recover from eating disorders

PDF compression, OCR, web optimization using a watermarked evaluation copy of CVISION PDFCompressor

http://www.cvisiontech.com

CONTENTS• Introduction

• Intervention

• Eating Disorder

• Financial Resources

• Process Addiction

• Other Resources

Recover



“ONE EQUAL TEMPER OF HEROIC HEARTS

MADE WEAK BY TIME AND FATE BUT STRONG IN WILL

TO STRIVE, TO SEEK, TO FIND AND NOT TO YIELD.”Alfred Lord Tennyson

Ulyess



INTRODUCTIONTHEpurpose of this directory

is to provide the familiesand loved ones of those who suffer fromthe chaos of addictive behaviors withresources they may not have been able tofind in one place before. The successfultreatment of addictions is multi-dimen-sional. Each aspect is certainly influ-enced by what type of addiction is beingtreated, the access to resources and ofcourse the willingness of the individualto change bringing all components oftreatment into alignment is challengingat best and a family often does not havethe understanding, experience or wis-dom to make effective choices as theyare typically overwhelmed, under -fund-ed and tired of the cycles that aredestroying the one they love.

Often providers don’t work together,wasting precious time expounding theirown virtues at the expense of anotherprovider, not interesting in workingtogether for the benefit of the individualwho is suffering. Not all treatment isalike, not all therapists or doctors prac-tice the same recovery philosophy. It is

important for families or the decisionmaker to have the courage to ask hardquestions, to visit a facility if possible,compare services, compare costs whenseeing treatment.

Recovery is not guaranteed, recoveryis not a short journey, recovery can be alifetime path but we believe people canbe healed when the 4 underlying causesof addictive behavior are addressed intreatment or therapy.

• The inability to cope with current condi-tions and circumstances.• The resistance to address unresolvedissues/events from the past.• Clinging to values and beliefs that areinconsistent with what is true.• Chemical imbalance

This directory is dedicated to all thosewho love addicts.

Never, never, never give upI acknowledge all those who support-

ed us and encouraged us to continue thisproject. To my family – you are myeverything.

Published by: WISE PROMISE

Editor: NANCY LOW

Art Director: JES LOW

Web Master: MATT LOW

Special thanks to:

i•promise foundation, Kendra Bernal

Copyright 2011

All rights reserved by Nancy Wise

Low and the i•promise foundation.

NO part of this publication may be

photocopied, reproduced or trans-

mitted, without written permission

of the publisher.

Printed in the United States.

RecoverResource Directory

For Eating DisordersOct. 2011

ise Promiseise PromiseE d u c a t i o n I n i t i a t i v e

961 West Center StreetOrem Utah 84058

(801)472-9780ipromisefoundation.org



INTERVENTION



MOSTpeople are familiar now with the A&E tel-evision series called Intervention. The

shows depicts families suffering from the chaos of a lovedone’s addiction and the Interventionist is brought in.

There are several types of intervention models that are prac-ticed. It is proper for the family to assess what their core fami-ly values are and how that will support them when it comes tochoosing an Interventionist.

An Interventionist specializes in acting as an intermediarywith the family and the loved one who is struggling with anaddiction, typically drugs and alcohol. But today, interventionsare initiated for eating disorders, porn addictions, sex addic-tion, gambling, other traumas and mental health issues as wellas drugs and alcohol abuse. Families are ready for an interven-tion when the crisis reaches a tipping point and it is too diffi-cult to manage alone or by themselves. Most Interventionistswill work with the family affected by the problem to assistthem in determining the right treatment approach. Education isan important element in making decisions about treatment,detox, therapy and after care as it applies to addiction issues.

Making a decision about an intervention can be difficult –everyone’s situation is going to be different. Individuals incrisis can range form the Doctor addicted to drugs, theLawyer who is an alcoholic, the teenager with an eating dis-order, the adult son addicted to hard drugs, the Mom who isaddicted to pain meds, the gambler, the husband stuck onporn…etc. And each individual situation requires an individ-ual approach to intervention.

DON’T BE AFRAID TO ASK QUESTIONS.Prices vary from $ 1,200 t0 $5,000 or more depending on

where you live, how far the interventionists may have to trav-el and how many days are involved. It is not typically coveredby any insurance. If expense is an issue – a family can do anintervention themselves.

We are listing here a description of the most widely usedmethods

JOHNSON MODEL:This model is an approach with the idea in mind that the par-

ticipants are ready to set a bottom line if the addict does notagree to get treatment. Many times the family can raise the bot-tom for an addict when they see severe consequences with thedirection the addict is going. The goal is to intervene before theworst happens, which is often death. This approach is compas-sionate yet confrontive. Many times a perceived crisis in theaddicts life can compel them into accepting treatment.

STORTI MODEL – THE HONORABLE APPROACHhttp://www.stortimodel.com/The Storti Model of intervention personifies the motivation-

al, inspirational and spiritual method of working with theaddictive person. It encompasses the family and brings about amoment in one’s life where the solution (treatment) is offeredas a gift. The Storti Model brings about a group of people whohonor the patient on the day of the intervention, presentingtreatment as a gift, new life and rebirth.

MODELS OF INTERVENTION



FAMILY MODELThe Invitational Model of Intervention, also known as the

Systemic Family Intervention Model, was developed by EdSpeare and Wayne Raiter. Rather than focusing solely on theperson with a substance abuse problem, the Invitational Modeladdresses the entire family together, with the addicted individ-ual invited to attend as well. This model is based on the ideathat if the system changes, every individual within the systemwill also change, including the addict (systems theory). It isdesigned to be a non-confrontational and nonjudgmental formof intervention.

http://www.addiction-intervention.com/addictioninterven-tion/intervention-style/invitational-model-of-intervention/

ARISE:This model usually involves family, friends and work associ-

ates that re-appropriate in a unified process that is directed by theInterventionist, but includes all participants including the addictexperiencing the crisis issues to stay focused on getting the rightlevel of help that is indicated.

SYSTEMIC FAMILY APPROACH :This model is an alternative to traditional confrontation. The

family, friends and colleagues become educated and form a teamto work with the person in trouble. Together they address theissues in a loving and respectful way without ultimatums andconfrontation. This approach can be a very successful systemwhen the participants are committed to a time parameter.

www.associationofinterventionspecialists.org

WISE MODEL :At Wise Intervention - each individual suffering from

their addiction - needs a "recovery" approach suitable tothem and their family.

We open the door to the alternative view that youraddiction can be cured, can be overcome, you can changehow you think, you can have the life you dream of .

We believe that often traditional approaches operatefrom a perspective of shame and hostage taking. As anoble daughter or son of God - you have inherent abilitiesand capabilities to master the flesh. You are not powerless.Often the biggest obstacle is helping the family overcometheir feelings and actions of contempt to encircle theaddict/alcoholic in the family unit again.

The Wise Model of intervention differs from traditionalmethods by uniting with the family to creating a culture ofhealing and high performance for each member within thecircle of influence – not just the addict.

We believe it is effective to have a mentor - mediator tomeet with the family and the addict to initiate a plan ofchange and we take that role. If a treatment program isrequired - we act as a referral agent not as a recruiter. Wehelp the family decide which plan would fit their valuesand belief system and will also help facilitate a plan thatcan be administered by the family instead of an inpatientprogram. [email protected] for more infor-mation.



INTERVENTION DESCRIPTIONAND 10 QUALIFYING QUESTIONS

ADDICTIONaffects millions ofAmerican families,

businesses and communities everyday. This epidemic is notdiminishing nor is it relinquishing its hold on our everyday life.So what do we do? How do we treat addiction and free theAmerican people from this horrific disease?

Many of us are aware of drug and alcohol treatment programs.Residential or inpatient, outpatient, addiction counseling, med-ication and community outreach programs are part of a widevariety of treatment modalities available for treating addiction.Although some of the treatment modalities are more effectiveand successful than others when implemented for addiction help.Not everyone is willing to accept help for their addiction to drugsor alcohol. There are those who are in denial of their addiction,or opposed to seeking treatment, or have the attitude of not car-ing about their future. What can we do for them? What is avail-able for the millions of families, friends and loved ones whohave someone in this particular population?

There are two options for dealing with the defiant addicts inthe population; 1) do an intervention or 2) do what we havealready been doing and hope something changes before some-thing tragic happens. Only one of these two options has the high-est opportunity to a happy and successful ending. That option isto do an intervention on the addicted individual.

Many of us may not fully comprehend an intervention orhow they work and if they even work at all. Surprisingly,interventions have an 85% or higher success rate. So, what isan intervention?

