Parallel Session 6

Intoxicating Cycles of Shame: The Missing Link in the Treatment of Co- Occurring Eating and Substance Abuse Disorders

 

Summary

A deep sense of shame often underlies and drives eating disorders (ED) and substance abuse (SA). When these two disorders co-occur, the level of shame intensifies. The special challenges of treating these co-occurring disorders will be discussed and this presentation highlights shame as a key force underlying and perpetuating the cyclical nature of these disorders. Clinicians will learn how to identify and help individuals break the patterns of shame that drive destructive behaviors.

 

Abstract

Substance abuse disorders co-occur in up to 50% of eating disorder treatment recipients while 35% of the addiction treatment recipients have a co-morbid eating disorders diagnosis. Accurately diagnosing and treating this co-occurring disorders is paramount for long term growth and recovery. Research indicates a deep sense of shame often underlies and drives eating disorders (ED) and substance abuse (SA) and dependence disorders (SD). When these two disorders co-occur, the level of shame intensifies. Understanding shame is particularly salient addiction medicine as research has shown that shame resilience therapy greatly decreases the magnitude and frequency of relapse. Relevant research exploring the link between shame, substance and eating disorders will be discussed. The special challenges of treating these co-occurring disorders will be discussed and this presentation highlights the clinical levels of shame as a key force underlying and perpetuating the cyclical nature of these disorders. Clinicians will learn how to identify and help individuals break the patterns of shame that drive destructive behaviors.

 

Knowledge Level: All

 

Presenter Biography

Dr. Margaret Nagib is a clinical psychologist specializing in treating eating disorders, trauma, addiction, self-injury and mood disorders as well as spirituality, and inner healing. For over 15 years, she has provided individual, family and group therapy. Today, as a key faculty member of Timberline Knolls’ Clinical Development Institute, she travels throughout the country providing clinical training and presentations to professionals. Every year, she offers more than 30 presentations at national and regional meetings, and contributes to awareness and early intervention through media interviews and blog contributions.