Resources

A NEDIC Bulletin discussing the inclusion of exercise in eating disorders treatment, guidelines, and risks of doing so.

When you’re worried that your child has an eating disorder, figuring out how to get help for them can be very overwhelming. Primary care providers (family doctors, pediatricians, and nurse practitioners) play an important role in addressing eating disorder concerns, which can span diagnosing, referring to specialized eating disorder programs, and providing regular medical supervision. It’s recommended that you arrange for your child to be assessed by their primary care provider as one of the first steps in getting help. As it’s often difficult for people with an eating disorder to admit to or be open about their difficulties, consider speaking with your child’s primary care provider privately before they see your child. You may find this discussion guide useful to have on hand when you visit their primary care provider.

When you’re worried that your have an eating disorder, figuring out how to get help can be very overwhelming. Primary care providers (family doctors and nurse practitioners) play an important role in addressing eating disorder concerns, which can span diagnosing, referring to specialized eating disorder programs, and providing regular medical supervision. It’s recommended that you arrange to be assessed by your primary care provider as one of the first steps in getting help. You may find this discussion guide useful to have on hand when you visit your primary care provider.

The information in this resource addresses behaviours and warning signs associated with eating disorders and should not replace evaluation and treatment by a qualified professional. For additional support, please refer to our contact information, as well as other recommended resources, listed on the back of this booklet.

AboutFace’s mission is to promote and enhance positive mental and emotional well-being of individuals with facial differences and their families through social and peer support, information, educational programs and awareness.

The Academy of Nutrition and Dietetics is the world's largest organization of food and nutrition professionals. Members of the Academy play a key role in shaping the public's food choices, thereby improving its nutritional status, and in treating persons with illnesses or injuries. Members offer preventive and medical nutrition therapy services in a variety of settings.

A Bulletin describing the use of Acceptance and Comittment Therapy. “ACT is a therapy approach that uses acceptance and mindfulness processes, and commitment and behaviour change processes, to produce greater psychological flexibility.”

This webinar by Debbie Anderson, Art Therapist is an opportunity for anyone interested in the benefits of journaling as a support for ED healing to see in more detail why the art journaling option can be a powerful 'other voice in the room' for group discussion, and for internal change for the art-maker.

A NEDIC Bulletin discussing autonomy and beneficence in an eating disorder context. In general terms, the principle of autonomy recognizes that an individual who is competent has the right to make an informed choice about medical treatment. This choice must be made without coercion or undue influences from others. The principle of beneficence requires that health care providers do that which is considered “good”, or in the best interests of the person for whom they are providing care.

Seven small studies were identified; four placebo-controlled trials did not find evidence of efficacy of antidepressants in improving weight gain, eating disorder or associated symptoms, as well as differences in completion rates. Further studies testing safer antidepressants in larger and well designed trials are needed to guide clinical practice.This article is provided by Cochrane Canada.

The use of a single antidepressant agent was clinically effective for the treatment of bulimia nervosa when compared to placebo, with an overall greater remission rate but a higher rate of dropouts. No differential effect regarding efficacy and tolerability among the various classes of antidepressants could be demonstrated. This article is provided by Cochrane Canada.

Psychotherapeutic approaches, mainly cognitive behavior therapy, and antidepressant medication are the two treatment modalities that have received most support in controlled outcome studies of bulimia nervosa. Psychotherapy appeared to be more acceptable to subjects. When antidepressants were combined with psychological treatments, acceptability of the latter was significantly reduced. This article is provided by Cochrane Canada.

A NEDIC Bulletin discussing eating disorders from an addictions perspective.

Les jeunes qui ont une piètre estime de leur image corporelle tendent à devenir des personnes qui hésitent à exprimer leurs opinions et qui peuvent en venir à éviter certaines opportunités académiques, sociales et économiques. Développer sa résilience dès la petite enfance est la clé pour acquérir une meilleure image corporelle et estime de soi. Révisé en 2016! Comprenant maintenant cinq leçons par niveau, allant de la 4e année du primaire jusqu’à la 2e année du secondaire, le programme Au-delà de l’image a été actualisé afin de bien outiller les enseignants et enseignantes pour aider les élèves à mieux comprendre les messages véhiculés dans les médias et les médias sociaux. Au-delà de l’image, invite les jeunes à pénétrer le monde des médias armés d’un esprit critique! Les élèves apprennent la mécanique et la symbolique utilisées dans la construction des messages médiatiques, pour ensuite apprendre à créer leurs propres messages sur la beauté au-delà des apparences. Au-delà de l’image explore les concepts actuels de beauté masculine et féminine et ce que cela signifie d’y correspondre, aidant ainsi les élèves à comprendre et à développer leur capacité de résilience vis-à-vis de ces messages stéréotypés.

Many patients, however, do not respond as well as hoped to these treatments. Using cognitive and behavioural therapies in combination with certain medicines, for example d-cycloserine (DCS), is one option that may improve treatment response. This article is provided by Cochrane Canada.

A NEDIC Bulletin discussing what bariatric surgery is and its relationship with eating disorders.

A NEDIC bulletin discussing critical media literacy and the importance of research.

