Outpatient Programs/Intensive Outpatient Program/Partial Hospitalization
Outpatient treatment provides ongoing individual, family, dietary, psychiatric, and any other service necessary for successful recovery from the client’s eating disorder. If it is believed that a client may benefit from a specific group in the program (i.e., DBT or ACT), a client may take part of that IOP group, with the other IOP clients.
Intensive Outpatient Program (IOP) provides more intensive services for clients who need more intensive support as they work towards recovery from an eating disorder. It is typically 3 days per week, 4 hours per day, and is used for more support than once or twice per week outpatient counseling. In transitioning from PHP to IOP you may need additional support and more groups than the traditional IOP may be recommended.
Partial Hospitalization Programming (PHP) is a step “up” into more intensive treatment than the IOP. It is 6 hours per day and 5 days per week. This is much like school or a full-time job, and the hope is that the individual takes this level of care as seriously as the staff does. It is a step prior to the individual going into a residential or intensive hospital program, or it is a step down.
ACCEPTANCE & COMMITMENT THERAPY (ACT): is a scientifically-based psychotherapy that considers suffering to be directly connected to our relationship with our thoughts and feelings. When we are suffering, we try to rid ourselves of painful experience such as anxiety, sadness, negative thoughts, bad memories, etc. Sometime this effort to eliminate the pain becomes a source of pain itself. In ACT, we work on viewing the thoughts and feelings with a different stance or attitude. The goal is to help one build a better life based on your values. The main goals of ACT are to:
(1) Accept your thoughts and feelings: help one accept what is out of their personal control.
(2) Choose a valued direction: clarify what is truly important and meaningful to them and
(3) Take Action: commit to taking action that enriches life.
BODY IMAGE: Individuals will process thoughts and feelings around body image and self-esteem. Clients may participate in experiential activities to counter negative beliefs about body image and to reinforce positive beliefs about one’s body image.
BODY MINDFULNESS: Patients are given the opportunity to use guided movements, imagery, and dance as a nonverbal and creative outlet for expression of hidden thoughts and feelings. This is also helpful with gaining greater body awareness, which can help challenge body image distortions and in re-learning natural body cues.
COGNITIVE BEHAVIORAL THERAPY (CBT): This group will focus on incorporating thoughts, feelings, and behaviors. Clients will work on changing those components and learn how they influence each other.
COPING SKILLS: Individuals will learn multiple coping skills (information gathering or stopping certain behaviors or actions) which can be used to control certain internal events that might cause unwanted pain, feelings, or fear.
DBT – Dialectical Behavior Therapy is a scientifically-based program that helps teach and support the individual during difficult situations. It teaches coping skills – as it connects with interpersonal anxieties, feeling overwhelmed with emotion, struggling with using logic when making emotional decisions, and learning to focus in each moment.
EXPERIENTIAL: This group relies more on the individual having an experience that draws them closer to their internal issues versus having verbal (often logical) processing. It uses a variety of expressive medium to achieve this goal, and is based on what the needs are in the group.
FAMILY PROCESS: Clients and their families will participate in discussions processing their issues and connecting with others in a safe environment. The group will work to raise awareness of underlying dynamics and conflicts while assisting clients in recognizing that they are not alone in their struggles.
HEALTHY SEXUALITY: Adult clients will process thoughts, feelings, and behaviors involving sexual health, sexuality, and relationships.
INTERPERSONAL: Clients will learn about their current relationships and how they impact their lives and recovery. Clients will have an opportunity to learn and practice healthy relationships and appropriate boundaries within those relationships.
LEVELS: Clients will complete assessments on how they view their progress and challenges in recovery. Clients will process what steps they need to take to further their progress and set goals for the next week based on those steps. Clients will review how they can utilize the program to reach their goals and give feedback on how the program is performing.
MEAL: As a participant of this group, each client, along with a therapist or dietitian, will bring an appropriate meal and eat their meals together. Participants will be able to process their feelings associated with the meal, as well as learn to establish healthy rituals around food.
NUTRITION: This group led by a registered dietitian and provides education and support on a variety of topics related to food, body image, and weight. The education provided helps change faulty beliefs that fuel eating disorders and the support helps clients apply the new information to their lives to promote recovery. This group uses a variety of instructional methods, including discussion, visuals, games, and hands-on activities.
PROCESS: Clients will participate in discussions processing their issues and connecting with others in a safe environment. The group will work to raise awareness of underlying dynamics and conflicts while assisting clients in recognizing that they are not alone in their struggles.
TRAUMA RECOVERY: Trauma affects many individuals, and is often an underlying factor in recovery. Trauma can fall on a spectrum from daily events to life-threatening events. In any situation on this spectrum, it is important to work through and manage the trauma in a safe and nurturing environment. This group provides education and processing of issues related to trauma.