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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 practi ...
 
Relationships are the core of our lives. This is where we often feel the most pain and the most joy. For many of us, we are wanting better experiences with our partners and that begins with us! Better Wife Better Life is about helping and encouraging women to feel empowered to be in healthy relationships through life changing communication strategies, having a better understanding of our partners and improving assertiveness and boundaries.
 
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show series
 
We're back! Yes, right before Thanksgiving Day to boot! Today Jill and Meredith discuss countertransference. This information is from Lisa Ferentze. Check out her resources at the Ferentze Institute . Have you ever seen a movie or TV show that had a therapist role. Were they ethical? Would YOU do this in session? Lisa Ferentze discusses Wilson and …
 
Jill takes the stage this week to discuss the importance of understanding macronutrients. The current "diet" trend is for clients to be "counting macronutrients." What are macronutrients? What do you mean by "counting them?" Jill discusses the very basics of macronutrients. What they are and how they are described in nutrition and dietetics. She al…
 
Meredith and Jill discuss the words one uses in conversation with clients and also in conversations between colleagues and professionally. What words are we talking about? For example saying "completed suicide" vs "committed suicide." Calories vs energy? How about "obesity" which is often referred to as the "O" word within the ED community. Listen …
 
Jill goes on a rant and Meredith goes in more detail about the importance of not crowd sourcing to get support with clients on social media. There are many issues about posting detailed information to seek consultation on difficult cases on social media platforms! What's available instead? Paid consultation with a supervisor (who you get to determi…
 
Meredith and Jill review higher level of care recommendations presented by the American Psychiatric Association guidelines. There are basically 5 levels of care ranging from out patient to inpatient. The chart helps reflect on key points to consider. As always, seek supervision or peer consultation when you need more support with the client or unde…
 
We are reposting a past season episode as we are preparing for several new episodes coming down the pike! Meredith and Jill discuss the challenge of treating clients with eating disorders. How do you hold support and understanding yet also provide accountability during the eating disorder recovery process? If you have not heard this episode, listen…
 
Jill takes the wheel this week with the focus of metabolism and how eating disorders effect the metabolism process of the body. Jill goes through very basic concepts of metabolism, function and how eating disorders can lower or "rev up" the body's metabolism (during refeeding). Is metabolism as simple as "calories in vs calories out?" Mmmmm, no. Li…
 
This is a bit of a somber episode. Meredith and Jill discuss their personal experiences losing a client or a client in their practice. How do you handle this as a clinician? As Meredith states "we build relationships with clients and we genuinely care about them." It makes sense they we will be affected by their passing or that may be worried that …
 
Jill begins this episode with a client's letter to her ED. A letter of "goodbye." How do you know when to discharge a client or decrease frequency of appointments. Do you use your gut feeling? What behaviors are you hoping to see? Often in the ED field, clients are seen for a longer length of time. Now this may be more known from a therapist point …
 
This is the second part of our series on Trauma and EDs. Meredith reviews the concept of fight, flight or freeze and gives descriptions of various characteristics of these behaviors. Meredith emphasizes the importance of diagnosing accurately as there are may characteristics of trauma that seem to be other psychiatric diagnosis. For example some cl…
 
This session (and maybe the next) will be some Meredith time! She reviews basic aspects of trauma. What is trauma? How does this occur? When we say someone has trauma, what does this mean? Meredith also discusses various interventions therapists may use. Our title is based off a very good book that we recommend you read: The Body Keeps the Score: B…
 
We are working on some new episodes so please tune in next week! Remember to sign up for our newsletter to receive some extra bonus materials such as role plays. As we are busy behind the scenes, listen to one of our previous episodes where we talk about the importance of obtaining supervision. Meredith and Jill discuss the supervision process for …
 
We are so excited to get requests for topics! Today's podcast is covering compulsive exercise in relationship to eating disorder recovery. Meredith and Jill first review the difference between athletes and compulsive "exercisers." An excellent resource is Dr. Kate Bennett's website: Athlete Insight. Meredith reviews aspects of exercise that a thera…
 
Welcome Becky Henry to this weeks podcast. Read more about Becky Henry here. Becky discusses a bit of her own story about how she was first a parent of a child in the throws of an eating disorder. She discusses what was helpful for her as she was supporting her child in the recovery process. Becky also discusses the perspective of the parent and th…
 
This is an episode addressing a requested topic: "How to handle clients whose trauma involves a lot of foods (either specific types of foods or certain settings or preparing foods) as an RD (ie how to do your work while staying in your lane?)" Meredith and Jill discuss their thoughts and opinions on how to address when clients struggle with trauma …
 
Meredith and Jill discuss the difficulties that can occur when working with clients that are 18 or older and their usually very concerned parents. There are of course laws and guidelines with age however with eating disorders, malnutrition can affect an individual's brain. Working with the most "nourished" brain in the room is often needed (the par…
 
Meredith and Jill discuss their thoughts and opinions about Episode 25 with Dr. Ralph Carson: What's weight got to do with it? We hope you found his presentation thought provoking, powerful and informative. As Dr. Carson says, he's the messenger and all of what he presented was research as we currently know. Meredith and Jill emphasized the importa…
 
