Dietitian Seasonings and Therapist Reasonings
83 episodes - English - Latest episode: over 3 years ago - ★★★★★ - 26 ratingsWhether 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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Episodes
Grand Finale: Encore Please!
December 22, 2020 13:00 - 15 minutes - 21.7 MBDear Followers: This will be the last podcast of Dietitian Seasonings & Therapist Reasonings......we have served our community for two years and are ready to close this chapter of our work in the eating disorder community. We hope this podcast was helpful in your journey in understanding eating disorders through the encouragement and process of supervision concepts (vs just education). You can still find us! Through A Collaborative Approach we will continue to offer dual sessions to c...
Tummy Troubles
December 01, 2020 13:00 - 19 minutes - 26.9 MBJill and Meredith review basics about digestive issues that one often sees when working with clients that are struggling with an eating disorder. There are some great podcasts that cover more in depth- stomach issues- which often clients want to focus on food to change or eliminate. Do you have clients with "IBS" or "constipation, diarrhea, or vomiting" or perhaps struggle with sleep? Today Jill and Meredith discuss how these digestive issues might come up in session and are more often...
Good 'Jill' Hunting
November 25, 2020 13:00 - 39 minutes - 53.8 MBWe'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 Lindy's models of countertransference. Listen on as Meredith and Jill will highlight a few areas from this training. What is countertransfe...
Macros 101: Understanding carbs, protein and fat
November 16, 2020 13:00 - 25 minutes - 34.8 MBJill 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 also goes through basic functions of macronutrients. Here are a few links/resources for your clients: Having difficulty getting your client to ...
[REPOST] Season 2, Episode 6: A Wrinkle In Time
November 09, 2020 13:00 - 36 minutes - 50.4 MBYep, we are a bit behind on recording but have several new episodes coming up! We decided to repost this important episode. Enjoy! Be tuned in to next Monday for a new episode.
All in a WORD
October 26, 2020 12:00 - 21 minutes - 29.6 MBMeredith 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 on as Meredith and Jill discuss the WORDs we use and how they can hold deep meaning. Do you want to be "right" or do you want to be "effecti...
Crowd Sourcing, Anyone?
October 19, 2020 12:00 - 10 minutes - 15 MBJill 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 determine level of of experience and expertise). We encourage you to form a peer consultation group within your community of ED professionals. There ...
When to refer to higher level of care
October 12, 2020 12:00 - 19 minutes - 27.4 MBMeredith 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 understanding the complexities of helping a client with this decision.
[REPOST] Season 1, Episode 21: Compassion vs Colluding
October 05, 2020 15:38 - 23 minutes - 32.2 MBWe 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 on or listen again as we discuss how to not align with the eating disorder which may bring about difficult discussions and uncomfortableness...
Understanding Metabolism
September 28, 2020 12:00 - 37 minutes - 50.8 MBJill 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. Listen on! As you listen to this episode, Jill hopes you understand the importance of using a dietitian. If you struggle getting a client to...
Death of a Client
September 21, 2020 12:00 - 15 minutes - 21.8 MBThis 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 they might pass away. Here are some resources that might be supportive to you if you have experienced the death of a client. Article Copi...
"Dear ED Self"
September 14, 2020 12:00 - 22 minutes - 31.4 MBJill 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 of view. In particular to a dietitian, a dietitian may see a client for several years which is different for the "traditional" nutrition fie...
[REPOST] Season 1, Episode 4: Body Image, Diving Deep!
September 08, 2020 12:00 - 39 minutes - 54.8 MBWe've decided to repost and episode from season 1 on body image. Meredith and Jill discuss body image when working with clients, their own body image, and what the treatment provider roles are and how to address them.
Part 2: Trauma and EDs. 'The Burger Keeps the Score.'
August 31, 2020 12:00 - 33 minutes - 45.3 MBThis 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 clinicians feel that Borderline Personality Disorder is actually the "result" of complex trauma. Also, there are many behaviors that result in ea...
Part 1: Trauma and EDs. 'The Burger Keeps the Score.'
August 24, 2020 12:00 - 28 minutes - 39 MBThis 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: Brain, Mind and Body In the Healing of Trauma by Bessel Van der Kolk, MD. Please note this podcast episode does not replace the importance of...