An intervention is an orchestrated, family attempt to get theirloved one into treatment for a harmful addiction. There are typ-

ical questions about the process: How does an interventionwork? What does an interventionist do that can help? The inter-vention process is a very delicate and strategic approach that isbest executed by a professional interventionist. Addiction inter-ventionists teach families how to confront their loved onesíaddiction with full intention that the intervention ends with theaddict entering treatment. The Interventionist does this by edu-cating the family on what causes, perpetuates and treats addic-tion. They will teach every intervention team member whatworks and does not work regarding verbally, physically, andemotionally confronting the one they love about their problem.Most Interventionists will have a list of a multitude of treatmentcenters across the country from which the family can chose,based on geographical suitability and financial resources, as wellas feasibility for transporting the candidate to treatment..Verification of insurance benefits will be tracked and imple-mented into the process used to choose the best facility for theaddict by the interventionist when insurance is available.

Interventionists will also teach the family how to stopenabling the addict and being co-dependent. They will workwith the family members on maintaining their emotional stabil-ity by providing references, tools and introducing new behaviorsand beliefs about dealing with addiction. The newly foundbehaviors, beliefs and agreements that the family introduces intotheir life will ultimately free them from the grips of addiction,and allow for maximum family support for the addict.

The job of an interventionist is not just getting the loved oneinto treatment, their job is to fully secure every opportunity forthem to accept treatment and to allow the family to receive thefreedom from the addictive behavior and destruction. The

by Travis Gardner



Interventionist helps the family developa systematic and structured letter fromeach team member to the addict whichensures proper communication.Recognition of avenues towards identi-fying acceptance, proper interventionprocedures and lines of communica-tion will be rehearsed and practicedprior to the intervention. If the addict-ed individual objects to accepting help,the interventionist will have preparedthe team with methods for how to over-come those objections which leave theaddicted individual no avenues ofescaping the opportunity for treatment.

The preparation for the interventionmay take up to two days. The length ofthe intervention is determined by manyvariables, and can take a minimum ofan hour, or up to a couple of hours tofacilitate.

An intervention is a process! Theintervention is not an event! Therefore,when choosing a drug or alcoholInterventionist there should be specificqualifications to look for when choos-ing the professional you will use, inorder to maximize the effectiveness ofthe process. In the selection process,when researching intervention compa-nies and private entities, you must askten questions before you choose theprofessional who will facilitate yourfamily intervention.

1. Are they a Board CertifiedInterventionist or NationallyCertified?

They should be board certified ornationally certified as an interven-tionist. Therapists, Medical Doctorsand counselors are not trained ininterventions and this lack of special-ized training will minimize thechance of success.

2. Do they have documentation oftheir credentials?

Have the documentations sent to youvia fax, mail or email to ensure cred-itability.

3. Are they in recovery from drugs oralcohol themselves?

The experience gained by first handknowledge of addiction can not be taughtin school. You must hire someone who isin recovery themselves so they mayrelate to the intervention candidate.

4. How many interventions have theyfacilitated?

Look for a minimum of 100 interven-tions performed with a success rate of85% or better.

5. Do they have references fromfamilies or clients that they haveworked with?

Ask them for permission to speak to afamily member or client that they haveworked with.

6. Do they offer any type of guaranteefor the services they provide?

Some Interventionists will work withthe family until the individual enters into aprogram, no matter how long it may take.

7.Does their intervention processinclude locating treatment, family sup-port and ensuring the safety of thecandidate?

You want to make sure that treatmentoptions, family and client support andsafety is provided by the Interventionist.

8. Do they offer the family free life-time support and consultation follow-ing the intervention?

Addiction recovery is a life-longprocess that may require the opportunityfor follow-up and consulting to assist intheir recovery success and the familiesíemotional stability by the Interventionist.

9. Do they use ultimatums or threats toproduce a successful intervention?

Threats and ultimatums are not usual-ly successful tools to use with addicts.Find out if they use ultimatums as a toolfor gaining acceptance or do they offerthe addict a gift and teach the family howto protect themselves from the destruc-tive behavior of the active addict.

10. Why and how did they choose thisprofession?

This will give you the opportunity touse your intuition and emotional feelersto determine if this individual is compat-ible with your values morally and spiri-tually in such a way that they are con-nected to your family system and canfacilitate a family intervention.

Founder-Travis Gardner B.C.I II,C.N.D.A.I, C.A.T IIhttp://www.pathwayinterventions.com1-866-276-5430

IT’S TIME TOGET YOUR

FAMILY BACKTOGETHER

FREE Drug Intervention& Alcohol Intervention

Consultation For Addiction or AbuseHelp Give Us A Call At

1-866-276-5430pathwayinterventions.com

PATHWAYINTERINTERVENTIONSVENTIONS

Are you considering doing anAddiction Intervention on your lovedone struggling with drug or alcoholabuse? Have you tried everythingpossible to help your loved one

struggling with drug or alcohol addic-tion and it is just not working? Haveyou given threats and they continue

to use? Have you finally realized whatenabling has been doing? Have you

watched your loved one destroy theirlife and the life of those around

them? Are you to the point that youdo not know what else to do for them?

It is now time to do a intervention!



INTERVENTIONISTS

Southworth AssociatesJohn Southworth

800-386-1695www.southworthassociates.netjohn@southworthassociates.net

I Promise Foundation801-472-9780

Local Utah team of experts663 N. 1890 W. Provo UT

ipromisefoundation.orgUtah County

Ed Storti Intervention310-548-3873

[email protected]

Scottsdale InterventionKaren Zazzerra

[email protected]

Bret HinerExpert Interventions

801-631-7122Murray, Utah

[email protected]

Tom McCullomCounseling and Intervention

[email protected], Utah

801-562-0806

Dallas Taylor Intervention866-613-stop

www.taylorinterventions.com

Judith LandauNational Association of Intervention

877-229-5462jlandau@linkinghumansystems.



EATINGDISORDERS



MANY in the medicalcommunity have

begun to classify eating disorders as anaddiction. It certainly fits the criteria:first, of being something that the personbegins doing with no thought of thedestructive implications, fully believingat the time that he has complete controlover what he is doing; second, failing torecognize that a problem actually exists;and third, the psychological factorswhich underscore the problem.

The inability to see that he has nocontrol over it whatsoever is the primaryfactor that underscores an eating disor-der as being an addiction. This is thecase whether the individual is ateenaged girl who is insisting that allow-ing herself no food is “nothing but nor-mal dieting,” or whether it is a personwho stuffs in an amount of food at onesitting that is appropriate for three peo-ple instead of one. It can be a very help-less feeling for the observer, becausethere is very little that one can do on areasonable basis to be of help.

Source: http://www.theeatingdisor-dersfacts.com/eating-disorder-and-

addiction.html

QUESTION:Is there any connection between eat-

ing disorders, alcoholism, smoking anddrug addiction? Are the causes ofanorexia, bulimia and binge eating thesame as the causes for alcoholism,smoking and other addictions?

ANSWER:Research on eating disorders has

shown that there are similaritiesbetween many cases of eating disordersand addictive conditions such as alco-holism and drug addiction. The humanbrain has special reward centres andthese are normally activated when a per-son feels well, takes care of the body,behaves sensibly, is praised, is in love,exercises, etc.

It is also possible to stimulate thesereward centers by artificial means.Drugs of all kinds forbidden and permit-ted, produce chemical stimulationwhich is an important part of the causeof addiction. Stimulation also blocksunpleasant feelings and therefore thosewith eating disorders, as well as thosewith other addictive disorders, may use

them to block unbearable feelings.Normal people get their stimulation

of the reward center by doing goodthings. They are stimulated by exercisebecause it is good for the body to getexercise. They are stimulated by eat-ing, because it is good for the body toget nourishment. They are stimulatedby being in love, because it is good for

IS AN EATINGDISORDER ANADDICTION?



WestwindWestwindeating disorder recovery centre

Westwind eating disorder recoestwind eating disorder recoverery centre is unliky centre is unlike ane any y other program you may have considered. For one thing, we are collabor are collaborativative - we - we we worork on goals with yk on goals with you, ou, rather than insist on compliance to a set of ather than insist on compliance to a set of rulesules. Our small f Our small facility facility for wor women alloomen allows us to ws us to commit to procommit to providing effviding effectivective daily individual e daily individual treatment with highly qualified staff to meet treatment with highly qualified staff to meet your specific needsour specific needs. We ensure that ye ensure that you ou are a full parare a full partner in ytner in your treatment planning, our treatment planning, after all...after all... this is this is YOUR recoOUR recoverery !y !

