Weight Management

Incorporating Food Addiction into Disordered Eating: The Food and Weight Unit Spectrum Model (FWUSM)

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Incorporating Food Addiction into Disordered Eating: The Food and Weight Unit Spectrum Model (FWUSM)

David Wiss MS RDN, Founder of Nutrition in Recovery is presenting a poster on Saturday May 7th, 2016 at the International Conference on Eating Disorders in San Francisco, CA. The poster will be summarizing some of his life’s work- to increase awareness around food addiction. Food addiction has been very controversial, particularly in the eating disorder community. David has noticed that the classic eating disorder algorithm has been unsuccessful in integrating the latest research on food addiction into the treatment approach. In this presentation Mr. Wiss will review the literature and propose a model for incorporating food addiction into disordered eating. A new model will be proposed. The Food and Weight Unit Spectrum Model (FWUSM) was designed to help treatment providers and patients to conceptualize food addiction as a real framework to consider in the context of eating disorders and obesity. The FWUSM hopes to clear some of the confusion in the field.

Highlights

  1. Within the spectrum of disordered eating, food addiction is the least congruent with anorexia nervosa and therefore has different treatment goals.
  2. Within the spectrum of disordered eating, food addiction shares similarities with binge eating disorder and bulimia nervosa, and therefore should be considered when developing treatment plans.
  3. The Food and Weight Unit Spectrum Model (FWUSM) was developed to guide treatment for eating disorder patients based on their relative orientation to anorexia nervosa vs. food addiction.

Abstract

Although not formally recognized by the DSM-5, food addiction (FA) has been well described in the eating disorder (ED) and obesity literature. FA has emerged as a clinical entity that is recognized within the spectrum of disordered eating, particularly in patients with bulimia nervosa, binge eating disorder and co-occurring addictive disorders. Integrating the concept of FA into the scope of disordered 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 American diet, may contribute to poor treatment outcomes. The purpose of this review is twofold. The first is to explore the relationships between EDs and addictions, and the second 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 Food and Weight Unit Spectrum Model (FWUSM) is presented as a tool for framing treatment goals and helping patients achieve sustainable recovery.

To request a copy and permission to use the FWUSM, please email David Wiss MS RDN at DavidAWiss@NutritionInRecovery.com 

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The Second Brain?

Second BrainThe Second Brain?

David Wiss MS RDN has been obsessed with the microorganisms for the past year. Is it possible they could be the second brain? He has had so many burning questions as a registered dietitian nutritionist working with addictions and eating disorders. These include:

  • Why are so many of us drawn to foods that can compromise our quality of life?
  • Why do some of us reject foods that can heal us?
  • Why are educational efforts alone often not sufficient to produce sustainable behavior change?
  • Why is it so challenging to develop a new relationship to food? 

 

Is it lack of willpower? Food addiction? Restrained eating and dieting? In search for answers to the questions, Mr. Wiss has had to investigate the new insights into the gut microbiota and behavioral health.

New Insights

Gut microbiota can have a significant impact on disease development, brain health, attenuation, memory, and learning (Matsumoto et al., 2013). Dysbiosis of the gut is associated with a reduction in the diversity of the microorganisms, whereas healthy guts have higher diversity (Belizario & Napolitano, 2015). Highly diverse microbial communities are more likely to expend energy and resources in competition whereas less diverse microbial communities have more resources for host manipulation (Alcock, Maley, & Aktipis, 2014). So how does the gut microbiota impact human behavior? Is it possible that they have much more influence than we ever imagine?

In 2014 Alcock and colleagues stated:

“We hypothesize that there has been a genomic arms race in which microbes have evolved genes to manipulate their hosts (particularly analogs of human signaling molecules such as neuropeptides and hormones) and corresponding host genes have evolved to prevent that manipulation where it conflicts with the host’s future interests.”

