Recovery

Night Eating Syndrome Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our latest video Night Eating Syndrome!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Food Politics

Alcoholic Liver Disease

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Impulsivity

Nutrition in Recovery

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about Night Eating Syndrome? Reach out to us, we would love to hear your thoughts!

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Impulsivity Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our seventh of many videos! This video is on impulsivity!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Night Eating Syndrome

Food Politics

Alcoholic Liver Disease

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Trauma & Disordered Eating

Nutrition in Recovery

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about impulsivity? Reach out to us, we would love to hear your thoughts!

Read more

Trauma & Disordered Eating Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our sixth of many videos! This video is on trauma & disordered eating!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

View last month’s video on ADHD & Disordered Eating

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about trauma & disordered eating? Reach out to us, we would love to hear your thoughts!

Read more

ADHD & Disordered Eating Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our fifth of many videos! This video is on ADHD and disordered eating!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

We will only send out one video per month and you can unsubscribe at any time!

Within the next year you can look forward to the following topics being covered:

Trauma and Eating Disorders
Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

View last month’s video on Social Media and Body Image

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Read more

Nutrition for Opioid Overdose

Nutrition for Opioid Overdose

On September 15, 2017 The Academy of Nutrition and Dietetics issued a statement to the CDC regarding Nutrition Interventions and Drug Overdose Response Investigation (DORI) Data Collections. The statement was written by Registered Dietitian Nutritionist David Wiss and essentially advocates the role of nutrition for opioid overdose.

The official statement which is reproduced below can be viewed HERE

Re: Drug Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-2017-0055)

The Academy of Nutrition and Dietetics (the “Academy”) appreciates the opportunity to submit comments to the Centers for Disease Control and Prevention (CDC) in response to the data collection published in the July 17, 2017 Federal Register regarding the Drug Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-2017-0055). The Academy is the world’s largest organization of food and nutrition professionals, with more than 100,000 members comprised of registered dietitian nutritionists (RDNs), nutrition and dietetic technicians, registered (NDTRs), and advanced-degree nutritionists. We are committed to improving the nation’s health through food and nutrition and providing medical nutrition therapy (MNT) and other nutrition counseling services to meet the health needs of all citizens, including those with eating disorders (EDs) or substance use disorders (SUD).

The Academy supports the proposed data collection as necessary for the proper performance of the functions of the agency, particularly given the practical utility resulting from the collections. We respectfully offer recommendations below from Academy member David A. Wiss, MS, RDN, on behalf of our Behavioral Health Nutrition Dietetic Practice Group for potential improvements to the data collections and as support for the claim that nutrition can play a very important role in promoting wellness during the recovery process, thereby helping to reduce relapse and accidental overdose or death.

Eating Patterns and Substance Use Disorders

There are several studies that document substandard eating patterns during drug use, including inadequate intake leading to micronutrient deficiencies [1-6] and malnutrition [7-11]. Abnormal preference for sweetened foods and beverages have been documented in alcoholics [12-14] and other SUDs [15, 16] particularly opioids [17-25]. While micronutrient deficiencies and malnutrition are often corrected by abstinence and recovery, dysfunctional eating patterns such as bingeing and night-eating are often exacerbated during sobriety. Early recovery should be considered a critical time to get nutritional support (e.g. dietary counseling) by a qualified professional such as an RDN.

The overlap between SUDs and EDs has received significant attention in the scientific literature [26-41]. Authors have recently begun to suggest that these disorders be treated concurrently rather than separately. In members’ personal experience working in both fields, patients will oscillate between treatments and are seldom treated concurrently. While it is true that RDNs are a requirement for ED treatment, there is no present requirement for RDNs in SUD treatment settings. Based on members’ experience working with SUD treatment centers, the use of RDNs is rare most likely because nutrition services are not covered by insurance for SUD. We note that the failure to address food and body image issues in SUD treatment is likely contributing to poor outcomes.

It is predictable that individuals entering treatment for SUD will find other substances to abuse, including food [42-45], caffeine [46, 47], and nicotine [46, 47]. While some would argue that it makes sense to allow unlimited access to such substances during early recovery, others believe that the lack of nutrition and health standards are contributing to poor treatment outcomes. Evidence suggests that gastrointestinal health is linked to mental health [48-51] with strong implications for anxiety and depression. Given what is known about the importance of gut health, it seems that improved health and nutrition should be considered a prime intervention for SUD recovery. RDNs in treatment settings are highly qualified to discuss health habits including caffeine and nicotine in the context of nutrition and gastrointestinal health.

