|Emerging Eating Pathologies: What & Why?|
This presentation will discuss how historically clinical presentations of eating disorders were stable and recently have morphed and diversified. Three eating pathologies that have recently emerged will be discussed and these include The Dual Diagnosis of Eating Disorder and Diabetes Mellitus Type 1 (ED-DMT1), Avoidant /Restrictive Food Intake Disorder (ARFID) and Atypical Anorexia Nervosa. In addition, the presentation will explore why the acceleration in a variety of presentations may be occurring.
For more information visit: http://iaedp-az.org/ce-breakfast/
Ovidio Bermudez, MD, FAAP, FSAHM, FAED, F.iaedp, CEDS
Sr. Medical Director – Childhood & Adolescent Services, Chief Clinical Education Officer & Executive Ambassador, Eating Recovery Center
Ovidio Bermudez, M.D. is the Senior Medical Director of Child & Adolescent Services, Chief Clinical Education Officer and Executive Ambassador for Eating Recovery and affiliates. He holds academic appointments as Clinical Professor of Psychiatry and Pediatrics at the University Of Colorado School Of Medicine and University of Oklahoma College of Medicine. He is Board certified in Pediatrics and Adolescent Medicine.
Dr. Bermudez is a Fellow of the American Academy of Pediatrics, the Society for Adolescent Health and Medicine, the Academy for Eating Disorders, and the International Association of Eating Disorders Professionals. He is Past Chairman and currently Senior Advisor to the Board of Directors of the National Eating Disorders Association, Co-Founder of the Eating Disorders Coalition of Tennessee and Co-founder of the Oklahoma Eating Disorders Association. He is a Certified Eating Disorders Specialist and training supervisor by the International Association of Eating Disorders Professionals.
Dr Bermudez has lectured nationally and internationally on eating pathology across the lifespan, obesity, and other topics related to pediatric and adult healthcare. He has been repeatedly recognized for his dedication, advocacy, professional achievement and clinical excellence in the field of eating disorders, including Lifetime Achievements Awards from NEDA and IAEDP.
|JOIN US AT POINTE HILTON TAPATIO CLIFFS | 7:15am TEE TIME|
Support a resident and our recovery programs by joining us for our annual Golf Tournament. Your contribution will make a significant difference in the life of a person in recovery.
This presentation will highlight recent neuroscience findings in eating disorders. There will be a focus on set shifting, learning, habit formation, and reward pathways that underlie the symptoms seen in Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorder with a focus on the corresponding functional pathway changes seen in the brain. We will discuss how these neuroscience findings can be translated into treatment modalities for treating eating disorders including nutritional interventions, medications, transmagnetic stimulation, and therapeutic interventions (CBT, DBT, MBT, CRT). There will be an in-depth discussion of the effects of malnutrition on the brain and the interaction between nutrition and mood/emotional regulation and how nutrition can be effectively utilized as a tool in treating these difficulties. The overall goal is for attendees to have an understanding on brain changes in functions and structure that occur in treating disorders and how knowledge of this can drive the appropriate interventions. 8:30-8:50 am Registration/Networking 8:50-9:00 am Announcements/Intros 9:00-10:30am Presentation 10:30-11:00 Questions/Networking Sheraton Crescent Crestview Room 2620 West Dunlap Ave (I-17 & Dunlap) Phoenix, AZ 85021 **Breakfast Included**
Do you feel like it’s difficult to communicate with your teen?
Do they roll their eyes, or give you an attitude whenever you try to talk to them?
Is it hard to be on the same page and have a dialog without anger or frustration being in charge?
Do you want to improve the quality of your ability to discuss things with your teen? Then join us for a free parent workshop on How to Communicate with Your Teen.
This workshop will be led by:
Jason Ellis, MA-Pastoral Services
Behavioral Health Paraprofessional
Jason has spent the last 30 years in youth ministry in Arizona and Oregon. He has a heart for young people and families and longs to see them living life to the fullest. He spends time in the outdoors as often as possible, has a recent growing love of pickleball and makes amazing pizza in his wood fired pizza oven at home.
