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Up for Mental Health: 7 Ways to Help Your Client Progress","2026-02-05T18:38:45.236Z","2026-03-10T16:32:25.727Z","2026-03-10T16:32:38.101Z",141832705027367,"c54d5039-68f3-4b29-8088-3c6d0071ef03",{"_uid":2225,"body":2226,"type":2227,"topic":2228,"author":2229,"authors":2230,"sources":2279,"summary":2280,"audience":2281,"component":1563,"conditions":2282,"meta_title":2284,"featured_image":2285,"meta_description":2288},"83b9dc11-87ba-46b0-b317-671154e208f8","\u003Cp>Living with a mental health condition such as \u003Ca href=\"\u002Fnode\u002F7561\" data-entity-type=\"node\" data-entity-uuid=\"7ccb848f-af1c-4be6-a1bb-32a0031532ce\" data-entity-substitution=\"canonical\">anxiety\u003C\u002Fa>, \u003Ca href=\"\u002Fnode\u002F17621\" data-entity-type=\"node\" data-entity-uuid=\"b86a86fc-441f-471d-95d4-602a31b805c5\" data-entity-substitution=\"canonical\">depression\u003C\u002Fa> or a \u003Ca href=\"\u002Fnode\u002F7571\" data-entity-type=\"node\" data-entity-uuid=\"c7ef7a77-c12c-443c-bf85-7b70982bf802\" data-entity-substitution=\"canonical\">trauma-related disorder\u003C\u002Fa> can be complex. However, it is possible for your clients to manage their conditions and have beautiful, fulfilling lives focused on what matters most to them. Sometimes outpatient support is \u003Cem>exactly\u003C\u002Fem> what they need. At other times, a higher level of mental health care (HLOC) is required.\u003C\u002Fp>\u003Ch2>Tip 1: Know the signs that your client needs a higher level of care\u003C\u002Fh2>\u003Cp>As outpatient providers, it can be hard at times to know when our clients need a level of support that outpatient services cannot provide. Despite your client’s commitment to mental health, the outpatient setting may not provide enough support for their needs and goals.\u003C\u002Fp>\u003Cp>Ask yourself, is your client:\u003C\u002Fp>\u003Cul>\u003Cli>Experiencing adverse social, educational and\u002For vocational setting impacts due to their mood, anxiety or trauma-related disorder and\u002For \u003Ca href=\"\u002Fnode\u002F19118\" data-entity-type=\"node\" data-entity-uuid=\"77dfdf14-7282-4976-b4c9-3a9f08369989\" data-entity-substitution=\"canonical\">co-occurring disorders\u003C\u002Fa> (\u003Ca href=\"\u002Fnode\u002F14676\" data-entity-type=\"node\" data-entity-uuid=\"0204a477-55c5-4126-a694-ae778bca65e5\" data-entity-substitution=\"canonical\">obsessive-compulsive disorder\u003C\u002Fa>, \u003Ca href=\"\u002Fnode\u002F18845\" data-entity-type=\"node\" data-entity-uuid=\"9eb0dd76-a2c4-46fd-8b67-2f375a021b11\" data-entity-substitution=\"canonical\">substance use disorder\u003C\u002Fa>, etc.)?\u003C\u002Fli>\u003Cli>Exhibiting appetite disturbances resulting in significant changes in weight (increase or decrease) with no known medical cause?\u003C\u002Fli>\u003Cli>Struggling with limited motivation or significant ambivalence that would benefit from the external support of a structured environment?\u003C\u002Fli>\u003Cli>Experiencing limited social support, or lack of social support, which contributes to worsening symptoms?\u003C\u002Fli>\u003Cli>Needing or wanting increased \u003Ca href=\"\u002Fnode\u002F13221\" data-entity-type=\"node\" data-entity-uuid=\"4c2acab6-bbeb-4a7c-b6fb-34a1b824c41c\" data-entity-substitution=\"canonical\">caregiver (family\u002Ffriend) support\u003C\u002Fa>?\u003C\u002Fli>\u003Cli>Requiring regular assessment of physiological and mental status (more than once per week)?