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MED-DBT Module 02: Introduction to the Adapted Biosocial Theory: A Focus on Biology

CE Hours 1.5

About this course

This module introduces the biological components of the adapted biosocial theory in MED-DBT, expanding beyond standard DBT’s focus on emotion dysregulation. Clinicians are guided through the role of genetic, metabolic, neurobiological, and sensory–interoceptive processes in the development and maintenance of eating disorders. Participants will examine how nutritional status, starvation, and metabolic dysregulation impact brain function, emotion regulation capacity, and behavioral control. The module also explores how reward and punishment systems, habit circuitry, and interoceptive disturbances shape eating disorder behaviors across diagnoses. Emphasis is placed on reframing eating disorder behaviors as biologically reinforced adaptations rather than failures of motivation or willpower, and on integrating these processes into case conceptualization and treatment planning within MED-DBT. Attention is also given to how neurodiversity, sensory sensitivity, and systemic invalidation influence the experience and interpretation of eating disorder symptoms across diverse populations.

Learning Objectives

  • Describe key biological mechanisms implicated in eating disorders, including metabolic, neurobiological, and sensory–interoceptive processes.
  • Explain how nutritional status (e.g., malnutrition, weight suppression) impacts emotion regulation capacity and cognitive control.
  • Differentiate between standard DBT’s biosocial model and the MED-DBT adapted model with respect to biological contributions to eating disorders.
  • Apply a biologically informed framework to clinical scenarios to reduce misattributions of eating disorder behaviors as willful or purely cognitive.

Learning Levels

  • Intermediate

Course Instructor(s)

  • Anita Federici, Ph.D, C.Psych, FAED

    Dr. Anita Federici is a Clinical Psychologist and Owner of The Centre for Psychology and Emotion Regulation. She serves an Adjunct Faculty position at York University and is a distinguished Fellow of the Academy for Eating Disorders (AED). She is the co-author of the MED-DBT Treatment Manual (to be published in 2025 with Guilford Press). From 2019 - 2022, Anita served as the Co-Chair for the Suicide and DBT Special Interest Group (SIG) for the AED and currently sits on the SIG Oversight Committee with AED. In 2019, she was awarded Business Woman of the Year by the Meridian Women of Excellence Committee for her outstanding contributions to the community and to the province. In 2020, she was awarded the ‘Outstanding individual" by The Bulimia and Anorexia Nervosa Association.

    Anita has had a considerable impact on the field through her leadership, advocacy work, and expertise. She has provided more than 400 lectures, workshops, and invited talks on eating disorders, DBT, and MED-DBT, and greatly values her work with experts by experience. She has developed a robust training program, a wide network of allied health professionals, and a treatment centre in an underserved and rural region of Ontario. Her passion for inspiring and invigorating hope for clients and clinicians is at the heart of her work.

    Known for her engaging and authentic style of training, Anita has become a highly sought-after consultant. She works extensively on an international level with hospitals and community organizations offering team training, implementation support, and program development with a special focus on creating differential care pathways for clients who do not respond to traditional treatment approaches. Her work has been presented at international conferences and published in peer-reviewed journals and invited book chapters. Her co-authored book on MED-DBT will be available through Guilford Publishers in 2025.

  • Lucene Wisniewski, PhD, FAED

    Dr. Wisniewski is an internationally recognized leader in eating disorder treatment and Dialectical Behavior Therapy (DBT), with almost 30 years of clinical, research and training experience. An Adjunct Assistant Professor of Psychological Sciences at Case Western Reserve University, Dr. Wisniewski has taught hundreds of workshops and continuing education seminars around the world and has authored numerous articles in peer-reviewed journals and invited book chapters.

    Dr. Wisniewski has pioneered the use of DBT in the treatment of multi-diagnostic eating disorders (MED) and is a sought-after authority on this empirically founded method of treatment, providing consultation and training to clinics around the globe. She is the co-author of the MED-DBT Treatment Manual to be published in 2025 with Guilford Press.

    Dr. Wisniewski has earned some of the highest awards and accreditations in the field. She has been elected fellow by the Academy for Eating Disorders (AED), where she has served on the board of directors and as the co-chair of the borderline personality disorder special interest group. In 2013 the AED awarded Dr. Wisniewski the Outstanding Clinician Award to acknowledge her leadership in the field and her commitment to providing the best solutions for those with eating disorders. In 2023, she was recognized as Association for Behavioral and Cognitive Therapies (ABCT) Champion for her exceptional dedication, influence, and social impact through the promotion of evidence-based psychological interventions. In 2024 Dr. Wisniewski was honored with the Fulbright Specialist Award, through which she served at Comenzar de Nuevo AC, a non-profit eating disorder facility in Monterrey, Mexico.

    Dr. Wisniewski is the founder and Chief Clinical Officer of the Center for Evidence Based Treatment (www.cebtohio.com), which offers therapy, training, and consultation in evidence-based approaches to mental health conditions via traditional and teletherapy platforms.

Disclosure

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS CE Learning Systems adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity ― including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests). The following relevant financial relationships have been disclosed by this activity’s planners, faculty, and the reviewer: PLANNERS AND REVIEWER The planners of this activity have reported that they have no relevant financial relationships. FACULTY The authors of this course content are also the authors of the book, Treating Eating Disorders with DBT: The MED DBT Protocol, which is listed as a suggested resource for this CE program. The authors receive royalties from the sale of this book. The inclusion of this book as a resource is not intended to promote its sale, but rather to provide a relevant text that complements the course material and may be of value to participants. The authors have no other financial or personal relationships that could be construed as conflicts of interest regarding the content of this course.

References

  • Haynos, A. F., Anderson, L. M., Askew, A. J., Craske, M. G., & Peterson, C. B. (2021). Adapting a neuroscience-informed intervention to alter reward mechanisms of anorexia nervosa: A novel direction for future research. Journal of Eating Disorders, 9, 63. https://doi.org/10.1186/s40337-021-00417-5.
  • Watson, H. J., Yilmaz, Z., Thornton, L. M., Hübel, C., Coleman, J. R. I., Gaspar, H. A., Bryois, J., Hinney, A., Leppä, V. M., Mattheisen, M., Medland, S. E., Ripke, S., Yao, S., Giusti-Rodríguez, P., … Bulik, C. M. (2019). Genome-wide association study identifies eight risk loci and implicates metabo-psychiatric origins for anorexia nervosa. Nature Genetics, 51(8), 1207–1214. https://doi.org/10.1038/s41588-019-0439-2.
  • Zucker, N. L., & Bulik, C. M. (2020). On bells, saliva, and abdominal pain or discomfort: Early aversive visceral conditioning and vulnerability for anorexia nervosa. International Journal of Eating Disorders. https://doi.org/10.1002/eat.23255.

CE Process Info

Content

  • Biosocial Theory (Biology)
    1 parts
    • Biosocial Theory (Biology) Instructional Video
  • American Psychological Association (APA)

    Center for Evidence Based Treatment is approved by the American Psychological Association to sponsor continuing education for psychologists. Center for Evidence Based Treatment maintains responsibility for this program and its content.

  • National Board of Certified Counselors (NBCC)

    Center for Evidence Based Treatment, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7697. Programs that do not qualify for NBCC credit are clearly identified. Center for Evidence Based Treatment, LLC, is solely responsible for all aspects of the programs.

MED-DBT Module 02: Introduction to the Adapted Biosocial Theory: A Focus on Biology
You Have Completed This course
$65
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  • CE Hours
    1.5
  • Type
    Self-Paced
  • Publication Date
    Jun 15th, 2026

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