Trauma-Informed Care

shame reduction in trauma recoveryReducing one’s shame by using a non-pathologizing approach  
By James Seymour, MD
Director, Trauma Recovery Program at Sierra Tucson

At Sierra Tucson, we provide what is referred to as Trauma-Informed Care for all of our residents. Trauma-Informed Care is the recognition by the treatment program and the clinical staff that a history of childhood trauma is very often associated with and underlies many of the challenges we see. This includes substance use disorder, depression, anxiety disorders, eating disorders, various impulse control disorders, and chronic pain. In addition, we recognize that childhood trauma affects how residents experience our therapeutic interventions.

The most common emotion that nearly all individuals with a history of childhood trauma experience is a deep, abiding sense of shame – the sense that there is something inherently wrong with or bad about them. So in a way, Trauma-Informed Care is simply shame reduction, and shame reduction is Trauma-Informed Care. We make sure that all our interventions work toward reducing shame rather than creating or worsening it.

How do we do this? First, we take a positive, non-pathologizing approach. We don’t call those we treat patients. We refer to them as residents. Post-traumatic stress disorder (PTSD) is not a disease or an illness but rather, a normal nervous system response to traumatic circumstances. Although our residents have serious symptoms and interpersonal problems, we like to stress that essentially they are normal individuals. There is nothing “wrong” with them. We take an approach that focuses on the resident’s strengths and resources, not on his or her weaknesses or difficulties. This goes a long way toward shame reduction.

Also, personality disorders are not labeled as such. What we see as clinicians is simply maladaptive behaviors that arose to deal with a highly dysregulated nervous system, which is often secondary to trauma. We are extremely careful about the language we use as language that makes a difference. An example would be that we don’t describe someone as manipulative. When we see that type of behavior, it is a strong clue that the individual has never had enough trust in a relationship to think that asking for help directly would be of any benefit. We do this with other words that are frequently used to label those we are trying to help.

At Sierra Tucson, we believe that helping reduce a resident’s shame is one of the most helpful and powerful things we can do.

If you would like more information on Sierra Tucson’s comprehensive residential treatment, please call our Admissions Coordinators at (877) 801-2632.

Trauma Support Services for Our First Responders

s-l1000In the wake of the recent tragedies and turmoil surrounding our nation’s men and women in blue, Sierra Tucson is partnering with Safe Call Now to help those affected by the police shootings. Post-traumatic stress (PTS) and post-traumatic stress disorder (PTSD) cause severe emotional distress, and symptoms often intensify over time. Our Trauma Recovery Team is ready and available to support the victims of these horrific events, as well as their loved ones.

“Following the incomprehensible violence in Dallas and the loss of police lives, we want our first responders to understand there are so many people and organizations who care about and support them, and who are willing to assist in any way possible,” said Sean Riley, president and founder of Safe Call Now—a 24-hour crisis referral service for all public safety employees, emergency services personnel, and their family members.

Sierra Tucson and Safe Call Now have joined forces to provide first responders with individualized treatment that addresses their post-traumatic stress needs. “Our law enforcement officers work hard to protect American citizens each day. We want them to feel supported by the communities they serve, and to know that help is just a phone call away,” said James Seymour, MD, director of Sierra Tucson’s Trauma Recovery Program.

Sierra Tucson offers a safe, supportive environment where individuals can focus on healing from the chaos and terror of a traumatic experience. If you or your loved one is in need of help, our Admissions Coordinators are available 24/7 at (800) 842-4487. To contact Safe Call Now, visit www.safecallnow.org or call (206) 459-3020.

We can help.

Come to the Table: Sierra Tucson Family Dinner

Image 6-8-16 at 9.59 AMBy Jaime Vinck, MC, LPC, NCC
Chief Operations Officer at Sierra Tucson

“All great change […] begins at the dinner table.” -Ronald Reagan

Eating together as a family creates an opportunity to bond and nourish not only the body, but the mind and spirit as well. As Sierra Tucson becomes our residents’ temporary home, and their process group becomes like family, we have chosen Friday evenings as a time for Family Dinner. All other resident activities are suspended during this hour, wherein the entire community gathers together to enjoy a well-deserved respite from the hustle and bustle of residential treatment.The Dining Room tables are set up for Family Dinner.

