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Show Notes
What role is Social Media playing a role in causing eating disorders or disordered eating?
Are the effects of Social Media making treatment of eating disorders more challenging?
In this podcast episode, Kate Fisch speaks with Dr. Samantha DeCaro about Social Media. She discusses the effects that Social Media has on patients recovering from eating disorders and the role it plays in causing disordered eating.
MEET DR. SAMANTHA DECARODr. Samantha DeCaro, PsyD is the Director of Clinical Outreach and Education for The Renfrew Center, a licensed psychologist in Pennsylvania, and co-host of the podcast All Bodies, All Foods. She has been with Renfrew since 2012, completing her post-doctoral residency at The Renfrew Center Philadelphia – Spring Lane, then holding the position of Primary Therapist, and most recently serving as Assistant Clinical Director.
As Renfrew’s national spokesperson, Dr. DeCaro has been featured in the media as an eating disorder expert on various television shows, radio programs, podcasts, and online magazines. She is a frequent lecturer and serves as the Alumni Representative for The Renfrew Center of Philadelphia.
Visit The Renfrew Center to find out more.
IN THIS PODCASTThe focus on Social Media
What are Pro-Ana and Pro-Mia sites?.
What risk factors do Social Media pose for eating disorders?
What makes eating disorder recovery so challenging?.
Why did you choose to focus on Social Media and eating disorders?“I do a lot of trainings and education in my role and I realized that Social Media was really having a negative impact on people who were trying to recover from eating disorders.”
Dr. Samantha DeCaro
Are you on Social Media?“I'm on social media myself. I knew that it was causing certain issues for me as well. I noticed I wasn't feeling great after I was done scrolling. I was realizing I was spending more time on it than I wanted to be.”
Dr. Samantha DeCaro
It is interesting that even professionals within the field can be affected by Social Media and it puts an emphasis on making sure we are aware if it is leaving us in a more negative space.
“Absolutely, I am in no way Immune to the effects of social media. I think it impacts all of us and I wanted to learn more about it.”
Dr. Samantha DeCaro
What are Pro-Ana and Pro-Mia sites?“I remember earlier in my career learning about Pro-ana Pro-mia, which were essentially these sites, and it's exactly what it sounds like, pro anorexia, pro eating disorder type content.”
Dr. Samantha DeCaro
There are so many different apps out there that we may know very little about and thinking of it from the perspective of being a treatment provider, it is vital that we become familiar with all the different platforms that our clients may be exposed to or using.
“I remember being so concerned and horrified about the things that were happening on those sites and now with social media. Yes, I think those things still exist, to an extent, but I think that the harm is a lot more insidious. It's a lot harder to catch the different toxic messages about food, about the body.”
Dr. Samantha DeCaro
Do we need to learn to be more mindful when using Social Media?“What I do in my trainings, I try to help Clinicians help their clients be more mindful on social media. How to help your client tap into what they're experiencing while they're scrolling. You might be strengthening that eating disorder without even realizing it. ”
Dr. Samantha DeCaro
That's interesting because it's almost like we teach our clients how to be mindful at the table or how to be mindful in their relationships, how to be mindful even just right in the moment.. But this is a kind of Meta in the way that it's like another virtual environment in which they have to be mindful in.
“ Oftentimes scrolling is an act of distraction. I think that's another thing to be aware of: when are you reaching for your phone? and why? What is that scrolling session actually doing for you in the short term?”
Dr. Samantha DeCaro
What risk factors are there for those with eating disorders?“We know that intentionally pursuing weight loss is going to do more harm than good. diets are one of the biggest risk factors of an eating disorder. Diets can trigger an eating disorder and eating disorders are potentially fatal.”
Dr. Samantha DeCaro
We know that many of those who come off diets and have not developed an eating disorder, still end up having a poor relationship with food and not feeling good about themselves.
What makes eating disorder recovery so challenging?“Eating disorder recovery is so challenging because there's an unlearning that has to take place. An unlearning of diet culture, an unlearning of healthism and relearning how to have a healthier relationship with food, with your body and with the media.”