\u003C\u002Fli>\u003Cli>Presenting with \u003Ca href=\"\u002Fnode\u002F17836\" data-entity-type=\"node\" data-entity-uuid=\"420078e3-dc32-437d-9171-a83b2654284a\" data-entity-substitution=\"canonical\">self-injury\u003C\u002Fa> that has not reduced with outpatient interventions? (Note: If self-injury requires regular medical intervention, the client may need inpatient hospitalization.)\u003C\u002Fli>\u003Cli>Presenting with \u003Ca href=\"\u002Fnode\u002F4616\" data-entity-type=\"node\" data-entity-uuid=\"2d2132f0-f265-49ba-a03d-cfdb2402ae48\" data-entity-substitution=\"canonical\">suicidal ideation\u003C\u002Fa>, including passive without plan\u002Fintent, or passive with plan that has not been stabilized with outpatient interventions? (Note: Active suicidal ideation with plan and intent will require inpatient hospitalization.)\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Note that this list should not be used as an assessment tool. A \u003Ca href=\"https:\u002F\u002Fwww.pathlightbh.com\u002Fform\u002Fself-assessment-form\">comprehensive no-cost assessment\u003C\u002Fa> should be completed if you are concerned about your client’s progress and you are considering recommending an HLOC.\u003C\u002Fp>\u003Ch2>Tip 2: Know how to navigate tough conversations\u003C\u002Fh2>\u003Cp>Once it becomes clear that your client likely needs an HLOC, you may feel a little nervous about broaching this topic with them. Ellie Pike, MA, LPC, senior manager of alumni, family and community outreach at Pathlight, shares her perspective on having this initial conversation:\u003C\u002Fp>\u003Cblockquote>\u003Cp>“Looking back to the first time I recommended a step-up in care for a client, I remember feeling so nervous! I was worried that the client would get angry and leave care -- meaning they might not receive \u003Cem>any\u003C\u002Fem> care,” explains Pike. “I was worried that it was a sign of failure -- maybe I wasn’t doing a good enough job as their therapist. As the clinician, I needed to be reminded that there is hope for recovery through \u003Ca href=\"\u002Fnode\u002F13216\" data-entity-type=\"node\" data-entity-uuid=\"6b2df25b-f23c-4f2f-ab73-258e504a737e\" data-entity-substitution=\"canonical\">lived experience stories\u003C\u002Fa> and sometimes I needed to let go of my expectations for myself and my clients.”\u003C\u002Fp>\u003Cp>Pike continues, “Moving past my ego -- my hopes that outpatient therapy was ‘enough’ -- was only part of the journey. I also needed to learn how to effectively relay to my clients that there is more to recovery, and it is worth their sacrifices, hard work and commitment to treatment.”\u003C\u002Fp>\u003C\u002Fblockquote>\u003Ch2>Tip 3: Meet your clients where they are\u003C\u002Fh2>\u003Cp>Relaying hope for mental wellness, and the \u003Cem>why\u003C\u002Fem> behind a step-up in care, can be challenging. During these conversations, it is important to meet your clients where they are, partnering with them rather than pushing them. This approach can:\u003C\u002Fp>\u003Col>\u003Cli>Help both you and your clients create more realistic expectations\u003C\u002Fli>\u003Cli>Help your clients create greater success over time\u003C\u002Fli>\u003Cli>Help prevent you from experiencing frustration and \u003Ca href=\"\u002Fnode\u002F17936\" data-entity-type=\"node\" data-entity-uuid=\"7175fe1b-3b31-435b-8651-2dbee0fd9408\" data-entity-substitution=\"canonical\">burnout\u003C\u002Fa>\u003C\u002Fli>\u003C\u002Fol>\u003Cp>If a client expresses mixed feelings or hesitancy about stepping up to an HLOC, that is completely normal. Motivational interviewing (MI) is an effective technique that can help you \u003Cem>partner with your client\u003C\u002Fem> to create change.