2022 ANZAED Autumn Workshop Series
*Tentative Schedule

8.15am – 8.45am Registration & Arrival Tea

8.45am – 9.30am Keynote Address by Jenny Gilmore

9.30am – 9.45am Morning Tea

MORNING CONCURRENT SESSION I
9.45am – 12.45pm
The art of consultation in eating disorder treatment by Warren Ward

Aim of workshop:
This workshop will equip attendees with the knowledge and skills to provide effective consultation to clinicians, teams and services in the treatment of eating disorders.

About the workshop:
This half-day interactive workshop will provide attendees with a time-tested structure and approach to deliver effective consultation. The workshop will include experiential small group exercises in which attendees can practise consultation skills using mock cases provided by the presenter.

Topics covered will include:

  1. The purpose of consultation. Definitions. Consultation versus supervision and Liaison. 
  2. Know your ‘customer’. Individual versus team versus health service. Consulting to emergency depts, medical wards, general psychiatric wards, c-l psychiatry, gps, community clinicians. Public, ngo, private settings. Consulting to GPS.
  3. Preparing the consultation
  4. Delivering the consultation. Structure. Medical versus nutritional versus psychological. Multidisciplinary consultation. Approach. Process. Tips to engage customers.
  5. After the consultation. Written reports. Opportunities to build capacity: education, liaison, service development
  6. Challenges. The complex pt (ARFID, co-existing BPD, PTSD). The ‘difficult’ customer: consulting to clinicians/teams who are uninterested, dismissive, chaotic, I’m conflict, overwhelmed.
  7. Service development: Consulting to health services, managers, directors, governments.

Learning Objectives:

  1. Knowledge in how to prepare, structure and deliver effective consultations
  2. Skills in hosting consultations in a wide range of situations, including complex, challenging patients, clinicians, teams and environments
  3. How to ‘cut through’ and deliver effective useful applicable messages when consulting to generalist teams
  4. Knowledge in how to harness consultation opportunities to build capacity amongst both specialist and nonspecialist clinicians and treatment teams
  5. How to deliver an effective verbal and written report and recommendations following a consultation
  6. An introduction to consulting at a ‘higher level’ (organisations, managers, directors)

MORNING CONCURRENT SESSION II
9.45am – 12.45pm
Behind Closed Doors: Effective Behaviour Change Strategies for Individual and Group Therapy by Carolyn Costin

Workshop Overview: Carolyn Costin brings to this workshop four decades of experience as an individual and group therapist working in outpatient, day treatment, hospital and residential settings. Her 6 books and her success in opening the first residential treatment center for eating disorders in the US lead Carolyn to teach successful treatment strategies in conferences and trainings all over the world.

Though recognizing the importance of evidenced based treatments such as CBT or FBT, we know they only work a percentage of the time. Carolyn teaches practitioners other tools necessary for their treatment tool box.

This workshop will be interactive as well as educational, with the time being divided into 4 equal parts.

Part 1. Contacting and Transforming the Eating Disorder Self: Each client has a core healthy self but over time, due to a combination of risk factors, has developed an eating disorder self that dictates thoughts and behaviors. This part of the workshop will discuss how to access both the healthy self and the eating disorder self and how to help clients strengthen their healthy self and put the eating disorder self out of a job.

Part 2. Dealing with Resistance: Resistance and ambivalence come with the territory of eating disorder treatment. Clients often withhold information or lie to their treatment team. They often feel like and even say that, they don’t want to get better, they are afraid to get better, they don’t think they can get better, it is not worth getting better, they don’t know how to get better, etc. In this section of the workshop Carolyn discusses common areas of resistance, detailing strategies for moving clients past resistance into behavior change.

Part 3. The Therapeutic Relationship: Several research studies show that a positive therapeutic relationship is a robust predictor of successful therapy, yet what does this mean? What is a positive therapeutic relationship, what are the specific factors that create such a relationship and how does one achieve this? Carolyn will explain how clinicians can make immediate use of the research from authors such as Miller and Norcross, “Therapeutic Relationship in Treatment Outcome, ” Wampold and Imel, “The Great Psychotherapy Debate, ” Dan Siegel, “The Mindful Therapist, ” and Porges, Geller and Greenberg and their use of “Polyvagal Theory.” Clinicians will gain a deeper understanding of how, who they are, not just the treatment modality they use, is an important tool in their toolbox.

