Compulsive Exercise in Eating Disorders

CE Hours 3

About this course

Compulsive Exercise in Eating Disorders

IMPORTANT: IEDS Certification Instructions

This course is part of the IEDS Certification Training bundle. It is safe to ignore this note if you did not enroll in the full IEDS Certification Training bundle. To receive your IEDS Certification documents, please follow the following instructions:

- All content continues to be hosted on Thinkific. Only exams and CE Certificates are hosted here, on CEgo (for now). You must complete all content to 100% on Thinkific to be eligible for Certification. Any content viewed here on CEgo is currently considered "bonus" content, since we are revising and updating several of the courses, and uploading content over time.

- Make sure you have passed each of the 10 exams per course here, on CEgo. You may download your CE Certificates after passing each course exam.

- If you have an ongoing payment plan, ensure it is up-to-date on payments and not lapsed in order to receive your Certification documents.

- Please email the following information to Hello@InclusiveEatingDisorderEducation.com to alert us that you are ready for your certification audit and documents:

- Acknowledgment that you have passed all 10 exams on CEgo, and completed 100% of content on Thinkific

- Full name and credentials

- License number(s) and states licensed in. RDs please include CDR number

- Professional email address (if different from your CEgo and Thinkific email address) - this is for the Google group listserv

- States you practice in (if different than states licensed in)

- Headshot for the IEDS Directory

- Professional website, if applicable

- Ensure your correct email is associated with your Thinkific and CEgo accounts so you will receive updates from us regarding course revisions in the future.

After we receive the above info, we will perform the certification audit, and if all requirements are met, you will receive your IEDS Certificate of Specialty, a PDF printable IEDS Certification Certificate, via email. You will also be added to the IEDS online Directory via IEDE website. Please allow 5-10 business days to be featured. Further, you will be added to the IEDS Listserv via Google Groups and notified by email. And lastly, you will receive your digital badges (the IEDS logos) via email attachments. We will provide basic instructions for you to add the IEDS images and Directory link to your website. All of these instructions are also on Thinkific for your convenience.

Please reach out to support@inclusiveeatingdisordereducation.com with any questions.

________________________________________________________________________________

Compulsive Exercise in Eating Disorders

#8 of 10 total courses in the Inclusive Eating Disorder Specialist (IEDS) Certification program

This course addresses the often-overlooked role of compulsive exercise in eating disorder development, maintenance, and relapse. Clinicians learn to identify compulsive exercise across diagnoses, body sizes, and movement types, including behaviors that may be socially praised or overlooked in fat clients and male-identifying clients.

The course contrasts movement rooted in punishment or anxiety with movement connected to joy, embodiment, and regulation. Emphasis is placed on redefining the meaning and function of movement, honoring client ambivalence, and using harm-reduction approaches that center autonomy and safety. Providers also explore how to support clients who avoid movement due to trauma, chronic illness, body shame, or systemic barriers.

Key Topics:

Defining compulsive vs. intuitive movement

Exercise behaviors and their clinical significance

Contraindications for exercise in higher levels of care (HLOC): including SEES protocols if exercise is included in treatment

Exploring the controversy of exercise as part of eating disorder treatment

Weight stigma, gender bias, and invisibility in diagnosis and treatment

Exercise as a form of dissociation, punishment, or emotional regulation

Treatment planning through harm-reduction and trauma-informed frameworks

Working with athletes and clients with complex trauma

Reframing movement using values, embodiment, and curiosity

Collaboration with weight-inclusive fitness professionals

Rebuilding a relationship with movement rooted in autonomy and healing

Learning Objectives

Define Compulsive Exercise (CE).
Identify risks of Compulsive Exercise (CE).
Define Relative Energy Deficiency in Sport (REDs).

Learning Levels

Beginner
Intermediate
Advanced

Target Audience

Clinicians who encounter eating disorder in their work. Including therapists, dietitians, coaches, and medical providers.

Course Instructor(s)

Veronica Rocha, LPC-S, IEDS

Co-founder of Inclusive Eating Disorder Education

Veronica has been a therapist for 15 years, and her experience spans trauma, eating disorders, body image, and compulsive exercise. Veronica serves as a mentor, supervisor, educator, and leader in her communities.

Veronica is the founder, owner, and Executive Director for Austin Center for Eating Disorders, has served as President, Vice President, and Past President for an educational non-profit organization, Central Texas Eating Disorder Specialists, and is the co-founder for Inclusive Eating Disorder Education. Further, Veronica is a multi-certified, weight inclusive fitness trainer, and spent years rehabilitating compulsive exercise in eating disorders in her private, mirror-free studio in Austin.

Veronica is committed to her continuing education, both professionally and personally. She deeply respects those battling to recover from eating disorders and trauma, and she is ambitious and dedicated in creating heart-centered spaces where healing, creativity, education, and empowerment can happen.

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 faculty of this activity have reported that they have no relevant financial relationships.