Westwind eating disorder recovery centre is unlike any other program you may have considered. For one thing, we are collaborative - we work on goals with you, rather than insist on compliance to a set of rules. Our small facility for women allows us to commit to providing effective daily individual treatment with highly qualified staff to meet your specific needs. We ensure that you are a full partner in your treatment planning, after all... this is YOUR recovery !

1-888-353-3372 | westwind.mb.ca

eating disorder recovery centre1-888-353-3372 | westwind.mb.ca

Affordable & EffectiveAffordable & Effective

the survival of the human race that people mate. They arestimulated when they have achieved something or whenthey get appraisal because it is good that people do con-structive things.

However, if the reward centre is stimulated by drugs, alco-hol or abuse of food, they cease to function in the way theyshould. Abuse is a short cut to false happiness, a happinesswhich doesn't come from doing something good.

Incorrect usage of the reward centres is especially commonwith people who have a personality requiring a lot of rewardeffects in order for them to feel well, and also have worry andstress which can be reduced by drugs. There is accordingly acommon factor with many types of addiction:

• Alcoholism and drug disorders• Eating disorders• Compulsive sex dependence• Compulsive gambling• Compulsive exercising• Self-injury and anorexia nervosa

(even body injury can stimulate the reward centre in order to protect the body from pain).

This means that much of what is known about the treatmentof alcoholism and drug addiction can be used for eating dis-orders. The patient's own ego must be strengthened and taughtto refuse the kind of eating pattern which tempts with quickartificial solutions.

A similarity between eating disorders and drug addictionis that the addiction is compulsively developed into an evenstronger form regardless of the effect on the patient's health.Despite serious medical complications, it is difficult foraddicts to give up their addiction. More. Starvation inanorexia reduces the activity of the hormone Serotonin andthis in turn reduces anxiety in a patient with an overactivenervous system. More. Patients with anorexia are, less oftenthan others, drug addicts and alcoholics while those withother eating disorders more often are so. Those anorecticswho alternate between eating attacks and starvation are morelike bulimics.

Research shows, for example, that personality types thatmore often feel stress and anxiety, need more stimulation inorder to feel well. More.

Research also shows that those with eating disorders oftenhave excessively low values for dopamine and CSF-5-HIAAas well as Serotonin which causes them to feel more stressedthan others (More) and that many drug addicts began withcompulsive eating before going over to drugs and furthermorethat certain hereditary characteristics increase the risk of eat-ing disorders and drug addiction.

However, everybody with these hereditary characteristicsdoes not become an addict as there are other ways of manag-ing the problem, e.g., medicine which stabilises the concen-tration of Serotonin in the brain may help (in combinationwith other treatment) those who have eating disorders.

Gunborg Palme

Oct. 26 2008



HAVINGrecovered myself, I know the painand courage involved in accepting

and then battling an eating disorder. Making the decision to entera treatment program is a difficult step. Many factors have to beconsidered by you and those concerned with your well-being.

I believe that Monte Nido's approach to eating disorder treat-ment is what you, and others like you, have been waiting for.

In order to come to a Monte Nido facility, you do not have tobe ready to give up your eating or exercise disorder. We consid-er it our job to help you get ready to do that. We do not expectdefined goals or even a clear commitment that you want to getbetter. Instead, we are prepared to help you define those goalsand develop commitment. Working with ourstaff, many of whom are recovered them-selves, you will learn that you can conductyour life free of your disorder, but you willultimately have the power as to whether ornot you choose to do so.

Monte Nido has successfully helpedmany others like you gain insight into thedestructive behaviors and underlying emo-tional issues that interfere with being ahealthy successful self. We give you thetools to restore your body and mind to a natural, healthy func-tioning state with our therapeutic protocols and using both allo-pathic and naturopathic treatments.

We believe you can be fully recovered, where food, weightand exercise are no longer used in self-destructive ways andwhere what you weigh is not more important than who you are.We are committed to helping you reach this goal.

Monte Nido's program for eating disorders and exerciseaddiction treatment are unique in many ways.

Monte Nido’s Natural SettingsAll of the Monte Nido residential programs are homes locat-

ed in beautiful serene settings, which promote tranquility andconnection to nature. Our locations significantly contribute toproviding a healing environment.

Monte Nido’s Intimate ProgramAll Monte Nido and Affiliates residential programs are very

small, intimate facilities for women only suffering from eatingdisorders &/or exercise addiction. The original Monte Nido inMalibu Canyon only takes six (6) clients at a time and the othertwo facilities only take up to 11 residents. Because each programonly accepts a small number of clients, it allows for highly indi-vidualized treatment, which is crucial for optimal growth andlong-term recovery from eating disorders.

The Monte Nido Level SystemBecause we are small and have a family-like environment, our

unique level system allows you to gain increasing freedom and

responsibility for your own recovery. By the end of your stayyou should be shopping for your own food and preparing yourown meals, as well as monitoring your own exercise. All of thisis important in preparing you to return to your life.

Recovered StaffA large percentage of our staff have recovered from their own

eating disorder. This offers a unique situation where you have theopportunity to experience and work with numerous trained pro-fessionals who are also role models of personal recovery.

The Monte Nido Fitness ProgramOur fitness and exercise component is varied and comprehen-

sive including activities for both body and mind. We combinecardio workouts with weight training and yoga for a well-round-ed approach. We also want you to be involved in activities thatare geared more for fun than just fitness. With this in mind weprovide hiking, beach walks, swimming, dance movement andvarious group activities.

Healing for the SoulIf you have an eating disorder you are,

on some level, living a superficial life.This is not to say your life lacks mean-ing, but rather you have lost track of it’strue meaning. Whether it is a numberon the scale, a flatter stomach, or someother obsession with food or your bodythat has caught your attention and stolenyour energy, you have lost track of what

is truly important. Even if you reach a desired number on thescale, the meaningful problems in life persist: “Am I love-able?” “Do I feel fulfilled?" “Does my life have meaning?” Aslong as you are striving to achieve love and fulfillment throughthe pursuit of thinness or the comfort of food, your behaviorsmay have meaning and purpose temporarily, but they will keepyou in a constant state of striving, misery and unhappiness.With an eating disorder you fall into the illusion that yourworth is tied to things of the “ego” i.e., your looks or your abil-ity to control food or your body.

Our goal is to help you tie your worth to your innate value as ahuman being, i.e., your “soul.” We help you work not only onwhat you are recovering from but what you are recovering to.Our treatment goes beyond eradicating your symptoms to findingdeeper meaning and purpose in your life. Oftentimes, findingmeaning and purpose involves embarking on a new career, begin-ning a new hobby, or otherwise identifying an endeavor thatbrings you passion. Whether it is rock-climbing, painting, work-ing with animals, or becoming a schoolteacher, finding some-thing that gives you a sense of purpose is an important aspect togetting and staying well. But we also help you to discover orreconnect on a more spiritual level with meaning and purpose;moving beyond your symptoms to reconnection with your ownand the world’s sacredness; reconnection with your soul.

For more information about our programs, please feel free tovisit us online at or call us at 310.457.9958.

Carolyn Costin MED, LMFT, CEDSExecutive Director Monte Nido & Affiliates

www.montenido.com



ABOUT MONTE NIDOThe atmosphere at Monte Nido and Affiliates, is professional and

structured, but it is also warm, friendly, and family-like. We use highlydedicated staff, many of who are recovered themselves, thus servingas excellent role models. Situated in tranquil home-like settings, sur-rounded by nature, the residential programs offer an environment tocalm the system, attend to mindfulness practices and connect tonature. Our open kitchens and organic gardens help clients regain anurturing relationship to food. With only 6 – 11 clients at one given time,Monte Nido and Affiliates offers highly individualized and intensivetreatment by a multi-disciplinary team approach including an AttendingPhysician, Psychiatrist, Dietician, Clinical and Program Director andPrimary Therapist. Under the direction of Carolyn Costin, recoveredherself, and having treated eating disorders for over the past 30 years,Monte Nido and Affiliates offers several levels of care including resi-dential and transitional living, to day programs and intensive outpatientservices. The philosophy and environment at Monte Nido and Affiliatesinspires people to commit to overcoming obstacles that are interferingwith the quality of their lives and helps promote living the authentic lifethey were meant to live, away from their eating disorder symptoms.Monte Nido and Affiliates is contracted with most major healthcareinsurance providers.