In preparation for the event, each process group prepares a “Family Gratitude” for the week. The groups also choose who will fulfill the following roles:

  1. Two people to gather the platters and “Serve”
  2. One person to read the “Family Gratitude”
  3. One person to refill the platters (“Replenisher”)
  4. Two people to clear the platters (“Clean-up Crew”)

Sierra Tucson staff also coordinates this dinner with the men’s and women’s groups that immediately follow by asking residents to reflect on how they will take the experience into their own families. We set up a staff table so that anyone who wants to be a part of the dinner can do so. Family Dinner at Sierra Tucson began in April 2016 and has transitioned from staff-led to resident-led.

Following are some insights from Scott Frazier, MS, manager of Sierra Tucson’s Eating Recovery Program:

  1. Residents learn how to engage in healthy conversation while eating mindfully.
  2. Residents model and encourage healthy eating.
  3. Residents feel safe when triggered by the food and report that it has helped them to become more comfortable in challenging themselves because they are surrounded by their support system.
  4. Family Dinner at Sierra Tucson offers a time to reflect and share talents, accomplishments, and values.

We have observed many benefits from the addition of this event. One resident reported that Family Dinner is her favorite time of the week because she never experienced a sit-down meal with her family in the past. “So this is what a family should feel like,” she said.

Another resident, who is in our Eating Recovery Program, stated, “For the first time in years, I stopped focusing on the size and appearance of my body, and started to enjoy being with friends while I ate.”

If you would like more information on Sierra Tucson’s comprehensive residential treatment, please call our Admissions Coordinators at 855-396-1913.

Stay Connected; Stay Accountable; Stay Focused on Recovery

Connect365_Progress_Img_042816Connect365 is Sierra Tucson’s unique continuing care service that provides hope and recovery support
By Mike Gaziano MSW, LCSW (WI)
Family Program Manager at Sierra Tucson

One day; 24 hours; 1,440 minutes; 86,400 seconds — this window of time can be one of the most treacherous, challenging, and looming obstacles a person may face once he or she completes residential treatment. There are two paths the individual can take: One leads to a strong foundation of recovery work with a continuing care focus; the other can lead to an early relapse and emotional/behavioral setbacks.

For many, the first few hours after leaving our campus are not only exciting, but they also provide opportunities for individuals to fall back into old behaviors and patterns. By the time a person gets in the car or arrives at the airport following residential treatment at Sierra Tucson, his or her brain and the neurochemistry within is working overtime to sort out the many potential situations that can lead to emotional and behavioral relapse. Within four to six hours of discharge, he or she may have reconnected with old friends, returned to an unhealthy environment, or possibly used substances. Research has shown that if providers can reach out to this person within the first 24 hours following treatment, they can help set the tone for the recovery process and strengthen his or her continuing care plan.

Making the Connection

Last fall, Sierra Tucson launched Connect365—a signature and complimentary continuing care service available to all residents following treatment completion. With Connect365, one of our on-site recovery coaches contacts the individual within 24 hours after he or she leaves the facility.

Since its inauguration, Connect365 now serves approximately 400 participants. Built on a foundation that focuses on therapeutic recovery through ongoing coaching and a support network, Connect365’s core principles include collaboration, accountability, and support. What separates Connect365 from other similar programs is the way in which recovery coaches collaborate with our Continuing Care department; together, they develop a personalized continuing care plan throughout the course of an individual’s treatment.

Recovery Coaches

From the beginning, Sierra Tucson’s Connect365 recovery coaches form a supportive relationship with each resident with whom they are paired. This connection continues throughout his or her treatment stay, with weekly meetings and ongoing communication. Prior to departure, recovery coaches review the components of Connect365 with participants and emphasize its importance for successful, long-term recovery. This relationship-building process helps create a strong and supportive bond that will continue to grow. Recovery coaches encourage accountability by checking in weekly for one full year following treatment to monitor each participant’s progress and to offer support in times of difficulty.

Clarity, Not Therapy

Staff members of Sierra Tucson’s Connect365 help clients gain clarity through goal setting and the development of personal growth skills. Connect365 includes a HIPPA-compliant web portal that participants can log onto daily to share their progress. The portal reinforces collaborative communication with the participant’s support team members, which may include a therapist, medical provider, or family members, to name a few. In addition to personal accountability and healthy boundary setting, Connect365 allows family members to observe weekly progress without fostering a codependent relationship. The object of the support team is to encourage the participant’s recovery work without monitoring or directing his or her care. If needed, a messaging process is in place wherein a support team member may notify the recovery coach should he or she have concerns about the participant. If more elaborate accountability is necessary (perhaps for licensure or court requirements), further information—with the client’s consent—can also be shared through geo-tracking services and other monitoring tools designed to enhance the individual’s recovery progress.

