World Suicide Prevention Day - Remuda Ranch

By Jessica Setnick, MS, RD, CEDRD, Remuda Ranch at The Meadows Senior Fellow

 

  Imagine the worst physical pain you have felt in your life. Was it childbirth? A gunshot wound? Appendicitis? A broken leg? Third-degree burn? Motorcycle crash?

Now imagine the worst emotional pain you have ever felt. Have you lost a loved one? More than one? Sent a child overseas to war? Supported a friend during a slow death from cancer? Witnessed a tragedy? Been betrayed? Left at the altar? Put a lifelong pet to sleep?

In any of these situations, you may have experienced pain so intense that, at least for a moment, you wanted to die. A pain so severe that you would consider any option to escape or make it stop.

But something kept you from ending your life.

Either you knew you could get help, you had hope that the pain would fade, you could see a future some day without pain, your survival instinct kicked in and pushed you onward, you knew that you couldn’t willingly leave those who love and depend on you, or you were protected by people who knew of your pain and who kept you safe until you healed.

This is the tragedy of suicide: that at the same time that someone is suffering such intense emotional grief and pain, he or she also has no hope that it will fade, has lost the ability to see a future without pain, believes that others might be better off without them, and does not share the pain with someone who can help.

This is why we must end the stigma of eating disorders. Too many people are suffering in silence, perhaps not even knowing that their pain has a cause, a treatment, and a way out. They are blaming themselves for the pain they experience, the pain they believe they are causing their loved ones. They either believe that death is the best or only option, or the pain is so overwhelmingly severe that they feel compelled to end it permanently.
Every suicide causes ripples of pain. Every person lost is a tragedy. Numbers are irrelevant in the face of a life cut short. But for purposes of education, statistics about suicide and eating disorders tell a horrifying story.
The suicide rate among American veterans has made news recently because it is twice as high as the national average. Yet the suicide rate among women with anorexia is 30 to 50 times higher than average, depending on the source. Up to 25 percent of deaths from eating disorders come from suicide.
It is National Suicide Prevention Month, but every day is suicide prevention day. Everyone is at risk, since depression and eating disorders often go unseen. There is no test for identifying suicide risk, but the American Association of Suicidology created the Is Path Warm? acronym to help you spot risky behaviors:

• Ideation (threatening to hurt or kill oneself)
• Substance abuse (increased or excessive substance use)
• Purposelessness (no reason for living)
• Anxiety
• Trapped (feeling there’s no way out)
• Hopelessness (about the future)
• Withdrawal (withdrawing from friends, family, activities)
• Anger
• Recklessness
• Mood changes

If you know someone exhibiting these symptoms, call 1-800-273-8255 for the national suicide prevention hotline.

If someone you know with an eating disorder is exhibiting these behaviors, call Remuda Ranch at 1-866-390-5100 for help.

Source Link :- World Suicide Prevention Day

When Food Speaks - Remuda Ranch

By Jessica Setnick, MS, RD, CEDRD, Remuda Ranch at The Meadows Senior Fellow

Even before he or she could speak, your child was able to communicate with you through eating behavior. This can continue into childhood and adolescence when someone has difficulty expressing him or herself through words.

Undereating, overeating, or limiting variety of foods are sometimes clues kids and teens are struggling with particularly negative or stressful feelings. Particularly significant are changes to established eating behaviors, such as eliminating snacks or certain food groups that the child previously enjoyed; secretive eating, sneaking or hiding foods, or lying about eating by a child who is typically open and honest; or avoiding family meals or social events by a teen who was formerly extroverted and friendly.
What Your Child’s Eating Behaviors Can Tell You

Some possible messages that might be conveyed through changes in eating behaviors are:

    I’m sad about something or someone I’ve lost.
    I’m depressed.
    I feel so alone.
    I’m angry.
    I don’t fit in.
    Stop telling me what to do!
    I’m having trouble concentrating.
    I’m struggling to adjust to changes in my life.
    I’m never good enough.
    No one likes me.
    I’m having trouble making decisions.
    I’m scared to make a mistake.
    I don’t feel well.
    I’m exhausted.

