“Eating Disorder Relapse Prevention” Twitter Chat

For Patients

Eating Disorder Hope: Good afternoon everyone! Welcome to our Eating Disorder Hope Twitter Chat!

Eating Disorder Hope: Today, we are featuring our special guest, James Runyan, Executive Director of The Meadows Ranch.

Eating Disorder Hope: We will be tweeting with James about Eating Disorder Relapse Prevention, and James is tweeting on behalf of @TheMeadowsRanch.

Eating Disorder Hope: Welcome James! @TheMeadowsRanch

Eating Disorder Hope: If you’re joining us, please feel free to introduce yourself as we go along.

The Meadows Ranch: Thank you for having me, glad to be here!

Eating Disorder Hope: Let’s get started with our questions!

Eating Disorder Hope: Q1: @TheMeadowsRanch Can you please tell us about yourself and your current role at The Meadows Ranch?

The Meadows Ranch: I have been privileged to work with females and males with eating disorders since 1994 (23 years) in many roles.

The Meadows Ranch: I have also been an active member of iaedp as a Board Member and President of the Board of Directors for a term.

The Meadows Ranch: For @TheMeadowsRanch my role is Executive Director designing, overseeing all aspects of the treatment teams, tx program and setting.

The Meadows Ranch: My counseling credentials include CA – Marriage and Family Therapist, AZ – Licensed Professional Counselor, Certified ED Specialist

Eating Disorder Hope: Wonderful, thank you so much for sharing @TheMeadowsRanch! Thank you for your invaluable work in the #eatingdisorder community

Eating Disorder Hope: If you are in need of treatment now, please call The Meadows Ranch @ 888.496.5498.

Eating Disorder Hope: Q2: What defines a relapse in eating disorder recovery?

The Meadows Ranch: First a person must define what recovery is for them.

The Meadows Ranch: In a general sense this would include a reasonable quality of life..

The Meadows Ranch: Supported by being physically sound within a nutrition program which allows
optimum physical, psychotically and social function.

The Meadows Ranch: Based upon a person’s particular position in recovery, they may be susceptible to periodic behavior

The Meadows Ranch: That in and of itself could be related to eating disorder behavior, but in the moment may not be.

The Meadows Ranch: The behavior may be traits 1 has as to monitor closely but at a particular time may not be promoting development of malnutrition.

The Meadows Ranch: Eating Relapse covers several areas of a person’s life: medical, social, psychological (emotional/cognitive) and performance.

The Meadows Ranch: When quantity or quality of nutrition becomes inappropriate to maintain physical balance,the consequences of malnutrition set in.

The Meadows Ranch: When malnutrition affects one’s ability to function fully and completely in normal daily life and social routines.

The Meadows Ranch: When one’s quality of life begins to diminish due to malnutrition.

The Meadows Ranch: When unusual physical complaints are present which have no medically determined cause.

The Meadows Ranch: Like tiredness, intestinal distress or pain, constipation,decreased stamina or coordination, sudden weight changes or fluctuations

The Meadows Ranch: When personality changes occur like becoming overly reactive to environmental changes, becoming self-critical, etc….

The Meadows Ranch: The quantity of life activities and the quality of life decrease.

Eating Disorder Hope: Thank you so much for explaining James! @TheMeadowsRanch

Eating Disorder Hope: Q3: What risk factors might increase a person’s risk for relapse in eating disorder recovery?

The Meadows Ranch: There are three basic categories that seem to rise to the top of many relapse episodes.

The Meadows Ranch: 1) Change in one’s environment. Change alters the sense of security a person has.

The Meadows Ranch: Some people do not tolerate the fluid and at times rapid nature in which life changes.

The Meadows Ranch: This could include alterations to one’s relationships, environment or welfare.

The Meadows Ranch: 2) Experience of fear. This could be described as a “trauma” regardless of how big or small the actual event was.

The Meadows Ranch: The fear experience is real to the one affected and consequently the emotion of fear can be internalized to the intestinal tract

The Meadows Ranch: 3) A medical condition such as a severe or prolonged illness which facilitates rapid or prolonged weight changes.