ABOUT OUR FOUNDER AND EXECUTIVE DIRECTOR, CAROLYNCOSTIN, MED, LMFT, CEDS

Carolyn Costin is the Founder and Executive Director of Monte Nidoand Affiliates. As Carolyn puts it, "Monte Nido offers treatment settingsI would have liked to attend when I was suffering from my own eatingdisorder. I wanted a beautiful environment and a loving, empathic staff,who would know when to challenge and when to nurture." Recovered

herself, Carolyn has been treating eating disorders since 1978.Previously a high school teacher and counselor, Carolyn left her firstcareer to devote herself fully to the prevention and treatment of eatingdisorders. While maintaining her outpatient services at The EatingDisorder Center of California and her private practice, Carolyn devel-oped, implemented and served as the director of 4 inpatient and 2 res-idential eating disorder programs. During this time, Carolyn dreamed ofopening her own healing center, in a home-like setting, that would pro-vide a more holistic and realistic approach to recovery. When Carolyncame across an estate in a beautiful wooded area of Malibu Canyon,she knew she had found the place to have her own facility. In March of1996, Carolyn became a pioneer in the treatment of eating disorders,opening the doors to a unique, six-bed residential program in Malibu,CA for women suffering from eating disorders and exercise addiction.She named it after the local neighborhood, "Monte Nido", which meant"Mountain Nest" to the Indians who once inhabited the area.

Due to the success of Monte Nido, Carolyn expanded and openedthe affiliate residential programs RainRock, which sits on theMackenzie River outside of Eugene, OR and Monte Nido Vista inAgoura Hills, CA. She continues to educate and train professionals onthe treatment and prevention of eating disorders both nationally andinternationally. Carolyn is also the author of four books (and a fifth com-ing out in the Summer of 2011), which are popular with both profes-sionals and the lay public:

• Your Dieting Daughter• The Eating Disorder Source Book, 3rd edition• 100 Questions and Answers about Eating Disorders (2007)• Anorexia and Bulimia, A Nutritional Approach

(Co-author Alexander Schauss)



THE psychological foundation of addictive behav-ior is shame. The definition of shame is feel-

ing badly about who I am. The feeling-tone of shame caus-es people to hide, not to want to be seen, and to lose hope.This feeling tone supports external behaviors such as lyingor avoiding certain situations and people. We use mind-altering chemicals to suppress these feelings and thoughts.

Shame supports internal actions or thoughts such as “Iam not ____”, “I am hopeless”, “I am bad or immoral”, or“I don’t deserve”.

When human beings feel shame they are suffering. Ouregos or identities are designed to alleviate sufferingthrough the application of coping strategies and defensemechanisms. These strategies and mechanisms are cogni-

tive processes that support us to think differently, andthinking differently supports us to feel differently.

A few of these cognitive processes are minimization(“It’s not that bad”), intellectualization (“I can figure thisout”, or “I can control this or change this”), and rationali-zations (“I only do this or feel this way because of______”). The use of these cognitive processes reducesour suffering if applied appropriately and supports men-tal health.

The “use” of mind altering substances is initially anattempt to cope or defend. The “abuse” of mind alteringsubstances is the overuse or misuse of a coping strategyand defense mechanism and this leads to disturbed mentalhealth. Why is it that 10-15% of our population move from

BREAKING THE CYCLE OF SHAME



use to abuse or addiction? Why is itthat some use and also abuse for aperiod of time and then return to usebut never move into addiction? Theseare both good questions that arebeing asked by the professionals andresearchers in the field today. VernonJohnson, in his book “I’ll QuitTomorrow”, talks about the cycle ofshame. This cycle paired with morerecent research on changes in thebrain’s pleasure and pain centers,(specifically the prefrontal cortex andits ability to inhibit impulsethoughts), is what I believe to be thevery definition of addiction.

Here is the cycle:Phase 1 – I use mind altering

chemicals to cope by either enhancing my pleasure ordecreasing my suffering. (i.e., “to really have fun” or to“get my peers off my back and fit in”).

Phase 2 – This phase occurs due to one or both of tworeasons. First, I was born with or inherited a genetic pre-disposition for addiction (an imbalance in my chemistrythat runs in my family), or second, I have been using toomuch mind altering chemicals for too long and the mindaltering chemicals have altered my chemistry. Therefore, Ilose my ability to say no to myself, to put on the breaks,and to inhibit my impulses. As a result, I begin to incon-sistently lose control over the amount I intend to useand/or my behaviors when I use. I begin to go against myvalues and my morals.

Initially when the loss of control begins, I and thosearound me usually blame the loss of control on somethingother than using. This is because sometimes I use and Idon’t lose control and then other times I use and I do. Thisinconsistency in the early stage of this phase is becausemy body’s constitution can still offset the effects of themind altering chemicals on some occasions and not onothers. When my constitution is weaker I lose controlmore readily or the drugs have a greater and more devas-tating effect on my brain’s ability to inhibit its impulses.

Phase 3 – After periods of loss of control and goingagainst my values and morals I make a promise to myselfto “never do that again”. The problem with this promise isit is not a promise to stop using; it’s a promise to not losecontrol. This is a promise that is based in ignorance ofwhat the mind altering chemicals are doing to my brainand its ability to inhibit impulses (Phase2).

Phase 4 – Occurs after I have made the promise tomyself to not lose control and I do. Feelings of guilt beginto transform into feeling shame.

Guilt is feeling badly about my actions. Guilt supports meto show up and act in ways that serve me. Shame is feelingbadly about who I am. Shame supports me to hide and to feelless than. Now we have come full circle, my using and theconsequences of that using causes me to use more to reducethe suffering felt as a result of the consequences and shame.

The more I use the more loss of controland shame I experience, so the more Iuse in an attempt to reduce my suffering.

The first step in breaking this cycle ofshame is that I must stop using. Then Imust find alternative strategies for copingthat do not alter my brain’s ability toinhibit impulses. I must also find peoplein the world that do not shame me, peoplethat understand what I have been through,people that can "speak my knowing," andguide me in directions that serve me.

Lynda Steele, LCSWLynda has been working in the field of

addictive disease since 1981. She begandesigning and implementing addiction

programs in the mid 1980’s, and hasdesigned clinical programs for several of

the leading addictive disease residential treatment programsin the nation. Since the early 1990’s she has been a partner

in The Center For Transpersonal Therapy in Salt Lake City,UT where she has a private practice specializing in treatingindividuals, couples and families suffering from the diseaseof addiction. She also serves on the Board of Directors and

is the Directorof Program Services for Project Recovery,Inc., a non-profit organization that provides residential,

sober living for adult men and women.801-596-0147



EATINGdisorders are complicated illness-es, and they require advanced,

sophisticated treatment. At Center for Change we treat ado-lescent and adult women struggling with eating disorders, andwe provide a multifaceted, interdisciplinary approach to treat-ing the whole person. We believe that everyone has the abili-ty for a complete and full recovery.

Eating disorders are complex. They are often accompaniedby related health and psychological concerns such as trauma,addiction, anxiety, depression, malnutrition, relationship prob-lems, and more. At Center for Change, we have the ability todiagnose and treat those concerns, and concurrent illnesses,

helping women fully recover from the devastating effects oftheir illness and live healthier, more balanced lives.

Our staff are carefully selected, not just for their expertisein treating the symptoms and underlying causes of eating dis-orders, but also for their compassion and willingness to extendthemselves in behalf of our clients.

Eating disorders, and associated illnesses, cause pain, fearand disruption in the lives of far too many young women.Often chronic, painful and severe anorexia, bulimia, compul-sive eating and binge eating take their toll on individuals andfamilies. At Center for Change, we have been nurturing veryreal hope to our clients since 1994.

SEE YOURSELF IN A WHOLE NEW LIGHT



Our active yet caring approach totreatment includes acute inpatient care,long-term residential care, day &evening programs, and outpatient serv-ices. We employ a specialized, multi-disciplinary approach that helps womenestablish regular patterns of eating whileoffering constant encouragement ofhealthy exercise, body-image improve-ment and a return to a full, happy life.We utilize dietary and nutritional thera-pies that help women develop an under-standing of an intuitive eating approachthat will continue to help them in theirlong-term recovery. We empowerclients with the commitment and thetools they need to reclaim their lives.

Throughout our programs clientsreceive individual, family and grouptherapy, individual nutritional counsel-ing, medical care and monitoring, med-ication management, and a variety ofexperiential therapies. Individualized,compassionate care is offered by ourexperienced team of physicians, psy-chiatrists, psychologists, therapists,dietitians, nurses, care technicians andother professionals.

Cascade Mountain High School is ourNorthwest Accredited academic pro-gram located in-house with curriculumtaught by certified teachers. Our out-standing academic program alsoincludes collegiate support, adult educa-tion, and life-skills training.

