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The Rosewood Institute –
A special 13.5 hour Offering during the Cape Cod Symposium
Thursday, September 8th Pre-Conference session
#107– When Words are Not Enough: Art and Music Therapy Creates Recovery
Libby Neal, MA, LPC & Jessica Hyde-Christensen, MM, MT-BC
A session of The Rosewood Institute – Supported by Rosewood Centers for Eating Disorders
Level of Instruction: All
Have you ever wondered why your patient who has an eating disorder is not making progress? Are the two of you speaking different languages? Known as alexithymia, the inability to name feelings is a common brain development for someone with an eating disorder. As such, a person with an eating disorder may feel ashamed when unable to simply answer the question, “how are you feeling today?” Non verbal therapies go beneath defenses and developmental issues to connect with a person’s “deeper knowing” of emotional intelligence. The therapeutic use of art media and musical methodologies offers a kinesthetic, self directed “language” of symbols, sounds and somatic associations that becomes part of a recovery based vocabulary. These new descriptors hold emotional underpinnings of eating disorders related to trauma memories, body image, shame, and road blocks to recovery. Case examples deepen the information while hands on experientials provide the beginning to advanced practitioners time to integrate their knowledge base that can be added to traditional therapies.
September 9-11 – Main Symposium
#205– It Takes a Village: The Complicated Nature of Treating Eating Disorders
Steven Karp, DO, FACN & Cindy Elms, RD | A session of The Rosewood Institute – Supported by
Rosewood Centers for Eating Disorders
Level of Instruction: All
Eating disorders may be the deadliest psychiatric illness and are often co-occurring with addiction disorders. This comprehensive presentation will review similarities and differences between eating disorders and addictions, allowing beginning to advanced practitioners to gain useful clinical skills. Treating these illnesses simultaneously requires a village approach to therapy including: mental health care professionals, dieticians, doctors, psychiatrists, family members and interventionists. Eating disorder case presentations will illustrate signs and symptoms, medical complications, the role of genetics, factors related to co-occurring addictions and mental illness, cognitive impairment when malnourished, medication options, possible causes, and family related issues. Presented by a psychiatrist and dietician with twenty five years of experience working in eating disorders and addictions, participants will learn a holistic treatment approach to be applied in any clinical setting.
#222– Developmental Model as a Foundation for Treating Eating Disorders Part I
Caryn Attianese, MA, LPC, NCC | A session of The Rosewood Institute – Supported by Rosewood
Centers for Eating Disorders
Level of Instruction: All
The Developmental Model has a long tradition in the treatment of addictions and has powerful applications for eating disorder recovery. Identifying core issues of carried feelings, toxic shame and the effects of trauma is vital to understanding a person’s developmental immaturity, but practitioners who attend this presentation will learn that is only half the treatment process for those with eating disorders. The level of developmental immaturity, in combination with empathic inquiry into a person’s eating disorder, allows practitioner and client to learn together how the eating disorder functions for that person. Beginning to advanced practitioners will learn how to combine these clinical aspects of treatment in order to get out of the battle with the eating disorder, and instead be therapeutically helpful to the person struggling in the deadly grips of the disease. Practitioners will learn skills to support a client’s movement from the adapted ego state to the functional adult state. Whether working with a client who has an eating disorder or a co-morbid addiction, finding the underlying source of the issue has application for a person’s recovery. Beginning to advanced practitioners will learn skills to integrate into any clinical treatment setting.
#256– Is Food the Issue: Feeding Recovery for Individuals and Families with Eating Disorders
Cindy Elms, RD | A session of The Rosewood Institute – Supported by Rosewood Centers for Eating Disorders
Level of Instruction: All
When food is both the medicine and the fix, how can recovery happen? Interrupting eating disorder behaviors while also integrating weight restoration, meal planning and resolution of problem eating patterns is a life saving challenge. Many people with eating disorders attempt to control these issues on their own before they seek professional help. By the time they get to a dietician, a person’s meal plan is limited in food choices and their mind is rigid with rules. Empathic curiosity and attunement to the client’s readiness for change, an eating disorder dietician explores erroneous food beliefs as a means of unraveling the connection between food and addiction. The dietician using this approach will present methods for the client with an eating disorder to meet their nutritional needs in a manner they can tolerate long enough to prove effectiveness and safety. Because there is no “right” way, and each client’s recovery is unique, an individualized nutrition approach normalizes a meal plan with a wide variety of food choices. Case presentations will illustrate many nutritional aspects of eating disorder treatment including the use of food challenges to magnify eating disorder rituals, client progress based on nutrition restoration, solutions to problem eating patterns, and situations where the client may require a feeding tube. Beginning to advanced practitioners will learn skills and tools to integrate into any therapeutic setting.
