$20.00

2 CEs
CEU Course

The Disordered Eating Spectrum: An Expanded View of Relationship with Food (February 2024)

Eating disorders (eg, binge eating disorder, bulimia nervosa, and anorexia nervosa) are a group of psychiatric conditions defined as a disturbance in eating or eating-related behaviors that impair physical or psychosocial functioning (1).” Eating disorders impact various groups of people of all genders, ages, socioeconomic statuses, shapes and sizes. Three of the most common forms of eating disorders are known as anorexia nervosa, bulimia nervosa, and binge eating disorder (2). The DSM-5 holds the standard for diagnoses of eating disorders, as they derive in mental health. Furthermore, according to McCallum Place, “Individuals who develop eating disorders may also be at increased risk for various co-occurring mental health concerns, including anxiety, depression, substance use disorders, obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD). The risk of suicidal idealation and self-harm may also be greater among individuals who struggle with certain types of eating disorders (3).” While diagnosis, especially early diagnosis, is essential in the treatment of eating disorders and co-occurring conditions, it is not all-inclusive. In fact, “Disorders without physical symptoms may go unrecognized, and some individuals experiencing symptoms may not seek care (4).” There are numerous people who are going unrecognized, who may not fit the criteria outlined in the DSM-5, who still need treatment and care.

Date

2/22/2024 1:00PM - 3:00PM EST

Instructors

Danielle Marzella

Cost

$20.00

Credit Hours

2 clinical CEs

Course Overview

Eating disorders (eg, binge eating disorder, bulimia nervosa, and anorexia nervosa) are a group of psychiatric conditions defined as a disturbance in eating or eating-related behaviors that impair physical or psychosocial functioning (1).” Eating disorders impact various groups of people of all genders, ages, socioeconomic statuses, shapes and sizes. Three of the most common forms of eating disorders are known as anorexia nervosa, bulimia nervosa, and binge eating disorder (2). The DSM-5 holds the standard for diagnoses of eating disorders, as they derive in mental health. Furthermore, according to McCallum Place, “Individuals who develop eating disorders may also be at increased risk for various co-occurring mental health concerns, including anxiety, depression, substance use disorders, obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD). The risk of suicidal idealation and self-harm may also be greater among individuals who struggle with certain types of eating disorders (3).” While diagnosis, especially early diagnosis, is essential in the treatment of eating disorders and co-occurring conditions, it is not all-inclusive. In fact, “Disorders without physical symptoms may go unrecognized, and some individuals experiencing symptoms may not seek care (4).” There are numerous people who are going unrecognized, who may not fit the criteria outlined in the DSM-5, who still need treatment and care.

To better support these individuals, providers must ensure recognition in and understanding of the disordered eating spectrum. The disordered eating spectrum is the most robust view of an impaired relationship with food, capturing all people who engage in disordered eating behavior, but with less frequency or less severity than those whom are able to be diagnosed with an eating disorder. Today’s content will focus on the disordered eating spectrum and the psychological connection. It will focus on how food is the outlet or outcome some underlying behavioral cause, which needs treated at the source. For example, “traumatic events, posttraumatic stress disorder (PTSD) and related symptoms are commonly associated with eating disorders (ED)(5)”. Because of this intense correlation, it is absolutely essential for the care team to be working together and understand all outlets that can be taken. The integration between the two fields, psychology and nutrition, is unquestionable. In fact, according to a study conducted in 2019, researchers aimed to determine “whether orthorexia is a separate clinical entity, a part of eating disorder or another manifestation of obsessive-compulsive disorder (6).” The conclusion: It [orthorexia nervosa] does not belong to the OCD spectrum, but meets criteria of eating disorder spectrum (6)”. With immense overlap in mental health, the assessment from a psychological standpoint is essential in assessing those who might be struggling and implementing early treatment. The EAT 26 is a tool utilized for assessment when needed, with followed direction on a Registered Dietitian for continued support (7).

Learning Objectives

  1. Participants will identify the spectrum of disordered eating as it relates to those struggling with an impaired relationship with food.
  2. Participants will identify those suspected of an impaired relationship with food, regardless of body shape and size.