Connect365’s list of services includes alerts and links to additional resources on the web portal that can be downloaded onto handheld devices and personal computers. Moreover, there are built-in incentives for participants to enhance their interactive experience. A weekly video link can be accessed, which features footage that is reminiscent of their time at Sierra Tucson (i.e., equine therapy work, meditation videos, demonstrations of Tibetan singing bowls, Sierra Tucson staff members together in a drumming circle). Other videos may highlight one of our yoga instructors performing a short pose or meditative exercise that clients can do at home to bring focus on emotional and spiritual growth during daily recovery activities.

Connect365 and its dedicated team of recovery coaches truly help to build on the recovery work accomplished while at Sierra Tucson, enhancing participants’ emotional, physical, and spiritual recovery. From the moment an individual walks through our doors, the continuing care process has begun. We are committed to each person’s ongoing journey toward wellness and recovery.

 

For more information about Connect365 or Sierra Tucson’s continuing care approach, call our Admissions Coordinators at 855-396-1913.

TMS: A Different Approach to Depression Treatment

TMS_Therapy_Progress_Img_042816By Michelle Chacon, RN
TMS Coordinator at Sierra Tucson

Transcranial magnetic stimulation (TMS) has arrived at Sierra Tucson, and in less than three months, has received tremendous feedback from our residents. TMS is an innovative treatment for depression that is safe, clinically proven, and non-pharmacological. For some, the idea of a non-drug, non-invasive depression treatment is radical. First cleared by the U.S. Food and Drug Administration (FDA) in 2008, TMS Therapy has improved the quality of life for more than 25,000 individuals who have been dissatisfied with the results of traditional treatment methods, including antidepressants.

TMS is performed under the supervision of Sierra Tucson psychiatrists by certified TMS clinical operators. Prior to initiation of treatment, a full psychological evaluation is conducted. Each session is approximately 40 minutes, scheduled five days a week, for up to six weeks. No sedation or anesthesia is needed. Side effects are minimal and localized, with scalp discomfort or headache being the most common reported.

What sets TMS at Sierra Tucson apart from outpatient TMS is the therapeutic environment in which residents are immersed, including a multitude of group activities and integrative services. As Sierra Tucson’s TMS coordinator, I meet with individuals who have been referred by the attending provider following their psychiatric evaluation. During a TMS nursing consultation, I explain how the procedure works and what can be expected during the initial visit and treatment. I also answer any questions the resident may have.

By far, the best part of my job is seeing individuals’ lives improve. Spending time with them one-on-one, five days a week, allows me the opportunity to get to know them on a deeper level, to hear about their journey and, over time, to witness the life-changing results of treatment. I am grateful to be a part of their transformation process.

 

For more information about transcranial magnetic stimulation (TMS), call our Admissions Coordinators today at 855-396-1913.

Pain, Opiates, and the New CDC Guidelines

WSM_1149By Jerome Lerner, MD
Director, Complex Pain Program at Sierra Tucson

On March 18, 2016, the Centers for Disease Control and Prevention (CDC) released new guidelines for the use of opiates in treating non-cancer pain. The report points out that opiate-related deaths have quadrupled since 1999. Twenty percent of patients seeking medical care for a pain-related condition walk out of the physician’s office with a prescription for narcotics. In the report, the CDC reviews the available research regarding effectiveness and risks of opiate medications to treat chronic non-cancer pain. The agency’s conclusion is that there is poor or no evidence to support long-term use of opiates. Therefore, opiates are not considered appropriate for the treatment of long-term pain.

Other recommendations found in the guidelines include:

  • Opiates should not be the first line of treatment in chronic pain.
  • Physicians should carefully reassess before prescribing more than 50 MME (morphine milligram equivalents) per day of narcotics.
  • Physicians should, for the most part, avoid equal to or greater than 90 MME per day.
  • Physicians should attempt to lower or eliminate opiate use in those using high-dose opiates (equal to or greater than 90 MME).
  • Physicians should be on the lookout for comorbidities such as anxiety, depression, and opiate-use disorders, which may be masked by prescribed opiate medication
  • Physicians should avoid the use of opiates in combination with benzodiazepines.

