Lecture: Performance and Perfection - Risk factors and preventive interventions (Anthony Ocana)
Eating Disorders (EDs) are better conceptualized as addictions.
Addictions are driven by dopamine.
EDs raise dopamine.
Attachment builds R brain capacity.
Mother - Child mutual gaze builds resilience in R brain.
Mood regulation is a R brain job.
EDs are manifesations of mood dysregulation.
EDs can be conceptualized as addictions manifested as mood dysregulation which is bourne out of disordered attachment.
Dance teachers occupy a crucial position in a childs development.
Dance teachers gaze, words and gestures can worsen, perpetuate or heal disordered attachment.
Eating Disorders (ED): Anorexia Nervosa, Bulimia Nervosa and Compulsive Eating have their own category in DSM-V. But practically speaking they are essentially behavioural addictions, also known as Impulse Control Disorders.
The hallmark of Impulse Control Disorders (ICD) is as you would expect, loss of control. More specifically ICDs are loss of control despite negative consequences. Some people diet, have body image and self image challenges, but they do not necessarily have an ED. It's not until they are anemic or lose their periods or faint in the shower that we would say they had negative consequences. So if they realize that their food restricting is causing a problem, and they continue to see themselves as oveweight and continue to starve themselves, that is an Eating Disorder.
Preventative strategies to build resilience and unseat eating disorders will be discussed.
Dr. Ocana sits at the crossroads of family practice, mental health and eHealth. He received a BSc in Pharmacology in 1985, a Masters degree in Clinical Nutrition in1987 and his MD in 1991 from University of Toronto. He did his Residency in Family
Medicine at University of Calgary in 1993 and his Residency in Addiction Medicine at University of British Columbia in 2004. He was recognized as a Fellow of the American Society of Addiction Medicine in 2017.
Dr. Ocana has 23 years’ experience assessing and managing complex mental health conditions including Personality and Eating Disorders. He is recognized as an expert in ADHD, Substance Use Disorders and psychopharmacology the BC Supreme Court and the BC Human Rights Tribunal. He is sought out for his independent medical opinion by employers, insurers, academic institutions and the criminal justice system.
He is the CEO of Obidou, a cloud-based mental health assessment and monitoring solution with verticals for Family physicians, the Cannabis Industry and Integrated health clinics.