How do we ensure exercise safety for clients with body image concerns and eating disorders?

• Folks with body image concerns require special care when it comes to exercise.
• Henley describes how she provides exercise recommendations for those with body image concerns and how she adapts routines to provide safety, both physical and emotional.
• Listen to learn how this specialist works with clients who fear mirrors, who have limitations in location and tools available for virtual work, avoids discussions about weight and nutrition which can be common in mainstream personal training advice 

Henley Cook is certified as a Personal Trainer & Corrective Exercise Specialist through the American Council on Exercise (ACE). Her work focuses on helping clients begin or return to exercise safely, with a focus on functional fitness and strength training.

HenleyCookFitness@gmail.com

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

SeasonED NourishMNT Membership ...Conversations and community 

How do we help clients maintain the momentum from higher level of care?

• Calling all therapy providers

Participate now to decrease rates of relapse, (and have a little fun along the way.) 

*See the app at work - STAR 

*Benefits and support for both you (therapist) and client

Link for therapists to get started: https://redcap.link/p806iaqi

• Listen in to hear how Dr Gould and Dr Forbush started their clinical work and how they came to eating disorders treatment, advocacy and research.
• See how they created their partnerships in clinical child psychology and family therapy.
• Learn about their work in setting new standards for care and improving recovery outcomes.
• Most importantly, how do we help our clients keep momentum gained during higher levels of care after reentry to their home setting.

• Dr. Kelsie Forbush: Direct inquiries to kforbush@ku.edu. Explore the STAR App Demonstration Video, the Therapist Screening Survey, and the STAR App - Patient Screening Survey for more resources.
• Dr. Sara Gould: https://profiles.childrensmercy.org/sara-r-gould
• Article referenced during podcast - Understanding Community Provider Practices in Diagnosing and Treating Atypical Anorexia Nervosa

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

SeasonED NourishMNT Membership ...Conversations and community 

How do we help clients maintain the momentum from higher level of care?

• Calling all therapy providers

Participate now to decrease rates of relapse, (and have a little fun along the way.) 

*See the app at work - STAR 

*Benefits and support for both you (therapist) and client

Link for therapists to get started: https://redcap.link/p806iaqi

• Listen in to hear how Dr Gould and Dr Forbush started their clinical work and how they came to eating disorders treatment, advocacy and research.
• See how they created their partnerships in clinical child psychology and family therapy.
• Learn about their work in setting new standards for care and improving recovery outcomes.
• Most importantly, how do we help our clients keep momentum gained during higher levels of care after reentry to their home setting.

• Dr. Kelsie Forbush: Direct inquiries to kforbush@ku.edu. Explore the STAR App Demonstration Video, the Therapist Screening Survey, and the STAR App - Patient Screening Survey for more resources.
• Dr. Sara Gould: https://profiles.childrensmercy.org/sara-r-gould
• Article referenced during podcast - Understanding Community Provider Practices in Diagnosing and Treating Atypical Anorexia Nervosa

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

SeasonED NourishMNT Membership ...Conversations and community 

Fiona Sutherland and Lisa Pearl

Supervision Training for Dietitians - starting soon!

Beth says "Don't hesitate - trust me, you won't regret taking this training now!!"

This is Part 2 of 2 on skill development for dietitian supervisors providing supervision-from highly seasoned to just considering.

Our guests (and host) participate in lifetime supervision - it is the best connection resource for dietitians, especially those who work in behavioral health nutrition.

• Focusing on our client, focusing on ourselves, focusing on the relationship of our client to ourselves.
• What's the difference between supervision and consultation?
• Let's face it, there is good supervision (supportive, nurturing, positively life changing for the dietitian and client) and not so good supervision (checking the boxes, feels like a money-making plan more than a relationship).
• Defining the rupture - the part of us that rushes in and needs to know/needs to give the answers; how do we learn more about those parts?

All cities tour flyer  - Supervisor Training Event 2024

Fiona Sutherland and Lisa Pearl

Supervision Training for Dietitians - starting soon!

Beth says "Don't hesitate - trust me, you won't regret taking this training now!!"

This is Part 1 of 2 on skill development for dietitian supervisors providing supervision-from highly seasoned to just considering.

Our guests (and host) participate in lifetime supervision - it is the best connection resource for dietitians, especially those who work in behavioral health nutrition.

• What's the difference between supervision and consultation?
• Let's face it, there is good supervision (supportive, nurturing, positively life changing for the dietitian and client) and not so good supervision (checking the boxes, feels like a money-making plan more than a relationship).
• Defining the rupture - the part of us that rushes in and needs to know/needs to give the answers; how do we learn more about those parts?

All cities tour flyer  - Supervisor Training Event 2024

Kimmie Singh

Free Checklist: https://www.bodyhonornutrition.com/checklist

PCOS Provider Course Waitlist: https://www.bodyhonornutrition.com/waitlist

Upcoming PCOS and Eating Disorders Webinar: https://www.bodyhonornutrition.com/webinar

-- 

Body Honor Nutrition Team P:  Admin@BodyHonorNutrition.com

220 Fifth Avenue, 11th Floor  New York, NY 10001

www.bodyhonornutrition.com

This episode is the second of five in our Prevention of Eating Disorders series, and is brought to you by Children's Mercy Eating Disorders Center, Kansas City.

Sumner Brooks, MS, RD

In this episode, Sumner Brooks shares common questions parents have when kids aren't eating the way they 'need' to.

Her goal is to raise the next generation with food and body confidence - it CAN be done!

BIO

Sumner is a master’s level registered dietitian, eating disorder specialist, parent, and public health professional with 15 years of experience in the field of dietetics. She is the co-author of How to Raise an Intuitive Eater: Raising the Next Generation with Food and Body Confidence (St. Martin’s Press, 2022) which has been featured on Good Morning America, The Wall Street Journal, Popular Science, and The Seattle Times. Sumner’s work has been published in Good Housekeeping and Goop.  

This episode is the first of 5 in our Prevention of Eating Disorders series, and is brought to you by Children's Mercy Eating Disorders Center, Kansas City.

Denise Hamburger, JD

Denise Hamburger

Denise Hamburger, JD, is the founder and executive director of BE REAL USA, a nonprofit that envisions a world where each and every student can grow up with a healthy relationship to food and their body. In 2017, Denise created a professional development workshop for teachers called Body Confident Schools and has delivered this training to over 5000 educators around the world. Among over 100 conference, keynote, and school presentations, Denise has presented at the Harvard T.H. Chan School of Public Health to the National Association of School Psychologists; at the Center for Disease Control to their Healthy Schools Division; at the United States Department of Agriculture to their Food and Nutrition Services Group; at the Society for Public Health Education’s Advocacy Summit; and to Amazon’s Body Positive Peers Employee Resource Group.

Denise co-developed and co-piloted Be Real’s BodyKind high school, body image curriculum with a team of international body image academics, psychologists and teachers. Denise is an Anti-bias, Antiracist (ABAR) certified curriculum writer. BodyKind is the first body image curriculum developed for all students. It includes lived body image experiences of people of different races, ethnicities, sexualities, gender identities, physical and mental abilities, and body sizes.

She has a Juris Doctor degree from the University of Michigan Law School and was an environmental attorney in her first career. She co-wrote the legal treatise Pollution in the United Kingdom. She has spent the last 25 years involved in education nonprofits, including Chicago’s After School Matters.