Authors proposed that gastrointestinal microbes could generate cravings for foods they specialize on, induce dysphoria until the host eats foods that enhance their fitness, acting as “microscopic puppetmasters.” Diagram from their publication below:

The Second Brain

 

These authors concluded:

  • Microorganisms are competing for nutritional resources
  • Evolutionary conflict between host & microbiota may lead to cravings and cognitive conflict regarding food choice
  • Exercising self-control over eating may be partly a matter of suppressing microbial signals that originate in the gut
  • Acquired taste may be due to acquisitions of microbes that benefit from that food
  • One way to change eating behavior is by intervening on the microbiota: FOCUS ON INCREASING MICROBIAL DIVERSITY

 

This information blew David’s mind and led him to researching this fascinating topic in great detail.

In April 2016 Mr. Wiss recorded a webinar with the Los Angeles District of the California Academy of Nutrition and Dietetics that can be viewed HERE

You can get your microbiome analyzed at uBiome. For a 10% discount click HERE

References:

Alcock, J., Maley, C. C., & Aktipis, C. A. (2014). Is eating behavior manipulated by the gastrointestinal microbiota? Evolutionary pressures and potential mechanisms. Bioessays, 36, 940-949.

Belizario, J. E., & Napolitano, M. (2015). Human microbiomes and their roles in dysbiosis, common diseases, and novel therapeutic approaches. Frontiers in Microbiology, 6(1050).

Matsumoto, M., Kibe, R., Ooga, T., Aiba, Y., Sawaki, E., Koga, Y., & Benno, Y. (2013). Cerebral low-molecular metabolites influenced by intestinal microbiota: A pilot study. Frontiers in Systems Neuroscience, 7(9).

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Exercise in Recovery

Exercise in Recovery

Exercise In Recovery

What if I told you there was a healthy and inexpensive way to heal the body and mind from the ravages of addiction? What if that same approach would help you to stay addiction-free and sober over the long term? The great news is that such a thing exists! What we are talking about here is exercise and physical activity. Those words can be scary for some people, but it is important to keep in mind that we are not speaking about creating an Olympian or a gym rat. We are simply suggesting increasing a person’s amount of physical activity to a safe, fun, and healthy level.

Why Exercise?

There are a number of physiological and psychological benefits to exercise. For the average person, these benefits can have a wonderful impact on the mind and body, but for the recovering addict, they are a critical piece to the recovery puzzle. A regular fitness program in addiction recovery can help to repair the brain, grow new brain cells, and help to prevent relapse. When a person exercises, it helps to put the brain in homeostasis, grow neurons, and create new pathways in the brain. Moderate intensity exercise has been shown to increase dopamine and serotonin levels as well as release endorphins. These are the same chemicals that have been altered by drug and alcohol abuse.

New People, Places, and Things

One of the most important aspects for an individual that is starting down the road to recovery is developing new healthy habits, starting new relationships, and finding new ways to spend their time. Incorporating an exercise program into their lives can help to do all of this. Team sports, exercise classes, or working out with a partner is a wonderful way to reintegrate socially and to develop constructive interactions. The more fun a person is having and the more connected they are feeling to their new lifestyle, the less likely they are to miss the old drinking and drugging acquaintances and hangouts.

Coping Skills

For individuals that are recovering from addiction, it is important to find a way to cope with stress, anxiety, anger, agitation, and depression. Drugs, alcohol, and food were the only way that most of us knew how to deal with any feelings; so cultivating a new outlet is key to sustained recovery. Exercise can be the “safety valve” to vent these emotions by separating a person from what is antagonizing them and giving them time to think rather than act impulsively. Being physically active can help to build mental strength, self-confidence, and discipline.

Where To Start

The great news is that you do not need to spend a fortune on equipment or any fancy gadgets to get started. You could begin today just by walking out your front door. The most important thing to keep in mind is that it is not about the amount or intensity of the exercise regime. To start, it is more about getting in the habit of being active. Every person will have a different starting point and it is important to identify yours. If a five-minute walk at a slower pace is your maximum to begin, that is great! You can start with that and build from there.
Most of us did not come into recovery on a winning streak. By incorporating an exercise program, you can change that and start to build momentum in a positive direction. Get outside, get some fresh air, have some fun, and start moving around!

