Evidenced-Based Therapy
For Children, Teens & Adults

Evidenced-Based Therapy For Children, Teens & Adults

Assessment and Treatment of Eating Disorders
How we treat:

The Women’s Therapy Service of Montclair, LLC, offers comprehensive assessment and  evidenced-based treatment for the full range of eating disorders and body image problems.  We are experienced in treating  pediatric,  adolescent, and adult  eating disorders with boys and girls, and with men and women.  We are trained to recognize the biological and brain-based underpinnings of eating disorders and utilize the Evidenced-Based treatments  –  Family-Based Therapy, or Maudsley Approach, CBT-E, and DBT for Eating Disorders.  Parents  are always included as an  essential  and an integral part of a child or teen’s recovery from an eating disorder.

 
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 FBT - Family Based Therapy is the gold standard for Child and Adolescent Eating Disorders, particularly for acute, early onset Anorexia, Bulimia,  or ARFID (Avoidant Restrictive Food Intake Disorder) . FBT is now considered FIRST-LINE-OF-TREATMENT.   In this method, the parents play a major role in the re-nourishment of their starving child, under the guidance of the trained Family Based Therapy practitioner and an outpatient Pediatrician or Adolescent Medicine Specialist. Patient and parents are carefully screened to be appropriate candidates for this home-based method, conducted in the least-restrictive-environment.          For more information regarding the research and efficacy of FBT, visit www.maudsleyparents.org; The Academy of Eating Disorders - AEDWEB.org; and www.feast-ed.org

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CBT-E for Eating Disorders is an evidenced-based treatment that is transdiagnostic, for all eating disorders It is a time-limited CBT  treatment, 20-40 weeks, that aims to resolve problematic  eating disorder thinking and behaviors, in an efficient and compassionate manner. The CBT-E practitioner requires of the client, daily Real-Time Monitoring of  food and feelings to observe and track progress. Regular eating patterns are encouraged as an antidote for the dysregulation of eating behavior and cognition, in anorexia, bulimia, and binge-eating disorders. This method is used to resolve the eating disorder itself as well as the problems and distresses – body checking, body avoidance, obsessions with shape and size, and body dysphoria. For more information and the research on CBT-E, google the text books of Christopher Fairburn.

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DBT - Dialectical Behavioral Therapy  is the treatment of choice for  individuals that struggle with  co-occuring mental health issues in addition to the eating disorder, such as depression, anxiety, suicidal ideation, or PTSD. This comprehensive treatment method addresses the complexity of these mental health issues, in concert, prioritizing the most dangerous symptoms first. DBT Skills Training is excellent method for follow-up Aftercare and Relapse Prevention  after a residential or intensive Eating Disorder treatment program. For more information and research on DBT, visit www.behavioraltech.com

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The Expressive Arts Therapies are powerful and effective modalities in the treatment of eating disorders. Unexpressed emotions and thoughts out of awareness, interfere with true recovery. Art Therapy, Dance/Movement Therapy, music, and Psychodramatic role-play make  emotions, bodily-felt sensations, and cognition more accessible. Once emotions and thoughts are accessible, one can better utilize the Problem-Solving  methods in CBT and DBT. For more information on the Expressive Arts Therapies, visit the separate professional associations on Art, Dance, Drama, and Music Therapy

 

What We Treat:

 

Anorexia
Bulimia
Binge Eating Disorder
Body Image Dissatisfaction
Body Dysmorphia
Orthorexia; Compulsive Exercise
Eating Disorder NOS

 Avoidance/Restictive Food Intake Disorder (ARFID),
  - Pediatric, Teen, and Adult
 Eating disorders with dancers and athletes
 Pre and Post Weight Loss Surgery Counseling
 Health at any Size

 Who We Treat:

Eating Disorders do not discriminate.  We treat men and women, and boys and girls, in a Multi-Cultural Framework

 

Our Aim and Our Philosophy of Recovery

The aim of the Women’s Therapy Service is to provide assessment and treatment for eating disorders and offer our firm belief that full recovery is possible. The Women’s Therapy Service strongly advises early detection and intervention of eating disorders,  when prognosis is the most favorable.

Getting started means making an appointment for your initial consultation and individualized assessment of you or your child’s eating disorder and body image problems. Part of our evaluation is a “level of care assessment” to help determine that outpatient  therapy is the right level of care for you. As a result of the evaluation, we will offer recommendations to maximize the efficiency of you or your child’s recovery.

If you chose us as your Primary Therapist, we will coordinate any other outpatient care  needed  consisting of the a treatment team experts needed for your or your child’s specific course of recovery.  This team may  include physicians, adolescent medicine specialists, and nutritionists from the community, who are experienced and sensitive in treating eating disorders.