Dr. Samantha DeCaro
What tools do you use or teach clinicians to use?“One of the things that I think is so important is being able to actually spot harmful messages and tease those out and be able to spot toxic messages about food.”
Dr. Samantha DeCaro
A lot of messages give the impression that all bodies are the same. For example; that you're going to eat a turkey sandwich and your body is going to do exactly the same thing with that turkey sandwich as my body is going to do with it. We know now that we don't know what the differences are and how people's bodies absorb nutrients and the differences between them.
Can anything be done to reduce the chances of seeing harmful content?“I also teach in my workshops about how to play with your settings in your phone to better protect yourself and to essentially just lessen the chances/decrease the chances that you'll see harmful content in the future.”
Dr. Samantha DeCaro
The world of Social Media is everywhere and we cannot get away from it. When we are scrolling through our phones. We're not in the moment. We are trying to be distracted, it becomes repetitive and reflexive and then we're not the owners of the information that we are consuming.
There are studies showing what type of information gets fed to our clients and how they can fall prey to negative body image, eating disorders and diet culture.
This is a fascinating topic and as therapists we need to become aware of what we are consuming, as well as, help teach our clients to be mindful about what they're consuming.
Dr. Samantha DeCaro is filled with valuable insights, information and examples of Social Media’s role within our industry and some of these are discussed in-depth throughout the podcast.
To learn more about Dr. Samantha DeCaro and her work, follow the links below.
RESOURCES MENTIONED AND USEFUL LINKSVisit The Renfrew Centre
Previous Episode: Eating Disorders and Bariatric Surgery with Sharon Ryan
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Show Notes
What is Bariatric Surgery? What is Bariatric Counseling?
Is there a link between Bariatric Surgery and eating disorders?
In this podcast episode, Kate Fisch speaks with Sharon Ryan about Bariatric Surgery. She discusses the challenges that patients face when preparing for, or after undergoing, Bariatric Surgery.
MEET SHARON RYANSharon Lynn Ryan, MEd, AABC, LAC, is a licensed associate counselor, therapist, speaker, and writer. Sharon earned her masters degree in professional counseling (MEd) from William Paterson University, board certification as a bariatric counselor/educator from the American Association of Bariatric Counselors, certificates in personal training and nutrition from the National Personal Training Institute, and is clinically trained in EMDR, DBT, and CBT.
Sharon specializes in eating and weight disorders, bariatrics, health and wellness, and is a firm believer in Health At Every Size (HAES) intuitive eating, and body positivity.
Visit Sharon Lyn Ryan to find out more.
IN THIS PODCASTWhat is a Bariatric Counsellor?
What are the common feelings for patients, post bariatric surgery?.
Is there a link between bariatric surgery and eating disorders?
Post Surgical Eating Avoidance Disorder.
What does it mean to be a board certified Bariatric Counselor?“There's an association called the American Association of Bariatric Counselors. You get board certified as a counselor so that you can work specifically with Bariatric patients. They require all the CEUs that you would get as a counselor or a therapist every two years you're reassessed and do your CEUs but it gives you specific training to work with people who are struggling with weight and maybe attempting to have bariatric surgery ”
Sharon Ryan
When we speak about patients who have undergone bariatric surgery, it is easy to assume that all the patients are happy with their results. This is not always the case and there are individuals who are frustrated that they don't look the way that they want to look or that it didn't go as promised.
“The American Association of Bariatric Counselors also covers the complications that come along with it and the problems that may come before and after, and how to address them so they cover not only the nutrition part of it, but the psychological part of it. Which is something that's really been overlooked, I feel like. in the field.”
Sharon Ryan
Why should patients go for counseling before having bariatric surgery?“I think there needs to be actual counseling and therapy for people prior to the surgery, because the people who are going for Bariatric surgery have, at the very least, disordered eating .”
