The Intensive Outpatient Program (PAI for its name in Spanish) is a comprehensive treatment program for adolescents and young adults with eating disorders and other associated conditions, which includes the family in the therapeutic process. It is designed for people presenting the following conditions:
Patients continuing treatment after hospitalization.
Patients that are not facing life-threatening conditions who require an intensive and multimodal approach.
Patients with eating disorders symptoms resistant to outpatient treatments.
The diagnostic assessment is done by the therapeutic team and consists of four appointments of 1 hour each.
The psychiatrist assesses the type of eating disorder faced by the patient, as well as any other existing illnesses or medical disorders. The type and intensity of the treatment are defined according to the severity of the symptoms. The psychiatrist also assesses the need for laboratory and other diagnostic tests.
The psychologist identifies existing dysfunctional patterns of thought, behavior and emotional regulation in three main areas: eating, body image and interpersonal relations. The predominant symptoms are characterized in detail.
The registered dietitian makes a complete nutritional history emphasizing habits, quantities and quality of food consumed, and patterns of exercise and physical activity. A physical and anthropometric assessment is also made. With this information the nutritionist designs a nutritional guideline adjusted to the requirements of each patient.
During feedback sessions the information gathered is complemented, and both the diagnosis and the indicated management plan are presented. Family members are given initial indications for at-home management.
Therapeutic groups are proposed as a complementary tool to individual psychotherapy. They seek to profit from the therapeutic properties of being in the presence of other people facing similar difficulties. Each group offers patients the possibility of having different experiences (“this is not just about my own issues, it’s about those of others as well”). These groups are always directed by a therapist from the program.
Each group is both a therapeutic and an educational space where patients learn about diverse nutritional topics, as well as about the medical and psychological consequences of their illness. Working in groups expands the time available in individual therapy to delve into other personal aspects. Group members influence each other using their own experience to identify and solve problems.
Patients with an ED frequently feel rejected or misunderstood by their relatives or peers. The group offers a therapeutic space of acceptance while also supporting and encouraging the patient to strive for change. Through positive group experiences, patients can receive empathy from other group members and extend this empathy to themselves.
Patients have usually lost or not yet found the necessary confidence or abilities to engage in quality interpersonal relations. With the help of other group members, they can learn about their feelings and emotions, while also learning how to manage and communicate these. Patients can thus learn to share, trust and become close to others, among other things.
Once an atmosphere of care and trust has been established, the therapist facilitates confrontation between group members, pointing out inconsistencies, ambivalences, denial and self-destructive behaviors. The task is to teach patients to challenge each other in a loving way, allowing them to learn it is possible to be angry, to cry, etc.
Even though the therapeutic group is not designed as a self-help group, activities and proposals of this kind may spontaneously emerge between patients, outside of the framework of the program, in a search to provide support and company. This is not encouraged, but neither is it prevented by the program.
The program operates Monday through Friday in three sessions: Morning Session (7:30am – 12:30) – Afternoon Session (12:30pm – 5:30pm) – Extended Session (7:30am – 5:30pm). It integrates different types of individual and group psychotherapy, therapeutic lunches and snacks, and activities designed to facilitate patients’ exposure to food and other daily situations.
It is a complementary treatment tool designed for relatives and other caregivers. It consists of 8 sessions of one hour and a half that seek to educate and train the family in skills for the at-home management of the problem. Sharing and listening to others allows family members to know that they are not alone in the suffering, feelings, emotions and experiences that come from having a relative with an Eating Disorder. Although the stories are individual and each patient and family are unique, a collective atmosphere of understanding and solidarity is created.
This is a space that the therapeutic team offers for the patient’s family, where two therapists witness the family dynamic during one live meal, pointing out the observed interaction patterns and reinforcing those that favor the patient’s recovery.
As therapeutic objectives are reached, the intensity of the program gradually decreases to three days a week (SEMI PAI), then one day a week (MINI PAI), until patients only receive outpatient treatment to follow-up on their case.
Therapeutic groups are proposed as a complementary tool to individual psychotherapy. These are always managed by a therapist. Groups seek to: *Offer education about the disorder. *Give support and encourage the drive for change. *Develop abilities to identify and express emotions. *Confront dysfunctional thoughts and behaviors that trigger symptoms or maintain them in time.
Calle 118 # 47A -12. Barrio Alhambra. Bogotá
+571 805 00 25 –+571 6122915–+571 320 8578794
Bogotá – Colombia –
Consultation rights and procedures manual
Este programa consta de 8 sesiones, en las cuales iremos revisando cuales son los trastornos de la conducta alimentaria. Por favor diligencia el formulario en caso de querer realizar las sesiones virtualmente.
En minutos recibirás un link en tu correo electrónico para poder acceder al curso.