Eating Disorder Pro » Eating Disorders http://www.eatingdisorderpro.com Dr. J. Renae Norton, Alternative to Inpatient Treatment. I am an eating disorder specialist in the areas of bulimia, annorexia, bulimarexia, binge eating disorder, BED, emotional eating disorder and obesity. Fri, 03 Feb 2012 21:10:24 +0000 en hourly 1 http://wordpress.org/?v=3.2.1 News You Can Use – January 15 – 22 http://www.eatingdisorderpro.com/2012/01/23/news-you-can-use-january-15-22/ http://www.eatingdisorderpro.com/2012/01/23/news-you-can-use-january-15-22/#comments Mon, 23 Jan 2012 21:22:35 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1593 There is so much information in the news about our health these days, that it can become quite overwhelming. In hopes of relieving some of the stress this can inflict on both my patients and my readers, I’ve highlighted some of the weekly health news that was of particular interest to me. Here is your news update for the week of Jan 15-22 2012!

Obama says NO to WhiteHouse.gov petition to legalize raw milk at federal level
Popular orange juices flavored with secret “flavor packs” not listed on the label
New scientific study links bee deaths to pesticides
Kids may have higher obesity risk if dad is overweight, study says
Consumers’ thirst for organic milk exceeds supply
Effort gets underway to require GMO food labeling
The Truth About Natural Foods
3 Surprising Reasons to Give Up Soda
Watching ‘The Biggest Loser’ may increase anti-fat attitudes
A randomized controlled trial of adjunctive family therapy and treatment as usual following inpatient treatment for anorexia nervosa adolescents
Children Diet To Keep Off Pounds And Ward Off Bullying, Survey Says
Good Intentions Ease Pain, Add to Pleasure
Mindful Eating Restaurant Study

Were there any news articles that you saw this week that really grabbed your attention? Leave a comment with a link. If the article helped you, it will likely help some of my other readers!

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2012, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

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]]> http://www.eatingdisorderpro.com/2012/01/23/news-you-can-use-january-15-22/feed/ 0 iTherapy – Integrating the iPhone into Therapy http://www.eatingdisorderpro.com/2012/01/18/itherapy-integrating-the-iphone-into-therapy/ http://www.eatingdisorderpro.com/2012/01/18/itherapy-integrating-the-iphone-into-therapy/#comments Wed, 18 Jan 2012 18:37:04 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1585 I recently read an article by Dr. Weissman of the Chicago Institute of Psychoanalysis that introduced the concept of using an iPhone in the treatment of anorexia and body dysmorphic disorder.

Times are changing faster than ever. Technological advances, such as the introduction of the iPhone, have drastically changed the way we communicate and perform everyday activities. We can easily observe our everyday lives via the video and photo component of the iPhone. Weissman believes that this component of iPhone technology could be an effective tool in the treatment of the body dysmorphia that often accompanies anorexia.

Many of my patients that are in treatment for anorexia also experience some level of body dysmorphia; they see an obese person looking back at them in the mirror even though they are drastically underweight. Today, body dysmorphia is typically treated through psychotherapy, nutritional support and medication. For some patients, these approaches have limited success rates.

When a patient talks to me about the “obese person” that they see in the mirror, I often introduce a body image exercise involving “photo-therapy”. I ask the patient to take a photograph of themselves and bring it to their next treatment session. Oftentimes, when the patient returns and we talk about the photograph, the same body that was once described as being “fat” and “obese” is now described as being “underweight” and “malnourished”.

Weissman explains that when an anorexic patient looks in the mirror, their self perception is instantly fused with a distorted body image. The brain is so overwhelmed by this distortion, that it cannot process the image of the “real” body. The brain becomes trapped in this optical illusion, this distorted view. In contrast, when an anorexic patient sees his or her self in a photograph, the brain first acknowledges that there is a person in the photograph, it then focuses on the physicality of the photographed person. The brain then sends the message to the patient that they are the person in the photograph.

