At Castle Craig rehab clinic we treat patients with addictive disorders and mild Bulimia Nervosa or Binge-Eating Disorder. Our management of eating disorders is incorporated into our addiction treatment programme. Patients with eating disorders will be assessed and cared for by our skilled multidisciplinary team.
We are unable to offer treatment to those with severe active Anorexia Nervosa. Eating disorder treatment will be integrated with treatment for addiction.
We screen patients with co-occurring eating disorders in order to assess their suitability for admission. Once your admission has been agreed upon, a more detailed and specific history is obtained. Diagnostic tests are used to further assess the level of your eating disorder. Having gathered the necessary assessment data your therapist will develop a personalised treatment plan.
Medical and Nursing Supervision
Doctors and nurses will provide appropriate assessment and supervision and this includes the monitoring of electrolytes, weight and eating behaviour.
Therapy for Eating Disorders
Our view is that an eating disorder is an illness in which a problematic relationship with food has developed. Other characteristics of those who suffer from an eating disorder may include a negative body image, perfectionism, impulsivity and low self-esteem. We will assist you to address these and other issues in a safe environment where you will be supported by trained and experienced staff.
Our management of eating disorders utilises a group and community-based CBT approach. CBT Groups are interactive and psycho-educational and there is an introduction to the 12 steps of Obsessive Eaters Anonymous (OEA).
“Cognitive behavioural therapy, in the context of specific eating disorders treatment, offers the best evidence-based treatment so far.” Glynis Read, PhD. Eating Disorders Specialist, Castle Craig. (7)
The National Institute of Clinical Excellence (NICE) guidelines indicate CBT-BN FOR Bulimia Nervosa, CBT-BED for Binge Eating Disorder and Interpersonal Psychotherapy and/or Family Therapy for Anorexia Nervosa.
See Binge Eating.
Diet and Food Preparation
Our chefs provide three healthy and nutritious meals and snacks daily for patients. Patients with eating disorders are encouraged and supported to establish a pattern of normal eating. Dietary advice may be requested from a dietician.
Eating Disorders and Depression
- Why do people suffering from an eating disorder have a tendency towards depression? Individuals struggling with an eating disorder frequently go through a range of experiences and emotions that contribute to feelings of depression. Isolation, guilt, fear, shame, regret, anxiety, hopelessness, frustration, despair, anger, and substance abuse, are common, among others. Physiological changes in the body that can result from eating disordered behaviour may contribute to mood changes. Additionally, many individuals with eating disorders may have struggled with depression prior to developing disordered eating behaviours.
- How can this be helped? Psycho-social interventions including talking therapies, art groups, family and individual therapy, as well as anti-anxiety and antidepressant medications, are frequently utilised by healthcare professionals in the treatment of depression and eating disorders. The non-judgmental support of family and friends also plays a significant factor in recovery.
Self-Harm and Anorexia
- Do individuals with anorexia have a tendency to self-harm? Individuals with an eating disorder such as anorexia frequently experience significant emotional suffering, and may engage in self-injurious behaviour to regulate/cope with their emotional experience. People with Anorexia do not always engage in self-harming behaviours, and not all people who engage in self-harming behaviours suffer from disordered eating.
- How can it be helped? Self-harming or self-injurious behaviours should always be taken seriously as they can result in serious health consequences including accidental death. Even when self-injurious behaviour does not have significant medical consequences, it is most often a sign of serious emotional distress that may be life-threatening. Individuals engaging in self-harming behaviours should be evaluated immediately by a compassionate and qualified mental health or medical professional.
The Emotional Impact of Eating Disorders
- How do eating disorders impact an individual’s well-being? Eating disorders have serious consequences on every aspect of an individual’s medical and mental health. In addition to causing severe emotional distress for the individual, chronic eating disordered behaviours can have life-threatening and irreversible physical health consequences that may contribute to future mental health difficulties.
- What are the consequences of an individual’s eating disorder on the people around them? The people close to an individual who is struggling with an eating disorder often experience a myriad of emotional and logistical difficulties that represent the most challenging aspects of having a loved one who is suffering from a serious condition that is both a medical and a psychological one. Qualified medical and mental health professionals will be able to direct family and friends to appropriate local support resources.