"ED Recovery on Campus"
Webinar Series
The ED Recovery on Campus Webinar Series will feature nationally renowned speakers from across the country. This training initiative is designed to provide the most up-to-date information on best-practice care for college students seeking eating disorder treatment from their on-campus health care practitioner.
Presentations and corresponding materials will address the following topics: assessment, screening measures, intervention techniques, medical complications, co-occurring substance-use disorders, referrals to higher levels of care, and case management guidelines unique to this clinical population. (To view the entire presentation, and not the 15 minute overview, click on the slide image and then download the webinar onto your computer.)
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PRESENTATION SUMMARIES:
MARGARET NAGIB, PsyD
(Former) Faculty Leader, Timberline Knolls Clinical Development Institute
Screening for Eating Disorders within University Counseling Departments
Due to the significant number of college students presenting with an eating disorder, on-campus providers who conduct intake assessments and/or provide ongoing treatment should be prepared to screen for this potentially life-threatening illness. During her presentation, Dr. Margaret Nagib will address the prevalence of eating disorders in the college environment. She will review signs and symptoms, examine common risk factors on college campuses, and talk about identifying eating disorders in students via screening and assessment tools. Screening measures including the SCOFF, EDI-3, EDQOL, EDE-Q and EAT-26 will be reviewed. How these tools may be used as part of the intake process will be discussed as well. (As research indicates that a significant number of these students often struggle with addiction, this co-occurring disorder will also be addressed). Dr. Nagib will also provide helpful suggestions on how best to broach this topic with students who either fail to report these symptoms or are struggling with denial or lack of insight into the severity of their problems. Lastly, Dr. Nagib will share off-campus treatment options available to students as well as common treatment practices within the university setting.
Margaret Nagib, PsyD, is a licensed clinical psychologist specializing in inner healing and treating eating disorders, trauma, addiction, self-injury and mood disorders. For more than 15 years, she has provided individual, family and group therapy. Dr. Nagib has been featured in Relevant magazine; the Wall Street Journal; Today’s Christian Woman magazine; FOX News; Trinity Broadcasting Network; and more. Dr. Nagib earned her undergraduate degree from Pace University in New York and her Doctorate in Clinical Psychology from Wheaton College in Illinois, where she also served as an adjunct graduate psychology professor. She held a similar role at Simpson University in California. In 2017, Dr. Nagib developed and authored Souls Like Stars to serve as the curriculum for Christian programming at Timberline Knolls. Souls Like Stars is an experiential, skills-based guidebook that equips individuals with practical tools on their recovery journey and helps them in healing their body, mind and spirit. In addition, Dr. Nagib is a member of the International Association of Eating Disorders Professionals (iaedp).
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JENNIFER L. GAUDIANI, MD, CEDS, FAED
Founder and Medical Director of the Gaudiani Clinic
Practitioners who work in university settings often encounter students who have a history of an eating disorder, are beginning to manifest disordered eating, or who have a full-blown eating disorder presently. From doctors to nurses and NP/PAs, from mental health professionals to dietitians, all can benefit from a high-yield summary of the medical complications of caloric restriction and/or purging.
Medical Complications of Caloric Restriction & Eating Disorders:
Essentials for the University Setting
Because eating disorders are ego syntonic, students may resist diagnosis, treatment, or referral to eating disorder specialists, convinced by the insidious eating disorder voice that they are "fine." In this 45 minute webinar, Jennifer L. Gaudiani, MD, CEDS, FAED, will review some epidemiology of eating disorders, broadly examine what happens to a body that is starving, and more specifically discuss vital sign abnormalities, GI dysfunction, menstrual irregularity and bone density implications, and when to refer a student to specialists. All these topics will be placed in the context of how to communicate findings and concerns most productively and compassionately with each student after their medical examination has been completed.
Medical Complications of Purging & Eating Disorders:
Essentials for the University Setting
Patients who purge, of all shapes and sizes, can become life-threateningly ill in a short period of time, due to electrolyte and fluid shift sequelae of vomiting, abusing laxatives, or abusing diuretics. Some patients engage in severe enough purging behaviors to warrant discontinuation of school and admittance to a higher level of eating disorder care...whether they have severe hypokalemia, hyponatremia, and hypercarbia, or whether their lab values remain normal despite purging. In this 30 minute webinar, Jennifer L. Gaudiani, MD, CEDS, FAED, will review essential information about the medical complications of purging, from electrolytes, to severe rebound edema when purging stops, to GI issues, and when to refer a student to specialists. As with the webinar on the medical complications of caloric restriction, all topics will be placed in the context of how to communicate findings and concerns most productively and compassionately with each student after their medical examination has been completed.
