Treatment of USFED
Typically, when someone comes to Within Health after a crisis episode with a diagnosis of USFED, we may advise them to continue with hospital (inpatient) care until they can safely return home.
Once someone has transitioned home, our providers monitor vitals using remote patient monitoring (RPM). We follow blood pressure, heart rate, and temperature using numberless monitors, to be sensitive to those with heightened anxiety around numbers. Clinical experience has taught us that focusing on numbers can cause unnecessary added stress.
We perform a comprehensive evaluation and develop a personalized treatment plan, so every individual receives the care they need. Our multidisciplinary approach entails a support team that includes a:
Therapies for USFED
Some of the most commonly recommended therapies for eating disorders, including USFED, are: (7,8)
- Cognitive behavioral therapy (CBT) or dialectical behavioral therapy (DBT): CBT and DBT are types of talk therapy in which therapists work with individuals to help them understand what may be causing their behaviors and teach them how to change their negative thought patterns and behaviors .
- Medication: Our psychiatrists participate in shared decision making to determine if someone’s co-occurring conditions warrant medication, or if therapy alone suffices.
- Nutritional Rehabilitation: An integral part of healing includes restoring a positive relationship with food, without the pressures or rules of dieting. This involves learning how to recognize, respect, and follow hunger cues.
- Mood or food diary: Some may find this overwhelming or anxiety inducing, while others find this helpful with the assistance of a dietician and nutritionist. Keeping a diary can identify unconscious behaviors and triggers.
- Alternative medicine: Eating disorders often stem from traumatic events that happened during childhood, such as physical, sexual, or emotional abuse, death of a caregiver or close family member, divorce, poverty, or natural disaster. Depending on the type of trauma suffered, alternative treatments such as massage, music, art, body awareness, yoga, biofeedback, and acupuncture therapy can be extremely beneficial. (4)
Levels of Care for USFED
There are typically three levels of care:
- Partial hospitalization program (PHP)
- Intensive outpatient program (IOP)
- Outpatient program (OP)