Sharon Ryan
Is there a possible link between eating disorders and getting bariatric surgery?“From 2011 to 2019 there were about 2 000 000 bariatric surgeries performed in the United States. A study found out that 66% of them had a lifetime history of some sort of eating disorder and 48% of them at the time of them being approved for surgery had criteria for binge eating disorder.”
Sharon Ryan
It makes us wonder how many of those that are willing to have the surgery actually knew they had an eating disorder.
How do you prepare patients for Bariatric Surgery?“They need to be educated prior to their surgery. They need to go through therapy prior to their surgery. They need to be with a Dietician prior to their surgery. Not just once. And figure out why they're eating the way they're eating, why they're at that weight.”
Sharon Ryan
It becomes important, when encountered with a client considering this surgery, to take the time to understand why they are considering the surgery, why they feel they need the surgery and build that relationship with the client.
“ The first rule to me of being a therapist is to be non-judgmental. So, if someone walked in and said I'm thinking of Bariatric surgery, you're not supposed to put your opinion into them right? You're just supposed to help them figure out why they are where they are, what they're hoping to get from that.”
Sharon Ryan
What is the most common feedback to come from patients, post Bariatric Surgery?It is not always that people are either satisfied with their surgery or feel as if they can sustain it for the long term. Many of them end up gaining that weight back.
“That's another reason why I'm so adamant because you need to have counseling before you have the surgery. Just because you have the surgery, it doesn't mean your behaviors are going to change.”
Sharon Ryan
Tell us a little bit about the different types of surgery?“So there is the band like you said, That's not done as much anymore. The most popular one is the gastric sleeve right now which is where they take out part of your stomach and they don't do any bypassing. Then the other one is the gastric bypass and that's the one where they actually remove part of the stomach and then bypass it to go through the intestine.”
Sharon Ryan
What is Post Surgical Eating Avoidance Disorder?“That’s those who have the surgery and something happens where like let's say they are vomiting every time they eat and then they actually get afraid to eat.”
Sharon Ryan
It would appear that some patients who undergo the surgery end up developing issues such as Avoidant Restrictive Food Intake Disorder, more commonly known as ARFID.
"It's like Anorexia, you know like the ARFID thing but they get extreme weight loss and those people are even more susceptible, because what are they going to do? They can't binge. They can't do anything. These people are really susceptible to turning to substances, because they are depressed. . .”
Sharon Ryan
There has been a shift in diagnosing which has happened over the past decade or so. Traditionally/ historically when we think about anorexia we would think about people, like the dsm 4, below 85% ideal body weight, so very low body weight, where we know in actuality that only 6% of people with eating disorders are actually underweight.
What we now are able to watch out for, and luckily third party payers are catching on, is people who have lost a substantial amount of weight in a very short amount of time, whether they're still within range of “healthy weight” or not, it is still incredibly dangerous to lose weight so fast.
So, as therapists we need to ensure we are aware of all the challenges facing clients and be able to provide any support or safeguards that can help our clients make decisions that give them the best chance of recovering.
Bariatric Surgery and eating disorders may not be discussed together very often, but it has been fascinating to chat with Sharon Ryan about the relationship between the two. Sharon shares valuable insights, information and examples throughout the podcast.
To learn more about Sharon’s work, follow the links below.
RESOURCES MENTIONED AND USEFUL LINKSVisit Sharon Lynn Ryan for more on some of Sharon’s publications so far.
Previous Episode: Let's Talk About Eating Disorders & Athletes
Rate, review, and subscribe to this podcast on Apple Podcasts, Stitcher, Google Podcasts, TuneIn, and Spotify.
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Show Notes
What is the approach to treating eating disorders in athletes? Are the pressures of having to perform as an athlete increasing the chances of developing an eating disorder?
In this podcast episode, Kate Fisch speaks with Linda Steinhardt about eating disorders amongst athletes. She discusses the effects that measuring body composition, the pressure to perform and injuries have on athletes and developing eating disorders.