Whilst antidepressants remain the mainstay of treatment for depression in healthcare settings, psychological therapies are still important alternative or additional interventions for depressive disorders. Nowadays, a diverse range of psychological therapies are available (such as cognitive-behavioural therapies, behavioural therapies, psychodynamic therapies, humanistic therapies and integrative therapies). This article is provided by Cochrane Canada.

Beyond Images is a free curriculum for grades 4 through 8, filling a gap in media literacy curricula nationally and including activities that make a positive difference in combating appearance-based bullying and negative stereotypes. The curriculum provides the opportunity to explore key issues in today's society around body image and self-esteem as well as media messaging, while developing critical thinking skills. Revised for 2016, Beyond Images is also available in French.

Poor body image and self-esteem in youth can significantly impact their ability to interact with their world and pursue academic, social and economic opportunities. Building resilience and developing critical media literacy skills are two key components of teachers' toolkits for supporting today's youth. Beyond Images is a grade 4-8 curriculum that invites youth to engage in the world of media on their terms! Join two of the educators who created the Junior-Intermediate curricula as they share with you some of the ideas, strategies and resources that educators need in their classrooms today!

Studies show that how we feel about our bodies affects how we do socially, academically and physically. Understanding how body image is impacted in the school environment is fundamental to building resilience and positive self-esteem. Join Helen Vlachoyannacos OCT in exploring school-based experiences of body image and how to build resilience and self-esteem in the whole school community. Helen will address how to build community around body image issues among educators, parents, families and community members.

This session will provide an introduction to the subject of body image, and share tips for educators who wish to weave it into the classroom. Heather Thompson and Helen Vlachoyannacos wrote the Beyond Images curriculum for NEDIC, and will share their advice and perspectives on teaching body image to youth. They will also introduce the newly-revised Beyond Images curriculum, which is complete tool for educators and meets curriculum expectations for grades 4-8 across Canada.

NEDIC's brochure discussing binge eating disorder

A video produced by Shire Pharma Canada discussing binge eating disorder, a complex, prevalent, and under-served mental health condition.

A NEDIC Bulletin discussing body image and self-perception of women who have disabiliities.

A NEDIC Bulletin discussing body dissatisfaction and eating disorders in transgender individuals.

A NEDIC Bulletin discussing body equity, particularly in an educational context. Body-equitable curriculums and their implementation are discussed.

Body Image is an international, peer-reviewed journal that publishes high-quality, scientific articles on body image and human physical appearance. This is an external resource, and NEDIC is linking to it for informational purposes only.

It is increasingly understood that there are individuals of diverse body size, gender identity, race, ability, sexuality and socioeconomic status who struggle with an ED. This Bulletin explores the strengths and the gaps of the existing ED literature as it relates those living in poverty food insecurity

A summary of the findings of an Ipsos Reid opinion poll from November 2014.

CCSA works with its partners to address issues related to substance use and addiction that affect the health and safety of Canadians.

CMHA facilitates access to the resources people require to maintain and improve mental health and community integration, build resilience, and support recovery from mental illness.CMHA branches across Canada provide a wide range of innovative services and supports to people who are experiencing mental illness and their families.

To advance and promote psychology for the benefit of all, one of the CPA’s four objectives is to improve the health and welfare of all Canadians. Psychology is an important part of the social fabric of Canada. Canada is a big and diverse country.

An overview of Canadian research on eating disorders, prepared by the Ontario Community Outreach Program for Eating Disorders (2011) www.ocoped.ca and updated by the National Initiative for Eating Disorders (2017) www.nied.ca

Co-hosted by NEDIC and CWHN, this informative webinar recorded on February 4, 2010 covers the impact of media imagery on girls and women. The particpants' discussion was moderated by Shari Graydon, award-winning author, media educator and critic.

When most people think about women struggling with eating disorders, women with physical disabilities are rarely considered, despite the fact that studies and clinical observations have suggested that women with physical disabilities are actually at increased risk for developing an eating disorder. This webinar will discuss the role of physical disability in the development, maintenance, and treatment of disordered eating in women. Join Dr. Jennifer Mills and Kaley Roosen as they identify the severity of disordered eating within the population of women with physical disabilities, and discuss possible differences in how eating disorders manifest in this population.

For almost 20 years, Debbie Berlin-Romalis has facilitated support groups at Sheena’s Place, a non-residential, non-institutional centre for individuals, families, and friends affected by eating disorders. Through her clinical work and observations, Debbie has developed “trademarked concepts” that illustrate and highlight specific phenomena related to the social determinants of health and the onset and development of eating disorders.

CBT is significantly more effective than no therapy in reducing symptoms of anxiety in children and young people. No clear evidence indicates that one way of providing CBT is more effective than another (e.g. in a group, individually, with parents). This article is provided by Cochrane Canada.

A NEDIC Bulletin discussing coping strategies for the families, partners, and caregivers of individuals living with an eating disorder.

A NEDIC Bulletin discussing coping strategies for individuals living with eating disorders and food/weight preoccupation, especially surrounding the holiday season.

A NEDIC Bulletin discussing body image among Aboriginal youth. Cultural sensitivity in the body image context is discussed

Dance movement therapy (DMT) uses bodily movements to explore and express emotions with groups or individuals. This is the first review of the effectiveness of DMT for depression and will add to the evidence base regarding depression treatments. This article is provided by Cochrane Canada.

A NEDIC Bulletin discussing dental issues that may arise as a result of eating disorders.