\u003C\u002Fp>\u003Ch2>Tip 4: Try motivational interviewing\u003C\u002Fh2>\u003Cp>Motivational interviewing is a client-centered, empowering approach to helping your clients determine \u003Cem>their personal goals\u003C\u002Fem> or “reasons” for change. It encourages warmth, genuine connection, respect and support of the patient’s self-determination and autonomy.\u003C\u002Fp>\u003Cp>\u003Ca href=\"\u002Fnode\u002F18003\" data-entity-type=\"node\" data-entity-uuid=\"e10c9ca0-28a0-4291-a8c1-0a021ecc2ddc\" data-entity-substitution=\"canonical\">Watch an on-demand motivational interviewing training here\u003C\u002Fa>.\u003C\u002Fp>\u003Cp>As you are \u003Ca href=\"\u002Fnode\u002F18044\" data-entity-type=\"node\" data-entity-uuid=\"b828b446-8a70-4132-9a68-a0e97e9e187c\" data-entity-substitution=\"canonical\">addressing ambivalence\u003C\u002Fa> with a client, consider these approaches:\u003C\u002Fp>\u003Cul>\u003Cli>\u003Cstrong>Validate your client’s feelings.\u003C\u002Fstrong> “Understand that the version of themselves that is in crisis feels incredibly vulnerable and has a lot of self-doubt and fear,” says Elizabeth Easton, PsyD, CEDS, director of psychotherapy at Pathlight. Acknowledge and validate these understandable feelings so that your client can feel truly heard and understood. This is the first step toward further unpacking their feelings and thoughts about possibly stepping up to an HLOC.\u003C\u002Fli>\u003Cli>\u003Cstrong>Explore their perspective.\u003C\u002Fstrong> Ask your client to explain their reasons for ambivalence, and listen with curiosity, warmth and respect. You can explore further by asking your client what they stand to lose by entering an HLOC, and then asking them what they stand to gain. “Walk with your client, not ahead of them,” says Maggie Moore, MA, LMFT, Pathlight’s national family outreach manager.\u003C\u002Fli>\u003Cli>\u003Cstrong>Involve their support network (if\u002Fwhen possible).\u003C\u002Fstrong> Support persons (parents, spouses, chosen family, etc.) may also have worries or concerns about their loved one stepping up a level of care. By taking the time to meet with them (separately, or with your client, depending on circumstances) you create space to hear and address family system-wide concerns. Educate support persons about opportunities to continue being involved in the treatment process as they may have concerns about being “cut off” or “shut out” during HLOCs.\u003C\u002Fli>\u003C\u002Ful>\u003Cp>\u003Ca href=\"\u002Fnode\u002F18044\" data-entity-type=\"node\" data-entity-uuid=\"b828b446-8a70-4132-9a68-a0e97e9e187c\" data-entity-substitution=\"canonical\">Learn more about addressing client ambivalence\u003C\u002Fa>.\u003C\u002Fp>\u003Ch2>Tip 5: Set boundaries\u003C\u002Fh2>\u003Cp>Boundaries are an important aspect of every relationship, both personal and professional. For mental health care providers, boundaries are especially important when supporting a client within the context of mental health treatment. Michelle Cross, LCSW, RD, CEDS-S, senior primary therapist at Pathlight, has a few boundaries she typically puts in place after identifying the need for an HLOC. Cross says she typically considers:\u003C\u002Fp>\u003Col>\u003Cli>\u003Cstrong>Focusing on skills:\u003C\u002Fstrong> “Sessions can be spent talking about the fear of moving to an HLOC,” shares Cross. “Focus on what skills they are currently using to stop the maladaptive behaviors, and remind them that they are trying the best they can. It's just that this illness is too hard for anyone to conquer on their own.”\u003C\u002Fli>\u003Cli>\u003Cstrong>Involving friends and family:\u003C\u002Fstrong> When ethically and clinically appropriate, Cross holds time for involvement of the client’s loved ones (parents, spouse, chosen family, etc.). This time is focused on identifying the client’s difficulties and what next steps are recommended by the therapist.