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Dietitian Seasonings and Therapist Reasonings

Updated 7 days ago

Education
Health & Fitness
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Whether you are just starting out in the field of eating disorders or a seasoned, wise clinician, everyone needs support, guidance and advice once in awhile. Welcome to dietitian seasonings and therapist reasonings, hosted by therapist Meredith Riddick and dietitian Jill Sechi, eating disorders specialists supervisors with A Collaborative Approach. This podcast is intended to support, educate, and validate clinicians in the eating disorders field; emphasizing the team approach as best practice and encouraging evidence based care.

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Whether you are just starting out in the field of eating disorders or a seasoned, wise clinician, everyone needs support, guidance and advice once in awhile. Welcome to dietitian seasonings and therapist reasonings, hosted by therapist Meredith Riddick and dietitian Jill Sechi, eating disorders specialists supervisors with A Collaborative Approach. This podcast is intended to support, educate, and validate clinicians in the eating disorders field; emphasizing the team approach as best practice and encouraging evidence based care.

iTunes Ratings

16 Ratings
Average Ratings
16
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Grateful!

By Lynleigh Palmer, RDN, LDN - Jan 29 2020
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As an RDN who is new to the ED world, your podcast is full of practical knowledge and application. It’s especially helpful when both of you role play so I can gain a deeper understanding of the conversations I’ll be having with ED clients and how best to respond. Thank you for your work and I’m looking forward to future podcasts as a continue to replay the current episodes!

Excellent content

By Penny94040 - Dec 25 2019
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As a dietitian I have had to self-teach eating disorders care so this podcast is a must listen. I wish all ED therapists were this collaborative

iTunes Ratings

16 Ratings
Average Ratings
16
0
0
0
0

Grateful!

By Lynleigh Palmer, RDN, LDN - Jan 29 2020
Read more
As an RDN who is new to the ED world, your podcast is full of practical knowledge and application. It’s especially helpful when both of you role play so I can gain a deeper understanding of the conversations I’ll be having with ED clients and how best to respond. Thank you for your work and I’m looking forward to future podcasts as a continue to replay the current episodes!

Excellent content

By Penny94040 - Dec 25 2019
Read more
As a dietitian I have had to self-teach eating disorders care so this podcast is a must listen. I wish all ED therapists were this collaborative
Cover image of Dietitian Seasonings and Therapist Reasonings

Dietitian Seasonings and Therapist Reasonings

Latest release on Feb 24, 2020

All 43 episodes from oldest to newest

Are You Still In Diapers?

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Wondering what a hackle is? Listen on! If you are coming into the field as a "first career" you might be in your mid 20s or younger. This can bring up questions from parents or clients such as "how old are you?" And this can bring up a clinician's own counter transference (either positive or negative) which is your own internal  reaction in the session. This may bring up feelings of incompetence (understanding that we are all continuing to learn) for example. Meredith and Jill explore typical questions that might be asked, what this means and how you might respond. 

Feb 24 2020

33mins

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Diagnosing Dilemmas

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Meredith and Jill review the diagnosis of OSFED. Often times clients actually have AN or BN even though based on the DSM-V criteria, the client falls in the OSFED diagnosis based on BMI for example. Jill reviews looking at BMI vs the client's "normal" weight for the individual client. Jill also reviews the medical complications that may arise as well even though the client is at a "normal BMI."  Meredith also encourages looking at the length of time with the disorder and traits the client.  What about clients that might fall into BED but actually have BN as the binge eat and then follow a 1200-1500 calorie diet. What if they need HLOC? What facilities would be a good fit? 

Feb 17 2020

38mins

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A Wrinkle In Time

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Meredith and Jill discuss their experiences working in higher level of care (HLOC) and also now as out patient (OP) providers. They discuss what their clients may experience going from one level of care to the other. What might your client experience? What should they expect? How about the clinician? What is the clinician's experience in a HLOC vs OP setting? What might be helpful transitions for the client and the clinician and the client moves from one level of care to the other? 

Interested in general consultation or supervision to obtain your CEDS or CEDRD? Contact us at www.acollaborativeapproach.com/supervision for group, individual and dyad supervision opportunities. 

Feb 10 2020

36mins

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Meredith, I need some advice!

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What is the function of a therapist in the treatment of eating disorders? Don’t they just give good advice? In this episode Meredith and Jill explore the role of a therapist and how they are trained to help and support individuals through the process of therapy. Therapist employ strategic questions and pull on evidenced based theories while providing counseling to clients. During a therapist’s internship, a therapist is learning what theory they are more drawn to. Questions and answers that the therapist provides to a client is based on a particular theoretical orientation. Clients want black and white answers. Therapy allows clients to learn to live and work in the grey. Increasing confidence of the client and building self-efficacy of a client is a huge reason why therapist do not “just give advice.”

Feb 03 2020

36mins

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Meal Plan Anyone?