In the face of feelings that they don’t know how to manage, children and teens may turn toward or away from food for a sense of comfort or control. Yet they may not realize that their eating changes are connected to their innermost thoughts and feelings. It is the role of caregivers and other trusted adults help with recognizing the connections. It is a mistake to only address the eating behaviors without investigating the emotions and thoughts that are behind the scenes.

Source: http://www.remudaranch.com/blog/item/99-when-food-speaks

When Food Speaks

By Jessica Setnick, MS, RD, CEDRD, Remuda Ranch at The Meadows Senior Fellow
Even before he or she could speak, your child was able to communicate with you through eating behavior. This can continue into childhood and adolescence when someone has difficulty expressing him or herself through words.

Undereating, overeating, or limiting variety of foods are sometimes clues kids and teens are struggling with particularly negative or stressful feelings. Particularly significant are changes to established eating behaviors, such as eliminating snacks or certain food groups that the child previously enjoyed; secretive eating, sneaking or hiding foods, or lying about eating by a child who is typically open and honest; or avoiding family meals or social events by a teen who was formerly extroverted and friendly.

What Your Child’s Eating Behaviors Can Tell You

Some possible messages that might be conveyed through changes in eating behaviors are:

• I’m sad about something or someone I’ve lost.
• I’m depressed.
• I feel so alone.
• I’m angry.
• I don’t fit in.
• Stop telling me what to do!
• I’m having trouble concentrating.
• I’m struggling to adjust to changes in my life.
• I’m never good enough.
• No one likes me.
• I’m having trouble making decisions.
• I’m scared to make a mistake.
• I don’t feel well.
• I’m exhausted.

In the face of feelings that they don’t know how to manage, children and teens may turn toward or away from food for a sense of comfort or control. Yet they may not realize that their eating changes are connected to their innermost thoughts and feelings. It is the role of caregivers and other trusted adults help with recognizing the connections. It is a mistake to only address the eating behaviors without investigating the emotions and thoughts that are behind the scenes.
If you suspect that a child or teen in your life has changed her eating due to emotional distress, Remuda Ranch intake counselors are available 24 hours a day at 866-390-5100. Or, you can fill out the contact form at our website, www.RemudaRanch.com.

When Food Speaks - Remuda Ranch

By Jessica Setnick, MS, RD, CEDRD, Remuda Ranch at The Meadows Senior Fellow

Even before he or she could speak, your child was able to communicate with you through eating behavior. This can continue into childhood and adolescence when someone has difficulty expressing him or herself through words.

Undereating, overeating, or limiting variety of foods are sometimes clues kids and teens are struggling with particularly negative or stressful feelings. Particularly significant are changes to established eating behaviors, such as eliminating snacks or certain food groups that the child previously enjoyed; secretive eating, sneaking or hiding foods, or lying about eating by a child who is typically open and honest; or avoiding family meals or social events by a teen who was formerly extroverted and friendly.

What Your Child’s Eating Behaviors Can Tell You

Some possible messages that might be conveyed through changes in eating behaviors are:

• I’m sad about something or someone I’ve lost.
• I’m depressed.
• I feel so alone.
• I’m angry.
• I don’t fit in.
• Stop telling me what to do!
• I’m having trouble concentrating.
• I’m struggling to adjust to changes in my life.
• I’m never good enough.
• No one likes me.
• I’m having trouble making decisions.
• I’m scared to make a mistake.
• I don’t feel well.
• I’m exhausted.

In the face of feelings that they don’t know how to manage, children and teens may turn toward or away from food for a sense of comfort or control. Yet they may not realize that their eating changes are connected to their innermost thoughts and feelings. It is the role of caregivers and other trusted adults help with recognizing the connections. It is a mistake to only address the eating behaviors without investigating the emotions and thoughts that are behind the scenes.

If you suspect that a child or teen in your life has changed her eating due to emotional distress, Remuda Ranch intake counselors are available 24 hours a day at 866-390-5100. Or, you can fill out the contact form at our website,http://www.remudaranch.com

Source Link:- http://www.remudaranch.com/blog/item/99-when-food-speaks

Jessica Setnick to Participate In Eating Disorder Hope Google Hangout

Remuda Ranch at The Meadows Senior Fellow Jessica Setnick (MS, RD, CEDRD) will be among a panel of noted experts discussing Binge Eating Disorder during an upcoming Eating Disorder Hope Google Hangout. Eating Disorder Hope is a leading online community dedicated to helping those who struggle with disordered eating.

