1. Renascent Pilot Vera Tarman, MD, FCFP, ABAM
Food Addiction Program
Copyright
Vera Ingrid Tarman 2018

2. Food Addiction: A Clinical Syndrome? ASAM ABCDEs of Addiction
Inability to consistently Abstain
Impairment in Behavioural control
Craving or increased 'hunger' for drugs or rewarding experiences
Diminished recognition of significant problems with relationships
A dysfunctional Emotional response
Copyright
Vera Ingrid Tarman 2018

3. Dr. Caroline Davis: Historical / Cultural Overview of Syndromes

4. Continuum of ED / FA Syndrome Dr. Caroline Davis

5. food
sex
gambling

6. Severity of Addiction Dr. Caroline Davis

7. Food - Reward Notice which foods enhance the reward neurochemistry:
Serotonin: warm milk, pasta, potatoes, bananas, turkey
Dopamine: sugar, white starches
Endorphins: chocolate, sugar, dairy, spices

8. Food Addiction Syndrome
Disease Stage
Recommended Action
Pre-disease
Prevention
Early Stage
Detox and abstinence
Middle Stage
Counseling or 12-step group
Late Stage
More structure and support
Final Stage
Primary inpatient or residential treatment
Death

9. Contrasting Treatments: BED or FA? Emotional Eater Food Addict
Focus on Feelings
Abstinence First
Moderate Eating of All Foods
Complete Elimination of Toxic Foods
Mindfulness Training
Cognitive or Expressive Therapy
(psycho-dynamic)
Developing Emotional Skills
(to be able to stay abstinent)
Empowerment
Acceptance of Powerlessness
Goal: Return to Normal Eating
Goal: Life-long Management of Food Addiction One Day at a Time
Contrasting
Treatments:
BED or FA?

10. Client Demographics of Renascent Pilot
60% subsidized or retirement income
Predominantly partnered and college educated
1 in 4 were diabetic
1 in 3 were ED
1 in 5 had bariatric surgery
60 subjects with over 80% response rate
Copyright
Vera Ingrid Tarman 2018

11. Addicted? Using DSM 5 criteria: 93% had ‘severe’ food addiction
Using YFAS criteria: 92% meet criteria pre-treatment
Copyright
Vera Ingrid Tarman 2018

13. Correlations in FA Treatment Seekers
YFAS
DSM-5
BES
LOCES
EES
YFAS (Food Addiction)
---
.75
.72
.80
.62
DSM-5 (Modified SUD)
.90
.71
BES (Binge Eating)
.88
LOCES (Loss of Control Eating)
EES (Emotional Eating)
Sample: 53 patients from Renascent Food Addiction Program

21. Post Treatment
YFAS: 37%,
DSM - : 4 / 11 criteria (mild) - yet 92% felt FA label still applicable
Binge Eating Scale: average in ‘non binging’ range
Loss of Control Over Eating Scale: average rarely experience loss of control
Emotional Eating Scale: average had small to moderate urge to over eat

27. WEIGH AND MEASURE BY KATHY PRICE