Research Outcomes

The association of traumatic events and posttraumatic stress disorder with greater eating disorder and comorbid symptom severity in residential eating disorder treatment centers

Eating disorder onset during childhood is associated with higher trauma dose, provisional PTSD, and severity of illness in residential treatment

Headache, eating disorders, PTSD, and comorbidity: implications for assessment and treatment

Provisional posttraumatic stress disorder is associated with greater severity of eating disorder and comorbid symptoms in adolescents treated in residential care

Sexual and gender minority individuals report higher rates of lifetime traumas and current PTSD than cisgender heterosexual individuals admitted to residential eating disorder treatment

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