Daniel Kirschenbaum, Ph.D., ABPP - Member, RiverMend Health Scientific Advisory Board for Eating Disorders & Obesity Professor of Psychiatry and Behavioral Sciences, Northwestern University Medical School Dr. Kirschenbaum addresses the RiverMend Health Scientific Advisory Board on his model and immersion to lifestyle change technique to treating obesity. To watch lecture visit : http://vimeo.com/112420762 For more information visit: http://www.rivermendhealth.com/scientific-advisory-board-addiction.html

1. Treatment of Childhood & Adolescent
Obesity: Expert Recommendations & the
Emergence of Immersion & Healthy Obsessions
Daniel Kirschenbaum, Ph.D., ABPP

2. 02/05/15 RiverMend Health, LLC 2
Explanations for Immersion-
CBT’s Effectiveness

3. 2007 Healthcare Organizations’
Four Stage Model
Expert
Recommendations
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral
Specialists:

4. Expert
Recommendations
Specialists:
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral

5. Expert
Recommendations
Specialists:
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral
Specialists:

6. Expert
Recommendations
Specialists:
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral
• ALL endorsed intensive CBT
• 2 most recent: de-emphasized EDUCATION
• Step models seem best, most inclusive – and
emphasis on sustained efforts for > outcomes
Specialists:
• ALL endorsed intensive CBT
• 2 most recent: de-emphasized EDUCATION
• Step models seem best, most inclusive – and
emphasis on sustained efforts for > outcomes

7. Explanations for Immersion-CBT’s
Effectiveness

8. PercentOverweight
Treatment
Begins
+10
-20
0
-10
-30
Follow-up
Education &
Controls
Outpatient
Cognitive-Behavior
Therapy (CBT)
Immersion
Non-CBT
Immersion
CBT
From Kelly & Kirschenbaum (2011). Obesity Reviews.

9. • Obesogenic Environment: Removed
• Greater Intensity: Therapy, Education
• Increased Power: More Modeling & Support
• Momentum: Faster, More Dramatic > Motivation
• Family Support – Increased (momentum again)
 Obesogenic Environment: Removed
 Greater Intensity:Therapy, Education
 Increased Power: More Modeling & Support
 Momentum: Faster, More Dramatic > Motivation
 Family Support – Increased (momentum again)

10. Lifestyle
ChangeHealthy
Obsession
Rapid
Consistent
Weight
Loss
Cognitive-
Behavior
Therapy
Immersion
Treatment
Social
Support