Category: Eating Disorders

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Susan L. McElroy, MD, Chief Research Officer, Lindner Center of HOPE, co-authored study published online by Jama Psychiatry

At some doses, the medication lisdexamfetamine dimesylate, a drug approved to treat attention-deficit/hyperactivity disorder, was effective compared with placebo in decreasing binge-eating (BE) days in patients with binge-eating disorder (BED), a public health problem associated symptoms of mental illness and obesity and for which there are no approved medications, according to a study published online by JAMA Psychiatry.

BED is characterized by recurrent episodes of excessive food consumption accompanied by a sense of loss of control and psychological distress. Cognitive behavioral therapy, as well as psychotherapy, can reduce BE behavior but implementation of these treatments has not been widespread. Consequently, many patients with BED are undertreated despite having functional impairments and difficulties in their social and personal lives. The U.S. Food and Drug Administration has not approved pharmacologic treatments for BED, according to background information in the study.

Susan L. McElroy, MDSusan L. McElroy, M.D., of the Research Institute, Lindner Center of HOPE, Mason, Ohio, and coauthors compared lisdexamfetamine with placebo in adults with moderate to severe BED in a randomized clinical trial from May 2011 through January 2012. The study included 259 and 255 adults with BED in safety and intention-to-treat analyses, respectively. The medication was administered in dosages of 30, 50 or 70 mg/day or placebo.

BE days per week decreased in the 50-mg/d and 70 mg/d treatment groups but not in the 30 mg/d treatment group compared with the placebo group, according to the study results. Results also indicate the percentage of patients who achieved four-week BE cessation was lower with the placebo group (21.3 percent) compared with the 50-mg/d (42.2 percent) and 70-mg/d (50 percent) treatment groups.

“In the primary analysis of this study of adults with moderate to severe BED, lisdexamfetamine dimesylate treatment with 50 and 70 mg/d, but not 30 mg/d, demonstrated a significant decrease (compared with placebo) in weekly BE days per week at week 11. Similarly, BE episodes decreased in the 50- and 70-mg/d treatment groups. The one-week BE episode response status was improved in the 50- and 70-mg/d treatment groups, and a greater proportion of participants achieved four-week cessation of BE episodes and global improvement of symptom severity with all lisdexamfetamine dosages. … Confirmation of these findings in ongoing clinical trials may results in improved pharmacologic treatment for moderate to severe BED,”  the study concludes.

(JAMA Psychiatry. Published online January 14, 2015. doi:10.1001/jamapsychiatry.2014.2162.  at http://media.jamanetwork.com.)

Editor’s Note: Authors made conflict of interest disclosures. This study was supported by Shire Development, LLC, including funding to Scientific Communications & Information and Complete Healthcare Communications, Inc., for support in writing and editing the manuscript. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Susan L. McElroy MD, James I. Hudson MD, ScD, James E. Mitchell MD, Denise Wilfley PhD, M. Celeste Ferreira-Cornwell PhD, Joseph Gao PhD, Jiannong Wang PhD, Timothy Whitaker MD, Jeffrey Jonas MD, Maria Gasior MD, PhD

JAMA Psychiatry. 2015;72(3):-. doi:10.1001/jamapsychiatry.2014.2162

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Weight restoration, nutritional support, coping skills instruction and disease management assistance are features of this Eating Disorders Partial Hospitalization Program for adults.

MASON – (Sept. 26, 2014) – Beginning Monday, September 29, Lindner Center of HOPE will offer an expanded partial hospitalization program for patients 18 and older struggling with eating disorders.

For those who suffer with eating disorders, food and mealtimes become a source of fear, panic, anxiety and pain. Managing this illness often requires an intermediate level of care between acute inpatient care and outpatient care; this level of care is available at Lindner Center of HOPE for adults age 18 and older.

The Eating Disorder Partial Hospitalization Program at Lindner Center of HOPE (EDO PHP) is a treatment program designed to provide intensive treatment for eating disordered patients who do not meet criteria for inpatient hospitalization but who are not stable enough to be treated in the traditional outpatient setting. The goal of EDO PHP is weight restoration, nutritional support and planning, instruction of cognitive coping skills, and to assist patients in the management of their disease and symptoms to the point that traditional outpatient services will be effective. EDO PHP is often used as step-down treatment from inpatient hospitalization with the intent of transitioning the patient back into their home environment and healthy routines. As such, EDO PHP is a cost effective option for patients who meet admission criteria for this program.

