It’s Complicated: Ethical Issues, Maintaining Factors and Barriers to Treating Eating Disorders

Enroll in the Online Self-Study and complete the training on your own schedule.
6 Ethics CE hours available for behavioral health clinicians completing the Online Self-Study.

Eating disorders have a profound impact on an individual’s overall health and psychosocial functioning.  In severe cases, eating disorder symptoms can result in the need for intensive treatment or other necessary medical interventions such as tube feeding or involuntary hospitalization for either medical or psychiatric reasons.  The reality of providing treatment to individuals with severe eating disorders is that clinicians should expect to be faced with ongoing ethical and legal questions regarding how to best safely provide care, while also honoring our client’s autonomy and above all, doing no harm.  

This course examines the many maintaining factors that can negatively impact treatment progress and recovery and increase client and clinician risk. Participants will learn strategies for evaluating and applying ethical decision-making models to complex circumstances that can arise, including questions when client choice and autonomy directly conflict with best practice and treatment guidelines.  The field is beginning to recognize but is struggling to reckon with, the primary struggle of profound barriers to accessing care for marginalized individuals. These barriers exist along a continuum from lack of prevention efforts and adequate identification of warning signs to lack of ED-specialized training for healthcare providers. From the impact of implicit bias in assessment procedures that result in a missed or incorrect diagnosis, to the myriad of financial barriers created by the U.S. healthcare system this workshop will explore how to overcome those barriers to expand access to quality, specialized eating disorder care.

Dr. Melanie Smith is the instructor of four courses that provide in depth material on the topic of Eating Disorders.  Completion of all four courses offers participants the Eating Disorder Training Certificate (EDTC).  You can enroll in these course individually or as a bundle for a reduced price of $595 (a $125 savings).

Select each tab above to view specific details about this course

Eating disorders have a profound impact on an individual’s overall health and psychosocial functioning.  In severe cases, eating disorder symptoms can result in the need for intensive treatment or other necessary medical interventions such as tube feeding or involuntary hospitalization for either medical or psychiatric reasons.  The reality of providing treatment to individuals with severe eating disorders is that clinicians should expect to be faced with ongoing ethical and legal questions regarding how to best safely provide care, while also honoring our client’s autonomy and above all, doing no harm.  

This course examines the many maintaining factors that can negatively impact treatment progress and recovery and increase client and clinician risk. Participants will learn strategies for evaluating and applying ethical decision-making models to complex circumstances that can arise, including questions when client choice and autonomy directly conflict with best practice and treatment guidelines.  The field is beginning to recognize but is struggling to reckon with, the primary struggle of profound barriers to accessing care for marginalized individuals. These barriers exist along a continuum from lack of prevention efforts and adequate identification of warning signs to lack of ED-specialized training for healthcare providers. From the impact of implicit bias in assessment procedures that result in a missed or incorrect diagnosis, to the myriad of financial barriers created by the U.S. healthcare system this workshop will explore how to overcome those barriers to expand access to quality, specialized eating disorder care.

This course provides 6+ hours of video training, a post-test and an evaluation.

This course was recorded on January 27, 2023.

Upon completion of this training, professionals will be able to do the following:

  • Identify the maintaining factors that inhibit treatment and recovery from eating disorders.

  • Discuss at least two sociocultural influences that impact the development and maintenance of eating disorders. 

  • Apply an ethical decision-making model to the treatment of complex eating disorders.

Melanie Smith, PhD, LMHC, CEDS-S

Melanie Smith, PhD, LMHC, CEDS-S, is the Director of Training for The Renfrew Center for Eating Disorders. In this role, she provides ongoing training, supervision and consultation to clinicians across disciplines for the purpose of continually assessing and improving competence in the treatment of eating disorders. Dr. Smith is co-author of The Renfrew Unified Treatment for Eating Disorders and Comorbidity Therapist Guide and Workbook (Oxford University Press), is a Certified Eating Disorders Specialist and Approved Supervisor, and is a Certified Therapist and Trainer for the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP).  In addition to her work with the Renfrew Center, Dr. Smith maintains a telehealth private practice specializing in the supervision and consultation of registered mental health counselor interns (Florida) and individuals seeking eating disorder specialist certification through the International Association of Eating Disorders Professionals (iaedp).