Throughout each stage of recovery,two things remain constant: our unwa-vering compassion and our completeconviction that there is hope.

Center for Change was established in1994 by a team, including psycholo-gists and a physician, who have workedtogether since 1989. The foundershave been treating eating disorders formore than 25 years. We offer the mostcomprehensive therapy and treatmentprogram available, focusing on healingthe whole person – mind, body, andspirit. We work to free those suffering

from the pain and loneliness that haveovercome their lives.

Center for Change is located inOrem, Utah and offers a full continuumof care with inpatient, residential treat-ment, day & evening programs, andoutpatient services. In the mountains ofUtah, hope is real. The prospect of alife filled with health, peace and fulfill-ing relationships is real. Often, thosewho come to us tell us that the Centerhas given them their lives back. Theyexperience freedom from the darkness,pain and isolation that only individualsstricken with eating disorders canknow. They come to see themselves ina whole new light.

For more information, contact Centerfor Change toll-free at 888-224-8250,find us on Facebook or visit our websitewww.centerforchange.com.

“Throughout each stage of recovery, two thingsremain constant: our unwavering compassion

and our complete conviction that there is hope.”



The estimates cited by National Eating DisorderAssociation are that more than 8 million Americans sufferwith these behaviors (men and women) – perhaps as many as10 million.

One in 200 American women suffer from Anorexia.

Two in 100 American women suffer from Bulimia.

An estimated 10-15% of people with Anorexia and Bulimia are men.

Eating Disorders have the highest death rate of any mental illness.

5-10% of aneroxics die within 10 years after contracting the disease.

18-20% will die after 20 years.

Anorexia is the 3rd most common chronic illness among adolescents.

1 in 10 receive treatment for eating disorders.

Without treatment up to 20% of individuals with serious eating disorders will die.

About 80% of females who have sought treatment leave treatmentearly and do not get the intensive care they need to recover.

The costs for treatment range between $500 to $2,800 a day. Theaverage cost of inpatient care is $ 30,000 a month.

The mortality rate for females with anorexia nervosa between 15-24years old is 12 times higher than any other cause of death.

The estimated need for intensive treatment is a stay of 3 to 6months residential.

50% of girls between 11 and 13 see themselves as overweight.

61% of American adults are overweight or obese.

Roughly 25 million men and 43 million women are dieting tolose weight.

One out of every five adults is classified as obese.

Substance abuse and other chemical addictions hide underlying eating disorders.

FACTS ABOUT DISORDERED EATING



AN OPPORTUNITY TO BEGIN AGAINUtah County’s premier resource

for addiction treatment

Intensive Outpatient treatment for all addictions

• Supportive sober living housing

• Transition support systems

• Goal setting and recovery coaching

• Crisis Support

• Voc rehab and jobs program

• Individual and group therapy

• Court supported services

• Intensive Out Patient services

801-472-9780www.ipromisefoundation.org

i-Promise Foundation is a non-profit dedicated to helping families in transition,providing economic opportunities, job creation, as well as encouraging spiritual

well-being of families and the communities we serve.

[email protected]

promisefoundation



EATIING DISORDERS

Laurel Hill Inn781.396.1116

Laurelhillinn.comMedford, Ma.

Loma Linda University- eating disordersAsk for Rose909-558-4000

Redlands, Calif.

Sierra Tucson800.842.4487

Sierratucson.comTucson, AZ.

River oaks Hospital504..734.1740 ext 207Riveroakshospital.com

Ward JohnsonNew Orleans, La.

Military programs for substance abuse

La Ventana – 4 facilities800.566.8518

Laventanaeatingdisorderprograms.comAlso substance abuseSan Francisco, Calif.

Casa Palmera888.481.4481Del Mar, Calif.

Casapalmera.com

Puenta de Vida877.995.4337 - outpatient

Puentedevida.comSan Diego, Calif.

Mirasol888.520.1700

Mirasol.netTucson, AZ.



EATING DISORDERS

Rosewood Ranch800.845.2211

Rosewoodranch.comWickenburg,Az.

Avalon Hills800.330.0490Avalonhills.org

Adolescent and adult eating disordersPetersboro, Utah

Shoreline562.434.6007

Rachel Levi, [email protected]

Shoreline-eatingdisorders.comLong Beach , Calif.

Harmony Grove855.572.1036

Harmony-grove.comLaurie Daily

San Diego, Calif.

Eating Recovery Center877.825.8584

Eatingrecoverycenter.comDenver, Colo.

Adolescent and adult treatmentInpatient and outpatient

Reasons Eating Disorders Center800.235.5570

Reasonseatingdisorderscenteres.comAlhambra, Calif.

Adult and adolescent treatment

Summit Eating Disorders and Outreach916.574.1000

[email protected], Calif.

Adolescent treatment

Recovery Ranch931-729-9631

recoveryranch.comNunnelly, Tenn. Also Detox



EATING DISORDERS

McCallum Place314.968.1900

mccallumplace.comadolescent and adult treatment

St. Louis, Mo.

Eating Disorder Institute701.293.1335

Fargo, No. Dakota

Texas Health800.412.7081

texashealth.orgwomen's services

Plano, Texas

The Renfrew Center9 locations in 8 states

800.736.3739renfrewcenter.cominpatient/outpatient

adolescent and adult treatment

Rogers Eating Disorder ServicesRogers Memorial Hospital

800.767.4411Oconomowoc, Wis.

Adolescent and adult treament

The Centeraplaceofhope.com

800.771.5166

Torrence Medical Center310.325.4353

Torrence, Calif.teens and young adults

CRC Health GroupCenter of Hope888.540.5240Reno, Nevada



FINANCIALINFORMATION



COST OF TREATMENT AND SOLUTIONS IT’S difficult to watch as loved ones fall

deeper into addiction and furtheraway from a full and productive life. In a perfectworld, anyone who needs treatment would havethe access to the best care for the right results – asolid foundation for a clean, sober and healthylife. Yet, access to the right treatment is depend-ent on many variables including a person’sincome, health insurance coverage and availabletreatment options. While financing is a critical piece to receiv-ing quality treatment, people often do not know how to approachthe issue of how to pay for treatment.

Choosing the right drug and alcohol treatment option can alsobe intimidating. The right decision will often depend on the his-tory or degree of addiction, eligibility for public programs and/oravailability of other financial resources. There are hundreds ofstate and federally funded rehabilitation programs available.Families can use a free facilities locator by visiting http://find-treatment.samhsa.gov/links.htm. The Substance AbuseTreatment Facility Locator lists:

• Private and public facilities that are licensed, certified, orotherwise approved for inclusion by their State substanceabuse agency • Treatment facilities administered by the Department ofVeterans Affairs, the Indian Health Service and theDepartment of Defense.

The choices for treatment can range from community basedoutpatient treatment to inpatient residential facilities. Intensiveresidential treatment is often the best solution for people withsevere addiction histories. These programs work best for thosewho have tried and failed with outpatient programs and/or thosewho simply know they need more intense support to make a seri-ous commitment to change.

Most public programs are in high demand and are typicallydesigned for those who meet income eligibility requirements

and/or receive state funded Medicaid benefits. Those who areeligible for admission to a public facility may receive treatmentservices with no to very little out of pocket dollars.Unfortunately, because of this and the high demand, the wait-ing lists to most public rehabilitation programs are long. Thiscan result in a missed treatment opportunity for a person who isready for immediate help.

When a person has health insurance, options for both privateand public facilities may expand. Yet in today’s managed care

market, a person should not assume that just because one hasinsurance that benefits will be paid to the facility of choice.Most insurance companies have agreements with treatmentproviders to accept what they offer in payments and will notauthorize admission to a program that is not on their providerlist. Even if the insurance company does agree to pay, the poli-cy holder may have to come up with upfront cash to pay fortreatment. Many insurance companies will not pay their portionuntil care has been provided and most private treatment facilitiesrequire partial to full payment before enrollment.

Because of this, many who have coverage have come to real-ize that they will need to invest a substantial amount of theirown. It is important for families who do have insurance to asktheir insurance companies the following questions:

1. Do I have coverage for in-patient or out-patient addictiontreatment? 2. What treatment providers are considered in-network andare covered by the plan? 3. How many days are covered and up to what amount peradmission and/or per year? 4. For those who have had prior treatment, is there a life timemaximum for this type of treatment? 5. What are the required co-pays, deductibles and other out-of-pocket costs?