References

Brunet, J., Del Duchetto, F., & Wurz, A. (2021). Physical activity behaviors and attitudes among women with an eating disorder: a qualitative study. Journal of eating disorders, 9(1), 20. https://doi.org/10.1186/s40337-021-00377-w
Cuesta-Zamora, C., González-Martí, I., García-López, L. M., Ros, L., Plateau, C. R., & Ricarte, J. J. (2021). Emotion dysregulation as a mediator of the relationship between anxiety, compulsive exercise and eating disorder symptoms in adolescents. Children, 8(12), 1088. https://doi.org/10.3390/children8121088
Hallward, L., Di Marino, A., & Duncan, L. R. (2022). A systematic review of treatment approaches for compulsive exercise among individuals with eating disorders. Eating Disorders, 30(4), 411-436. https://doi.org/10.1080/10640266.2021.1895509
Lichtenstein, M. B., Hinze, C. J., Emborg, B., Thomsen, F., & Hemmingsen, S. D. (2017). Compulsive exercise: links, risks and challenges faced. Psychology research and behavior management, 85-95. https://doi.org/10.2147/PRBM.S113093
Martenstyn, J. A., Aouad, P., Touyz, S., & Maguire, S. (2022). Treatment of compulsive exercise in eating disorders and muscle dysmorphia: A systematic review and meta-analysis. Clinical Psychology: Science and Practice, 29(2), 143. https://doi.org/10.1037/cps0000064
Meneguzzo, P., Dal Brun, D., Cazzola, C., Pillan, A., Bonello, E., & Todisco, P. (2022). Compulsive exercise in eating disorders: Validation of the Italian scale and evaluation of its relationships with body image concerns and quality of life. Eating behaviors, 47, 101675. https://doi.org/10.1016/j.eatbeh.2022.101675
Monell, E., Levallius, J., Forsén Mantilla, E., & Birgegård, A. (2018). Running on empty–a nationwide large-scale examination of compulsive exercise in eating disorders. Journal of eating disorders, 6(1), 11. https://doi.org/10.1186/s40337-018-0197-z
Quesnel, D. A., Cooper, M., Fernandez-del-Valle, M., Reilly, A., & Calogero, R. M. (2023). Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review. Journal of Eating Disorders, 11(1), 3. https://doi.org/10.1186/s40337-022-00685-9

CE Process Info

Content

PDF Manual: Compulsive Exercise in Eating Disorders

1 parts
- Compulsive Exercise in Eating Disorders
Section 1: Compulsive Exercise in Eating Disorders - Introduction

2 parts
- Compulsive Exercise - Introduction
- Quiz 1 - Compulsive Exercise - Introduction
Section 2: Compulsive Exercise in Eating Disorders - CE Function

2 parts
- Compulsive Exercise - Function
- Quiz 2 - Compulsive Exercise Function
Section 3: Compulsive Exercise in Eating Disorders - Fitness Culture

2 parts
- Fitness Culture
- Quiz 3 - Fitness Culture
Section 4: Compulsive Exercise in Eating Disorders - Diagnostic Considerations

2 parts
- Diagnostic Considerations
- Quiz 4 - Diagnostic Considerations
Section 5: Compulsive Exercise in Eating Disorders - Risks and Symptoms

2 parts
- Risks and Symptoms
- Quiz 5 - Risks and Symptoms
Section 6: Compulsive Exercise in Eating Disorders - Assessment

2 parts
- Assessment
- Quiz 6 - Assessment
Section 7: Compulsive Exercise in Eating Disorders - Treatment

2 parts
- Treatment
- Quiz 7 - Treatment
Section 8: Compulsive Exercise in Eating Disorders - Athletes

2 parts
- Athletes
- Quiz 8 - Athletes
Section 9: Compulsive Exercise in Eating Disorders - Recovery and Treatment Team

2 parts
- CE Recovery and the Treatment Team
- Quiz 9 - Recovery and Treatment Team

Joint Accreditation (JA)

In support of improving patient care, CE Learning Systems is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
American Psychological Association (APA)

Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP office maintains responsibility for the content of the programs.
Commission on Dietetic Registration (CDR)

Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (1 IPCE credits = 1 CPEU). If the activity is dietetics related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (1 hour/60 minutes = 1 CPEU). RDs and DTRs are to select activity type 102 in their Activity Logs. Performance Indicator selection is at the learner’s discretion.
Physicians (ACCME) Credit Designation Statement (ACCME)

CE Learning Systems designates this live activity for a maximum of 3 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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As a Jointly Accredited Organization, CE Learning Systems is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive up to [# of credit hours] [topic] continuing education credits.
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New York Education Department for Licensed Mental Health Counselors (NYSEDLMHC)

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CE Learning Systems dba CE-Credit.com & AddictionCounselorCE.com is recognized by the New York State Education Department's State Board for Marriage and Family Therapy as an approved provider of continuing education for licensed marriage and family therapists #MFT-0045.

Compulsive Exercise in Eating Disorders

About this course

Learning Objectives

Learning Levels

Target Audience

Course Instructor(s)

Disclosure

References

CE Process Info

Content

Joint Accreditation (JA)

American Psychological Association (APA)

Commission on Dietetic Registration (CDR)

Physicians (ACCME) Credit Designation Statement (ACCME)

Association of Social Work Boards (ASWB)

New York State Education Department's State Board for Social Work (NYSEDSW)

New York Education Department for Licensed Mental Health Counselors (NYSEDLMHC)

New York State Education Department's State Board for Psychology (NYSEDPSY)

New York State Education Department's State Board for Marriage and Family Therapy (NYSEDMFT)

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