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Often times individuals might think all dietitians do in a session is provide a meal plans: a beautifully laid out breakfast, lunch, dinner and snack option meal plan and "poof" the client magically decides to follow it. All in one magical session! Right? 

Mmmmm, not so much. Meal planning is a small portion of the activities and responsibilities of a Registered Dietitian Nutritionist on an eating disorder treatment team. Jill reviews the various interventions, questions and nutrition therapy practices dietitians must be trained in to effectively support a client on their journey to developing a healthy relationship with food.  

Jan 27 2020

36mins

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Punk Rock vs Classical Music

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How do you handle, work through or stay on the same page with a clinician (whether it be a dietitian, therapist, doctor or psychiatrist) who might have a different style or approach than you? Meredith and Jill explore the complexities of staying on the same page with your treatment team when the client may experience a different approach or style from different clinicians. They discuss the importance of frequent communication and collaboration. Meredith and Jill also explore how to provide feedback to another clinician if that individual’s style may collide with yours. Be careful though! At times a client will say that a clinician is not a "good fit" due to more avoidance. Make sure you "dig a little deeper" when you hear a client wants to switch treatment team members. Also be careful not to just refer to "your friend" and make sure the clinician you are referring to has the approach or style you feel the client needs. 

Jan 20 2020

28mins

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Part 2: Evelyn Tribole on Implementing Intuitive Eating when working with clients struggling with EDs

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When do you know your client is ready for intuitive eating when they have been in the throws of an eating disorder? Please welcome our first guest on our podcast Ms. Evelyn Tribole, the registered dietitian who co-authored THE book Intuitive Eating A Revolutionary Program that Works!

Meredith and Jill had the opportunity of interviewing Evelyn for this part 2 of a 2 part interview. Evelyn discusses how working as a team in the eating disorders field and emphasizes the important of consistent communication, allows each team member the freedom and latitude of discussing IE while staying in their scope of practice.

What about groups? Should IE groups only be led by the therapist. Emotions and self care concepts are discussed. What about dietitians? Should this profession only lead groups on IE? Food and eating are discussed. 

What about higher level of care? Should IE be discussed in RTC, PHP or IOP when a client is in the throws of an eating disorder? If YES, then HOW? Evelyn describes what her program would look like if she were to design a program. 

Please visit www.acollaborativeapproach.com to find other resources and information on where to learn more about and implement IE as a clinician. 

Jan 12 2020

23mins

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Episode 1: Evelyn Tribole on Implementing Intuitive Eating when working with clients struggling with EDs

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When do you know your client ready for intuitive eating when they have been in the throws of an eating disorder? Please welcome our first guest on our podcast Ms. Evelyn Tribole, the registered dietitian who co-authored THE book Intuitive Eating A Revolutionary Program that Works!

Meredith and Jill had the opportunity of interviewing Evelyn for this part 1 of a 2 part interview. In this episode Evelyn discuses  the importance of supervision for clinicians when providing guidance to their clients on the concepts and implementation of the intuitive eating process. What Evelyn describes as important to the client knowing they have something to “recover to.”

Supervision is imperative as knowing how to provide guidance to your client goes well beyond any intellectual knowledge that you have (many have read her book); supervision provides guidance around the experience of supporting your clients during this process.

Intuitive Eating has a few very small studies around the implementation with eating disorders. Much more studies need to be performed! So where do you start?

Questions to ask your clients: “What are they capable of doing?” Can the client know and “listen” to their own body? Can they adequately respond to their body? Those in the throws of their eating disorder need a nutrition rehabilitation meal plan. BUT you can provide some insight into concepts of intuitive eating when they are on more structure. Questions you might ask your client” “How does this food feel in your body?”

Generally a client needs structure. Evelyn described this as the body being ravaged by the eating disorder and they need a CAST first to stabilize their eating behaviors.

Read more in our show notes at www.acollaborativeapproach.com/podcast

Jan 06 2020

34mins

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REPOST: Episode 19 "Jumbo Shrimp and Intuitive Eating Meal Plans"

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In preparation for some upcoming topics for 2020, Jill and Meredith have reposted a topic of importance: the function of meal plans in the treatment of those struggling with eating disorders. Listen on and be refreshed! We are excited about season 2 coming up! Stay tuned.

Dec 30 2019

16mins

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Episode 33: Working with a client who holds your degree

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Meredith and Jill explore what it might be like working with an client that shares the same field you do. We focus more on treatment of those clients with eating disorders, but regardless working with someone in your field can feel intimidating, a sense of pressure to "say the right thing" or even feelings of being judged for not being a "good therapist or dietitian."  We also explore working in the field of eating disorders and how going to therapy yourself can be helpful as a form of self-care and/or for struggling with mental illness as a clinician. They hope this podcasts helps with normalizing this often common occurrence. 

Dec 23 2019

23mins

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