EDO PHP operates Monday through Friday (except legal holidays), 7:30 a.m. – 6:00 p.m. on the campus of the Lindner Center of HOPE at 4075 Old Western Row Road, Mason, 45040. Duration of the program is based on individual progress towards established goals; however the average length of stay for the EDO PHP is four to six weeks. The program features:

  • Attended and supported breakfast, lunch and dinner
  • Monitored physical status, including weight and vital signs
  • Check-In and Check-Out with goal setting and debriefing of skills attempted
  • Group programs which are DBT-based and with a primary focus on skill development
  • Supportive individual therapy
  • Nutritional and meal planning support
  • Specialized EDO group therapy
  • Family support and education

The EDO PHP at Lindner Center of HOPE operates in conjunction with Lindner Center of HOPE’s Adult Partial Hospitalization Program, available for adults who are experiencing emotional or behavioral issues significant enough to affect daily functioning or quality of life. Patients may be suffering with diagnoses, including but not limited to: mood disorders, anxiety disorders, eating disorders, adjustment disorders and thought disorders not requiring hospitalization.

For more information, individuals may call (513) 536-4673 to speak to an intake expert.

 

Lindner Center of HOPE provides excellent, patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization and partial hospitalization for individuals age 12-years-old and older, outpatient services for all ages, diagnostic and short-term residential services for adults and adolescents, intensive outpatient program for substance abuse and co-occurring disorders for adults and research. The Center is enhanced by its partnership with UC Health as its clinicians are ranked among the best providers locally, nationally and internationally. Together Lindner Center of HOPE and UC Health offer a true system of mental health care in the Greater Cincinnati area and across the country. The Center is also affiliated with the University of Cincinnati (UC) College of Medicine.

 

Contact:

Jennifer Pierson Lindner Center of HOPE (513) 536 -0316 [email protected]

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While eating disorders are typically associated with young women, you may be surprised to learn that a growing number of individuals with eating disorders today are young men.

Prevalence of Eating Disorders in Males

Approximately 10% of individuals seeking treatment for eating disorders are male, although a larger number fails to seek treatment.  The National Eating Disorders Association estimates that about 10 million U.S. males  will suffer from an eating disorder at some point in their lives – about one third of the total of 30 million individuals facing this illness.

While males are more reluctant to seek treatment, the number getting help is growing.  One recent estimate: the number of males hospitalized for an eating disorder has risen more than 50% over the past decade. This increase may be due to greater willingness to report a problem, but may also represent a larger number of males who develop eating disorders.

Types of Eating Disorders in Males

Boys and men suffer from the same types of eating disorders as females, as well as one type less common in girls or women.  Disorders include:

  • Binge eating disorder.  Characterized by episodes of compulsive or “binge” eating, this disorder is the most common type of eating disorder among males.
  • Bulimia nervosa.  Characterized by binge eating, followed by one or more purging methods (vomiting, laxatives, excessive exercise, etc.), this disorder represents an attempt to avoid weight gain after over-eating.
  • Anorexia nervosa.  Characterized by a refusal to maintain normal body weight and an intense fear of gaining weight, along with severe body image distortion, this disorder causes individuals to literally starve themselves.
  • Muscle dysmorphia.  Characterized by an extreme desire to become more muscular, this disorder is primarily associated with males.  Some individuals with this disorder want to “bulk up” to gain body mass, while others try to lose weight to reduce their percentage of body fat vs. muscle.  Excessive steroid use is often associated with this disorder.

Treatment Issues for Males

Many treatment issues are similar for all individuals, regardless of gender, such as problems with body image and self-esteem or a need to exert control in one’s life, albeit in a dysfunctional manner.

However, males may also face special issues in treatment, such as:

  • Increased stigma.  Because eating disorders are so closely associated with young women, males may be subject to ridicule by their peers, or may fear discovery of their problem.  Such factors decrease the likelihood of males seeking treatment.
  • Severity of the disorder.  Because young men are less comfortable seeking treatment and less likely to be identified by others as having a problem, their cases may be particularly severe by the time they do finally seek help.
  • Issues with sexuality.  Approximately 42% of males with eating disorders also identify themselves as being gay.  Does the emphasis on physical fitness and lean musculature in parts of the gay culture and media make young gay men more vulnerable to the development of eating disorders? Mental health professionals aren’t certain, but must be prepared to address issues of sexuality with young male patients.

Treatment can as beneficial for males as females, once they seek help in a program that is sensitive to their specific needs.  Common treatments include medication, such as antidepressants, and psychotherapy – often cognitive or behavioral therapies. Treatment is frequently most effective with peers in a group setting, with the level of treatment needed based upon the severity of the condition.

Early identification of eating disorders in males is the key to the best recovery.