Learn more about the importance of exercise in addiction recovery HERE

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Food Addiction

Food Addiction

Food Addiction

The term food addiction conjures up a variety of different images in people’s minds. Take a moment to consider what it means to you. What types of pictures come into your head? The most common thing that people think of when they imagine food addiction is someone that is overweight or obese. Often people consider the act of bingeing on certain types of foods or purging to rid themselves of excess calories to be behaviors that are required for food addiction. While it is true that some individuals exhibit these types of behaviors surrounding food, they are certainly not required for someone to suffer from food addiction. In fact, it is quite possible for a person to exhibit symptoms of food addiction without being overweight at all. Food addiction can be very mild and very subtle, and can manifest in the form of a picky eater who only eats the certain foods they “like.”

What Types of Food are Addictive?

When we discuss food addiction, it is important to distinguish the differences between the types of choices in our food supply. Highly processed foods, fast food, and items that are high in sugar, salt, and fat are the main culprits. Flavors (such as the “cool ranch” in the Dorito) is also an important consideration. It is these types of food that hijack the brain and cause individuals the most problems. Foods that are closest to their natural state such as fruits, vegetables, whole grains, nuts, seeds, and lean protein do not have the same impact on the body as processed foods, and do not possess the same addictive potential. You would be hard pressed to find an individual that has any negative consequences because of their intake of kale and chia seeds, but it is easy to find an endless number of people that are struggling due to their consumption of processed junk food and sugar sweetened beverages. The food industry does not want us to believe food is addictive, just like the tobacco industry did not want us to believe cigarettes were addictive.

Willpower

Junk food and highly processed food act on the same part of the brain that addictive drugs such as cocaine and heroin do. These types of foods impact the reward centers and hijack the biochemistry of the human brain. Much like telling a meth addict to just stop using drugs would not work, expecting that sheer willpower can keep people from these types of foods is unrealistic. The ingredients that are in processed foods and the chemical reactions that they cause in the brain are incredibly powerful. Have you ever tried quitting soda or your favorite junk food cold turkey? It is not easy!

How To End Food Addiction

The fact that we now know that some foods have the same addictive potential as drugs and that it is not just a matter of willpower is actually a very positive thing. A person that struggles with these types of foods no longer has to bear the entire weight and believe that it is a matter of their strength of character. Food addiction is a real thing and it can now be treated in a similar fashion to other addictions. However, you do not have to become “abstinent” to recovery from food addiction, you can simply work towards minimizing your exposure to addictive foods as you get into recovery, which is an inside job.

One of the most important things to remember is that there will be a transitional period as a person starts to remove processed foods. Just like drug addiction, there is a withdrawal period for food as well. It is crucial to allow for some time to pass and understand that there will be some discomfort as the body adjusts to life without these types of food. Some people even have dreams about food much like drug addicts dream about using in early sobriety.

It is also essential to allow for taste preferences to change over several weeks or months. Highly processed junk foods alter the body’s taste mechanisms, and it takes a few months for it to return to normal. Allowing a window for this to happen and being open minded to the process is a large step in the right direction.

Finally, it is a great idea to have a support group to lean on. It is important to have someone to share successes and troubles with as they occur, and having a friend or family member available is priceless. The time to make a change is now! We can totally help.

 

What are some Good Resources to Learn More? 

Blum, K., Sheridan, P. J., Wood, R. C., Braverman, E. R., Chen, T. J. H., Cull, J. G., & Comings, D. E. (1996). The D2 dopamine receptor gene as a determinant of reward deficiency syndrome. Journal of the Royal Society of Medicine, 89, 396-400.

Brownell, K. D., & Gold, M. S. (2012). Food and addiction. New York, NY: Oxford University Press.

