Treatment For Eating Disorders
Dr. Federici has more than 16 years in the field of eating disorders. She has worked at all levels of care including inpatient, day hospitalization, intensive outpatient, and standard outpatient care. In addition to publishing journal articles and book chapters on the topic, she provides comprehensive team training on eating disorders and DBT.
What are Eating Disorders?
Eating disorders are complicated, biologically-based illnesses that significantly affect an individual’s physical, psychological, and emotional health. They are characterized by severe disturbances in eating and body weight, and specific personality traits (e.g., impulsivity, perfectionism, risk aversion).
While they involve a preoccupation with food, weight, and appearance, eating disorders are the result of a complex interaction between genetics, environmental influences, and psychological factors.
We treat all types of eating disorders using specialized treatment models. We treat anorexia nervosa, bulimia nervosa, binge-eating disorder, other specific feeding and eating disorder (OSFED), and avoidant-restrictive food intake disorder (ARFID). We provide treatment for those suffering with an eating disorder, those in recovery, and for those who are the caregivers of individuals with eating disorders.
Important Facts About Eating Disorders:
- Eating disorders have the highest mortality rate of any other psychiatric illness.
- Rates of suicide and self-injurious behaviour are elevated in those with eating disorders.
- Many individuals with an eating disorder also struggle with other psychological illnesses including anxiety disorders, depression, trauma, and substance use disorders.
- About 90 percent of people diagnosed with eating disorders are girls and women; however, boys and men are increasingly diagnosed.
- Eating disorders typically begin during adolescence, however they can develop at any age. People who experience lower self-esteem, poor body image, perfectionism or difficulties dealing with stress may be more likely to experience an eating disorder.
- Eating disorder treatment is highly specialized. Family-Based Therapy (FBT) is the gold-standard treatment for adolescents. Evidence-based treatments for adults with eating disorders include: Cognitive Behaviour Therapy (CBT) adapted for eating disorders, Enhanced CBT (CBT-E), and Dialectical Behaviour Therapy (DBT) adapted for eating disorders.
- Level of care matters when choosing treatment. Mild to moderate eating disorder presentations may respond to once/weekly treatment. More complex, severe presentations typically require day treatment or inpatient hospitalization.