Instagram: @berealusa Website: www.berealusa.org

~~~~~~~~~~~~~~~~~~~~~

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

NEW, SeasonED NourishMNT Membership ...Conversations and community 

Kate Meek

Note from Beth - I (kind of sort of) hijacked Kate's episode to talk about things considered harmful in eating disorders treatment.  Honestly, if you knew Kate the way I do, I had to let Kate think this was NOT about her before she would agree to this recording, so we accomplished two things at once! 

Scavenger Hunt - In preparation for our Prevention Series, see how many "Aces of Hearts" (Environmental Protectors) are in this discussion with Kate. (as taught in the episode with Dr. Cynthia Bulik).

• Join Beth's membership community to share your finds  

Kate’s Seasonings:

• Life is NEVER Black or White, Live in the gray? Live in the GLITTER!
• Know your YES, Define your NO
• Have your voice, don’t lose that beautiful spice.
• Food can be scary, can it be reframed as an adventure?  The key is within our client, as a professional – LISTEN.

BIO - Kate is living proof that it’s never too late to start something new and just to do the damn thing.  See her journey here.

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

NEW today, SeasonED NourishMNT Membership ...Conversations and community 

Chelsey Levy, RDN, CDN

Like so many of us, Chelsea came into the field of nutrition to manage body size.

Why Chelsea says is it unethical to pursue weight loss.

What do you do when someone wants to lose weight using Intuitive Eating?

Weight suppression in larger body often goes unrecognized

Chelsea’s Seasonings:

• Supervision for Intuitive Eating Counselor Certification
• Unlearning rules and rigidity and get connected to body, and  with eating disorder, this may not be accessible
• Health Sheets
• You’re never going to get it right – we are always evolving

Bio:

Chelsea Levy (she/her) is a Certified Intuitive Eating Counselor and registered dietitian nutritionist. She earned her Master of Science degree from Hunter College, and completed her dietetic internship at the City of New York (CUNY) School of Public Health in New York City. Chelsea is committed to utilizing Health at Every Size® (HAES®) principles in her approach to nutrition therapy. She works with individuals struggling with disordered eating and eating disorders, with a focus on weight-inclusive medical nutrition therapy, body image healing, and Intuitive Eating. Chelsea also has special interests in treating individuals with diabetes , and polycystic ovary syndrome (PCOS) along with folks, who are in larger-bodies, and those who are identify as transgender or non-binary. She believes it is vital to provide care relevant to an individual’s culture, ethnicity, and overall identities. Chelsea hosts a collaborative space for the exploration of food and body healing through creativity and compassion. Chelsea is a member of the International Federation of Eating Disorder Dietitians (IFEDD), the International Association of Eating Disorders Professionals (IAEDP), the Association for Size Diversity and Health (ASDAH), the Academy of Nutrition & Dietetics (AND), and the HAES® Registry. Before her focus in nutrition science, Chelsea worked in art production and has a Bachelor of Fine Arts in pPhotography from the School of Visual Arts in New York City. In her spare time, Chelsea enjoys live music, practicing yoga, and meditation.

Chelsealevynutrition.com

IG - @chelsealevynutrition

GP IDEA LinkedIn

What is Great Plains IDEA?

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Adele  Lafrance  

The birth of Emotion Focused Family Therapy (EFFT) was borne through feeling helpless 

When I’m stressed I can’t remember my name 

Humanistic practice – we all want to be well and feel well 

Unconditional positive regard 

Love as a legitimate healing technology  

Adele’s Seasonings: 

• Unconditional Positive Regard is a “medicalized” name for LOVE 
• Dr. Dan Siegel– https://drdansiegel.com/ 
• Article authored by Adele - Day Hospital Program for Adolescents with Eating Disorders 

• Participate in Studies - https://clinicaltrials.gov/  

Bio: 

Dr.  Adele  Lafranc e is a clinical psychologist, research scientist, author and developer of emotion-focused treatment modalities, including emotion-focused family therapy for eating disorders. She is also active in the research and practice of psychedelic medicine for eating disorders, with a focus on ayahuasca, MDMA, psilocybin and ketamine. Dr.  Lafrance  has a particular interest in mechanisms and models of healing, including emotion processing, spirituality, love, and family-oriented care. 

https://dradelelafrance.com/ 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Contemplating Supervision?  Join us for some Supervision Freebies   

January-Jun 2023 Supervision Groups 

David Triger

Today we talk the work of the RDN in any treatment setting, from LTC, to acute care, and for those who are veterans.  We pull it all together with the psychology of medical nutrition therapy (MNT). 

How to help our clients/patients/residents consume the food that will nourish?  It’s all about relationships. 

And communication is key. 

Those Foods? ALL Are Ok 

Epigenetics, grace, compassion and full-on medical nutrition therapy (MNT). 

David’s Seasonings: 

*Communication, compassion, empathy and RELATIONSHIP 

*Dr Marci Swede – Mentor to David on understanding human genetics –  

Article for you with Dr Marci and Tzippi Weiss 

 “Transforming Preprofessional Health Education Through Relationship- 

Centered Care and Narrative Medicine“ 

*Dr. Gaby “The Book” Nutritional Medicine 

Bio: 

David Triger, MS, RDN, CDN is a Doctoral Student at the University of Kansas Medical Center, Clinical Nutrition Manager at New York State Veterans Home at St. Albans and Adjunct Professor at Long Island University - Post. Over the past 3 years he has worked in the Long Term Care and the Acute Care settings as a Registered Dietitian working with patients through the lifespan from Pediatrics to Geriatrics. Through his clinical experience, he has seen the need for Clinical Dietitians to have training for their eventual role in the care of patients who present with eating disorder behaviors in a variety of settings. 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Rebecka Peebles, MD

Which comes first- Improved body image or weight gain? 

Kids WILL grow out before they grow up.  

AAN (‘Atypical Anorexia’) takes longer to get periods back, not clear with males. 

Goal weight is the place where body and brain are healthy – HEALTHY STATE 

HOW RIGID ARE COGNITIONS?? –It’s the last thing to get better. 

Physical and mental – if we have estimated weight goal and look ok physically but rigidity is still there, we still need to push. 

What do Leptin levels tell us? – or not.  

Weight suppression has a profound effect of the brain and behavior 

What if parents don’t suck?  Meet parents where they are, and be respectful of parents. 

As a field, remember our own humility. 

The doctor needs to be the consultant. 

Dr. Peebles Seasonings: 

• Healthy State instead of Goal Weight 
• As a field, remember our own humility 
• Dr Erin Accurso  https://twitter.com/erinaccurso 

Bio: 

Dr. Peebles is an assistant professor in the Division of Adolescent Medicine at The Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine. 

Prior to joining CHOP, she was an instructor at Stanford University School of Medicine's Division of Adolescent Medicine, Department of Pediatrics, and was primarily involved with the Eating Disorders Program and the Center for Healthy Weight at the Lucile Packard Children’s Hospital. 

Dr. Peebles’ research interests focus on the health outcomes of disordered eating in adolescents of diverse weight ranges, and how the Internet can be used as a vector to both help and harm young people as they try to approach a healthy weight. Her most recent work has been funded by the American Heart Association. 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Alli Spotts-De Lazzer, CEDS-S LMFT is a skillful teacher here and in her book MeaningFULL about terminology and acronyms, types of therapists, types of specialties, and more. 

She asks us as professionals to stop perpetuating the myth that eating disorders are about control and how setting boundaries brings the safety that is needed for true recovery. 

A supervision nugget she received from Carolyn Costin about the importance of being AUTHENTIC. 

And her passion for using the multidisciplinary treatment help each other “open our patients up” that brought our workshop to life – “Staying in Your Lane In The Scope of Practice Freeway” 

Alli authored a great read, MeaningFULL: 23 Life-Changing Stories of Conquering Dieting, Weight, & Body Image Issues—a book of diverse stories with expert insights that can help readers to feel seen, validated, and hopeful. 

Bio: 

Alli Spotts-De Lazzer is a Licensed Marriage and Family Therapist, Licensed Professional Clinical Counselor, Certified Eating Disorders Specialist (CEDS), and iaedp-approved CEDS-Supervisor with a private practice in Studio City, Los Angeles. Since 2008, she's been speaking and publishing on eating disorders and mental health. A believer in service, she has co-chaired committees for the Academy for Eating Disorders and the International Association of Eating Disorders Professionals, facilitated an ongoing eating and body image support group, and created #ShakeIt for Self-Acceptance! - a series of public events that educate through fun and flash mob dance. 

Inspired by both personal and professional experiences, Alli authored MeaningFULL: 23 Life-Changing Stories of Conquering Dieting, Weight, & Body Image Issues—a book of diverse stories with expert insights that can help readers to feel seen, validated, and hopeful. 

Website: Therapyhelps.us  

Shake-It for Self-Acceptance Flash Mob 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Whitney Trotter, MS, RDN/LDN, RN, RYT 

This is a repost from last year's FIRST EVER BIPoC ED Conference.  The 2nd annual is coming up soon, with early bird registration ending soon.

Topics Include: 

• Eating Disorders in the Black community,  

• Fat Liberation Panel 

• Minority Myth in Asian American Culture and Adoption 

• Antiracism training 

• Religion, eating disorders and liberation 

• Trans presenters 

• Live panel on religion 

• Ramadan in Islam and the intersection of eating disorders 

• South Asians and eating Disorders 

• Unsolicited Fattys 

Whitney’s Seasonings: 

Stay the course – if at first you don’t succeed 

Volunteer to get your foot in the door of your passions (HIV and AIDS) 

Always keep learning – next up Psych NP Doctorate 

BIPoC Eating Disorders Conference Website  

https://bipoceatingdisorders.showit.site/

Closed Captions and American Sign Language 

BIO: 

Whitney Trotter: (she/her) is dually licensed as a Registered Dietitian, Nurse, and yoga instructor. Whitney has over ten years of experience working as a registered dietitian serving the HIV/AIDS community, as well as working in the eating disorder field. Whitney also previously worked at a Level 1 Pediatric Trauma Center as a Pediatric emergency room nurse. In addition to working as an RDN and RN, Whitney has served as a member of her county's Rape Crisis Center. Her work at the Rape Crisis Center equipped her to co-found an anti-trafficking organization, Restore Corps, where she now provides medical training to the community focusing on human trafficking response. Whitney's career in the Eating Disorder field includes being a former Nutrition and Nursing director of a Residential, PHP, and IOP center. Whitney is also the owner/founder of Bluff City Health, a private practice specializing in bridging the gap in the eating disorder field of equitable care and social justice.  

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Delia Aldridge, MD, FAPA, CEDS-S

There’s not a book for psychiatrists working with eating disorders

Doctors must know about refeeding syndrome

Helping parent who says “They had a PR yesterday, why do they need to be admitted?”

Dr. Aldridge says “If this was my kid, knowing what I know now, I would be scared for their life.”

Find people in your community – therapists, dietitians, primary care docs

ER –it took 5 years to train and find ER she could trust

Co-occurring - Fertility problems, OCD, Anxiety, depression, trauma,

Medications – what are pre-existing conditions, two that are FDA approved for eating disorders,

Wellbutrin contraindications for pts with ED

Vyvanse for BED – make sure full team - CBT and RD on the team (addiction, cardiac issues)

Prozac

Dr. Aldridge's Seasonings:

1. Dr Mehler’s Medical Guidelines
2. APA New guidelines (but it’s not much)
3. We need to infuse our brains with food, medical, psych resources
4. Handout on risk of refeeding
5. Here’s my cell phone, text me
6. https://www.feast-ed.org/info-for-parents/

Bio:

Dr. Delia Aldridge

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

Amanda Mellowspring, MS,RD/N,CEDRD-S trains professionals who are seeking Approved Supervisor status for the CEDS. She shares her supervision style with us, including how she taps into the ‘it’ factor of her supervisees and stated the way she learned best is through case collaboration with therapists and medical providers and multidisciplinary webinars (even though ‘we still have to work and can’t webinar all day’  DARN!)

Amanda runs a farm with lavender and bees (and more) and answers Abbi’s reflection that supervision for eating disorders care can feel like a BEAST.

Resources highlighted by Amanda:

Anita Johnston’s Eating in the light of the moon book.

 “Health Food Junkie” Dr Bratman

Bio Amanda is a Certified Eating Disorder Registered Dietitian and Supervisor through the International Association of Eating Disorder Professionals with over 15years of experiencing leading the treatment of eating disorders at various levels of care. Amanda currently serves on the Certification Committee for IAEDP and co-authored the publication defining the Standards of Practice and Standards of Professional Performance for RDs working with eating disorders in the Journal of the Academy of Nutrition and Dietetics. Amanda is Vice President of Nutrition Services for Monte Nido & Affiliates, overseeing nutrition programming and services for Monte Nido programs, Oliver-Pyatt Centers, and Clementine programs across the country.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Jennifer Gaudiani

MCAS Simplified - Mast Cell Activation Syndrome

How to listen, treat the client first, chase down the science later

It’s not “Just Your Eating Disorder”

Impact of malnutrition and stress on the body.  Malnutrition and stress will fuel MCAS

Some Signs of MCAS

• Reaction to alcohol (consumed and topical like hand sanitizer)
• More fatigued than peers after being in heat
• Artificial Scents - headache, stuffy
• Reaction to artificial dyes
• Rashes – flushing, itchy
• Drippy nose after eating
• Periods are rough – intense cramps, heavy bleeding
• Chronic constipation as a kid

Plain, everyday food can activate.

How to diagnose

Mini screener

Treatment can be simple

Elemental shakes

Trigger avoidance

OTC meds.

Dr G’s Seasonings:

Blogs (there are FOUR on MCAS here)

Be careful for diet-y talk in Dr Google

Show up with fierce joy

Bio:

Dr. Gaudiani (she/her) is an eating disorders expert physician and the Founder and Medical Director of the Gaudiani Clinic. Board Certified in Internal Medicine, she completed her undergraduate degree at Harvard, medical school at Boston University School of Medicine, and her internal medicine residency and chief residency at Yale, where she won numerous clinical awards. Dr. Gaudiani moved to Denver in 2007, choosing Colorado with her husband because its emphasis on the outdoors, the incorporation of nature into daily life, and the importance of family activity time as it offered a great way to foster work-life balance. In 2008, she was one of the founding team members of the ACUTE Center for Eating Disorders at Denver Health. After seven great years there, she left as its Medical Director to pursue her vision of outpatient care, founding the Gaudiani Clinic. During her years at ACUTE, Dr. Gaudiani became a recognized internist for her work on the medical complications of eating disorders. Dr. Gaudiani’s book, Sick Enough: A Guide to the Medical Complications of Eating Disorders, was released via Routledge in October 2018.

With your host Beth Harrell

IG  @beth.harrell.cedss  

@theseasonedrd.podcast

Supervision Freebies  

Dr. Kamila Cass, PhD, CEDS-S, (she/her/hers) 

Dr. Cass tells us that our patients can FEEL when we believe them and that they need to know, so strongly, that they have a right to treatment no matter how many times they need it. 

They have a right to be wrestling with their eating disordered cognitions- it's not their fault that these thoughts were there it's happening to them they didn't ask for them.  

Mechanisms of ARFID (Avoidant Restrictive Food Intake Disorder) 

1. Fearing consequences of eating (how food will impact the way their body feels, vomiting, choking, how they will feel in their body)
2. Lack of interest in eating – COVID and disruptions of waking and sleeping patterns
3. Malnourished due to sensory sensitivity – unpleasant, narrow variety of food choices

They usually WANT to gain weight.  Let's create a home where they feel safe and very believed.  The full team is used: OT, PT, and RD in service of treating them where they need it most. 

EDE-Q doesn’t work for ARFID 

Why don’t clinicians BELIEVE what’s happening?  

What’s happening in the brain? 

ARFID – goes back to childhood, maybe infancy, maybe had a hard time eating back then. 

Check out this episode of the SesaonED RD with Dr. Jenny Thomas on ARFID.

Dr. Cass’ Seasonings: 

*Dr. Bulik’s research – Eating Disorders as a psycho-metabolic condition.  Dr. Bulik’s episode.

*This is not just in the head, we need to believe and UNSHAME having a mental illness 

*Patients can open up and do the very hard work when they are completely believed. 

*Eating Disorders have little to do with poor parenting and everything to do with providing support and being an agent of change. 

*Family-based treatment 

*Have hope and with the same amount of courage our clients have,  

*People do get better, leaning into the support of the community. 

*Supervision! 

Bio: 

Dr. Kamila Cass, PhD, CEDS-S, completed her master’s and Ph.D. in clinical psychology at the University of Missouri-Columbia and her predoctoral psychology residency at the University of Colorado at Boulder.  Dr. Cass has worked with eating disorders for many years, in several settings, including private practice, hospital programs, community clinics, and college counseling centers.  Dr. Cass has also worked on a bariatric surgical team, designing the pre-surgical psychological evaluation process, and providing support to patients undergoing bariatric surgery. Dr. Cass has worked as a psychologist at the ACUTE Center for Eating Disorders and Severe Malnutrition for the past four years and is the lead developer of the ARFID Track, overseeing a multidisciplinary team of providers dedicated to providing individualized, evidence-based treatment to patients with ARFID.  Dr. Cass is an Assistant Professor at the University of Colorado School of Medicine and is active in research and publishing and has been a featured speaker at national and international conferences for eating disorders.

Tour of ACUTE 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies

Erin Nicole Harrop, LICSW, PhD

What is it like to compare treatment received for anorexia nervosa when you're at the low end of the weight spectrum (“typical”) and then not at the lower end (“atypical”).

Dr Erin Harrop describes this experience, how they were treated and what it felt like.  And then gives us professionals tips to do better.

1. Believe your patient
2. If you’re going to disbelieve, bring the same curiosity you would for low weight AN. Get specific, ask questions (pringles example)
3. Acknowledge thin privilege and the social power differential.

It’s not just weight stigma that influences how we feel about our bodies, racism, sexism, homophobia, transphobia. 

Explain “While I try, however imperfectly, to address the effects of weight stigma, nutrition work is never neutral – always taking a side on weight and wellness.

"Cheeseburger challenge" – may feel like a dare from my dietitian

Abbi asks an important question – “How do I do this weight inclusive work and honoring my thin privilege when it feels uncomfortable?”

Ignoring discrimination is a privilege of people with privilege

Ethical care acknowledges weight stigma.

Here's a way to tee-up a weight inclusive approach...

As a nutrition provider I don't focus on weight. “I’m going to make mistakes, I’m deeply committed to giving you the BEST,  most ethical, MOST proficient care that I can, and I’m gonna keep showing up and IF something happens as we’re working together that makes you feel uncomfortable, please let me know because I’m learning too.  I want to do the best I can to not cause further harm.”

What NOT to say, “I’m not going to let you get fat”

AND if we make mistakes we can (and should) repair.

Part of the healing is actually treating higher weight patients like eating disorder patients.

Article discussed today:

• You Don't Look Anorexic New York Times

Erin’s Seasonings:

• Believe your client
• Come with the same curiosity about food intake and activity regardless of weight

Bio:

Dr. Erin Harrop is an Assistant Professor at the University of Denver Graduate School of Social Work. Their research, teaching, and clinical work focuses on eating disorders, weight stigma, and promoting inclusive health/mental health care for people with marginalized identities.

https://socialwork.du.edu/about/gssw-directory/erin-nicole-harrop

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Dennis Gibson, MD

Dr Gibson talks about eating disorders work as the marriage of medicine and psychology.

A lot of discussion about Atypical AN and insurance.

Dr .Dennis shares that at ACUTE, teaching is happening every day, incorporating many learners on the unit: medical residents, OT, PT, ST…

Physical changes are discussed, such as the amount of muscle loss and weakness that is significant in this population.

A call to all professionals who are well-intentioned but if not adapted to EDs, are doing harm.

What is Rhabdo?

ACUTE is studying weight disruptions, weight suppression.

Interoception – ability to recognize signals from the body, plays into functional GI symptoms.

Seizures from thiamine deficiency causing complications in the brain.

Most importantly, don't be afraid to reach out and ask 

Bio:

Dennis Gibson, MD, FACP, CEDS serves as the Clinical Operations Director at ACUTE. Dr. Gibson joined ACUTE in 2017 and has since dedicated his clinical efforts to the life-saving medical care of patients with extreme forms of eating disorders and severe malnutrition. He has quickly developed an expertise in the treatment of this extremely ill and underserved population, and he is actively involved in several research initiatives to help identify evidence-based treatment best practices to address the serious medical complications of eating disorders. Dr. Gibson is also an Associate Professor of Medicine at the University of Colorado School of Medicine. He completed his undergraduate degree at Albion College in Michigan and earned his medical degree at Southern Illinois University. He completed his internal medicine residency at University of South Florida, is Board certified in Internal Medicine and earned the prestigious CEDS credential from iaedp, underscoring his commitment to effective care and clinical excellence in the treatment of eating disorders.

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Jenny Thomas, PhD

What is Avoidant Restrictive Food Intake Disorder?

Restriction without body image

What would cause someone to restrict food if it wasn’t to change the body?

Phenotypes described -  Three types can occur in same individual

1. Sensory sensitivity presentation – textures
2. Trauma – vomiting, choking, pain in belly
3. Lack of Interest – “I forget to eat”, don’t get hungry and get full quickly

(ARFID Plus)

What works? - Exposure therapy, Cooking therapy, sometimes speech therapy, eating at regular times, the body will come to expect that.

Division of responsibility doesn’t match this diagnosis.  Enough preferred foods first so enough calories, then slowly introduce variety.

CBT-AR – patients will report hunger simply from the act of eating.  Develop a cadence of appetite.

What does CCK have to do with this? 

NIMH study –Adults with ARFID  2022-2027

Dr. Thomas’ Seasonings:

Organizations

• Academy for Eating Disorders (AED, organization for professionals) — https://www.aedweb.org/home
• Feeding Matters (organization for families)  — https://www.feedingmatters.org

Books about ARFID

• Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder (treatment manual) 
• Picky Eater’s Recovery Book (CBT self-help book for adults)

Assessments for ARFID

• PARDI (clinical interview for ARFID; click on “supporting information” at this link for a copy of the full interview) — https://onlinelibrary.wiley.com/doi/10.1002/eat.22958
• PARDI-AR-Q (self-report screening questionnaire for ARFID) — https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-022-00706-7

Opportunities for participation in ARFID research studies

• Neurobiological underpinnings of avoidant/restrictive food intake disorder in adults — https://rally.massgeneralbrigham.org/study/answer

Bio:

Dr. Jennifer Thomas is the Co-director of the Eating Disorders Clinical and Research Program at Massachusetts General Hospital, and an Associate Professor of Psychology in the Department of Psychiatry at Harvard Medical School. Dr. Thomas’s research focuses on avoidant/restrictive food intake disorder and other atypical eating disorders, as described in her books Almost Anorexic: Is My (or My Loved One’s) Relationship with Food a Problem?; Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder: Children, Adolescents, and Adults; and The Picky Eater’s Recovery Book: Overcoming Avoidant/Restrictive Food Intake Disorder. She is currently principal investigator on several studies investigating the neurobiology and treatment of avoidant/restrictive food intake disorder, funded by the U.S. National Institute of Mental Health and private foundations. She is the author or co-author of more than 160 scientific publications. She is the current President of the Academy for Eating Disorders and recently completed a 5-year term as Associate Editor for the International Journal of Eating Disorders.

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

Scout Silverstein, (They/Them)

Happy International Transgender Visibility Day!

Today’s conversation with Scout Silverstein helps give us supportive language for our clients and their loved ones around gender affirming care.

Care notes include asking preferred pronouns and settings to use them.

Exploration vs Current/Asserted Gender.

Parents wonder if it’s a phase. Scout shares about “Regret Rates”

Look at the medical profile with care: bone density, labs, anatomy, chromosomes, menstruation, hormones

Abbi asks about body positivity, Scout proposes body neutrality and body liberation

Cognitive dissonance interventions.

The FEDUP Conference – See below for discount code, through May 1.

“Holding more possibilities”

Scout’s "Seasonings":

Minus 18.org – app to help us practice scenarios

MEDA Conference

Favorite books:

• Being mortal
• Prison by any other name
• Saving our lives
• Fiction - The Story of Edgar Sartell, by DavidWroblewski,

BIO:

Scout is a transgender and intersex queer Virgo with an educational background in health policy & public health. Within the eating disorder field, they focus on staff development training, academic research, case consultations, policy, and intervention design. They center their time outside of the eating disorder field working on legislation to protect intersex bodily autonomy, spoiling their rescue dog, and learning from the narratives of those surrounding them.