Burger, K. S., & Stice, G. (2012). Frequent ice cream consumption is associated with reduced striatal response to receipt of an ice-cream based milkshake.
The American Journal of Clinical Nutrition, 95(4). doi:10.3945/ajcn.111.027003

Davis, C., Curtis, C., Levitan, R. D., Carter, J. C., Kaplan, A. S., & Kennedy, J. L. (2011). Evidence that ‘food addiction’ is a valid phenotype of obesity. Appetite, 57, 711-717

Food Addiction Institute: http://foodaddictioninstitute.org/

Food Addiction Research Foundation: http://foodaddictionresearch.org/

Gearhardt, A. N., Roberto, C. A., Seamans, M. J., Corbin, W. R., & Brownell, K. D. (2013). Preliminary validation of the Yale Food Addiction Scale for children. Eating Behaviors, 14, 508-512. http://dx.doi.org/10.1016/j.eatbeh.2013.07.002

Gearhardt, A. N., White, M. A., Masheb, R. M., Morgan, P. T., Crosby, R. D., & Grilo, C. M. (2012). An examination of the food addiction construct in obese patients with binge eating disorder. International Journal of Eating Disorders, 45, 657-663.

Gearhardt, A. N., Corbin, W. R., & Brownell, K. D. (2009). Preliminary validation of the Yale food addiction scale. Appetite, 52, 430-436

Kessler, D. A. (2009). The end of overeating. New York, NY: Rodale Inc.

Moss, M. (2013). Salt, sugar, fat. New York: Random House

Peeke, P. (2012). The hunger fix. New York, NY: Rodale.

Schulte, E. M., Avena, N. M., & Gearhardt, A. N. (2015). Which foods may be addictive? The roles of processing, fat content, and glycemic load. PLoS ONE, 10(2).

Volkow, N. D., & Wise, R. A. (2005). How can drug addiction help us to understand obesity? Nature Neuroscience, 8(5), 555-560.

Volkow, N. D., Fowler, J. S., & Wang, G. J. (2003). The addicted human brain: insights from imaging studies. Journal of Clinical Investigation, 111, 1444-1451.

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Nutrition and the Mind Seminar

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Nutrition and the Mind Seminar at Patton St. Hospital

The big event is scheduled for Wednesday March 23, 2016 8:00am – 4:00pm at Patton St. Hospital in San Bernardino, CA. Come learn about nutrition and the mind!

DSH- Patton Auditorium

3102 E. Highland Ave.

Patton, CA 92369

Admission is Free and open to the public! For questions or to RSVP, call 909-425-7769 or email elena.chai@dsh.ca.gov

Topics include:

Nutrients and Mental Health

Food Addiction & Binge Eating Disorder

Nutrition in Substance Abuse Recovery by David Wiss MS RDN

Objectives

  1. Discuss the impact of addictive substances on nutritional status
  2. Explore disordered and dysfunctional eating patterns in addicted populations
  3. Propose nutrition therapy guidelines for specific substances and for poly-substance abuse

 

Sleep & Nutrition

& More!

Nutrition for Addiction and Eating Disorder

Medical nutrition therapy for individuals with co-occurring eating and substance use disorders includes assessment, planning, nutrition intervention, and counseling. This involves individual education, meal planning, and monitoring of compliance. Recognized eating disorders include anorexia nervosa, bulimia nervosa, and binge eating disorder. Substances commonly abused include alcohol, stimulants, opiates, and various over the counter substances such as diet pills, laxatives, and diuretics. Integrated treatment can be challenging when the synergistic effects of combined entities are complex and their affects are poorly understood. Clinicians working with patients who have dual diagnoses should be educated about each disorder separately, as well as their interactions. Patients with substance use disorders often develop disordered and dysfunctional eating patterns during abstinence, and eating disorder patients can similarly progress into substance abuse. Traditionally addiction has been addressed first, however delaying eating disorder treatment can hinder recovery, therefore it is important to alert treatment providers who treat patients with dual diagnoses how to assess and address both disorders simultaneously. Specific macro- and micronutrient supplementation treatment is described in detail and protocols for re-feeding in selected cases are provided. Nutrition therapy should address the most serious medical and nutrition conditions first, then target the psychological aspects related to eating behavior in conjunction with a multidisciplinary treatment team. Nutrition education is important for addiction recovery, particularly those who require specialized wellness care, whereas education for disordered eaters must be sensitive to their specific needs. While these guidelines can help steer nutrition interventions for co-occurring eating and substance use disorders, nutritional needs are always best assessed on an individual basis. It is of paramount importance to consider the relationship between nutrition and the mind in addition to the obvious relationship between nutrition and the body.