Through the Years
I have been practicing pain management in some form since the 1980s. In those days, opiates were used very modestly in the treatment of painful conditions. Instead, we relied on physical therapy, nonsteroidal anti-inflammatory drugs (NSAID), muscle relaxers, and biofeedback.

In the 1990s, things began to change. The American Pain Society (APS) proposed that pain was being under-assessed and under-treated, which perhaps was partly true at the time. In 1995, the APS proposed the use of pain assessment as the “5th vital sign,” which should be performed during all medical visits in order to ensure that pain was being managed humanely and effectively.

Additional Reasons for the Rise  
At some point along the way, it seems the pendulum shifted toward procedural pain management, which could also be a contributing factor to the growing use of opiate medications. While such procedures have their place in pain management, they often overlook the very real and relevant psychosocial, psychiatric, and substance abuse issues that lie beneath chronic pain. Delving into such issues can be difficult and time-consuming, yet prove to be a necessary component in the overall recovery process.

The Sierra Tucson Approach   
I am proud to be part of Sierra Tucson’s Complex Pain Program. Here, we are able to support individuals struggling with longstanding pain by reducing or eliminating opiate medication use, while providing a myriad of safe and effective strategies to reduce pain and suffering and improve functioning and quality of life. Our comprehensive program includes medication management, vigorous functional restoration, in-depth pain education, and treatment of co-occurring conditions such as anxiety, depression, trauma, and substance use disorder. As expectations from the CDC increase and the use and availability of high-dose opiates diminish, I believe that Sierra Tucson is a perfect place for many people struggling with pain to find a truly integrative treatment approach and change the direction of their lives toward a healthier, happier reality.

For more information on Sierra Tucson’s Complex Pain Program, call our Admissions Coordinators at 855-396-1913.

jerome_lernerAbout Dr. Lerner
Jerome Lerner, MD, joined Sierra Tucson’s Medical Team in December 2010 as director of the Complex Pain Program. He was appointed interim medical director in December 2012 and accepted the position of medical director in September 2013. Wisconsin born and raised,  Dr. Lerner received his medical education and specialty training at the Medical College of Wisconsin. He is board certified in physical medicine and rehabilitation, and is a diplomate  of the American Academy of Pain Management. Dr. Lerner has investigated pain from many perspectives.

In The News
Dr. Lerner was featured in The Arizona Republic on April 6, 2016. Read Managing Back Pain – Causes, Prevention and Treatment Options by Meghann Finn Sepulveda.

When Helpers Need Help

firefighter-383883_1280A partnership between Sierra Tucson and Safe Call Now addresses first responders and their need for professional support

First responders are regularly exposed to traumatic events during the course of their career. Many of them, however, do not seek outside help and instead attempt to recover in isolation. Sierra Tucson is partnering with Safe Call Now®—a 24-hour crisis referral service for all public safety employees, emergency services personnel, and their family members—to provide professional support and treatment for first responders who are experiencing post-traumatic stress disorder (PTSD), substance abuse, anxiety, depression, or other related conditions.

Firefighters, police officers, EMT, paramedics, military, and other emergency personnel routinely encounter situations that most people never experience in a lifetime. According to Sean Riley, president and founder of Safe Call Now, “Studies have shown that domestic violence is 2-6 times higher among first responders; PTSD rates are double; divorce rates are as much as 25 percent greater; and addiction rates are reported as high as 3 times the general population.” Riley goes on to explain that long-term exposure to traumatic events has a negative impact on the psyche of any individual, including those in public safety.

Together with Safe Call Now, Sierra Tucson hopes to reduce the stigma of seeking professional help. “First responders are trained to save others and often struggle with ‘saving’ themselves,” Riley notes. The goal of this partnership is to develop an integrated system that removes all barriers and allows these men and women to receive the support they need with dignity and honor. Oftentimes, family members struggle alongside the first responder, and they need support as well. Sierra Tucson’s Family Program provides comprehensive services for loved ones.

Since 1983, Sierra Tucson has been a leader in the treatment of addiction and co-occurring disorders, eating disorders, trauma-related issues, chronic pain, and mood and anxiety disorders. A multidisciplinary team of professionals delivers individualized treatment based on the unique needs of each resident. “Sierra Tucson is committed to offering a complete continuum of care for our public safety workers, “ says Michael Genovese, MD, JD, chief medical officer for Sierra Tucson. “We are grateful for their tireless efforts to keep our community safe. Our hope is to keep them healthy in mind, body, and spirit, so they can continue their calling: helping others.”