MEET LINDA STEINHARDTLinda Steinhardt is a registered dietitian based in Denver, Colorado. After graduating from the University of Texas at Austin, she completed a sports nutrition fellowship at UNC Chapel Hill. She now works at the Athlete EDGE Program within EDCare, an eating disorder treatment center where she supports athletes and general population patients in lasting recovery from eating disorders.
Visit Athlete Edge to find out more.
IN THIS PODCASTWhat is body composition testing?
Is there still a necessity for measuring body composition in athletes?.
What is the approach for treating eating disorders in athletes?
Is there pressure for athletes to perfect their performance at a younger age?
What is body composition testing?“Body composition testing is really common, to be honest, in college athletics. I have seen, with body composition testing in colleges, they'll test an athlete 2 to 4 times per year and they'll say: hey here's your muscle percentage, here's your fat percentage.”
Linda Steinhardt
So what is the benefit of athletes knowing their body fat percentage etc. ?“I'm not sure I'm going to be able to help connect the dots. I think there's a lot of reasons why sports physicians in college settings are pressured, in a sense, to do body composition tests.”
Linda Steinhardt
It is interesting to think that there might be a belief that knowing your fat percentage (for example) and all of that could help with the goal of improving athletic performance.
Are we moving away (at all) from this type of measuring?“I had seen some more openness and some more curiosity in the field just of why do we do this and is this affecting athletes and is this actually helpful for performance. Are we just doing it because we think we're (quote,unquote) supposed to? And I think that has been a good shift.”
Linda Steinhardt
How is the approach to treating an eating disorder in an athlete different to treating someone with an eating disorder who is not an athlete?“So, I think there is a lot of overlap and I think there's some additional kind of barriers that athletes might face that put them at a higher risk of potentially developing an eating disorder. Often times we look at things like athletes are in really high pressure environments.”
Linda Steinhardt
How do you manage the conversation around calories?“I find, more often than not, food and exercise have become kind of compensatory, even perhaps without athletes recognizing it as such. I think it's helpful to acknowledge that: hey what are the ways in which you notice yourself eating the same or different on rest days? Do you feel better about eating when you play well, or do you find it harder to eat when you have a bad game?”
Linda Steinhardt
When our diet and exercise culture has done us such an immense disservice that it's going to take decades to undo, which is simplifying humans' need for fuel.
Do a lot of athletes seem to lose the ability to listen to their bodies?“That's a conversation we have often. A lot of times people come in and they are really disconnected from their bodies in terms of they don't know, because the way they have been eating is from rules. Over time we can build that kind of intuition and that interoceptive awareness.”
Linda Steinhardt
Is there pressure for athletes to perfect their performance at a younger age?“I think that oftentimes a really big component of things is identity. In athletics often people start from a really young age and they have practices day in and day out. I think it does kind of create a really tough situation for a lot of athletes.”
Linda Steinhardt
The world of performance and body composition is highly pressurized and many athletes will feel they have to lose a certain amount of weight in order to achieve the performance they are aiming for.
It is important for therapists, dealing with athletes, to dig deeper into understanding why an individual believes they need to be at a certain weight to perform. And then begin to reconnect themselves with their bodies and listen to what their bodies actually need.
This is a fascinating topic and as therapists we need to become aware of what affects competitive environments have on athletes, as well as, help teach our clients to be mindful about what they're doing to their bodies.
Linda Steinhardt is filled with valuable insights, information and examples throughout the podcast and it is extremely informative for all therapists.
To learn more about Linda Steinhardt and her work, follow the links below.
RESOURCES MENTIONED AND USEFUL LINKSVisit Athletic Edge
Click here for the article referenced in the interview with more info on her research.
Article referenced in the interview with more info on her research:
Rate, review, and subscribe to this podcast on Apple Podcasts, Stitcher, Google Podcasts, TuneIn, and Spotify.
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Show Notes
What is virtual care and how can it be used in treating patients with eating disorders?
What are the limitations or advantages of using virtual care in treating eating disorder patients?
In this podcast episode, Kate Fisch speaks with Dr. Erin Knopf about virtual care for Eating Disorders. She discusses the benefits and challenges around virtual care and the role it plays in assisting our clients and developing more effective treatments.
