Suicidality and Eating Disorders: Case Analysis
Volume 6, Issue 2
Sherrie Maher, PhD
Remuda Ranch Programs for Eating Disorders
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 subscribe here and indicate your mailing address. If you do not wish to receive the Remuda Review, please unsubscribe here.
Introduction Winter 2007,Vol 6, Issue 1 Topic: Substance Use and Eating Disorders
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.
Substance Use and Eating Disorders
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
Substance Use and Eating Disorders: Case Analysis
A. David Wall, PhD
Remuda Ranch Programs for Eating Disorders
Introduction Special Holiday Issue 2006, Vol 5, Issue 4, Topic: Emotional Eating
We take a break from our series on eating disorder comorbidity with this special holiday issue focusing on emotional eating.
We are offering information on emotional eating at this time because emotional eating becomes even more common and distressing during the holidays. People who eat emotionally through-out the year are confronted with heightened accessibility to foods that they have come to view as “forbidden” and “bad”. Those who experience holiday-related sadness due to past life events are also more apt than usual to engage in emotional eating behaviors to soothe difficult feelings. Even people who are functioning emotionally and psychologically without much distress may eat for emotional reasons at this time of year, because hurriedness and stress increase and naturally lead people to eat without thinking, merely because food is present.
Emotional eating is an emerging concept in the field of eating disorders. Its definition is evolving as clinicians learn to treat people with emotional eating problems and researchers begin to examine this domain. In this issue of The Remuda Review, we offer a preliminary definition of emotional eating. We lean primarily on the literature about binge-eating disorder—the most extreme form of emotional eating—to understand the antecedents and treatments most appropriate for those who eat emotionally.
We hope you will find this issue timely during the holiday season and throughout the year as you work with clients who may struggle with emotional eating.
In our next issue, we will resume our ongoing exploration of eating disorders’ most significant co-occurring concerns.
“See to it that no one takes you captive through hollow and deceptive philosophy, which depends on human tradition and the basic principles of this world rather than on Christ.”
Colossians 2:8
Emotional Eating
Special Holiday Issue 2006, Vol 5, Issue 4
Edward J. Cumella, PhD, Department of Research and Education
Darcy Tucker, MA, LAMFT
Remuda Ranch Programs for Eating Disorders
Emotional Eating: A Case Study
Special Holiday Issue 2006, Vol 5, Issue 4
Darcy Tucker, MA, LAMFT
Remuda Ranch Programs for Eating Disorders
Introduction Summer 2006, Vol 5, Issue 3, Topic: Trauma & Eating Disorders
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 fifth topic: trauma and eating disorders. Eating disorder professionals have long recognized a relationship between eating disorders and trauma. Yet treating co-occurring trauma and eating disorders is complicated because, when we treat the trauma, we intensify the negative emotions that lead to eating disorder behaviors; when we treat the eating disorder and encourage patients to stop their eating disorder behaviors, we are asking them to give up a powerful method of emotion regulation on which they have relied, and hence we intensify the trauma experience. Remuda’s Trauma Treatment Model is designed to break through this conundrum and pave a safe course for counselors and patients to follow through the recovery process.
We hope the article and case study in this issue will serve as a short primer on this important topic.
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