If insurance does little to defray the out of pocket expenses orif a family is simply not insured there is still two options for pay-

ChelseaDickinson



ing for treatment - funding the programcompletely out of pocket or financing allor part of the cost. For those who mustpay the full amount, most facilities willdiscount treatment for cash payments. Itis always worth asking. This can help tosignificantly reduce the total cost of treat-ment. Yet, more than likely a gap will stillneed to be closed.

Another option is to work with anational financing advisory firm whosespecialty is helping families finance thecost of treatment. Clark BehavioralHealth Financing’s advisers can per-sonalize loan packages that that meetthe unique needs of each borrower.Loans can be completed within daysand do not require families to sell assetsor tap into saving or home equity. Afinancing adviser can help families becautious and savvy consumers by get-ting quick and accurate answers to thefollowing questions:

1. What types of financing am I eligiblefor? 2. What are the credit and incomerequirements?

3. How much can I borrow? 4. Can I add a co-signer or can some-one else borrow on behalf of theaddict?5. Are the loan funds sent to me or tothe treatment center?6. Can we finance our travel, interven-tion and aftercare costs? 7. What are the interest rates and otherterms of the loan? 8. Can I pay off the loan early with nopenalty? 9. How much are the payments andwhen do they begin? To learn more, families can explore theirfinancing options and receive a free cred-it review by visiting www.clarkbhf.com

While most people know that there aremany paths to recovery, most are alsoconfused and overwhelmed by how topay for it. Local, state, federal and privateoptions have helped millions who wereready to ask for help. Yet, the sad truth isthat wading through the complex issuesof how to pay for the care can stop manyfrom even exploring treatment. While it iscommon sense to see that the cost of not

treating addiction is far more damaging tothe pocket book in the long run. It is alsotrue that there are resources to help fami-lies get the right help for their loved ones.Achieving a life of sobriety will be aninvestment in which the return will be therestored health and wellbeing of a family.

Clark Behavioral Health Financing isa subsidiary of Clark CustomEducational Loans Inc., a leader in ther-apeutic and special needs financingsince 2003. Clark Behavioral HealthFinancing (CBHF) a unique "one-stopshop" financial solutions companydesigned to meet the needs of familiesand individuals seeking private treat-ment. Our promise is to expand thefinancial choices of our clients and pro-vide the knowledge and expertise theydeserve. CBHF knows that cost is a con-cern for everyone seeking behavioralhealth treatment. We can help to find asolution so that the concern can staywere it belongs- with the patient.

Chelsea Dickinson, Director ofMarketing and Program Relations, ClarkBehavioral Health Financing.

Customized Financing PlansTreatment Centers; Transitional Living Facilities;Wilderness Programs; Eating Disorder Clinics;Drug or Alcohol Rehab, Weight Loss; Inpatient andOut Patient Services and More

Securing Financing For Behavioral Health Treatment

Is Our Specialty!

Clark Behavioral Health Financing888-755-3079 clarkbhf.com

When faced with the challenge of paying for private healthcare,you deserve to have choices. Clark Behavioral Health

Financing can help you find a financial solution. Let us putthe pieces together so that you can focus on what’s most

important – the health and happiness of you and your family

.



FINANCIAL INFORMATION

My Medical LoanMymedicalloan.com

1-800-788-0711

Serenity [email protected]

Med Loan Finance10515 W. 148th Terrace

Overland Park, KS 66221Phone: 800-504-4053

Fax: 800-555-8122Email: [email protected]

Med Choice Financialwww.Medfinancing.com

800-358-8980

Enhance Patient Financing, Inc877-436-4262 Phone

760-734-5952 Fax

HAVING funds for treatment is a realstruggle for families. They

fight with insurance comnpanies and drain their savings toget their loved one help. Here is a list of medical financ-ing companies. We do not endorse a particular companyand would encourage the reader to do their due diligenceto seek out a lender that will meet their needs and be reli-able. These lenders do work with preferred providers andif you have chosen a treatment provider ask them whothey might use for funding.



PROCESSADDICTIONS



PROCESSaddictions are typicallyreferred to as those behaviors

that result in self destruction are not behaviors dependent onthe use of a substance. The unmanageable behaviors or moodaltering behaviors include the following :

• Pornography• Sexual activity• Addicted to love or attention• Eating disorders• Gambling• Spending or shopping• Internet abuse• Work-aholic• Tattoos• Plastic surgery• Risk Taking — Sky diving, Bunging jumping, Mt. cllimbing• Violence and Spousal abuse• Child abuse – sexual and physical

“Caught in deadly processes. Recovery: it’s not just for“addicts” anymore. It’s not even just for persons, not whenaddictive processes permeate every social system we’ve got,from schools to churches to workplaces to governments. We’reup to our ears in addictmaking processes, and we can’t take twosteps out of bed without running into them.”

The Paradigm ConspiracyDenise Breton and Chris Largent,

Any behavior can become an addiction when the behavior oractivity controls your thinking. When the rest of your life isunmanageable and your family, work or other relationships startto suffer because of your obsessive behavior – it is an addiction.

Often process addictions do accompany substance abuses orother mental health issues. This is referred to as a DualDiagnosis.

Process addictions often occur in the behaviors of people whohave strong core values that would not allow them to initiallyuse drugs or alcohol and so they transfer their inability to copeto a behavior.

WHAT IS A PROCESS ADDICTION?



P ornography has been traded online since the 1980’s.Even in the form of ASCII art, and then, with the rise of

the world wide web in the 1990’s, adult websites beganspringing up everywhere. Here are the figures for the enor-mous world of internet pornography.

THE STATS ON INTERNET PORNOGRAPHY

12% of the websiteson the internet are

pornographic.

Every Second...$3,075.64 is

being spent onpronography.

40 million americans are regular visitors to porn sites

2.5 billion emails per day are pornographic.

25% of all search engine requests arepornography related. That’s 68 million a day.

35% of all downloads are pornographic.

Top pornographic search terms:

Number of search terms in millions.

In the U.S., internet porn pulls in $2.84 billion peryear. The worldwide industry is worth $4.9 billion.

Utah has the nations highest onlineporn subscription rate per thousandhome broadband users: 5.47

The average age at which achild first sees porn is 11

20% of men admit to watching porn online at work.

The least popular dayof the year for viewingporn is Thanksgiving.

Thanksgiving Sunday

The most popular dayof the week for view-

ing porn is Sunday.

34% of internet users have experienced unwanted exposure to porn either through pop up ads, misdirected links or emails

There are 116,000 searchesfor “child pornographyevery day

28,258 internetusers are

veiwing porn.

That’s24,644,172sites.

1 in 3 pornveiwers arewomen

Internet Porn Revenues

U.S. $2.84 billionWorldwide $4.9 billion

That’s 8% of all emails.

68 million

“sex”“adult dating”

“porn”Elmhurst, Illinois is the #1 city in the U.S. to search for porn.

7530

23

70% of menaged 18-24 visitporn sites in atypical month

9 10 11 12 13 14 15 16

13% ofwomendo.

The average porn site visit lasts 6 minutes and 29 seconds.

1.

2.

3.

4.9.

10. 11.

12.

13.

14.

5.

6.

7.

8.



ACCORDINGto recent statisticsand surveys, more

than 10% of Americans shoplift. The vast majority of themshoplift not out of economic need or greed but in response topersonal and social pressures in their lives. For most shoplifters,it’s not about the money or the thing–Winona Ryder proved that.Most act out of feelings of anger, loss, disempowerment, andentitlement. And many become hooked, addicted. Nearly 70%of shoplifters arrested will shoplift again. Have you or anyoneyou know ever shoplifted?

A related behavior, employee theft, is even more pervasive.The American Society of Employers, estimates that retailersalone lose 2-3 times as much from “internal theft” as fromshoplifting; and that 55% of employee theft is committed bymanagers and supervisors. The U.S. Chamber of Commerceestimates that 75% of employees steal from their work placeand that most do so repeatedly. Even “time theft” or loafingcosts U.S. employers nearly $500 billion per year in lost pro-ductivity. The FBI calls employee theft “the fastest growingcrime in America.” Have you or anyone you know ever stolenanything from the workplace?

In addition, you’ve no doubt heard Oprah, Suze Orman, ordozens of others sound an alarm about the growing problemof individual and collective debt and financial “dysfunctions.”The primary culprit is out-of-control shopping and spending.In 2006, Stanford University published the results of its land-mark study which identified “compulsive buying disorder” asa phenomenon affecting 6% of Americans (nearly 18 millionpeople). Men and women suffer about equally from this dis-order which often results in lying and hiding behaviors—sim-ilar to other addictions—as well as hoarding. Other statisticsshow that the average American is nearly $10,000 in debt dueto discretionary purchase and that arguments about moneyand spending are the leading cause of conflict and separa-tion/divorce among couples. Have you or someone you knowever had a shopping or spending problem?