The free Google Hangout Forum will take place on September 24, 2015 at 3 p.m. PST. The discussion will cover recovery tips and insights to assist those struggling with binge eating disorder as they successfully navigate treatment and recovery.

Many individuals struggle with binge eating disorder. Rather than feel alone or isolated, Eating Disorder Hope encourages the community to register and join us in this free BED Google Hangout and find hope and encouragement. Jessica states: "Binge eating, like other dysfunctional eating behaviors, is a visible sign of something more complex. That is why weight loss methods will never be a cure."

"We are excited to host our first Binge Eating Disorder Forum to provide much needed information and encouragement to those suffering with BED. We are honored to share the expertise of our valued guests," said Jacquelyn Ekern, CEO and founder of Eating Disorder Hope. "Our Google Hangouts forum will allow these experts to share their experience and knowledge with our online community. We are excited about this event!"

Joining Jessica on the panel will be Dena Cabrera, Psy.D., and Certified Eating Disorder Specialist at Rosewood Centers for Eating Disorders and Kimberly Dennis, MD, CEO and Medical Director at Timberline Knolls Residential Treatment Center. Eating Disorder Hope will lead this distinguished panel of experts through questions that will allow them to share their experience and expertise with our online community.

For more than 25 years, Remuda Ranch at The Meadows has offered an unparalleled depth of care through its unique, comprehensive, and individualized program for treating eating disorders and co-occurring conditions affecting adolescent girls and women. Set in the healing landscape of Wickenburg, Arizona, Remuda Ranch at The Meadows allows for seamless transitions between its structured multi-phase treatment. A world-class clinical team of industry experts examines core issues through a host of proven modalities. Providing individuals with tools to re-engage in a healthy relationship with food – and with themselves – disempowers eating disorders and empowers individuals with a renewed enthusiasm for life.

About Eating Disorder Hope

Millions of individuals with eating disorders and related issues have a difficult time finding reliable information, support and resources online. Eating Disorder Hope, (www.eatingdisorderhope.com), a dynamic online community, is specifically designed to offer information and resources for those struggling with anorexia, bulimia and binge eating disorder.

Source Link:- http://www.remudaranch.com/blog/item/100-jessica-setnick-to-participate-in-eating-disorder-hope-google-hangout

Q & A with Remuda Ranch Senior Fellow Jessica Setnick

What led you to Remuda Ranch?

As far back as I can recall I have been intrigued by the behavior of people around me, and trying to understand why we fall into certain patterns. This led me to major in anthropology in college, studying the long-term development of human behavior. When I took nutrition as an elective, my interest was piqued by the individual psychology of eating behavior. My fascination with the combination of cultural and personal influences on eating brought me to a desire to help individuals with eating disorders.

I was hired out of school by Children’s Medical Center in Dallas, as it began to develop an eating disorders treatment program. I started out spending half my time in pediatric psychiatry and the other half in endocrinology. Within two years, the eating disorder program had blossomed to the point that five dietitians replaced me when I left.

In 2000, I opened Understanding Nutrition, my private practice, which I loved. As other professionals came to me for advice, I started teaching Eating Disorders Boot Camp workshops, writing The Eating Disorders Clinical Pocket Guide, and traveling the country as a speaker. After 13 years, I closed my practice in order to concentrate on providing professional education. My hope was and is to educate primary level providers to identify dysfunctional eating behaviors in their early stages, so that no one goes for 20, 30, or even five years alone and afraid with an eating disorder.

Click Here To More Info: http://ow.ly/S1U3a

Horses Can Help Uncover Personal Truths

By Colleen DeRango, MA, LISAC, SEP, Co-Facilitator of Equine Workshops

In my most quiet moments of reflection, I often recall what one client said in one of her somatic equine sessions:

"Nothing reduces my anxiety from a 9 to a 3 faster than being with a horse."

