The Remuda Review
The Christian Journal of Eating Disorders
This quarterly journal offers a Biblically-based and scientifically-valid approach to the integration of Christianity and patient care in the treatment of eating disorders. The goal is to present practical information for those who provide eating disorder treatment from a Christian perspective or who work with Christian patients. As a registered member on Remuda's professional network, you will be receiving the Remuda Review on a quarterly basis.
Electronic versions of the articles are listed here. For a printed version, please call 1-800-445-1900 or
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With the current issue of The Remuda Review, we continue our series of articles on common co-occurring problems faced by eating disorder patients. Throughout this series, we are considering the assessment, conceptualization, and treatment of self-injurious behavior, anxiety disorders, mood disorders, substance use, trauma, personality disorders, and other co-occurring issues within Remuda’s bio-psycho-social-spiritual model. In each article, we consider how these co-occurring issues relate to eating disorder development, symptoms, and maintenance, and, where relevant, variable manifestations based on age, development, and culture.
The present issue focuses in depth on our eighth topic: body dysmorphic disorder (BDD) and eating disorders. A surprisingly large percentage, 39%, of patients with eating disorders have BDD. Yet BDD is rarely diagnosed in those with eating disorders, due to diagnostic and symptomatic overlap, as well as lack of clinician awareness. Comorbid BDD intensifies patient distress and suicidality, and complicates treatment. As such, there is a clear need to understand the co-occurrence of BDD and eating disorders, and the best, evidence-based methods for addressing this dual diagnosis. Toward this end, we hope the article and case study in this issue of The Remuda Review will serve as a short primer on best practices for understanding, assessing, and treating this co-occurrence.
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Volume 6, Issue 3
Eileen Adams, MS, LMSW
Marian C. Eberly, RN, MSW, LCSW, DAPA
Kevin Wandler, MD
Yong Lee, MD
Remuda Ranch Programs for Eating Disorders
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Volume 6, Issue 3
Eileen Adams, MS, LMSW
Marian C. Eberly, RN, MSW, LCSW, DAPA
Remuda Ranch Programs for Eating Disorders
Read More
With the current issue of The Remuda Review, we continue our series of articles on common co-occurring problems faced by eating disorder patients. Throughout this series, we are considering the assessment, conceptualization, and treatment of self injurious behavior, anxiety disorders, mood disorders, substance use, trauma, personality disorders, and other co-occurring issues within Remuda’s bio-psycho-social-spiritual model. In each article, we consider how these co-occurring issues relate to eating disorder development, symptoms, and maintenance, and, where relevant, variable manifestations based on age, development, and culture.
The present issue focuses in depth on our seventh topic: suicidality and eating disorders. Patients with eating disorders have the highest suicide risk of all psychiatric disorders, including disorders of established high suicide risk such as major depression, sedative abuse, mixed drug abuse, and bipolar disorder. As such, there is a clear need to understand this co-occurrence and the best, evidence-based methods for addressing it. Toward this end, we hope the article and case study in this issue of The Remuda Review will serve as a short primer on best practices for understanding, assessing, and treating this potentially dangerous co-occurrence.
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Volume 6, Issue 2
Amy N. Spahr, MSW, LCSW, A. David Wall, PhD, and Kevin R. Wandler, MD
Remuda Ranch Programs for Eating Disorders
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Volume 6, Issue 2
Sherrie Maher, PhD
Remuda Ranch Programs for Eating Disorders
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With the current issue of The Remuda Review, we continue our series of articles on common co-occurring problems faced by eating disorder patients. Throughout this series, we are considering the assessment, conceptualization, and treatment of self injurious behavior, anxiety disorders, mood disorders, substance use, trauma, personality disorders, and other co-occurring issues within Remuda’s bio-psycho-social-spiritual model. In each article, we consider how these co-occurring issues relate to eating disorder development, symptoms, and maintenance, and, where relevant, variable manifestations based on age, development, and culture.
The present issue focuses in depth on our sixth topic: substance use and eating disorders. Somewhere between 25-50% of eating disorder patients have a co-occurring substance use diagnosis, choosing a range and combination of over-the-counter, prescription, and illegal substances to regulate emotions, lose weight, and reduce appetite.
Treating co-occurring substance use and eating disorders is complicated because, when we treat one problem, the other often intensifies. Leaving one problem untreated often predisposes patients to relapse from the other. In addition, those with both illnesses may have more serious medical issues as a result of the co-occurrence.
We hope the article and case study in this issue of The Remuda Review will serve as a short primer on best practices for understanding, assessing, and treating this complex co-occurrence.
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Winter 2007, Vol 6, Issue 1
A. David Wall, PhD, Marian Eberly, RN, MSW, LCSW, DAPA, and Kevin Wandler, MD
Remuda Ranch Programs for Eating Disorders
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