101711: Eating Disorders, Chronic Pain, and Substance Abuse

About the Course:

Webinar from the 2009 International Association of Eating Disorders Professionals Symposium.
Note: For this course there is a small additional fee to obtain the webinar. Please see the “Get Course Materials” link in the right sidebar for details.

Between 25-50% of females diagnosed with eating disorders also have diagnoses of substance use. Complicating this situation is when patients also have chronic pain! Treating these multiple disorders is a true challenge. Which do you treat first? Do treatments for one compromise treatments for the others? These questions, as well as the biology of addiction and the parallels in recovery from these disorders, will be discussed.

Content Outline:
I. Overview—Treating Patients with Substance Abuse and Chronic Pain who have an Eating Disorder a. Challenges b. Risks c. Benefits
II. DSM-IV Diagnosis of Eating Disorders a. Anorexia b. Bulimia c. ED, NOS
III. DSM-IV Diagnosis of Substance Abuse a. Alcohol, Tobacco, Nicotine i. Identification and Detoxification b. Benzodiazepines i. Identification and Detoxification c. Narcotics and Opiates i. Identification and Detoxification
IV. Case Study
V. Chronic Pain Types a. Neuropathic Pain b. Postoperative Pain c. Musculoskeletal Pain d. Cancer Pain e. Fibromyalgia
VI. Controversy: treat patients with chronic pain a. Maintain addiction b. Manage pain and detoxify c. Compromise
VII. Pain-relieving Drugs a. Opiods b. Antidepressants c. Antiepileptic drugs d. Muscle relaxants e. Non-steroidal anti-inflammatory drugs f. Others
VIII. Other Treatments a. Biofeedback b. Heating pads/ cold pads c. Physical Therapy
IX. Case study
X. Question and answers.

Author

Kevin Richard Wandler, MD (presenter)

About the Author:

Dr. Kevin Wandler has been the Vice President of Medical Services/Medical Director of Remuda Ranch Treatment Centers for thirteen years. He specializes in the treatment of women with eating disorders and co-occurring conditions. He is Board Certified in Psychiatry; has added qualification from the American Board of Psychiatry and Neurology in Addiction Medicine; and has certification from the American Society of Addiction Medicine. Before Remuda Ranch, he was in private practice, specializing in treating adolescents and adults with substance use disorders and attention deficit/hyperactivity disorder. Dr. Wandler presents frequently at national eating disorder and chemical dependency conferences.

Recommended For:

This course is recommended for health care professionals, especially psychologists, therapists, and counselors who seek to update their research knowledge and competency in treating patients with eating disorders, increase and acquire new skills, learn new intervention strategies, and obtain continuing education credits. It is appropriate for professionals at all levels of knowledge.

Course Objectives:

1. After this presentation, participants will learn the similarities and differences in treating individuals with eating disorders, chronic pain, and substance use disorders.

2. After this presentation, participants will understand the medical basis for some eating disorders and substances of abuse.

3. After this presentation, participants will know which patients with an eating disorder, chronic pain, and substance use can be treated at which level of care.