Since March 2020, the COVID-19 pandemic has had a profound impact on most individuals. Individuals with eating disorders (ED) are at particular risk, as stress and anxiety may lead to worsening eating disordered cognitions which may further lead to negative behaviors and detrimental physical effects. At baseline, patients with EDs are at high physical risk and psychological stress, however, due to the pandemic quarantine and an interruption in treatment, their risk factors may increase. Most clinicians and treatment programs have transitioned to a virtual platform which can make diagnosis and treatment more challenging. This course will help clinicians understand key factors in diagnosis, assessment and best practices recommendations for on going treatment.
Topics to be addressed:
Medical consequences and sequela of eating disorders (Dr. Jessica Lin)
The role of the dietitian (Kelsey Rose, MPH, RDN, LDN)
Psychological implications of eating disorders (Dr. Freizinger)
Weight stigma and HAES (Dr. Richmond)
Culturally-Informed Assessment of Eating Pathology in Diverse Populations (Dr. Lowy)
The overlap between obesity and eating disorders (Dr. Jhe)
Treating and assessing eating disorders in LGBTQ (Stephanie Presson-Lapre, MSW, LICSW)
Credits
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VT Psychologist
Courses sponsored by the Vermont Psychological Association are pre-approved for continuing education for psychologists by the Vermont Board of Psychological Examiners. This course qualifies for 6 continuing education credits.
VT LICSW
Continuing education courses sponsored by the Vermont Psychological Association are pre-approved by the Vermont Office of Professional Regulation for continuing education credit for licensed independent clinical social workers in Vermont. This course provides 6 CE credits for Vermont licensing.
VT LCMHC/LMFT
This course has been approved for continuing education credit by the Vermont Board of Allied Mental Health and earns 6 continuing education credits.
Psychologists
(Homestudy)
The New Hampshire Psychological Association is approved by the American Psychological Association to sponsor continuing education for psychologists. The New Hampshire Psychological Association maintains responsibility for this course and its content.
Completion of this course earns 6 continuing education credits. Psychologists licensed in states which approve courses sponsored by APA-approved sponsors may earn homestudy continuing education credit for taking this course.
NH LICSW
The Vermont Psychological Association is approved by the American Psychological Association to offer continuing education for psychologists. These credits are also accepted by the New Hampshire Board of Mental Health Practice for clinical social workers licensed in New Hampshire, as provided in Mhp 402.02(b)(1). The course qualifies for 6 continuing education credits.
NH LCMHC
The Vermont Psychological Association is approved by the American Psychological Association to offer continuing education for psychologists. These credits are also accepted by the New Hampshire Board of Mental Health Practice for clinical mental health counselors licensed in New Hampshire, as provided in Mhp 402.02(b)(1). The course qualifies for mandated credit types as follows:
Ethics:
Suicide Prevention:
MA LICSW
The Vermont Psychological Association is approved to offer continuing education to licensed clinical social workers by the Vermont Office of Professional Regulation, and is approved by the American Psychological Association to offer continuing education to psychologists. This course thus qualifies for 7.2 continuing education credits for Massachusetts licensed clinical social workers in Massachusetts under 258 C.M.R. §§ 31.04(2)(d), 31.04(5).
MA LCSW
The Vermont Psychological Association is approved to offer continuing education to licensed clinical social workers by the Vermont Office of Professional Regulation, and is approved by the American Psychological Association to offer continuing education to psychologists. This course thus qualifies for 7.2 continuing education credits for Massachusetts licensed certified social workers in Massachusetts under 258 C.M.R. §§ 31.04(2)(d), 31.04(5).
CT LCSW
The Vermont Psychological Association is approved by the American Psychological Association as a continuing education sponsor for psychologists. Continuing education credit in the amount of 6 credits earned in this course may be accepted by the Connecticut Department of Public Health for licensed clinical social workers under Conn. Agencies Regs. § 20-195o(c)-3.
CT LPC
This course is pre-approved for credit for Connecticut licensed professional counselors under Conn. Agencies Regs § 20-195cc-3(a)(1). This course qualifies for 6 continuing education credits.
Handouts
The Medical Consequences of Eating Disorders
Available after Purchase
The Role of a Dietitian: Nutrition Counseling for Eating Disorders
Available after Purchase
Psychological Implications of Eating Disorders
Available after Purchase
Threading the Needle: Addressing Weight Without Stigma
Available after Purchase
Culturally Informed Assessment of Eating Pathology in Diverse Populations
Available after Purchase
The Overlap Between Obesity and Eating Disorders
Available after Purchase
We See You: Providing Inclusive Treatment to the LGBTQ+ Population
Associate Director, Eating Disorder Program, Division of Adolescent Medicine, Department of Psychiatry
Boston Children's Hospital
Melissa Freizinger, PhD, is the Associate Director of the Eating Disorder Program in the Division of Adolescent Medicine and the Department of Psychiatry at Boston Children’s Hospital and an Instructor at Harvard Medical School. Dr. Freizinger received her doctoral degree in counseling psychology from Northeastern University, and was the 2006 Murphy Fellow at the Harvard Medical School/Massachusetts Mental Health Center DBT program. Dr. Freizinger has been a clinician, researcher, and consultant in Boston for over twenty years, and has worked with patients with eating disorders, addictions, personality disorders, and anxiety disorders. She has been involved in program development and ran several local eating disorder treatment programs. Dr. Freizinger treats patients and families in the adolescent medicine clinic using Family Based Treatment, DBT, and behavioral approaches.
