The program is based on the conviction that intensive specialty treatment, employing evidence-based treatment protocols, is effective in treating eating disorders and coexisting conditions. In the attempt to achieve maximum benefit for patients, the program adheres to the following assumptions:
1. We use integrated treatment that includes evidence based cognitive-behavioral treatment, experiential guidance and psychopharmacological treatment modalities.
2. We encourage normalization of eating by patient participation in decision-making and provision of services in the least restrictive environment.
3. We design and provide services in a way that supports, educates, and empowers the patient.
4. We attend to the individual’s physical, emotional, and social problems.
5. Our long-term goal is to establish healthy functioning individuals and families.
A comprehensive assessment is recommended for most individuals. The assessment includes a nutritional assessment, a thorough psychosocial history and a psychiatric evaluation. Medical tests are also required to rule out medical conditions that may require a higher level of medical care. Given the complex presentation of eating disorders, a careful and thorough diagnostic assessment is crucial for future treatment to be effective.
The Houston Eating Disorders Center utilizes a multidisciplinary clinical team which specializes in eating disorders treatment to target the issues destabilizing the patient. Treatment planning focuses on crisis management and symptom reduction and prevention with the patient’s active involvement in the treatment design. Discharge planning begins upon admission to assure that future treatment will address the long-term care needs of the patient. Conventional measures in the field, with well-documented reliability and validity, are used throughout the treatment and the data informs decisions about treatment level and discharge. These measures include Eating Disorder Inventory - 3, The Beck Depression Inventory (BDI), the Eating Disorders Quality of Life scale (EDQOL), The Positive Affect Negative Affect Scale (Panas-X) and The Clinical Impairment Assessment (CIA). Additionally, the scales are administered at discharge to aid in discharge planning decisions.
Partial Hospitalization Program
Our day program offers comprehensive care for patients who need support to meet most of their nutritional needs. A variety of groups and individual interventions are offered to help patients develop greater independence and confidence. Patients develop coping skills for dealing with their feelings, managing distress and maintaining interpersonal relationships. They learn to challenge perfectionistic tendencies and poor body image. There are opportunities for relaxation in meditation, yoga and music therapy sessions. The day program meets from 10 a.m. to 7 p.m. Monday through Thursday and 8 a.m. to 4 p.m. on Friday. During this time, patients attend four therapy groups daily, have two meals and two snacks and attend individual appointments with their therapist and dietitian. (Please see group schedule for details).We also offer a weekly support/psycho-education group for families. Additional treatment, such as medication management by a psychiatrist and family therapy may also be recommended for individual patients. If patients have additional needs, such as treatment for anxiety or substance abuse, they will be helped in accessing care.
Intensive Outpatient Program
We offer two different schedules for our intensive outpatient program, to accommodate different scheduling needs. The program focus is also different. The Day IOP features a focus on DBT skills, evidence-based treatment for bulimia nervosa. The Evening IOP offers diverse skills groups that address issues commonly associated with eating disorders such as perfectionism, social skills and depression. The daytime program meets three times per week from 11 a.m. to 2 p.m. and the evening program from 4 to 7 p.m. (Please see group schedule for details). Both programs include three supervised therapeutic meals, six groups, a weekly individual therapy session and a nutritional consultation with a dietitian. We also offer a weekly support/psycho-education group for families. Additional treatment, such as medication management by a psychiatrist and family therapy may also be recommended for individual patients. If patients have additional needs, such as treatment for anxiety or substance abuse, they will be helped in accessing care.
For patients who are able to meet their nutritional needs independently with therapeutic support, our staff provides care as a multidisciplinary team. Therapists, dietitians and the psychiatrist collaborate closely with the patient, other medical care providers and family to help a patient maintain early recovery.
HEDC also offers a family support/psycho-education group and groups for patients who have completed the program for ongoing support. After care will be recommended and can be provided by members of the HEDC treatment team, or patients can return to original providers.
Healthy at Every Size Group - An Integrative Approach to Self-Acceptance
This 90-minute weekly group is for individuals who struggle with binge eating, night eating or mindless eating and wish to develop more control over their eating habits and establish a healthy relationship with food and their bodies. This involves change at multiple levels -- physical, mental and spiritual. Strategies group members will work on in this integrative group include making behavioral changes, incorporating mindfulness, and developing alternative coping strategies for dealing with life’s challenges besides turning to food. The group will combine experiential activities, didactic materials and also offer time for sharing and mutual support.
Saturdays, 10 to 11:30 a.m. Please contact our office at (713) 750 9607 for more information.