Nutrition & the Mind Seminar 2016

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Hands-on Nutrition for Addiction Recovery

Current Climate of Nutrition for Addiction Recovery

Addiction is a growing problem in the United States, and private sector addiction treatment continues to flourish. Substance use disorders (SUD) can lead to many adverse health effects including nutritional deficiencies, which can impact physical and mental health. Research shows that proper nutrition can have a positive effect on recovery outcomes, however it is not common practice for patients in substance abuse treatment to receive hands-on nutrition education and counseling. It is less common for addicts to receive supervised cooking classes or other hands-on nutrition for addiction recovery.

Hands-on Culinary Intervention

In our research project we implemented a hands-on culinary and nutrition intervention at Breathe Life Healing Centers in Los Angeles, California. This 12-week study consisted of 4 separate groups, each lasting 3 weeks, with a total of 15 participants. The information offered during this intervention was intended to provide individuals in early recovery with the skills and confidence they need to make healthy food choices, as they begin to make the transition to more independent stages of treatment. The intervention included a grocery store tour and weekly nutrition education classes followed by a hands-on culinary component.

Data revealed a significant increase in the participants’ enjoyment of cooking after completion of the cooking classes. When asked during the program evaluation what part of the program they liked best, Grocery Store Tour, Nutrition Education, or Hands-on Cooking, 13 of the 15 participants chose “Hands-on Cooking.” Confidence level related to food preparation skills, and a higher level of comfort in purchasing whole grain products, both significantly increased. This finding is in accordance with previous research that has found that interventions containing both a nutrition education component and a “hands-on” cooking element increased the participants’ cooking confidence and skill level (Wrieden et al., 2006). Research by Levy & Auld (2004) shows similar results, where participation in “hands-on” cooking classes led to improved attitudes, behaviors, and knowledge toward cooking and nutrition, compared to interventions in which participants observed a cooking demonstration or listened to a lecture.

Take-Home Message

Developing the skills and confidence to prepare healthful meals during SUD treatment is important for sustainable recovery. Proper nutrition can help the body heal from years of damage, as well as decrease risk of depression, anxiety, obesity, and other chronic diseases. Although the data analysis for this study found limited statistical significance in other areas, there was a positive trend found in the mean averages between the pre- and post-intervention data. Self-efficacy and positive attitudes about cooking, purchasing, and preparing healthy foods increased after the nutrition and “hands-on” culinary intervention. Future studies utilizing a larger, more diverse sample are definitely needed to increase awareness of the important role that nutrition plays in recovery from substance abuse (Moore, 2015).

Read the full article by Kristie Moore MS RDN and David Wiss MS RDN in the Behavioral Health Nutrition Winter 2016 Newsletter

Hands-on Nutrition

Kristie Moore MS RDN

Kristie Moore currently works with Nutrition in Recovery based in Los Angeles, CA. She specializes in the treatment of eating disorders, addiction, and weight management. Ms. Moore provides individual counseling, nutrition education, and consulting for a variety of substance abuse treatment centers in the greater Los Angeles area. As part of her Master’s thesis project Ms. Moore created a hand’s on nutrition and culinary intervention that was implemented in a Southern California drug and alcohol treatment center. She has authored various articles supporting her thesis that have appeared in online recovery publications.

 

References

Levy, J., and Auld, G. (2004). Cooking Classes Outperform Cooking Demonstrations for College Sophomores. J Nutr Educ Behav., 36, 1997–203.

Moore, K. (2015). Hands–on Cooking and Culinary Intervention within a Substance Abuse Treatment Center (Thesis Project).