Integrating iPhone Therapy into the treatment of anorexia could definitely be a powerful tool in overcoming the body dysmorphia associated with anorexia. Based upon psychotherapy techniques developed by Frieda Fromm-Reichmann in Principles of Intensive Psychotherapy I, the steps below are Weissman’s suggested approach to integrating the iPhone into treatment:

  1. Patient and therapist look at patient in the mirror. Patient describes what they see.
  2. Therapist takes a photograph of the patient with iPhone. Patient describes what s/he sees.
  3. Therapist and patient discuss the differences between the description of the patient in the mirror and the patient in the photograph.
  4. A photograph of the patient standing beside the therapist is taken. Patient describes the image of the therapist. If the patient see distortion in the therapists image, the therapist and patient develop a jointly shared description of the therapist.
  5. Patient describes image of self. If patient sees distortion, the therapist and patient develop a jointly shared description of the patient.

Weissman points out the importance of the therapist not correcting the distorted view of the patient. If the patient does experience distortion in the photograph, the therapist should remind the patient that they both agreed on the description of the image of the therapist in the same photograph. It is necessary that the therapist and patient try to come to an agreement on the description of the patient.

Weissman predicts that utilizing this iPhone exercise will lead to an eventual reduction in the amount of distortion that the patient experiences when looking in the mirror. A combination of iPhone Therapy, Cognitive Behavioral Therapy (CBT) and nutritional counseling may lead to the patient gaining the important ability to maintain a healthy weight with little outside assistance. If the therapist successfully teaches the patient to be able to independently perform this exercise on a regular basis, there could be a drastic drop in relapse rates.

Sources: “Photo-Therapy: A Promising Intervention in Anorexia Nervosa?” http://www.psychiatrictimes.com/eating-disorders/content/article/10168/2016956

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2012, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

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]]> http://www.eatingdisorderpro.com/2012/01/18/itherapy-integrating-the-iphone-into-therapy/feed/ 0 News You Can Use – Jan 9 – 16 2012 http://www.eatingdisorderpro.com/2012/01/16/news-you-can-use-jan-9-16-2012/ http://www.eatingdisorderpro.com/2012/01/16/news-you-can-use-jan-9-16-2012/#comments Tue, 17 Jan 2012 02:31:17 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1475 There is so much information in the news about our health these days, that it can become quite overwhelming. In hopes of relieving some of the stress this can inflict on both my patients and my readers, I’ve highlighted some of the weekly health news that was of particular interest to me. Here is your news update for the week of Jan 9-15 2012!

Were there any news articles that you saw this week that really grabbed your attention? Leave a comment with a link. If the article helped you, it will likely help some of my other readers!

>>Like me on Facebook
>>Twitter @drrenae
>>Dr Norton Google+
>>Contact Dr Norton by phone 513-205-6543 or by form
>> Inquire about booking Dr Norton for a speaking engagement
>>Read About Dr Norton
>>View video about Dr Norton

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2012, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2012, Dr J Renae Norton. http://www.eatingdisorderpro.com’

]]> http://www.eatingdisorderpro.com/2012/01/16/news-you-can-use-jan-9-16-2012/feed/ 0 Appetite Hormones 101: Peptide YY http://www.eatingdisorderpro.com/2012/01/05/appetite-hormones-101-peptide-yy/ http://www.eatingdisorderpro.com/2012/01/05/appetite-hormones-101-peptide-yy/#comments Thu, 05 Jan 2012 16:45:11 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1454 In this third and final installment of the series, “Appetite Hormones 101”, we will discuss Peptide YY (PYY). The purpose of this series is to explain the role of hormones on both appetite and body weight goals, as it relates to both weight loss and weight restoration. If you’re a new reader, be sure to check out “Appetite Hormones 101: Leptin” and “Appetite Hormones 101: Ghrelin“.

Peptide YY (PYY)

PYY is a hormone that suppresses appetite. It was discovered to play a role in digestion in 1985. PYY regulates food intake, and is believed to improve leptin sensitivity. The amount of PYY released by our bodies is influenced by the number of calories we ingest; the more calories we ingest, the more PYY is released. The diagram below shows how our PYY levels, ghrelin and leptin levels typically fluctuate before and after meals:

PYY levels are highest in individuals battling anorexia, followed by those individuals that are lean,which explains why both groups have less hunger and also may have more difficulty eating. PYY levels are lowest among obese and morbidly obese individuals. Individuals with bulimia also experience low levels of PYY, which helps to explain why all three groups feel more hunger. Research shows that the obese individual can decrease their PYY levels by 30% by reducing their body weight by 5.4%. PYY levels are not believed to be effected by weight restoration during recovery from anorexia. It is also important to note that high levels of PYY in anorexic individuals is associated with decreased bone mineral density (BMD).

