Complex Trauma Increasing in Patients with Eating Disorders

August 9th, 2010

At Mirasol we have been seeing much more serious trauma in clients who are currently admitting for treatment. In fact, we’re seeing so much trauma that we’re having all clinicians trained in EMDR, one of the most effective trauma interventions. We want to make sure that all our clinicians have the best tools available for treating PTSD and early childhood trauma.

Along with Clinical Director Diane Ryan, we are reviewing any new information available in regards to trauma and its treatment. And we are finding out complex trauma or DESNOS (extreme stress not otherwise specified) is much more common than a diagnosis of simple PTSD.

PTSD was originally developed as a diagnosis in the 1970s to explain the symptomology of Vietnam veterans. Research has shown that men are traumatized most frequently by accidents, war, assaults, and natural disasters, single event occurrences. Women, on the other hand, are most frequently traumatized by childhood sexual abuse. B.A. van der Kolk (2005) reported that between 17 and 33% of women in the general population had histories of sexual-physical abuse while women in psychiatric treatment reported 35 to 50%.

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Increase in Eating Disorders with Dual Diagnoses

July 30th, 2010

At Mirasol we have been admitting many more patients recently who are considered to be dual-diagnosis patients, meaning that they have more than one serious diagnosis. It is not uncommon for a patients to admit with not only an eating disorder, but substance abuse, post-traumatic stress disorder, depression, and accompanying anxiety.

The conventional way of thinking is to treat the substance abuse first, then address the eating disorder. At Mirasol, we have long believed that co-occurring conditions need to be treated simultaneously. If all the conditions are not treated at the same time, treatment outcomes are usually poor, and what would ordinarily be considered a small slip can turn into a cascading event, almost like a house of cards, with one slip triggering another one rapidly.

A strong connection between eating disorders and substance abuse has been long evident with a majority of women reporting binge eating and/or bulimia nervosa along with the substance abuse. Some 40-50% of all women who have an eating disorder will have a problem with alcohol and drugs either currently or at some time in their lives. The eating disorder and substance abuse are frequently accompanied with PTSD.

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