Jennifer L. Gaudiani, MD, CEDS, FAED, is the Founder and Medical Director of the Gaudiani Clinic. Board Certified in Internal Medicine, she completed her undergraduate degree at Harvard, medical school at Boston University School of Medicine, and her internal medicine residency and chief residency at Yale. From 2008 to 2016, she was one of the leaders of the ACUTE Center for Eating Disorders at Denver Health. She left as its Medical Director to found the Gaudiani Clinic, which provides superb outpatient medical care to patients of all genders with eating disorders and disordered eating and to those in recovery. The Gaudiani Clinic is a HAES-informed provider and embraces treating people of all shapes and sizes. Through a collaborative, communicative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values. Dr. Gaudiani has lectured nationally and internationally, is widely published in the scientific literature as well as on blogs and is a former board member of iaedp (International Association of Eating Disorder Professionals). Dr. Gaudiani is one of very few outpatient internists in the US who carries the Certified Eating Disorder Specialist designation. She is also a Fellow in the Academy for Eating Disorders.
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JULIE FRIEDMAN, PhD
Executive Director of the Binge Eating Treatment & Recovery (BETR) Program, Eating Recovery Center
Identifying and Treating Binge Eating Disorder within the University Setting
Binge Eating Disorder, characterized by recurrent overeating episodes accompanied by a sense of loss of control and often followed by emotional distress, has 2-4 times the prevalence rate of Anorexia Nervosa yet is often misdiagnosed and/or undertreated. Binge Eating Disorder (BED) is accompanied by significant psychiatric and medical comorbidities and is associated with diabetes, hypertension, dyslipidemias, sleep disorders, and pain disorders as well as increased risk for affective and anxiety disorders and reduced quality of life. Perhaps most importantly, BED is associated with substantial medical comorbidity independent of weight status or comorbid psychiatric conditions. (Olguin et. al., 2017.)
Recent studies have focused specifically on the need for more effective identification and treatment of Binge Eating Disorder in a university setting and highlights the need to screen for eating disorder pathology across weight statuses and particularly amongst students with recent or excessive weight gain within the past year. (Kass et. al., 2017.)
This presentation will highlight diagnostic considerations in the identification of Binge Eating Disorder within students demonstrating loss of control eating episodes. This presentation will also review theories regarding the pathophysiology of BED, brief screening measures and simple clinical interview questions to ask to identify BED in student samples, and treatment strategies that can be used in an outpatient setting that address interruption of binge eating behaviors and more effective affect regulation and stress management. Finally, considerations as to when to refer to a higher level of care setting and the benefits of a higher level of care setting will be discussed.
Julie Friedman PhD, is the Executive Director of the Binge Eating Treatment & Recovery (BETR) Program at Eating Recovery Center. The BETR program provides specialized treatment for patients with primary loss of control eating pathology including Binge Eating Disorder, Night Eating Syndrome (OSFED), and patients who feel as if they are "addicted" to food. Dr. Friedman is a health psychologist whose specialties include Cognitive-Behavioral Therapy for Eating Disorders, Exposure and Response Prevention Therapy, Night Eating Syndrome, Binge Eating Disorder, Bulimia Nervosa, pre- and post-bariatric surgery care, and obesity medicine. She is an Assistant Professor at the Northwestern University Feinberg School of Medicine in the Department of Psychiatry and Behavioral Sciences. Dr. Friedman completed a pre-doctoral health psychology internship at Indiana University School of Medicine, a postdoctoral fellowship in sleep disorders and behavioral medicine at Rush University Medical School, and a two-year, post-doctoral fellowship in obesity medicine and eating disorders at Northwestern Memorial Hospital's Wellness Institute. Dr. Friedman currently teaches and supervises graduate students in the assessment and treatment of eating disorders in patients with higher weight bodies. Dr. Friedman is also a sought after keynote speaker and frequent contributor to national media outlets.
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