~~~~~~~~~~~~~~~~~~~~~~~~~~

We are proud to support the FEDUP Conference taking place in hybrid form May 25-27, 2023. The in person portion will be held in New York City at The Martinique Hotel. In the field of eating disorders, there is often a large disconnect between researchers, advocates, clinicians, and those we provide care for. This is a conference for researchers, advocates, and clinicians in the eating disorder field where all attendees are empowered to participate, share their expertise, and learn from one another so that we can incorporate approaches that work - for our patients, our communities, and ourselves. This conference is unique in that all sessions are completely participatory rather than delivered in lecture form. You can register here using the discount code "SEASONEDRD" for 30% off your registration until May 1.

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

"I wish I would have known there was another way to help people heal"

Her nuggets for us as professionals today include:

• How she knew she had eating problems but was missed by a therapist who said she was ok because she wasn’t throwing up and “looked ok”
• How she wants everyone to know that restrictive eating to lose weight can cause infertility
• How important it is to surround ourselves regularly with other professionals 
• Addressing the criticism that Intuitive Eating (IE) can’t be used for eating disorders, (see also Christy Harrison’s Food Psych podcast recording with Elyse about using IE for eating disorders).

Finally, her new journal is coming out, with a book signing THIS weekend if you are near LA or looking for a good reason to visit, and although this journal and the IE program is for consumers, this is a call to all professionals to do our own work through practicing IE in our own lives.

Book signing - Saturday, June 12th at 12:30 The link to sign up is:   https://bit.ly/3wTQgv1

ASDAH Health Sheets - https://haeshealthsheets.com/the-health-sheet-library/

https://www.elyseresch.com/

Elyse Resch, MS, RDN, CEDRD-S, Fiaedp, FADA, FAND, is a nutrition therapist in private practice in Beverly Hills, California, with thirty-nine years of experience, specializing in eating disorders, Intuitive Eating, and Health at Every Size. She is the co-author of Intuitive Eating, now in its 4th edition, the Intuitive Eating Workbook, and The Intuitive Eating Card Deck—50 Bite-Sized Ways to Make Peace with Food (upcoming, 2021). Elyse is also the author of The Intuitive Eating Workbook for Teens and The Intuitive Eating Journal—Your Guided Journey for Nourishing a Healthy Relationship with Food (upcoming, 2021), and a chapter contributor to The Handbook of Positive Body Image and Embodiment. She has published journal articles, print articles, and blog posts. Elyse does regular speaking engagements, podcasts, and extensive media interviews. Her work has been profiled on NPR, CNN, KABC, NBC, KTTV, Los Angeles Times, AP Press, KFI Radio, The New York Times, USA Today, and The Huffington Post, among others. Elyse is nationally known for her work in helping patients break free from diet culture through the Intuitive Eating process. Her philosophy embraces the goal of developing body liberation, with the belief that all bodies deserve dignity, and reconnecting with one’s internal wisdom about eating. She supervises and trains health professionals, is a Certified Eating Disorder Registered Dietitian and Supervisor, a Fellow of the International Association of Eating Disorder Professionals, and a Fellow of the Academy of Nutrition and Dietetics.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Meghan shares her style when working with clients at the highest level of care for eating disorders.   

“Being a dietitian in this field is the best of both worlds.” 

Statements like “This isn’t going to get easier until you just do it” and “We have to feed you through this” help us know our decisions as RDs won’t be popular but can immobilize and heal. 

Third voice here is Janice Baker – link to her episode 

Lean on other RDs in clinical settings 

Monthly supervision with Dr Mehler 

IBW is such an antiquated thing – pt  at 120% based on conventional wisdom is actually 70% 

Those with AAN are still at risk for bradycardia, SMA syndrome, nausea vomiting, pain with eating, refeeding syndrome 

Please remember, Sweets are ok, including for those with diabetes. 

Testing for allergies is important to confirm the need to remove certain foods from the diet and to create the food heirarchy.

Webinar March 23rd, 2023-  Journey to the levels of care 

https://www.acute.org/journey-through-levels-care-acute-mccallum

Meghan’s Seasonings: 

*Dr. Mehler’s Book (link) 

*Dietitians need to stay together and help each other 

*Hold a boundary with sharing things like calories and weight numbers 

*There’s always room to fix a rupture 

*This isn’t going to get easier until you just do it 

*We have to feed you through this 

Bio: 

Meghan Foley, RD, CEDRD-S, is the Clinical Nutrition Manager for ACUTE, where she has become an expert in using medical nutrition therapy to help treat severe eating disorders. As Clinical Nutrition Manager for ACUTE, Meghan continues to cover a clinical caseload as part of her job responsibilities.  Her years at ACUTE have allowed her the opportunity to become an expert in using medical nutrition therapy to help treat severe eating disorders, work on research projects with Dr. Philip Mehler and other members of the multidisciplinary team and assist in the continued growth and expansion of ACUTE. Additionally, she has earned iaedp’s prestigious CEDRD-S credential, which confirms Foley’s extensive experience as a nutrition therapist, her commitment to stay abreast of current developments in the field through Continuing Education, and compliance with iaedp’s stated Ethical Principles. 

Tour of ACUTE https://www.youtube.com/watch?app=desktop&v=A_X7L_PKjM0 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Dr. Phillip Mehler, MD, CEDS

Eating disorders are mind-body Illnesses and are curable.

“Remember, I’m a medical provider not a mental health provider”, however, medical providers can help reduce shame

You can no longer applaud any weight loss – medical complications are happening at all sizes.

This field is burgeoning – there are new opportunities, new research, and new findings all the time.

Dr. Mehler’s Seasonings:

It takes several bites of the apple – never give up hope

Professional alignments – expect much from each other and share resources.

Book: Eating Disorders: A comprehensive guide to medical care and complications, 4th edition

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Dr. Philip Mehler founded the ACUTE Center for Eating Disorders & Severe Malnutrition at Denver Health and continues to serve as its Chief Executive Officer. He began his career at Denver Health more than 30 years ago and was formerly its Chief of Internal Medicine. He was Denver Health’s Chief Medical Officer (CMO) for 10 years until he was promoted to its Medical Director, a position he held until his retirement in 2014. He is also the Glassman Professor of Medicine at the University of Colorado School of Medicine and has conducted research into the optimal medical treatment of the most severe cases of Anorexia Nervosa and Bulimia. Dr. Mehler has authored more than 500 scientific publications, including three textbooks published by Johns Hopkins University Press and with a fourth edition slated for release later this year. Dr. Mehler was the recipient of the Academy of Eating Disorders 2012 Outstanding Clinician Award, has been recognized among the “Best Doctors in America” for the past 22 years in a row, and was voted the “Top Internal Medicine physician in Denver” multiple times by 5280 Magazine. Dr. Mehler is a member and fellow of the Eating Disorders Research Society and the Academy of Eating Disorders, as well as a member of the editorial board of the International Journal of Eating Disorders and serves as the Senior Editor of The Journal of Eating Disorders. He has lectured extensively on a national and international level as the leading medical expert on the topic of the medical complications of eating disorders.

Tour of ACUTE

Delaney Wesselink, PT, DPT, CEDS

*Sometimes just being with our patients and listening is what's needed

*This patient population is fragile - forward fold to compression fractures?

*Evidence based activity for eating disorders is discussed and isn't for everyone

*Assessing strength, balance, fall risk. *Listen to pause and rethink common phrases we use to motivate patients

*empathy - "It's so hard to be in a brain that tells me I have to exercise for my mind to quiet down."

*What happens with over exercise and the microtears in muscle that you don’t have nutrition reserves to repair? 

Delaney’s Seasonings:

*link to Michelle Laging episode

*Keep articles handy to share with patients

*Advice to newer professionals - Don't be so hard on yourself

*Sitting and talking is way more valuable than “OK great, let’s work on strength”

Articles from Delaney:

1. Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review
2. Structural and functional changes in skeletal muscle in AN
3. Soft Tissue and Bony Injuries in Yoga
4. Reduced Bone Strength and Muscle Force
5. Effects of exercise on bone mass 

Bio:

Originally from Boise, Idaho, Delaney received her BS in Exercise Science at the University of Montana in Missoula, MT. Expanding upon her love for the mountains, she pursued her Doctorate in Physical Therapy at the University of Colorado at the Anschutz Medical Campus, and has since made Denver her home. Delaney began her career working in pediatrics with children with developmental disabilities, although she has always had a passion for inpatient rehabilitation and acute care. Delaney is an avid snowboarder, soccer player, and outdoor enthusiast. She strives to teach patients to honor their bodies through movement while creating a healthy and meaningful relationship with exercise.

https://www.denverhealth.org/services/acute-center-for-eating-disorders

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

Sumner Brooks, MPH, RDN, CEDRD

Topics include:

Always remember there’s more that we don’t know.  We're always making mistakes.

How many people are suffering?!? – Weight loss (or requiring kids to eat vegetables) will never be the answer to well-being and happiness.

3 keys in "How to Raise an Intuitive Eater"

1. Unconditional love and support for your child’s body - emotional
2. implement flexible and reliable feeding routine – technical
3. Develop and use your own intuitive eating voice – body language, speaking about bodies, and why being aware is important

HOW TO NOT TO DISTURB MENTAL HEALTH WITH FOOD

Nuggets on helping resistant parents 

ED RD PRO  - Coming Up - September 1st Athletes, November – Family Based Treatment Informed

How to Raise an Intuitive Eater Book 

Sumner's Seasonings:

• Intuitive Eating
• Supervision
• Work experiences
• Learning more about weight neutral care and weight stigma
• Vulnerability

Bio:

SUMNER BROOKS, MPH, RDN, CEDRD, is a mom and licensed registered dietitian nutritionist based in Oregon who has spent nearly 15 years working in the field of nutrition and eating disorders. Her experience includes providing nutrition therapy for adolescents and adults, public speaking, and pursuing advanced training in trauma-informed, weight-inclusive healthcare. She is also the founder of the online training platform Eating Disorder Registered Dietitians and Professionals (EDRD Pro).

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Em Palmerton, RD 

What massage therapy and yoga taught this ED RD. 

Em’s RED-S revolution 

Eating disorder informed nutrition care is for all RDs 

Listen in for Em’s response to Abbi’s question to clients seeking weight loss 

Dietitians are well-equipped to work with ambivalence. 

Social Media makes it so much harder. 

Amanda Mellowspring’s episode (Cant webinar all the time) 

Em’s Seasonings: 

MarciRD Body image course 

You don’t have to know everything. 

Somatics 

Bio: 

Emily (Em) Palmerton is from Buffalo, NY and has been a dietitian since July 2022. She began her career as a fitness instructor and massage therapist and felt something was missing, so she returned to school to study nutrition. She currently works in private practice with the goal of becoming dually certified as a certified specialist in sports dietetics and an eating disorder specialist. Furthermore, she is a registered yoga teacher (200 hours) with hopes to include somatics in her eating disorder practice. She resides in WNY with her husband, dog, and cat, as well as keeps a pretty intense garden for all 4 months of warm weather in Buffalo. 

https://www.instagram.com/fueledby_em/ 

https://www.befueledsn.com/ 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Dr. Shayla Sullivant, MD 

I care, and you matter. 

About half kids who have had suicidal thoughts have parents who didn’t know 

People actually don’t want to die, they want suffering to end 

It’s is a HARD discussion for all clinicians – lean into the discomfort 

We have frank discussions about suicide and improving comfort levels of clinicians 

“I can help you” 

Share with teens the famous people who have gotten through a similar situation 

Psychiatry doesn’t always mean medications, consultation to get information -  usually there are very good reasons why people are cautious, and we can learn a lot about why family is hesitant to follow the treatment plan. 