A NEDIC Bulletin discussing strategies for developing public awareness campaigns.

A NEDIC Bulletin discussing strategies for developing and implementing support programming in rural and under-served areas.

What is Type 1 Diabetes? What is diabulimia? Lori-Short-Zamudio, a registered dietitian, explains and offers some ideas to reduce the risk and for treatment interventions.

A NEDIC Bulletin discussing dialectical behavioural therapy, which is a treatment common in the treatment of eating disorders.

A NEDIC brochure discussing myths and truths about dieting and weight loss.

Dietitians of Canada (DC) is the professional association representing over 5,000 members at the local, provincial and national levels with regional offices in British Columbia, Alberta and the Territories, Saskatchewan and Manitoba, Ontario, Quebec and Atlantic Canada.

A press release promoting No Diet Day 2015. Instead of dieting, NEDIC promotes body acceptance, and encourages individuals of all ages to balance eating for health and eating for pleasure, while exercising for enjoyment.

A NEDIC Bulletin discussing the intersections of body image and self-esteem in women.

Do you know the warning signs? This article provides a starting point for reviewing your own attitude towards food and weight.

Alyssa Durbin and Dr. Jennifer Mills discuss the results of their recent study investigating how presenter self-disclosure influences message and presenter ratings in a school-based universal prevention program.

Educators and caregivers often try to protect children from falling victim to the “obesity epidemic”. Although they may have the best intentions, their attitudes toward food and weight may actually increase the risk of eating disorders and poor body image of the children in their care. In this webinar, Susan Osher MSc, RD will discuss the latest research and share her clinical experience on creating a positive and nurturing food environment. She’ll focus on strategies that empower and educate children so that they are able to nourish themselves with self-love.

This webinar will review the current state of eating disorder prevention research, what has been shown to work, and where future research efforts appear to be heading. Dr. Jennifer Mills is a full-time Associate Professor in the Department of Psychology at York University. She conducts research on body image and eating disorders. Shasha Tse is a doctoral student at OISE at the University of Toronto. Her research interests include body image, eating disorders, and substance use.

A NEDICBulletin considering the Standing Committee on the Status of Women's report entitled "Eating Disorders Among Girls and Women in Canada" one year following the report's issue.

During this webinar Alma Naddafi, RN (EC), MA Ed, ACNPwill discuss the impact that eating disorders can have on fertility and infertility, and focus on how clinicians and eating disorder patients can be mindful of these impacts while working toward full healthy recovery. Clinicians, patients and family members alike will benefit from this introduction to the intersections between menstrual cycling, fertility and eating disorders.

Eating disorders are not a choice. They are not about vanity, weight or even food. Eating disorders are a serious mental health condition and may have serious health consequences.

This year we are promoting the message that One Size DOESN'T Fit All, to shine a light on the fact that Eating Disorders can and do affect individuals of all genders, ages, races and ethnic identities, sexual orientations and socio-economic backgrounds. The CMHA, together with NIED and NEDIC, has produced a toolkit and accompanying resources in French and in English.

The NEDIC team discusses myths, facts and false stereotypes surrounding eating disorders.

A NEDIC fact sheet with statistics about who is affected by eating disorders, how many people in Canada are affected by eating disorders, and that you cannot tell who has an eating disorder by looking at them.

A NEDIC brochure providing information about the prevalence and identification of eating disorders in boys and men, and tips for supporting affected individuals.

A resource prepared by NIED for Eating Disorders Awareness Week 2017, containing an overview of Canadian-centric facts and statistics about eating disorders.

An infographic depiction of the summary of the findings of an Ipsos Reid opinion poll from November 2014.

This video by Kelty Mental Health provides strategies to help parents and families provide structure and support to youth with eating disorders before, during and after meals.

Eating Disorders Review provides news and original articles on diagnosis and treatment of all eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, other specified feeding or eating disorders, and obesity. This is an external resource, and NEDIC is linking to it for informational purposes only.

Eating Disorders offers a multidisciplinary perspective on clinical issues and prevention research that considers the essential cultural, social, familial, and personal elements that not only foster eating-related problems, but also furnish clues that facilitate the most effective possible therapies and treatment approaches.This is an external resource, and NEDIC is linking to it for informational purposes only.

A NEDIC Bulletin discussing the "burden of disease" cost of eating disorders in Australia.

Eating disorders can affect anyone, contrary to stereotypes. Eating disorders can affect individuals of any gender, ethnicity, age, race, ability, or economic status.

NEDIC's brochure for educators who may work with youth living with eating disorders.

A NEDIC Bulletin discussing Emotion-Focused Therapy for eating disorders.

The Professional Journal of beat, the leading UK charity for people with Eating Disorders and their families, European Eating Disorders Review is an international journal, publishing articles which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. This is an external resource, and NEDIC is linking to it for informational purposes only.

A NEDIC Bulletin discussing the role of physical activity in healthas well as the connections between activitty, appearance, and self-esteem

Eating disorders are complex and no single factor explains why some women develop chronic eating disorders that don’t seem to respond to treatment and why some women relapse following apparently successful treatment. One potential factor is that “action-oriented” treatments that focus on making changes are not necessarily effective or appropriate for individuals who are not yet considering change. Motivational interviewing is an effective strategy that helps to resolve ambivalence and prepare women for action-oriented treatments such as cognitive behavioural therapy.