Part 4. What To Do When…: The last section is a particularly lively and interactive part of the workshop where Carolyn invites participants to ask questions about difficult situations or cases. With over four decades of clinical work behind her, Carolyn answers any question such as, “What do you do when a patient refuses to gain weight and/or continually loses any weight achieved?” “How do you help a patient who seems motivated but cannot follow through with behavior goals?” “How do you run a group with a mix of patients with varying eating disorder diagnosis?” “ What are some topics to use in group therapy or family therapy?” This aspect of Carolyn’s presentations have been highly valued and appreciated, always ending with participants asking for more.

Presenter:
Carolyn Costin is a world renowned, highly sought-after eating disorder clinician, author, and international speaker. Recovered from anorexia in her twenties, as a young therapist Carolyn recognized her calling after successfully treating her first eating disorder client. Carolyn was first to publicly take the position that people with eating disorders can become fully recovered. She is a pioneer in the field, promoting the value of appropriately training and utilizing recovered individuals as an adjunct to overall support and care. After 15 years in private practice and running hospital programs, Carolyn was determined to improve the eating disorder relapse rate and recognized a gap in the eating disorder field. She opened Monte Nido, the first residential facility, located in a home setting, surrounded by nature, where standard treatment was combined with meditation and yoga. For the first time clients with eating disorders were provided a setting where they could make the necessary behavior changes to ensure full recovery upon discharge, e.g., the ability to shop for, prepare and cook food. 

MORNING CONCURRENT SESSION III
9.45am – 12.45pm
Exploring the value of psychodynamic theory and practice within eating disorders treatment by Annaleise Robertson & Jeremy Freeman

Abstract: While psychodynamic psychotherapy has developed as an evidence-based treatment for eating disorders in it its own right, psychodynamic theory, thinking and practice is also applicable across models to enhance the efficacy and experience of therapy for the person  experiencing the eating disorder, their family/supports, the therapist and the treatment team. It encourages us to delve into the universal human experience of facing challenges in life, how we cope, and the healing power of relationships and self-reflection.

This one day workshop will balance an exploration of psychodynamic theory, clinical material and unique experiential learning designed to enhance reflective practice and develop clinical skills. We will include a brief summary of the development of some fundamental psychoanalytic concepts covering Freud, Klein and Bion up to modern psychodynamic ideas and applications. We will draw from key clinical papers, video and audio clips, and tasks essential to the learning and practice of psychodynamic psychotherapy, including infant observation and group case discussion. There will be time for you to think about how these ideas can be incorporated into your individual and workplace practice, regardless of your setting, the population you work with or your level of experience.

Presenters:
Dr Annaleise Robertson is a clinical psychologist and supervisor who specialises in systemic and psychodynamic frameworks for working with young people experiencing eating disorders, their families, and the therapists that support them. Annaleise has worked in a full-time clinical role at The Children’s Hospital at Westmead since 2012, with extensive experience in both inpatient, outpatient and group therapy. She has recently returned from two years living in London where she worked at the Maudsley Centre for Child and Adolescent Eating Disorders and undertook further psychodynamic training at the Tavistock and Portman Institute. Annaleise provides regular education, training and supervision in eating disorders, including consultation with ANZAED as a group supervisor, the National Eating Disorder Collaboration (NEDC) and the University of Sydney.

Jeremy Freeman is a clinical psychologist who has worked in public child, adolescent and family centres, and in private practice, managing a range of conditions including eating disorders. He has done training in psychoanalytic psychotherapy and in psychoanalysis. He has a special interest in adapting psychodynamic ideas and practices to forms of practice that are not considered to be psychodynamic.

