Call us today at (414) 727-4455 to discuss the right plan for you. We offer the following services:
Assessment Services
Upon your initial appointment, you will meet with one of our clinicians. He or she will complete a comprehensive psychiatric or psychosocial assessment so that your individual needs are acknowledged and incorporated into the treatment plan. The assessment may also include a recommendation that you seek medical follow up or laboratory testing to ensure your medical stability.That clinician will then consult with other professionals within the clinic and may refer you to them to create a multi-disciplinary team of a psychiatrist/psychiatric nurse practitioner, therapist and dietitian. Your treatment plan will be the roadmap for your treatment process.
Psychiatry Services
The REDI Clinic provides a level of outpatient psychiatry that is unmatched within the state of Wisconsin. Our team of three psychiatrists and psychiatric nurse practitioner who specialize in treating eating disorders includes two board-certified adult psychiatrists, a board-certified child, adolescent and adult psychiatrist who specializes in working with children, adolescents and their families and a psychiatric nurse practitioner.Our psychiatrists and nurse practitioner are a key part of our team and work with individuals regarding consideration of medications that may be incorporated into treatment of the eating disorder or other co-occurring conditions. In addition to medication management, they also monitor potential medical complications and work closely with patients' primary care physicians to ensure medical stability or coordination of a higher level of care when needed.
Individual Psychotherapy
Establishing trust and a positive therapeutic relationship is the first goal of our therapists. We understand that eating disorders are not "just about the food," but rather eating disorder symptoms with core underlying thought patterns and emotional factors that are triggering the eating disorder behaviors.We work with you to identify which of our therapists has the right therapeutic approach, experience and personality so that you feel comfortable. By exploring underlying emotions and interpersonal factors that contribute to your eating disorder, you will work with your therapist to replace unwanted behaviors and negative feelings with healthy coping skills, a strong sense of self and positive self-esteem.
Our therapists have experience and training in:
- Cognitive Behavioral Therapy (CBT)
- Exposure Response Prevention (ERP)
- Family Based Therapy (FBT)
- Dialectical Behavioral Therapy (DBT)
- Interpersonal Therapy (IPT)
- Psychodynamic Therapy
Group Therapy
Individuals often report feeling shame and a significant amount of isolation as a result of their eating disorder. Often times, individuals with eating disorders struggle to identify their errors in thinking as it relates to factors that perpetuate one's eating disorder. Group therapy gives you an opportunity to be in a safe and supportive environment with others that share similar thought patterns and experiences, while gaining the insight and feedback of others to help you in your recovery process.The REDI Clinic offers weekly group therapy sessions accompanied by a structured meal. Whether attended solely or used in conjunction with individual therapy, group therapy can provide that added structure and support in your week to help manage your eating disorder thoughts and behaviors.
Nutritional Evaluation and Counseling
Our registered dietitians help individuals develop healthy, normal eating patterns through education and behavioral self-management. Nutritional counseling, education and meal planning are tailored to each individual client's needs to help them interrupt symptom use and regain trust in their body's ability to regulate eating. Our dietitians understand that each individual needs differing amounts of structure and support when it comes to the nutritional component of their recovery. Depending on your stage of recovery, your dietitian may use either of the following tools in your treatment plan.
Individual Meal Plans: Our dietitians may develop, monitor and adjust individual meal plans based on each client's treatment goals. These meal plans help provide structure throughout the day for individuals who struggle to make time to consume their recommended nutritional intake. They also can provide additional support for those struggling to make food choices on their own and help reinforce adequate and healthy nutritional intake.
Nutrition Community Outings: Our dietitians understand that grocery shopping and eating out at restaurants can be a challenging task for someone with an eating disorder. During your recovery process, your dietitian may recommend a grocery store outing to help address anxiety, and also educate you about ways to make food choices within your meal plan to ultimately help increase variety in your food choices. Your dietitian may also recommend a meal outing to help address anxiety about eating in a restaurant and provide education about making food selections from the menu to help you make meal choices within your meal plan. These are individualized therapeutic interventions and are used on a case by case basis
Intuitive Eating/Mindful Eating: Intuitive eating is an approach that teaches you how to create a healthy relationship with food and your body. Goals of intuitive eating are:
- To make peace with food so that you no longer have constant food thoughts.
