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Continuing Education

20th Annual Columbia River Eating Disorder Network Conference Schedule

2017 Conference Schedule


8 a.m. - Check-in and Walk-in Registration Opens

9-9:15 a.m. - Conference Welcome and Opening

9:15-11 a.m. - Conference Keynote 

Using Social Signaling to Target Emotional Loneliness in Anorexia Nervosa and
Other Disorders of Over-control  
|  Thomas Lynch, PhD

Radically Open Dialectical Behavior Therapy (RO-DBT) conceptualizes Anorexia Nervosa as a prototypical over-controlled disorder, characterized by low receptivity and openness, low flexible control, pervasive inhibited emotional expressiveness, low emotional awareness, and low social connectedness and intimacy with others. As a result, individuals with Anorexia Nervosa often report high levels of emotional loneliness. RO-DBT, a new evidence-based treatment, and its underlying neuroregulatory theory, offer a novel way of understanding how self-starvation and social signaling deficits are used as maladaptive regulation strategies to reduce negative affect.

RO-DBT proposes that rather than trying to be ‘emotionally regulated’ or achieving equanimity, long-term psychological well-being is achieved to increasing a sense of social connectedness and feeling part of a tribe. RO-DBT teaches skills using body postures, gestures, and facial expressions to activate brain regions that increase social safety responses, which function to increase emotional expressiveness and openness, crucial for successfully becoming part of a tribe.

Following this workshop, participants will be able to explain a new biosocial theory for over-control, describe a novel treatment mechanism positing open expression = trust = social connectedness, and identify the four core deficits and most common indirect social signaling styles of over-control. Presentation Slides (PDF)

11 a.m. - Coffee Break

11:10 a.m.-12:20 p.m. - Using Social Signaling to Target Emotional Loneliness in Anorexia Nervosa and Other Disorders of Over-control (continued)  |  Thomas Lynch, PhD

12:20-1:20 p.m. - Lunch

1:20-2:30 p.m. - Q&A with Thomas Lynch, PhD

2:30-2:45 p.m. - Break and Refreshments

2:45-4:00 p.m. - Breakout Sessions

Option 1: Dialectical Behavior Therapy
for Complex Eating Disorders:
The First Sessions

 Option 2: The Complicated Intersection of Digestive Health and Eating Disorders

Charlotte Thomas, LCSW, Manager of the Path To Mindful Eating Program, Portland DBT Institute Valerie Edwards, MS, RD, LD, Outpatient Dietitian, Providence Portland Medical Center

Dialectical Behavior Therapy (DBT) is an evidence based treatment for complex multi-diagnostic individuals with pervasive emotion dysregulation and high risk suicidal behavior.

For over two and a half decades, research has consistently demonstrated DBT as being effective for patients with a variety of complex problems–such eating disorders and substance abuse disorders–where emotion dyscontrol is at the core of the patient’s issues and often interferes with treatment and long-term maintenance of the therapeutic progress. 

This presentation will use a session–to–session birds eye view of the DBT implementation with complex eating disorders, demonstrating the use of DBT principles and skills in a concrete, “real world” manner.

Upon completion of this presentation,
participants will:

  • Learn about the first sessions of treatment using a composite client with a complex Eating Disorder
  • Understand the biosocial model of DBT as applied to a composite client
  • Learn about the timing and use of strategies such as dialectics, behavioral chain analysis, and diary cards

Presentation Slides - Full (PDF)

Presentation Slides - Handout Version (PDF)

Many clients who seek treatment for eating disorders also struggle with co-occurring digestive problems, and it’s often hard to know which came first.

The refeeding process for some clients can exacerbate or improve digestive symptoms, but it can also be difficult to determine how and when to intervene.

We are in the midst of learning and re-learning a lot of important information about digestive health, and the field of functional medicine is growing rapidly in an attempt to help patients find symptom relief.

This presentation will include discussion on such questions as:

  • “What is the microbiome anyway, and why does it matter?”
  • “Why do so many people with eating disorders also have IBS?”
  • “Functional medicine…what is that?”

Presentation Slides - Full (PDF)

Presentation Slides - Handout Version (PDF)