\u003C\u002Fli>\u003C\u002Fol>\u003Cp>While holding these boundaries, Cross says it often helps to lead with compassion and remind her patients that a step-up to the right level of care “is not a win\u002Flose situation” (where she wins, and the client loses). Needing additional support does not mean the client has “failed” or “lost” in outpatient care; it just means a different approach is needed.\u003C\u002Fp>\u003Cp>While yes, making that initial call to an HLOC can feel so, so difficult, ultimately it can make all the difference for long-term change. Kate Gombach, an ERC Pathlight alum, shares her experience taking that first step -- and the relief that came with it.\u003C\u002Fp>\u003Cblockquote>\u003Cp>“I remember being terrified to make the call and take that first step toward recovery,” Gombach shares. “It’s intimidating to call a stranger and admit your struggles. But I was reassured when they informed me that they were a clinician, and they showed clear compassion and understanding of my experience. I was honestly surprised by how relieved I felt by the end of that initial call.”\u003C\u002Fp>\u003C\u002Fblockquote>\u003Ch2>Tip 6: Know the benefits of higher levels of care\u003C\u002Fh2>\u003Cp>Each person’s path to recovery is unique. While there is no one single approach that works for every person, there are a few factors that help us individualize your client’s care plan to best fit their needs. Entering an HLOC:\u003C\u002Fp>\u003Col>\u003Cli>\u003Cstrong>Creates structure: \u003C\u002Fstrong>Based on severity of symptoms, your client may require daily (or almost daily) intervention and opportunities to learn and practice coping skills to effectively manage their condition. When the intensity of symptoms is beyond what your client along with their outpatient support network, family and friends can manage, then a \u003Ca href=\"\u002Fnode\u002F8996\" data-entity-type=\"node\" data-entity-uuid=\"89927d3e-5172-4930-af8c-4ff4cf5ee7c0\" data-entity-substitution=\"canonical\">higher level of care\u003C\u002Fa> is likely needed.\u003C\u002Fli>\u003Cli>\u003Cstrong>Provides more intensive therapy: \u003C\u002Fstrong>Through a variety of evidence-based psychotherapies and modalities, clients can be effectively treated as the whole, unique person they are. A \u003Ca href=\"\u002Fnode\u002F8151\" data-entity-type=\"node\" data-entity-uuid=\"7914d583-1f21-4b5c-99d5-854a6516dabf\" data-entity-substitution=\"canonical\">transdiagnostic care approach\u003C\u002Fa> considers how clients often exhibit signs and symptoms of multiple diagnoses and can address complex co-occurring disorders. HLOCs can offer your client multiple group therapies coupled with individual therapy (and family therapy when appropriate), plus meetings with their psychiatrist to provide comprehensive treatment.\u003C\u002Fli>\u003Cli>\u003Cstrong>Prioritizes safety: \u003C\u002Fstrong>At times, individuals with mood, anxiety or trauma-related disorders may experience worsening symptoms that can put their safety at risk, including increased self-harm or suicidal ideation. When this occurs, HLOCs can provide increased support and observation to ensure your client’s safety.