MEET DR. ERIN KNOPFDr. Knopf is dedicated to treating patients with eating disorders holistically. As a triple-boarded physician (pediatrician, adult psychiatrist, child/adolescent psychiatrist) and Certified Eating Disorder Specialist, she uses her combined training with intentionality to assess disease severity and devise comprehensive plans to address the eating disorder behaviors as well as comorbid symptoms of anxiety, depression, OCD, trauma and more. She describes herself as the “mechanic of the body” and prioritizes psychoeducation and biological education for patients and families to foster insight and achieve treatment alignment. Dr. Knopf previously worked in an IP/RES/PHP program for almost 5 years and at the onset of the COVID-19 Pandemic, she served as unit psychiatrist for ten months at the ACUTE Center for Eating Disorders. She is a member of IAEDP, AED, AACAP, APA and AAP.
Visit Virtual Eating Recovery For You to find out more.
IN THIS PODCASTWill virtual care replace physical consultations?
The challenges faced with treating eating disorders.
Childhood obesity, diets and restrictive eating.
Lab results and eating disorders.
Do you feel like delivering care virtually gets in the way of connecting with patients?“I will admit, as an extrovert, I don't think there will ever be a way to replace the beauty of in person connection. There are nuances that are missed. But ultimately, would I turn away from virtual care? Absolutely not!”
Dr. Erin Knopf
When we think about virtual care, the cons might be pretty clear, but the pros just far outweigh, especially when we're talking about someone getting care versus not. . .
“It’s an opportunity to bring care to people who would never have it, it's flexible, convenient. So I think overall, the virtual care frontier is really exciting and we can only do it better with our technological advances.”
Dr. Erin Knopf
What is a big challenge you are currently faced with?“Right now we are, unfortunately, private pay, which I know limits access, but that is not our end game. We are currently working on credentialing with three insurance companies.We offer discounted bundles for services. We do super bills, and we even have a single case agreement.”
Dr. Erin Knopf
Eating disorders don't discriminate based on socioeconomic status. They also don't discriminate based on geographic location. It is important for all patients to have access to some level of professional care and help.
What are your thoughts on the American Academy of Pediatrics’recently issued a statement on childhood obesity?“The first part is it's still relying on BMI as the measure of obesity. It actually doesn't include in the definition any other medical considerations that people get worried about - type two diabetes, hypertension, hyperlipidemia, things like that.”
Dr. Erin Knopf
The steps that follow such a statement are extremely drastic, especially when we consider its referral to children. . .
“ It just says if a child's body is 90th percentile for age match, BMI percentage, then they meet criteria for obesity and therefore should be considered for, drum roll, either weight loss surgery, like bariatric surgery, or weight loss medications.”
Dr. Erin Knopf
What are your thoughts on why diets and restrictive eating are so common?“Human beings like diet culture because it helps them feel in control and powerful and capable of incredible discipline. Think of how often that's overly valued and praised.”
Dr Erin Knopf
When treating somebody. What is your number one concern, medically?“Medical stability and medical fragility are the terms that I consider the most. Everyone is pretty accustomed to picturing an emaciated person who meets criteria for eating disorders and has low heart rate, low blood sugar, low body temperature. But really, only 6% of patients with eating disorders are actually underweight. All it takes is 15 pounds of weight loss in three months and your body is malnourished to some degree..”
Dr Erin Knopf
How do we handle clients who have good lab results but may still have an underlying issue?“Your body is miraculous, that it is going to work for you and protect you as best it can by improving the movement of electrolytes, of improving the mobilization of energy molecules from stored tissue in order to meet your metabolic need. But eventually that will give out. And treatment should not occur when you are in the middle of crisis and your body is comping out. It needs to happen sooner than that.
So if the behaviors are there and the weight loss is there or the weight interruption for whatever way it looks is there, yeah. you meet criteria in my book, and I think it is important that we have more early recognition and prevention.”