Jason is married, has 3 kids and is currently enrolled in the MFT program at the Phoenix extension of the Fuller campus. Jason has spent the last three decades working with teenagers and raising three of his own.
The workshop is free, but seats are limited.
Text 602-999-8389 to confirm your attendance.
Doorways provides a supportive, family-focused environment, flexible schedule, competitive salary and benefits, and a fun place to work!
Providers at Doorways specialize in treatment for eating disorders, mood disorders, anxiety/OCD, substance abuse, depression, ADD/ADHD, self-harm, suicide prevention, and family counseling.
- Psychiatric Nurse Practitioner Certification with current unrestricted license from the Arizona State Board of Nursing or Doctor of Medicine or Osteopathic Medicine with current unrestricted license from the Arizona State Board of Medical Examiners,
- Current DEA License, NPI Number,
- Three or more years’ experience in the delivery of mental health treatment for adolescents and young adults,
- Current CPR & First Aid Certifications
- Empaneled with at least one major insurance carrier in Arizona preferred.
- Able to support a faith-based, holistic, integrated model of treatment
- Energetic and passionate regarding working with the adolescent and young adult population
- Possess excellent interpersonal skills and the desire to grow with a rapidly expanding practice
- Team player willing to work with a multidisciplinary team of professionals in treatment planning and provision of care
Responsibilities will include:
- Psychiatric evaluations and medication management of patients
- Prescribe, direct, and administer psychotherapeutic treatments and/or medications to treat mental, emotional, or behavioral disorders.
- Collaborate with our team of professionals for best care practices in the treatment of adolescents, young adults and their families.
If this position is of interest to you, let’s talk! Please contact Jan Hamilton, PMHNP-BC, Psychiatric Nurse Practitioner, at Doorways LLC. firstname.lastname@example.org
Back in 2004, Tina Fey had no notion that the subject of the movie Mean Girls would become more timely today than it was back then. “It’s just sort of unfortunate that it does,” the Emmy-winning writer and actress said at the recent opening night celebration for her Broadway adaptation of the movie. Although the movie is a comedy, it depicts the bullying mentality of high school girl cliques and the negative effects on the self-esteem of victims. The reason the topic is even more relevant today is because of social media.
Teens Live Their Lives Online
If you have a teen who spends a lot of time online, you worry about what she may be doing or experiencing. You’re probably aware of a problem known as cyberbullying, and you hope that your teen is not on the receiving end of an online bully. However, what if it turns out that your daughter is the “mean girl,” the one doing the bullying? What do you do? The following provides some helpful information and advice.
How Many Teens are Cyberbullies?
In today’s social media environment, cyberbullying is more common than you would like to think. The Cyberbullying Research Center reviewed twenty-seven papers on cyberbullying published in peer-reviewed journals and concluded that, although it’s difficult to come up with an exact figure, about 18% of teens admit to having engaged in cyberbullying. In case you believe that only girls engage in cyberbullying, think again. A survey by a UK think tank revealed that more teen boys than teen girls admit to having engaged in cyberbullying activity.
How Do I Know if my Teen is a Cyberbully?
You can’t address the problem of cyberbullying if you don’t know that it’s going on. If the following signs apply to your adolescent, it may be an indication that they’re engaging in online bullying.
- They have several social networking accounts on multiple sites.
- They spend long hours online, perhaps when everyone else is asleep.
- They quickly hide their mobile device or change the screen on their laptop when you approach.
- You overhear them insulting or making snarky remarks about another teen.
- It doesn’t seem to bother them if their words or actions hurt others.
- They spend time with friends whom you think behave in ways that are mean or uncaring.
Why do Teens Engage in Cyberbullying?
Understanding the reasons why your teen may be an online “mean girl” or “mean boy” is the first step in understanding why this is happening. So, here are some reasons why teenagers bully others in cyberspace.
- Boredom – Cyberbullying can be a way to inject excitement, drama, and entertainment into an adolescent’s life.
- Peer pressure – Teens want to fit in and not appear uncool or the odd one out.