\u003C\u002Fli>\u003C\u002Fol>\u003Cp>As providers, it is important for us to be knowledgeable about \u003Ca href=\"\u002Fsites\u002Fdefault\u002Ffiles\u002Ffile\u002F2020-09\u002FMood-Anxiety-Fact-Sheet.pdf\">symptoms\u003C\u002Fa>, \u003Ca href=\"\u002Fnode\u002F8151\" data-entity-type=\"node\" data-entity-uuid=\"7914d583-1f21-4b5c-99d5-854a6516dabf\" data-entity-substitution=\"canonical\">treatment approaches\u003C\u002Fa>, \u003Ca href=\"\u002Fnode\u002F18644\" data-entity-type=\"node\" data-entity-uuid=\"811c66ca-71ef-4de3-b849-2196c20194c4\" data-entity-substitution=\"canonical\">levels of care\u003C\u002Fa> and \u003Ca href=\"https:\u002F\u002Fwww.psychiatry.org\u002Fpsychiatrists\u002Fpractice\u002Fclinical-practice-guidelines\">referral guidelines\u003C\u002Fa> for patients struggling with mood, anxiety and trauma-related disorders. For more information and education about evidence-based treatment, we invite you to check out our no-cost, nationwide continuing education events (both live and on-demand). Learn more at \u003Ca href=\"\u002Fnode\u002F7806\" data-entity-type=\"node\" data-entity-uuid=\"f47e38d7-5894-414c-a673-08e6f40e6f4e\" data-entity-substitution=\"canonical\">PathlightBH.com\u002Fprofessionals\u002Feducation-events\u003C\u002Fa>.\u003C\u002Fp>\u003Cp>At Pathlight, we are available to partner with you and your clients through a \u003Ca href=\"\u002Fnode\u002F18391\" data-entity-type=\"node\" data-entity-uuid=\"b5c43a67-9a13-43b8-8a80-debed90853dd\" data-entity-substitution=\"canonical\">continuum of care model\u003C\u002Fa>, which includes an integrated care system, progressive levels of support, collaboration across a multidisciplinary team and treatment that takes an individualized approach. \u003Ca href=\"\u002Fnode\u002F8151\" data-entity-type=\"node\" data-entity-uuid=\"7914d583-1f21-4b5c-99d5-854a6516dabf\" data-entity-substitution=\"canonical\">Learn more about our treatment approach\u003C\u002Fa>.\u003C\u002Fp>\u003Ch2>Tip 7: Connect with the right support\u003C\u002Fh2>\u003Cp>At Pathlight, we’re here to partner with you to match your client with the right level of support. You are an integral part of your client’s treatment team, and your experience working with the individual and their family system is invaluable. \u003Cem>If your client is considering treatment with one of our programs, our multidisciplinary team will involve you throughout the admission\u003C\u002Fem> process (and beyond, throughout treatment and discharge).\u003C\u002Fp>\u003Cp>\u003Cstrong>Connect your client to a \u003C\u002Fstrong>\u003Ca href=\"https:\u002F\u002Fwww.pathlightbh.com\u002Fform\u002Fself-assessment-form\">\u003Cstrong>no-cost assessment with zero obligation\u003C\u002Fstrong>\u003C\u002Fa>\u003Cstrong>.\u003C\u002Fstrong> There are four different ways you can make a referral:\u003C\u002Fp>\u003Col>\u003Cli>Get in touch with our team at 1-877-825-8584.\u003C\u002Fli>\u003Cli>Email us at \u003Ca href=\"mailto:AdmissionsResponseTeam@ERCPathlight.com\">AdmissionsResponseTeam@ERCPathlight.com\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Fax your patient's information to 425-974-1530.\u003C\u002Fli>\u003Cli>Complete Pathlight ’s online \u003Ca href=\"\u002Fnode\u002F8386\" data-entity-type=\"node\" data-entity-uuid=\"4b347992-b6e3-4a72-ae57-7b40e1a37819\" data-entity-substitution=\"canonical\">Quick Admit form\u003C\u002Fa>.\u003C\u002Fli>\u003C\u002Fol>","Blog","Treatment","Katie