Dr Erin Knopf
The one thing that virtual care provides is access to those patients who may not have thought they were able to get treatment and thus there's motivation to get better. Especially now that virtual care has been supported nationally.
Hopefully it continues to get the same support even with laws changing. Now that the Pandemic emergency actions are expiring, this does give us an opportunity to bring that expert care to corners that would never have known expert care mattered, would never have known that they actually do meet criteria for an eating disorder and deserve that expert care. So it's just such a wonderful opportunity to improve health outcomes for so many more
This is a fascinating topic and Dr. Erin Knopf and is filled with valuable insights, information and examples throughout the podcast.
To read the articles or find the book mentioned in the podcast, follow the links below.
RESOURCES MENTIONED AND USEFUL LINKSVisit Virtual Eating Recovery For You for more on the fantastic work that Dr. Erin Knopf is involved in.
Rate, review, and subscribe to this podcast on Apple Podcasts, Stitcher, Google Podcasts, TuneIn, and Spotify.
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What is interoceptive awareness and can it play a role in the development of eating disorders?
What is interoceptive exposure and how can it be used in the treatment of eating disorders?
In this podcast episode, Kate Fisch speaks with Dr. Melanie Smith about interoceptive exposure and awareness. She discusses how interoceptive exposure can help assist our clients and develop more effective treatments.
MEET DR. MELANIE SMITHMelanie Smith, PhD, LMHC, CEDS-S, is the Director of Training for The Renfrew Center. In this role, she provides ongoing training, supervision and consultation to clinicians across disciplines for the purpose of continually assessing and improving competence in the treatment of eating disorders. Dr. Smith is co-author of The Renfrew Unified Treatment for Eating Disorders and Comorbidity Therapist Guide and Workbook (Oxford University Press), is a Certified Eating Disorders Specialist and Approved Supervisor, and is a Certified Therapist & Trainer for the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP).
Visit Melanie Smith to find out more.
IN THIS PODCASTWhat is interoception?
What is interoceptive awareness?
How can we use interoceptive exposure to help clients?
The brain and body image.
Where do we start in terms of interoception?“Let’s start with interoception in and of itself. This is just our body’s internal perception, so our bodily senses of what is happening inside our body.”
Dr. Melanie Smith
Our clients are always looking for as many tools as they can to treat their eating disorder clients. It is important for us, as therapists, to understand all the factors that can influence eating disorders…
“When we think about eating disorder application; our ability to sense if I'm hungry, if I'm full, if my stomach doesn't feel good; all of that is what we're talking about when we're talking about interoception.”
Dr. Melanie Smith
What then is interoceptive awareness?“Interoceptive awareness is the level to which we are consciously aware of the things happening inside our bodies.”
Dr. Melanie Smith
It is important to understand what level of interoceptive awareness a client has and how they react to what is happening inside the body, because most of us, most of the time, shouldn’t be (or aren’t) noticing things such as our heart beating or ourselves breathing.
“Heightened levels of interoceptive awareness also results in heightened anxiety about what is happening inside our body. So we might start to overthink it or overinterpret what it means.”
Dr. Melanie Smith
How can we use interoceptive exposure to help clients?“The ultimate goal with interoceptive exposure is to intentionally evoke those same unpleasant, uncomfortable sensations. So, we're going to allow ourselves to experience that emotion, allow it to rise, BUT allow it to fall and learn that this is actually something we can tolerate.”
Dr. Melanie Smith
Interoceptive exposure seems to align with other methods and skills that we already understand as therapists or clinicians. If we were to think about Mentalizing, Acceptance and Commitment Therapy or Dialectic Behavioral Therapy.
“Those same principles are absolutely at work here, which is why I would suggest it as a wonderful adjunctive that could nicely coincide with any of those treatment approaches.”
Dr. Melanie Smith
When was this developed and is there any current research into the method?“The first places you'll see it in the literature as a proposed intervention, from an experimental standpoint, was back in the late 80s, maybe early 90s. But I think in the 80s specifically, it was proposed as a Cognitive behavioral exposure-based intervention for panic disorders.”