You can find more information about Dr. Smith here and the Renfrew Center here.

Credit Hours: CEs provided with this course include 6 ethics continuing education hours of credit.

Counselors: Telehealth Certification Institute LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6693. Programs that do not qualify for NBCC credit are clearly identified. Telehealth Certification Institute LLC is solely responsible for all aspects of the programs.

Telehealth Certification Institute LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors #MHC-0048.

Marriage and Family Therapists: Many MFT licensing boards accept our courses or one of the approvals which we have from professional associations. You can check with your board to determine if this course would be accepted by your licensing board.

Social Workers: Telehealth Certification Institute LLC, #1609, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 05/02/2024 – 05/02/2027. Social workers completing this course receive 6 ethics continuing education credits.

Telehealth Certification Institute LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for Licensed Social Workers #SW-0435.

Addiction Professionals: This course has been approved by Telehealth Certification Institute LLC, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #193104, Telehealth Certification Institute LLC is responsible for all aspects of the programing.

Psychologists: Telehealth Certification Institute LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Telehealth Certification Institute LLC maintains responsibility for this program and its content.

Telehealth Certification Institute LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for Licensed Psychologists #PSY-0128.

Art Therapists: Telehealth Certification Institute LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Creative Arts Therapists #CAT-0093.

Other Professionals: This activity qualifies for 360 minutes of instructional content as required by many national, state and local licensing boards and professional organizations.  Retain your certificate of completion and contact your board or organization for specific filing requirements.

This is a non-interactive, self-study course.

To receive your certificate of completion you must complete the course in its entirety.

Online courses are completed by registering, logging in, navigating to your course using the menu (My Courses – the Course Title), completing all of the modules, completing and passing the post-test, and completing the course evaluation. Participants have 6 months from registration to access and complete online self-study courses.

Live Webinar courses are completed by registering, logging in to this website, navigating to your course using the menu (My Courses – the Course Title), attending the full course via webinar, submitting your attendance, and completing the post-test and course evaluation online.

Psychologists and other professionals seeking CE credit through our approval with the American Psychological Association are asked, but not required, to complete the course evaluation before obtaining their certificate of completion, however passing a post-test for online self-study courses and live webinars, and submitting one's attendance for live on-site and live webinars is required.

You can receive your certificate of completion by logging onto this website, navigating to the course using the menu (My Courses – the Course Title), scroll to the bottom of your course, and click on your certificate to either download it or print it.

Directions for completing a course can be found by clicking here.

Accommodations for Individuals with Disabilities

Click here to view our Accommodations for Individuals with Disabilities.

Cancellation Policy

Refunds are offered within the first 30 days for courses which have not been completed.  There is a 10% service fee for refunds.

Grievance Policy

Click here to view our Grievance Policy.

This course is intended for clinicians who provide behavioral health services.

Teaching methods for this course include recorded lectures, videos, a post-test, and a course evaluation.
This program was recorded January 27, 2023.

You have six months to access online courses from the time of purchase.

Dr. Melanie Smith Headshot

Melanie Smith
PhD, LMHC, CEDS-S

Melanie Smith, PhD, LMHC, CEDS-S, is the Director of Training for The Renfrew Center for Eating Disorders. In this role, she provides ongoing training, supervision and consultation to clinicians across disciplines for the purpose of continually assessing and improving competence in the treatment of eating disorders. Dr. Smith is co-author of The Renfrew Unified Treatment for Eating Disorders and Comorbidity Therapist Guide and Workbook (Oxford University Press), is a Certified Eating Disorders Specialist and Approved Supervisor, and is a Certified Therapist and Trainer for the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP).  In addition to her work with the Renfrew Center, Dr. Smith maintains a telehealth private practice specializing in the supervision and consultation of registered mental health counselor interns (Florida) and individuals seeking eating disorder specialist certification through the International Association of Eating Disorders Professionals (iaedp).

You can find more information about Dr. Smith here and the Renfrew Center here.

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