Course Bibliography

  1. Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Chelmow, D., Coker, T. R., Davis, E. M., Donahue, K. E., Jaén, C. R., Kubik, M., Li, L., Ogedegbe, G., Pbert, L., Ruiz, J. M., Silverstein, M., Stevermer, J., & Wong, J. B. (2022). Screening for Eating Disorders in Adolescents and Adults: US Preventive Services Task Force Recommendation Statement. JAMA, 327(11), 1061. https://doi.org/10.1001/jama.2022.1806
  2. Wolfram, T. (2019) Understanding eating disorders, EatRight. Academy of Nutrition and Dietetics. Available at: https://www.eatright.org/health/diseases-and-cond... (Accessed: September 19, 2022).
  3. McCallum Place: DSM 5 diagnostic criteria for eating disorders (2020) McCallum Place Eating Disorder Center. Available at: https://www.mccallumplace.com/admissions/dsm-5-di... (Accessed: September 19, 2022).
  4. Feltner, C., Peat, C., Reddy, S., Riley, S., Berkman, N., Middleton, J. C., Balio, C., Coker-Schwimmer, M., & Jonas, D. E. (2022). Screening for Eating Disorders in Adolescents and Adults: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA, 327(11), 1068. https://doi.org/10.1001/jama.2022.1807
  5. Brewerton, T. D., Perlman, M. M., Gavidia, I., Suro, G., Genet, J., & Bunnell, D. W. (2020). The association of traumatic events and posttraumatic stress disorder with greater eating disorder and comorbid symptom severity in residential eating disorder treatment centers. International Journal of Eating Disorders,53(12), 2061-2066. doi:10.1002/eat.23401
  6. Łucka, I., Janikowska-Hołoweńko, D., Domarecki, P., Plenikowska-Ślusarz, T., & Domarecka, M. (2019). Orthorexia nervosa – a separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder? Psychiatria Polska, 53(2), 371–382. https://doi.org/10.12740/pp/onlinefirst/85729
  7. 26: Eating attitudes test & eating disorder testing – use the EAT-26 to help you determine if you need to speak to a mental health professional to get help for an eating disorder. (2022) EAT. Eating Attitudes Test. Available at: https://www.eat-26.com/ (Accessed: September 19, 2022).

Approvals

Cognitive Behavior Institute, #1771, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 06/30/2022-06/30/2025. Social workers completing this course receive 2 clinical continuing education credits.

Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.

Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.

Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program. Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see https://www.aswb.org/ace/ace-jurisdiction-map/. Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

Course Schedule

Course Date Course Start Time Course End Time Timezone
2/22/2024 1:00PM 3:00PM EST

Course Agenda

Course Event Day or Date Course Agenda Time Block Course Content Covered
Day 1 1-1:05pm Introduction & course overview
Day 1 1:05pm-2:20pm Lecture
Day 1 2:20-2:30pm Case study
Day 1 2:30-3pm Q&A

Frequently Asked Questions

Questions about Zoom and Webinars

What platform will be used for the webinar? CBI Center for Education has invested in Zoom for Webinars. You do not need a Zoom account to join the webinar and you can join from your computer or mobile device. As an attendee, the presenter will not be able to see your video or hear you unless they give you special permission during the webinar.

What time will the webinar begin and in what time zone? Please see the event page on https://www.cbicenterforeducation.com/ for information about the webinar, such as the start time. In addition, when registrants receive the email for the event, the date and time of the event is included.

When will I receive the link to attend the webinar? After you’ve signed up for the event through our website, you will receive an automated email from Blue Sky. At the bottom of this email is a blue button labeled “Join” that you can click on the day of the event. Or log in directly to your Blue Sky account and join from there.

Why can’t I get into the webinar? Once you have joined the webinar, you might see a message that states that the webinar has not yet started. The webinar will start once the presenter has joined and clicks “start the meeting.” We hope this happens on time, but it may be several minutes late. Please be patient while you are waiting for the webinar to start.

lined internet or being physically located close to your router. Technical support will not be provided by CBI for any connection issues on the day of the training. CBI will not issue refunds due to technical issues experienced by participants. Our presenters are connected to hard-lined business-grade internet when presenting.