On weight topics: 

Weight and appetite with psychotropic medications – Focus a lot less on numbers and more on behaviors 

Hydration, variety of foods, movement at a baseline, 

"I’ve written letters...isn't that tough that we have to write letters for patients to advocate for themselves in the doctor’s office?" 

Dr Sullivant’s Seasonings: 

*Partner with people who are more experienced to build confidence due to recovery 

The Columbia Lighthouse project 

FREE Training for Individuals and Systems The Columbia Lighthouse Project 

American Foundation for Suicide Prevention also has great resources: 

What to do when someone is at risk | AFSP 

Great resource on all things mental health to share with parents/caregivers: 

Child Mind Institute | Transforming Children's Lives 

Info on my research program, Prepped and Ready: Parenting into the Teen Years: 

Prepped and Ready | Children's Mercy Kansas City (childrensmercy.org) 

Bio: 

Shayla Sullivant, MD 

Dr. Shayla Sullivant completed undergraduate training at Creighton University and medical school at the University of Kansas, where she also completed a residency in adult psychiatry and fellowship in child and adolescent psychiatry.  Since 2010 she has been on staff at Children's Mercy Kansas City where she currently serves as an associate professor and chief of the section of psychiatry.  In July 2019 Dr. Sullivant was the recipient of the Shining Star award for having the highest patient satisfaction ratings among the medical staff at Children’s Mercy. Dr. Sullivant co-leads the suicide prevention research group at Children’s Mercy. Her current work focuses on providing education for parents on ways to reduce suicide risk for adolescents, including safe storage.  

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Dr. Brad Zehring

Does food matter if we can just give meds? 

What are Dr Zehring’s two pillars that we need for meds to work? 

The starved brain becomes anxious/obsessive, team using the same language is important 

The focus is to get nutritional rehabilitation first 

Bio-Psycho-Social-Spiritual 

Empowering clients to open up teaches us so much 

The “Core Four” – primary care, therapy, dietitian, psychiatry 

What about appetite and Adderall? 

Medication compliance decreases the more often people have to take them 

It’s a difficult field, this is going to take time – how do I walk alongside  

Sit in the messiness of the powerlessness  

Do no harm. 

Dr Zehring’s Seasonings: 

• Reach out to colleagues to fill in the gaps.  Two who are instrumental are Dr. Jennifer Gaudiani and Dr. Margherita Mascalo 
• Using common language – be persistent in collaboration 
• CBT-I – Sleep is important 

Bio: 

Brad Zehring, DO is a Board-Certified Psychiatrist and Diplomate of the American Board of Psychiatry and Neurology who specializes in the treatment of eating disorders and co-occurring psychiatric disorders. He completed his psychiatry residency from the University of Arizona – Phoenix Campus. His desire to treat eating disorders was born out of a personal connection which fueled his passion to learn all he could to help deliver the best psychiatric care. This passion led to him starting his private practice in Arizona (Arizona Restorative Psychiatry) where he has delivered expert outpatient psychiatric care in the treatment of eating disorders throughout the United States.  

More recently, he has begun the next chapter of his career as Chief Medical Officer for Montare Behavioral Health and Trellis Recovery Centers where he can continue his focus on leadership, mentoring, and expert psychiatric care to patients with psychiatric disorders and eating disorders.  

He will continue supervising Erica Neal PA-C who will remain at Arizona Restorative Psychiatry specializing in patients with eating disorders in Arizona. Dr. Zehring can be reached for questions or comments at bzehring@azrpsych.com. 

Ophelia’s Place 

https://www.opheliasplace.org/ 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Royce Diamond, Abbi Brown, Beth Harrell

Join us for this continued conversation about wrapping up this podcast as we know it. 

“Why is Taylor Swift on my Spotify Wrapped?” Abbi 

Cancel Culture, shifting professional focus, clients who leave the room, Royce’s answer’s to our icebreakers and more. 

And rolling out soon, Supervision Membership - $5/month with exclusive content that I want to share with YOU.  The best way to learn when membership rolls out is to sign up for Supervision Freebies. 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Join us for this conversation that marks the beginning of this podcast and the plans to move into a different phase of our lives.

I didn't know Royce was recording the first part, so it's definitely UNplugged!

We talk about how the podcast was started, and what has been going on for us during the past couple of years, and eventually we will get to the reason and the season – stay tuned. 

• What is narrative nutrition? 
•  
• The importance of the team. 

And something new rolling out soon, Supervision Membership - $5/month with exclusive content that I want to share with YOU. 

PHIT for a Queen Podcast 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Supervision Groups Forming Now – January-June cohort 

Supervision Membership – stay tuned

As always, Supervision Freebies  (January Freebie is updated!)

How to Stay Energized and Eager to Do This Work.

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Janice Baker MBA RDN CDCES CNSC BC-ADM

From Janice Baker’s bookshelf to our ears, Janice is one of the greatest teachers for me, especially when it comes to diabetes care and the intersections of diet culture, weight focus and eating disorders. 

Weight-centric care is "baked into" our trainings, but is getting better. 

What do we do when someone needs to pay attention to carbs and dosing insulin, at times it feels disorders to be rigid? 

During her formal education, she remembers it was a beautiful time with cultural foods and dairy and full fat foods without fear. 

Then the fat free era resulted in foods that tasted like pencil erasers - Avocados were called green fat bombs 

Pop culture of continuous glucose monitoring (CGM's) in gyms, measuring insulin, waist trimmers, GLP1 receptor agonist, decrease appetite, slows down gastric motility, being marketed as alternative to bariatric surgery. 

Newest medical guides - No resource is perfect, parts I want to question more about where the ideas came from.  Size acceptance and definition of health. 

Janice’s Seasonings: 

*Full bookshelf, (and reading them all) 

*Learning about bio-psycho-social model 

*sea turtles are her love

Bio: 

Janice Baker MBA RDN CDCES CNSC BC-ADM 

Registered Dietitian/Nutritionist Certified Diabetes Care and Education Specialist 

Certified Nutrition Support Clinician 

Board Certified – Advanced Diabetes Management 

619-742-0145 jbaker9@gmail.com 

An alumnus of California Polytechnic State University in San Luis Obispo, Janice completed her post graduate dietetic internship at Good Samaritan Hospital in Cincinnati, Ohio and a master’s degree in business administration while working toward additional certifications in diabetes management and nutrition support. 

Janice started practice in 1983 as a clinical/acute care dietitian and assistant manager of nutrition services at Palomar Hospital in Poway, California before joining Arch Medical Group in 1994 to provide nutrition and disease management services. She has worked with Alsana, Montecatini and Mandometer clinics for eating disorder treatment, and home health, orthopedic and other preoperative surgery education for Palomar Health in Poway and Escondido. She also has a private practice and consults with a variety of corporations. 

Janice volunteers with Taking Control of Your Diabetes and other organizations to promote diabetes prevention, education and management. Janice has also worked with public schools and universities to educate students and faculty on health and nutrition issues. 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Margo Maine, PhD, FAED, CEDS

This thing (eating disorders) was just a fad. 

Listening to women’s stories is how I come up with book topics 

It IS possible to be attached to the meaning of hair 

Hair is the forgotten aspect of body image 

Perfection feels like the answer – and it doesn’t exist 

Perfection is the the death of our soul 

This goes way beyond the eating disorder population. 

Fathers are not to be blamed – we need to help men understand their role. 

Bio: 

Margo Maine, PhD, FAED, CEDS, National Eating Disorders Association Founder and former Adviser, Founding Fellow of the Academy for Eating Disorders. Author of eight books, most recently Hair Tells a Story: Hers, Yours & Ours and Pursuing Perfection: Eating Disorders, Body Myths, and Women at Midlife and Beyond, she lectures internationally on eating disorders and practices in CT. She loves the earth and gets up early every day to celebrate it. 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Cait Scafati, LCSW (she/her)

Connecting with others who are also always learning is a key 

Gender identity and body image in eating disorders 

Who Is The Expert? As a cis-gender person, we can’t know it in this way 

Trans and gender non-conforming clients are at much higher risk for eating disorders and treatment options have been limited 

Hold client as expert but not in the role of educating others 

Body neutrality vs body acceptance or body positivity  

This is the vehicle you have, 

Language matters  

Leaning into the power dynamic. 

Love protects - My kiddo is the expert of himself. 

Cait’s Seasonings: 

Diversity with the theme of Love as protector 

Erin Harrop 

Carolyn Becker research – “the real intervention is to donate to the food pantry” 

Diversity Dietetics 

Social Justice Issues, Health at Every Size 

Keep training, stay interested – RO-DBT, IFS 

Bio: 

Cait Scafati (she/her) is a licensed clinical social worker with a background in art therapy focused on clients with co-occurring trauma and eating disorders. She began her work in the eating disorders field more than 15 years ago working with the National Eating Disorders Association. Since that time she has had the privilege of working with hundreds of clients and their families on their journey to recovery at all levels of care (outpatient, IOP, PHP, residential, and inpatient). Cait is passionate about creating an affirming, safe, creative space for therapy through the lens of Health at Every Size®, Intuitive Eating, trauma-informed, and social justice frameworks. With many years of experience in admissions, Cait is passionate about bringing hope to her clients and believes in the potential for full recovery. She has training in CBT, DBT, and trauma in addition to her background in eating disorders. Cait is currently co-chair of the Professionals in Recovery special interest group through the Academy for Eating Disorders and has presented at multiple national conferences and facilitated workshops for parents and loved ones. 

I have started and am facilitating a group at Within for ED professionals who are struggling in their recovery. I am very excited that we are able to offer this - to my knowledge it's the first of it's kind! I would LOVE it if you would highlight that in the intro. I don't have a link yet, but it will be nested in our PHP/IOP. I would encourage providers to reach out to us via our website if they would like a confidential assessment. 

With your host Beth Harrell 

IG  @beth.harrell.cedss   

Supervision Freebies   

Katy Harvey, MS, RD, LD, CEDS

As we prepare for the holidays, Katy shares how she helps her clients navigate food and family and friends. 

See what she says about coping vs numbing, and how regret is different from guilt. 

But most importantly, your body knows what to do.

A “Do No Harm” Thanksgiving - Follow my Lead SesonED RD Podcast episode.

Katy’s Seasonings: 

Rebuilding Trust With Your Body Podcast  

Supervision 

Team Collaboration 

Bio: 

Katy Harvey, MS, RD, LD, CEDS is a non-diet dietitian who specializes in helping people recover eating disorders, disordered eating, dieting and body image struggles. Katy works with clients 1:1 in her private practice, and she also has many online resources including a digital course called Non-Diet Academy. Additionally, Katy is the host of the Rebuilding Trust With Your Body podcast where she shares tips and strategies for making peace with food and your body, along with interviews with people who are on the intuitive eating journey. Outside of work Katy loves spending time with her husband and 2 sons, being outside, running and listening to true crime podcasts. If you bump into Katy at a coffee shop she's probably holding a vanilla latte and getting ready to catch up on emails or do some journaling. 

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Shaun Riebl, PhD, RDN

Claiming victories at each step 

Using Body as a Resource 

Neuroception, Polyvagal theory 

Snake example – that’s my system trying to protect me 

How can we get nutrition into the thinking brain? 

Show up for the client and come into THEIR world with compassion 

Shaun helps Beth with a little bit of supervision 

Safe and Sound Protocol  

Fully Claiming Victories 

TWINKIES  

Dr. Shaun’s Seasonings: 

Dr. Dan Seigel – Window of Tolerance 

Dr. Stephen Porges – Polyvagal Theory, Safe and Sound Protocol 

Jessica Setnick’s Pyramid (Adequacy at the base) 

Using the body as a resource: 

1. We need to do our own work 

1. How we show up is going to impact the work we do 

Collaborative care 

“It doesn’t have to be so confrontational” 

Bio: 

Dr. Shaun Riebl provides trauma-informed nutrition therapy to individuals seeking treatment for disordered eating and eating disorders. His passion for this population began with his master's thesis studying eating disorders in male cyclists, and he continued to explore eating behaviors during his doctoral work. Dr. Riebl has held assistant professorships at UNC Chapel Hill and The University of Mississippi as well as research positions with Duke University. With nearly ten years of clinical experience, he promotes freedom, flexibility, and nourishment with food while providing compassionate, evidence-based treatment for all people. 

With your host Beth Harrell

IG  @beth.harrell.cedss  

Supervision Freebies  

Beth Hartman McGilley, Ph.D., FAED, CEDS-S

• The Relationship Is The Secret Sauce 
• How feeling fat, dumb and ugly can teach us 

• Find a supervisor, find a therapist who will help you stay attuned to the relationship in which that healing is happening.  
• Insight isn’t curative but it’s essential 
• Saw myself in the textbook - At least 30% of us in the field with lived experience with ED- it was RADICAL to talk about it 
• How privilege informs our experience, understanding intersectionality, how it impacts us as professionals  
• “I marvel at what younger therapists are learning” 

• Recognize our limitation – it’s ok to have 2 therapists or transfer to those who specialize in the work most needed. 

Beth’s Seasonings: 

• Understand issues of power and shame 
• Margo Maine, PhD – Body Wars, Pursuing Perfection, Father Hunger 

• Killing Us Softly – Jean Kilbourne 
• Cynthia Bulik   
• Bio, Psycho, Social and SPIRITUAL 
• Dan Siegel and neurobiology 
• Polyvagal theory 

• Susan Wooley  
• Dr. Michael Barrett 
• Research practice gap book 
• “If I had to impart any wisdom to younger people in the field, what I see missing in the training is learning how to source the therapeutic relationship in the service of healing” 

Bio: 

Beth Hartman McGilley, Ph.D., FAED, CEDS-S is a psychologist in private practice, specializing in the treatment of eating disorders, athletes, trauma, and grief. Her practice is informed by feminist, HAES, and social justice perspectives. A Fellow of the AED, and a Certified Eating Disorders Specialist/Supervisor, she has practiced psychotherapy for over 35 years, in addition to writing, lecturing, and supervising. She is the co-editor of the book: Treatment of Eating Disorders: Bridging the Research/Practice Gap. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Katie Grubiak, RDN

“It’s so hard to sit down with a raging eating disorder” 

FBT (Family Based Treatment) allows a place for the eating disorder to emote and parents to be empowered 

3 Phases of FBT are described 

Phase 1 is a hard sell  

How do we support caregivers it if we’re the only FBT informed practitioner on the team 

Someone needs to lead it 

These parents are hearing higher weights than they have ever heard and will likely see higher calories than is usually ever needed. 