- To learn to distinguish between emotional and physical hunger
- To learn that your health and your worth as a person do not change because of the food you eat or the number on the scale.
- To bridge the gap between anti-diet and the obesity of overeating.
Authors Evelyn Tribole, MS, RD and Elyse Resch, MS, RD, FADA explain more about this approach
"The underlying premise of Intuitive Eating is that you will learn to respond to your inner body cues, because you were born with all the wisdom you need for eating intuitively. On the surface, this may sound simplistic, but it is rather complex. This inner wisdom is often clouded by years of dieting and food myths that abound in the culture. For example, "Eat when you're hungry and stop when you're full" may sound like basic common sense, but when you have a history of chronic dieting or of following rigid "healthy" rules about eating, it can be quite difficult. To be able to ultimately return to your inborn Intuitive Eater, a number of things need to be in place—most importantly, the ability to trust yourself!"
Intuitive Eating Group
The REDI Clinic offers a weekly Intuitive Eating group facilitated by Natalie Harris, RD, a registered dietitian who specializes in this treatment approach. This group is an 8 week program that incorporates the following topics:
Introduction: The Myth About Diets
- What to Expect on Your Journey of Discovery not Judgment
- Honor Your Hunger
- Make Peace with Food Challenge the Food Police
- Feel Your Fullness Satisfaction
- Coping with Emotions/Respect Your Body
- Exercise/Gentle Nutrition
- Politics of Obesity Menu Planning
This group is for individuals who have an unhealthy relationship with food. One does not have to be diagnosed with an eating disorder to attend this group. It can also be a helpful tool for individuals who have struggled with cycles of dieting and disordered eating behaviors that can lead to an eating disorder. If you or someone you know could benefit from this group, please call the clinic and our staff will schedule an evaluation with Natalie to determine if this would be an appropriate resource.
Nutrition Community Outings: Our dietitians understand that grocery shopping and eating out at restaurants can be a challenging task for someone with an eating disorder. During your recovery process, your dietitian may recommend a grocery store outing to help address anxiety, and also educate you about ways to make food choices within your meal plan to ultimately help increase variety in your food choices. Your dietitian may also recommend a meal outing to help address anxiety about eating in a restaurant and provide education about making food selections from the menu to help you make meal choices within your meal plan. These are individualized therapeutic interventions and are used on a case by case basis
Family and Couples Therapy
Eating disorders impact both individuals and family systems. Family therapy can help address the relational implications of eating disorders. Goals of family therapy may include education, enhancement of communication and boundary setting.Family Based Treatment
Family-based therapy offers an opportunity for families to be intensively involved in the rehabilitative process of decreasing eating disorder symptom use and re-establish regular eating and activity patterns. Families work closely with the doctor and therapist to regain family structure that decreases the eating disorder's control over the individual and the family.Intensive Outpatient Programs (IOP)
Intensive Outpatient Program (IOP) for Adults with Eating Disorders
The Adult IOP is designed for individuals who need more structure to interrupt symptom use and is also used as a step down from a higher level of care. We offer evening options for IOP which allows individuals to continue with work or school yet still have added support.
Our IOP combines:
- Group Therapy
- Psychiatry
- Nutrition therapy
- Meal planning
- Psychoeducation
- Family therapy
- Supported meals
A multidisciplinary approach is utilized along with traditional cognitive behavioral therapy for individuals with anorexia, bulimia or binge eating disorder. A unique component of our program is that we offer co-facilitated groups that are led by both male and female psychotherapists with extensive experience working with eating disorders. This approach allows us to evaluate and process various interpersonal dynamics that may be crucial to an individual's recovery.