In this episode Meredith and I have the opportunity of speaking with Dr. Ralph Carson, RDN, CEDRD for a full hour and a half. Dr. Carson provides more of a presentation with question and answers towards the end. The focus of this podcast is bridging the gap between healthcare recommendations and focus of weight loss vs the recommendations by eating…
 
In preparation for our upcoming episode to be released on July 6, 2020, with Dr. Ralph Carson, RD, CEDRD, LD we wanted to share a role play that we published (video version) in our June newsletter. You can sign up here to receive our newsletter and for the special bonuses we will be providing from Dr. Carson's discussion (powerpoint video version o…
 
Hi all! In preparation for our July 6, 2020 podcast, Meredith and I wanted to re-post a previous podcast topic: The Role of the Dietitian in Eating Disorder Treatment. Listen on and be refreshed. Dietitians play an essential role in the treatment of eating disorders. They also have a deep understanding of health and wellness and can blend this know…
 
In this episode Meredith and Jill discuss their personal perspectives about Douglas Bunnell, PhD, FAED, CEDS-S's interview on Episode 23. Meredith reflects on the anxiety of clinicians that are new in the field and seasoned in the field and how this develops through personality types and also training in graduate school. Jill discusses the difficul…
 
In this episode, Meredith and Jill have the opportunity to interview Dr. Bunnell. Through his 30 years of experience in the ED field, he shares his clinical wisdom and generally describes the 14 qualities or characteristics of effective therapists/clinicians. There are more and more clinicians entering the ED field. However, there lacks adequate tr…
 
All of these twos! This was not planned. In this session Jill and Meredith discuss the education component in dietitian sessions. Dietitians have a huge role in eating disorder support by providing education to clients. Often most client "know" a lot however they "know" a lot of misinformation. A dietitian helps dispel these food and nutrition myth…
 
Do you provide education in your sessions? Most clients that struggle with eating disorders need to "unlearn" misinformation that they have heard from youtubers, the internet or Netflix "shockumentaries." Often those newer in the field provide much more nutrition and psychoeducation in sessions than those that are more seasoned. But for those that …
 
In this episode Meredith and Jill discuss the "Stay At Home" (due to the Covid 19 Pandemic) challenges that have demanded many clinicians in the eating disorders field to see clients via video or phone. During this pandemic, have clients been able to transition smoothly from in person to "virtual?" Do you you prefer or do you struggle with the virt…
 
In part 2 of our interview with Robyn Goldberg, RDN, CEDRD-S, Robyn discusses some content in her book regarding supporting and helping caregivers in supporting their loved one during eating disorder recovery. She discusses the importance of emphasizing not "envying" their loved one's eating disorder. Robyn encourages the awareness of their loved o…
 
Robyn Goldberg joins Dietitian Seasonings & Therapists Reasonings with the release of her new book The Eating Disorders Trap for a two part series. Part begins with Robyn discussing a case with a clinician who referred a very sick client to her. The clinician has minimal knowledge about eating disorders. Robyn's role became one of educating the cli…
 
Meredith and Jill talk about when and how to incorporate nutrition topics and concerns when a client has heart disease, diabetes, or abnormal lab values, etc. when they are in the throws of eating disorder recovery. They review when a client is in the the "early stages of recovery" as well as when they have had a year or two of recovery "under thei…
 
In this podcast Meredith and Jill provide a role playing scene that is often common in the dietitian's and therapist's sessions. Often times parents want to try to bargain and negotiate their child's weight goal that usually the dietitian sets through a full assessment and review of weight history. We also have this on video as well on A Collaborat…
 
Kari Anderson joins us for another podcast on the subject of desire for weight loss or for clients who call themselves compulsive "overeaters" and "addicted to food." These clients often do not realized they may even be struggling with an eating disorder. How do we allow clients to talk about a strong desire to lose weight. As clinicians in the fie…
 
Welcome Kari Anderson to our podcast! You can learn all about her at www.myeatingdoctor.com. She has also written a book and has a new one coming this year. Kari, Jill and Meredith discuss new interventions that continue to emerge that can be used in the treatment of eating disorders as well as established interventions. What reason do new interven…
 
Have you heard about Dr. Adele LaFrance and her work with Emotion Focused Family Therapy (EFFT)? If not, Meredith and Jill encourage you to seek training in this very helpful intervention for those with eating disorders (and other mental health disorders as well). Meredith and Jill attended to 3 day training in Virginia. In this episode we review v…
 
Jill has a story to tell. We'll let you listen to hear. Meredith and Jill discuss the HAES (Health At Every Size) Movement and how our clients can advocate for themselves during physician appointments. Often clients have weight "issues" brought up in a medical appointments without their consent. Their weight is brought up out of context to why they…
 
What are some leading causes that may contribute to clinician burnout in the field of eating disorders? Those that treat eating disorders experience the highest burnout of other clinicians. What we do is hard work! What are helpful interventions to prevent or reduce burnout? Owning burnout and actually attempting to curve burnout can be a difficult…
 
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