Power team of collaborative care in Katie’s EDRD Pro course 

Katie’s Seasonings: 

Surrounding yourself with life teachers

Dr. Gia Marson

Dr. Lauren Muhlheim -  When Your Teen Has an Eating Disorder: Practical Strategies to Help Your Teen Recover from Anorexia, Bulimia, and Binge Eating

Dr Peeble's episode on The SeasonED RD

Katie Makie, RN FEAST - https://www.feast-ed.org/ 

Renee Rienecke, PhD Guest Speaker for the course

Course - EDRD Pro FBT Informed Nutrition Counseling for Eating Disorder Treatment 2.0   

Bio: 

Katie Grubiak, RDN graduated from the Coordinated Program in Dietetics at The University of Texas at Austin. She first pursued a career in public health nutrition in San Diego and Los Angeles with a maternal-child focus. It was in the same underprivileged area of Los Angeles where she was serving nutritionally that she began to combine her passions, teaching dance and guiding families of dancers to public health clinic access at a foundation called everybody dance! which was awarded by First Lady Michelle Obama the National Arts & Humanities Youth Program Award. Her involvement in multidisciplinary eating disorder treatment started at the UCLA Arthur Ashe Student Health & Wellness Center. Katie developed a unique style of practicing Family Based Treatment that was driven by her collaborations with Dr. Lauren Muhlheim at Eating Disorder Therapy LA. In addition, Katie was the eating disorder dietitian at Optimum Performance Institute in Woodland Hills, California which specializes in DBT focused mental health residential treatment for young adults. Katie now has her own nutrition and care coordination private practice named NUTRITION ILLUMINATION. 

With your host Beth Harrell

IG @beth.harrell.cedss 

Supervision Freebies 

Margit Berman, Ph.D., LP

Listen in to hear how Dr. Bermin became interested in the psychology of women and the psychology of gender.  Her interest in eating disorders was borne through seeing how body image concerns robbed women of achieving beautiful and amazing things in life. 

ACT helps us let go of the unproductive struggle  

Join in her excitement  - “The world has evolved, culture has come along with me and I feel so ready.” 

How do we work with “I don’t want to accept myself, I need to lose weight”? 

We are taught to judge bodies from a young age and are not privileged to grow up in a culture that values all bodies 

INFORMED CONSENT to start with a client who is interested in this work  

You want what you think the weight loss will buy. 

What about bariatric surgery? 

Let go of the healthiest thinking  

White clinicians have a lot of work to do 

Dr. Margit Berman’s Seasonings: 

• Acceptance Commitment Therapy 

• Wished I had had earlier and better education on ageism, racism  

• Women En Large –Laurie Toby Edison -  forgotten foremothers of HAES – Fat women 

Bio: 

Margit Berman, Ph.D., LP, is the Program Director of the Clinical Psychology PsyD Program at Augsburg University and Assistant Professor of Psychiatry at the Geisel School of Medicine at Dartmouth. In addition to training future psychologists, she conducts research on intervention development in women's health. She wrote the clinician manual and self-help guide for the Accept Yourself! intervention for larger-bodied women with depression. 

She is the author of Acceptance-Based Approaches for Weight Concerns and Workbook.   

With your host Beth Harrell 

IG @beth.harrell.cedss 

Supervision Freebies 

Janice Poplack, LCSW-S, ACSW

Brandi Powell, MS, RD, LD, CEDS-S

Jill Sechi, MS, RDN, CEDS-S, LD

&

Theresa Fassihi, PHD, FAED, CEDS-S

Today's episode we talk about:

Virtual caregivers support for eating disorders - parent's often feel helpless.

Find out not only what every professional and parent should know, but "What every human should know"   

Ways we can help caregivers with the ups and downs of refeeding

This work is a supplement to family based team training based on what parents need while their child has a team

For professionals - Monthly peer supervision group – sign up using this link https://www.empoweredurecovery.com/for-clinicans

Empowered U’s Seasonings:

• How to Nourish Your Child Through an Eating Disorder -Plate by plate approach – Casey Crosbie and Wendy Sterling https://www.platebyplateapproach.com
• What to Say to Kids when nothing seems to work - https://www.routledge.com/What-to-Say-to-Kids-When-Nothing-Seems-to-Work-A-Practical-Guide-for-Parents/Lafrance-Miller/p/book/9781138344631
• "Make sure you (the professional) do supervision"

https://www.empoweredurecovery.com/

Bios:

Theresa Fassihi, PHD, FAED, CEDS-S, is a clinical psychologist with more than 20 years of experience treating eating disorders at all levels of care. Dr. Fassihi was first exposed to FBT in 2001 at The Maudsley Hospital in London, where she did her first training in the model. She has since trained in Chicago with the team of Daniel LaGrange, at UCSD with Dr. Walter Kaye and his colleagues and Adele LaFrance. Dr. Fassihi is also a trauma specialist and recognizes how traumatic it can be to have an eating disorder and also to see a loved one struggling with an eating disorder. Part of the work towards recovery is learning to cope with the trauma.

Janice Poplack, LCSW-S, ACSW is a clinical social worker specializing in family systems and mental health including Eating Disorders (ED,) has been in practice for more than 40 years. She graduated with a BS from Syracuse University and received a MSSW from Columbia University with post graduate training in psychoanalytic psychodynamic psychotherapy from the D.C. Institute of Mental Hygiene. Janice worked in community mental health in NYC, Washington DC and Houston, before joining the clinical staff at The Menninger Clinic in 2003, retiring from the Clinic in June of 2021. At Menninger, Janice served three years as the interim Director of the Eating Disorder Unit, and assisted in the development and supporting the work of the current ED Track. In 2009 Janice became Director of Clinic al Social Work, a position which promoted the importance the family can play in mental health treatment and recovery. Janice has presented at local and national conferences on a variety of topics including “ED: Fact and Fiction”; “Mentalizing Treatment for the Treatment ED Patients (with T Fasshihi, Ph.D).”; ”Treating the Complex ED Patient”; and “Family Matters: An Orientation to Family Therapy”. Janice was honored at Menninger with an “Excellence in Social Work Leadership Award”, “The Arthur Mandelbaum Distinguished Educator’s Award” and, “Excellence in Patient Advocacy” recently named in her honor. Janice has been a member of The Academy of Eating Disorders, The National Eating Disorders Association, Houston Eating Disorder Specialists, The National Association of Social Workers, Houston Psychoanalytic Society, and The American Group Psychotherapy Association.

Brandi Powell, MS, RD, LD, CEDS-S is a registered dietitian and certified eating disorders specialist and supervisor. She obtained a masters of science in nutrition and has worked in higher levels of care (including IOP and PHP). She currently runs a private practice in Pearland where she focuses on eating disorders and providing supervision/consultation to other dietitians. She began working with eating disorders in 2005 and is passionate about guiding her clients to fully recover. She has learned about FBT and EFFT through supervision, reading and attending educational sessions.

Jill Sechi's episode - The ED RD Residency

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Parenting Through Eating Disorders

“I’ll never let my toddler throw a fit in public” – the truths we learn about parenting after we become a parent 

Find your community of other parents  

Professional guidance - Let Us Teach You – Let Us Be With You – You’re Not Alone  

Guilt is a huge theme parents feel – constantly questioning decisions during treatment. 

YOU’RE DOING THE RIGHT THING BY NOT RESCUING  

Come away with a stronger support system for the rest of their lives. 

Parents are in the best situation to co-regulate. 

For us it’s bigger than this one experience 

How do professionals help kids with parents who are divorced or with separate beliefs about recovery? 

Recovery culture vs current culture 

Defining coaching vs counseling for parents 

Guilt left unsaid leads to shame.  Shame is very powerful. 

Parents can GROW EMOTIONAL COPING SKILLS 

Emotion coaching – EMOTION COACHING 

“I have finally found my thing” 

12 week program -  

Part 1 – Psychoeducation “But I Know All of This” 

Part 2 – Twice a week parent coaching – where the rubber hits the road 

Part 3 – (oops - Beth hijacked the conversation and didn’t get to part 3.  So sorry about that) 

Shared Seasonings: 

Listen to Rebecca Brumm’s episode

Trauma work 

Connection and relationships and trust 

Investing in now so they become free to go out into the world and make their own difference 

Learning how to treat eating disorders is a long process – parents are just thrown in there 

It’s like riding a bull – they will try to buck you off – stay on as long as you can without trying to ‘strongarm’ or fix.

Parenting through Eating Disorders

Bios: 

Gracie Evans:    Gracie Evans, LPC, CEDS is eager to help people improve their relationships with themselves and their bodies. As a Certified Eating Disorders Specialist (CEDS) and Certified Yoga Teacher Grace is enthusiastic about helping others become more in tune with their emotions, feelings, beliefs, and how those impact our wellbeing. Grace has nine years of experience working in eating disorders inpatient treatment. Grace is passionate about collaborating with patients and professionals to provide the most comprehensive care for those she works with.    Drawing from her experience working as a therapist in an internationally recognized and esteemed eating disorders treatment program Grace provides an individualized experience for her patients. She utilizes various techniques and practices to help people bring awareness to the power of their thoughts and experiences within their bodies.    In addition to eating disorders treatment Grace is an avid practitioner of positive psychology. If you are struggling with anxiety or depression Grace can help with simple and effective techniques to increase overall levels of happiness and joy in life. 

Sarah's bio is here:   If you struggle with food, body image, or anxiety and are battling thoughts that you aren’t “good enough,” then Sarah is eager to help! Sarah provides specialized treatment for adolescent girls and adult women struggling with eating disorders, body dissatisfaction, compulsive exercise, stress and trauma. Sarah approaches counseling with authenticity, genuineness, and humor sprinkled in. She believes in the importance of partnering with families as they can be their loved ones’ best allies in their journey toward recovery.    Sarah King, LPC, has over nine years of experience helping teens, women, and families who are navigating trauma, anxiety, and eating disorder recovery in outpatient, inpatient, and school-based settings. Most recently, Sarah has served as a therapist at an internationally recognized eating disorders inpatient treatment program. Sarah is trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Collaborative Assessment and Management of Suicidality (CAMS), is a certified school counselor, and will complete her Certified Eating Disorder Specialist (CEDS) designation in January 2023. Given Sarah’s experience, training, and genuine care for her patients, you can be assured that you will be provided with excellent individualized treatment tailored to your needs. Sarah is excited to partner with you as you learn to make peace with food, manage stress and anxiety, and live a life of freedom that is true to your values. 

Rebecca Brumm, LPC, CEDS-S 

wholehivecounseling.com and parentingthroughed.com 

our contact emails are rebecca@wholehivecounseling.com,

 gracie@wholehivecounseling.com and sarah@wholehivecounseling.com 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Haley Goodrich, RD, LDN, CEDS-S 

The word HATE 

What is Healthism? – We are taught by the media and in school what health is supposed to look like. Look at our story of how we were trained 

Identities described 

Clinician body image -examining ourselves 

Intense - What is your human response?  How does it feel? 

We don’t have to know all the answers 

PAUSE 

Regulate our own nervous system 

Haley’s Seasonings: 

Weekly Team Supervision 

Group Supervision 

Have a burnout plan from Day 1 

Allowing myself to be a human 

Bio: 

Haley Goodrich is a Certified Eating Disorder Registered Dietitian who is fiercely passionate about helping people heal from disordered eating and cultivate a peaceful relationship with food and their body. She specializes in eating disorder recovery, body image, weight-inclusive nutrition therapy, and is an iaedp approved supervisor for registered dietitians. In addition to individual client work and managing her group private practice, she is also the co-founder of INSPIRD to SEEK, where she mentors nutrition entrepreneurs and practitioners who are challenging the status quo of our health industry. Haley strongly believes in integrating the Non-Diet Approach and HAES® philosophy into all health care settings, including nutrition therapy. She advocates through her writing, speaking, and social media presence. 

You can learn more about Haley and her work on her website: www.inspirdnutrition.com or Instagram @hgoodrichrd 

Within Summit 

https://www.withinsummit.com/#about 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Nuggets from Sondra (The “Oldest Nutritionist on the Planet”): 

• Food is so much more than it’s nutritional value 

• Overcoming being on the outside of healing circles just because of her profession 
• Proving that people get better when therapy and nutrition are paired 
• Recovery is Flexible, Balanced, Spontaneous 
• Comparison as a scale to measure self worth 
• How the field is always evolving and the learning curve is enormous 

Sondra Kronberg, MS, RD, CEDRD-S 

Founder and Executive Director, Eating Disorder Treatment Collaborative, FEED: IOP, CONNECT and CONCIERGE programs as well as a consultant to the Carolyn Costin Institute.  

Sondra specializes in the treatment and training of the collaborative approach to eating disorders. She is one of the first nutrition therapists to teach, train and promote the role of the nutritionist in the treatment of eating disorders and has been treating patients and teaching professionals for almost 40 years. 

She is a founding member and past Board Trustee of the National Eating Disorders Association, (NEDA). The author of Comprehensive Learning/Teaching Handout Series Manual for Eating Disorders and Contributing author to Eating Disorders: Clinical Guide to Counseling and Treatment and Eating Disorders in Special Populations: Medical, Nutritional and Psychological Treatments. 

Sondra received the International Association of Eating Disorder Professionals, (IAEDP), Certified Eating Disorder Specialists Award, the NEDA Excellence in Treatment Award and SCAN Excellence in Practice Award. In 2018 Sondra received NEDA’s first Legacy Award. She currently is an approved iaedp supervisor and is a faculty instructor for the iaedp Eating Disorder Certification Core-Course. 

This year Sondra created the Chats in the Living Room weekly live online support group, newsletter, and website.  Sondra hosts experts in the field before a live audience of those struggling in an effort to help them stay connected and get support through this pandemic. 

Sondra’s greatest passion is helping people learn to nourish their minds and bodies in order to reclaim their lives and thrive.  

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Brooke Butler, RD, CEDRD-S

How to understand goal weight (including transgender)

Growth Charts are vital

It all comes back to fear – “I’m afraid my kid will relapse, I’m afraid we’re pushing them too hard” – the relapse factor is much more prevalent if we leave them at a weight that is not appropriate for their body.

The eating disorder places a lot of distress on the number

Body distress is inverse – body distress can decrease when well-weight is achieved and maintained

Depriving them of that potential for decreased body distress if we leave them at that weight.