Our mood also effects our PYY levels. Recent studies show that PYY levels are higher in those suffering from major depression. This explains why many people with major depression have a decreased appetite and experience weight loss.

PYY levels can be regulated through both diet and exercise. Diets high in quality protein tend to raise PYY levels highest, followed by diets high in healthy fats. High carbohydrate diets tend to raise PYY levels the least. Aerobic exercise has also been proven to raise PYY levels, whereas strength-training has no effect on PYY levels (although strength-training does lower ghrelin levels).

In conclusion, PYY regulates our appetite. The higher our PYY levels are, the more satiated we will feel. You can ensure your PYY levels are highest by eating a high protein diet and including aerobic exercise in our workout routine.

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2012, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.
Please credit ‘© 2012, Dr J Renae Norton. http://www.eatingdisorderpro.com)’.

Sources
J Clin Endocrinal Metab. 2009 Nov; 94(11): 4463-71 Epub 2009 Oct 9

http://news.sciencemag.org/sciencenow/2006/09/06-02.html

http://jcem.endojournals.org/content/91/3/1027

http://www2.massgeneral.org/harriscenter/about_bn.asp

http://www.eatingdisordersreview.com/nl/nl_edr_18_1_5.html

http://www.thebonejournal.com/article/S8756-3282(08)00162-2/abstract

http://ajpregu.physiology.org/content/296/1/R29.full

J Endocrinal Invest. 2011 Dec 15 [Epub ahead of print]

]]> http://www.eatingdisorderpro.com/2012/01/05/appetite-hormones-101-peptide-yy/feed/ 0 News You Can Use – Dec 26 – Jan 1 http://www.eatingdisorderpro.com/2012/01/03/news-you-can-use-dec-26-jan-1/ http://www.eatingdisorderpro.com/2012/01/03/news-you-can-use-dec-26-jan-1/#comments Tue, 03 Jan 2012 16:34:24 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1449 Your weekly health news update!

Were there any news articles that you saw this week that really grabbed your attention? Leave a comment with a link. If the article helped you, it will likely help some of my other readers!

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.© 2012, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2012, Dr J Renae Norton. http://www.eatingdisorderpro.com’

]]> http://www.eatingdisorderpro.com/2012/01/03/news-you-can-use-dec-26-jan-1/feed/ 0 The Holiday Season – Tips to Reduce Stress http://www.eatingdisorderpro.com/2011/12/21/the-holiday-season-tips-to-reduce-stress/ http://www.eatingdisorderpro.com/2011/12/21/the-holiday-season-tips-to-reduce-stress/#comments Wed, 21 Dec 2011 13:37:46 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1444 The holiday season is a particularly stressful time for many of my patients. Holiday gatherings are typically highly food-centered, which results in a lot of anxiety for those recovering from an eating disorder. I’ve created a list of useful tips on reducing holiday stress. I know this will help a lot of my patients!

  • Eat regularly throughout the day. Don’t skip meals in anticipation of a large dinner.
  • Be prepared. Try to find out what is being served ahead of time and work some of the foods you feel comfortable with into the meal. Bring one of your favorite dishes to share with the dinner guests, that way you will know you will have something you feel good about eating.
  • Discuss any specific concerns with your treatment specialist. Try to role play situations that you suspect may arise (such as comments about your weight, about your food choices etc). Be as prepared as you can be to avoid counter-productive coping behaviors.
  • Have an “emergency plan” in case you find yourself in a stressful situation. Get some fresh air, go to another room and practice some relaxation or deep breathing exercises, arrange for a close friend to be “on-call” in case you need someone to talk to.
  • Is someone going to be at the dinner that you feel makes healthy choices? Pay attention to what they are eating, their portion sizes. Use them as your reality check.
  • Set realistic goals. Don’t set yourself up for a stressful holiday season by over-scheduling yourself. You need to be your own #1. Make sure you leave some time to focus on yourself, allow yourself to get an adequate amount of sleep, engage in activities that make you feel good (exercise, relax or meditate).
  • Don’t isolate! Spend time with family and friends. If it isn’t possible to physically be with your loved ones, have a phone conversation or use Skype! Isolating yourself won’t make you feel better, in many situations it may even make you feel worse.
  • Be in the moment! Enjoy the time with your loved ones, have great conversations, laugh, make memories!

