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Eating Disorders, Chronic Pain, and Substance Abuse: Assessing and Treating These Challenging Patients

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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.

This course is based on the recorded webinar, Eating Disorders, Chronic Pain, and Substance Abuse: Assessing and Treating These Challenging Patients created by Kevin Richard Wandler, MD

Course Material Author

Kevin Richard Wandler, MD
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.

Kevin Richard Wandler, MD authored the material only, and was not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Course Creator

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:

After taking this course, you should be able to:

  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.


Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Author

The authors have disclosed any disclosures within the material.

Course Creator: Max Schwanekamp
There are no relevant disclosures.
Commercial support

There is no commercial support for this distance-learning course.

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Course Number 101711
2 CE credit hours
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  • Recorded Webinar
Exam Fee $11.94
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