12.45pm – 1.45pm Lunch

AFTERNOON CONCURRENT I
1.45pm – 4.45pm
Gastrointestinal presentations in eating disorders by Elissa Robins

  • Understand the connection between GI disorders + eating disorders.
  • Recognize the most common GI conditions in eating disorders.
  • Dietary interventions and non-dietary tools to improve GI issues.
  • Application of evidence-based elimination diets in eating disorders

Presenter:
Elissa Robins has 18 years of experience as a dietitian and is a Monash University Adjunct Research Fellow. She worked for 14 years in the hospital inpatient and outpatient settings across surgical, gastroenterology and critical care services. In 2017 she established her private practice Inner Health Nutrition, which focuses on digestive concerns and HAES.  Over the past 4 years, Elissa has developed a special interest in and understanding of Functional Gastrointestinal Disorders (FGID’s) and has expanded to seeing more clients living with both FGID’s and Eating Disorders. 

E: [email protected]| W:www.innerhealthnutrition.com.au

AFTERNOON CONCURRENT II
1.45pm – 4.45pm
TBC

AFTERNOON CONCURRENT III
1.45pm – 4.45pm
Exploring the value of psychodynamic theory and practice within eating disorders treatment by Annaleise Robertson & Jeremy Freeman
(Morning workshop cont..)

4.45pm – 5.00pm Afternoon Tea & Friday Session Concludes

6.00pm onwards – Cocktail Reception at The Dock, Mooloolaba
The cocktail function will be held immediately following the day’s program. The venue is only a short walk from the Mantra Mooloolaba Beach.

Tickets for the cocktail function can be purchased during the registration process. Delegates can also purchase tickets for their partners/guests.
Ticket cost includes canapes and 2 drink tickets. Delegates are able to purchase more drinks from a cash bar.
AWS Delegate Ticket Cost:
A$20; Partner/Guest Ticket Cost: A$65

Dress Code: Smart Casuals

9.00am – 9.30am Registration & Morning Tea

MORNING CONCURRENT SESSION I
9.30am – 12.30pm
Beyond the dietetic consultation by Shane Jeffrey

  • Managing admin/caseload
  • Communication with the client and their care team
  • What to do when your client isn’t progressing

Presenter:

Shane is an Accredited Practicing Dietitian and Accredited Sports Dietitian with 25 years of experience as a dietitian in both the private and public sectors, working almost exclusively in the field of eating disorders and the non-diet approach.  With an interest in workforce development, Shane presents on eating disorder related topics into various universities and provides mentoring and professional supervision to dietitians practicing in the area. Shane is the founder and clinical director at River Oak Health and Food Mind Body, Queensland based private practices dedicated to the treatment of eating, weight and body image concerns, and he is the current treasurer of the Australian & New Zealand Academy for Eating Disorders.

MORNING CONCURRENT SESSION II
9.30am – 12.30pm
Schema therapy for eating disorders – for complex presentations that do not respond to CBT by Evelyn Smith

  • Introduction to schema therapy
  • When to use schema in eating disorders
  • The state of the evidence for schema therapy in eating disorders
  • Chair work
  • Imagery

MORNING CONCURRENT SESSION III
9.30am – 12.30pm
Informing the Treatment of Trauma in the Eating Disorders by Mandy Goldstein, Chris Thornton & Victoria Chappel

Workshop Overview: There has been much talk in the eating disorders sector on ‘Trauma Informed Treatment’. Much less has been said about ‘Informed Trauma Treatment’ when trauma and eating disorders co-occur. This workshop is intended for mental health practitioners with a good understanding of the evidence-based treatment of eating disorders who are wanting to improve their knowledge of what treatments may help their more complex patients.

Research has established a clear link between trauma and eating disorders (EDs), with childhood sexual assault emerging as a risk factor for psychiatric illness generally and as a non-specific risk factor for eating disorders (Brewerton, 2007). Patients with a trauma history are likely to have more severe ED symptoms (Hall et al., 2018) and higher levels of comorbidity (Brewerton, 2007).

Where they do co-occur, the clinical picture can be complex, with each disorder impacting or serving to maintain the other. Eating disorders can be seen as both a solution to the problem of trauma, as well as a problem itself. There is little current guidance informing integrated treatment approaches (Mitchel et al., 2021; Trottier & Monson., 2021).

This workshop aims to help mental health clinicians develop a greater understanding of the impact of trauma on the development and maintenance of an eating disorder. Based on the clinician’s existing understanding of the clinical practice standards for the treatment of eating disorders (Hurst et al., 2020) and utilising concepts of therapeutic relationship, non-negotiables, working in a multi-disciplinary team and particularly case formulation, this workshop will aim to outline the decisions relating to the ‘sequence of treatment’ that clinicians face when dealing with complexity.