Dr. Freizinger has presented national and local workshops and lectures on the topic of eating disorders, eating disorders and college students, and borderline personality disorder and eating disorders. She is published in the areas of eating disorders and infertility, binge eating disorder, and depression in infertile women. Her clinical interests include the application of DBT to eating disorders, eating disorders and suicidality, and Family Based Treatment.
Dr. Lin is in her final year of Adolescent Medicine Fellowship at Boston Children’s Hospital/Harvard Medical School. She received her MD from The Ohio State University College of Medicine and completed her Pediatrics training at Akron Children’s Hospital. Her clinical interests are in eating disorder treatment, obesity management, reproductive endocrinology, and contraception. Dr. Lin is passionate about investigating the interplay between restrictive eating disorders and obesity in order to improve prevention and treatment of eating disorders for patients across the weight spectrum. Dr. Lin has been awarded numerous awards for her work thus far, including the National Institutes of Health Loan Repayment Award.
Leadership in Education in Adolescent Health Nutrition Fellow
Boston Children's Hospital
Ms. Rose is the Leadership Education in Adolescent Health (LEAH) Nutrition Fellow in the Division of Adolescent/ Young Adult Medicine at Boston Children’s Hospital. Kelsey completed her dietetic internship in the treatment of eating disorders at Simmons University and her graduate training at the University of Michigan School of Public Health. Kelsey’s clinical focuses includes the prevention and treatment of eating disorders. She is passionate about promoting body diversity and challenging the SWAG (Skinny White Affluent Girls) stereotype that limits recognition and treatment of eating disorders.
Dr. Richmond is certified by the American Pediatriac Board in Adolescent Medicine. She is the Director of the Boston Children’s Hospital’s Eating Disorder Program and the Co-Director of the Avoidant Restrictive Food Intake Disorder (ARFID) Program. She takes care of patients across the weight spectrum.
Dr. Lowyis a Post-doctoral Psychology Fellow in the Division of Adolescent/Young Adult Medicine at Boston Children’s Hospital and a Clinical Fellow at Harvard Medical School. Dr. Lowy received her Ph.D. in counseling psychology from Northeastern University and completed her predoctoral internship at Aspire Health Alliance. Her clinical experiences include a wide range of diverse patient populations and treatment environments, with an emphasis on trauma-informed and culturally-sensitive treatment for children, adolescents, and young adults from underserved communities.
Dr. Lowy is particularly interested in investigating various sociocultural factors related to body dissatisfaction and eating pathology among understudied populations and has presented at international conferences and local workshops on the topic of eating disorders and cultural beauty ideals among Black women. She is published in the areas of body image, disordered eating, and applications of cultural psychotherapy in diverse patient populations.
Stephanie Presson-Lapre, LICSW, is the Assistant Program Director of Walden Behavioral Care’s Amherst Clinic. Stephanie received her Master’s Degree in Clinical Social Work at Fordham University’s Graduate School of Social Services in 2012. Since completion of her degree, Stephanie has worked as a clinician in multiple levels of care. She worked for several years as a crisis clinician in Western Massachusetts providing crisis and risk assessments to youth and adults. Stephanie has spent much of her career providing treatment to individuals in both inpatient care and outpatient clinics in Vermont and Massachusetts, in addition to providing clinical supervision to clinicians and interns alike. In her time with Walden, Stephanie has provided assessment and care to patients, in addition to being a member of the Diversity, Inclusion and Belonging task force and providing trainings to Walden Staff and the community on providing inclusive care to the LGBTQ+ Community.
Course Objectives
Objective 1
Describe the medical sequela of eating disorders and two consequences of malnutrition.
Objective 2
Identify common medical consequences of disordered behaviors and emerging best practices of medical management.
Objective 3
Apply medical knowledge to adequately inform decision-making as it applies to the consideration of urgent referral.
Objective 4
Describe the role of a dietitian in eating disorder treatment and the effective application of a weight-inclusive framework in treatment.
Objective 6
Assess and identify two risk factors and associated comorbidities of eating disorders.
Objective 7
Identify and describe three evidence-based treatments for eating disorders.
Objective 8
Describe the basic definition of weight stigma, sources, and implications of the weight normative approaches.
Objective 9
Explain the role of weight stigma and apply the Health At Every Size philosophy To promote a weight inclusive approach.
Objective 10
Discuss eating disorders in diverse populations—LGBTQ, college students, and culturally-diverse populations.
Objective 11
Identify specific sociocultural factors related to eating disorders and list three warning signs in racially/ethnically diverse women.
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