I don't know why this is, but I do know that it is my daily experience around these sacred beings who have blessed my life. In this world of addiction, trauma, and mood disorder treatment, we often spend time looking through the lens of pathology; whereas, in the presence of a horse, we seem to quite often be looking through the lens of authenticity. Horses somehow help us return to the truth of who we really are.

Horses can also often help us find a subtle, gentle, whole, connected sense of being. Being with another being. Being seen, being understood, being accepted it is deeper than the sensation of love. It is perhaps presence in communion.

REGISTER FOR SPIRIT: A SOMATIC EQUINE WORKSHOP

You can experience the gentle light of acceptance too, by attending one of our Spirit Equine Workshops. The Spirit workshop has a 5-day and a 3-day option. The next 5-day workshops will be offered on Sept. 7-11 and November 2-6. The next 3-day workshops are October 2-4 and Dec. 4-6. Register today as spaces are limited. Call 800-244-4949 for more information.

Source Link: http://bit.ly/1JxxsRG

Runyan to Speak at Eating Disorder Conference - Remuda Ranch

Runyan to Speak at Eating Disorder Conference

Eating Disorder Treatment

The Southeast Eating Disorders Conference will take place in New Orleans, August 26-28. Remuda Ranch will be represented at the conference by Clinical Director Buck Runyan, who will be presenting on “Unveiling the Mysterious Relationship between Temperament and Eating Disorders.” The goal of the presentation is to inform treatment professionals of the common temperament traits of individuals with Eating Disorders. This knowledge may then allow for a developmental process of psychotherapeutic interventions that can facilitate a decrease in fear and shame, as well as eliminate many unnecessary conflicts that are common in treatment between a patient and their family. When each treatment participant has a support system that understands their temperament and personality, is educated well and effectively trained, their confidence for success improves significantly.
At the end of this presentation, attendees will be able to:

• Identify the common temperament profiles for eating disorders
• Apply individual results of these exams in the education and counseling of individuals and family members
• Develop a treatment plan strategically adapted for appropriate therapeutic interventions and applicable CBT/DBT skills training

Register Today!

Be a part of the evolution in understanding and treating Eating Disorders by attending the Southeast Eating Disorder Conference. In addition to Buck Runyan, you will hear from other current experts in eating disorders, including those with interests in the fields of Western, complementary and alternative medicines, broadening your view about working with Eating Disorders. Professionals can earn continuing education credits when they attend.

More about Buck Runyon

James “Buck” Runyan, has over 20 years of experience in the treatment of eating disorders. Buck currently is the Clinical Director for Remuda Ranch at the Meadows eating disorders In-patients and Residential Life programs in Wickenburg, Arizona. His prior roles have included supporting eating disorder treatment programs as a Program Director, Chief Operations Officer and Clinical Director. For a number of years, Buck had a private practice in Redlands, CA providing family and individual therapy for a broad range of mental health issues including marital and family relationships, mood disorders, self-harm, eating disorders, and bariatric surgery. Buck has served on the International Association of Eating Disorder Professionals Board of Directors since 2010. He is the current past-President of the Board of Directors and is a Fellow of iaedp™. Buck remains an active member of the iaedp Certification Committee. He was the founding chapter president for the first of iaedp’s™ regional chapters in 2004 and has been involved with the development of multiple regional US chapters. His credentials include those as a California Marriage and Family Therapist, an Arizona Licensed Professional Counselor, and an IAEDP Certified Eating Disorder Specialist and a Fellow of iaedp. Buck’s completed a Master of Science degree in Counseling Psychology California Baptist University.

Source Link :- http://goo.gl/xzjBCy

Eating Disorder Community Meeting with Jessica Setnick

Eating Disorder Community Meeting with Jessica Setnick, Oct. 9 2015

Eating disorders are complex diseases that are often misunderstood. Are you a parent, teacher, family member or friend who has a loved one suffering from an eating disorder? Are you a survivor or currently suffering? Would you like to learn more about eating disorders?
 

Knowledge is powerful. If you are able to recognize the early symptoms, you may save a life. Jessica Setnick, MS, RD, CEDRD and Senior Fellow at Remuda Ranch at The Meadows will host a community question and answer session at the Paso Del Norte Children’s Development Center in El Paso, Texas on October 9, 2015.