What is common about shoplifting, employee theft, and over-shopping or overspending is that they have only recently beenidentified and treated as mental health issues. Most compulsivetheft differs from kleptomania—a rare impulse control disorderthat affects 6 out of 1,000 Americans, mostly women from age20 and up. Ironically, kleptomania remains the only officiallyrecognized diagnosis for theft behavior.

Theft is typically viewed as merely a legal or a moral issue, asin “Thou Shalt Not Steal.” With shopping or spending, we jokeabout “retail therapy” and label ourselves or others “shopa-holics” with pride. Telling someone with a serious shopping orspending problem to just cut up their credit card is like telling analcoholic “just don’t drink.”

As a therapist specializing in treating compulsive theft andspending, and as a recovering theft addict myself since 1990, Ihave had the opportunity to help thousands of people over thelast 16 years. In 1992, I founded C.A.S.A. (Cleptomaniacs AndShoplifters Anonymous). Only a handful of such support groups

exist in the world. While there are more Debtors Anonymousgroups around, there are no Shopaholics Anonymous groups.Most therapists fail to recognize, let alone effectively treat, peo-ple who are afflicted with theft or spending issues. Frankly, mostclients themselves rarely bring them up out of fear, shame, andignorance.

In the mental health profession, we have failed to recognizethese behaviors as both widespread and treatable. On most ofour basic screening forms, we assess for all sorts of problems butnot those related to stealing or shopping/spending. It may onlybe when a client is formally asked “Have you ever had a prob-lem with shoplifting, employee theft, or shopping, spending, ormoney?” that we, as well as the client, may recognize this as avital and relevant issue.

It takes extreme sensitivity and competence to navigate thewaters of a client who has chronic theft or spending issues. Somequestions to explore are whether a client can go to stores or backto work; whether they should get rid of certain items or moneyand if so, when and how? What are “gray areas” they need to bealert to? How do they regain the trust of their family and friends?

HIDDEN EPIDEMICS!Compulsive Spending and Theft



Common Thieves/Professionals—The plain opportunists who work individually orin “rings” to shoplift or steal from work purely for profit or greed. It’s a job to them,whether part-time or full-time. Most won’t benefit from C.A.S.A. or therapy. (10%)Drug Addicts/Gambling Addicts—Those who steal to support an underlyingaddiction. They usually need treatment for their underlying addiction(s) first but mayhave picked up a theft addiction along the way. (10%)The Impoverished—Those who perceive that they need to steal to survive. It’stempting to put morality on a shelf during tough times but don’t let people justify it.Explore resources and issues of pride and fear in asking for help. Often grief andloss issues are present. (10%)Thrill Seekers—Mostly younger people who steal as a dare, due to peer pressure,or who are drawn to various risk-taking behaviors. They must discover how thisdeveloped and find safer, more affirming ways to experience excitement. (10%)Absent-minded—Mostly older people, those on medications, those with cognitivedisorders, or those who need to slow down their pace. Accidents do happen… buttell that one to the judge! (1%)Kleptomaniacs—Those who steal impulsively, not out of anger, mostly to calm selfwhen anxious. Items stolen are usually discarded, hoarded, not even needed.Treatment usually is with medication and cognitive-behavioral therapy. (1%)Addictive-Compulsives—Those who tend to get a rush from stealing but the steal-ing is the acting out of emotions, the ritual effort to distract oneself from pain and tomake life right. The stealing is the drug. Medication and therapy are often essen-tial but may also need ongoing recovery and support. (58%)

Similarly, there are several categories of compulsive shoppers or spenders:Classic Compulsives—Those who habitually overshops or overspends, especial-ly when triggered by painful emotions or events. The shopping or spending is like adrug, used to “numb-out” those intense emotions.Bargain Shoppers—Those driven by the need to get a good deal—regardless ofincome level. They often feel “one up” or “victorious” and often get into debtnonetheless. Issues of self-worth respond to treatment.Image Shoppers—Those who buy things less for the inherent value of the item andmore for the status of the item or the way they feel or think they will be perceived byothers. Their self-esteem is all tied up in image and things.

Trophy Shoppers—Those who typically buy less to impress others and more tofeel an inner satisfaction of buying a rare or expensive item. It becomes problemat-ic when it takes up time and effort and money and is outward-focused satisfaction.Collector Shoppers—Similar to trophy shoppers except there is usually more fre-quent shopping and accumulation of things to the point of hoarding. Items are oftensymbolic and collecting is obsessive and control-oriented.Co-Dependent Shoppers—Those who buy things primarily for other people to gainor secure love or approval and to keep others from leaving. They feel their primaryworth or value is in what they can give others.Bulimic Shoppers—Similar to actual bulimia, these are folks who typically go on ashopping or spending binge and then feel guilt, shame, fear or remorse and attemptto return items or things purchased. The cycle repeats over and over.

There are those who are less concerned with “things” than experiences or whomay make occasional—rather than frequent—purchases that are financially exces-sive. Overspenders may splurge on dining out, vacations, theatre/concerts, hostingparties/weddings/gatherings, or may excess their budget on cars, homes, anengagement/wedding ring, or other “lifestyle purchases.”

With compulsive theft and spending, there are roughly ten emotional issueswhich often are at the root of the person’s behavior, the fuel that is driving it. Thesemotivations can be applied to other addictions as well. They include:1. Anger—to try to take back control, to make life fair2. Grief—to fill the internal void due to a loss with material objects3. Depression—to distract/numb-out from sadness, to get a lift4. Anxiety/Stress—to calm fears, to comfort/self-sooth5. Acceptance / Competition—to fit in, generate artificial self-worth6. Power and Control—to counteract feeling lost or powerless7. Boredom/Excitement—to live life on the edge, to generate intensity8. Shame/Low Self-esteem— to validate a reason to feel bad or to create asense of competence in something even if it is a negative behavior like stealing9. Entitlement/Reward—to compensate oneself for over-giving or having suf-fered, to make up for sacrifices such as diets, sexual abstinence or refrainingfrom “sinning”10. Rebellion/Initiation—to break into one’s authentic identity

Indeed, many who keep secrets from loved ones and wonderwhether to tell at all.

I offer this work not to make excuses for stealing or over-shopping/overspending but to help us become aware that weneed treatment alternatives. We need to look at the roots ofthese behaviors which are not merely personal or familial butwhich are related to increasing stress, materialism, emptiness,and addiction in our society and world. We need moreresearch and new perspectives. Like with any epidemic, thelonger we wait, the more we will all suffer. My hope is thatwith more open conversation and more resources available,we shall see a transformation in the awareness of how weview these behaviors. Then, and only then, will we attain amore honest, balanced, and abundant society and world.

Terrence Daryl Shulman, JD,LMSW,ACSW,CAAC,CPC isa Detroit area therapist, attorney, author, and consultant. He isthe founder and Director of The Shulman Center forCompulsive Theft & Spending. He is the author of “Somethingfor Nothing: Shoplifting Addiction and Recovery” (2003),“Biting The Hand That Feeds: The Employee Theft Epidemic…New Perspectives, New Solutions” (2005), and “Bought Outand $pent! Recovery from Compulsive $hopping and $pending(2008). He organized and presented at The First InternationalConference on Theft Addictions & Disorders in Detroit in 2005.He is organizing and presenting at The 2nd InternationalConference on Compulsive Theft & Spending in Detroit onSeptember 27, 2008. He can be reached at or 248-358-8508 orthrough his various websites: Mr. Shulman does counseling andconsulting locally and by phone.

CATEGORIES OF PEOPLE WHO STEAL AND OVER-SHOP



PROCESS ADDICTION TREATMENT

Rimrock Gambling800-227-3953Billings, Mt.

www.rimrock.org

ABC Algamus941-778-2496Prescott, AZ

www.algamus.com

Valley of Hope760-864-5101

www.valleyofhope.com

Life’s Journey760-864-6363

Palm Springs, CAwww.lifesjourneycenters.com

Sexual recovery310-360-0130

www.sexualrecovery.com

Pasadena Recovery Center626-345-9992

www.pasadenarecoverycenter.com

Rancho L’Abri619-468-9333

San Diego, CA.www.ranchoabri.com

Bow Creek Recovery208-459-8833Caldwell, Id.

www.bowcreekrecovery.com



OTHER RESOURCES



OTHER RESOURCES

STOP! You’re not raising a child...You’re raising a future adult

What Kids Need to Succeed by Andrea Patten and Harry S. Patten

visit whatkidsneed.com or call 1-800-814-9965

We interviewed numerous successful adults in search of common themes. We studied their life storiesand compared them to biographies of other well-known high-achievers. A pattern emerged. Successfuladults share a common background, something we call the Four Foundations of Adult Achievement.

