MOVING FORWARD IN RECOVERY FROM AN EATING DISORDER AND POSTTRAUMATIC STRESS DISORDER: A TRAUMA-COMPETENT PSYCHOEDUCATION PROGRAM FOR EATING DISORDERS
Wednesday November 4, 2020
12:00-5:00pm, Omni Hotel
Kathryn Trottier, Ph.D., C.Psych.
Staff Psychologist, Eating Disorder Program
Toronto General Hospital, University Health Network
Clinician Investigator, Toronto General Research Institute
Department of Psychiatry, University of Toronto
Posttraumatic stress disorder (PTSD) frequently co-occurs with eating disorders (ED-PTSD) and is of particular concern because of the potential for a functional relationship between the two disorders. Eating disorder symptoms such as binge eating, self-induced vomiting, and being underweight can facilitate escape and avoidance of trauma-related thoughts, feelings and memories, and may also decrease the hyperarousal symptoms of PTSD. Individuals with ED-PTSD frequently report increased distress related to PTSD symptoms as eating disorder symptoms improve in treatment. This presents a significant obstacle to remaining in eating disorder treatment, and ultimately achieving good treatment outcomes. Disruptions in beliefs following trauma, particularly in the domains of trust and control, can also make it difficult for individuals with ED-PTSD to engage with eating disorder treatment and treatment providers. A survey of frontline eating disorder clinicians in Canada found that clinicians perceive trauma-related symptoms as a significant obstacle to successful eating disorder treatment (Trottier et al., 2016), and in recent research from Toronto General Hospital’s Eating Disorder Program, PTSD was the only significant predictor of prematurely stopping day hospital treatment (Trottier, 2020).
In this clinical presentation, Dr. Trottier will share her trauma-competent eating disorder treatment principles and psychoeducation program entitled, Cognitive Behavioural Tools to Help You Move Forward in Your Recovery from Your Eating Disorder and Trauma. Implementation in Toronto General Hospital’s Eating Disorder Program will be described, and potential implementation strategies in other eating disorder treatment settings will also be addressed. Program evaluation data will be presented. All participants will receive a hard copy of the patient psychoeducation workbook with permission for use in their clinical practices.
After this presentation, participants will be able to:
- Describe PTSD, how PTSD symptoms are maintained (i.e., what keeps them going), and how people recover from trauma and PTSD.
- Describe trauma-competent eating disorder treatment principles.
- Use this information to guide the provision of trauma-competent eating disorder treatment.
- $150 non-conference attendee
- $80 conference add-on