“There's also a lot of really interesting evidence out there and people doing more trials with this with individuals with PTSD because when you think about trauma response and the way that trauma is held within the body, and that bodily reaction, you're not going to talk someone out of that. There have been really successful applications with other chronic illnesses and chronic pain.”
Dr Melanie Smith
When talking to a family or talking to a client and trying to explain what is happening to us or to your brain start by explaining;
You have your brain which is the organ which Neurologists take care of, and then you have your mind which is a little bit less tangible and it's what us therapists take care of.
One of the issues that we have is that our civilization, which is backed by our minds, has actually evolved faster than our brains have so our brains get activated by perceived threat and still think tigers are chasing us.
It's still our brain, that primitive Caveman Limbic system, deep in the depths of our primitive brain that is not aware that it's not a tiger. That's that overinterpretation of threat. When our brain is not aware that it is not a tiger.
So it is still dropping all of those neurochemicals associated with running for your life. Now our minds are thinking; “there's not a tiger - so why is my heart beating this fast?”.
My heart's beating that fast because my brain told it to because it thinks I'm running from a tiger.
There's something about that idea of separating the brain from the mind that really helps people understand that they're not defective. They're not doing something wrong, or their loved one isn't doing something wrong or isn't broken.
In fact, you're the opposite of broken. Your brain is working magnificently, it's doing exactly what it's designed to do. Now our mind needs to override that brain part and that feels like such a good starting point.
“Those teaching examples and metaphors I think are so brilliant. I literally start with that one, usually the tiger. That's one of my teaching examples.”
Dr. Melanie Smith
Let’s talk about what this all looks like in a therapy room and any examples you may have.“All of the education kind of stuff we just talked about, you have to bring in the room with a client using language that is appropriate developmentally and, again, relationally; like it's not a science class but we are teaching them about science.”
Dr Melanie Smith
It is clear that introspective exposure is a tool that therapists and clinicians can incorporate, but as a method of treatment, this is not something you're going to start off with. We need to get past certain stages in therapy and have foundational blocks before we move onto using interoceptive exposure with clients.
This is a fascinating topic and Dr. Melanie Smith provides valuable insights, information and examples throughout the podcast.
To read the article or find the book mentioned in the podcast, follow the links below.
RESOURCES MENTIONED AND USEFUL LINKSVisit National Library of Medicine to read the article mentioned in the podcast.
Visit this Amazon Link to get the book mentioned in the podcast.
Rate, review, and subscribe to this podcast on Apple Podcasts, Stitcher, Google Podcasts, TuneIn, and Spotify.
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Consisting of 5 new episodes, season 2 of the Eating Recovery Academy Podcast is about to drop!
Click here to listen to the official Trailer
From the second week of November 2023 the episodes will become available. The guests are amazing in their fields and we cover some fascinating and insightful topics surrounding eating disorder treatments.
Be on the lookout for the first episode - you won't want to miss it!
Make sure you're following Eating Recovery Academy on any of the platforms below, and that your notifications are on.
Apple
Spotify
Google
Deezer
Stitcher
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What are clinical resources?
What clinical resources are available to therapists?
How important are clinical resources in assisting with the treatment of eating disorders?
In this podcast episode, Kate Fisch speaks with Lara Effland about clinical resources. She discusses
the role that clinical resources play in assisting therapists with the treatment of eating disorders.Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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What does the brain have to do with eating disorders?
Does the brain influence eating disorders?
Can neuroscience help us treat eating disorders?
In this podcast episode, I speak with Melinda Karth about neuroscience and how studying the brain can help lead us to both educate our clients and also be able to pick more effective treatments.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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What is music therapy?
How does music therapy affect the brain?
How can therapists incorporate music therapy into eating disorder treatment?
In this episode I speak with Dr Annie Hedder Heiderscheit about music therapy as a supplemental intervention for eating disorder treatment and the current research on this form of therapy.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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Can psychedelics be used to help treat eating disorders? How do psychedelics interact with the mind and body? How can psychedelics, when used correctly, help a person to make significant changes in their lives?
