“At War with Food” is multidisciplinary and trauma focused training, organized according to four phases of a trauma-informed approach: evaluation (assessment), preparation, trauma processing, re-evaluation and integration.
In the first phase, as with any good therapy, a primary emphasis is on the therapeutic relationship and the presence of attachment injury. This phase proceeds to introduce information about eating disorders, myths and facts, as well as medical and nutritional knowledge. The concept of “non-negotiables” (e.g., medical and nutritional monitoring) is stressed at the start, given the physiological threats endemic to EDs.
The primary emphasis, however, is on the impact of trauma on the etiology and exacerbation of EDs. The workshop offers a trauma-informed lens to understand resistance engendered by a loyalty to the eating disorder. Primary skills, such as awareness, breath work and affect management, are frontloaded at the start of treatment, and psychoeducation regarding eating disorders, diets, and trauma is ongoing. Various inventories, which include attachment, eating disorder and trauma histories lead to trauma-informed goals and treatment plan.
Much of Phase 2, the preparation phase, is devoted to stabilization, skills/resource development, as well as symptom reduction and short term successes, including maintaining control in the face of the urge to use ED behaviors. Central to this phase is the exploration of the unconscious motivation for the ED via parts/ego state work, as well as defenses against emotions, particularly anxiety and shame.
Phase 3, the processing phase, utilizes the standard EMDR protocol, as well as two addiction protocols and the flash forward technique. Depending on the client’s presentation and the severity of their ED behaviors, clinical decisions need to be made as to whether to first approach processing of past memories, present triggers or future challenges. The fourth phase, re-evaluation and integration, attends to unfinished processing, as well as how the client is going to integrate a new identity into his/her life.
This training will be highly interactive and utilizes small group practica, as well as videos and case descriptions, to solidify learning.
Upon completion of this advanced course, participants will:
Recall five diagnostic categories of eating disorders (EDs).
- Explain at least two common medical risks and associated interventions.
- Identify three non-negotiables in treating EDs.
- Explain the impact of trauma on the etiology and perpetuation of EDs.
- Explain the purpose or function of EDs.
- Explain the “village” concept.
- Recall the physical, emotional, and social effects of starvation as noted in the Minnesota experiment.
- Differentiate between resistance and ambivalence in clients with EDs.
- Distinguish three important histories (in addition to the trauma history), which are needed to create a comprehensive case formulation for clients with EDs.
- Identify three forms of secondary trauma, which can arise from the eating disorder itself.
- Recall three treatment goals in ED treatment.
- Recall three skills to be frontloaded at the start of ED treatment.
- Identify five common core, negative beliefs found among clients with EDs.
Explain the meaning of the acronym RUG-C in working with ED ego states/parts.
- Categorize each of the factors involved in deciding whether to begin with present triggers or past, traumatic events.
- Recall three relevant protocols used in the trauma processing phase.
- Identify three ED related fears that might be addressed with the Flashforward technique.
- Identify three factors in the development and perpetuation of a negative body image.
- Analyze how the intolerance of painful emotions can manifest as body image distortion.
- Compare three examples of challenges in integrating a post-ED identity into the client’s day to day life.
This course is available for all mental health providers. No EMDR therapy prerequisite
Training level:Beginning level
This course is a 20 CE course. It is the participant’s responsibility to check with their individual state boards to verify CE requirements for their state.
Continuing Education Credit is available for 20 CEs through CE-Classes.com. See the information below for professional approvals.
CE-Classes.com is approved by:
The American Psychological Association (APA). CE-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. CE-Classes.com maintains responsibility for this program and its content.
This course is NOT available for NBCC credit.
This training does not offer ASWB ACE credit to social workers.
Florida Certification Board
The Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP. Expires 3/31/2023.
The California Board of Behavioral Sciences. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by nationally recognized certifying bodies, such as APA, to satisfy renewal requirements.
California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-147-0223. Expires 02-2023
The Texas Board of Social Work Examiners – CE-Classes.com meets the requirements for acceptable continuing education.
The Texas Board of Professional Counselors – CE-Classes.com meets the requirements for acceptable continuing education.
Massachusetts Authorization Number: (TBD)
Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Provider # RCST031201
New York Social Work Board – CE-Classes.com is recognized by the New York State Education
Department’s State Board for Social Work as an approved provider of
continuing education for licensed social workers #SW-0120.
The Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2022 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
The California Board of Registered Nursing. CEP 15647 Expires 11/30/2022.
Certificates are awarded online after completion of the workshop. Participants print their own certificate after registering at CE-Classes.com, entering a keycode, and completing an evaluation form.
Licensed Professionals should contact their regulatory board to determine course approval.
To contact CE-Classes.com, go to:
**More information about obtaining your certificate is available in the “Quiz and CE Certificate” section of this course.