F.E.A.S.T. is an International non-profit organization of and for caregivers of loved ones suffering from eating disorders. F.E.A.S.T.’s Mission is to support caregivers by providing information and mutual support, promoting evidence-based treatment, and advocating for research and education to reduce the suffering associated with eating disorders.

A NEDIC Bulletin examining the Maudsley family-based outpatient treatment for anorexia in adolescents.

One form of intervention commonly utilised to treat patients with AN is family therapy. Overall there was some evidence to suggest family therapy may be effective compared to treatment as usual. However, there is not enough evidence to determine whether family therapy is effective compared to other psychological interventions for rates of remission. This article is provided by Cochrane Canada.

A NEDIC Bulletin exploring the experience of fat women in therapy from a variety of perspectives. Cultural and psychotherapeutic prejudices against fat women are explored

A NEDIC Bulletin discussing fat talk, or negative body-related ocnversations. The Bulletin discusses motivations and consequences of fat talk as well as strategies to stop it.

There has been a growing recognition of the diversity of those who struggle with eating disorders across age, gender, sexuality, ability, race, class, body size and other lines of identity. Yet there remains a lack of research and understanding surrounding food insecurity and the impact this has on diverse, marginalized populations with eating disorders. Presenter Christina Hyland is a second-year doctoral student at the Factor-Inwentash Faculty of Social Work at the University of Toronto. Christina’s scholarship focuses on the mental health implications of food insecurity and eating disorders as experienced by marginalized youth populations.

A NEDIC Bulletin discussing eating disorders and body image for women in midlife.

A NEDIC Bulletin exploring getting help, including how to select a therapist and what to expect from therapy as wella s common obstacles.

A NEDIC Bulletin exploring the recovery process, focusing on the period after the initial tasks of recovery have begun and potential issues or roadblocks that may arise.

The causes of eating disorders are not fully understood although research suggests that they are influenced by a multitude of factors, including genetics, psychological, social and cultural factors. In this media release, NEDIC offers tips to encourage positive self-esteem and to make sure your child is healthy on the inside and on the outside.

NEDIC's informational brochure for family members of individuals living with eating disorders.

NEDIC's Guide for Friends

Health At Every Size (HAES)® is an alternative paradigm to the traditional weight focused approach. Join Kori Kostka RD as she discusses her experience using this non-weight biased paradigm to help individuals build a positive body image, enjoy food, and discover the pleasure of moving their body to attain a sustainable, life-affirming and health providing outcome.

HelpGuide is a guide to mental health and wellness. Their goal is to empower you with the knowledge and support you need to take charge of your life and start feeling better.

A NEDIC Bulletin offering coping strategies for individuals who are living with eating disorders and their partners, families, and loved ones.

The NEDIC team discusses ways to support someone with an eating disorder.

A NEDIC Bulletin discussing the value of self-compassion and the burdens of self-consciousness and associated emotions.

Primary care providers play an essential role in the assessment and care of individuals with eating disorders. Developed in collaboration with Body Brave, this resource for primary care providers is a concise guide to supporting patients who present with eating disorder concerns.

A NEDIC Bulletin considering the value of eating disorders prevention work and body image improvement work, and whether the two are linked.

In this webinar, Eva Pila MSc reviews the latest research on social physique anxiety in exercise, sport, and physical education and discuss its impact on eating disorders. The webinar includes evidence-based strategies to reduce body-related anxiety that can be applied by parents, teachers, fitness instructors and health professionals.

There was a limited amount of very low-quality evidence to suggest that people might do better when receiving focal psychodynamic therapy compared to no treatment or treatment as usual. With one exception, we found little difference between specific psychological therapies. This article is provided by Cochrane Canada.

This review aimed to assess evidence about the effects of outpatient psychotherapy on older adolescents and adults with anorexia nervosa. Although anorexia nervosa is a severe and disabling disorder, only seven trials were found. The trials used different types of psychotherapy. It was not possible to make firm conclusions about the therapies tested. This article is provided by Cochrane Canada.

International Journal of Eating Disorders (IJED) publishes rigorously evaluated, high-quality contributions to an international readership of health professionals, clinicians and scientists. This is an external resource, and NEDIC is linking to it for informational purposes only.

Eating disorders represent an extremely difficult, time-consuming and costly condition to treat. Being young, female, and dieting are some of the few identified risk factors that have been reliably linked to the development of eating disorders. Several eating disorder prevention programs have been developed and trialled with children and adolescents. There is currently limited evidence in the published literature to suggest that any particular type of program is effective. This article is provided by Cochrane Canada.

Classroom instruction increases short-term knowledge of suicide and suicide prevention. It may slightly enhance short-term confidence in ability to prevent suicide. However, long-term effects have not been studied. Effects of classroom instruction on suicidal behavior have also not been studied. This article is provided by Cochrane Canada.

In all provinces, to obtain provincial health insurance coverage for out-of-province and out-of-country eating disorder treatment, a similar process must be followed.

The BC Children’s Kelty Mental Health Resource Centre is a provincial resource centre that provides mental health and substance use information, resources, help with system navigation, and peer support to children, youth and their families from across BC. They also provide resources and peer support to people of all ages with eating disorders or disordered eating concerns. All of their services are free of charge.