Nutrition Education and Interventions During Treatment

Several studies have demonstrated links between nutrition education and positive outcomes in SUD treatment settings [52-57]. Some of the studies have suggested that nutrition education has led to reduced rates of relapse, but higher quality research with greater sample sizes are needed to confirm these findings. Given the opioid epidemic and alarming number of overdose and deaths, however, it seems unwise to wait for more data before using nutrition as an intervention strategy.

Nutrition interventions during recovery may promote abstinence and prevent or minimize the onset of chronic illness, improving resource allocation. A review article from the United Kingdom on the role of healthy eating advice as part of drug treatment in prisons concluded that “substance-misuse is a major factor in recidivism and if this could be reduced through improvement of nutritional status, it could be a cost effective means of helping to tackle this problem” [58]. Given the opioid epidemic, public health measures necessitating nutrition standards in treatment settings should be considered critical. There is a timely need for specialized nutrition expertise in SUD treatment centers, and RDNs are highly qualified for the job.

References

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  3. Mannan, S.J., et al., Investigation of serum trace element, malondialdehyde and immune status in drug abuser patients undergoing detoxification. Biol Trace Elem Res, 2011. 140(3): p. 272-83.
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  7. Baptiste, F., Drugs and diet among women street sex workers and injection drugs user in Quebec City. Candian Journal of Urban Research, 2009. 18(2): p. 78-95.
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  13. Kampov-Polevoy, A., J.C. Garbutt, and D. Janowsky, Evidence of preference for a high-concentation sucrose solution in alcoholic men. Am J Psychiatry, 1997. 154(2): p. 269-270.
  14. Krahn, D., et al., Sweet intake, sweet-liking, urges to eat, and weight change: relationship to alcohol dependence and abstinence. Addict Behav, 2006. 31(4): p. 622-31.
  15. Janowsky, D.S., O. Pucilowski, and M. Buyinza, Preference for higher sucrose concentrations in cocaine abusing-dependent patients. J Psychiatr Res, 2003. 37(1): p. 35-41.
  16. Hamamoto, D.T. and N.L. Rhodus, Methamphetamine abuse and dentistry. Oral Dis, 2009. 15(1): p. 27-37.
  17. Alves, D., et al., Housing and employment situation, body mass index and dietary habits of heroin addicts in methadone maintenance treatment. Heroin Addict Relat Clin Probl, 2011. 13(1): p. 11-14.
  18. Canan, F., et al., Eating disorders and food addiction in men with heroin use disorder: a controlled study. Eat Weight Disord, 2017.
  19. McDonald, E., Hedonic mechanisms for weight changes in medication assisted treatment for opioid addiction. 2017.
  20. Morabia, A., et al., Diet and opiate addiction: A quantitative assessment of the diet of non-institutionalized opiate addicts. British Journal of Addiction, 1989. 84: p. 173-180.
  21. Neale, J., et al., Eating patterns among heroin users: a qualitative study with implications for nutritional interventions. Addiction, 2012. 107(3): p. 635-41.
  22. Nolan, L.J. and L.M. Scagnelli, Preference for sweet foods and higher body mass index in patients being treated in long-term methadone maintenance. Subst Use Misuse, 2007. 42(10): p. 1555-66.
  23. Richardson, R.A. and K. Wiest, A Preliminary Study Examining Nutritional Risk Factors, Body Mass Index, and Treatment Retention in Opioid-Dependent Patients. J Behav Health Serv Res, 2015. 42(3): p. 401-8.
  24. Waddington, F., et al., Nutritional intake of opioid replacement therapy patients in community pharmacies: A pilot study. Nutrition & Dietetics, 2015. 72(3): p. 276-283.
  25. Zador, D., P.M. Lyons Wall, and I. Webster, High sugar intake in a group of women on methadone maintenance in South Western Sydney, Australia. Addiction, 1996. 91(7): p. 1053-1061.
  26. Baker, J.H., et al., Eating disorder symptomatology and substance use disorders: prevalence and shared risk in a population based twin sample. Int J Eat Disord, 2010. 43(7): p. 648-58.
  27. Buckholdt, K.E., et al., Emotion regulation difficultes and maladaptive behaviors: Examination of deliberate self-harm, disordered eating, and substance misuse in two samples. Cognitive Therapy and Research, 2015. 39: p. 140-152.
  28. Bulik, C.M., M. Slof, and P. Sullivan, Comorbidity of eating disorders and substance-related disorders. Medical Psychiatry, 2004. 27: p. 317-348.
  29. Calero-Elvira, A., et al., Meta-analysis on drugs in people with eating disorders. Eur Eat Disord Rev, 2009. 17(4): p. 243-59.
  30. Cohen, L.R., et al., Survey of eating disorder symptoms among women in treatment for substance abuse. Am J Addict, 2010. 19(3): p. 245-51.