Wrieden, W. L., Anderson, A. S., Longbottom, P. J., Valentine, K., Stead, M., Caraher, M., Lang, T., Gray, B., Dowler, E. (2007). The impact of a community-based food skills intervention on cooking confidence, food preparation methods and dietary choices – an exploratory trial. Public Health Nutrition, 10(2), 203–11. doi:10.1017/S1368980007246658

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Probiotics?

Probiotics

In recent times, the word probiotic has been showing up more and more not only in nutrition and medical circles, but also in mainstream media and culture. There has been a large increase in the number of products on the market, and an enormous amount of claims in regard to the health benefits. So just what is a probiotic and are they something that you should be concerned with? It is important to have all of the information in order for you to make an informed decision on your health.

What Are They?

According to the World Health Organization, a probiotic is a live microorganism that confers health benefits on the host. In short, probiotics are bacteria that are friendly to the human body. In order for a microbe to be probiotic and beneficial to human health, they must first survive moving through the digestive tract and be resistant to all of the body’s digestive substances. In contrast to other bacteria that can cause illness and disease, these particular strains of microbes are nonpathogenic when consumed.

Why Do We Need Them?

Although these microbes are small in size, they do pack some serious health benefits. These organisms impact the body in many positive ways, and play a crucial role in the proper function of the G.I. tract and digestion. For individuals that suffer from issues such as irritable bowel syndrome, probiotics can help to alleviate symptoms including abdominal pain, constipation, and bloating.

In addition to digestive health, research is continuing to find evidence that a person’s gut health is directly related to mental health. This means that the trillions of bacteria that are living in our gut could play a roll in anything from agitation to anxiety and depression. The old saying, “we are what we eat”, certainly continues to ring true.

Where Do We Get Them?

We have discussed what probiotics are and why we need them, but where exactly do we find these helpful microorganisms? The good news is that they are available in a variety of foods and can easily be included into a healthful diet. The most common product to include probiotics, and the one you are most likely to have heard of, is yogurt. Not all yogurts are created equal, and it should be mentioned that the best choice would be a plain variety with no added sugar. Some additional sources of probiotics include:

· Tempeh
· Kefir
· Kimchi
· Sauerkraut
· Miso Soup

How Do We Keep Them Alive?

We know that probiotics can have a large impact on the health of an individual in a variety of areas, but how can we ensure that these advantageous microbes continue to flourish in our bodies? To promote the growth and to help sustain the life of these beneficial bacteria, it is important that we continue to feed them the types of food that they like! If you create an environment in your body that is favorable, these microscopic helpers will stay. If they are not receiving the things that they need, they will simply die out.

Probiotic bacteria need something called a prebiotic in order to survive and flourish. This is merely a nondigestible food ingredient that promotes their grown in the digestive tract. The magic word that we are talking about here is fiber. Examples of prebiotic foods include:

· Beans
· Legumes
· Onions
· Asparagus
· Apples
· Bananas

Now What?

The world of nutrition can be confusing and difficult to navigate at times, but it doesn’t have to be. The answer here is simple. You do not need expensive probiotic pills or prebiotic supplements. All you need to do is include some of the probiotic foods in your diet and eat fibrous foods to keep them alive. It is exciting to know that we have so much control over our bodies if we mind what we eat. Get started today on cultivating your new microbial friends!

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David Wiss MS RDN Rewired Radio Interview

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Rewired Radio Interview with Erica Spiegelman on RadioMD.com

Segment 1 Title: Beyond calories: the importance of nutrition

Segment Information: We all know that proper nutrition is important, but did you know that proper nutrition is about more than just counting calories? Nutrition can affect your mood, hormonal balance, and brain chemistry. People working through addiction need to understand that proper meal planning is an important part of recovery. David Wiss is a leading voice in the link between nutrition and addiction recovery. Today on rewired radio he’ll talk about how nutrition can help – our hurt – recovery and what we need to know about how food and nutrition affect our moods, energy levels, and motivation.
Listen to Segment 1 HERE

Segment 2 Title: Healthful eating in addiction recovery: a meal plan for addicts in treatment programs

Segment Information: Introducing the concept of nutrition into an addiction treatment program is not an easy task. Many addicts in early recovery are not ready for health behavior change, since most are simply trying to get past the immediate crisis of addiction and the associated life adjustments of abstinence. In fact, sobriety can magnify pre-existing dysfunctional eating behavior. My guest today, David Wiss, is the founder of Nutrition In Recovery, which specializes in the nutritional management of Food Addiction, Substance Abuse, Eating Disorders, Weight Management, Sports Nutrition, and General Wellness. He’ll share his expertise on why nutrition is an essential component of successful treatment programs.