A NEDIC Bulletin discussing the impact of eating disorders on the family, including siblings. As the family organizes around the affected individual, the entire family can be impacted. This family discusses the role of and impact on siblings.

A NEDIC Bulletin discussing the experience of males affected by eating disorders, including barriers to care, myths, and symptoms.

Is it possible to manage your blood sugar levels without the fear of food, and the preoccupation with carbohydrates, sugar, calories, portions, etc.?! In our fast pace environment, managing our blood sugar may feel like another full-time task on top of your already busy life! Using a mindful approach, it can help to lower the burden and stress of diabetes and find a way to re-look at living with diabetes in a practical way that works for you. Join Kori Kostka, RD for this mindful approach to eating, moving your body and feeling great while living with diabetes!

A NEDIC Bulletin discussing triggers in the context of eating disorder recovery, and offering strategies to predict and manage possible triggers.

Frank Colosimo and Robbie Ahmed from Egale Canada discuss the m.Bodiment project, and ways for healthcare providers to be inclusive of the specific body image/eating disorder needs of the GBTQ community.

A NEDIC Bulletin discussing the impact of eating disorders on the affected individual's partner, putting the stages of change into context along with roadblocks and experiences the partner may encounter.

A NEDIC Bulletin discussing the therapeutic interactions that accompany nutirion intake, including traditional approaches to meal support and principles developed by clinicians at Ontario Shores.

MediaSmarts is a Canadian not-for-profit charitable organization for digital and media literacy. MediaSmarts has been developing digital and media literacy programs and resources for Canadian homes, schools and communities since 1996. Through our work we support adults with information and tools so they can help children and teens develop the critical thinking skills they need for interacting with the media they love.

A Bulletin discussing the experience of men with eating disorders, including body dissatisfaction, symptoms, sexuality, and treatment.

The MDSC is engaged on an ongoing basis in a wide range of projects and initiatives designed to support the inclusion of persons with disabling mental illnesses in Canadian society and has taken a lead proactive role in public policy and program development in many capacities on the national stage.

Anxiety disorders are some of the most prevalent mental disorders. Morita therapy, a systematic psychological therapy based on eastern philosophy, has been used to treat anxiety disorders for decades. he efficacy of Morita therapy for the treatment of anxiety disorders has been a much-contested issue, often dividing opinion. This article is provided by Cochrane Canada.

A NEDIC Bulletin discussing motivational considerations in the treatment of eating disorders, including motivational interviewing, ambivalence, and preparing for change.

A NEDIC Bulletin offering a DBT-based consideration of why individuals self-harm and how they may shift from self-harm to self-care.

A NEDIC Bulletin explaining the Health at Every Size model of care, as well as dissecting myths about what HAES is or isn't.

A report on NEDIC's activities for the 2013-2014 fiscal year.

A report on NEDIC's activities for the 2014-2015 fiscal year.

A report for donors on NEDIC's activites for the beginning of 2017, including Beyond Images and instant chat.

A report for donors on NEDIC's activities, including the Zest for Life fundraiser.

A report for donors of NEDIC's activities for the first half of 2016, including EDAW and outreach activities

A report for donors on NEDIC's activities, including Instant Chat and the new website.

A report for donors of NEDIC's activities for Autumn 2016, including A Taste for Life and outreach updates.

A report for donors of NEDIC's activities for Summer 2016, recognizing the support of Dr. Andreae.

A report for donors on NEDIC's activities, including our 2017 conference and a spotlight on Aerie's support of NEDIC.

A report for donors on NEDIC's activities, including World Eating Disorders Action Day and the French translation of Beyond Images.

A printable poster promoting NEDIC's helpline services. There are tear-away strips pre-printed with phone and web contacts.

A printable poster promoting NEDIC's helpline services. There are tear-away strips pre-printed with phone and web contacts.

A printable poster promoting NEDIC's helpline services. There are tear-away strips pre-printed with phone and web contacts.

A printable poster promoting NEDIC's helpline services. There are tear-away strips pre-printed with phone and web contacts.

A myth-busting, printable PDF from the Academy for Eating Disorders and partners stating nine truths about eating disorders.

A media release guiding parents and caregivers in understanding the risks of raising children who have an unhealthy preoccupation with food.

A NEDIC Bulletin exploring the role of stigma , either internalized or from health care providers, in the experience of bariatric patients.

The goal of this provincial training program is to increase the capacity of practitioners to respond to the healthcare pressures of those experiencing eating disorders. We work collaboratively with a provincial network of specialized eating disorder service providers. This system provides ongoing training, consultation, and program evaluation in comprehensive assessment, outpatient, day treatment and inpatient care.

The aim of this article is to provide an overview of the emergence of ON as a public health concern, with particular attention on its link to social media usage.

Under the Alberta Health Care Insurance Plan (AHCIP) and the Hospitals Act, eligible Alberta residents are provided coverage for insured physician and hospital services in Alberta and elsewhere in Canada. Alberta Health limits some coverage outside the province and covers only limited physician and hospital expenses outside Canada.

BC will fund the cost of physician and acute care hospital services in other Canadian provinces and territories (except Quebec) provided the service meets certain criteria.