- Status – Cyberbullying can give the perpetrator a feeling of power and status.
- No sense of harm – An adolescent may not see that they’re doing anything wrong and may regard cyberbullying as a kind of joke.
- Retribution – A teen might believe that another teen deserves the bullying because they think the victim is stuck up or has stolen someone’s boyfriend or girlfriend.
- Helplessness – If a teen has been a victim of cyberbullying, they may begin bullying as a defensive behavior.
- Invincibility – Adolescents believe that because the bullying is online, they won’t get caught. And, they may resort to using anonymous identities to avoid detection.
What to do if Your Teen is a Cyberbully
It can be very upsetting to discover that your adolescent is cyberbullying others. After you’ve given yourself a chance to calm down, prepare yourself to talk to your teen about their actions. Arm yourself with proof that they have been cyberbullying (if you can) and do some research so that you can cite cases where online bullying has led to tragic results.
Talk to Your Teen About Cyberbullying
- Inform your teenager that you are aware of the cyberbullying. Give them a chance to tell you exactly what they’ve been doing and to what extent. If they deny it, provide evidence if you have any.
- Try to understand why your adolescent is doing this. Are they attempting to fit in with peers, trying to be more popular, working off feelings of anger about something (divorce or a home move for example), or seeking revenge for being bullied themselves?
- Explain that this behavior is unacceptable and has to stop. Your teen might say that they were ‘just joking around,’ so try to make them aware that what’s funny to one person might be devastating to another.
- Attempt to elicit empathy by asking them how they’d feel if someone was doing the same things to them or to someone they love.
- Let them know that cyberbullying is a serious offense that could lead to trouble with school authorities or even the police.
- Monitor your teen’s electronic devices and limit the amount of time they spend online. Consider installing monitoring software on their electronics.
- If the cyberbullying continues, take away their devices for a period of time.
- Encourage them to remove hurtful messages, videos, or photos that they have posted.
- Set up some simple social-media guidelines. For instance, the one-minute rule – before posting something, walk away for a minute and think about whether the post may be hurtful.
- If their current friends have also been part of the bullying, try to urge your teen to spend less time with them.
- Consider encouraging them to sincerely apologize to anyone they may have hurt.
Where Can I Get Outside Help for my Teen in Arizona?
An adolescent who has hurt someone else by engaging in cyberbullying needs parental support. If you have discovered that your teen is an online “mean girl” or “mean boy” and it seems too much for you to cope with alone, speak to one of Doorways teen counselors. Our professionals are trained to understand the underlying emotional issues that cause behaviors such as cyberbullying. Make an appointment today for a free, no-obligation consultation.
PTSD is the acronym for Post-Traumatic Stress Disorder. Beginning in 2010, Congress named June 27th as PTSD Awareness Day. What’s more, a Senate resolution designated the entire month of June as National PTSD Awareness Month. All of this attention on PTSD is aimed at fostering a greater understanding of this mental condition, how to recognize its symptoms and how to obtain help for sufferers.
What Exactly is PTSD?
Almost everyone will have painful memories after experiencing a traumatic event. For most people, these memories will gradually become less painful over time. However, for others ‘time does not heal all wounds’ as the saying goes. The memories, thoughts, and feelings connected to the traumatic event don’t go away. If these reactions end up disrupting the individual’s everyday life, then PTSD is probably present.
Why Would a Teen Develop PTSD?
Everyone has heard about veterans suffering from PTSD. However, most people don’t know that PTSD can also afflict teens. An NPR program stated that, according to the National Survey of Adolescents, approximately 4% of teenage boys and 6% of teenage girls meet the clinical definition of PTSD. A teen may develop PTSD as a result of being directly involved in or witnessing a serious traumatic event such as:
- A car accident.
- A natural disaster (earthquake, hurricane, flood, fire).
- A violent crime (kidnapping; physical assault; assault or murder of a parent, loved one, or close friend).
- The suicide of a family member or friend.
- Physical or sexual abuse.
- Major surgery and/or extensive hospitalization – e.g., bone marrow transplant, severe burns.