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2011, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2011, Dr J Renae Norton. http://www.eatingdisorderpro.com)’.

Sources:

http://ed-bites.blogspot.com/2010/11/tip-day-surviving-thanksgiving-without.html

http://www.nationaleatingdisorders.org/nedaDir/files/documents/handouts/Holiday.pdf

]]> http://www.eatingdisorderpro.com/2011/12/21/the-holiday-season-tips-to-reduce-stress/feed/ 0 Your Health in the News – Dec 12 – 19 http://www.eatingdisorderpro.com/2011/12/20/your-health-in-the-news-dec-12-19/ http://www.eatingdisorderpro.com/2011/12/20/your-health-in-the-news-dec-12-19/#comments Wed, 21 Dec 2011 04:49:52 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1439 Your weekly health news update!

Were there any news articles that you saw this week that really grabbed your attention? Leave a comment with a link. If the article helped you, it will likely help some of my other readers!

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2011, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2011, Dr J Renae Norton. http://www.eatingdisorderpro.com’

]]> http://www.eatingdisorderpro.com/2011/12/20/your-health-in-the-news-dec-12-19/feed/ 0 Your Health In The News – Nov 27 – Dec 4 http://www.eatingdisorderpro.com/2011/12/05/1422/ http://www.eatingdisorderpro.com/2011/12/05/1422/#comments Tue, 06 Dec 2011 01:38:24 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1422 Your weekly health news update!

Were there any news articles that you saw this week that really grabbed your attention? Leave a comment with a link. If the article helped you, it will likely help some of my other readers!

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2011, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2011, Dr J Renae Norton. http://www.eatingdisorderpro.com’

]]> http://www.eatingdisorderpro.com/2011/12/05/1422/feed/ 0 News You Can Use http://www.eatingdisorderpro.com/2011/10/26/our-health-in-the-news-2/ http://www.eatingdisorderpro.com/2011/10/26/our-health-in-the-news-2/#comments Wed, 26 Oct 2011 16:54:27 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1329 Your weekly health news update!

Lawsuit Against the Corn Refiners Association Moving Forward
Why the New Corn Syrup Labeling is Misleading
O.N.E. Coconut Water Pledges $10,000 to Nonprofit Whole Planet Foundation to Help Fight World Poverty
Organic Apples Make the Perfect Health Food
Which cereal brands are truly committed to producing clean, organic food?
Eat Your GOMBBS!
Label Plan Offered to Rate Food Nutrition
Leptin Levels Linked To Anxiety And Depressive Symptoms
Genetically Modified Salmon: The Fishy Risk the FDA Is Taking with Your Health

Were there any news articles that you saw this week that really grabbed your attention? Leave a comment with a link. If the article helped you, it will likely help some of my other readers!

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2011, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2011, Dr J Renae Norton. http://www.eatingdisorderpro.com’

]]> http://www.eatingdisorderpro.com/2011/10/26/our-health-in-the-news-2/feed/ 0 The Norton Center Video – Eating Disorder Therapy in Cincinnati http://www.eatingdisorderpro.com/2011/10/17/the-norton-center-video-eating-disorder-therapy-in-cincinnati/ http://www.eatingdisorderpro.com/2011/10/17/the-norton-center-video-eating-disorder-therapy-in-cincinnati/#comments Tue, 18 Oct 2011 01:02:18 +0000 Dr. J Renae Norton http://www.eatingdisorderpro.com/?p=1316

]]> http://www.eatingdisorderpro.com/2011/10/17/the-norton-center-video-eating-disorder-therapy-in-cincinnati/feed/ 0