You may be eligible for help with costs related to getting medical care in another province when an appropriate physician (specialist) recommends that you need a necessary, specific medical service (i.e., care or treatment) and that it is not available in Manitoba.

It is mandatory for physicians to request prior approval from New Brunswick Medicare before referring a patient out-of-province for addiction or psychiatric treatment, unless the treatment is provided in a general hospital. The approval must be sought through the province’s Addiction Services or Mental Health Services.

Information regarding out of province/country care for residents of Newfoundland and Labrador.

Nova Scotians who are referred outside the province to receive medical or clinical treatment are eligible for coverage under the province’s out-of-province services plan. This type of funding can apply to a breadth of treatments, including eating disorders. The province has a process in place to consider funding out-of-province treatments.

Prior approval from the Ministry of Health and Long-Term Care is required in order for patients to receive funding for OHIP-insured hospital and medical services out-of-country (OOC). Written approval must be received from the ministry before OOC health services are rendered. Physicians seeking out-of-country treatment on behalf of patients must complete and submit a Prior Approval Application to the ministry before funding will be considered.

Residents seeking government funding for non-emergency (that is, not for sudden illness) out-of-province medical or hospital services are required to obtain prior approval from Health PEI. The cost of such out-of-province services may be fully covered providing that your physician submits an application on your behalf to Health PEI.

The Health Insurance Plan covers a wide range of essential medical services. However, in exceptional cases, some services may not be available in Québec. In such cases, and as a last resort, it is possible to request the Régie's authorization to receive healthcare outside Québec.

Prior approval is required for services related to alcohol and drug, mental health, and problem gambling issues. Requests for out-of-province assessment and/or treatment are only accepted from Regional Health Authorities or the Physician Support Program of the Saskatchewan Medical Association. Once a request is submitted, it is reviewed by the Ministry of Health according to the out-of-province policy. If approved, the Ministry will pay the full cost of the assessment or treatment service. The cost of travel, accommodation, and meals are not eligible for coverage or reimbursement.

There is currently no clear evidence for the effectiveness of antidepressants, antipsychotics, mood stabilisers, or natural products in preventing repetition of SH. We recommend further trials of drugs for SH patients, possibly in combination with psychological treatment. This article is provided by Cochrane Canada.

It was not possible to tell whether medication was effective in treating people with anxiety and alcohol use disorders. Treatment with medication appeared to be acceptable to participants. This article is provided by Cochrane Canada.

A NEDIC Bulletin considering eating disorders prevention. This Bulletin considers both primary (eliminating factors causing eating disorders) and secondary (reducing the causes and perpetuating factors of eating disorders) prevention.

There is very limited evidence upon which to base conclusions about the relative effectiveness of psychological interventions, antidepressant medication and a combination of these interventions. On the basis of the available evidence, the effectiveness of these interventions for treating depressive disorders in children and adolescents cannot be established. Further appropriately powered RCTs are required. This article is provided by Cochrane Canada.

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We reviewed studies that compared CBT-BN or other similar CBT approaches, with other types of psychotherapy or to control groups who got no treatment (e.g. people on CBT waiting lists). We found that CBT was better than other therapies, and better than no treatment, at reducing binge eating. This article is provided by Cochrane Canada.

The PTSD Association of Canada is a not for profit organization that exists to help those experiencing post traumatic stress disorder (PTSD), those at risk for PTSD and those who care for traumatized individuals, as well as their families, friends and fellow workers and medical community.

A NEDIC brochure providing information about risk factors, diagnoses, and signs and symptoms, along with tips for supporting someone affected with an eating disorder.

A NEDIC Bulletin considering the importance of hope in the recovery process.

Reiki is a non-drug treatment that is used on people with anxiety, depression or both. Reiki is a 2500 year old treatment, described as a vibrational or subtle energy therapy and is most commonly facilitated by light touch on or above the body. Very few people with anxiety or depression or both have been included in randomised studies. This means there is insufficient evidence to make any comment about the usefulness of Reiki for the treatment of anxiety and depression. This article is provided by Cochrane Canada.

One study found that all patients improved during the study period, but the treatment effect did not differ between the group who received rTMS and the group who received sham rTMS. The other study administered more sessions and reported higher levels of improvement of panic symptoms in those people who received rTMS compared to those who received sham rTMS. This article is provided by Cochrane Canada.

A press release dating to Eating Disorders Awareness Week 2015. The figures contained in the release are from an Ipsos Reid opinion poll conducted in 2014.

A personal trainer who has recovered from an eating disorder, Jay Walker brings a unique perspective to his work in body-image and fitness. Jay hopes to help people understand how the fitness industry can impact men’s relationships with their bodies, challenging misconceptions about health and recovery along the way.

Description

Pure self-help and guided self-help may have some utility as a first step in treatment and may have potential as an alternative to formal therapist-delivered psychological therapy. There is some evidence that PSH/GSH reduce eating disorder and other symptoms in comparison to waiting list or control treatment and may produce comparable outcomes to formal therapist-delivered psychological therapies. PSH/GSH may have some utility as a first step in treatment. This article is provided by Cochrane Canada.

A NEDIC Bulletin exploring the self-monitoring of weight from an eating disorders perspective, considering potential benefits and risks.

A NEDIC Bulletin considering the concept of "set point" with regards to weight.