[REPOST] Season 1, Episode 20: "Supper"vision: What is it and what it's not.
August 17, 2020 12:27 - 20 minutes - 27.5 MBWe 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 the certified eating disorders specialist designation (CEDS or CEDRD). Meredith describes supervision for the therapist which is required for o...
[REQUEST] Running On Empty
August 10, 2020 12:00 - 29 minutes - 40.8 MBWe 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 therapist and dietitians in the field of eating disorders can focus on in the assessment process. Athletes, compulsive exercise and "over" exercise as...
Including Parents and Caregivers in Eating Disorders Treatment with Becky Henry
August 03, 2020 12:00 - 53 minutes - 72.8 MBWelcome 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 the process she went through in order to effectively support her child. Becky currently has a successful parent coaching program and reviews some...
[REQUEST] Food, Trauma and Stay'n in Yo Lane
July 27, 2020 12:00 - 12 minutes - 17.2 MBThis 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 specific to food concerns (such as abuse, food insecurity, etc). Meredith discusses grounded skills and validation that can be helpful that d...
Supporting Budding Adults and Their Parents
July 20, 2020 12:00 - 22 minutes - 30.4 MBMeredith 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 parent). Listen on as they explore what might be helpful in sessions, what Meredith and Jill often do in their sessions working with this transitio...
"Deep Thoughts" about Episode 25 with Meredith and Jill
July 13, 2020 12:00 - 17 minutes - 24.7 MBMeredith 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 importance of "openess" and importance of being able to hear what the current health care providers are supporting as way of promoting dialogue to "br...
What's weight got to do with It? with Ralph Carson, PhD, RDN, CEDRD
July 06, 2020 12:00 - 1 hour - 119 MBIn 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 disorders professionals which is often "let go of weight loss" to repair your relationship with food and body. Dr. Carson feels that both are dis...
[BONUS] Role Playing: Desire for Weight Loss
June 29, 2020 12:00 - 25 minutes - 34.8 MBIn 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 of the podcast for those visual learners!). Jill and Meredith role play from a therapist and dietitian perspective how to work with a client wi...
REPOST: Season 2, Episode 4 "Meal Plan, Anyone?"
June 22, 2020 12:00 - 36 minutes - 50.4 MBHi 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 knowledge and understanding as they work as a vital component on the treatment team. We are very excited about Episode 25 which will be released on Ju...
"Deep Thoughts" about episode 24 with Meredith and Jill
June 15, 2020 12:00 - 18 minutes - 25.1 MBIn 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 difficulty dietitians carry having to develop "thick skin" and bring up difficult (avoid, avoiding) topics and behavioral challenges. The function o...
14 Characteristics of Effective Clinicians with Douglas Bunnell, PhD, FAED, CEDS-S
June 08, 2020 14:05 - 53 minutes - 73.7 MBIn 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 training and supervision. How do we nourish and grow new talent in the field of EDs and accelerate the process of learning and professional develop...
Part 2: Therapy Is for Teaching, too!
June 01, 2020 12:49 - 25 minutes - 35.2 MBAll 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 myths, helps a client unlearn and then learn evidence based information. Meredith and Jill also discuss the concept of education or psychoeducation...
Part 1: Therapy Is for Teaching, too!
May 26, 2020 12:00 - 16 minutes - 22.7 MBDo 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 are seasoned, are you providing "enough" education now that your clinical skills are more fine tuned? In part 1, Meredith discusses her experien...
Therapy in the Digital Age (or is it Ice Age?)
May 18, 2020 12:00 - 38 minutes - 52.4 MBIn 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 virtual platform? For some clinicians this may be the first time that you are seeing clients "not in person." For others, this may be the only platf...
Part 2: I'm "Your 411" with Robyn Goldberg, RDN, CEDRD-S
May 11, 2020 12:00 - 27 minutes - 37.4 MBIn 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 one's body language and their body language in addition to what is asked or stated. How does a clinician redirect a physician's recommendation w...
Part 1: Helping Without Harming with Robyn Goldberg, RDN, CEDRD-S
May 04, 2020 12:00 - 26 minutes - 36 MBRobyn 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 clinician about eating disorders with the attempt of having the clinicians help and not harm the client. Robyn, Jill and Meredith explore the ...