Ideas from the evidence-based treatment of trauma will be presented. Both cognitive and somatic approaches to trauma will be discussed with examples of how to weave these trauma treatments into eating disorders treatment. It is hoped that clinicians will be motivated to delve deeper into more detailed learning of specific trauma treatments.

The workshop invites clinicians to bring their own clinical material for discussion.

Learning Objectives

  1. Understand the rates of co-occurrence between trauma and eating disorders.
  2. Understand how the presence of trauma affects the formulation and treatment of a person presenting with an eating disorder.
  3. Distinguish between the treatment necessary for a patient with an eating disorder and PTSD and someone presenting with complex trauma.
  4. Have increased awareness of evidence-based treatment of trauma with a view to further developing their own skills through further training.
  5. Develop a greater understanding of the sequence of eating disorder and trauma treatments.

Arditte Hall, K. A., Bartlett, B. A., Iverson, K. M., & Mitchell, K. S. (2018). Eating disorder symptoms in female veterans: The role of childhood, adult, and military trauma exposure. Psychological Trauma: Theory, Research, Practice, and Policy, 10(3), 345.
Brewerton, T. D. (2007). Eating disorders, trauma, and comorbidity: Focus on PTSD. Eating disorders, 15(4), 285-304.
Hurst, K., Heruc, G., Thornton, C., Freeman, J., Fursland, A., Knight, R., Roberts, M., Shelton, B., Wallis, A., & Wade, T. (2020). ANZAED practice and training standards for mental health professionals providing eating disorder treatment. Journal of Eating Disorders, 8(1), 1-10.
Mitchell, K. S., Scioli, E. R., Galovski, T., Belfer, P. L., & Cooper, Z. (2021). Posttraumatic stress disorder and eating disorders: maintaining mechanisms and treatment targets. Eating disorders, 1-15.
Trottier, K., & Monson, C. M. (2021). Integrating cognitive processing therapy for posttraumatic stress disorder with cognitive behavioral therapy for eating disorders in PROJECT RECOVER. Eating disorders, 1-19.

Presenter:
Dr Mandy Goldstein is a clinical psychologist with some 14 years’ experience in the treatment of eating disorders (EDs) and trauma. She is the Principal Clinical Psychologist at MGPsych, a private practice in Sydney, focusing on the treatment of EDs and those with trauma histories. Mandy has been involved in inpatient, outpatient and day program treatment settings for patients with EDs. She has undergone specialist training in the treatment of adults and adolescents with EDs, including FBT and CBTe; she works across the age and diagnostic ranges and teaches from an evidence-informed, core principles approach to treatment. Mandy’s training in the treatment of trauma began with group treatment for Vietnam War Veterans in a hospital outpatient treatment setting, and has continued for more than a decade with patients experiencing both simple trauma often leading to PTSD, and more complex trauma histories stemming from early childhood neglect and abuse. Mandy has trained in EMDR, Cognitive Processing Therapy and Internal Family Systems Therapy and has a particular interest in the co-occurrence of trauma and EDs and the clinical challenge this frequently presents. She offers consultation and supervision to trainee psychologists in FBT, as well as the treatment of EDs and trauma more generally.
Mandy completed her Doctorate in Clinical Psychology at Macquarie University, where her research and training was focused on enhancing the treatment of EDs. Her research has been published in international peer-reviewed journals and presented at conferences. She is a Conjoint Senior Lecturer at University of Western Sydney and is Secretary of the Australia and New Zealand Academy for Eating Disorders.

Chris Thornton is the Founder and Clinical Director of The Redleaf Practice, a large multidisciplinary private practice in Sydney. Chris has worked with individuals and families with eating disorders for nearly 30 years. Chris has consulted to inpatient, day patient and outpatient treatment services at major centres of eating disorders in both Australia and New Zealand. He continues to supervise programs and clinicians throughout Australia. Chris is a past president of the Australian and New Zealand Academy of Eating Disorders, sits on the Steering Committee of the National Eating Disorders Collaboration and is a member of the Eating Disorder Credential Governing Council. He was awarded a Lifetime Achievement Award in the field of eating disorders by the Australian and New Zealand Academy of Eating Disorders in 2020. Chris has presented numerous workshops on the treatment of eating disorders, both nationally and internationally. He has presented workshops on Motivational Enhancement Therapy; Acceptance and Commitment Therapy, Day Program Treatment, Non-Negotiables in Eating Disorders Treatment, Mirror Exposure for Body Image Treatment, Treatment of Shame in Complex Eating Disorders, as well as on the strengths and limitations of evidence-based treatments.