WARNING SIGNS OF ANOREXIA:

 Pre-occupation with food and weight
 Restrictive or ritualistic eating behaviors
 Social Withdrawal
 Mood changes such as irritability or guardedness
 Thinness without vibrancy
 Reluctance to eat in front of others or eat out
 Weight Loss accompanied by cessation of menstruation
 Exercise that is compulsive and driven

Warning Signs of Bulimia:

  •  Binging
  •  Pre-Occupation with food and weight
  •  Laxative, diuretics, diet pill abuse
  •  Depressed or anxious mood
  •  Bathroom trips after meals
  •  Compensatory behaviors such as purging or excessive exercise
  •  Reluctance to eat in front of others or eat out.
  •  Dishonesty with self and others
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Binge Eating Disorder

Binge Eating Disorder  is characterized by out-of-control eating.  These behaviors lead to guilt feelings, self-loathing, depression, and feeling more out of control with food.  The binge/diet cycle ultimately leads to more weight gain and lowered self-esteem. This cycle cannot be cured or healed with yet another diet.

Warning Signs of Binge Eating Disorder

 Constant Weight Fluctuations
 Yo-yo dieting
 Feeling a lack of control around food
 Low Self-Esteem
 Late night binging
 Closet or sneak eating; hiding or hoarding food
 Self-loathing in regards to overeating
 Inner critical voices
 Eating to the point of painful fullness
 Depressed or anxious moods
 Eating large amounts of food in a short amount of time (usually       under two hours)

Body Image

Body Image is not how others see you, it is how you see yourself… from the inside…. in your mind’s eye. Body image is a complex, not a simple phenomenon, with many conscious and unconscious layers.

Take the ONE MINUTE Body Image Test

When you close your eyes and picture your body, what do you focus on first?…..
Are your first images positive or negative?

DO FEELINGS AND THOUGHTS ABOUT YOUR BODY….
Influence your decisions to attend or avoid social situations? …
Trigger restricting, binging or purging, or overeating?….
Stimulate self-loathing or negative internal voices?….
Interfere with your relationships or career?….
Prompt you to exercise or run daily, even when you are sick and over-tired?..
Or prompt you to avoid exercise programs in the first place?…
Cause you to obsess with, or continue with, cosmetic surgery?…..

 

If you have answered “yes” to at least half of these questions, individual and/or group therapy at The Women’s Therapy Service may be beneficial for you. Our INNER IMAGE Group Program for Eating and Body Image Concerns is for adolescent girls and adult women. 

If you are interested in more information, please call 973-783-2292 or email us.

Improve your body image,
Your relationship with food,
And your self-esteem!


Pre and Post Weight Loss Surgery Counseling

The Women’s Therapy Service offers individual and group therapy for those who are deciding on weight loss surgery or having already undergone it. Prior to surgery, the more you understand about how you have come to use food for emotional reasons, the better your emotional adjustment will be afterwards.

Post-surgery, many feelings are triggered by this surgery, when food is no longer possible for suppressing feelings. People often get depressed and anxious and are not emotionally prepared.  Body Image changes much slower than weight can drop and often the person is left with a new body and an old body image.

Without the proper emotional support during this process, binge eating can return with damaging effects. Some people finding that their reduced body size did not automatically bring them more fulfilling relationships, and they find themselves replacing their food addiction with new addictive behaviors, such as impulsive sexual behavior, drugs or alcohol, shopping, and even gambling to fill up empty or lonely feelings.

The key to successful adjustment to bariatric surgeryis individual and/or group counseling prior to the surgery and after surgery. Bariatric patients have been integrated into our INNER IMAGE group program for Overcoming Emotional Eating with much success.

To schedule your initial consultation, please call 973-783-2292 or email us.

Health at any Size

The Women’s Therapy Service supports and counsels individuals who wish to maximize their mental and physical health, at any size.  We live in a society that is hyper focused on size and appearances. Our philosophy and methods help chronic dieters reshape their thinking, shed unhealthy habits, become mindful and conscious about their eating behaviors, seek new enjoyment in physical activity, thus increase their sense of self-esteem and self-worth.

Research has show that individuals of every size can improve their overall physical and mental health by increased activity alone.

Learning to recognize and follow the body’s natural, internal cues to hunger and satiation, and finding enjoyable physical activity, can help end yo-yo dieting.

Our job is to help you

Improve your body image,
Your relationship with food,
And your self-esteem!

…at any size!

Call us to make an appointment for your initial consultation, (973) 783-2292 or email us here.