  31. Courbasson, C.M., C. Rizea, and N. Weiskopf, Emotional Eating among Individuals with Concurrent Eating and Substance Use Disorders. International Journal of Mental Health and Addiction, 2008. 6(3): p. 378-388.
  32. Czarlinski, J.A., D.M. Aase, and L.A. Jason, Eating disorders, normative eating self-efficacy and body image self-efficacy: women in recovery homes. Eur Eat Disord Rev, 2012. 20(3): p. 190-5.
  33. Dennis, A.B., T. Pryor, and T.D. Brewerton, Integrated Treatment Principles and Strategies for Patients with Eating Disorders, Substance Use Disorder, and Addictions. 2014: p. 461-489.
  34. Eichen, D.M., et al., Weight perception, substance use, and disordered eating behaviors: comparing normal weight and overweight high-school students. J Youth Adolesc, 2012. 41(1): p. 1-13.
  35. Gadalla, T. and N. Piran, Eating disorders and substance abuse in Canadian men and women: a national study. Eat Disord, 2007. 15(3): p. 189-203.
  36. Grilo, C.M., et al., Eating disorders in female inpatients with versus without substance use disorders. Addict Behav, 1995. 20(2): p. 255-260.
  37. Ho, V., S. Arbour, and J.M. Hambley, Eating Disorders and Addiction: Comparing Eating Disorder Treatment Outcomes Among Clients With and Without Comorbid Substance Use Disorder. Journal of Addictions Nursing, 2011. 22(3): p. 130-137.
  38. Luce, K.H., P.A. Engler, and J.H. Crowther, Eating disorders and alcohol use: Group differences in consumpion rates and drinking motives. Eating Behaviors 2007. 8: p. 177-184.
  39. Root, T.L., et al., Substance use disorders in women with anorexia nervosa. Int J Eat Disord, 2010. 43(1): p. 14-21.
  40. Root, T.L., et al., Patterns of co-morbidity of eating disorders and substance use in Swedish females. Psychol Med, 2010. 40(1): p. 105-15.
  41. Specter, S.E. and D.A. Wiss, Muscle Dysmorphia: Where Body Image Obsession, Compulsive Exercise, Disordered Eating, and Substance Abuse Intersect in Susceptible Males. 2014: p. 439-457.
  42. Michaelides, M., et al., Translational neuroimaging in drug addiction and obesity. ILAR Journal, 2012. 53(1): p. 59-68.
  43. Muele, A., T. Hermann, and A. Kubler, Food addiction in overweight and obese adolescents seeking weight-loss treatment. European Eating Disorders Review, 2015. 23: p. 193-198.
  44. Nair, S.G., et al., The neuropharmacology of relapse to food seeking: methodology, main findings, and comparison with relapse to drug seeking. Prog Neurobiol, 2009. 89(1): p. 18-45.
  45. Volkow, N.D. and R.A. Wise, How can drug addiction help us understand obesity? Nat Neurosci, 2005. 8(5): p. 555-60.
  46. Junghanns, K., et al., The consumption of cigarettes, coffee and sweets in detoxified alcoholics and its association with relapse and a family history of alcoholism. Eur Psychiatry, 2005. 20(5-6): p. 451-5.
  47. Yudko, E. and S.I. McNiece, Relationship between coffee use and depression and anxiety in a population of adult polysubstance abusers. J Addict Med, 2014. 8(6): p. 438-42.
  48. Huang, R., K. Wang, and J. Hu, Effect of Probiotics on Depression: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients, 2016. 8(8).
  49. Rieder, R., et al., Microbes and mental health: A review. Brain Behav Immun, 2017.
  50. Singh, R.K., et al., Influence of diet on the gut microbiome and implications for human health. J Transl Med, 2017. 15(1): p. 73.
  51. Skosnik, P.D. and J.A. Cortes-Briones, Targeting the ecology within: The role of the gut-brain axis and human microbiota in drug addiction. Med Hypotheses, 2016. 93: p. 77-80.
  52. Barbadoro, P., et al., The effects of educational intervention on nutritional behaviour in alcohol-dependent patients. Alcohol and Alcoholism, 2011. 46(1): p. 77-9.
  53. Grant, L.P., B. Haughton, and D.S. Sachan, Nutrition education is positively associated with substance abuse treatment program outcomes. J Am Diet Assoc, 2004. 104(4): p. 604-10.
  54. Curd, P., K. Ohlmann, and H. Bush, Effectiveness of a voluntary nutrition education workshop in a state prison. J Correct Health Care, 2013. 19(2): p. 144-50.
  55. Cowan, J.A. and C.M. Devine, Process evaluation of an environmental and educational nutrition intervention in residential drug-treatment facilities. Public Health Nutr, 2012. 15(7): p. 1159-67.
  56. Cowan, J.A. and C.M. Devine, Diet and Body Composition Outcomes of an Environmental and Educational Intervention among Men in Treatment for Substance Addiction. Journal of Nutrition Education and Behavior, 2013. 45(2): p. 154-158.
  57. Lindsay, A.R., et al., A gender-specific approach to improving substance abuse treatment for women: The Healthy Steps to Freedom program. J Subst Abuse Treat, 2012. 43(1): p. 61-9.
  58. Sandwell, H. and M. Wheatley, Healthy eating advice as part of drug treatment in prisons. Prison Service Journal, 2009.
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Social Media and Body Image Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our fourth of many videos! This video is on social media and body image!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