Bendel",{"name":2229,"created_at":2231,"published_at":2232,"updated_at":2233,"id":2234,"uuid":2235,"content":2236,"slug":2271,"full_slug":2272,"sort_by_date":67,"position":2273,"tag_list":2274,"is_startpage":177,"parent_id":2275,"meta_data":67,"group_id":2276,"first_published_at":2277,"release_id":67,"lang":201,"path":67,"alternates":2278,"default_full_slug":67,"translated_slugs":67,"_stopResolving":35},"2026-03-02T13:56:13.587Z","2026-05-28T18:12:16.552Z","2026-05-28T18:12:16.564Z",150610631065542,"57783ede-bfa8-40a4-b6d9-21e8c0991d36",{"bio":2237,"_uid":2238,"body":2239,"layout":2240,"status":2241,"facebook":2242,"linkedin":2243,"pronouns":14,"component":2244,"instagram":2245,"locations":2246,"twitter_x":2247,"categories":2248,"meta_title":14,"bio_heading":14,"credentials":2249,"designation":2250,"person_type":2251,"specialties":2252,"what_we_treat":2253,"featured_image":2254,"portrait_image":2259,"specialization":14,"languages_spoken":2261,"meta_description":14,"advanced_training":2262,"areas_of_interest":2263,"education_history":2264,"listing_sort_order":14,"board_certifications":2265,"schema_person_address":14,"schema_person_same_as":14,"show_in_all_locations":177,"schema_person_works_for":14,"clinical_information_text":2266,"primary_clinical_location":2269,"professional_associations":2270},"\u003Cp>Katie believes that recovery and mental wellness are created with and supported by community with others, and connection to our individual core values (like integrity, empathy, creativity, humility, or acceptance). As a social worker, she believes there is intrinsic strength and resilience in everyone; her goal is to help others find and remember this.\u003C\u002Fp>\u003Cp>Katie earned her Master of Social Work degree through The University of Texas at Arlington. Prior to joining ERC Pathlight, Katie applied her social work skills in a variety of settings including dual diagnosis and substance use disorder treatment centers, and university\u002Fstudent disability services. Katie joined ERC Pathlight in 2017.\u003C\u002Fp>\u003Cp>In her free time Katie enjoys gardening, kayaking with her husband - Ryan, mountain biking, hiking with her dogs – Buddy and Callie, creative arts, and volunteering in her community. Katie was born and raised in Texas and remains there today as a resident of the Texas Hill Country.\u003C\u002Fp>","89e29dce-4e26-4f7e-81fe-29cef704c7b0",[],"standard","Active",{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},"staff",{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},[],{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},[],"LCSW"," Senior Manager of Family Engagement and Outreach",[390],[],[],{"id":2255,"alt":2256,"name":14,"focus":14,"title":14,"source":14,"filename":2257,"copyright":14,"fieldtype":175,"meta_data":2258,"is_external_url":177},181462233340408,"Katie Bendel, LCSW Senior Manager of Family Engagement and Outreach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F400x458\u002F252d38af4d\u002Fkatie-bendel.jpg",{"alt":2256,"title":14,"source":14,"copyright":14},{"id":2255,"alt":2256,"name":14,"focus":14,"title":14,"source":14,"filename":2257,"copyright":14,"fieldtype":175,"meta_data":2260,"is_external_url":177},{"alt":2256,"title":14,"source":14,"copyright":14},[],[],[],[],[],{"type":62,"content":2267},[2268],{"type":65},[],[],"katie-bendel","profile\u002Fkatie-bendel",-2050,[],148823052330811,"c514026a-5e34-4366-95a3-5956e5231122","2026-03-02T13:56:13.631Z",[],"\u003Col>\u003Cli>American Psychological Association. (2019). \u003Cem>Clinical practice guideline for the treatment of depression across three age cohorts\u003C\u002Fem>. Retrieved from \u003Ca href=\"https:\u002F\u002Fwww.apa.org\u002Fdepression-guideline\">https:\u002F\u002Fwww.apa.org\u002Fdepression-guideline\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>American Psychiatric Association. (2023). Clinical practice guidelines. \u003Ca href=\"https:\u002F\u002Fwww.psychiatry.org\u002Fpsychiatrists\u002Fpractice\u002Fclinical-practice-guidelines#section_9\">https:\u002F\u002Fwww.psychiatry.org\u002Fpsychiatrists\u002Fpractice\u002Fclinical-practice-guidelines#section_9\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Norquist, G., Musher, J., Halverson, J., Pierce, K., Balfour, M., Schneider, M., Batterson, R., & Smith, T. E. (2020, April). APA