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Urge Surfing: A Distress Tolerance Skill

Urge Surfing: A Distress Tolerance Skill

At Columbus Park, we use Dialectical Behavior Therapy (DBT) to teach mindfulness skills that patients can use to better tolerate the thoughts, emotions, and urges they experience.  One of those skills is urge surfing. What is Urge Surfing? Urge surfing is a...

Ask About Eating Disorder Outcomes!

Ask About Eating Disorder Outcomes!

“What are your results and how do you measure them?” It's the most important question you should ask when seeking treatment for eating disorders.  Here's what you should look for in an answer: A measure of eating disorder outcomes. It’s not enough to measure...

The Hazards of Dieting

The Hazards of Dieting

The New York Times recently published a story titled “After the Biggest Loser, Their Bodies Fought to Regain Weight” that has generated a lot of buzz.  The gist of the story was that by 2015 most of the contestants from the 2009 Biggest Loser reality TV show had...

Adults With Anorexia: The Importance of Re-Feeding

The first priority in treating adults with anorexia is weight restoration. According to research, enhanced cognitive behavioral therapy (CBT-E) is the most effective treatment for adults with anorexia.  What we find at Columbus Park, however, is that the starved mind...

Meal Support

Meal Support

Meal Support Is a Powerful Treatment Tool Mealtime is inherently challenging if you have an eating disorder.  Disordered eating behaviors—like avoidance of certain foods, eating food types in a certain order, cutting food into small pieces, eating at an especially...

New Year’s Resolutions:  Focus on Values

New Year’s Resolutions: Focus on Values

New Year’s Resolutions:  Make Them About Values, Not Goals It’s a New Year!  That means it’s time to think about resolutions, right?  And that typically means setting goals for what you want to achieve this year.  Maybe it’s to get that promotion, or get fit, or get...

Being Present

Being Present

Being Present   Leo Tolstoy nailed it when he said, "There is only one time that is important - NOW!  It is the most important time because it is the only time that we have any power.” We spend so much time ruminating about the past, planning for the future - all...

ACT Defusion

ACT Defusion

ACT Defusion A core process in ACT is called defusion.  It means separating from our thoughts—letting them come and go instead of getting all wrapped up in them.  Through defusion, our thoughts no longer have to control our actions or behaviors.  In ACT terms,...

ACT for Eating Disorders

ACT for Eating Disorders

You're Not Broken:  ACT for Eating Disorders Why I love using ACT  Acceptance and Commitment Therapy (called ACT – and pronounced as it reads!) gets its name from its central message: learn how to accept thoughts and feelings that are out of your control and commit to...

Orthorexia Signs and Symptoms

Orthorexia Signs and Symptoms

Signs and Symptoms of Orthorexia Do you fixate on eating foods that you feel are healthy? Do you obsessively avoid foods you are convinced affect your health (e.g. anxiety, depression, allergies, asthma, digestive issues)—even in the absence of medical advice? Has...