Eating disorder clinic that stepped finalists medicines positions nutrition and social worker and we also have a very active outpatient Tulsa County Department grand number of different modalities are offered including family based thereby individual psychotherapy cognitive behavioral therapy and cognitive remediation here doctor Fitzpatrick mister and wanted to talk a little bit about how we shifted our focus over time when I first got here doctor left and Ive been here almost twenty years actually and it's very hard treatment her whole focus treatments on its way forget their hand has really changed GMAX when we first came here is very patient focused we really sucks other family not really is an ally and in some cases actually kind of miss cause for the this we emphasize a lot in our treatment patient autonomy independence and that the long hospitalizations we're coming we remove the endless the family to do the treatment answered it was the authorities treatment and that but then after discharge was kind of the sink or swim approach toot we shifted radically to a whole different way of looking at eating disorders and really .
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