The SeasonED RD

Hannah’s Pick - My Body Is Not The Problem [repost]

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  

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Royce’s Pick - Can I get some help, please? [repost]

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   

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January-Jun 2023 Supervision Groups 

Janice’s pick - Relational MNT - The Krebs Cycle, Breakfast & Compassion [repost]

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   

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Dr. Voss’s pick - Even If We Agree To Disagree (Medical Series REPOST)

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   

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Abbi’s Pick - “Boundaries Do Not Equal Bitchy” [repost]

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  

 

Kate’s Pick - BIPoC Eating Disorders with Whitney Trotter [Repost]

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  

You’re The Doctor - ”Figure It Out” [Medical Series]

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  

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REPOST - Beth’s Pick - Can’t Just Webinar All The Time

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  

 

 

Your Story Makes Sense to Me

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

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ARFID Conversations - ”Listen and Believe”

 

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 

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With your host Beth Harrell 

IG  @beth.harrell.cedss   

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