The SeasonED RD

A Psychiatrist’s Perspective on Nutrition, Medication and Language [Medical Series]

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   

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Part 2 - Unplugged – A Reason, A Season

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   

Unplugged – A Reason, A Season

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   

 

We Are Both Student And Teacher

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   

 

CGMs and Weight Loss Shots – From Diabetes Care to Pop Culture

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   

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Is This A Good Hair Day?

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   

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How to Stay Energized and Eager to Do This Work

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   

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Your Body Knows What To Do

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  

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Claim Full Recovery at Lunch Today

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  

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Hold Still With Me And Help Me Grieve

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  

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