The meeting is geared toward family members, significant other, teachers, coaches, caregivers, survivors and anyone else with an interest in eating disorders. It will help them to identify early eating disorder symptoms, learn effective coping skills to help manage negative symptoms, and help them to start building a healthy relationship that will help facilitate recovery.
The meeting lasts from 2 – 4 p.m. and is free to the community.

Source Link :- http://goo.gl/pjU1DV

Nutrition Assessment at Remuda Ranch

Nutrition Assessment

Nutrition Therapy plays a very important role in the treatment of eating disorders. Properly nourishing the body and achieving a healthy body weight are both essential for physical and psychological health. Unless the body is well nourished, the brain does not function properly, making it difficult for the patient to fully engage in her treatment. Therefore, the foundation of eating disorder treatment at Remuda Ranch at The Meadows is nourishment. The Registered Dieticians make sure that every patient is receiving the correct meal plan with the accurate number of calories for her individual weight restoration or weight maintenance needs.

The first step in working toward proper nourishment is a thorough nutrition assessment and the development of an individualize plan of care. During the nutrition assessment, the RD learns the history of the eating disorder, including restricting, exercising, binging, and/or purging behaviors. It is during this meeting that the RD gets to know the patient and discovers her motivation for treatment and recovery.

Reaching a Healthy Weight
An important part of establishing a healthy goal weight is the patient’s weight history. This history includes the patients highest/lowest weight and what behaviors led to those particular weights. The patient’s “fear” weight helps the RD understand how much support and education will be needed as she progresses in weight restoration. A patient’s family weight history is also taken into account when establishing a goal weight as a consideration of the genetic component of body weight.

During the nutrition assessment process, body composition measurements are taken in the form of skinfold measurements using Lange skinfold calipers. These measurements, along with height, weight, frame size, and age are inserted into a scientifically developed formula, which calculates percent body fat and muscle mass. Based on these body composition values, the patient’s weight history, the family’s weight history, and any available growth charts, the dietitian is able to establish an Ideal Body Weight (IBW). 

Source Link:-  http://bit.ly/1IANIah

Eating Disorder Recovery

The road to eating disorder recovery begins with recognizing that there is a problem. This can be extremely challenging, especially if you’re still clinging to the belief that weight loss is the key to happiness. Even when you recognize that your happiness and worth come from loving yourself for who you truly are, old habits are very hard to break. The good news is that those learned eating disorder behaviors can be addressed if you want to change and are willing to ask for help.

Sustained recovery requires careful planning and for many patients, this means utilizing the full continuum of care. Recovery takes place over years of mindful application and lessons learned in treatment. At Remuda Ranch at The Meadows, we help you learn to let go of unhealthy eating behaviors. More importantly, we help you discover who you are beyond your eating habits, weight, and body image so you can overcome your eating disorder and gain true self-confidence.

The Ten Components of Recovery

The Substance Abuse and Mental Health Administration has defined ten fundamental elements that are required along the road to recovery.

• Self-Direction: choosing to seek recovery and actively seeking it out
• Individualized and Person-Centered: recovery is unique to each individual in regard to that person’s strengths, needs, experiences and cultural background
• Empowerment: the patient has control over her future and the ability to speak for herself about what she needs, wants and aspires to
• Holistic: recovery emphasizes the whole person – mind, body, spirit and emotions
• Nonlinear: recovery doesn’t always happen in a consistent step-by-step basis – there is continual growth, learning and occasional setbacks – recovery begins when the patient recognizes that positive change is possible
• Strengths-Based: recovery focuses on building on the multiple capacities, resiliencies, talents, coping abilities and inherent worth of the individual
• Peer Support: support through sharing experiences, knowledge and skills with others during the recovery process can help the patient and others by giving each a sense of belonging and community
• Respect: acceptance, protection of rights and elimination of discrimination and stigma are necessary for regaining self-acceptance and the patient’s personal belief in her worth
• Hope: the message of a positive future and the understanding that people can overcome even the hardest challenges is a belief that must be internalized

The exact treatment needs for individuals struggling with an eating disorder vary from person to person. For this reason, it’s important to coordinate a treatment plan with the provider and healthcare professional that is best suited to the patient’s unique requirements.