#279– The Developmental Model as a Foundation for Treating Eating Disorders Part II
Caryn Attianese, MA, LPC, NBCC | A session of The Rosewood Institute – Supported by Rosewood Centers for Eating Disorders
Level of Instruction: All
Part II of the Developmental Model Training will build on the skills and tools learned in Part I. This interactive, “hands on” presentation will give practical tools to support a client’s movement from the wounded ego, adapted ego state to the functional adult ego state, which is relevant to the client whose decisions seem inappropriate to their chronological age. Participants will learn techniques and assignments to be integrated at any level of care. Beginning to advanced practitioners will have the opportunity to practice new skills to integrate into their primary knowledge base before utilizing them in their clinical settings.
#305– DBT Unplugged: Not Dumb Boring Therapy
Libby Neal, MA, LPC | A session of The Rosewood Institute – Supported by Rosewood Centers for Eating Disorders
Level of Instruction: All
Dialectical Behavioral Therapy is an effective, evidence based therapy designed to treat individuals with complex, chronic, self harming diagnosis. Unfortunately, people suffering with eating disorders and addictions often refer to DBT as “dumb, boring, therapy”. While the intensive skills may be challenging to understand, they may be more difficult for the person who has an eating disorder to understand as they battle poor brain functioning due to chronic malnutrition. DBT includes valuable skills needed for recovery and the challenge is to make the material immediately accessible, rather than postpone the skills for later into treatment. This presentation will combine humor and eating disorder based anecdotes with the therapeutic skills of core mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. Beginning to advanced practitioners will learn clear and practical skills for working with adults suffering with addictions and eating disorders. These hands on techniques can be integrated into any clinical or school setting.
#355– The Trauma Connection: Eating Disorders, PTSD, and Comorbidity
Timothy D. Brewerton, MD, DFAPA, FAED | A session of The Rosewood Institute – Supported by
Rosewood Centers for Eating Disorders
Level of Instruction: All
This workshop will benefit scientists and practitioners who want to understand how trauma and PTSD influence and complicate the course and treatment of eating disorders. Estimates indicate that at least 1 in 3 women in the United States will experience physical or sexual violence in her lifetime, and traumatization is associated with the emergence or worsening of multiple psychiatric symptoms and diagnoses, including substance use disorders. Thus, traumatized individuals are likely to present with complicated clinical presentations for which there is currently no single treatment of choice. This workshop will provide an overview of the research aimed at understanding the relationship between trauma, PTSD, eating disorders, and comorbidity. Taken together, these findings indicate that traumatic experiences and subsequent PTSD are important risk factors in the development of ED’s, particularly bulimia nervosa (BN), anorexia nervosa, binge-purge type, (AN-BP), binge eating disorder (BED) and EDNOS with purging, as opposed to restricting anorexia nervosa (AN-R). ED patients with a history of maltreatment, especially during childhood, are also more likely to have comorbid psychiatric illnesses, including affective, anxiety, substance use, disruptive, somatoform, dissociative and personality disorders, as well as extreme obesity.
#378– Living Out Loud: Psychodrama Sculpts a Recovery
Hunter Taylor, MS, LMLP, LCP | A session of The Rosewood Institute – Supported by Rosewood
Centers for Eating Disorders
Level of Instruction: All
Psychodrama experiential approaches are essential to the eating disorder population because they facilitate a much needed journey into feelings. These techniques have a long tradition of effectiveness for people with eating disorders as they support the difficulty a person with an eating disorder has accessing emotions, which reduces barriers to recovery. The open minded practitioner can use these visual and action oriented techniques to help their client “breakthrough” defenses and provide “a picture” of unresolved core issues. After a brief introduction to psychodrama, practitioners will observe a family sculpt, then learn techniques such as empty chair, roles, inner child, anger discharge approaches, grief work, and the use of props. Important to the discussion will be how to work with trauma without “re-traumatizing” your client. Beginning to advanced practitioners will gain powerful skills to integrate these techniques into any clinical setting.
