The treatment of eating disorders requires a multi-dimensional
approach. My patients have often struggled for months to years in a painful and at times secret dilemma before finding
the right treatment. A thorough initial assessment is essential in developing an individualized treatment plan.
Factors to be considered include: - current patterns of eating and purging
- triggers to problem behaviors
- additional problems such as depression, anxiety, substance abuse and interpersonal conflicts
Understanding my patients requires more than identifying
problem behaviors. I emphasize the importance of learning in the development, maintenance and ultimately, the unlearning
of problem patterns. Social history, family interactions and personality style are all addressed at the initial consultation
and considered in treatment recommendations. Treatment consists of a focus on "here and now issues" and is results-oriented. We will explore
behaviors, thoughts and feelings important to you and your recovery. Many patients chose to address significant longer-term issues frequently associated with eating disorders.
They include - low self-esteem
- history of trauma
- identity concerns
- difficulties in relationships
I often consult with other involved professionals to assure the best support for my patients. I refer to physicians,
nutritionists and psychiatrists with specialized training in the area of eating disorders. Community resources such
as support groups and education groups are often utilized as well. | 