Blind vs open weight and the CARES Act

Subtypes for ARFID described, including ARFID+

Distress tolerance skills no matter what the diagnosis

Hierarchy and hands on exposure work with the dietitian in the inpatient setting

Meal plan reflects safe foods then build up

ERC has a course for parents on technology – kids and teens have sort of an “addiction” to technology

“I wish I had known to seek out more information on EDs –dietitian training was focused on obesity”

This episode is sponsored by:

Eating Recovery Center

&

Pathlight Mood & Anxiety Center

Brooke’s Seasonings:

Seek supervision and putting the minds together with other providers 

Obtaining growth charts are vital

Eating Disorders are everywhere in general hospital settings

Bio:

Brooke Butler is the Nutrition Manager for the Child and Adolescent Program at Eating Recovery Center in Denver, CO. She received her bachelor’s degree in Dietetics from the University of Central Missouri in Warrensburg, Missouri and completed her dietetic internship at Miami Valley Hospital in Dayton, Ohio. Brooke was a clinical dietitian for three years at the University of Missouri’s Hospital, where she specialized in providing medical nutrition therapy for general medicine and psychiatry patients, which included patients with eating disorders. Brooke has been at Eating Recovery Center since October 2013, and has found her calling helping children, adolescents, and families in moving away from disordered eating, the diet mentality and placing "good" or "bad" labels on food. Brooke is an active member of the International Association of Eating Disorder Professionals, and holds their Certified Eating Disorder Registered Dietitian and Approved Supervisor credentials. She is a founding member of the Denver chapter of the International Federation of Eating Disorder Dietitians. In her free time, Brooke enjoys all the outdoor activities Colorado has to offer, is a huge board game aficionado, and is on a mission to tour all the State Capitols. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Val Schonberg MS, RDN, CSSD, LD, NCMP, FAND

Val talks about the neurobiology of hormones, body image and menopause.

What do I need to change in my diet to avoid gaining weight during menopause?

Or after “This body is shaped differently now”

Yes, it’s ok and important for dietitians to talk about body image.

Midlife and women and hormones and eating disorders.

What does menopause have to do with eating disorders and body?

Peri-menopausal years are ‘turbulent’

Anti-aging culture can contribute to eating disorders

What to do when client says “What do I need to do to keep from gaining weight.”

Heart disease is still the leading cause of mortality in women over 50.

Val’s Seasonings:

• Pub Med Journal articles
• Consultation groups
• MarciRD and Fiona Sutherland’s body image group – see episodes with Marci and recent with fiona
• Body Image Workbook

Bio:

Val Schonberg MS, RDN, CSSD, LD, NCMP, FAND Registered Dietitian Nutritionist and Owner, EnlightenU Nutrition Consulting, LLC Val Schonberg is a Registered and Licensed Dietitian with a master’s degree in Nutrition Science from the University of Minnesota. She is Board Certified as a Specialist in Sports Dietetics, a Certified Menopause Practitioner with the North American Menopause Society and a Fellow of the Academy of Nutrition and Dietetics. Val owns EnlightenU Nutrition Consulting, LLC, a private practice in Atlanta, Georgia where she specializes in nutrition for recreational and professional athletes, dancers and performing artists, women in midlife and menopause, and individuals with disordered eating concerns. Originally from Minnesota, Val’s experience and expertise come from years of practice in many settings including eating disorder treatment, Division 1 college sports medicine, professional dance organizations, and speaking regionally and nationally on numerous nutrition related topics. In addition to individual nutrition counseling, she is currently the consulting dietitian for Emory Sports Medicine and Orthopedics and Atlanta Ballet. Val is passionate about providing nutrition care to populations vulnerable to disordered eating and promoting positive nutrition messages that help people make informed decisions about their health and live a life where they feel free to confidently embrace their best self.

Check out Val's Groups 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Carolyn Costin MFT MA, MEd, LMFT, CEDS, FAED

Find out how Carolyn determines if coaches or therapists are ready to do this work 

“I’m recovered from this and so can you”.   

Hope and motivation – sober coaches and ED coaches need to be TRAINED. 

Carolyn “requires” disclosure of lived experience and listens to every training session.   

She shares how to avoid comparisons 

Advises to never talk about how bad you were – only share things when relevant 

Conscious eating scores can help 

Learn how to channel the characteristics like Type A – instead of counting calories I went to conferences and learned 

Temperament is a risk factor – perfectionism, anxiety = high energy, obsessiveness = detail oriented 

Been there done that – article with Craig Johnson, you can get stuck on the why, HAVE to work on the HOW. Been There, Done That: Clinicians' Use of Personal Recovery in the Treatment of Eating Disorders  

Bio: 

Carolyn Costin MFT is a renowned, sought-after eating disorder clinician, author of 6 books, and international speaker.  

Recovered herself and treating eating disorders since 1979, Carolyn was first to speak out that people with eating disorders can become fully recovered. 

15 years into private practice and after running hospital units, Carolyn, unhappy with the relapse rate, recognized a need and opened Monte Nido, the first eating disorder residential facility. 

Currently Carolyn trains and certifies eating disorder coaches at The Carolyn Costin Institute, filling another gap in support resources. 

Carolyn is a passionate, inspiring force in the eating disorder field.  

https://www.carolyn-costin.com/ 

Books by Carolyn Costin 

Carolyn@carolyncostin.com 

Sponsored by Within Health

Visit the website at https://withinhealth.com/ or email us at hello@withinhealth.com

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Elyssa Toomey, RDN, CEDS-S, RYT

• So many people (physical therapists, yoga instructors, personal trainers) can be brought into the web of people that are trying to help clients be connected and create a peaceful relationship with food and their body
• How do we hold space for our clients as dietitians, especially virtually?
• What are the non-negotiable things I need as a clinician as a human, so that I can show up for my clients as my best self? We need self-care and support to do this work well.
• Our patients need to give us permission to help them do the work of recovery, in order to give them autonomy and empower them to feel that they can succeed.
• How do we learn how to incorporate breathwork into our client sessions?
• Balance curiosity and compassion in your work with clients
• Lived experience versus lived expertise
• Help clients consider: how will these foods nourish them physically, mentally, emotionally, and spiritually?
• It is not our job to fix our client’s eating disorders – it IS our job to be the container for distress.

Elyssa’s Seasonings: 

• Supervision with Melanie Rogers (podcast episode with Melainie on orthorexia) and Jessica Setnick - podcast episode with Jessica.
• Difference between case consultation and supervision – podcast with Molly Kellogg CEDS, LCSW
• Crisis training – breathwork, trauma informed nutrition
• Eat With Knowledge- Elyssa’s private practice
• Pursuing Private Practice

Bio:

Elyssa Toomey, Certified Eating Disorders Specialist and Supervisor (CEDS-S), Registered Dietitian Nutritionist (RDN) and Registered Yoga Teacher (RYT) is an experienced anti-diet, Health at Every Size informed, weight-inclusive eating disorder dietitian who is passionate about helping people develop a peaceful relationship with food and their body. She specializes in helping clients heal from chronic dieting, disordered eating and eating disorders. In addition to her one-on-one work with clients, Elyssa provides ongoing group and individual clinical supervision and case consultation to dietitians and therapists looking to develop their competence and confidence especially related to incorporating embodiment approaches in the treatment of disordered eating and eating disorders. Elyssa has spent her career creating change for individuals, families, and communities. Elyssa is committed to dismantling diet culture and believes helping people heal their relationship with food and body is her calling. Elyssa combines medical nutrition therapy with advanced training in eating disorders, intuitive eating, yoga, mindfulness, and somatic practices. She believes in an integrative approach, blending evidenced based science with Eastern philosophies and embodiment practices to help her clients recover and live full, meaningful lives. Elyssa’s work has been featured at conferences and on podcasts. She has spoken on the topics of Binge Eating Disorder, Emotional Eating, Intuitive Eating, Trauma-sensitive nutrition counseling and using somatic work with clients. Elyssa supports her clients in finding their unique work-life-family-self balance. When not with clients you can find her in nature with her dog Raven, on her yoga mat or in her kitchen with friends and family. Elyssa believes that living a life that nourishes you at every level is the answer to authentic health, happiness, and success.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Fiona Sutherland, APD 

• Food and eating and the way we regard our bodies can’t be disconnected from the other parts of our lives.  

• Bring questions and a reflective spirit to supervision.  

• Supervision is a powerful burnout-protective mechanism  

• Burnout can carry with it feelings of shame, especially for new dietitians. But, it is not abnormal; many professionals experience burnout.  

• Eating disorder work requires a lot from practitioners. We need to recognize honestly the weight of the work we’re doing and acknowledge the help we need to continue to do the work well.  

• It’s not just our clients who are on a journey of healing- we are too. Our nervous systems are both in the room together, and we need to acknowledge this.  

• Being in a community of dietitians on Facebook is not the same as supervision and it cannot replace supervision.  

• When we elevate supervision, we set a higher standard of care to expect of ourselves and each other when doing this work.  

• I can be who I am right now and that is enough. This feeling can be “supercharged” by being in supervision.  

• Is it enough to just sit with someone and be present for a person as they’re telling me something difficult? We are trained to “get to the good stuff,” that is, the action steps towards behavior change for our clients. But that does not always have to be the ultimate priority for time with our clients. We don’t always have to be “fix it” people.   

Fiona’s “Seasonings” 

• Fiona Sutherland 

• Fiona & Tracy’s  Trauma-informed care workshop 

• Fiona & Marci’s Body Image Workshop  

• Sumner Brooks at EDRD Pro 

• Aaron Flores  

• Marci Evans   

Bio: 

Fiona is an Accredited Practising Dietitian (APD) and Director of The Mindful Dietitian, living on Wurundjeri Country in Melbourne, Australia. She has been practising for over 20 years primarily in the areas of eating disorders, body image and sports nutrition. Fiona is a committed Health At Every Size ® and Weight Inclusive Dietitian spending most of her working week supervising other Dietitians, or running training designed for Dietitians and health professionals, including the CEDC – Certified Eating Disorder Clinician, ANZAED’s Certification Program for Eating Disorders Professionals. 

Thanks to our sponsor:https://www.gpidea.org/program/dietetics 

LinkedIn:  https://www.linkedin.com/company/great-plains-idea/ 

What is Great Plains IDEA? 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Alison St. Germain, MS, RD

Like so many dietetics students and nutrition professionals, Alison ended up working in dietetics as a result of her own disordered relationship with food. She has since realized how much freedom there is from shame and embarrassment in sharing her story, now that she has recovered.

Her first RD job was at WIC, where she first learned about Ellyn Satter, the Division of Responsibility, and Intuitive Eating. Though these things were not a part of her university dietetics program, they struck an interest with her. 

Alison has learned (and teaches) that more often than not, weight loss programs help you gain more weight.

We need to consider sleep, stress, and access to food

Trying to get word OBESITY taken out of healthcare curriculum -try BMI >30 or High Weight

Teaching about weight stigma, harm, scenarios, case studies, motivational interviewing

Providing Respectful Care with our patients

Policy and making health access and equity

Works at Iowa State, counseling and outreach to students, to help them with disordered eating and developing modules for lectures, or lecturing for weight stigma and weight centric healthcare.

“Weight-centric programming can be very harmful and is also not sustainable.”  

What Alison wishes she would have known before working one on one with individuals with eating disorders: “You’ll never know all of the things… however, the amount of things I learned from my clients, my students, there’s no other way to learn it than to do the work… until you do the work with the client, you can’t learn it any other way.” 

Alison’s private practice- training for other healthcare professionals on weight-inclusive care and trauma informed care.

Alison’s Seasonings:

Going to counseling class as a student

Trauma-informed care: Tracy Brown & Fiona Sutherland 

HAES & why weight stigma is a social justice issue 

Learning from Eunice Bassler, RD

Sonya Renee Taylor; The Body is Not an Apology and the Workbook

Small Group Supervision, webinars, conferences

Jessica Setnick Boot Camp and pocket guide

Tammy Beasley

What is weight stigma? 

Motivational Interviewing 

The Body Griever’s Club Podcast with Bri Campos

Tammy Beasely 

BIO:

Alison St. Germain, a Registered Dietitian, recently changed positions from an Associate Professor of Clinical Practice at Iowa State University (ISU) in the department of Food Science Human Nutrition to ISU Student Wellness RD, and she is the owner of St. Germain Consulting: Redefining Health—Nutrition for ALL Bodies, LLC. She is a Certified Intuitive Eating Counselor, a Health For Every Body® Facilitator and Certified Craving Change™. St.Germain is passionate about Health at Every Size®, Body Respect, Body Neutrality & Liberation, and spreading awareness and prevention of eating disorders. She has two daughters, which lead to her passion of promoting weight inclusivity and anti-diet approaches and speaking regularly at professional conferences, the community, middle and high school classes, college undergraduates and postgraduates.

Alison's website for her private practice is: www.alisonstgermain.com;

Her social media is instagram/facebook @nutrition4allbodies"

https://www.gpidea.org/program/dietetics

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Jessica Setnick, MS, RD, CEDRD-S

Dietitians, therapists, and medical providers don’t get much education or training about eating disorders.  We are led to believe that if we don’t specialize in the area of eating disorders, we don’t need to know much because we aren’t seeing them. 

You’ve heard previous guests talk about the importance of asking the simple questions about eating as we conceptualize the plan and goals.

Jessica talks about helping people with nutrition by not putting humans into diagnostic boxes, and by recognizing eating behaviors that range from Positive and Supportive to Harmful or Destructive.

“The best gift of CEDS Certification is requiring supervision, the gift that keeps on giving” but supervision is not just for CEDS Certification, CPEUs (continuing education) are available for RDs who are in supervision for professional development.

Jessica’s journal article & findings: A survey of registered dietitian nutritionists who provide care to clients with eating disorders: implications for education, training, and clinical practice. 

Jessica will be presenting with Mary Beth Kavanagh this fall at FNCE on the topic of Eating Disorders and COVID-19. More information can be found here. 

Jessica’s handout on dysfunctional eating behaviors: The origin of dysfunctional eating behaviors model. 

A link toJessica’s previous podcast episode.

Link to eating disorders Boot Camp and Supervision Boot Camp (Sleepless Dietitian’s supervision Boot Camp)

Bio:

Jessica Setnick is a name you know from Eating Disorders Boot Camp and the Eating Disorders Clinical Pocket Guide. She’s been eating disorder dietitians’ biggest fan for over two decades and is always cooking up a new project to help us do our best work. Jessica’s latest creations are The Sleepless Dietitian’s Book of Answers and Supervision Boot Camp.

https://www.gpidea.org/program/dietetics

LinkedIn:  https://www.linkedin.com/company/great-plains-idea/

Join Beth in Nutrition Therapy for Eating Disorders Master’s Level Course through Great Plains IDEA.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Marcia Herrin, EdD, MPH, RDN, LD, FAED

How does a dietitian provide family based care virtually?