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Statistics can be somewhat ambiguous when it comes to eating disorders. Over the years, there have been countless studies conducted surrounding the prevalence of illnesses such as anorexia nervosa, bulimia nervosa and binge eating disorder. Although many of these studies convey slightly different findings, one thing is certain: Millions of Americans struggle with eating disorders.

While the majority of eating disorder sufferers are young women and adolescent girls, research has discovered that more and more males — an estimated 10 to 15 percent — are struggling with eating disorders as well. Additionally, incidents of these disorders in older women have been on a steady incline in recent years.

Why the Upward Trend?

New information is surfacing in regard to women in their 40s, 50s and 60s maintaining a negative body image, and as a result, continuing unhealthy eating patterns or developing eating disorders. Recent studies have found that over 60 percent of women 50 years of age and older are acutely concerned about their weight. Roughly 13 percent of these women suffer from some type of eating disorder.

Some older women keep their eating-related struggles hidden for years. Others, after having addressed an eating disorder earlier in life to at least some degree, relapse as they approach middle age. There are of course a variety of other factors that may contribute to the development of eating disorders in middle-aged women. These include a divorce or the loss of a mate where a woman feels she needs to lose weight to regain a level of attractiveness. It’s also not out of the question for a woman to develop an eating disorder for the first time later in life.

Never Too Late to Begin Treatment

Regardless of age or gender, anorexia treatment, bulimia treatment and treatment methods for other eating-related illnesses have evolved throughout the years. The percentage of successful outcomes continues to increase. Treatment for eating disorders usually consists of a combination of nutritional counseling, individual or group therapy, and in many cases, medications.

With the discovery of eating disorders in so many older women, mental health professionals are realizing that life-long care may be required even after a young woman has shown significant signs of recovery. However, those who get help for eating disorders early do have the best chance at long-term recovery.

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This blog is written and published by Lindner Center of HOPE.

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Armodafinil - Donuts2

 

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This blog is written and published by Lindner Center of HOPE.

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When the subject of disabilities surfaces in our thoughts or conversations, it is common to first consider those caused by some type of physical ailment or affliction. Conditions such as arthritis, heart disease and back problems are certainly primary causes of long-term disabilities in our nation. However, mental illness is the leading cause of disability in U.S. citizens ranging in ages from 15 to 44, according to National Institute of Mental Health (NIMH) statistics.

What these numbers show is that many Americans and people around the world are affected by illnesses such as depression, bipolar disorder, schizophrenia and a host of other mood and anxiety disorders in the prime of their working lives. Unfortunately, these numbers show no sign of subsiding anytime soon. In fact, they continue to rise, as do the number of filings with the U.S. Social Security Administration (SSA) for disability benefits due to mental illnesses.

The SSA and Mental Illness Claims

The SSA has established specific criteria that qualify those suffering with mental disorders for disability benefits. Basically, it must be determined that an existing mental condition limits or impairs one’s ability to fulfill their work obligations. In most situations, assessments and evaluations must be performed by mental health professionals. Additionally, evidence must be submitted to the SSA that indicates the individual in question is unable to perform their assigned job duties as a consequence of their condition.

Getting Back on their Feet

It is important for those with mental health issues to make their employers aware of their situation. All too often, workers are hesitant or afraid to address their condition with their employers for fear of negative repercussions. But behavioral or productivity problems could lead to termination, which also often results in the loss of insurance, creating even more problems for these individuals in regard to receiving treatment.

When documented mental health issues are reported to an employer, they are obligated under Americans with Disabilities Act (ADA) regulations to accommodate that employee with whatever they need to successfully perform their job duties, or to make their working situation as comfortable as possible. In lieu of applying for disability benefits, this can allow an employee to continue to work while receiving mental health treatment and take measures that will eventually enable them to effectively manage their condition.

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This blog is written and published by Lindner Center of HOPE.

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Armodafinil

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This blog is written and published by Lindner Center of HOPE.

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What a Way to Watch the Super Bowl!

Super Bowl XLVII Event Raises Money for Harold C. Schott Eating Disorders Program at Lindner Center of HOPE

Mason, OH –The fourth annual Touchdown for HOPE Super Bowl Sunday event will take place on February 3, 2013 at the Great American Ballpark Champions Club. Touchdown for HOPE is a classy, upscale Super Bowl party with big screen televisions, plush seating, signature Cincinnati food favorites, with a built-in tailgating party with live music, all in a sports fan’s dream location, with proceeds going to enhance mental health care in the community.

Originally conceived in 2010 by Scott Robertson, Carl Satterwaite and John Ryan, this annual event, with hosts Anthony and Dede Munoz, has consistently raised over $200,000 and continues to improve the lives of those suffering with mental illness.

