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      <image:title>Blog - Supporting a Loved one with Binge-eating Disorder - What is binge-eating? A binge episode is defined as an experience of eating while feeling a loss of control -- as though you cannot stop, even if you wanted. The amount eaten is viewed as excessive, and the individual may eat faster than usual and/or beyond the point of physical comfort. A hallmark of a typical binge episode is that it occurs in secret. Distress in the form of shame, guilt, and secrecy often accompany binge episodes and can create conflict with loved ones.</image:title>
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      <image:title>Blog - Helping your Child Cope with Academic Anxiety - As exams and college application deadlines approach, the stress students and families are experiencing can be palpable. During this time, it’s common for adolescents to briefly experience difficulty sleeping, increased distress or irritability. As a therapist specializing in anxiety, I often hear parents tell me: “They say they’re okay, but I can tell the stress is taking a toll on them” “They’re working so hard, and I don’t know how to help”</image:title>
      <image:caption>Below are some research-based tips on how to support your adolescent.</image:caption>
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      <image:title>Blog - Family-Based Treatment in Primary Care: A New Horizon in Eating Disorder Care? - Family-based treatment (aka FBT or the Maudsley Method) is considered the first-line treatment for adolescents with anorexia nervosa (and commonly relied upon in the treatment of ‘atypical’ anorexia nervosa). Though FBT is a well-established, effective intervention, finding a therapist trained in this approach can be challenging. There are only 101 certified FBT therapists worldwide, and the shortage of providers is an important factor contributing to delays in young patients receiving care. The inaccessibility of the treatment and associated delays may, by extension, increase the severity of the symptoms and worsen prognosis for adolescents with anorexia nervosa — an illness with high mortality and relapse rates. Plus, it is now well established that rates of restrictive eating disorders in youth – and adolescent girls, specifically – have been on the rise over the past five years.</image:title>
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      <image:title>Blog - Is it OCD, ADHD or both? - January 18, 2025</image:title>
      <image:caption>Written by Nikki Pagano, LCSW (OCD , Anxiety and Eating Disorder specialist) &amp; Alyse Bone, LCMHC (ADHD specialist with training in OCD)</image:caption>
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      <image:title>Blog - How and Why to Cultivate Self-Compassion - February 9, 2024 • Written by Nikki Pagano, LCSW</image:title>
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      <image:title>Blog - Learning from People with Lived Experience - August 11, 2023 • Written by Nikki Pagano, LCSW</image:title>
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      <image:title>Blog - ARFID: What have we learned? - January 24, 2020 • Written by Nikki Pagano, LCSW</image:title>
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      <image:title>Blog - Multifamily Group - June 10, 2019 • Written by Nikki Pagano, LCSW and Michelle Laub, LMSW</image:title>
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      <image:title>Blog - It’s the Most Wonderful Time of the Year… Or is it? - December 17, 2018 • Written by Nikki Pagano, LCSW and Amanda Jowell, MD</image:title>
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      <image:title>Blog - Family Based Treatment for Anorexia Nervosa - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - What You Need to Know about (The Myths of) Therapy - September 20, 2017 • Written by Nikki Pagano, LCSW and Lisa Ranzenhofer, PhD</image:title>
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