Listen to Segment 2 HERE

Segment 3 Title: What is integrative treatment?

Brief Segment Description: Eating disorders and addiction are often treated separately but there are many underlying behaviors and issues that overlap and would benefit from a more integrated approach. In addition, addiction treatment may often foster unhealthy behaviors and attitudes towards food and nutrition. Many treatment centers are recognizing these links and integrating nutrition into addiction treatment programs. My guest today, David Wiss, is a leading voice in integrative treatment and will talk about why nutrition-inclusive plans are the future of addiction treatment.

Listen to Segment 3 HERE

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2016 Schedule of Events

Nutrition in RecoveryHappy New Year from Nutrition in Recovery!

Below you will find our 2016 Schedule of Events:

March 23 nutrition conference at Patton St. Hospital

David Wiss MS RDN will present “Nutrition Therapy for the Addicted Brain”

Objectives

  1. Discuss the impact of addictive substances on nutritional status
  2. Explore disordered and dysfunctional eating patterns in addicted populations
  3. Propose nutrition therapy guidelines for specific substances and for poly-substance abuse

 

Registration is still pending.

May 5-7 International Conference on Eating Disorders (ICED) 2016 in San Francisco

David Wiss MS RDN will present a poster on Friday May 7th from 8:00am – 9:00am “Incorporating Food Addiction in Disordered Eating”

Register for ICED 2016 

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June 2-5 West Coast Symposium on Addictive Disorders (WCSAD) 2016 in La Quinta, CA

David Wiss MS RDN will present “Nutrition Therapy for the Addicted Brian” on Friday June 3rd from 10:45am – 12:15pm

Register for WCSAD 2016

October 15-18 Food and Nutrition Conference and Expo (FNCE) 2016

Registration is still pending.

2016

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Eating Disorders Support Group

Eating Disorders Support Group

8 week eating disorders support group beginning on January 14th, 6:00 – 7:30 p.m.

This weekly group provides a safe place to discuss the issues of disordered eating.

The group process offers a rich opportunity to learn how others deal with the same challenges and to learn coping skills that might help you with your day-to-day struggle.

Co-led by Terry Simpson, PsyD and Gabriela Pastor, MA, the group will meet at the Krevoy Institute for $50 per session. Please call Gabriela at 832-366-4965 if you would like to attend.

Individual nutrition counseling sessions with Registered Dietitian Nutritionist David Wiss are available to those who are ready!

Philosophy

The Susan B. Krevoy Eating Disorder Program for Adults and Adolescents is an affordable eating disorder treatment option that provides exceptional care in the greater Los Angeles area. True to our mission, we offer individualized outpatient treatment for individuals suffering from eating disorders including anorexia, bulimia and binge eating disorders. Our staff consists of skilled and compassionate treatment professionals including licensed psychologists and psychotherapists, registered dietitians and medical professionals who offer a safe, nurturing environment where you can heal.

Food and eating patterns frequently reflect the expression of unmet needs. They often mask anger, anxiety, depression, fear, loneliness or other feelings. Our treatment includes individual, group and family psychotherapy, nutritional counseling, cognitive groups on goal setting and how to balance mind, body and spirit. Our goal is to help you discover the hidden meaning behind your struggle and help you learn how to deal with these feelings in healthier ways.

The Krevoy Institute also provides training for clinicians who are treating the eating disorder population. Our short courses will enhance clinical skills with techniques that will facilitate long term recovery. Click our Program Page for more information.

Eating Disorder Flyer

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