An Example of a Teen with PTSD
Zach is a fourteen-year-old boy who had lots of friends. However, he began to be reluctant to go to school, stayed home after school, and dropped the activities that he loved like soccer and karate lessons. Moreover, he would call his mom many times whenever she left the house.
- Zach’s Trauma: All of Zach’s problems arose after a trauma he experienced. While driving to the mall with his mom, a car ran a red light and hit the side of their car which spun around several times and hit a tree. Luckily, neither Zach nor his mom was injured, but the other driver suffered a severe head wound. Zach could not get thoughts of the accident and the image of the injured man with blood trickling down his face out of his head. He also has nightmares about car crashes.
- Zach is Now Terrified of Cars: Zach is scared of being in a car and worries about being hit by one when going outside. When he does leave the house, he wants his mom to accompany him, and becomes extremely anxious when she is out of his sight. He reacts nervously when he hears the sound of a car horn or if he spots a news article about a car accident.
What Can I do to Help my Teen with PTSD?
If your teen has experienced a traumatic event, your first instinct might be to give them time and space alone to deal with what happened. However, this might be misinterpreted you don’t care or even that you are blaming your teen for their reactions to the traumatic event. Here are some helpful suggestions on what can help.
- Provide support – The most important thing you can do is provide lots of love, support, and acceptance of your teen’s difficulties.
- Encourage talk – Try to get your teen to talk to you about their feelings and explain that anxiety with respect to a traumatic event is a normal response.
- Give reassurance – If your teen is experiencing scary symptoms like nightmares, flashbacks, or vivid memories of the trauma, reassure your teen that they are not going crazy.
- Encourage return to daily routines – Do your best to get your teen to go back to school within a few days of the traumatic event (if possible) and to resume their usual habits. This includes getting up and going to bed at their regular times, and participating in their usual school or community activities.
- Help them face their fears – It doesn’t help to be overprotective. For example, if your teen has been in a car accident, they might refuse to get into a car. However, this fear of cars will not disappear on its own. It could even get worse over time if you don’t gradually encourage them to get back in a car. Be generous with praise after each attempt to overcome the fear.
Where Can I Get Help for my Teen’s PTSD in Arizona?
In spite of your best efforts to manage your teen’s PTSD, you may feel totally overwhelmed and need the help of experts. Doorways is here to give you all the help and advice you need. Our counselors are trained to deal with all kinds of anxiety disorders including PTSD. An initial consultation with us is absolutely free, so make an appointment today.
Tobacco and Teens
The bottom line is that tobacco in any type of product is harmful to the developing brain of a teen and can lead to serious health problems. The following is a discussion of the types of tobacco products that teens may be using.
The smoke inhaled from a lit cigarette contains over 7,000 different chemicals, more than 70 of which have been linked to cancer. There is no scientific proof that cigarettes advertised as “additive-free,” “organic,” or “all-natural,” are any safer than regular cigarettes. Teens who begin smoking in high school are much more likely to still be smoking in adulthood. Read this Centers for Disease Control (CDC) report on the health effects of cigarette smoking.
Tobacco does not have to be burned. Smokeless tobacco types include chewing tobacco, dip, snuff, oral tobacco, and spit or spitting tobacco. All of these tobacco products have high levels of toxic chemicals and cancer-causing substances. Smokeless tobacco users have a high risk of developing mouth and throat cancer. Teens who use smokeless tobacco may become addicted to nicotine and are more likely to become cigarette smokers. Click here for a CDC report on the health risks of smokeless tobacco.
Hookah tobacco is smoked in a hookah water pipe and is usually flavored. Other names for hookah tobacco are argileh, goza, hubble-bubble, maassel, narghile, and shisha. Just because the smoke from the hookah is passed through water doesn’t make it safe. Hookah smoke contains significant amounts of carbon monoxide and chemical substances that are known to cause bladder, lung, and mouth cancers. Studies of college students have found rising rates of hookah use among them. Here is a CDC report on the dangers of hookah smoking.