The Meadows Ranch: This could include a bout of the flu, mononucleosis, the flu or even a surgery.

Eating Disorder Hope: If you are in need of treatment now, please call The Meadows Ranch @ 888.496.5498.

Eating Disorder Hope: Q4: Are there any steps that can be taken to prevent relapse? If so, what might these be?

The Meadows Ranch: Yes, have clearly listed descriptions of ones behaviors and their progression to facilitate severe malnutrition.

The Meadows Ranch: Know the different experience of one’s thought patterns & mood states from that had in recovery& those had when the ED is in play.

The Meadows Ranch: Develop a group of Recovery support people including professionals, family and friends.

The Meadows Ranch: Remain in treatment for as long as it takes for you to be fully established with a solid foundation…

The Meadows Ranch: And realistically confident & competent you can maintain your stability under the unforeseen life events which will come your way.

The Meadows Ranch: Also know when to ask for help. Learn to ask for help daily and always do it sooner than later.

Eating Disorder Hope: Q5: What are the best steps to take if relapse has been experienced?

The Meadows Ranch: Tell someone who knows what to do to get you help.

The Meadows Ranch: Maintain the support structures needed to support progress including tx at the level of care: Out Patient, IOP, PHP, RTC, InPatient mind. Follow their lead.

The Meadows Ranch: Know that the professionals at every level of care have your best interest in

Eating Disorder Hope: Q6: What services are available through The Meadows Ranch to support a person who is struggling with eating disorder relapse?

The Meadows Ranch: The Meadows Ranch provides three very important levels of care.

The Meadows Ranch: We follow closely the APA Guidelines for The Treatment of Eating Disorders.

The Meadows Ranch: The levels of care include. Partial Hospital Programing, Residential Treatment Programming and Inpatient Treatment Programming.

The Meadows Ranch: Our patients will attend the level of care that best suits their needs to gain stability and move toward recovery.

The Meadows Ranch: Each level of care has Primary Care Providers, Psychiatric Providers, RDs, Licensed Therapists, RNs, & variety of support staff.

The Meadows Ranch: The Meadows Ranch programs consist of nutrition rehab, culinary skills training, group/individual/family therapy, group education…

The Meadows Ranch: As well as nuerofeedback, biofeedback, art therapy and wide variety of other tx experiential session.

The Meadows Ranch: Family members are encouraged to attend a 5 day Family Week Intensive to learn many important things 2 support recovery process

The Meadows Ranch: The Meadows Ranch has an equine program which implements Egala like therapy sessions &horsemanship skills training with trail rides.

Eating Disorder Hope: Thank you for sharing, James! Great to hear of all the helpful resources available for #eatingdisorder recovery @TheMeadowsRanch

Eating Disorder Hope: You can also find out more about The Meadows Ranch and the programs they offer on their website: remudaranch.com

Eating Disorder Hope: If you are in need of treatment now, please call The Meadows Ranch @ 888.496.5498.

Eating Disorder Hope: Thank you for being with us today and for sharing this helpful info on #eatingdisorder relapse

The Meadows Ranch: My pleasure! Thank you for having me.

Eating Disorder Hope: This concludes our Twitter Chat on Eating Disorder Relapse Prevention – thank you for those who could join in!

Eating Disorder Hope: Thank you again to our special guest, James Runyan, Executive Director for The Meadows Ranch.

Eating Disorder Hope: For more helpful eating disorder resources, visit www.eatingdisorderhope.com.

Eating Disorder Hope: No matter where you may be today, be encouraged in your recovery journey and know that you do not walk alone. Take care everyone!

Eating Disorder Hope: Our patients will attend the level of care that best suits their needs to gain stability and move toward recovery.

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The Meadows Ranch

After many years of providing compassionate and effective eating disorder treatment, The Meadows Ranch is no longer admitting patients. We understand that this may be difficult news for those seeking care, and we remain committed to supporting individuals and families on their journey to recovery.

For those in need of treatment options, we encourage you to visit TheMeadows.com or explore the services offered at our Meadows Outpatient Center. Our dedicated teams continue to provide the same level of expert care and support you’ve come to trust.

Thank you for allowing us to be a part of your healing journey. 866-390-5100