A NEDIC Bulletin considering smartphone "apps" for eating disorder treatment and monitoring.

A NEDIC Bulletin exploring stigma regarding eating disorders, including what it means for individuals, how it is perpetuated, and misconceptions about eating disorders.

Stop Family Violence provides you with a one-stop source of information on family violence. If you are affected by family violence, know someone who is, or simply want to learn more about the issue, their website contains information and links to supports and services in your area.

A NEDIC Bulletin exploring the transition to post-secondary education, including leaving home, facing changes, and tips for the student.

A press release marking NEDIC's 2015 fundraiser, which was hosted by Cityline’s Tracy Moore, guests were entertained by Canadian singer/songwriter Candice Sand.

This webinar provides an overview of the integration of Emotion-Focused Family Therapy and the New Maudsley Approach, offering a novel approach to eating disorder recovery and to the role of families in that recovery. Dr. Joanne Dolhanty, PhD, C. Psych and Dr. Adele Lafrance Robinson, PhD, C. Psych will outline the ways in which the two models are similar, and the unique contributions that each has brought to the integration. Clinicians viewing this webinar will learn to utilize new ways of involving the families of those living with eating disorders as critical partners in care.

A NEDIC Bulletin discussing two treatment options, Emotion-Focused Family Therapy and the new Maudsley Model.

A NEDIC Bulletin examining the experience of Black women with eating disorders and offering an overview of research and gaps in research

A NEDIC Bulletin exploring the New Maudsley Model. In the NMM, clinicians work collaboratively with the famiilies and carers of the affected individual, who may be an adult or adolescent.

A NEDIC Bulletin exploring the adolescent experience of eating disorders through the lens of the stages of change.

A NEDIC Bulletin written by a dietitian considering her experience working as a dietitian in eating disorder contexts.

ICBT with therapist support was significantly more effective than no treatment (waiting list) at improving anxiety and reducing symptoms. There was no significant difference in the effectiveness of ICBT with therapist support and unguided CBT, though the quality of the evidence was low to very low. Patient satisfaction was generally reported to be higher with therapist-supported ICBT, however patient satisfaction was not formally assessed. ICBT with therapist support may not differ in effectiveness as compared to face-to-face CBT. This article is provided by Cochrane Canada.

In this review, we focused on third wave CBT approaches, a group of psychological therapies that target the process of thoughts (rather than their content, as in CBT), helping people to become aware of their thoughts and to accept them in a non-judgemental way. The aim of the review was to find out whether third wave CBT was effective and acceptable to people in the acute phase of depression. This article is provided by Cochrane Canada.

There are numerous types of help for overcoming an eating disorder including: outpatient individual or group therapy, professionally facilitated support groups, peer support, self-help groups, residential treatment, and inpatient treatment. You may find this NEDIC tip sheet useful in choosing professional help that suits your needs.

The meaning of fat is in constant flux. Why do we understand fat as bad? Who is fat and what constitutes fatness? Is it a number on a scale or a BMI measurement? Is it a quantitative, treatable illness or a qualitative, lifelong accumulation of experiences? This presentation aims to consider the prevalence of taken for granted truths about fat bodies and health and specifically the ways that a fear of fat may have broad societal impacts on people of all sizes. By looking at fat as a relevant and controversial identity experience, we aim to explore the intersections and interstices between how we are seen and how we are treated; between who we are and who we are presumed to be. Presented by May Friedman (Associate Professor, School of Social Work, Ryerson University) and Sabrina Friedman (Social Worker).

A NEDIC Bulletin exploring the transition from the youth to adult health care systems, including differences in treatment and potential stumbling blocks for the caregiver and the youth. Suggestions to manage the transition are offered for all parties.

Voici la trousse d’outils pour la Semaine de sensibilisation aux troubles de l’alimentation (SSTA), qui vous est offerte par le Centre national d’information sur les troubles dus à la nutrition (CNITN), l’Initiative nationale pour les troubles de l’alimentation (INTA) et l’Association canadienne pour la santé mentale, bureau national.

The current DSM-5 diagnoses of “Feeding and Eating Disorders” reflect a broad range of eating disturbances across the developmental spectrum with a lifespan approach. In particular, Avoidant/Restrictive Food Intake Disorder (ARFID) is a new diagnosis, more commonly seen in childhood, acknowledging significant eating disturbances not characterized by concerns about body weight or size.

Avoidant/Restrictive Food Intake Disorder (ARFID) captures individuals of all ages with limited food intake and/or range of foods; their eating behaviours, often accompanied by fear and revulsion of novel foods, result in impaired psychosocial function or development. Considering the range of ARFID presentations, it is unlikely that one standardized intervention or protocol will emerge. This article discusses “responsive” approaches in ARFID treatment and the supporting rationale.