E-cigarettes work by heating a liquid that turns into an aerosol vapor inhaled by the user. The vapor from e-cigarettes contains a mixture of harmful chemicals that are unsafe to breathe. Nicotine is also present in many e-cigarettes. The use of e-cigarettes among high school students has grown dramatically and more of them are using e-cigarettes rather than regular cigarettes. Read this message from the U.S. Surgeon General on the risks of using e-cigarettes.
Cigars and Cigarillos
A cigar consists of tobacco wrapped in leaf tobacco. Cigars come in a variety of sizes ranging from small filtered cigars or cigarillos to large premium cigars. In comparison to cigarette tobacco, cigar tobacco contains higher levels of some cancer-causing chemicals. Cigar smokers don’t need to fully inhale to be exposed to nicotine which can also be absorbed through the lips and fingers. Marketers are targeting teens with small cigars enhanced with enticing flavors such as candy apple or chocolate. Here is a report from the National Cancer Institute on the dangers of cigar smoking.
Teen Anti-Tobacco Campaign Makes Some Progress
The American Lung Association (ALA) reports a decline from 25.3% to 20.2% in tobacco use among high school students in 2015-2016 (based on research carried out by the CDC). This decrease demonstrates that campaigns to reduce tobacco use among teens can make a difference. However, more work is needed as over 20% of U.S. teens are still using at least one tobacco product.
The Not On Tobacco (N-O-T) Program
N-O-T is an ALA program to promote cessation of smoking among teens. It’s a ten-week program where teen participants learn to gain insights into why they smoke, and are provided with information on healthy options to stop tobacco use and where to find support when they try to quit.
N-O-T Really Works
N-O-T is a structured approach to helping teens to quit smoking and is based on social cognitive theory. The N-O-T program has proven to be feasible and effective, and has been selected as a model program by the National Registry of Effective Programs (NREP).
Talk to Your Teen About the Risks of All Tobacco Products
Having conversations with your teen about the risks of using any tobacco product will help them not to begin use in the first place or help them to quit if they are already experimenting. And, think about contacting the Youth Tobacco Prevention program in Maricopa County to find out about tobacco cessation programs in your area.
Need Help With Your Teen?
Doorways wants your teen to be tobacco-free but also free from all major problems that can affect teens. So, if you are having a problem with your teen and need professional help, make an appointment with us for a no-obligation, no-charge consultation. Treating substance abuse (such as tobacco abuse) is not a Doorways specialty, but we can refer you to professionals who can help you and your teen.
Benefits of Crafting for Teens
Little kids love getting messy and making something fun. But, there’s no reason to stop being creative at the age of thirteen. Teens and young adults benefit from crafting in the following ways.
- Helps to Create a Positive Identity – The sense of self is enhanced by the personal process of creating something.
- Soothes Teenage Angst – Crafts can serve as mental yoga and provide teens with an activity that is mindful and calming.
- Brings Imagination to the Fore – Crafts encourage teens to explore different creative ideas.
- Develops Focus – To succeed at a craft requires strong focus and attention to detail.
- Builds Confidence – Seeing a craft through from beginning to end provides a sense of pride and accomplishment.
- Encourages Perseverance – A craft can be difficult to learn and delivers a healthy challenge to a teen.
Help Your Teen to Find Crafting Outlets
Unfortunately, arts and crafts programs are being eliminated or downsized in many schools. When young adults get to high school, they may only need one arts credit in order to graduate. Apart from pursuing a craft at home, students can often find interesting crafts programs at their local library. Take a look at what programs The American Library Association suggests libraries get involved with. Check out the libraries near you or talk to your library about setting up a crafts itinerary. Click here for a list of Arizona public libraries offering crafts programs. As well as your local library, there may be a summer camp with interesting arts and crafts programs.
Many teens enjoy pottery classes. Pottery involves more than just mixing clay, water, and other additives. It’s a craft that provides teens and young adults with a creative, relaxing outlet to make something unique. They can mold clay with just their hands, or learn to “throw” a pot or a bowl using a wheel. The resulting creation can be glazed and baked in a kiln. Check out the area where you live for pottery programs designed for teens and young adults. Here’s some help on finding pottery classes in the Phoenix area.
