Student Health Eating Disorders Consultation and Treatment Team
The Eating Disorders Consultation and Treatment (EDCT) Team at UVa provides care and support for students struggling with eating issues, body image, and/or exercise concerns. The team offers consultation, assessment, coordinated outpatient treatment, and assistance in accessing resources such as treatment providers in the community.
Eating issues and body image concerns involve complex emotional and physiological issues, and a multidisciplinary treatment model provides the most effective care for individuals struggling with these issues. Our team approaches eating disorders from a holistic perspective that includes psychological, psychiatric, medical, and nutritional support. Current team members include:
Melanie Brede, RD
Lillian Mezey, MD
Services are available to currently enrolled UVa students. Students have the responsibility of remaining engaged with the various team members and following their recommendations. The EDCT Team providers collaborate closely with students in making adjustments to treatment recommendations or referrals for a higher level of care, as needed.
The first step for receiving support is to schedule an appointment with any EDCT Team provider.
The initial medical evaluation is approximately one hour and consists of a physical examination and interview regarding medical history, eating disorder treatment history, eating and exercise behaviors, and physical symptoms. Labs and other diagnostic tests may be ordered and could include assessments for anemia, electrolyte abnormalities, vitamin D level, thyroid function, heart function, and bone density.
To schedule an appointment for a medical evaluation, go to the General Medicine clinic in Student Health, or call 434-982-3915 and request a “medical evaluation for eating concerns.”
Counseling and Psychiatric Services (CAPS)
An initial assessment with a CAPS EDCT Team member is approximately 90 minutes and consists of a developmental history, assessment of current symptoms, familial and personal history, as well as psychosocial and biological issues related to current difficulties.
Psychiatric medication evaluations, when deemed appropriate, are scheduled through the student’s psychotherapy or medical provider. An evaluation is up to 90 minutes and includes biopsychosocial assessment and detailed review of medical and psychiatric history.
To schedule an appointment, go to Counseling and Psychological Services in Student Health, or call 434-243-5150 and request an “initial assessment with an EDCT Team member.”
An initial nutritional evaluation is scheduled for one hour and consists of an interview, assessment of energy needs, review of dietary intake and comparison to dietary guidelines, and collaborative goal setting. See also: Nutrition Services.
To schedule an appointment for a nutritional evaluation, go to the Office of Health Promotion in Student Health, or call 434-924-1509 and request a “nutrition intake with the dietitian”.
Each EDCT Team provider assists with treatment referrals across the team to ensure that students are appropriately connected to psychological, medical, and nutritional services. When indicated, referrals may be made for psychiatric and gynecological care, also available at Student Health.
The EDCT Team meets weekly to develop care plans and recommendations tailored to each individual student’s needs. We understand that at times, eating disorder treatment may be of a longer duration or require a higher level of care than can be provided through our outpatient Student Health clinic. We are dedicated to connecting students to the appropriate and most helpful resources to support their needs and can assist in referrals to providers in the local community and beyond.