Kelly Walker, registered and licensed dietitian, shares about Monarch Cove's unique nutritional philosophy combining evidenced based eating disorder treatment with intuitive eating.
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Monarch Cove Nutritional Philosophy- Kelly Walker, RD, LD
1. KELLY WALKER, RD LD
CASTLEWOOD TREATMENT CENTER
Understanding
Our Nutrition Philosophy
2. Our focus today
Castlewood’s philosophy
The role of a Dietitian
Nutrition Therapy and Intuitive Eating
Exercise philosophy
3. Castlewood’s philosophy
Our goal is to provide education, support, and
nurturing guidance as our clients let go of their
eating disorder behaviors and distorted thoughts
regarding food and weight
Abstinence from eating disorder behaviors
Recognize how it got to this point
Understand the internal core belief system
Facilitate autonomy around eating
4. Our Nutrition Approach
Internally-driven
“All foods fit”
Nutritionally Balanced according to the ADA’s
guidelines and recommendations
Understanding food’s role and function
Goal is Intuitive/normalized eating
5. Three Phases of Intuitive Eating in
Eating Disorder Treatment
Nutrition Rehabilitation Phase I: Intuitive Eating is
Contra-Indicated.
Phase II- Identifying, Normalizing, and Responding to
Satiety Cues.
Phase III- Indicators of Readiness for Intuitive Eating
(Tribole & Resch, 2004)
6. Ten Principles of Intuitive Eating
1- Reject the Diet Mentality
2- Honor your Hunger
3- Make Peace with Food
4- Challenge the Food Police
5- Feel your Fullness
6- Discover the Satisfaction Factor
7- Cope with your Emotions without using Food
8- Respect your Body
9- Exercise- Feel the Difference
10- Honor your Health- Gentle Nutrition
(Tribole & Resch, 2004)
7. The Role of a Dietitian
Gaining the client’s trust- First Session is Key
Understanding the client as a whole
Therapy
Nutrition intake
Body image
Part of the therapy process
8. The Role of a Dietitian
Manage the clients food and fluid intake
Meal Planning and Portioning
Variety
Moderation
Consistency
Achieve healthy weight and weight stabilization
Address medical concerns and provide nutritional
management
Teach the Role of Food in the body
9. The Role of a Dietitian
Challenge the Diet Mentality
Discuss appropriate exercise plans
Teach mindful and respectful eating
Work to understand hunger and fullness
Emotional and Physical
10. The keys to meeting our goals
Understanding the function
Connect the dots
Process along the way
Decrease shame
Aid in compassion
11. Food Rituals
Work to eliminate from beginning
Understand the function
Facilitate client’s desire to change
Vary differences depending on diagnosis
12. Where do food rituals come from?
Control: “If you’re going to make me eat…”
Fear of not getting enough
Fear of getting too much
Never enough and always too much
Deny food as food
A way to further disconnect from the food
13. How do we work on trauma foods?
GOAL: to detach the association between trauma
and food and to eventually eliminate fear response
with exposure.
Not encouraged until therapist indicates and/or
trauma has been processed
Work gradually to decrease association between food
and trauma
Continue processing with client during and after
eating
Encourage client to be patient
14. Eating disorder fear foods
Introduce from beginning
Consistently increase variety and reinforce by
educating the importance
Help them maintain variety as autonomy increases
16. We model a realistic structure for
normalized eating by incorporating:
Artificial Sweeteners
Soda
Caffeine
Meal outings
Vegetarianism
Grocery Shopping
Cooking
18. De-coding “I’m terrified of gaining weight.”
Getting to know themselves/core beliefs
Needs going unmet
Being Unloved
Unpredictability
19. Relapse Prevention
How food effects mood and can set one up for
behaviors
Urge Cards
Teaching how to create meal-structure in “the real
world.”
Behavioral Chain Analysis
20. Our Exercise Philosophy
Individualized
Learning moderation and re-learning what it feels
like to enjoy exercise
A privilege – the food comes first
Focus on How it Feels
Disassociate Exercise from Weight Loss
A Way to Take Care of Yourself
The mind, body connection
Yoga, Walks, Mindful Walks, Nia, Community Activities, Strength
Building
(Tribole, 2010)
21. Recovery process
An ongoing process
Constant challenging of fear foods, trauma foods,
food rituals
Maintaining “stabilization weight”
Utilize support from others
Eliminating the “I can do this myself” mentality
Identifying “Red Flags” before they turn into a laspe
and/or a relapse.
23. References
Tribole, E. (2010). Intuitive eating in the treatment
of eating disoders: The journey of attunement.
Perspectives, 11-14.
Tribole, E., & Resch, E. (2004). Intuitive eating, a
revolutionary program that works. (2 ed.). St.
Martin's Griffin.