What is Dr. Herrin's opinion about meal plans?

Is focusing on weight as a clinician disordered?

The reason our guest joined every insurance panel and fights for coverage.

Virtual Best Practices episode with Jessica-Lauren Newby

Marcia’s Seasonings:

Chris Fairburn early book on CBT

Reiff and Reiff "Notebook"

Book “White Fragility”  

Bio:

Marcia Herrin, EdD, MPH, RDN, LD, FAED, developer of the Rule of Threes Food Plan and author of Nutrition Counseling in the Treatment of Eating Disorders and The Parent’s Guide to Eating Disorders. Dr. Herrin is a registered dietitian nutritionist with a doctorate in nutrition education and master’s in public health nutrition. Dr. Herrin is Clinical Professor at Geisel School of Medicine at Dartmouth in the US and has provided outpatient nutrition therapy for eating disorders for over 35 years. Her international work is focused on training professionals in the nutrition treatment of eating disorders. Dr. Herrin received her doctorate in nutrition education from Columbia University. At the University of California-Berkeley, she received her masters degree and completed a dietetic internship. Marcia was honored as a fellow in the Academy for Eating Disorders in 2013.

Coupon code for clinicians  - bethharrell

MyClearStep

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Valerie Grogan, MS, RDN, LD, CEDRD  

The RD can be the most despised team member. 

How do you as the dietitian handle the tears? 

Valerie-isms on healthy, paleo, keto, clean and how to work with families 

Let Food Be Food!  (Cereal Blog)

“It’s ok to be feared and hated because it’s not going to be forever.” 

Valerie says, start here: 

• (Krause – lol) 

• Life Without ED 

• The Body Project 

• Father Hunger 

• The F*ck It Diet 

Bio: Valerie Grogan, MS, RDN, LD, CEDRD joined the Laureate Eating Disorders Program in 2012. She holds a bachelor’s degree from Oklahoma State University in nutritional sciences and a master’s degree from the University of Memphis in clinical nutrition. Valerie focuses on integrating family involvement in all stages of nutrition therapy and works to bridge the gap between inpatient treatment and transition to outpatient care. “Food is Medicine” is the driving force behind Valerie’s approach to Medical Nutrition Therapy with adolescent eating disorders. Ms. Grogan has also taken on the role of Laureate Librarian, as she is just as enthusiastic about reading as she is about nutrition - “nourish the body so you can nourish the mind." 

Learn more about the life change happening at Laureate at SaintFrancis.com/Laureate. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Anne Marie O’Melia

Nutrition matters, brain, and personality come back 

Dr. O’Melia makes a pact – “Give it one year after we restore nutrition before you decide you want to go back to the eating disorder. 

How to retrain those neurons that have fired together for so long 

TMS – trans magnetic stimulation for ED with depression 

NOTHING WORKS WITHOUT NUTRITION 

Medications, interactions, and modalities are discussed, like TMS and Ketamine 

Dr. O’Melia’s Seasonings: 

EARLY INTERVENTION involving the family is important for full recovery 

Let’s get this thing turned around before it gets worse.

Eating Recovery Center

Bio: 

Anne Marie O’Melia, MS, MD, FAAP joined the medical staff at Eating Recovery Center in 2014. She is a Triple Board trained physician, with board certifications in Pediatrics and General Psychiatry. She also holds subspecialty board certifications in Child & Adolescent Psychiatry and in Psychosomatic Medicine. Prior to attending medical school, she earned her Master’s Degree in Counseling Psychology from the University of Kentucky College of Education and then practiced as a psychologist in rural regions of Kentucky. She earned her MD with Distinction from the University of Kentucky College of Medicine and completed her residency training at the University of Utah Triple Board Program. Dr. O’Melia has co-authored multiple articles and book chapters on eating disorders and served as a co-investigator for various clinical trials related to psychopharmacology in the treatment of eating disorders and mood disorders. Dr. O’Melia has been listed as one of the “Best Doctors in America” every year since 2007. 

Prior to moving to Denver and joining the staff at Eating Recovery Center, Dr. O’Melia was a dual-appointed Assistant Professor first at the University of Utah and then in the University of Cincinnati Departments of Psychiatry and Pediatrics. Both at the University of Utah and the University of Cincinnati, she has served as Medical Director of programs that serve children and adults at all levels of care and with a wide range of complex medical and psychiatric comorbidities. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr Abby Bleistein, MD

• Goal is sustainable lifestyle change. 
• Live the best life and thrive 

• Perception of hunger varies on the spectrum of eating disorders. 
• LANGUAGE – pts don’t fail treatment, the treatments fail them 
• STAY CURIOUS – what would that be like for you? 
• Are Anorexia Nervosa and Binge Eating Disorder opposite? 
• People’s perception of hunger can be very individual 

• Medication can decrease some of the constant food chatter. 

Dr Bleistein’s Seasonings: 

• Recognize disordered eating and full eating disorders in obesity medicine  
• Just because you’re a medical doctor doesn’t mean you can’t engage in this psychology. YOU CAN DO THIS! 

• Recognizing shame 
• Start to ask the right questions. 
• STAY CURIOUS.  
• Screens include: ACE Screening (Adverse Childhood Experience) and BED-7 

• http://www.kidpower.org/ on Bullying 
• Binge Eating Disorder Screening Questionnaires
• Kidpower Healthcare Resource - Bullying and Obesity Oct 25, 2015

Bio: 

Bio: Dr. Abby Bleistein is the founder and medical director of a multidisciplinary Obesity Medicine practice, Healthful Life MD, where she currently practices in Golden, Colorado. The multidisciplinary approach includes specialists in health psychology, trauma, and eating disorders, a certified nutritionist, a registered dietitian, a certified trainer, and a chef specializing in culinary nutrition. Dr. Bleistein also provides care for the adult and pediatric residential treatment programs with The Eating Recovery Center in Denver, Colorado. She has spoken at national professional conferences on Binge Eating Disorder, Eating Disorders after Bariatric Surgery, and a board review presentation on Eating Disorders and Behavior in Obesity Medicine. She is board certified in Internal Medicine and Pediatrics and is a Diplomat of the American Board of Obesity Medicine. In 2016, Dr. Bleistein was recognized by the Obesity Medicine Association as Candidate of the Year. She has served on the Pediatric Committee, the Advocacy Committee. and as a member of the Speakers Bureau of the Obesity Medicine Association. 

In this podcast we bring in medical, nutrition, and therapy professionals who share their passions to pique your interest in available modalities for the field of eating disorders. 

This show is intended to inform and educate  It is not a substitute for the professional training and supervision required to specialize in the treatment of eating disorders, nor is it a substitute for medical, nutritional or psychological advice from a professional or specialist. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Jeffrey Hooper, DO

Dr Hooper attempts to bridge the gap between the too common one-size-fits-all medical recommendations for weight loss and eating disorders. 

He describes the desperation of his patients to lose weight and recognizes the impact of cultural stigma. 

He also talks about the *medical* sequelae of diabetes and hypertension as well as the *physical* sequelae of knees, back, and joints and advocates for medical care regardless of ability to meet the expectations of surgeon-imposed weight changes such as required BMI of 40. 

The focus of his work is homing in on benefits of sleep, joyful movement and diet. 

For dietitians or doctors who tell patients “Don’t live on Cheetos”, Beth asks why not? 

The culture won’t change overnight. 

Meet people where they are even though we have seen the harm of popular diets (Intermittent Fasting, Paleo, “Clean” Eating) 

Also discussed was the harm from the programs that charge tens of thousands of dollars. 

Why do those awaiting transplants have to get BMI down?  

“We are making things worse by requiring weight loss” 

Dr Hooper’s Seasonings: 

Medical mentoring with specialist in eating disorders 

How to recognize Eating Disorders  

To Fellow Medical Professionals  - be careful not to praise weight loss at any cost 

Bio: 

Jeffrey Hooper, DO, is board certified in internal medicine and one of a handful of physicians in Washington state who is certified in obesity medicine. His expertise allows him to provide effective interventions through diet, physical activity and behavioral change prescriptive medicine. As Medical Director of the MultiCare Center for Weight Loss & Wellness, Dr. Hooper oversees four program locations. In his free time, Dr. Hooper volunteers for the Boy Scouts of America and chases summits.    Certification: Obesity Medicine; Internal Medicine  Professional School: Western University of Health Sciences  Residency: St. Barnabas Hospital & Medical Center  Practice Philosophy: I believe establishing a strong physician-patient relationship is the key to successful patient care. I try to listen closely to each problem and work with my patients to arrive at a solution. 

Dr Voss Co-Host - https://TheSeasonEDRD.podbean.com/e/eating-disorders-should-always-be-on-your-differential/ 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Mark McGrath, MBBS, MPhil, FRACGP, CEDS, CEDC

Dr. McGrath’s interest in biology and psychology are the perfect ingredients for medical providers to work in the field of eating disorders, around the world. (see “seasonings” below). 

• Dr. McGrath shares what is most rewarding for him is spending longer time with patients. He reminds us that medical providers (and all professionals) can make a big change with small amount of effort . 

• Listening, having the patient be heard, encourage them to engage. 
• Telling people to lose weight is very unhelpful advice, potential harm, but more importantly it’s too nonspecific. 
• Graphic and Doing healthy things (article)  https://drmarkmcgrath.com.au/about/ 
• Publication bias leads to so much weight centric information out there 
• Permission to not advise weight loss 

• Don’t be overwhelmed, it IS very rewarding, find your people. 

Dr. McGrath’s Seasonings: 

• “Sick Enough” book by Dr Gaudiani (Dr G episode) 
• Health At Every Size – HAES 
• Queensland Eating Disorders Service 
• Hiking and nature 
• PLEASE DON’T WEIGH ME card 

Bio: 

Dr McGrath is a Brisbane GP experienced in all fields of general practice and has a special interest in eating disorders. He is certified by the International Association Of Eating Disorders Professionals and the Australia & New Zealand Academy for Eating Disorders . Dr McGrath provides medical monitoring and coordination of care & support for all eating disorders. He particularly values his role in providing psycho-education and engaging newly presenting patients to the appropriate care. 

Dr McGrath loves helping those in larger bodies address health concerns from a ‘weight neutral’ perspective. 

He also enjoys treating men’s health, sports & chronic injuries, chronic medical conditions, basic skin checks and minor surgery and has extensive experience in the field of ophthalmology (eyes) including achieving a Master’s degree in medical research in the area. 

Dr McGrath works as an assistant surgeon, predominantly in orthopaedics at the Wesley Hospital. 

https://drmarkmcgrath.com.au/ 

https://www.facebook.com/generalpractioner/ 

Professional Supervision July-Dec 2022

 https://bethharrell.com/registered-dietitian/contact/ 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Shelly Bar, MD

Virtual Orthostasis and heart rate 

Growth charts and determining appropriate weight in growing kids.  

Bone growth is an important consideration. 

Open weights vs blind weights.  

Besides weight, how do we measure progress? 

Dr Bar’s Seasonings: 

*Dr Charles Wibbelsman 

*Breathing through it, finding the lesson in the ‘mess up’ 

Bio: 

Dr. Bar is a Clinical Assistant Professor of Medicine at the Stanford University Medical School. She carries a subspeciality degree in Adolescent Medicine from Stanford. Dr. Bar completed her Eating Disorder and Young Adult Specialty at Stanford’s Lucille Packard Hospital and through experience in the eating disorder unit at El Camino Hospital. Dr. Bar developed a protocol at Facebook Wellness Center for young adults managing the medical effects of their eating disorders and supported her patients in treating depression and anxiety. She currently works with university students at Stanford Vaden Health Center. Dr. Bar’s passion is in supporting her patients to effectively address the medical complications of eating disorders and disordered eating. 

The code for 10 dollars off the clinician portal access is bethharrell 

The registration price will drop from $49 to $39 with your code.  

The clinician portal access link is below: https://store.myclearstep.com/orders/clinicians 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Riley Nickols, PhD, CEDS

Rebecca McConville, MS, RD, LDN, CSSD, CEDRD-S

• Psychology and Nutrition of Sports are discussed today, including injury, playing and performance.
• There’s discussion about higher levels of care (HLOC) for athletes with eating disorders.
• Find out why attunement is important and how to use RPE – Rate of Perceived Exertion
• What if the Athlete’s One Gear is To Hammer?
• Calories In vs Calories Out is “Hogwash” - Gaining weight in long term restriction is not surprising
• Buckle Up, Hang in there – we don’t know what we don’t know.  Keep a sense of humor.  Maintain the Joy! 

You can have Becca and Riley in your pocket: 

https://allevents.in/org/riley-nickols-and-rebecca-mcconville/19108306 

• Arizona State  - May 14th 
• CPSDA – SOLD OUT
• June 10th – virtual, 4 CEs  Discount code: SEASONEDRD

Riley and Becca’s Seasonings: 

• Externships and internships – NYC 
• Ron Thompson and Roberta Sherman – Book - Eating Disorders in Sport 1st Edition 
• Olympic Committee and NCAA 

Bios: 

Rebecca McConville, MS, RD, LDN, CSSD, CEDRD-S 

(connect to June 4 2021 From Humble Pie to Authentic Connection) 

https://TheSeasonEDRD.podbean.com/e/from-humble-pie-to-authentic-connection/ 

Riley Nickols, PhD, CEDS is a counseling and sport psychologist who specializes in working with athletes to address mental health and performance concerns through his private practice, Mind Body Endurance where in-person and virtual services are provided to address performance, eating, mental health, and nutritional concerns for athletes. 

Dr. Nickols obtained an MS in Sport Psychology from Ithaca College in addition to an MS in Counseling Psychology and a PhD in Counseling Psychology from Fordham University. He regularly speaks to athletes, coaches, and sport personnel about disordered eating, eating disorders, and unbalanced exercise in sport. Dr. Nickols consults with eating disorder professionals on best practices for integrating exercise during eating disorder treatment and is sensitive to the unique demands of eating disorder recovery in relation to training and competing in sport. 

Currently, Dr. Nickols is on EDCare’s Scientific Advisory Board and is the Senior Program Advisor for Athlete Edge at EDCare in Denver, CO where specialized intensive eating disorder treatment is provided for athletes.  He was previously the Director of the Victory Program, the nation’s first residential eating disorder treatment facility for athletes, from 2013-2021 at McCallum Place in St. Louis, MO. 