Certified Eating Disorders Specialist (CEDS) – iaedp has approved The Rosewood Institute sessions for 1.5 hrs (3 hrs for #107) each of eating disorders specific continuing education for iaedp certification renewals, and approved supervisor renewals, for up to a maximum of 13.5 hours.
Certified Eating Disorders Registered Dietitian (CEDRD) – iaedp has approved The Rosewood Institute sessions for 1.5 hrs (3 hrs for #107) each of eating disorders specific continuing education for iaedp certification renewals, and approved supervisor renewals, for up to a maximum of 13.5 hours.
Caryn Attianese, MA, LPC, NBCC, is the Clinical Director for Rosewood’s Inpatient, Residential, Adolescent and Partial programs, and brings passion and expertise to her oversight of day-to-day activities of the clinical team. She spearheads Rosewood’s clinical training program and works to give residents the courage and strength to start on the path toward recovery. Caryn holds her master’s degree in counseling from Northern Arizona University.
Timothy D. Brewerton, MD, DFAPA, FAED, is Clinical Professor of Psychiatry and Behavioral Sciences at the Medical University of South Carolina in Charleston. He is triple board certified in general, child/adolescent and forensic psychiatry, Distinguished Fellow of the American Psychiatric Association and Founding Fellow of the Academy of Eating Disorders. He has edited the book, Clinical Handbook of Eating Disorders: An Integrated Approach. He serves on the editorial boards of the International Journal of Eating Disorders, Eating Disorders, and Current Food and Nutrition Science.
Cindy Elms, RD, is a Registered Dietitian with the American Dietetic Association. With a broad background focused on clinical nutrition, her areas of expertise include disordered eating, nutritional counseling and education, nutritional assessments, psychiatric nutritional education, diabetes and enteral feedings. Prior to joining the staff at Rosewood over five years ago, Cindy worked at Remuda Ranch and The Meadows. Cindy earned her Bachelor of Science Degree from Northern Arizona University in Flagstaff, Arizona. She has been working as a Registered Dietitian for over 20 years Rosewood centers for eating disorders.
Jessica Hyde-Christensen, MM, MT-BC, is primary therapist at Rosewood Centers for Eating Disorders. As a board certified music therapist, Jessica has many years of experience with adolescents and adults recovering from trauma, eating disorders and addictions. Jessica combines different types of music, musical instruments and talk therapy to help people express feelings they otherwise struggle to communicate.
Steven J. Karp, DO, FACN, came to Rosewood from the Office of Mental Health and Substance Abuse Services in the Commonwealth of Pennsylvania where he served as the Medical Director for seven years. He was responsible for oversight of all mental health programs in the state, providing clinical leadership for the state hospital system. Dr. Karp graduated from the Philadelphia College of Osteopathic Medicine and completed a residency in general psychiatry at Norristown State Hospital in Norristown, PN. He is board certified in Adult Psychiatry, Addiction Psychiatry and Geriatric Psychiatry.
Libby Neal, MA, LPC is Director of Clinical Program Development at Rosewood Center for Eating Disorders. She earned her Master’s Degree in Transpersonal Psychology, with a specialization in Art Therapy from Naropa University, Boulder, Colorado. Psychodynamically trained, Libby combines art therapy with evidence based practices of EMDR and DBT. Her presentations on eating disorders include NEDA, University of Denver, Naropa University, and the Reel Recovery Film Festival. Libby was also Clinical consultant for the documentary film, Beauty Mark. She is amember of IAEDP, Arizona Art Therapy Association, American Art Therapy Assocation & a LPC in Colorado.
Hunter Taylor, MS, LMLP, LCP is the clinical lead therapist at Rosewood Ranch, the main campus of Rosewood Centers for Eating Disorders. Hunter brings over 30 years of mental health experience and expertise in management, addictions, and psycho-education to Rosewood. Hunter regularly conducts training and workshops for ONSITE in Tennessee in psychodrama. Hunter holds Masters of Science degree in Counseling Psychology from Fort Hays State University in Kansas.
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