Prior to starting the program, the patient will meet with a therapist to complete an initial assessment and establish treatment goals. Following that assessment, the patient will meet with a registered dietitian to complete a nutritional assessment and work together to develop an individualized meal plan. Some individuals entering the program may already have a meal plan, and they will continue to work with the dietitian in the program to make modifications to help the client meet with treatment goals.
Our treatment staff have a commitment to collaborating with other community professionals including physicians, therapists and dietitians to coordinate care and ensure appropriate aftercare treatment is provided.
This program is offered three evenings per week on Mondays, Tuesdays and Thursdays from 4:30-7:30. Psychiatric services, nutritional counseling, individual and family therapy sessions augment the treatment process on an individualized basis.
Intensive Outpatient Program (IOP) for Children & Adolescents with Eating Disorders
The Intensive Outpatient Program (IOP) for children and adolescents with eating disorders includes a strong family component including multi-family process groups, psycho-education groups, as well as multi-family meal times. This program provides structure and support for individuals requiring more intensive treatment than individual therapy while allowing them to stay enrolled in a full school day.
This program is offered for children and adolescents ages 8-16. Prior to starting the program, individuals and either one or both parents will meet with a therapist and dietitian to complete an initial assessment. This assessment process allows the treatment team to gather information about the patient's individual needs as well as establish the patient's treatment goals. The patient, family and treatment team will all play an active role in developing the initial treatment plan.
Medical Director: Dr. Tracey Cornella-Carlson, a board-certified child, adolescent and adult psychiatrist that leads a multi-disciplinary treatment team within the IOP. Dr. Cornella-Carlson has treated thousands of children and adolescents affected by eating disorders in various levels of care. She is very passionate to provide this needed service for the community, "I understand and value the importance for all levels of care, but I am excited to finally provide this service for the community. Families often express a desire to be an active participant in their child's recovery, and receiving treatment in a family-focused IOP level of care provides just that."
This program is offered three evenings per week on Mondays, Tuesdays and Thursdays from 4:30-7:30. . Psychiatric services, nutritional counseling, individual and family therapy sessions augment the treatment process on an individualized basis.
Dialectical Behavior Therapy (DBT) Program for Eating Disorders
Eating Disorder symptoms are often triggered by stress, negative mood and negative emotions. DBT is an evidence-based approach to teaching people how to use skills to help tolerate distress and decrease eating disordered behaviors.When: Tuesdays from 6:30 to 8:00p.m.
Who: Adults who struggle with Bulimia Nervosa, Binge-Eating Disorder, Disordered Eating and Anorexia Nervosa.
Goals of Skills Training: Learning how to skillfully increase awareness, manage, tolerate and decrease the intensity of emotions that lead individuals to engage in eating disorder behaviors.
Treatment goals may include, but are not limited to:
- Stop any behaviors that interfere with treatment (i.e. avoidance, absences, etc).
- Stop binge eating, purging, restricting and other problematic eating behavior, as well as disturbances of body weight and shape.
- Eliminate mindless eating.
- Decrease cravings, urges, preoccupation with food.
This program is divided into three core skills modules that are taught to assist in reaching treatment goals.
- Mindfulness Skills: Learning how to balance your emotions, thoughts and behaviors in the here and now as well as balancing the present with the past and future.
- Emotion Regulation Skills: Learning about your emotions, achieving a deeper understanding of your emotional life, and more resiliency when dealing with your emotions.
- Distress Tolerance Skills: Developing the skills to cope, manage, distract, and tolerate crises and stress.
Our DBT Program incorporates information and therapeutic assignments from Dialectical Behavior Therapy for Binge Eating and Bulimia by Debra L. Safer, Christy F. Telch, and Eunice Y. Chen, and Skills Training Manual for Treating Borderline Personality Disorder by Marsha Linehan.
For more information or to schedule an orientation session with Melissa Schneider, LPC, please call (414) 727-4455.
Brochure (click here for more info.)