Official Actions: Position statement on level of care criteria for acute psychiatric treatment. Retrieved January 2024. \u003Ca href=\"https:\u002F\u002Fwww.psychiatry.org\u002F\">https:\u002F\u002Fwww.psychiatry.org\u003C\u002Fa>\u003C\u002Fli>\u003Cli>U.S. Department of Veterans Affairs. (2019). VA\u002FDoD clinical practice guidelines. Assessment and management of patients at risk for suicide. \u003Ca href=\"https:\u002F\u002Fwww.healthquality.va.gov\u002Fguidelines\u002Fmh\u002Fsrb\u002Findex.asp\">https:\u002F\u002Fwww.healthquality.va.gov\u002Fguidelines\u002Fmh\u002Fsrb\u002Findex.asp\u003C\u002Fa>\u003C\u002Fli>\u003C\u002Fol>","Help your client make progress in mental health treatment. These seven tips can help them connect with the right support and find healing.",{"0":1450},{"0":2283},"Mood and Anxiety Disorders","When to Choose a Higher Level of Care (HLOC) ",{"id":2286,"filename":2287,"fieldtype":175,"is_private":1974},"141832695996755","https:\u002F\u002Fs3.amazonaws.com\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F600x800\u002F75702a0188\u002Fanxiety-and-depression-support-group.jpg","These 7 insights can help you determine if your client needs a higher level of care (HLOC). Get tips from our expert mental health providers today.","mental-health-help-your-client-progress","resources\u002Fmental-health-help-your-client-progress",-6380,[],109705324666269,"2016c9c9-e663-4c4a-8b2d-2582b3a74881","2024-03-01T17:51:06.000Z",[],[],[],{"age":2300,"cache-control":2301,"connection":2302,"content-encoding":2303,"content-type":2304,"date":2305,"etag":2306,"referrer-policy":2307,"sb-be-version":2308,"server":2309,"strict-transport-security":2310,"transfer-encoding":2311,"vary":2312,"via":2313,"x-amz-cf-id":2314,"x-amz-cf-pop":2315,"x-cache":2316,"x-content-type-options":2317,"x-frame-options":2318,"x-permitted-cross-domain-policies":2319,"x-request-id":2320,"x-runtime":2321,"x-xss-protection":1974},"3","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Mon, 26 Oct 2026 17:18:07 GMT","W\u002F\"239b23f177553118a6d5fd24ce890191\"","strict-origin-when-cross-origin","5.996.4","nginx","max-age=31536000","chunked","Origin,Accept-Encoding","1.1 18f4d2895273eb518f03b4c831d8c396.cloudfront.net (CloudFront)","ijsTcRAUd-lkq1GVpo_1Q3SO3SBsoqfiS49_ThbixRTAYGrdk3g0zQ==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","56dc1574-5315-4b04-aa2b-24bc33ead2dc","0.044802",{"data":2323,"headers":2538,"perPage":2548,"total":2549},{"stories":2324,"cv":203,"rels":2536,"links":2537},[2325,2371,2429,2476],{"name":2326,"created_at":2327,"published_at":2328,"updated_at":2329,"id":2330,"uuid":2331,"content":2332,"slug":2365,"full_slug":2366,"sort_by_date":67,"position":2367,"tag_list":2368,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2369,"first_published_at":2328,"release_id":67,"lang":201,"path":67,"alternates":2370,"default_full_slug":67,"translated_slugs":67},"Her 12-year-old had an eating disorder. Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":2333,"body":2334,"authors":2352,"excerpt":14,"summary":2354,"component":1878,"categories":2355,"article_type":1880,"external_link":2356,"featured_image":2357,"external_link_text":2362,"listing_thumbnail_image":2363},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":2335,"content":2336},{"backgroundColor":67},[2337,2342,2347],{"type":65,"attrs":2338,"content":2339},{"textAlign":67},[2340],{"text":2341,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":2343,"content":2344},{"textAlign":67},[2345],{"text":2346,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":2348,"content":2349},{"textAlign":67},[2350],{"text":2351,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[2353],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. This