Dr. Nickols is listed in the United States Olympic & Paralympic Committee Mental Health Registry (2020-2022).  He is a Certified Eating Disorder Specialist (CEDS) through the International Association of Eating Disorders Professionals (IAEDP) and holds a certificate in the Integrated Treatment of Eating Disorders from the Contemporary Psychotherapy’s Center for the Study of Anorexia & Bulimia (CSAB) in New York, NY. 

Dr. Nickols is a licensed psychologist in California, Indiana, and Missouri. Additionally, he is an approved, participating PSYPACT psychologist and can provide telehealth to the 28 participating PSYPACT states. 

Dr. Nickols is currently on the steering committee for the proposed Division of Eating Disorders and Body Image as part of the American Psychological Association (APA) and was on the steering committee for Safe Exercise at Every Stage’s (SEES) Athlete Guidelines. 

Dr. Nickols is a member of the Big Sky Sport Psychology Group, Collegiate Clinical/Counseling Sport Psychology Association (CCSPA), American Psychological Association’s Division 47 (Exercise & Sport Psychology), Association of Applied Sport Psychology (AASP), and the AASP Eating Disorders Special Interest Group. 

In addition to competing in endurance sports for over 20 years, Dr. Nickols is a running coach and a USA Triathlon coach. 

https://mindbodyendurance.com/ 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Jessica-Lauren Newby, MA, RDN, LD, CEDRD-S, IBCLC 

• People in all “corners” of the state can receive care virtually – more people can get service. 
• A benefit of virtual work for the provider is to ‘see their space’ 
• A benefit of virtual work for the client/patient –“ I don’t have to go to the doctor every week!” 
• A nugget for your virtual work as a professional is being willing to watch listen and hold space and less of the talking. 

• Important to learn about weight inclusivity early in the career.
• Integrity matters 
• Create a packet for medical providers 
• Supervision is key 
• Relationships matter 
• Less talking, more listening 
• We need to know that we don’t know what we don’t know 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Amy Gardner, MS, CEDRD, RYT

Is your client wondering if their exercise or movement is compulsive?  Amy shares the ONE question that can help us help our clients?

Find out a simple non-invasive try to improve digestion and how collaborating with Occupational Therapy (OT) helps us prevent food trauma.

Sensory work is a base for healing.

Talk to your supervisor about your own personal history to address shame or imposter syndrome.

Amy’s Special Seasonings:

• Mindful Training
• SMART Training – Sensory Motor Arousal Response Treatment (kids with trauma)
• Yoga philosophy, yoga for autism (VoiceColorsYoga)
• Collaboration and regular group supervision

Amy Gardner, MS, CEDRD, RYT

Amy Gardner is an internationally recognized eating and exercise disorder expert and yoga teacher from Boston.  Amy combines over twenty years of clinical experience as a registered dietitian and personal recovery experience with her psychology, mindfulness and yoga training to help her clients move into full recovery.  Owner of Metrowest Nutrition, LLC, a multi-disciplinary group practice where she supervises 14 other clinicians and author of the book, ‘iMove, Helping Your Clients Heal from Compulsive Exercise’, Amy trains other clinicians how to use the iMove method in their own work.

IG: @mwnutr @imovewithamy

FB: @MetroWestNutr @imovemethod

Practice Website:  metrowestnutrition.com

Book website:  imovebook.com

iMove Method: imovemethod.com

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Tammy Beasley, MS, RDN, CEDS-S, CSSD

Tammy shares a LOT with us today:  

• What she’s learned about disclosure and what questions to ask yourself when you feel like sharing personal information. 

• Our training does not prepare us for working with eating disorder clients – no shame. 

• We are trained to give all the answers, but it’s NOT our job to give answers.  Listen in for what our job IS. 

• "All those rough edges of self-growth keep popping up.  We smooth them out and they will come back." 

• Less is more – sit back and listen and not feel like we have to have all the answers. Ask One More Question.

• Can Vegan clients find recovery? 

Tammy’s Seasonings: 

• Eating Disorders: Nutrition Therapy in the Recovery Process by Rieff and Rieff
• “Do no shame” – instead of do no harm. 

• The client has to lead that journey. Guide the client to see the options. 

• Always ask for help (collaborate with therapists, medical providers, and SUPERVISION) 

BIO:

Tammy Beasley, RDN, CEDS-S, CSSD

Tammy has devoted most of her 30+ years of experience as a registered, licensed dietitian to the field of behavioral health, specifically eating disorders. Over the last 6.5 years, Tammy served on the executive clinical leadership team of Alsana Eating Recovery Centers as the nutrition thought leader and creator of Alsana's innovative nutrition programming, one of the five dimensions of care unique to Alsana's Adaptive Care Model. During her service, Alsana more than doubled in size, and the nutrition team expanded from

Jillian (Croll) Lampert, PhD, MPH, RD, LD, FAED

Dr. Lampert shares her story of being in medical school but being drawn to nutrition. 

We are glad she shifted to become an RD (then PhD) to be that force we need in the ED world. 

The theme of her work is “Joining and Helping”, doing things together, bite for bite.  She has created for her clients what she wishes she would have had many years before. 

Communication is important – how do we talk about eating disorders, and how important training and education are.  Her graduate course is 2/3 practical, with different professionals sharing hands-on practices with the students.  She is passionate about wellness in schools, reminding us that mental health and nutrition go together very well. 

Jillian’s Seasonings: 

• First Person Stories on You Tube 

• Eating Disorders Coalition 

• Peace Meal Podcast 

• National Center of Excellence for Eating Disorders (NCEED)   

Bio: 

Dr. Lampert is the Chief Strategy Officer of Accanto Health, the parent company of Veritas Collaborative and The Emily Program. Additionally, Dr. Lampert is Co-Founder and President of the REDC, the national consortium representing eating disorders care focused on treatment standards, best practices, access to care, and collaborative research. She is also Treasurer of the Eating Disorders Coalition, a DC-based national organization for eating disorders policy and advocacy, and a Board Member of WithAll, a Minnesota-based organization that empowers eating disorder prevention and strengthens support for recovery. She holds an adjunct graduate faculty position in the Department of Food Science and Nutrition at the University of Minnesota.  

Dr. Lampert completed her doctorate degree in Nutrition and Epidemiology and Master of Public Health degree in Public Health Nutrition at the University of Minnesota.  She earned a Master of Science degree in Nutrition at the University of Vermont and completed her dietetic internship at the University of Minnesota Hospital and Clinics. She has an expansive range of policy, clinical, research, education, teaching, and program development experience in the area of eating disorders.  

Dr. Lampert has served on the Board of Directors of the Academy for Eating Disorders as the Electronic Media Portfolio Director and co-chair of the Academy for Eating Disorders Nutrition Special Interest Group. She is a Fellow of the Academy for Eating Disorders (FAED) and a member of the Academy for Nutrition and Dietetics (formerly the American Dietetic Association), and BHN (Behavioral Health Nutrition) dietetic practice group. Dr. Lampert is the author of numerous book chapters and articles addressing the nutritional treatment of eating disorders, body image, sports participation, adolescent health, and disordered eating and she regularly speaks regionally and nationally on numerous eating disorder-related topics. 

One of her primary goals in life is to have the kids in her house (and everywhere!) have confident, loving relationships with their bodies and themselves.  

This episode is sponsored by MyClearStep.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Jenny Copeland, PsyD

So many of us in the community, whether it’s in healthcare, or university settings, or fitness centers, are told “We don’t see eating disorders here”.

Dr. Copeland describes her setting in community mental health, and how they have grown to not only screen for eating disorders (and SHOCK to find many with Eds) but to provide excellent eating disorders care for those without insurance.

An important takeaway is to find your people who are willing to learn and train – this way more people can receive care. These case managers are like “Therapy Extenders”

We also learn what it’s like to have our bodies show up in the room, because our body as meaning in the room.  What is Thin Privilege and how to work through grief if we are not in a privileged body.

It’s also important to have ‘lots of apologies’ for harm we didn’t intend to cause – not to have the client try to make us feel better, but showing them how WE are going to do the work.

What about standing on the scale?  Is it more about the belief that it helps us ‘know how to eat’? Or could it be more about knowing how to feel?

Did you know that 70-80% of therapists are OC (over-controlled)?  Dr. Copeland appreciates RO-DBT (radically open dialectical behavioral therapy) for people who like rules and routine and structure, and this is for eating disorders and so much more.

Reconnect Eating Disorders Center – Quality, evidence based compassionate treatment for people without insurance.

http://www.moedc.org/ Missouri Eating Disorders Council

IG - @bodyuprogram

Dr. Jenny Copeland’s Recommended Seasonings:

• Trust my intuition and trust my people.
• Christy Harrison’s Food Psych Podcast
• She’s All Fat Podcast
• Opal Food and Body – The Appetite
• Dr. Gaudiani's competent medical care

Jenny Copeland, PsyD, is a clinical psychologist with Ozark Center where she leads the Reconnect Eating Disorders treatment team. She is an active member of the Missouri Eating Disorders Council. Dr. Copeland has conducted studies on weight stigma among healthcare providers, and developed programming rooted in weight inclusive frameworks to help people pursue balance within and outside themselves to find freedom in their bodies. Her work has earned awards including the Research and Evaluation Fellowship at The School of Professional Psychology at Forest Institute and the inaugural NAAFA Health At Every Size Scholar Award.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Alexandra Georgiadis RDN, MPH

As dietitians, people often show up in our offices for a meal plan for weight reasons.  This is often related to worry about actual or perceived potential for chronic illnesses like diabetes or GI concerns.  

“Because I work with eating disorders, sessions with general health concerns are so different than they would have been – it opens up conversations, sort of ‘see the windows’ into disordered thoughts.” 

Embracing a client’s goal for weight loss can be the entry point for the “why” which becomes a place to tell the food story.  The sessions can be more wholistic, learning about relationship with food. This place is much more fulfilling for you and your client than handing out a meal plan or calculating calories. 

Alexandra shares with us her 3 Steps to Eating More Simple Carbs and embracing both Cheetos and kale to ensure we don’t villainize foods that might be considered ‘health foods’. Language makes a difference - tune into descriptors like Good, Bad, Cheat Days 

Video discussed today includes eating disorders in the elderly.

Alexandra’s Seasonings: 

• Learn from each other 
• Permission to Joy 
• The basics are powerful – a balanced meal, macronutrients, pausing 
• Ellyn Satter’s normal eating

Bio: 

Alexandra Georgiadis RDN, MPH 

Alexandra Georgiadis started her career in nutrition in 2015 after receiving her masters in Public Health at the University of Michigan. At Essential Nutrition, a private practice in Boulder, Colorado, she is one of a group of registered dietitians who counsel and support clients on navigating their health through a non-diet approach and with a foundation of compassion, empathy, and a celebration of everyone’s unique journey. More recently specializing in eating disorder recovery, Alexandra has been fervently engrossed in continuing education on the topic and participates in group supervision with the other members of her team.  

Working with eating disorder clients has not only been the most rewarding and educational experience of her career thus far, but it has enriched her ability to inspire meaningful progress when counseling people on a variety of other health topics. It has become apparent to her that no matter your nutrition goals, everyone should evaluate their relationship with food, and the healthier that relationship, the more effortless self-nourishment and healing become. Alexandra is excited about how dietetic practice is evolving to be more inclusive of the nuanced and qualitative aspects of nutrition, and is inspired by dietitians who are paving the way.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Beth Harrell, RDN and Abbi Brown, RDN

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With your host Beth Harrell 

IG  @beth.harrell.cedss  

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Joel Jahraus, MD, CEDS, FIAEDP, FAED 

Many of our guests describe how there weren’t resources to help them learn what they needed to provide eating disorders care.  

Thankfully, that has changed.   

Several guests on The SeasonED RD also have referred to the iaedp Core Courses as an important part of their formation, and Dr. J was on the founding board for the courses. 

He reflects how today, disciplines working together are clearly for the betterment of the patient.  The doc was doing the best they could ‘back then’ without therapy and all the other components. 

“It’s the integration of mental, medical, and nutrition that helps us as professionals and helps our patients get better”.  Dr. J shares about a family member’s experience and adds that based on 35 years of experience, “It’s never too late to recover from an eating disorder”. 

“You have to know your area but have to know the other areas", otherwise it’s a ‘superficial look’ at the patient 

Core courses are built on clinical excellence. 

Course 1 – History of Eating Disorders, Diagnostics, Social Justice, Diversity 

Course 2 – Psychological treatment 

Course 3 – Nutrition Treatment 

Course 4 – Medical Treatment 

Modules include  - psychiatry, nursing, physical and occupational therapy, neurobiology,  

Dr. J believes that eating disorders become a passion for professionals or they don’t like it at all.  If it has become a passion of yours, consider getting the fundamental base core courses for Certification or for education (Affiliate). 

At the time of the recording, there was not a decision about in-person or virtual core courses but the decision has been made for virtual. 

Dr. J’s Seasonings: 

*Key ingredient is obtaining the fundamentals through the Core Courses 

*For the added flavor punch, the Symposium is a great place to get these courses as well as so much more 

*There are no substitutes for collaboration 

*Dr. J’s suggestion for ‘downtime’ reading of classics that you can hold in your hands,  Easton Press Classics 

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Bio:  Joel Jahraus, MD, CEDS, FIAEDP, FAED 

Dr. Joel Jahraus is known for his two and a half decades of specialization in the medical management of patients with eating disorders. A board-certified physician for 40 years, he is a recognized expert on the medical complications of eating disorders. Dr. Jahraus graduated from Washington University Medical School in St. Louis, Missouri, and has a background in family medicine. He entered an academic career as Associate Director of the University of Minnesota Family Medicine Residency Program. He then took a position as the Predoctoral Director at the University of Minnesota Medical School. During his teaching career with the University of Minnesota Medical School, Dr. Jahraus received the Distinguished Teacher of the Year Award. Academics ultimately led to a position as Medical Director of the Melrose Center eating disorders treatment program in Minneapolis, MN.  He is now the Chief Medical Officer of Monte Nido and Affiliates.  He has co-authored chapters on medical complications in eating disorders textbooks and has been featured in various local and national media, including two national public television documentaries on eating disorders. He has testified at the United States Congressional Briefings on the need for health insurance coverage for eating disorder treatment. For his outstanding contributions to the field, he received the prestigious Ellis Island Medal of Honor and was also named a Top Doctor by U.S. News and World Report.  He is currently President of the Board of the International Association of Eating Disorder Professionals. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies