Montrose Manor provides a comprehensive eating disorder treatment programmes that address the biological, psychological, relational and spiritual aspects of Eating Disorders, including;
- Anorexia Nervosa
- Bulimia Nervosa
- Binge Eating Disorder
- Other specified/unspecified feeding or Eating Disorders
Our objective in providing structured extended care treatment is to address the deep-seated psychological issues that underlie eating disorders, using evidence-based therapies.
Where present, concurrent psychiatric disorders are managed in close association with a consultant psychiatrist, who prescribes medication when necessary. All treatment is offered in a safe, gentle and supportive environment.
Clients receive weekly one-on-one counselling. Their therapist serves as the point of co-ordination for the client’s care plan as s/he moves through the various phases of treatment (please see below). The individual therapist provides regular progress reports to referrers (with the client’s consent) and compiles a detailed discharge report with recommendations for ongoing recovery/care.
Examples of comorbid disorders, which are commonly managed at Montrose Manor include:
- Mood Disorders, including depression and anxiety
- Obsessive-Compulsive Disorder (OCD)
- Post-Traumatic Stress Disorder (PTSD)
- Substance Use Disorders
- Personality Disorders
The Montrose Manor treatment programme integrates traditional and innovative psychotherapeutic modalities, employing a wide spectrum of group-based activities and weekly individual consultations.
Life-skills components are used in addition throughout the various phases of treatment, facilitating enhanced physical, spiritual and social development. A comprehensive family programme is offered to address the crucial relational dimension of eating disorders.
On admission each client is individually and comprehensively evaluated by the clinical team. The therapeutic programme is then tailored to meet each client’s specific treatment goals and needs.
- Supervised meals and snacks
- Nutritional support groups, including a weekly individual session with the dietitian
- Weekly individual therapy sessions
- Support Groups
- Dialectical Behaviour Therapy (DBT)
- Transactional Analysis (TA)
- Introduction to the 12-Step Program and attending Fellowship meetings
- Psycho-education: Grief, trauma, sexuality, spirituality, self-esteem, social skills, assertiveness, conflict management, codependency, stress management
- Art & Drama therapy
- Crafts classes
- Body image groups
- Movement classes
- Wellness & Exercise
In addition to the activities and groups offered in phase one, phase two offers:
- Supervised self-service of meals and snacks
- Family Therapy
- Exposure therapies
- In-depth psychodynamic groups
- Self-directed reading and written work
- Additional freedom of movement over weekends, including shopping and outings
Clients in phase three will be exposed to:
- Independent management of meals and snacks
- Preparation of meals and snacks
- Continue to attend a certain number of therapeutic/programme groups
- Do voluntary community service, follow a course or skills training
- Advanced Exposure Therapy, including restaurant outings
- Advanced Relapse Prevention
- Thorough discharge planning
Clients gain clarity of their self-destructive behaviours, develop alternative behaviours and consolidate these changes in a supportive environment. In short, they develop and practice ‘relapse prevention tools’ to prepare them for reintegration into their home, work and social environments.
Clinical Program/Wellness, Exercise and Nutrition program.
The Exercise Programme
- This aspect of the programme helps each client develop a healthy relationship with exercise. Each client’s current relationship with exercise is explored and goals are defined. as to how s/he would like that relationship to develop. Montrose Manor’s exercise facilities include walking, a swimming pool and a gym. Examples of specific work done here are core stability, correction of posture, muscle alignment together with strength and weight appropriate exercises.
The Nutrition Programme
- The nutritional programme at Montrose Manor strives to incorporate the latest medical and nutritional findings and recommendations. Depending on the phase of treatment, and under the guidance of our dietician, clients will be encouraged to take responsibility for the planning and preparation of daily meals. They will eventually be taken on regular restaurant outings and food shopping trips. Consultation with our expert dietician happens weekly throughout treatment.
Clinical Program/Family Involvement
- The multi-faceted extended care programme at Montrose Manor is intended to be a continuation of the treatment provided in primary care. Eating disorders affect the family and loved ones of our clients and we believe it is vital that treatment addresses this relational dimension.
- Families are involved where appropriate and with the client’s consent to explore any important relationship dynamics. Therapy sessions with family members, the client and a therapist assist loved ones in supporting the client in future recovery.
- The family has the opportunity to explore new ways of communicating feelings and needs, understanding and setting healthy boundaries, developing and renewing intimacy and overcoming problems that have arisen from broken lines of communication. Relapse is common (although avoidable), so clients and family can discuss vulnerabilities together and develop a relapse prevention plan to refer to when the client is discharged.