Victoria Chappel is a Clinical Psychologist at The Redleaf Practice and the Northern Beaches Child and Youth Mental Health Service (CYMHS).
Victoria has worked with multiple CYMHS teams to provide systemic care for diverse presentations including eating disorders, trauma, anxiety, depression, and high-risk behaviours. Victoria also has worked with the Blacktown Adult Mental Health Team focused on providing treatment for complex trauma and survivors of sexual assault and domestic and family violence. Victoria has a particular interest in the interaction between eating disorders and trauma and how the complexity of this comorbidity can impact treatment.

MORNING CONCURRENT SESSION IV
9.30am – 12.30pm
Workshop on attachment theory and its impact on eating disorders by Steve Arthey

Workshop Overview: Bowlby’s attachment theory has been widely applied in child development and social work research and practice. However, it has been comparatively sparsely applied in psychotherapy, particularly adolescent and adult psychotherapy. Attachment theory has identified four primary attachment patterns that have their origins, and can be identified, in the first months of life: Secure, ambivalent, avoidant, and disorganised. These attachment patterns are considered to be adaptive to the environment in which the child lives. They have been shown to be relatively stable and enduring patterns of relating to both oneself and others, but they have also been shown to be changeable, both in response to persistent environmental change and through psychological treatment.

In this half-day workshop we will:

  1. Develop an understanding of attachment theory, which Bowlby conceptualised as a cradle-to-grave theory, that has a strong evolutionary component: Patterns of behaviour develop in early life in order to maximise the individual’s chances of survival to reproductive age;
  2. Examine each of the attachment patterns, including:
    A. The parent-child patterns of relating that lead to the development of each of the attachment patterns,
    B. How each of the attachment patterns influences the person’s perceptions of self, other and the world,
    C. How the attachment patterns that are associated with psychopathology are likely to present in therapy, with a particular focus on people with eating disorders, and;
  3. Consider how the attachment patterns are sub-cortically driven, adaptations to the early attachment environment and how this is likely to contribute to the concept of “resistance” as it manifests in psychotherapy.

Presenter:
Dr Steve Arthey (Ph.D.) is a clinical psychologist working in private practice in Burleigh Heads, QLD, Australia. He provides individual therapy to adults and adolescents. For 11 years Steve was the senior clinical psychologist at Albert Road Clinic, a private psychiatric hospital in Melbourne. At Albert Road Clinic, Steve developed and conducted programs for eating disorders, personality disorders, PTSD, depression, OCD and self-harm. Steve has extensive training in Intensive Short-Term Dynamic Psychotherapy (ISTDP) and has published numerous peer reviewed articles on the theory, application and effectiveness of ISTDP as well as having presented over 50 training workshops on ISTDP in Australia and internationally. For the last 11 years, Steve has provided an internationally accredited (by the International Experiential Dynamic Therapists Association) core training program in ISTDP in Australia. As a result of the restrictions arising from COVID-19, this training program moved online and now has international enrolments. Additionally, Steve also conducts an online advanced training program for therapists that have completed an accredited ISTDP Core Training program.

12.30pm – 1.30pm Lunch

AFTERNOON CONCURRENT I
1.30pm – 4.30pm
Research in the Real World

AFTERNOON CONCURRENT II
1.30pm – 4.30pm
Schema therapy for eating disorders – for complex presentations that do not respond to CBT by Evelyn Smith
(Morning workshop contd..)

AFTERNOON CONCURRENT SESSION III
1.30pm – 4.30pm
Trauma treatment in eating disorders by Chris Thornton, Mandy Goldstein & Victoria Chappel
(Morning workshop contd..)

4.30pm – 5.00pm Afternoon Tea & Event Concludes