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Eating Disorders

The Eating Disorders Program at the University of North Carolina at Chapel Hill offers a comprehensive specialized approach to the treatment of anorexia nervosa, bulimia nervosa, and related conditions for individuals of all ages.

The mission of the program is to provide the most current and state of the art evidence-based treatments to help individuals suffering from eating disorders to achieve a lasting recovery. This is accomplished through intensive inpatient, partial hospitalization, and outpatient services.

Our philosophy is based on the belief that eating disorders are caused by biological, psychological, and social factors and that full recovery requires a supportive and respectful multidisciplinary approach that addresses all aspects of the individual.

The core goals of the program include:
• Achieving a healthy and sustainable body weight.
• Developing healthy (nondieting) eating habits
• Learning how to reintegrate healthy activity into one’s lifestyle
• Treating any physical complications that may have arisen as a result of unhealthy eating or weight control practices
• Treating additional problems such as anxiety or depression
• Providing tools to replace unhealthy thoughts with healthier ones
• Challenging the irrational thinking that maintains eating disorders
• Empowering parents to help their child recover and remain well
• Providing a step-down approach that gradually introduces more autonomy and helps reintegrate individuals back into a healthy lifestyle
• Achieving a balanced and healthy lifestyle


Inpatient program
The inpatient facility is on the 5th floor of the North Carolina Neurosciences Hospital at UNC. This facility includes 10 beds that are dedicated solely to the treatment of eating disorders. The inpatient program is highly structured and follows the principles of cognitive-behavioral therapy. All patients participate in the structured group program and receive individualized treatment as well. All meals and snacks are supervised in a supportive environment by experienced members of our treatment team. Post-meal observations are designed to be anxiety-reducing.

Components of the inpatient treatment program include:
• Daily consultation with the psychiatrist
• Individual psychotherapy with a psychologist, psychiatrist or social worker
• Consultation with other medical and dental disciplines when necessary
• Group cognitive-behavioral psychotherapy
• Individual nutritional counseling and meal planning
• Instruction in healthy nutrition
• Family therapy
• Occupational therapy
• Recreational therapy
• Relaxation training, gentle stretching, and reintegration of exercise
• In-house school
• Community meetings
• Non-denominational spirituality groups
• Media awareness groups

Partial Hospitalization Program
The Partial Hospitalization Program provides day long active structured programming from Monday through Friday. This includes three meals and two snacks per day. Partial hospitalization is recommended for individuals who have successfully completed the inpatient program or whose treatment needs could best be met with a less structured environment. Partial hospitalization programming includes many of the same features as inpatient treatment, but allows the patient greater autonomy and helps with facing challenges of the outside world.

Outpatient treatment
The UNC Outpatient Eating Disorders clinic is the third component of stepped care. Outpatient treatment is tailored to the specific needs of each individual patient and includes medication consultation, individual psychotherapy, family therapy, nutrition counseling, and group psychotherapy. In addition, our staff can provide consultation with outpatient providers from other locales to assist with discharge planning and ongoing outpatient care.

Our treatment team
The UNC treatment team includes care providers who are dedicated to the treatment of individuals with eating disorders. The team includes board certified psychiatrists, pediatricians, licensed clinical psychologists, registered dieticians, licensed clinical social workers, occupational therapists, recreational therapists, and a skilled nursing staff who are specifically trained in working with eating disorders.

Involvement of the family
Eating disorders can devastate families and our philosophy is to integrate families into treatment whenever possible. This includes regular family meetings, frequent communication between providers and families, and invitations to attend educational events in order to learn more about our approach to treating eating disorders and to help empower families to assist in recovery.

Admission to the program
Admission to the program is by referral. All patients admitted to the program will undergo a complete outpatient psychological and medical assessment. The treatment team will help determine the best level of care and develop an approximate projected course of treatment. At that point, the financial team can assist with reviewing payment options. To inquire about admission, please contact your medical or mental health provider. You may also contact the Eating Disorders Intake Coordinator at (919) 966-7012.



 

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