 

To learn more about Sierra Tucson’s comprehensive list of services, call our Admissions Coordinators today at (800) 842-4487. We are available to help first responders in need of compassionate care.

What Is A Recovery Coach?

connectConnect365 provides the support individuals need following residential treatment

Recovery coaching is a term that describes the relationship between coaches and residents post-treatment. According to the Association of Addiction Professionals (NAADAC), “Peer Recovery Support Coaches act as a recovery and empowerment catalyst: guiding the recovery process and supporting the individual’s recovery goals and decisions.” NAADAC also defines the relationship between coach and participant as a way to share lived experience to support the recovery process. Leaving treatment and getting re-adjusted to life can be challenging. Sierra Tucson’s Connect365 helps to bridge the gap between residential treatment and life in recovery, providing ongoing support for individuals for one full year following treatment completion.

Recovery is the process of overcoming a number of life obstacles. Whether individuals come to Sierra Tucson for trauma, chronic pain, eating disorders, mood and anxiety disorders, or addictions, a support network can be an integral component in living a healthy, balanced life in recovery. Connect365 coaches do not tell participants what to do; rather, they are available as a support member to share experience, strength and hope as individuals navigate the recovery path. Oftentimes an objective, non-judgmental support member can help to shed light on suggestions one might receive from a family member, sponsor, employer, or therapist. Also, hope and motivation from a Recovery Coach provides the support a participant may need to endure difficult days.

Accountability is one of the most important factors in early recovery. Connect365 focuses on participant accountability by using the Collaborative Care Model, which allows the participant to focus on his/her recovery while the Recovery Coach takes care of the communication between support members. Whether participants need drug testing, meeting attendance accountability, boundary support, or weekly progress reports, the Connect365 Recovery Coach serves as a part of the participant’s support team. Navigating new boundaries and reinforcing previous ones can be tough in early recovery; together, the Recovery Coach and participant work on facing life’s challenges with healthy solutions.

Another important factor in early recovery is establishing an ongoing connection with others. Changing habits and creating new ones is a daily process, one that requires support. When participants stay connected to their support team through secure web messaging, video conferencing, telephone calls, and face-to-face meetings, their relationships – including the one between coach and participant – are strengthened and sustained. Sometimes a person doesn’t know when support will be needed and thus, having a support member readily available each day could mean the difference between reverting to old habits and living an abundant life in recovery.

The goal of the Recovery Coach is to provide services that encourage and assist in positive behavioral changes for participants. The coach not only collaborates with the individual to foster long-term recovery, but also helps to improve his/her overall quality of life.

 

If you would like more information on Sierra Tucson’s Connect365, call 800-842-4487 today.

Eating Recovery: A Shift In Treatment

Couple_Mtn_ClimbingBy Gayle Masterson, MD
Director, Eating Recovery Program

When it comes to eating disorders, traditional methods of treatment have placed a greater emphasis on the diagnosis and not the individual as a whole. At Sierra Tucson, our Eating Recovery Program is shifting its focus to include attachment issues; developmentally related, early life issues; and the significant ways in which these patterns of engagement in interpersonal relationships result in the development or manifestation of eating disorders and subsequently have a substantial impact on the recovery process.

Our bodies function as a system. Rather than focusing primarily on the food (i.e., meal plan, nutrition, eating behaviors, portion sizes), we take into consideration all parts of the system. Sierra Tucson’s holistic approach to wellness and mind-body-spirit healing includes an in-depth look at an individual’s relationships, relationship patterns, and the means by which he or she may have previously utilized these patterns to manage or cope with stress, distress, and trauma, both overt and covert. Whereas these behaviors were initially helpful at managing feelings, eventually these “coping skills,” which have manifested in maladaptive eating behaviors, no longer serve the individual and begin causing more distress, compromised functionality, and suffering.

Ultimately, for nearly all human beings, our initial, early life relationships are formed with primary caregivers, and there is a biologic necessity for the focus to be on survival. It follows naturally that our first relationships in life involve the act of feeding, and all of the behaviors and interpersonal interactions that serve to facilitate being fed. Looking more closely at the dynamics of these interpersonal interactions and the ways in which we (consciously or not) learned to adapt in order to ensure survival (being fed), allows the opportunity to better understand the metaphorical, symbolic, and often practical role of food and feeding in an individual’s life.