How do I Get My Teen Interested in a Craft?
Taking up a craft can enrich a teenager’s life. However, as I’m sure you know, it’s impossible to force a teen into a hobby. So, use some insight and gentle guidance to help your teen explore the idea of crafting and find the craft that most excites them. Asking a teen “what would you like to do?” is too vague and broad. Bring up the subject of crafting, ask your teen to think about it, and then bring the question up again later.
Don’t Turn Your Teen Off to the Idea of Crafting
Try not to go from being insightful and helpful to suffocating and nagging. Mention possible enjoyable activities, but don’t succumb to harping on them constantly. Most teens resent being pushed into things, so it may take some finesse to coax an adolescent into pursuing a craft you think they will enjoy. You could try passing along online suggestions like this one.
Once a teen has expressed an interest in a craft, give them your full support and provide them with any necessary materials. If the teen needs space at home to pursue the craft, make sure there’s an area in your house where they can be creative. And, never chastise them for making a mess.
Do You Have a Teen with Issues?
We hope that your teen is involved in an engaging hobby of some sort. However, if your teen is suffering from a problem that you find difficult to cope with, it’s unlikely that you’ll be able to get them involved with a craft. Whatever the issue, Doorways is here to help you and your teen or young adult. We specialize in services for those aged 13-25 in the Phoenix area. Arrange a consultation with us to see how we can help you.
1. Marijuana Slows Adolescent Brain Development
Apart from what happens to the brain before birth, there is more significant brain development during adolescence than at any other developmental stage. The brain has a natural endocannabinoid system that has a significant part to play in brain development. This system is adversely affected by marijuana use.
2. Kids Get Really High
Adolescents have a higher ratio of cannabinoid receptors (known as CB1) in their brains than adults. The chemical component in marijuana that causes most of its psychological effects is tetrahydrocannabinol (THC). THC binds to the CB1 receptors in a teenager’s brain and stays there longer than in an adult. While THC remains in the receptor, it blocks the processes of memory and learning. Dr. Frances Jensen is a Neuroscientist and author of The Teenage Brain. She was interviewed by Terry Gross on the NPR program Fresh Air and stated that prolonged use of marijuana between the ages of thirteen and seventeen could result in permanent brain changes.
3. Pot Today is More Potent
Studies of the average THC concentration in cannabis show that levels have been steadily rising from about four percent in 1995 to approximately 12 percent in 2014. Biological Psychiatry found that strains of marijuana are currently being grown with 17-33 percent THC, on the principle that higher THC concentration means a more profitable product. What also makes today’s pot more potent is that twenty years ago marijuana had higher levels of cannabidiol (CBD) which is non-psychoactive and responsible for the medical benefits of marijuana. But, growers are breeding it out of recreational marijuana because it prevents users from getting as high as they would without the CBD. The end result is that these higher THC levels are much more harmful to the developing adolescent brain.
4. Marijuana Can Have Long-Lasting Effects
Exposing the brain to marijuana during adolescence can slow down brain maturation and eventually cause neurobiological changes that will affect brain function in adulthood. The National Institutes of Health (NIH) published the results of a 2014 study that looked at the long-term effects of the use of marijuana during adolescence. The study concluded that early marijuana use causes adverse effects on intelligence, cognitive functioning, and emotional behavior, and increases the risk of the development of psychotic disorders. What’s more, the damage may be irreversible.
Parents, Talk to Your Kids
Based on survey results from the National Institute on Drug Abuse, seventy-one percent of high school seniors do not view “regular marijuana usage” as harmful. Many kids see (and smell) adults getting stoned at concerts, and now, just walking down the street. It’s easy to see how they might assume that pot use is just harmless fun. Even though it’s reassuring to know that most teens don’t smoke cigarettes because they understand the health dangers, it’s time to make clear to them that marijuana use is also risky. Talk with your kids regularly about the risks that marijuana poses.
Are you are worried that your teen is using marijuana regularly and don’t know what to do about it? Our specialty lies in helping families with teens and young adults, so contact us to find out how we can help.