 |

Outpatient Counseling Services
Outpatient Counseling Services are available for
adolescents, adults, couples and families. Clinicians at
Water’s Edge CHC are skilled and experienced in the
treatment of:
- eating disorders (anorexia, bulimia, binge eating)
- depression
- trauma/post-traumatic stress disorder (PTSD)
- insomnia
- generalized anxiety disorders
- social anxiety
- obsessive-compulsive disorder (OCD)
- panic disorder
- adjustment issues
- grief
- marital discord and parent-adolescent issues.
All individuals seeking treatment will receive a
comprehensive psychological assessment to assist in creating
an individualized treatment plan to meet your needs.
Outpatient Eating Disorder Services
Water’s Edge CHC Outpatient Eating Disorder Treatment
Program is a multidisciplinary treatment program for
adolescents and adults created to meet the individual needs
of each client. Therapists and dietitians work together to
provide the most effective treatment for the client.
Therapists at Water’s Edge CHC also have experience in
working clients with eating disorders and trauma.
Collaborative consultation with medical providers and other
relative treatment providers is a high priority of all providers
at Water’s Edge CHC.
Treatment is available for:
• Anorexia nervosa
• Bulimia nervosa
• Binge-eating disorder
• Eating Disorder Not Otherwise Specified
Client’s are individually assessed and may participate
in the following services:
• Individual psychotherapy
• Dietitian consultation
• DBT based group therapy
• Family therapy
• Intensive Outpatient (Day) Treatment (IOP)
• Body Image Individual or Group therapy
Group Therapy
Group therapy is an additional treatment option and provides
opportunities for individual’s experiencing eating disorders
to work on recovery with the support and understanding of
others who are experiencing similar struggles. Group
therapy has been shown to be an effective treatment option,
often in conjunction with individual therapy, for eating
disorders. Water’s Edge CHC group therapy program offers
unique and effective treatment components that can assist in
the recovery process.
Dialectical Behavior Therapy (DBT)
(Adolescent Eating Disorder Group)
This DBT group is oriented specifically for adolescents
(ages 13-18) with eating disorders. Participants in this
group will learn to apply DBT principles to help them cope
with urges and emotions arising from and/or triggering
eating disorder behaviors. Because this group involves the
active learning and practice of behavioral skills geared to
assist in coping with emotions, parental involvement is
required. One parent per adolescent is expected to attend
every group, so that they can learn the skills and coach
their adolescent in skill use. This parental involvement has
been found to be an essential piece for adolescents’
successful learning and use. Participants will be asked to
commit to attending the group regularly for 6 months to
ensure effective learning and use of skills.
Body Image Therapy Group
(Rotating Adolescent and Adult Group) The Body Image Therapy Group is oriented for individuals
with a history of eating disorder symptoms. Come discover
the tools to having a positive, loving relationship with
your body. Work to create a long term plan for maintaining a
healthy body image. This integrative approach will explore
healthy body image using traditional Cognitive/Behavioral
Therapy (CBT) and Narrative Therapy modalities. Other
therapeutic approaches such as art, movement, poetry,
journaling, video, and discussion will also be used.
Bulimia/ Binge Eating Disorder Therapy Group: I
This group follows treatment guidelines that have been
shown to be highly effective in reducing binge eating
and other eating disorder symptoms. Each week, group
members participate in a mindful eating experience,
skills teaching and process/supportive therapy. During
the mindful eating experience, participants practice
reading internal cues to distinguish feelings of hunger
and satiety. The skills teaching component focuses on
evidence-based skills to help participants cope with the
urges and emotions arising from and/or triggering eating
disorder behaviors. These include Dialectical Behavioral
Therapy (DBT; Mindfulness, Interpersonal Effectiveness,
Emotion Regulation, and Distress Tolerance skills), as
well as Cognitive-Behavioral, Behavioral, Narrative, and
Experiential coping skills. In the final component of
the group, participants obtain support from other group
members in using skills, fighting the eating disorder,
and coping with shared difficulties. This is an ongoing,
open group. Participants are asked to commit to
attending the group regularly for a minimum of 16 weeks.
Bulimia/Binge Eating Disorder Therapy Group: II
This group is for adults (age 18 and older) who have
been able to reduce the frequency of their eating
disorders symptoms, though continue to struggle with
urges and recurring lapses of increased symptom usage.
As in Group I, participants will engage in a mindful
meal experience followed by exercises to practice
general mindfulness and relaxation skills. Dialectical
Behavioral Therapy (DBT) skills and other effective
coping skills are regularly reviewed for ongoing study
and integration in participants lives. Each week
participants are given opportunities to share their
successes and trials and to receive support and
encouragement from other group members and the group
facilitators.
Anorexia/Bulimia Eating Disorder Therapy Group
This group is oriented specifically for adults (age 18
and older) who struggle with restricting food intake
and/or binge/purge behaviors. Each group includes an
interactive learning component, a supportive meal, and
supportive/process therapy. Group Leaders (two
therapists and a registered
dietitian) meet with participants to teach
evidence-based skills to help participants cope with the
urges and emotions arising from and/or triggering eating
disorder behaviors. These include, but are not limited
to, Dialectical Behavioral Therapy (DBT; Mindfulness,
Interpersonal Effectiveness, Emotion Regulation, and
Distress Tolerance skills), as well as
Cognitive-Behavioral, Behavioral, Narrative, and
Experiential coping skills. During the supportive meals,
staff are present to support and coach participants on
portioning food and eating while avoiding eating
disorder behaviors. Meals are catered, allowing
participants the opportunity to challenge themselves
with a variety of food, and to “reclaim” foods
previously “forbidden” by the eating disorder. In the
final segment, participants obtain support from other
group members in using skills, fighting the eating
disorder, and coping with shared difficulties. This is
an ongoing, open group. Participants are asked to commit
to attending the group regularly for a minimum of 16
weeks.
Intensive Outpatient (Day) Program (IOP)
Water’s Edge CHC IOP is designed for individuals (ages 18
and older) who have been unable to normalize eating and/or
unable to
interrupt eating disorder symptoms with less intensive
treatment. The program will also benefit individuals needing
ongoing support during the transition from more intensive
levels of treatment, such as inpatient or residential stays,
to the outpatient setting.
The program is multiple days per week. A step-down design
allows individuals to participate in an individualized
treatment program specific to the intensity of their
symptoms and support needed.
Water’s Edge CHC IOP is multi-modal and holistic in its
treatment approach. Treatment components include meal
support, nutritional counseling, dialectical behavioral
therapy (DBT), group therapy and a spiritual health group.
Yoga, self-accupressure and Qi Gong are taught as additional
ways to cope with stress.
|
 |