Pancakes: How is THIS gentle nutrition?
April 27, 2020 12:00 - 26 minutes - 36.7 MBMeredith 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 their belt." How do you respond to your client's concerns yet keep their recovery a priority?
Role Playing: Bargaining & Non-Negotiables
April 20, 2020 12:00 - 38 minutes - 52.9 MBIn 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 Collaborative Approaches YouTube channel. Please sign up for our free monthly newsletter to also see the role play as a video version.
Part 2: Holding Space for Clients Who Desire Weight Loss with Kari Anderson, DBH, LPC, CEDS-S
April 13, 2020 12:00 - 24 minutes - 33.2 MBKari 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 field of eating disorders, we learn more about our own bias and how to approach treatment in HAES and "weight neutral movement." Are we beginning to ...
Part 1: It's Ok to Take a Risk with Kari Anderson, DBH, LPC, CEDS-S
April 06, 2020 12:00 - 27 minutes - 38.2 MBWelcome 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 interventions and modalities perhaps not interest newer practioners in the field of eating disorders? What reason are "older" interventions and modalit...
Love, Adele
March 30, 2020 12:00 - 15 minutes - 21.2 MBHave 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 very basic concepts of EFFT and how both therapists and dietitians can use this intervention to support those in eating disorder recovery.
Jill and her terrible, horrible, no good, very bad, day.
March 23, 2020 16:00 - 25 minutes - 35.5 MBJill 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 are seeking medical support. How can we support our clients through these experiences? How do we allow space on our appointments so they can feel...
Burnout Anyone?
March 16, 2020 12:00 - 33 minutes - 46.2 MBWhat 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 decision for a clinician. Burnout can cause lack of energy in the clinician, affect your clinical work with a client or affect the clinician's...
Part 2: Mommy and Me with Amanda Holben, RDN
March 09, 2020 12:00 - 14 minutes - 20 MBIn our part 2 interview with Amanda Holben (which is a very different subject matter!), Meredith and Jill hear from Amanda what her experience has been like with starting a family after a very fulfilling 20 year career in the field of eating disorders and a huge choice she made to stay at home with her daughter. This can often be a challenge for practitioner: stay home? Continue to work and balance being a parent and continuing in the field of eating disorders. Amanda discusses her experien...
Part 1: If I knew then what I know now with Amanda Holben, RDN
March 02, 2020 13:00 - 30 minutes - 41.4 MBMeredith and Jill have the opportunity of interviewing Amanda Holben, RDN in part one of two interviews. Amanda spent a good part of her career at the once Remuda Ranch in residential programming and then several years in outpatient nutrition counseling in Houston Texas before she decided to devote the majority of her time raising her child. Amanda discusses aspects of being new in the field, looking back as a newer clinician compared to her skill level and knowledge base now. She refle...
Are You Still In Diapers?
February 24, 2020 13:00 - 33 minutes - 46.4 MBWondering 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 typica...
Diagnosing Dilemmas
February 17, 2020 13:00 - 38 minutes - 52.7 MBMeredith 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. ...
A Wrinkle In Time
February 10, 2020 13:00 - 36 minutes - 50.4 MBMeredith 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? Intere...
Meredith, I need some advice!
February 03, 2020 13:00 - 36 minutes - 50.4 MBWhat 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 ...
Meal Plan Anyone?
January 27, 2020 13:00 - 36 minutes - 50.4 MBOften 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 ther...
Punk Rock vs Classical Music
January 20, 2020 13:00 - 28 minutes - 39.7 MBHow 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 f...
Part 2: Evelyn Tribole on Implementing Intuitive Eating when working with clients struggling with EDs
January 12, 2020 13:00 - 23 minutes - 32.7 MBWhen 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 consiste...
Episode 1: Evelyn Tribole on Implementing Intuitive Eating when working with clients struggling with EDs
January 06, 2020 13:00 - 34 minutes - 47.8 MBWhen 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 c...
REPOST: Episode 19 "Jumbo Shrimp and Intuitive Eating Meal Plans"
December 30, 2019 13:00 - 16 minutes - 22.4 MBIn 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.
Episode 33: Working with a client who holds your degree
December 23, 2019 18:00 - 23 minutes - 32 MBMeredith 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-...