Study: The Sleeping Diet
Sleep your way to a slimmer body! Go to bed earlier, lose weight while you sleep and wake up thinner! It sounds too good to be true, and unfortunately it is, but sleep can have an effect on weight gain. A 2012 review concluded that short sleep (less than six hours per night) causes "substantial and clinically significant changes in appetite regulation, hunger, food intake, glucose metabolism and blood pressure control." Short sleep was associated with increased likelihood of obesity and higher body mass index. The effects were more pronounced for children and adolescents (more about this later).
A soon-to-be published study of data from the Centers for Disease Control shows that the type of sleep complaint doesn't matter. Regardless if the sleep deprivation resulted from difficulty falling asleep, or staying asleep, or just being sleepy during the day, the lack of sleep caused snacking. Read More
From the Science to the Session
Symposium 2013 Wednesday, March 20, 2013: 1:30 PM-4:30 PM
(Westin Lake Las Vegas Resort)
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| Carolyn Costin and Michael Strober |
Mike Strober PhD and Carolyn Costin, MFT, will discuss how they bring, "What's New Under The Sun" into the room with patients: how the scientific research influences their therapeutic dialogue and treatment strategies, how they explain complex ideas to patients, and where they disagree. Includes video taped excerpts of sessions. After a brief overview and introduction, Michael Strober will delineate several new research findings in the field of eating disorders, followed by Carolyn explaining how her understanding of what the findings mean in terms of working with patients. Michael will then agree or disagree with the interpretations. Both speakers will then give examples of using the research findings in actually therapy sessions. Excerpts of video taped sessions will be shown. Audience questions and challenges will be encouraged. Finally, audience members will be able to ask questions or present case material for feedback from each of the speakers viewpoints. Conference participants rarely get the opportunity to see seasoned clinicians at work. Inquiring minds want to know, "What goes on in the actual therapy sessions?" Of particular interest is how do leading clinicians put the latest scientific research into action? How do the findings influence therapeutic dialogue and strategies? How are complex ideas explained to the patient? Where do clinicians agree and disagree on the interpretation of findings and how does this effect their work with patients? Read More
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Study: The Difference Between Binge Eating and General Overeating
How do we draw the line between binge eating, soon to be recognized as a unique eating disorder, and more general overeating? A group of researchers conducted a new study examining a key difference between these types of eating - feeling a loss of control while eating.
On the surface, this idea is not new. Feeling a loss of control while eating has been a central characteristic to how scientists define binge eating for years. But does anyone who eats a large amount of food in a short period of time feel some kind of loss of control?
To answer that question, researchers from North Dakota compared two groups of obese adults, those with and without binge eating disorder. The researchers asked participants to keep a palmtop computer on them everyday for one week and record their emotions and eating in real time. The findings will soon be published in the International Journal of Eating Disorders.
The obese people with binge eating disorder consumed more calories each time they ate compared to the obese people without the disorder. The researchers controlled for this fact in statistical analysis. They found that after taking into account how much people ate and also controlling for negative moods, obese people with binge eating experienced a greater loss of control over their eating compared to obese people without binge eating.
What exactly does a loss of control over eating look like? Read More
"If It Walks Like a Duck...Is It An Eating Disorder, or Not? The Relationship of EDs and Other Illnesses
Symposium 2013 Saturday, March 23, 2013: 10:50 AM-12:20 PM
Westin Lake Las Vegas Resort
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| Pamela Carlton MD |
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| Ed Tyson MD |
Not everything that looks like an eating disorder is what it appears to be. A variety of medical and psychiatric problems can trigger negative reactions to food, eating, and/or weight and can create physical and psychiatric symptoms similar to those found in eating disorders. Drs. Carlton and Tyson have private practices that specialize in eating disorders and will present case examples from their practices of medical problems that were mistakenly diagnosed or disguised as, triggered by, or complicated by an eating disorder. There will be cases that did not appear to be EDs, but were. They will also discuss how these illnesses can complicate accurate diagnosis and treatment, confound clinicians, and cause unnecessary suffering. Methods and tools for early accurate detection and screening for these problems will be presented. The workshop will be entertaining, engaging, and involve case studies, didactic and socratic presentation, and audience participation. Detailed handouts will also be provided. Read More
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I see angry people...Eating disorder patients see people as angry, even when they're not.
The key symptoms of eating disorders are a life-threatening inability to self-regulate around food. Whether you can't stop from eating too much or too little, eating disorders do have a lot to do with, well, eating. They're not called eating disorders for nothing, right? But difficulties with eating isn't the only domain in which people with eating disorders struggle--it's also emotional. A growing body of research is finding that people with eating disorders have difficulties in figuring out what other people are feeling. It's not that they don't care, or that they can't put themselves into other people's shoes. It's that they just can't figure it out. One of the major issues is a hypersensitivity to anger. That is, eating disorder patients see people as angry, even when they're not. No one really seems to know why this is, but it seems to be one of those general traits of people with EDs. Read More
The Effect of Anger Comorbidy on Treatment in Eating Disorders and Other DSM Disorders
Symposium 2013 Sunday, March 24, 2013: 9:00 AM-10:30 AM
Westin Lake Las Vegas Resort
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| Raymond DiGuiseppe PhD |
This presentation explores our knowledge of clinical anger, how its presence influences a client's primary disorder, and how characteristics of anger impede the assessment process. This presentation discusses how treatment of the primary diagnosis is hampered by unresolved anger, and how to design treatment plans focusing on the comorbid anger.
We will explore the characteristics of anger that are important in defining it as a clinical problem. These include its frequency, intensity, levels of arousal, the motives it arouses, and its behavioral expression. It will review how anger has been conceptualized as a problem from the ancient philosophers until the 21st Century, and how this history has lead to misunderstandings of anger as a clinical problem and its relationship to similar constructs such and irritability and aggression. A thorough discussion will be made of how is presented in DSM-IV and the disorders for which it is a possible symptom. Anger has long been seen as a secondary emotion to depression and anxiety, which has resulted in a less attention to its assessment and treatment. The role of anger as a basic human emotion will be presented and the implication of this for treatment will be explored. It cannot be assumed that treatment of a patents anxiety or depression will result in reductions in anger. The comorbidity of anger with anxiety, depression, substance abuse, eating disorders, and personality disorders will be presented. Some characteristics of anger such as the externalization of blame make it difficult to assess and treat and the presence of this comorbidly has shown to reduce treatment effectiveness. Clinical strategies to circumvent the difficulties in assessing dysfunctional anger will be presented. The research on anger treatments will be reviewed with emphasis on the limitations of existing protocols. The most effective interventions will be discussed and difficulties in their implementation will be presented. Strategies will be presented to help prioritize the order to treatment the comorbid anger or the symptoms of eating disorders. Read More
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Imagine Me Body Image Art Contest 