In this podcast episode, I speak with Dr. Natalie Gukasyan about psychedelics, eating disorders, and the current research on new forms of treatment. We discuss what psychedelics are and how they can be used, in the appropriate settings, to change behavioral patterns.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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Can psychodrama be used to treat eating disorders? How can positive experiences help change someone’s brain for the better after trauma? Why is psychodrama an effective and powerful regulation tool that clients can use to heal trauma?
In this podcast episode, I interview Karen Carnabucci about psychodrama. We discuss its origins and modern-day applications as well as how clinicians can use psychodrama to help patients self-regulate.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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What is refeeding syndrome? Why is it dangerous? How can therapists work with their client’s physicians to reduce and treat refeeding syndrome?
In this podcast episode, I interview Christina Tursi about refeeding syndrome. We discuss what it is, how it can affect you, and the approaches to treatment that one might take.
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WEBSITE: www.eatingrecoveryacademy.com
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What is the relationship between mindfulness and resilience? Can you use awareness to combat mindless habits? Is mindful eating the remedy to diet culture?
In this podcast episode, I interview Andrea Lieberstein about the importance of mindfulness and how it can allow us to take conscious control of our thoughts and habits.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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Why is it near-impossible for clients to receive treatment for eating disorders? How can therapists be aware of exclusivity in treatment? Did you know that therapists are equipped to treat eating disorders?
In this podcast episode, I interview Rebecca Eyre about the challenges involved in finding eating disorder treatment. We discuss some of the misconceptions around who needs treatment, and how therapists can help.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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How do body image issues compound the struggles of eating disorders? Can you repurpose your social media to be a place of goodness instead of critique? Is Barbie the real culprit in young women’s bodily dissatisfaction?
In this podcast episode, I speak with Dr. Beth Blodgett Salafia about the relationship between self-esteem and disordered eating. We discuss how social media has affected our body image, and how parents can promote body positivity in their children.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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What is the connection between “flight or fight” and “rest and digest”? Does gut health influence brain health? How do eating disorders impact gut health?
In this podcast episode, I speak about gut health with Lauren Alcorn. We consider the various ways eating habits affect brain function, and how therapists and dieticians can practice sensitivity towards both the mental and physical symptoms of disordered eating.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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How can you deal with a client’s ambivalence around their eating disorder? What are some basic motivational interviewing techniques? How does a combination of CBT and DBT enable your clients to feel empowered?
In this podcast episode, I speak about ambivalence around eating disorders. I show how motivational interviewing techniques can help clients realize that eating disorders lead to less control. I also discuss the supportive role that CBT and DBT can play.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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Are your clients unsure as to whether they have an eating disorder or not? Can people have mixed emotions about eating disorders? How can therapists help address ambivalence in their clients?
In this podcast episode, Kate Fisch speaks about ambivalence in client decision-making. She discusses how patients can demonstrate ambivalence, how it relates to eating disorders, and how reflection can help address it.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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Can eating disorders be a result of gastrointestinal dysfunction? How can dieticians help their clients who have sensitive or disordered digestive systems? Why is maintaining a regular eating pattern helpful for treatment?
In this podcast episode, I interview Erin Hurst about the relationship between a sensitive gut and disordered eating. We discuss some of the symptoms of gastrointestinal dysfunction, and how to work with a dietician to support patient recovery.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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Why is it important for clients in eating recovery to know how their brain works? How do you work in unison with your “caveman” brain? Why is eating more food the answer to reducing binges?
In this podcast episode, I discuss how your brain responds to disordered eating. I analyze why it is that restricting calories often leads to bingeing, and discuss how changing your eating habits to be more regular can help you break the binge-eating cycle.
Thanks for listening! I'd love to connect with you over on Instagram and Facebook
SIGN UP FOR MY FREE EMAIL COURSE: Click here
SHOW NOTES AND RESOURCES: Click here
WEBSITE: www.eatingrecoveryacademy.com
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