“The study and treatment of eating disorders are extremely complex,” said Dr. Paul E. Keck, Jr., President & CEO of Lindner Center of HOPE. “It’s a devastating illness and in spite of the unprecedented growth of eating disorders in the past two decades, research continues to be under-funded, insurance coverage for treatment is inadequate, societal pressures to be thin remain rampant and obesity is an epidemic.”

Event details:

Location: Great American Ballpark, Champions Club.

Date: February 3, 2013; 5:00pm

Tickets: $100

Reservations: http://www.lindnercenterofhope.org/touchdown.aspx or 513-536-0304.

Lindner Center of HOPE  provides patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, free-standing mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization for individuals age 12-years-old and older, outpatient services for all ages, research and voluntary, live-in services. The Center’s clinicians are ranked among the best providers locally, nationally and internationally. Lindner Center of HOPE is affiliated with the University of Cincinnati (UC) College of Medicine.

 

CONTACT:

Jennifer Pierson

Lindner Center of HOPE

(513) 536-0316

[email protected]

                                                                                                                                                                                                                               

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Millions of Americans struggle with eating disorders in various forms. Although eating disorders overwhelmingly affect girls and women, males are certainly not immune to these potentially deadly mental health conditions.

The three major types of eating disorders are anorexia nervosa, bulimia nervosa and binge eating. Anorexia is basically an obsession with thinness where the sufferer will severely limit their food intake. Bulimia is characterized by eating large quantities of food, then afterwards attempting to offset the effects of mass caloric consumption through actions such as self-induced vomiting, excessive exercise and the taking of laxatives. Binge eating is compulsive overeating with an inability to gain control during periods of consumption, which vary in duration.

What’s Beneath the Surface?

A variety of circumstances can contribute to the development of an eating disorder. Studies have indicated that genetics may play a role in many cases. But aside from pre-existing anxiety or mood disorders, cultural and other psychological factors are often at the heart of abnormal eating habits and full-blown eating disorders.

In a society that conveys a thin-is-attractive message, many girls and women feel pressured to lose weight or remain slim. In order to accomplish this, they will often cultivate unhealthy eating habits that can eventually lead to serious health problems, or worse.

A distorted body image is one major psychological issue that many who develop eating disorders struggle with. This is a situation where an individual — despite their actual physique — will see themselves as much larger than they truly are.

Efforts to Heal

The first order of business in anorexia cases is to restore the patient’s weight to a healthy level. But in all eating disorders cases, the chief goals of therapy are to help patients adjust their habits and belief systems as well as establish a healthier view of themselves and a more realistic overall outlook.

Anorexia treatment, bulimia treatment and the treatment of binge eating disorders usually begins with some form of psychotherapy or “talk” therapy. This is often done in conjunction with cognitive behavioral therapies. For more severe cases, eating disorders treatment centers are located throughout the country where a patient can be monitored, receive proper nutrition and nutritional counseling as well as have medications administered to them, if deemed necessary.

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This blog is written and published by Lindner Center of HOPE.

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Eating disorders come in many forms and can affect people regardless of their age, gender or background. Food and eating-related disorders can stem from various causes, including a distorted body image, societal pressures and other existing mental health issues.

Although binge eating may not receive the same publicity as eating disorders such as anorexia or bulimia, it is prevalent within our society, affecting millions of Americans across a wide demographic.

Binge Eating Disorder Causes

Just about everyone overeats now and then. The holidays are notorious for heaping platefuls of food and second helpings, and people who experience trauma in their lives sometimes turn to food for comfort.

But binge eating crosses over into the territory of a “disorder” or “mental illness” when an individual feels powerless to stop binging episodes. The exact causes of this condition are not always clear. But underlying issues with anxiety, depression or an obsessive compulsive disorder (OCD) are often contributing factors. Binge eating is also a symptom of bulimia.

Binge Eating Disorders Treatment

If left untreated, it is likely the psychological aspects of this disorder will worsen. Additionally, the physical health of the binge eater may eventually be in jeopardy as the risk factors are high for conditions such as obesity and diabetes. The fact that sufferers of this disorder often hide it from those around them may also complicate matters and delay them from getting help.

The approach to binge eating treatment is similar to depression treatment. Because every case is different, treatment is tailored to meet the needs of a particular individual.

Talk therapy and cognitive behavioral therapy are most often part of the treatment picture. These methods attempt to lay bare the origins of the binge eater’s behavior, address and change destructive behavior patterns and teach healthy coping skills. Anti-depressant medications may also come into play within a comprehensive strategy to help those with binge eating disorders move forward with their lives and develop a healthier outlook.

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This blog is written and published by Lindner Center of HOPE.