Welcome to the Eating Disorders Clinic! This is a service designed for people suffering from Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder, and it is part of the Women's Mental Health Program at UIC.
Eating Disorders Clinic Meetings occur weekly, on Monday from 1:00pm-2:00pm in room 331. Dialectical Behavioral Therapy training occurs weekly, during the EDC meeting unless we can find a separate time each week to meet.
Dialectical Behavioral Therapy consultation occurs weekly, on Fridays from noon-1:00pm
Supervision can be done in a group or individual format and is scheduled directly with your supervisor.
In addition to learning about Eating Disorders in general, students working in the Eating Disorders Clinic will learn about:
- The initial evaluation for eating disorders. Trainees will receive a packet of materials including; general history, a questionnaire about familial eating patterns, the Eating Disorder Inventory-2, the Beck Depression Inventory, a quick check for diet progress, and the Family Assessment Measure.
- How to interview a patient who is struggling with her or his ambivalence about getting treatment for her or his Eating Disorder.
- Common Personality Disorders and /or traits and other mental Illnesses often related to Eating Disorders.
- Self-psychological and feminist issues related to Eating Disorders.
- Dialectical Behavioral Therapy for Binge Eating Disorder and Bulimia Nervosa
- Parenting issues for patients with Eating Disorders.
- Couples and Family therapy for patients with Eating Disorders.
- Gender differences in the expression of Eating Disorders.
- Pharmacotherapy with Eating Disordered patients.
In addition to a standard psychiatric and medical history, the following issues are central to the lives of most patients in the Eating Disorders Clinic:
- Family problems with parents and or a significant other
- Physical and sexual abuse
- Obstetric history, including pregnancy loss
- Date of last menstrual period
- Unwanted sex
A thorough physical examination is required for patients with Eating Disorders. Physicians often refer patients, and patients must be asked to provide appropriate release of information. If the patient has not had a recent comprehensive examination, referral should be made for such examination. (This should be set up with a physician outside of the Eating Disorders Clinic). A Release of Information should be signed upon the initial intake. Parts of the examination requiring special attention include:
- Vital signs
- Bone density
- Skin: Checking for turgor is crucial for detection of many medical illnesses, as well as dehydration.
- Neurologic: Important to do careful screening exam for neurologic disease. Include "soft” neurologic signs.
- Regular Weights for Anorexics and Bulimics
Individual and family therapists in Women’s Program at UIC:
- Ellen Astrachan-Fletcher, Ph.D. 5-1185
- Nikki Lively, LCSW 5-4387
- Women’s Mental Health Fellow 6-7380
- Vesna Pirec, M.D. 6-5090
- Nafisa Ghadiali, M.D. 6-9519
The major purposes of charting are:
- Continuity of clinical care
- Documenting need of hospital care, so that third party payors can determine whether to pay the University
- Medicolegal; documenting the rationale for decisions in case of subsequent lawsuits
- Quality assurance; determining that standards of care are met
- Accreditation for the hospital
Keeping these reasons in mind will help you know what is relevant to chart.
Your charting will include:
1. A comprehensive Mental Health Assessment:
- Identifying data and source of history
- History of present illness
- Past medical and psychiatric history
- Family history
- Psychosocial history
- Formulation and differential diagnosis Plan
2. Succinct progress notes every time the patient is seen
3. Transfer notes, if the patient is transferred to another service or another clinician
4. Discharge notes, including:
- Summary of treatment
- Discharge diagnoses (DSM-IV)
- Discharge medications
5. Discharge summary, to be written within a week of discharge
6. Treatment Plans
Things that are essential to document include:
- Informed consent for psychotropic medication: If the patient is pregnant, you must supplement the pre-printed information by writing in potential side effects during pregnancy, and document that you have done so.
- Document that you have asked for the patient's consent to release of Information to enable you to contact the patient’s primary care physician who will follow the patient’s medical progress.
- Document that you have asked for the patient's consent to release of information from prior caregivers, and that you have sent requests for this information. (If you don't do this, you could be held liable for failure to take available information into account).’
“Life without Ed” by Jenni Schaefer
“Skills training manual for treating borderline PD” by Marsha Linehan
“Radical Acceptance: Embracing your life with the heart of a Buddha” by Tara Brach
“Goodbye Ed hello me” by Jenni Schaefer
“Gaining: The truth about life after eating disorders” by Amiee Lui