Asking for Help

It can be scary to ask for help to overcome an eating disorder, but gaining support from a trusted person in your life, is for many people, the first step on the road to recovery. Alternately, some find it less threatening to confide in a treatment specialist, such as an eating disorder counselor or nutritionist, to initiate change.

Your friend or family member may be shocked when you tell them about your eating disorder, but it’s important to remain hopeful. Take the time to discuss the ways you’d like them to support you during your recovery process.
The next step is to find a healthcare specialist to guide you through the recovery process. At Remuda Ranch at The Meadows, we partner with healthcare professionals to help patients feel comfortable, accepted and safe when transitioning into treatment. For more information about the treatment of eating disorders, please call to speak to one of our Intake Coordinators at 866-390-5100. You can also complete the Take the Next Step form and we will contact you with the information you need.

For more than 20 years, Remuda Ranch at The Meadows has partnered with hundreds of psychologists, psychiatrists, primary care providers, registered dieticians and primary therapists. The vast majority of our patient referrals come from these professionals. Through inpatient eating disorder and anxiety treatment, we help women and girls to stabilize and commit to recovery. Then, we return them to the referring professional for ongoing outpatient care. Together, we make recovery a reality.

Source Link:  http://www.remudaranch.com/blog/item/74-eating-disorder-recovery

Dr. Patricia Kirby Appointed Medical Director of Remuda Ranch

Patricia O. Kirby, M.D., was appointed medical director of Remuda Ranch at The Meadows. Among other responsibilities, Dr. Kirby will be responsible for the supervision of staff psychiatric and medical providers for the 12-bed critical care unit which provides 24-hour nursing, medical and psychiatric care to patients struggling with anorexia nervosa or bulimia nervosa.

Dr. Kirby is a skilled psychiatrist who has been practicing in Arizona for over 15 years, including five years in private practice with Arrowhead Professional Group (Glendale, AZ) and as a hospitalist and psychiatric consult-liaison at Thunderbird Banner Hospital (Glendale, AZ). She has also previously worked as a staff psychiatrist at Remuda Ranch at the Meadows, Gentle Path, and The Meadows, as well as an attending psychiatrist at Remuda Ranch. She is board certified by the American Board of Psychiatry and Neurology since 2003. Dr. Kirby received her Doctor of Medicine from The Ohio State University College of Medicine.

“I’ve had the good fortune of working at Remuda Ranch in various capacities over the past 15 years ago, so I understand its roots and how it has flourished," said Dr. Kirby. "I’ve witnessed firsthand how much recovery goes on here and how our low relapse rate makes Remuda Ranch a true industry leader. I’m eager to incorporate parts of Pia Mellody’s Meadows model into Remuda Ranch while staying true to what we stand for. I have a clear vision about how to forge ahead, and I’m eager to get to work.”

Chris Diamond, Executive Director of Remuda Ranch, is happy to have Dr. Kirby back on the team. “Dr. Kirby knows both the eating disorder population and the Meadows Behavioral Health culture. She is the perfect fit for the position.”

As for moving to Arizona, Dr. Kirby says she was drawn to the state for two reasons: its marvelous weather and its Hispanic culture. “I was brought up in a Hispanic household. My father is a surgeon who studied in his home country of Mexico and then completed his residency in Ohio. I feel right at home here.”
About Remuda Ranch at The Meadows

For over 25 years, Remuda Ranch at The Meadows has offered an unparalleled depth of care through its unique, comprehensive, and individualized program for treating eating disorders and co-occurring conditions affecting adolescent girls and women. Set in the healing landscape of Wickenburg, Arizona, Remuda Ranch at The Meadows allows for seamless transitions between its structured multiphase treatment. A world-class clinical team of industry experts examines core issues through a host of proven modalities. Providing individuals with tools to re-engage in a healthy relationship with food – and with themselves – dis-empowers eating disorders and empowers individuals with a renewed enthusiasm for life. To learn more contact us or call 866-390-5100.

Source:http://www.remudaranch.com/blog/item/86-dr-patricia-kirby-appointed-medical-director-of-remuda-ranch