We will only send out one video per month and you can unsubscribe at any time!

Within the next year you can look forward to the following topics being covered:

ADHD and Disordered Eating
Trauma and Eating Disorders
Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

View last month’s video on the Microbiome and Mental Health

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Read more

Food Addiction Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our second of many videos! This video is on food addiction.

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

We will only send out one video per month and you can unsubscribe at any time!

Within the next year you can look forward to the following topics being covered

Microbiome and Mental Health
Social Media and Body Image
ADHD and Disordered Eating
Trauma and Eating Disorders
Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Learn more about Food Addiction

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Nutrition for Addiction Recovery Video

Nutrition for Addiction Recovery Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our first of many videos!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

We will only send out one video per month and you can unsubscribe at any time!

Within the next year you can look forward to the following topics being covered

  • The Controversies of Food Addiction
  • Microbiome and Mental Health
  • Social Media and Body Image
  • ADHD and Disordered Eating
  • Trauma and Eating Disorders
  • Impulsivity and Decision Making
  • Night Eating Syndrome
  • Food Politics

 

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Learn more about Nutrition for Addiction Recovery

 

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Nutrition in Recovery Monthly Newsletter

Monthly Newsletter

Nutrition in Recovery Monthly Newsletter

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness. Our monthly newsletter has finally arrived!

We’re thrilled to announce that we will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

We will only send out one video per month and you can unsubscribe at any time!

Within the next year you can look forward to the following topics being covered

 

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

David Wiss MS RDN

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DEFANG Video

DEFANG Video by David Wiss MS RDN

The Disordered Eating Food Addiction Nutrition Guide (DEFANG) was published in November 2016 in the Journal of Eating and Weight Disorders. The paper was designed to help sort out some of the confusion around food addiction, as it relates to eating disorder treatment. This video is a very brief summary of the paper. The paper has been published with open access to feel free to download it HERE.

DEFANG Abstract

Although not formally recognized by the DSM- 5, food addiction (FA) has been well described in the sci- entific literature. FA has emerged as a clinical entity that is recognized within the spectrum of disordered eating, par- ticularly in patients with bulimia nervosa, binge-eating disorder and/or co-occurring addictive disorders and obe- sity. Integrating the concept of FA into the scope of dis- ordered eating has been challenging for ED treatment professionals, since there is no well-accepted treatment model. The confusion surrounding the implications of FA, as well as the impact of the contemporary Westernized diet, may contribute to poor treatment outcomes. The purpose of this review is twofold. The first is to briefly explore the relationships between EDs and addictions, and the second is to propose a new model of conceptualizing and treating EDs that incorporates recent data on FA. Since treatment for EDs should vary based on individual assessment and diagnosis, the Disordered Eating Food Addiction Nutrition Guide (DEFANG) is presented as a tool for framing treatment goals and helping patients achieve sustainable recovery.

DEFANG Fig. 1 Download

Do you have thoughts about food addiction that you want to share with David Wiss?

Do you think the food addiction framework is not valid?

Do you believe that this information conflicts with eating disorder treatment?

What do you think are the next steps in establishing the addiction framework around food?

Email your thoughts to: DavidAWiss@NutritionInRecovery.com

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