RISE at Cumberland Hospital
Eating disorders are complex, treatable illnesses that can cause serious concerns for both people with the disorder and their loved ones. RISE (Renewing Identity, Self-Confidence and Empowerment) can help with a range of issues that can arise as a result of an eating disorder.
We treat a variety of diagnoses including Anorexia Nervosa, Bulimia Nervosa, Avoidant Restrictive Food Intake Disorder (ARFID) and Other Specified Feeding or Eating Disorders (OSFED). Patients work through phases that allow them to practice varying degrees of responsibility and autonomy over their meals and activity. This allows for more predictability, provides clear expectations for advancement and fosters camaraderie from others on similar paths.
Individualized interventions are considered by the treatment team, if needed. The goal is to promote recovery by providing support, structure, consistency and opportunities to succeed. Phase assignment and advancement is determined by the treatment team. These decisions are based on the patient’s success on the current phase’s goals, medical stability and progress in therapy. People in the program have the opportunity to apply for phase advancement and share their successes with their team.
Our multidisciplinary team consists of pediatric medical providers, consultative services with a board-certified psychiatrist and endocrinologist, psychotherapists, dietitian, nurses, case managers and behavioral health technicians. Occupational, speech and physical therapy services are also available as needed to address deconditioning and sensory issues.
What RISE Treats
Our clinical team can treat co-occurring psychiatric issues:
- Depression
- Anxiety
- Mood disorders
- Autism Spectrum Disorder
- Trauma
- Self-harm
- Others upon consideration of the clinical team
Our medical team can treat:
- Patients with extremely low BMIs or BMIs considered to be in a “healthy range” but with other medical symptoms or complications
- Refeeding issues
- Cardiac and electrolyte imbalances
- Gastrointestinal issues
- Patients needing calorie replacement via NG tube feeding who are compliant or non-compliant with feedings.
- Comorbidities such as type 1 and type 2 diabetes (diabulimia), auto-immune disorders, celiac disease and more
How We Treat Eating Disorders
Patients may receive the following services:
- Individual and family therapy
- Psychotherapy groups including Dialectical Behavior Therapy skills group and process group with others who are struggling with eating disorders
- Psychoeducational/wellness groups
- Mindful Movement Group (designed to facilitate healthy movement and activity and process urges to engage in compulsive activity)
- Nutrition group (with monthly cooking/food experiences)
- Individual nutrition counseling with dietitian
- Activities therapy groups which may include recreation and stress and relaxation
- Educational services
- Psychological testing as needed
Patients may learn to:
- Slowly manage compensatory behaviors such as binging, purging, compulsive activity and restricting
- Address food fears and anxieties around meals
- Improve comfort with social eating
- Re-establish independent eating behaviors with support of their team
- Improve understanding the dynamics of a person’s eating disorder and the purpose it serves in their life*
- Utilize new ways to meet their needs
- Practice skills in and outside of therapy
*Renew their identity, self-confidence and empowerment*