thoughtful article highlights a situation many caregivers may go through while caring for a child with an eating disorder -- and addresses the complexities of living in a diet-culture and GLP-1-driven society.",[],"https:\u002F\u002Fwww.usatoday.com\u002Fstory\u002Flife\u002Fhealth-wellness\u002F2026\u002F07\u002F27\u002Fchild-parent-eating-disorder-recovery\u002F90997723007\u002F",{"id":2358,"alt":2359,"name":14,"focus":14,"title":14,"source":14,"filename":2360,"copyright":14,"fieldtype":175,"meta_data":2361,"is_external_url":177},215400775769246,"Beth Ayn Stansfield with daughters posing at the beach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F441x460\u002F0389a68824\u002Fbeth-ayn-stansfield-daughters.png",{"alt":2359,"title":14,"source":14,"copyright":14},"Read more",{"id":2358,"alt":2359,"name":14,"focus":14,"title":14,"source":14,"filename":2360,"copyright":14,"fieldtype":175,"meta_data":2364,"is_external_url":177},{"alt":2359,"title":14,"source":14,"copyright":14},"child-parent-eating-disorder-recovery","news\u002Fchild-parent-eating-disorder-recovery",-4900,[],"a551d1fa-fc6c-40a7-b5ba-de204a97bcb8",[],{"name":2372,"created_at":2373,"published_at":2374,"updated_at":2375,"id":2376,"uuid":2377,"content":2378,"slug":2423,"full_slug":2424,"sort_by_date":67,"position":2425,"tag_list":2426,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2427,"first_published_at":2374,"release_id":67,"lang":201,"path":67,"alternates":2428,"default_full_slug":67,"translated_slugs":67},"Parents may not know: Baltimore expert warns AI chatbots can encourage disordered eating","2026-09-01T15:33:29.337Z","2026-09-01T15:38:20.050Z","2026-09-01T15:38:20.062Z",215397209483565,"a7148c77-c3c7-46bd-b0da-98b153f79503",{"_uid":2379,"body":2380,"authors":2408,"excerpt":14,"summary":2410,"component":1878,"categories":2411,"article_type":1914,"external_link":2412,"featured_image":2413,"external_link_text":2362,"listing_thumbnail_image":2420},"54d16e8d-7833-4742-afab-7bfb61cd093e",{"type":62,"attrs":2381,"content":2382},{"backgroundColor":67},[2383,2388,2393,2398,2403],{"type":65,"attrs":2384,"content":2385},{"textAlign":67},[2386],{"text":2387,"type":71},"HUNT VALLEY, Md. — Psychologists are warning parents about a new trend of kids using artificial intelligence chatbots as a \"secret eating disorder coach.\"",{"type":65,"attrs":2389,"content":2390},{"textAlign":67},[2391],{"text":2392,"type":71},"Not only do the chatbots give tips on weight loss, but they may also encourage disordered eating.",{"type":65,"attrs":2394,"content":2395},{"textAlign":67},[2396],{"text":2397,"type":71},"Dr. Kaitlin Slaven, an expert with the Eating Recovery Center in Baltimore, told WBAL-TV 11 News that parents may have no idea it's going on.",{"type":65,"attrs":2399,"content":2400},{"textAlign":67},[2401],{"text":2402,"type":71},"\"These chatbots are equipped with tools to be able to sort of gather information and learn. And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":2404,"content":2405},{"textAlign":67},[2406],{"text":2407,"type":71},"Slaven advises parents to pay attention to clues.",[2409],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":2446,"content":2447},{"textAlign":67},[2448],{"text":2449,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":2451,"content":2452},{"textAlign":67},[2453],{"text":2454,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. 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