What is Integrative Cognitive Affective Therapy (ICAT)?
ICAT is a short term, structured treatment for eating disorders with binge eating components. It has been studied in a series of pilot studies and two randomized controlled trials which assessed its efficacy in treating individuals with bulimia nervosa and binge eating disorder. These studies indicate that ICAT is an efficacious treatment for such eating disorders.
ICAT is based on a theoretical model which suggests that various interpersonal and intrapersonal factors precipitate periods of significant emotional distress which in turn elicits eating disorder behaviors. The model emphasizes the importance of momentary states of emotion dysregulation in the maintenance of eating disorders. The following concepts are included in the theoretical model underlying ICAT, as well as the treatment strategies and techniques:
- Enhancing motivation
- Identifying emotional states
- Carefully planning and scheduling food consumption
- Managing urges for binge eating
- Interpersonal difficulties
- Excessive self standards
- Negative self-regulatory strategies
- Slip management and healthy lifestyle planning
These clinical concepts are integrated across the four phases of ICAT treatment, which typically lasts approximately 21 sessions. The treatment has been developed for individuals who are at least 18 years of age. Initially, patients are seen twice per week but later in treatment session frequency decreases to weekly.
Learning Collaborative Training Program
The purpose of the Learning Collaborative Training Program is to bring together a group of clinicians who have a common interest in treating eating disordered individuals to provide them with in-depth training and support to implement the evidence-based treatment with fidelity.
The ICAT video conferencing training will be offered as one 4-hour session and two 3-hour sessions, on April 16, 17, 18 – a Friday, Saturday, and Sunday. This is an online educational series for the intensive training portion of the learning collaborative.
Following the 10 hours in the intensive training experience, participants will be assigned to one of two consultation groups co-led by Stephen Wonderlich, PhD, FAED, and Carol Peterson, PhD, FAED. Each consultation group will meet every other week for six months. Members of the consultation group will be expected to provide at least two training cases for discussion and consultation. Each consultation session will include 2-3 case-consultation presentations.
Pre-Work:
The purpose of pre-work activities is to ensure preparation for the intensive training by reviewing ICAT materials.
Requirements:
- Read the ICAT manual (provided to participants)
Virtual Training: April 16-18, 2021
Participants will attend the series of three half-day trainings. The training will emphasize active learning.
Consultation Calls
Following the intensive video conference training, there will be bi-weekly consultation calls for 6 months.
Requirements:
- Actively participate in consultation calls
- Attend at least 10 of the 12 consultation calls
- Complete two case presentations on the calls
- Complete ICAT with 2 patients
- Use standardized instrument to assess ICAT treatment progress with each case (pre & post-tests) during the learning collaborative (these instruments will be provided)
TrainersStephen Wonderlich, Ph.D., FAEDDr. Wonderlich is the Chester Fritz Distinguished Professor at the University of North Dakota School of Medicine and Health Sciences and Vice President for Research at Sanford Health. He is also Co-Director of the Sanford Eating Disorder and Weight Management Center. He is one of the developers of ICAT and has consulted on numerous ICAT treatments.Carol Peterson, Ph.D., FAEDDr. Peterson is a Professor in the Department of Psychiatry and Behavioral Sciences at the University of Minnesota, where she works as researcher, clinician, and educator. As one of the developers of ICAT, she has conducted clinical research to test ICAT and has extensive experience providing ICAT trainings, supervision, and consultation to clinicians.
Apply to participate here!