The Alcoholism and Addiction Cure by Chris and Pax PrentissA holistic approach to total recovery from alcohol and drug dependency.

We invite you to read our life-saving book, THE ALCOHOLISM AND ADDICTIONCURE, which is showing people the world over how to completely and permanently put anend to dependency on drugs, alcohol and addictive behavior right there where they live.

For women with alcoholic husbands.Are you worried about him? Are you worried about

your relationship? Your Children? Yourself?

http://alcoholism.neillneill.com/living-with-a-functioning-alcoholic/

Living with a Functioning Alcoholic by Dr. Neill Neill,

The Fearless Mind: 5 Essential Steps to Higher Performance Research shows that the number one aspect in the success of high performing individuals is confi-dence. Achieving a Fearless Mind will benefit anyone working towards overcoming adversity intheir life and achieving a high level of performance. This can be true for executives, athletes as wellas anyone working to overcome bad habits.

Order your copy of the FearlessMind by Dr. Craig Manning, PHd. www.visualizeone.com

Buy now at $18.95 www.passagesmalibu.com



THEREare many rea-sons why an

individualized program may work bestfor your family and loved one. Some ofthose might include:

1. Cost2. Accessibility to resources3. Staying true to core values4. Severity of addiction5. Desire to have a greater holisticapproach

Not everyone is interested in the tradi-tional approach to treatment/recovery.

Four Causes of Dependency1. Chemical Imbalance2. Unresolved Issues from your past3. Beliefs that you hold inconsistent withwhat is true4. Inability to cope

( Source: The Alcoholism andAddiction Cure; Chris Prentiss )

After my own experience with my sonrelapsing and dissatisfaction with treat-ment programs we decided to design ourown recovery plan .

After months of research looking atalternative treatment approaches, visitingtreatment facilities, going to supportgroup meetings and based on our corefamily values, I felt a holistic approachaddressing his body, mind and spirit wasthe most desirable approach to achievepermanent recovery – a cure.

I found a common affinity with thePassages philosophy that you can becured of your dependence on substancesand/or addictive behavior. I highly rec-ommend reading The Alcoholism andAddiction Cure by Chris Prentiss beforeyou design your plan.

When designing your own plan it isimportant to remember the 4 causes ofdependency noted above and choose asupport team that would help address andtreat the addictive behaviors.

The objective of your plan should be to:1. Discover, diagnosis and resolve the

physical and medical issues that are aresult of or contribute to the addiction.

2. Have a medical professional help

determine the true nature of chemicalimbalances – after detox

3. Find a team of professionals to pro-vide therapeutic services

4. Put into place a personal develop-ment plan that includes plans for thefuture, spiritual needs, financial objec-tives, fitness and nutrition

5. uncover the underlying causes,address the false beliefs and design newways to cope

Here is a list of professionals you maywant to include in your plan – It is criticalthat you interview your providers to see ifthey hold the same views as you. Youwant someone who believes that you canbe healed… that you can be cured ofaddiction.

Medical DoctorPhysiologist and/or PsychiatristHypno therapistNutritionistFitness expert AcupuncturistPhysical Therapist

Yoga instructorMassage therapist

Other specialist may include:Grief counselorMarriage/family counselorDomestic Violence specialistVocational rehab/job coachSober Living companion

Some of the approaches we added toour recovery plan included a nutritionalplan that included cleanses, multivitaminsand minerals. We engaged a high per-formance sports psychologist whodesigned a fitness/exercise plan. A thera-pist who was also a certified hypno-ther-apist to address the guilt and shame thataccompanied the unresolved past issues.To treat the lingering pain caused by dete-riorating body after 15 years of alcoholand drugs – we added an acupuncturist.

These steps may taken also as a after-care approach to accompany your lovedone in aftercare, as it takes time for thebody to repair itself.

Nancy Low

DESIGN YOUR OWN RECOVERY PROGRAM

PROGRAM



LDS Family ServicesUT American Fork Agency433 S. 500 E.American Fork, UT 84003PH: 801-216-8000FAX: 801-216-8001

LDS Family ServicesUT Cedar City Agency2202 North Main, Suite 301Cedar City, UT 84720-9791PH: 435-586-4479FAX: 435-865-0023

LDS Family ServicesUT Centerville Agency95 East Pages Lane, Suite ACenterville, Utah 84014PH: 801-294-0578FAX: 801-298-2147

LDS Family ServicesUT Harrisville Office435 North Wall Avenue, Suite CHarrisville, Utah 84404PH: 801-782-2000FAX: 801-782-2041

LDS Family ServicesUT Layton Agency930 West Hillfield Road, Suite ALayton, UT 84041PH: 801-336-3040FAX: 801-336-3041

LDS Family ServicesUT ST George Office2480 East Red Cliffs DriveSt George, UT 84790-5457PH: 435-673-FAX: 435-652

LDS Family ServicesUT Salt Lake City Agency132 South State Street, Suite 100Salt Lake City, UT 84133-1506PH: 801-240-6500FAX: 801-240-5508

LDS Family ServicesUT Logan Agency175 West 1400 North, Suite ALogan, UT 84321-6816PH: 435-752-5302FAX: 435-753-9007

LDS Family ServicesUT Ogden Agency1525 Lincoln AvenueOgden, UT 84404-5624PH: 801-621-6510FAX: 801-621-7024

LDS Family ServicesUT Price Office630 West Price River DrivePrice, UT 84501PH: 435-637-2991FAX: 435-637-1775

LDS Family ServicesUT Provo Agency1190 North 900 EastProvo, UT 84604-3598PH: 801-422-7620FAX: 801-422-0165

LDS Family ServicesUT Richfield Agency681 North MainRichfield, UT 84701PH: 435-896-6446FAX: 435-896-8769

LDS Family ServicesUT Riverton Office3740 W. Market Center Drive (13200South)Riverton, UT 84065PH: 801-240-9436FAX: 801-240-9452

LDS Family ServicesUT Sandy Agency625 East 8400 SouthSandy, UT 84070PH: 801-566-2556FAX: 801-566-2639

LDS Family ServicesUT West Valley Agency5698 West Glen Eagle DriveWest Valley City, UT 84128PH: 801-969-FAX: 801-969-1291

Catholic ServciesServices for MenSt. Mary’s Home for Men is a residentialsubstance abuse treatment facilitydesigned to help clients overcome addic-tions and transition to independence,security, and good health.Services for WomenWomen’s Treatment meets the specialaddiction recovery needs of women byproviding comprehensive substanceabuse treatment on an outpatient basisthat centers on education and empower-ment. Child care and case managementfor their children is also provided.

More resources available at www.infor-mationandreferral.org.745 E. 300 SouthSalt Lake City, UT 84102(801) 977.9119

MINISTRIES



We treat all addictions - chemical substance abuse and processaddictions such as eating disorders, gambling, sexual addictionsand pornography which can often accompany chemical abuse. We also have ADD/ADHD specialty programs, AngerManagement and offer services to help clients comply with pro-bation and parole or court requirements.

For pricing and sliding scale information contact:

801-472-9780ipromisefoundation.org

The most

affordable

outpatient

substance

abuse and

mental health

treatment

program

in Utah

Payment

arrangements

scholarships

ATR vouchers

Affordable

Sober Living

housing is

available for

qualified

applicants promisefoundat ion

The I promise Foundation is a faith based, mentor led non profit organiza-tion committed to helping individuals and families heal and find better, wiserways to lead their lives free from addiction and the patterns of incarceration.

The I Promise IOP is founded on recovery principles of personal excellenceand empowerment. We believe that an individual can heal from the devas-tating effects of addiction by addressing the 4 underlying causes of addic-tion and reconnecting with their Divine Nature.

• Inability to cope with current conditions• Values that are inconsistent with what is true• Unresolved events and issues from your past• Chemical Imbalance (other medical issues)

Our programs are available in three phases depending on the client needs.Statistics show that outpatient programs provide a more comprehensivelong term solution for individuals seeking treatment where greater recoverysuccess is found. The program can be customized for the individual who isemployed, has other conflicting schedules or requires more intensive thera-py hours.

The typical outpatient treatment plan is designed for 90 days.

foundat ionpromise



recover from eating disorders

Documents