What happens if my internet briefly freezes? If you become disconnected during the event, log back on immediately. A brief interruption of connectivity will not impact your eligibility for a CE certificate.

Will there be a recording? No, there will not be a recording or replay.

Will you know that I am logged in and active in the webinar? Yes, Zoom’s platform monitors the attendance and activity of the attendees. Additionally, there will be a chat feature and various forms of participation monitored throughout the training.

Will I have to show my face on camera? Zoom’s webinar platform does not capture participants on video unless specifically requested during the meeting by the host. Instead, participants will view the presenter and the presenter's slides on their screen.

Is there Audio? Yes, the webinar will have sound. Please test that your device’s sound is working prior to the event. A good way to do this is to go to YouTube and play a
video.

Questions about the Event

Will I receive the presenter's slides? It is up to each presenter if they wish to share their slides. If slides are being shared, they will be uploaded as a document within the course in Blue Sky and can be downloaded and printed as necessary. We are unable to respond to emails asking for the slides ahead of the presentation.
 

Questions about the Survey

When will I receive my course evaluation survey? Following the completion of the event, the survey will be unlocked and located within the course.

You must complete the survey within 14 calendar days following the event if you would like to receive a CE certificate.

We are unable to respond to emails from participants asking for confirmation that their course completion survey was received. If you clicked the SUBMIT button your survey was received.

Do I need to fill out the course evaluation survey if I don’t want a CE certificate? If you do not wish to receive a CE certificate, you do not need to complete this survey. The CE certificate is the only type of certificate that will be issued.
 

Questions about Continuing Education & Certificates

What is the criteria for receiving CE? If you attend the whole webinar and complete the course evaluation survey, we will issue you the CE that you are eligible for.

How many suicide and ethics CE's will be issued? Please see the event page on https://www.cbicenterforeducation.com/for information about the training, including how much continuing education is offered and what type.

Will these CE's count toward my individual state licensure or another credential that I currently hold? It is the responsibility of the licensee to determine if trainings are acceptable as continuing education to their state’s licensure board or other credentialing body. Some of our trainings are individually approved for continuing education, such as through the Association of Social Work Boards individual course ACE Program. In addition, CBI is an approved provider of continuing education through the American Psychological Association CESA program and is an approved provider of continuing education to counselors, social workers, and psychologists in the state of New York. Many boards accept trainings that are individual approved or are offered by approved providers for continuing education. Please see the event page for the training you are interested in on our website https://www.cbicenterforeducation.com/for approvals that apply for each specific training.

Will you issue partial CE credits? No, we do not issue partial CE credits and therefore if you do not attend the training in its entirety, you will not be receiving a CE certificate. This is an APA and ASWB ACE requirement and is non-negotiable. Please refrain from emailing us explaining why you were unable to login to the event on time (this includes mixing up time zones and technical difficulties).

When will I receive my CE certificate? Upon completion of the event and survey, your certificate will immediately be available.

How will I receive my CE certificate? Your CE certificate will be available through your Blue Sky account and will also be directly sent to your email associated with your Blue Sky account. It will automatically be accessible to you once all previous criteria have been met.

I filled out the wrong email address or misspelled my name on my account registration. How do I get a new certificate? In the registration, it asks for the participant to fill out
their name, licensure, and license number. These fields automatically populate within our certificates. PLEASE NOTE: Any requested changes to the email entered after
registration or after the survey is complete will require a $5 processing fee. Additional changes to the produced CE certificate based off of information provided by the attendee will also require a $5 processing fee. CBI Center of Education is extremely lean administratively and utilizes technology to streamline our events in order to keep our trainings free to low cost. When we receive manual requests post registration, additional staff is needed to assist with these manual requests, thus the reason for the
change fees. Please reach out to info@cbicenterforeducation.com

Questions about Accommodation

How can I access accommodations for my disability? Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs
and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function.

For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.
 

Additional Questions

I have a question that isn’t in the Q&A. If you have any additional questions or concerns, please email us at info@cbicenterforeducation.com.

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