When any human being gets to a point that adaptive behaviors become maladaptive, and enough distress is experienced, there is a beautiful opportunity to intervene. In the process of this intervention, it is possible to help alleviate suffering, improve insight, and assist the individual with an understanding of self, which will help to facilitate a shift toward improved health—physically, emotionally, and spiritually. Only when an individual is able to understand fully the ways in which maladaptive behaviors are no longer serving him or her and, in fact, causing a great deal of distress and suffering; and only when the individual is given the opportunity to feel as though he or she can choose different behaviors, does true change occur. At that point, the individual can consciously make different choices, shift away from maladaptive behaviors, and have gratitude for how those behaviors served him or her in the past. He or she can begin to process and grieve the loss of these familiar, previously helpful behaviors and thought patterns, and replace them with more adaptive, healthy, self-fulfilling behaviors.

Overall, while the symptoms and the behavior involves food, the core issues are about feeding, being fed, survival, and how these are all fundamentally related to relationships and attachment patterns in relationships. The focus of eating recovery shifts from calories, grams of carbohydrates, portion sizes, etc., to a genuine understanding of the dynamics behind what drives the choices and behaviors, and what can be chosen in place of those behaviors that encourages self-care, self-love, compassion, healthy and gratifying relationships, and ultimately a reduction in suffering.

For more information on Sierra Tucson’s Eating Recovery Program, call our Admissions Coordinators today at (800) 842-4487.

Eating Disorders: All Shapes & Sizes

eating disorder facts and mythsIn today’s society, the pressure to look a certain way can be overwhelming. Societal pressures can cause it to be difficult to accept the body we are in, and lead to an unexpected eating disorder.

Fortunately, there are new trends that support the idea of loving your body. For the first time in its history, Sports Illustrated put a “plus-size” model, Ashley Graham, on the cover of its 2016 Swimsuit Issue, telling their readers that “beauty is not cookie cutter” or a “one size fits all” model. Mattel, maker of Barbie®, announced that the iconic doll will now appear in three new body types: tall, petite, and curvy. Mattel has faced criticism in the past for Barbie’s impractical proportions, and hopes these new dolls will have a positive impact on what individuals see when they look in the mirror.

However, we still have ways to go when it comes to understanding eating disorders. When most people hear the term eating disorder, the two most commonly known conditions, anorexia and bulimia, come to mind. According to the National Eating Disorders Association (NEDA), 30 million Americans struggle with an eating disorder and don’t even recognize it. This is because there are less obvious signs of an eating disorder, such as an overeater, a fitness fanatic, or an extremely healthy eater.

A common misconception about eating disorders is that it is predominantly women who suffer from these conditions. This may not always be the case. According to The National Association for Males with Eating Disorders (NAMED), 40 percent of people with eating disorders are males, and men have shown eating disorder-like behaviors just as often as women.

While symptoms vary with each disorder, there are common red flags to look out for. Signs can include continual changes in weight, depression, isolation, and forming ceremonial eating habits, such as eating alone or cutting food into numerous pieces.

Another common unknown is that quite often people develop an eating disorder as a coping mechanism for another disorder, such as anxiety or depression. At Sierra Tucson, we have an integrated approach to eating disorder treatment and the environment in which a resident receives care. Through our Co-occurring Disorders Program, we evaluate the behaviors of residents in an effort to make these behaviors healthy and useful.

If you—or someone you know—are battling food, weight, or body-image issues, here are some ways in which you can offer support:

  • Be a positive role model of healthy self-esteem and body image.
  • Express your concerns early on, and do so in a loving and supportive way.
  • Remind yourself and your loved one that beauty is not skin-deep. Focus on positive characteristics like personality, sense of humor, and accomplishments.
  • Ask for help even though it may be difficult.
  • Educate yourself on eating disorders and learn as much as possible about the myths and facts, as well as the signs and symptoms.

According to Gayle Masterson, MD, director of Sierra Tucson’s Eating Recovery Program, “The focus of eating recovery shifts from calories, grams of carbohydrates, portion sizes, etc., to a genuine understanding of the dynamics behind what drives the choices and behaviors, and what can be chosen in place of those behaviors that encourages self-care, self-love, compassion, and ultimately a reduction in suffering.”

If you would like more information on the Eating Recovery Program at Sierra Tucson, please call our Admissions Coordinators today at (800) 842-4487.