Complex Case Consultation

Cases that require deeper care.

Working with the dynamics of families and clients who are struggling with Eating Disorders is challenging at best. But all clinicians know that within this area, there are also cases that require longer and deeper care. These cases get classified as “chronic” or “complex” and clinicians often feel that the client or the process gets “stuck”. It is often hard to find the next best step to shift gears and “un-stick” the recovery journey for the client. 

In our experience, it is important for a clinician to have a clear formulation not only at the assessment phase but also at every stage of change and when the process is stuck. 

Grace Wong and Lakshmi Krishnan have worked together for 14 years - from inpatient care to different levels of outpatient care. We strive to provide comprehensive eating disorder treatment in our private practice and navigate many practical challenges in caring for high-risk clients in the community.  Over the years, we have had the delight of creating a very close, collaborative relationship that provides the client a seamless experience of ‘food and feelings’ support in their journey of recovery.

We have seen an unprecedented rise in the number of clients and families seeking help with eating disorders.  Presentations are becoming increasingly complex. In these case consults, we are hoping to bring the knowledge and experience that we have acquired over the years to supporting other clinicians with case formulation and effective goal-setting in a collaborative setting, primarily for challenging Eating Disorder cases. 

Each consult would be 90 minutes in length. This would accommodate the discussion of 2-3 cases each time. It will be helpful if clinicians come with questions relating to the difficult parts of the case. There is no question that is unwelcome. 

The discussion may include and cover: 

• Case formulation from an attachment and Family-systems perspective

• Understanding an ED from a somatic and trauma-focused lens

• Working with parents and challenging family dynamics in FBT

• Working with adult clients – addressing challenges with ‘motivation’ and change

• Co-occuring diagnoses – not overlooking the presence of ADHD, ASD, Diabetes, GI conditions 

• Using meal-planning to develop coherence and a common language between therapy and nutrition care

Other questions / discussions might include:

• What is the definition of recovery?

• What are my expectations with older clients?

• How do I decide what to focus on at different stages of treatment?

• What do I do when I feel stuck?

• What do I do if my client is struggling with motivation?

This consult group is appropriate for all clinicians working with ED - therapists, dieticians, physicians and nurses.

Each session will be $90.

Please contact me to express your interest. This is a new endeavour. We will decide the time and date when there are enough participants.

Registration is not open yet.