Co-occurring presentations, such as 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 trauma reactions. Our focus is first on the stabilization of PTSD and physical eating disorder symptoms, followed by motivation enhancement, teaching and promoting new coping methodologies and changing the way clients think about themselves and their world. A dialogue outlining the concepts of the “healthy self” and “disordered self” can serve as a model for a a new coping skillset and lasting behavioral change. Using a specifically design curriculum, specific assignments are made that address past and recurring trauma as it relates to disordered eating. These assignments help build personal accountability, the ability to tolerate distress, mindfulness and other grounding skills, emotional regulation and interpersonal effectiveness.
Essential interventions for clients presenting with both an eating disorder and trauma might include the following:
- A complete assessment and screening which help to design a unique treatment plan
- Medical and psychiatric assessment and monitoring
- Cognitive Processing Therapy (CPT), helps clients isolate traumatic experiences, identify the effect they’ve had, and process them. An evidence-based model for addressing PTSD, CPT has proven effective in helping in treatment of eating disorders and trauma for decades.
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
- Employing evidence-based treatments like Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy (CBT)
- Emphasis on transdiagnostic etiological and maintaining factors and setting treatment goals such as safety, decisiveness, building and rebuilding relationships, and self-directedness
- Multi-family group therapy, family education and family therapy programs if necessary; we prefer the family to be involved as active partners
- Opportunities for continual progress with therapy including journaling, challenges, self-guidance, and other experiential therapies
- Individualized goals and objectives
- 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