Monte Nido

What We Treat

Monte Nido’s treatment approach focuses on interpersonal relationships as the core to healing. Through highly individualized and informed care, clients of all genders work towards restoration of physiological and nutritional balance, implementation of healthy eating and exercise routines, elimination of destructive behaviors, and development of motivation and treatment engagement. Our objective is to help each client achieve a clear understanding of their eating disorder and its effect on their life, as well as gain understanding of what is necessary for their recovery. At Monte Nido, adults and adolescents of all genders can receive treatment at one of Monte Nido’s Joint-Commission accredited residential or day treatment programs for the following types of eating disorders:

  • Anorexia Nervosa
  • Bulimia Nervosa
  • Compulsive Overeating
  • Binge Eating Disorder
  • Orthorexia Nervosa
  • ARFID (Avoidant/Restrictive Food Intake Disorder)
  • OSFED (Other Specified Feeding or Eating Disorders)
  • Diabulimia

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Frequently asked questions and answers if you or someone you know is presenting with an eating disorder or related symptoms are offered below:

What are some symptoms of Anorexia Nervosa

Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less than 85% of that expected, or failure to make expected weight gain during period of growth leading to body weight less than 85% of that expected).

Intense fear of gaining weight or becoming fat, even though under-weight.

Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self evaluation, or denial of the seriousness of the current low body weight.

In postmenarcheal females, amenorrhea,( i.e. absence of at least three consecutive menstrual cycles). An individual is considered to have amenorrhea if their periods occur only following hormone, e.g., estrogen administration.

Restricting Type: during the current episode of anorexia nervosa, the person has not regularly engaged in binge-eating or purging behavior (i.e., self induced vomiting or the misuse of laxatives, diuretics or enemas).

Binge-Eating/Purging Type: during the current episode of anorexia nervosa, the person has regularly engaged in binge eating or purging behavior (i.e., self induced vomiting or the misuse of laxatives, diuretics, or enemas).

What are some symptoms or characteristics of Bulimia Nervosa?

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

  • Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
  • A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
  • Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting , misuse of laxatives, diuretics, enemas or other medications; fasting; or excessive exercise.
  • The binge eating and other compensatory behaviors both occur, on the average, at least twice a week for three months.
  • Self evaluation is unduly influenced by body shape and weight.
  • The disturbance does not occur exclusively during episodes of anorexia nervosa.

Purging Type: during the current episode of bulimia nervosa, the person has regularly engaged in self -induced vomiting or the misuse of laxatives, diuretics or enemas.

Non purging Type: during the current episode of bulimia nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise but has not regularly engaged in self -induced vomiting or the misuse of laxatives, diuretics or enemas.

What are some symptoms or characteristics of Binge Eating Disorder?

Recurrent episodes of binge eating. An episode is characterized by:

  • Eating a larger amount of food than normal during a short period of time (within any two hour period)
  • Lack of control over eating during the binge episode (i.e. the feeling that one cannot stop eating).

Binge eating episodes are associated with three or more of the following:

  • Eating until feeling uncomfortably full
  • Eating large amounts of food when not physically hungry
  • Eating much more rapidly than normal
  • Eating alone because you are embarrassed by how much you’re eating
  • Feeling disgusted, depressed, or guilty after overeating
  • Marked distress regarding binge eating is present
  • Binge eating occurs, on average, at least 2 days a week for six months
  • The binge eating is not associated with the regular use of inappropriate compensatory behavior (i.e. purging, excessive exercise, etc.) and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa.

Distinguishing people who overeat from people with binge eating disorder is like distinguishing dieting from anorexia; it is a matter of definition and degree. The marked distress regarding binge eating is present. It is a common misconception that all people with binge eating disorder are overweight, even though most of them are.

What are some symptoms or characteristics of Exercise Addiction?

In our society, exercise is increasingly being sought, less for the pursuit of fitness or pleasure and more for the means to a thinner body or sense of control and accomplishment. In the climate of this thinness mania, exercisers are particularly vulnerable to problems arising when restriction of food intake is combined with intense physical activity. An individual who loses too much body fat will stop menstruating and ovulating and will become increasingly susceptible to stress fractures and osteoporosis. Yet, similar to individuals with eating disorders, those with an activity disorder are not deterred from their behaviors by medical complications and consequences. People who continue to overexercise in spite of medical and/or other consequences feel as if they can’t stop and that participating in their activity is no longer an option. These people have been referred to as obligatory or compulsive exercisers because they seem unable to “not exercise,” even when injured, exhausted or begged by others to stop. The terms pathogenic exercise and exercise addiction have also been used when describing these individuals who are consumed by the need for physical activity to the exclusion of everything else and to the point of damage or danger to their lives.

What are some symptoms or characteristics of Activity Disorders?

The signs and symptoms of activity disorder often, but not always, include those seen in anorexia nervosa and bulimia nervosa. Obsessive concerns about being fat, body dissatisfaction, binge eating and a whole variety of dieting and purging behaviors are often present in activity disordered individuals. Furthermore, it is well established that obsessive exercise is a common feature seen in anorexics and bulimics, in fact, some studies have reported that as many as 75 percent use excessive exercise as a method of purging and/or reducing anxiety. Therefore, activity disorder can be found as a component of anorexia nervosa or bulimia nervosa or, although there is yet no DSM diagnosis for it, as a separate disorder altogether. There are many individuals with the salient features of an activity disorder who do not meet the diagnostic criteria for anorexia nervosa or bulimia nervosa. The overriding feature of an activity disorder is the presence of excessive, purposeless, physical activity which, even if the person is an athlete, goes beyond any usual training regimen and ends up being a detriment rather than an asset to their health and well being. Symptoms of Overtraining include:

  • Fatigue; loss of emotional vigor
  • Reduction in performance and decreased concentration
  • Decreased blood lactate, leading to soreness and stiffness
  • Autonomic sympathetic insufficiency; inhibited lactic acid response
  • Immunosuppression “acute phase” response
  • Increased compulsivity
  • Decreased anabolic (testosterone) response
  • Decreased maximum oxygen uptake
  • Increased catabolic (cortisol) response, also known as muscle wasting
  • Hypothalamic dysfunction
  • Increased central serotonin and GABA adrenal exhaustion

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