CANPED is a website of support for those caring for a youth with an eating disorder. They provide educational videos on the following topics: What is an eating disorder? Understanding the medical risks associated with eating disorders Understanding what eating disorders are about Treatment options for youth with eating disorders Supporting your loved one - highs and lows Meal support (before, during, and after meals) Practical tips and tricks for parents and caregivers of youth with an eating disorder

In this webinar, Dr. Danielle MacDonald from UHN Toronto General's Eating Disorders program will introduce viewers to key DBT skills that may be helpful in promoting a greater sense of body acceptance. Viewers will receive a brief orientation to the principles of DBT, and an introduction to specific skills that may be useful for clients with eating disorders. Danielle received her PhD in Clinical Psychology from Ryerson University, where she focused her research and clinical training on the evidence based treatment of eating disorders. She completed her clinical psychology residency at St. Joseph’s Healthcare Hamilton, where she completed major rotations in Eating Disorders and Dialectical Behaviour Therapy, as well as a minor rotation in Anxiety Disorders. Dr. MacDonald is currently a staff psychologist at the University Health Network, working out of the Toronto General Hospital Eating Disorder Program, where she is conducting research on the evidence-based treatment of eating disorders and working clinically with clients. She holds the title of Assistant Professor in the Department of Psychiatry at the University of Toronto, and is registered with the College of Psychologists of Ontario as a psychologist.

The diary is considered a deeply personal and private document in which one keeps a record of meaningful events and experiences. For centuries it has been widely relied upon as a safe place in which to sort and refine one’s thoughts. It may be seen as a friend, a tool with which to cultivate and strengthen connection between mind and body, and a means for continual striving to improve one’s overall sense of self. The diary can be and do all of these things. However, when a person develops an eating disorder, the diary can become an unwitting accomplice of the illness, aligning with and intensifying its traits, and exacerbating separation of mind from body. Clinical and personal experience confirm that diary-writing

A NEDIC Bulletin exploring the benefits of vegetarianism as well as potential problems for the individual experiencing an eating disorder.

While people with eating disorders are notoriously secretive, warning signs can include anything from unhealthy attitudes towards food to abusing laxatives.

Les jeunes qui ont une piètre estime de leur image corporelle tendent à devenir des personnes qui hésitent à exprimer leurs opinions et qui peuvent en venir à éviter certaines opportunités académiques, sociales et économiques. Développer sa résilience dès la petite enfance est la clé pour acquérir une meilleure image corporelle et estime de soi. audeladelimage.ca

This webinar is an opportunity for anyone interested in learning more about a model of treatment for concurrent eating disorders (ED) and substance use disorders (SUD). In this webinar, Dr. Katherine Henderson and Dr. Shari Mayman will review the state of treatment for concurrent ED/SUD and introduce viewers to an integrated approach that focuses on underlying emotional processes, as well as problematic symptoms and behaviors. C-CARE is a lifespan model that allows for continuity of care across life transitions (i.e., youth to adult) and addresses the current silos in treatment programming for eating disorders and substance abuse. Dr. Katherine Henderson and Dr. Shari Mayman are co-founders and co-directors of Anchor Psychological Services, a private practice in Ottawa, Ontario that treats children, youth, adults and families with a wide range of mental health concerns. Katherine and Shari specialize in the assessment and treatment of eating disorders, having started their careers in the Regional Eating Disorders Program at the Children's Hospital of Eastern Ontario. Throughout their careers they have been involved in the training of emerging psychologists and other clinicians, research, and the development of new treatment approaches such as Emotion-Focused Family Therapy (EFFT) and C-CARE. Together, Katherine and Shari provide workshops and seminars to health care professionals and the general public on C-CARE, EFFT, Emotion Coaching, and Eating Disorders.

In this webinar, Sara Santarossa PhD Candidate from the University of Windsor’s Community Health, Environment, and Wellness (CHEW) Lab will introduce othorexia, and how orthorexia has been conceptualized by the media, with a particular emphasis on the role of social media. Viewers will receive a brief introduction into background literature and research on orthorexia, including diagnostic tools and potential treatment ideas as well as being given practical tips and tricks for warning signs and social media use.

While ARFID is a relatively new diagnosis, cases of children, youth, and adults who are anxious, reluctant or struggling to eat are well-documented in the literature. In this webinar, Grace Wong, RD, will expand on the Bulletin articles she co-authored with Dr Katja Rowell. They advocate to view and understand feeding and eating challenges through a developmental and relational perspective. Many individuals presenting with ARFID have struggled since early childhood and might have "failed" pediatric interventions. This webinar aims to provide you with practical information to assess feeding and eating difficulties faced by individuals and families and to provide guidance using a responsive feeding therapy approach for ARFID (RFT-ARFID).

This session, presented by Kori Kostka RD, Dr. Doron Eisen, Claudia Mariano NP, reviews the impact of a weight-based approach on patient care and health outcomes; and challenge participants by presenting a new paradigm using Health At Every Size(R) from a family physician, nurse practitioner and registered dietitian perspective for weight management referrals which can transform patients and health teams.The presenters comment on the challenges and possible solutions for implementing this approach in a team based environment.

A NEDIC Bulletin exploring the concept of Health at Every Size. The connections between weight and health are considered, and tips for focusing on behaviour rather than weight are offered.

A NEDIC Bulletin exploring what may help or hinder youth at different stages of their recovery journey.

A NEDIC Bulletin exploring primary prevention in schools, in the family, and beyond, with a focus on the experience of adolescents..

Dori Zener, MSW RSW has been working with families impacted by Autism Spectrum Disorder, learning disabilities and intellectual disabilities for over ten years. At the Redpath Centre Dori uses a strength-based solutions-focused and cognitive behavioural therapy approach to enhance the lives of those impacted by Autism Spectrum Disorders and related mental health issues.